Chapter 552: Aristocratic Disease, Pufferfish Poison
Li Quan has diagnosed several patients with conditions similar to rickets.
With his master's level of diagnosis by observation, he felt at first glance that the little boy did not have a bone disease.
"Little boy, stick out your tongue for uncle to see!"
Li Quan said to the little boy.
He obediently opened his mouth and tried to stick out his tongue.
It looks like it's very strenuous.
I saw that the patient's tongue was much larger than that of a normal person.
Li Quan checked his body and found that the boy had a slight scoliosis, similar to the girl with dystonia.
The two people's symptoms have many similarities, but Li Quan instinctively feels that they are not the same disease.
The little girl's illness is much easier to treat.
"Okay! Put your hand flat on the examination table and I'll take your pulse first. Tell me where you feel uncomfortable?" Li Quan's tone was gentle.
The little boy was quite brave and not cowardly at all.
He stretched out his hands with difficulty and placed them flat on the examination table.
"Uncle, I just feel weak all over recently, especially my legs. It's like I just climbed a mountain. I don't even have the strength to lift my legs. I didn't play with other kids, but I feel more tired than after a whole day of physical education class.
When I got up in the morning, my head hurt a lot, and it kept coming in waves.
By the way, when I sleep, my parents say that sometimes I just stop breathing. It takes a long time for me to recover. "
The little boy has excellent expression skills.
Describe your symptoms very clearly.
"Well, you're great! You described the condition very well."
Li Quan praised the little boy and took his pulse carefully.
The pulse was obviously different from that of the girl with dystonia.
The little boy had liver and heart problems, and his breathing seemed to be particularly labored.
However, no problems were found with his lungs or bronchi.
What kind of disease is it?
Although Li Quan inherited the medical skills and treatment experience of many ancient miracle doctors, it was still the first time he encountered this strange disease.
I've just checked the patient's bones and found nothing wrong.
Considering that the patient suddenly stopped breathing after falling asleep, Li Quan couldn't help but think that the patient might have a neurological disease.
He carefully checked the patient's pulse again.
All nerves are normal.
What kind of strange disease is this?
Suddenly, Li Quan thought of an extremely rare disease. When he was in college, he read about a terrible disease called "aristocratic disease" in a medical book in the library.
If a baby is infected with this disease, he or she will usually die within six months.
There is no specific cure.
Children or adults can also easily die from this disease.
The disease is called Pompe disease, also known as acid maltase deficiency or glycogen storage disease.
The cause of the disease is a lesion in the 17th pair of chromosomes, which leads to a lack of the enzyme acid α-glucosidase in the body, making it unable to break down glycogen, leading to muscle weakness, heart enlargement and other causes.
It is easy to die silently from this disease.
Even when you are sleeping, you may suddenly stop breathing.
"I'll write you a few examination requests first. His illness may be very troublesome, so you should be mentally prepared." Even though Li Quan had already diagnosed the cause of the little boy's illness, he did not say it out loud immediately.
Just a precautionary measure.
"Doctor Li...what disease does my son have? Is it difficult to treat?"
The sick child's father was a little nervous.
"Don't worry, I'll tell you after the examination. It's just a preliminary diagnosis now, and the result may not be accurate." Li Quan wrote five examination applications for the patient.
It is very simple to confirm whether it is Pompe disease.
Laboratory routine blood examination showed a significant increase in serum creatine phosphokinase.
Electromyography showed myogenic injury.
Light microscopic examination of muscle biopsy revealed cavitating myopathy.
Chest X-ray examination showed that the heart was spherical and enlarged.
Of course, the most authoritative diagnosis is to directly conduct enzyme activity testing to detect the activity of α-glucosidase.
After asking the patient to go for a check-up, Li Quan went about his own business.
After becoming the dean, there are still a lot of things to do.
…
Towards the evening, the sick child finally completed the examination.
It has been confirmed that I have Pompe disease.
This disease, if conditions permit, requires constant stay in the hospital's intensive care unit.
When respiratory arrest or other dangerous symptoms occur, it is convenient for the hospital to provide emergency treatment at any time.
Of course, the cost of treating this disease is also very expensive.
Take medicine every day.
Rescue is possible at any time.
Even though Li Quan is an expert in medicine, he is temporarily powerless in the face of this disease.
Maybe when his medical skills become more advanced, he can develop a prescription to treat this disease.
Li Quan finished treating several difficult patients in the orthopedics department and looked at the time. It was only a little after seven o'clock. He thought to himself that he could finally get off work early today.
