White armor

Chapter 432: Purple Shirt Causes Trouble

Ventricular fibrillation!

Ventricular fibrillation!!
The patient had just stabilized for a short while, and before Luo Hao could finish asking about his medical history, the patient started having ventricular fibrillation again!!!
The patient's limbs were constantly twitching, twitching meaninglessly.

She was very thin, about 170cm tall, and weighed less than 90kg. Her hands and feet were skinny, and the veins under her skin were clearly visible when she twitched meaninglessly.

At the same time, the patient held his breath and could not utter anything, his face turned red and dark red.

"Prepare for defibrillation!"

Luo Hao rushed into the emergency room. The ultrasound echocardiogram beside the bed had not yet been removed. Luo Hao stopped the doctor and reluctantly performed an ultrasound echocardiogram on the patient during the interval between defibrillations.

As Luo Hao expected, the ultrasound showed a diffuse decrease in left ventricular motion.

But the best expected outcome did not occur. No matter whether it was external chest compression or electric defibrillation, the patient's heart beat did not recover immediately. This was completely different from the outcome just now when Luo Hao only performed vagus nerve massage.

"Prepare for ECMO." Luo Hao said in a deep voice, looking at the doctor who was performing emergency treatment and the patient whose face had turned from dark red to pale.

"..."

Feng Zixuan paused, looked at the patient's family, and then looked at Luo Hao, waiting for Luo Hao's explanation.

But Luo Hao didn't notice Feng Zixuan's expression. He hesitated for a moment and then pulled Luo Hao.

"Xiao Luo, the patient's family members' opinion is... don't let him suffer. Malignant arrhythmias are becoming more and more frequent, and there's no telling when he might die. Ecmo, how about just forget it?"

"Director Feng, I can roughly guess where it came from." Although Luo Hao said roughly and guessed, his tone was firm, as if he had already found the problem.

After hearing what Luo Hao said, Feng Zixuan did not hesitate. He told the director of the emergency department and immediately called the ICU's ECMO team to prepare.

The emergency department pushed the patient to the ICU, and Luo Hao trotted after him and disappeared around the corner.

"Pei'en, come with me." Feng Zixuan called out to his classmate who had already lost his mind.

"Old Four, is the person already dead? I heard that patients with cardiac arrest in the hospital need to be pressed for half an hour, and many patients who died had broken ribs."

The more Liu Peien spoke, the more excited he became, and Feng Zixuan immediately stopped him before he lost control of his temper.

Although Liu Peien had thought about this scene for many years, he still couldn't accept it when it happened.

"Wait, Pei'en! The person is still here, calm down." Feng Zixuan punched Liu Pei'en on the shoulder, "Old bastard, calm down."

Pei En pronounces it quickly as "pen", so when he was in school, Liu Pei En had the nickname "Lao Bi".

I haven't heard it for many years. When I first heard it, Liu Peien was in a trance.

"The person is still there, and Professor Luo said they should already know how he got here." Feng Zixuan did not take Liu Peien directly to the ICU. He had already made a phone call there, and the ECMO team was ready to go.

Feng Zixuan pulled Liu Peien out of the emergency department and found a corner.

"Old bitch, have a cigarette and calm down."

Liu Peien's hands were shaking so much that he couldn't even pick up a cigarette.

"You told me that you didn't want to see your child suffer like this. He already has anorexia, and if you add the malignant arrhythmia that can occur at any time, your child's mental state will already be in trouble. Living is too painful."

Feng Zixuan began to explain.

Liu Peien's eyes were blank as he stared at Feng Zixuan in a daze.

Probably his mind was blank, Feng Zixuan sighed, it was useless to say anything at this time.

"No more talking, just trust me." Feng Zixuan said, "Calm down, and when the ECMO is on, I'll ask Xiao Luo to ask in detail. If it can be cured, we'll treat it; if it can't be cured, there will be no regrets when the time comes."

When Liu Peien heard the word "give up", he lost the courage he had when he said these two words to Feng Zixuan before. His legs were shaking and he squatted down slowly against the wall.

"Your wife didn't come. I know you two have discussed and are ready to give up. You can't bear to see the child suffer."

Feng Zixuan sighed and put his hand on Liu Peien's shoulder.

