I Can See Health

   Chapter 313 Free Prostitution Skill Card

   However, Lu Chen glanced at the girl standing in the center of the consultation room.

   From the outside, she didn't look uncomfortable, but her expression was dull and lackluster.

  Lu Chen looked over her head, the girl's HP was 68.

   This is definitely a problem, but the problem is not life-threatening.

   "Tell me about the specific experience of her drinking mercury." Wang Xueyang asked the middle-aged man.

   "Hey, it's like this..."

  The middle-aged man paused and briefly explained the whole process.

   This little girl is her daughter.

   When she was a child, she was always brought up by her grandparents. She was withdrawn and had a tendency to depression since she was twelve years old.

  This time, the little girl committed suicide by drinking mercury!

   At around 3 o'clock this afternoon, the girl smashed fifteen thermometers by herself, poured the mercury into a mineral water bottle, and drank them all.

   However, after taking mercury orally, the girl did not experience abdominal pain, diarrhea, nausea, vomiting and other discomforts.

After the middle-aged man found out, he immediately sent his daughter to the local hospital.

  After completing the laboratory tests of blood routine, liver function, kidney function, coagulation and other signs in the local hospital, no obvious abnormality was found.

  Although no abnormality was found, the parents were still not at ease.

   Now, for further diagnosis and treatment, he was transferred to the emergency department of Jinghua Second Hospital.

   "Are you feeling uncomfortable right now?" Wang Xueyang approached the girl.

   The little girl frowned, looked at Wang Xueyang vigilantly, and then shook her head slightly, but still did not make a sound.

   Wang Xueyang immediately stepped forward, put the **** the medical examination table in the consultation room, and then "driven" other patients and their family members out of the consultation room.

  Lu Chen gently closed the door, and Wang Xueyang began to give the little girl a detailed physical examination and auscultation.

   for a long time.

   After the inspection, Wang Xueyang breathed a sigh of relief. She didn't find any problems, and then said to Lu Chen: "Mercury is the only liquid metal at room temperature, and the main way of its poison is absorption through the respiratory tract in the form of vapor."

   "The absorption of metallic mercury through the digestive tract is minimal, or even negligible. I have seen a case report of oral administration of hundreds of grams of mercury, and the patient eventually survived. Therefore, oral mercury is generally not life-threatening."

  Lu Chen understood.

   He has less exposure to metal poisoning.

   He has seen more organophosphorus pesticides, rat poisoning, etc. As for metal poisoning, it is rare and relatively difficult.

   "By the way, doctor, this is an X-ray taken at the local health center."

   At this time, the middle-aged man took out the backpack he was carrying and took out an X-ray.

   This is a chest + whole abdomen + pelvic X-ray.

  Wang Xueyang picked up the X-ray and looked at it with a surprised look on his face.

   she muttered softly.

   "This mercury is almost reaching the anus!"

  Lu Chen also looked at the X-ray.

   As Wang Xueyang said, the mercury that the girl took orally went directly to the anus.

   "Did you feel the swelling in your anus?" Wang Xueyang looked at the little girl again.

  Lu Chen knew that Wang Xueyang was asking if he felt **** bulge.

   The little girl still shook her head.

Wang Xueyang said to the middle-aged man beside him: "The child may need to go to the emergency ward to be hospitalized. Although it is not life-threatening, a large amount of oral metal mercury may be oxidized into mercury ions in the intestine if it cannot be quickly excreted. Blood. Mercury absorbed through the digestive tract mainly causes digestive symptoms and kidney damage.”

   "Where do I go to do the formalities?" The middle-aged man immediately agreed to be hospitalized.

   "I'll give you a hospitalization bill, and then go to the charging window in the lobby on the first floor to pay." Wang Xueyang said, "During the hospitalization, you must accompany you 24 hours a day."

   "Okay, no problem." The middle-aged man got the hospitalization certificate and left with the little girl.

   Watching the backs of the two leaving, Wang Xueyang sighed slightly.

She slowly said to Lu Chen who was on the side: "Actually, I'm not worried about this little girl's mercury poisoning, but about her mental state. She was only fifteen years old this year, and she started suicide. This time I was rescued, I can't keep it. And next time."

  Lu Chen nodded slightly.

  Society is developing rapidly, but many problems have also been exposed.

   For example, the psychological problems of left-behind children.

  Although Lu Chen has not been in the clinic for a long time, he has seen many such patients.

   In the endocrinology department before, he also saw a little girl who was depressed and poisoned by eating "licorice tablets".

   Today, I met another person who was poisoned by mercury.

   "Lu Chen, go and inform the doctor on duty in the emergency ward upstairs, and make sure the family members keep the patient under his watch, so as to avoid any further accidents in the hospital."

   "Okay, Teacher Wang." Lu Chen nodded, "The classmate I know is on duty upstairs tonight. I'll give him a call."

   "Okay, go and fight."

  Lu Chen immediately called Cheng Peng directly.

   "Fat man, a little girl with oral mercury poisoning will come to the emergency ward later."

   "Ah? Mercury poisoning?" Cheng Peng said in astonishment, "This... this is really a mouthful!"

  Lu Chen briefly described the process, and Cheng Peng was also secretly shocked.