I promised to diagnose Vice President Min’s wife, but after so many days of delaying it, it’s time to go and see her.
Just then, Li Quan's cell phone rang.
Upon closer inspection, it turned out to be Director Zhang from the emergency department calling.
"Lao Zhang, what's the matter?"
Director Zhang is a down-to-earth person and rarely calls Li Quan. Whenever he does, it's always for something important.
"Director, are you still in the hospital? Dr. He Chi, who is on night duty in the emergency department, called just now and said that he had received two drunk patients and their condition was a bit serious. He was not sure, so he called me for help. I took my mother to a relative's house, so it is not convenient for me to come here now. Can you help me deal with it?"
The emergency department is full of things to do.
There may be patients coming to the emergency room at any time.
Ordinary emergency patients are relatively easy to deal with. But encountering difficult emergency patients is no joke, and accidents can happen at any minute.
Li Quan hurried to the emergency department.
He worked here for a while, so he is quite familiar with the place.
"Doctor He, Director Zhang is out on business and can't make it here. Let me take care of those two seriously drunk patients."
Li Quan greets Dr. He Chi.
"The two drunks are over there. They are unconscious now. I took their blood pressure and heart rate and they are very abnormal. I was afraid something might happen, so I asked Director Zhang for instructions."
Dr. He Chi pointed to the two drunks in the emergency room.
I only saw a young man in his twenties sitting next to me, playing with his mobile phone indifferently.
"Are you the family member of the two drunkards?"
Li Quan asked the young man playing with his cell phone.
"I'm not a family member, but a relative. Today is my grandfather's 80th birthday, and they came to celebrate. They may have drunk a little too much during the meal and passed out.
I can't wake him up no matter what I do.
My family was worried that something might have happened, so they sent them to the hospital.”
The young man answered without even looking up.
Li Quan nodded and checked on the two drunks.
The two men 's faces were flushed and they were unconscious. They really looked like they were drunk.
However, Li Quan's visual diagnosis skills have reached the master level. He can directly diagnose the patient's condition by looking at the patient's appearance and complexion.
There was something wrong with the complexion of these two people.
At the same time, his olfactory diagnosis technique also detected abnormalities in the breathing sounds of the two people.
A normal drunkard will definitely fall into a deep sleep after passing out.
The two drunks did fall down and fell asleep, but their faces showed painful expressions and their breathing was short and disordered.
Obviously not the characteristics of an ordinary drunkard.
Li Quan also detected a hint of death in the two men's faces.
That's right, it's dead air.
It's the kind of gloomy feeling that only a dying person would have.
This is a skill he only acquired after his diagnosis by observation reached the master level.
"Have you measured their blood pressure?" Li Quan asked Doctor He Chi who was standing next to him.
"I've measured it! My blood pressure is low."
After seeing a patient, measuring blood pressure and heart rate are all routine operations.
Under normal circumstances, a drunk person's blood pressure should rise.
I believe everyone has often heard that patients with hypertension should not drink alcohol.
This is because alcohol can have a stimulating effect.
It can accelerate blood circulation and increase blood pressure.
Now the situation of the two drunkards is just the opposite. Instead of rising, their levels are lower than normal.
It's worth being vigilant.
Li Quan checked the pulse of the two people.
His expression changed again.
"No, this is poisoning. And it's a neurotoxin."
Li Quan was shocked and asked the young man hurriedly.
"Is the wine these two people drank reliable? Could it be fake?"
The first thing that comes to mind is industrial alcohol poisoning.
Some unscrupulous vendors use industrial alcohol to blend and make fake liquor.
Drinking this kind of fake wine can easily cause death.
"Impossible. The wine we drank was bought from a big supermarket, and it was a good brand. Besides, there were a lot of people drinking, and everyone else was fine."
The young man shook his head repeatedly.
Since it's not alcohol poisoning, it's most likely food poisoning.
"What did you eat at the banquet?"
Li Quan continued to ask.
"Let me think... braised pork, frog meat, green vegetables..."
The young man counted them one by one on his fingers.
"There can't be a birthday banquet without fish. Did you miss a number?" Li Quan at least understood a little.
Birthday banquets are usually held to bring joy and good luck.
Fish has a very good meaning.
It symbolizes abundance every year, koi adding longevity, etc.
How could the hotel not serve this dish?
"We ate fish, but it was not ordinary fish. It was puffer fish!" the young man said after hesitating for a moment.