He didn't continue talking. There was no point in saying anything at this moment.

After an unknown amount of time, Liu Peien's tears began to flow.

After an unknown amount of time, he lit a cigarette with trembling hands, but did not inhale. Instead, he stared at the curling smoke in a daze.

Ugh.

Feng Zixuan sighed inwardly.

This is really terrible.

Doctors in the hospital often joke among themselves that a disease can be named after a person.

But once this situation appears before your eyes, it gives rise to an indescribable emotion in your heart.

It is a big taboo for doctors to not have empathy.

Feng Zixuan pulled himself out of the whirlpool of emotions and tried to calm himself down. At this time, Liu Peien was already confused, and he couldn't be confused.

It was not until the cigarette went out that Feng Zixuan pulled Liu Peien up.

"Let's go to the ICU."

Liu Peien nodded blankly, as if he had lost something.

Feng Zixuan understands.

I went to the capital and the Magic City and made appointments with experts at Fuwai, Anzhen, Zhongshan and Ruijin hospitals.

There seems to be no possibility of resolving the issue domestically.

If you want to know why, after the child dies, send him/her for an autopsy, pathological diagnosis and various other tests, and it is possible that the doctor will discover a new disease.

But that means nothing to Liu Peien.

I just hope Luo Hao really knows something, instead of just making up nonsense words in a hurry to rescue the patient because he judged that the patient can survive on ECMO.

Feng Zixuan occasionally encounters similar situations.

Out of trust in Luo Hao, Feng Zixuan brought Liu Peien to the door of the ICU. However, along the way, Feng Zixuan's confidence was waning.

The decay rate is extremely fast.

When they arrived at the ICU door, Feng Zixuan was already prepared to use ECMO to rescue the patient for a while, and finally remove the tube and declare the patient clinically dead, assuming that Luo Hao knew nothing about it.

Let Liu Peien sit down, Feng Zixuan took out his cell phone and made a call to ask about the situation inside.

At this time, Feng Zixuan didn't dare to leave for a second, for fear that Liu Peien would open the window and jump out.

It’s not like this kind of thing hasn’t happened before.

Soon, Luo Hao came out wearing the ICU's standard isolation suit.

"Director Feng, the patient is in good condition after being put on ECMO," Luo Hao reported first. "It looks like he can survive as long as he survives this period of time."

Feng Zixuan didn't say anything, but stared at Luo Hao.

His eyes were deep and questioning silently.

Luo Hao nodded, took out his mobile phone again and found a picture.

"Mr. Liu, please take a look and see if you have anything like this at home."

Feng Zixuan was curious and went over.

It is a plant with thick leaves, and looks no different from the flowers and plants grown at home. But at the edge of the picture, there is a concave bright red fruit, bright red, and dazzling red.

The fruit looks very strange, probably not the kind you usually see.

what is this?
Feng Zixuan was a little confused. He looked up into Luo Hao's eyes, then stared at Liu Peien.

Liu Peien took a look and was stunned. Feng Zixuan keenly captured the details of the "old bitch's" movements. It seemed that Luo Hao had really "guessed" it right!
"Xiao Luo, what kind of plant is this?" Feng Zixuan asked.

"Purple shirt."

Purple shirt?!
This familiar name made Feng Zixuan stunned.

Paclitaxel has been used in clinical chemotherapy since the beginning of the century and is considered a commonly used clinical drug.

Although Feng Zixuan had used or heard about it for decades, it was the first time he saw that the pleurotus eryngii used to extract paclitaxel looked like this.

The bright red fruit was particularly eye-catching. Could it be that all brightly colored things were poisonous? A strange thought came to Feng Zixuan's mind.

Feng Zixuan was puzzled, "Old bitch, do you have any at home? Did you feed the child?"

"Ah? Ah!" Liu Peien responded.

"Why eat this?" Feng Zixuan asked.

"To treat anorexia nervosa." Luo Hao explained calmly.

"!!!"

Feng Zixuan was silent.

This is really ridiculous. Eating purple yew to treat anorexia nervosa, which god gave this folk remedy? !

However, Feng Zixuan knew that yew was poisonous, but he could not imagine the difficult situation that Liu Peien's daughter had presented.

"Xiao Luo, is there a connection between purple shirts and malignant arrhythmias?"