Lu Chen continued: "Fatty, the patient is a fifteen-year-old girl with depression and suicidal tendencies in the past. You should communicate with the teacher on duty. Please pay more attention to the patient's family members, and be sure to accompany them 24 hours a day, nurses. It is also necessary to strengthen the ward rounds to avoid the recurrence of suicide.”

   "Okay, Brother Wang Xiaodong happens to be on the night shift tonight. I'll go and tell him." Cheng Peng said, "You are also raising your hand in the emergency room, and accepting fewer patients."

   "Don't worry, I won't accept it indiscriminately, nor will I not accept it." Lu Chen smiled.

   hung up the phone, and Lu Chen turned to look at Wang Xueyang beside him.

   "Teacher, I have already explained to the doctor on duty upstairs." Lu Chen said.

   "Okay." Wang Xueyang nodded, "Actually, in our emergency outpatient clinic, the more common patients, in addition to those with fever and abdominal pain, are those who take drugs indiscriminately, are poisoned, and some who have attempted suicide."

   If the suicide is successful, it is directly dragged to the funeral home or crematorium, and there is no chance to come to the hospital at all.

   "Teacher, do patients with mercury poisoning need gastric lavage and catharsis?" Lu Chen suddenly asked.

  Because of common clinical knowledge, as long as the poison enters from the digestive tract, gastric lavage and catharsis need to be carried out in time, which can reduce the absorption of poisonous substances and strengthen the excretion.

   However, mercury is very special and is hardly absorbed in the digestive tract.

Wang Xueyang paused for a while before saying, "Gastric lavage and catharsis both have certain effects. However, gastric lavage with normal saline should not be used, especially in the case of mercuric poisoning, because it can increase its solubility and increase its absorption. Carbonic acid can be used in the early stage. Sodium hydrogen and activated carbon can be taken orally after gastric lavage with activated carbon. The protein can not only protect the gastric mucosa, but also combine with mercury to prevent the absorption of mercury."

  Lu Chen wondered: "For this little girl, the mercury has already reached her anus. Logically speaking, gastric lavage is almost useless, right?"

   Wang Xueyang cast an admiring look at Lu Chen.

"I have an idea. For this patient, gastric lavage may not have much effect, but catharsis is very important. We usually use mannitol catharsis and glycerin enema to promote bowel movements, and intravenous infusion of PPI to suppress acid to protect gastric mucosa. , Alanylglutamine protects the intestinal mucosal barrier, edaravone vitamin C antioxidant free radicals, and even some sodium dimercaptopropanesulfonate as a mercury-repellent treatment..."

   Wang Xueyang's explanation is very clear.

  Lu Chen's knowledge of emergency poisoning is not perfect.

  Wang Xueyang, as a senior attending physician, has rich experience in emergency department.

   A small number of diseases are rare in Lu Chen's view, but Wang Xueyang can also say a thing or two.

   At this moment, a prompt popped up in the system panel.

   "Ding, received clinical toxicology knowledge."

   "Congratulations, you got the Emergency Toxicology Skill Card (Elementary)!"

  Lu Chen was still confused when he saw this prompt.

   The last time I got a skill card in this way was when I participated in the discussion of difficult cases with Li Yao.

   At that time, he obtained a primary skill card for clinical thinking.

   This time, unexpectedly, I got a skill card for emergency poisoning!

  Lu Chen was quite surprised.

   During the rotation of the Cardiology Department, Sun Guoguo and Li Yao also taught a lot of Cardiology Department knowledge, but he never got the relevant skill card.

   Lu Chen guessed that it might be related to an unfamiliar field.

   In this unfamiliar field, as long as others teach knowledge, he can get relevant skill cards.

   However, there should be certain restrictions on this method of acquisition.

  Lu Chen still can't figure out these doorways of the system for the time being, and needs further exploration.

   However, Lu Chen was still very happy to be able to prostitute a primary skill card for free.

  Because in the system mall, this skill card of emergency poisonology also costs 30 gratitude points.

   For Lu Chen now, every point of gratitude is very precious.

   No matter how small a mosquito is, it is also meat!

  …

   After dealing with the mercury poisoning patient, Lu Chen and Wang Xueyang continued to see the remaining patients.

   In just two hours, they had seen about forty patients.

   There are more patients in the emergency outpatient department, but Wang Xueyang still feels that tonight is a little different.

  The number of patients tonight has increased by 20 to 30% than usual.

   Wang Xueyang glanced at Lu Chen next to him.

   Fortunately, there is this more reliable graduate student. If a new hand comes here, so many patients may be in a hurry.

   "Doctor, is this an emergency medicine department?"

   At this time, a fat middle-aged man appeared at the door of the clinic.

   Beside him was an old man of about seventy years old.

   "Yes." Wang Xueyang nodded.

  The middle-aged man hurriedly helped the old man into the consultation room.

   "Doctor, come and see my dad, he's been hiccupping for four days."

   As soon as the middle-aged man finished speaking, Lu Chen and Wang Xueyang heard an "uh" sound.

  The old man's chest heaved slightly, and he hiccupped.

   Immediately after, less than three seconds.

   Another uh—

The man on the side    said with a bitter face, "That's it, I hiccup every few seconds."

   (end of this chapter)