“No wonder!”
After hearing this, Li Quan suddenly realized.
The symptoms of the two drunken men were very similar to those of tetrodotoxin poisoning.
Pufferfish is a high-end aquatic product.
The nutritional value is extremely high.
However, if it is not handled properly during cooking, it can easily cause poisoning.
Fugu poison is one of the most toxic neurotoxins found in nature. There is no antidote.
Once poisoning occurs, the only treatment is comprehensive means such as gastric lavage, intravenous injection of hypertonic or isotonic glucose solution to promote toxin excretion, etc.
"Doctor He, these two drunks are not suffering from alcohol poisoning, but pufferfish toxin poisoning. Transfer them to the intensive care unit immediately for emergency treatment. If it's too late, they will die."
Li Quan immediately gave orders and arranged for the two drunks to be sent to the intensive care unit for emergency treatment.
Whether these two people can survive depends entirely on their own luck.
Since it was a banquet attended by many people, there should be more than just these two people who were poisoned.
Many people have no experience with pufferfish poisoning, and even if they feel unwell, they rarely seek medical treatment.
Instead, they choose to sleep to solve the problem.
"Young man, find a way to contact all the guests who attended the birthday party immediately. Ask those who ate the puffer fish meat if they have any symptoms such as numbness in the tongue, loss of control, nausea, and weakness. If so, have them go to the hospital for emergency treatment immediately. Otherwise, it is easy to lose lives."
After Li Quan arranged first aid for the two drunks, he quickly gave instructions to the young man who was playing with his cell phone.
"Doctor, it's not as serious as you say. I don't think there's any need to worry others."
The young man nonchalantly rejected Li Quan's advice.
Seeing that this young man was ignorant and had no idea how terrible puffer fish poison was.
In order to save the lives of the guests who had not yet discovered that they were poisoned, Li Quan quickly called the police.
Originally, this matter should be properly handled by the host of the birthday party.
There is no other way but to ask the police to intervene.
…
More than half an hour later, more than 40 emergency patients were sent to the emergency department of Huier Hospital. All of them were people who had eaten puffer fish at the birthday party.
Some people think that it is caused by drinking, and even if they feel uncomfortable and vomit, they still don't take it seriously.
After drinking a glass of water, I went home and fell asleep.
The family members were informed by the police that the man had been poisoned after eating puffer fish meat, and they were so frightened that they rushed him to the hospital for examination.
Several people, like the two drunks, were already unconscious.
Suddenly, the emergency department, intensive care unit, and poisoning department of Huier Hospital were all busy.
Li Quan was busy until after eleven o'clock in the evening, then he dragged his tired body back to the rental house.
The two agents had completed their mission and left.
Now, Li Quan is the only one living in the rental house.
He probably won't be able to stay for a few more days.
Because his supreme villa is about to be completed and he will probably be able to move in next month.
By then, when he marries Sophie, Li Quan can live in a mansion, have a beautiful woman, and become a winner in life.
Li Quan has been very busy these days.
Under his leadership, the development of new leukemia drugs is proceeding at a rapid pace.
Judging from the current experiments, there is nothing wrong with the experimental materials and data obtained by the two agents.
There is only one last hurdle left for Li Quan to solve.
He has found a solution and is currently testing prescriptions.
In addition to researching new drugs for leukemia, Li Quan read Chen Ziming's medical books whenever he had time. While gaining favorability, he was also learning medical knowledge about obstetrics and gynecology diseases.
Including prescriptions, experience and methods of treating various cases, etc.
…
Time flies, and in the blink of an eye more than twenty days have passed.
Under the leadership of Li Quan, the ophthalmology, traditional Chinese medicine orthopedics, neurology, and obstetrics and gynecology departments of Huier Hospital have become prosperous again.
Sitting in the office, Director Hu from the hospital office walked into Li Quan's office with a document in his hand and a happy face.
"Director, this is our hospital's performance report for last month. Please take a look."
Li Quan took it and looked at it.
The upward curves made him feel particularly comfortable.
All the hard work and efforts over the past month have finally paid off.
The business of TCM orthopedics is nearly twice as high as it was during its heyday. The number of patients seeking treatment per day is now stable at between 500 and 600.
The ophthalmology department, which was nearly bankrupt, has seen a surge in business, more than double its peak period.
In particular, the optic neurology department, which was made famous by Li Quan, has now become the most famous hospital specialty in the province.