As soon as Feng Zixuan asked the question, he laughed.

Nearly five years ago, all chemotherapy patients had to be monitored by ECG. This regulation was made by Feng Zixuan himself.

Because a patient died suddenly during chemotherapy, the hospital ended up paying a large sum of money.

In line with the principle of rather killing the wrong person than letting the guilty go, Feng Zixuan reported to the dean and made a decision. Even though there were complaints from patients and their families about the excessive charges, Feng Zixuan still refused to change his mind.

Just like all emergency patients who come to the hospital have to have an electrocardiogram.

After calming down a little, Feng Zixuan recalled carefully that it seemed that, probably, most of the patients who died suddenly were treated with paclitaxel.

"It is related." After receiving a positive answer, Luo Hao's expression and tone became much more relaxed. He smiled and said, "The chemotherapy drug paclitaxel extracted from yew is commonly used in clinical practice. Even non-medical workers know it.

In addition to paclitaxel, two other toxic substances can be extracted from the leaves of yew: taxine A and taxine B. Both are cardiotoxic, but taxine B is more cardiotoxic.

"The cardiotoxicity of taxanes is mainly manifested in two aspects - Na channel blockade and Ca channel blockade, similar to class I antiarrhythmic drugs and class IV antiarrhythmic drugs."

“The electrophysiological characteristics are slowed phase 0 depolarization velocity and prolonged atrioventricular conduction time, and the electrocardiogram shows second- and third-degree atrioventricular block, widened QRS waves, and even deterioration to ventricular tachycardia and ventricular fibrillation.

Mr. Liu's daughter developed ventricular fibrillation.

Due to the obvious calcium channel blockade, severe reduction in myocardial contractility is also a common manifestation. The last malignant arrhythmia also occurred in the left ventricle. "

Luo Hao gave a brief explanation and Feng Zixuan suddenly understood.

He didn't quite understand the contents of pharmacology and pathology, but Luo Hao's words were clear, reasonable, and in line with the most basic logic.

Generally, experts who can speak in this tone are those who know the situation well, and it sounds fine at a rough listening. The pictures they found also confirmed that the patient's family did give the patient Zishan orally.

Isn’t this nonsense!
There is no reason to feed purple shirt to children.

Feng Zixuan cursed the old bitch with four or five long and difficult Northeastern swear words in his mind, scolding her to pieces.

Give children zishan orally to treat anorexia nervosa!

He is a doctor too!

Universities at that time had not yet expanded their enrollment, and the quality of their students was comparable to that of today's master's students.

How could you do such a foolish thing!

There's water in my brain. There must be water in my brain, and it's quite a lot. I guess even my brain has melted.

"Director Feng, someone is indeed doing an experiment, saying that Zishan can treat anorexia nervosa, especially for severe anorexia nervosa." Luo Hao helped Liu Peien explain.

"???" "It's just that the efficacy is uncertain. I can't say for sure that it will be effective for now."

Luo Hao said something very convoluted.

"Old bitch, why don't you say anything?" Feng Zixuan scolded.

There must be many reasons, Liu Peien explained in a daze.

Luo Hao didn't think it was such a ridiculous thing that the parents at home would intentionally poison and kill their sick daughter.

After he finished explaining, he went back to the ICU to take care of the patients.

After several hours, the patient recovered.

The return of emergency ions has come out, and after correcting the ion disorder, the patient's heart rate returned to sinus rhythm.

Luo Hao felt relieved.

It should be caused by Zishan. There are similar medical records in the medical record database of Peking Union Medical College, but the number is very small. In addition, the patient's family did not mention a similar past history, so Luo Hao did not give a diagnosis for a while.

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Because he saw that the patients and their families were extremely skinny, Luo Hao "guessed" that it might be related to Zishan.

After leaving the ICU, Luo Hao saw the couple sitting outside. He didn't explain anything to Liu Peien and his wife.

When it comes to explaining the patient's condition, that is the ICU doctor's job.

Luo Hao also didn't want to see Liu Peien's grateful look, so he simply left through the fire escape.

I called Feng Zixuan, and he was still waiting for me in the office.

Luo Hao changed his clothes and rushed to the infirmary.

Seeing Liu Peien and his wife sitting at the door of the intensive care unit confirmed Luo Hao's guess - they both didn't want to treat their child anymore.

As for whether it was suffering or something else, Luo Hao didn't think about it any further. The human heart is like the sea, and thinking too much will make you depressed, so there is no need.

"Xiao Luo, thank you for your hard work today." Feng Zixuan said with a smile.

"It's not hard, it's just that the condition is a little complicated, it will be fine once it is sorted out." Luo Hao replied with a smile.

"I didn't expect that they actually took the purple shirt orally. When my niece recovers from her illness, I will give them a good scolding."

“Anorexia nervosa is indeed difficult to treat…”

As Luo Hao was speaking, he suddenly remembered something.

"Director Feng, did you know that the Max Planck Institute's entire neuroscience team went to Gongda some time ago?"

"Yes, it seems that Boss Lou poached them. They are from Moritz's team."

Luo Hao nodded. It was rare that Feng Zixuan actually remembered the name Moritz.

Moritz's team is working on something in collaboration with Qi Yuanliang and Ye Qingqing.

Luo Hao was not interested in this, but when he thought about it at this moment, Luo Hao had an idea.

After making a gesture, Luo Hao called Ye Qingqing.

"Qingqing." Luo Hao briefly explained the situation. "Anorexia nervosa should be related to the brain nerves. Has Moritz's team done any research on this disease?"

"Huh? How do you know there is such research?" Ye Qingqing asked curiously.

Luo Hao had a sincere smile on his face.

"Then you should research it and see if there is a targeted treatment. Anorexia nervosa is indeed a headache."

"Hey, hey, I'm busy here."

"Qingqing, I have something to say about this." Luo Hao acted like an elder brother and began to teach Ye Qingqing a lesson over the phone.

Feng Zixuan found it funny.

Luo Hao is a mature young man and it is rare to see him joking and laughing like a child.

A few minutes later, Ye Qingqing agreed and Luo Hao hung up the phone.

"Director Feng, Moritz's team has done research, but it's not in-depth enough. The Max Planck Institute is in a difficult position, too. Their research has been boycotted by animal protection organizations."

"And then, you found time to do research on anorexia nervosa?"

"That's probably the case. I'm free anyway." Luo Hao shrugged and laughed, "It's just a coincidence, isn't it?"

"Okay, I'll contact Professor Qi Yuanliang. Oh, and give me Ye Qingqing's contact information, too."

Luo Hao gave Ye Qingqing's phone number and WeChat to Feng Zixuan, and said something to Ye Qingqing.

The matter ended here and Feng Zixuan was very satisfied.

Not only does it solve the urgent problem, but it can also provide a certain degree of treatment for anorexia nervosa. The team is from the Max Planck Institute, a world-class scientific research institution.

It may not be a cure, but it is enough.

"Come on, Xiao Luo, let's go have a meal together."

"Is it convenient?" Luo Hao asked.

Feng Zixuan was smarter than a monkey. He immediately understood and smiled, "It's just two of us, so it doesn't count as a dinner party. You don't need to report it."

There were only two of them, no more would be enough. Luo Hao did not call the medical team, and went to have a meal with Feng Zixuan.

Luo Hao didn't drink, and Feng Zixuan didn't persuade him.

But Feng Zixuan was obviously in a good mood today. It seemed that the friendship between college classmates was still very strong. Luo Hao had moved a big stone away and was able to find the big guys at the Max Planck Institute to try to treat anorexia nervosa, which made Feng Zixuan a little out of control.

He even ordered a few beers.

Feng Zixuan didn't say much about the fact that Luo Hao didn't drink.

Don't persuade me. If you want to drink, just drink a few sips. If you don't want to drink, don't drink.

After Feng Zixuan drank two bottles of beer, his face flushed and he began to talk about some trivial things in college.

The things were scattered and they were Feng Zixuan's memories. Luo Hao did not spoil the fun and listened with great interest. From time to time he would talk about similar things that happened to him.

Luo Hao doesn't like socializing, but that doesn't mean he's not good at it.

Luo Hao also thought it was a good thing to make Feng Zixuan happy. Luo Hao knew exactly who in the hospital could provide the greatest help to clinical doctors.

It would be better for the county magistrate to be in charge now. Some things still have to go through Feng Zixuan's hands even if the dean nods.

Luo Hao once heard someone talk about a story about a 35-year-old nurse who could no longer work. Her husband, a local cadre, said hello to the dean and wanted to go to the physical examination center.

The dean nodded and made the call himself, thinking that everything would go smoothly.

Unexpectedly, the director of the nursing department felt that the nurse did not tell him and was not respectful to him, so he transferred the nurse to the outpatient blood collection department.

It's even more disgusting there than the less busy shift department.

Luo Hao always remembered this incident, so he treated Feng Zixuan with respect after he came to the First Hospital of Medical University.

It was around nine o'clock in the evening and Feng Zixuan was slightly tipsy.

The two men walked out of the tavern and Feng Zixuan burped.

"Xiao Luo, go back. I'll call a car."

"No, Director Feng, I'll just drive you home." Luo Hao said with a smile.

Feng Zixuan was stunned for a moment, but after a slight hesitation, he nodded.

Driving to the gate of Feng Zixuan's community, Feng Zixuan got out of the car, waved to Luo Hao, and disappeared into the night.

Luo Hao parked the car aside and called Ye Qingqing first to ask about the progress of Moritz's team's research on anorexia nervosa.

Ye Qingqing also had some basic knowledge of medical treatment, so it wasn't difficult to talk about it.

After having a certain understanding of the matter, Luo Hao said a few words in the medical team group. Lao Meng confirmed that the patient was fine, and Luo Hao's obsessive-compulsive disorder was temporarily cured.

Later, Luo Hao contacted Da Nizi. The two had just chatted about what to eat for supper and were watching a half-edited video when Luo Hao suddenly saw a familiar figure sneaking out of the community.

Feng Zixuan!
He never came home!
I guess he entered the community, hid somewhere to smoke a cigarette, and then quietly came out to park his car.

Feng Zixuan looked around like a spy, subconsciously, not consciously aware that someone was following him.

When he saw the familiar car and the familiar person, and their eyes met, Feng Zixuan was also stunned.

so awkward.

Luo Hao couldn't pretend not to see it. He looked at Feng Zixuan helplessly.

The two men looked at each other through the car window. After 10 seconds, Luo Hao opened the car door.

"Director Feng, I'm trying to contact Dannizi about what to eat." Luo Hao explained awkwardly.

This explanation is definitely not the best solution now, but Luo Hao is so embarrassed that he really doesn't know what to say.

But when we looked into each other's eyes, we couldn't help talking.

Oh shit!

I didn't expect that Director Feng also had the habit of keeping a mistress in his house.

Luo Hao rubbed his feet on the ground in embarrassment.

Feng Zixuan had a blank expression on his face. After thinking for a while, he went straight to Luo Hao.

"It just so happens that you haven't left yet, so give me a ride."

"Where are you going, Director Feng?"

Feng Zixuan gave an address.

Jiangbei, a relatively remote community.

Their positions are exactly opposite to those of Da Nizi, one is almost on the east side of the provincial capital, and the other is on the west side of the provincial capital.

Luo Hao had no choice but to leave a message to Danizi, then fastened his seat belt and drove as if he knew nothing.

Really.

Luo Hao had never encountered such a bad thing before. He thought he could just joke around and then run away.

Unexpectedly, Feng Zixuan actually came over and got into the car directly.

"Xiao Luo, what are you thinking about? I feel like you're not in a good mood." Feng Zixuan asked calmly.

It would be strange if the emotions were not right, Luo Hao complained in his heart.

"Do you think I have a woman outside?"

"..." Luo Hao continued to remain silent.

"Let me tell you something." Feng Zixuan's expression was serious. "It's like this. I don't have any women outside."

"Well, I believe in you, Director Feng." Luo Hao climbed up the pole. Even if there was no pole, Luo Hao would create one.

Although he knew that it seemed a bit inappropriate to say this now, what else could he say?
Do I have to drink Ma Zhuang, who was like Feng Zixuan, who had hyaluronic acid injections that led to pulmonary embolism, and then took a lot of tonics that led to rhabdomyolysis?

Stop talking nonsense.

The less you say at this time, the better it will be for you. After Luo Hao finished speaking, he drove awkwardly.

"I did it for a man."

(End of this chapter)