medical treatment

Chapter 67 Unexpected Discovery

Yu Zhiming not only discovered that the bride-to-be, Yao Chengyun, was more than a month pregnant, but also accidentally discovered that her kidneys were obviously swollen and inflammatory.

He made further inquiries and learned that Yao Chengyun's defecation and urination this morning was normal.

Now there is no discomfort such as pain.

Yu Zhiming preliminarily concluded that it was an attack of acute nephritis.

Moreover, the onset of the disease was quite rapid.

After Yao Chengyun learned that Yu Zhiming was a young doctor recruited by Huashan Hospital, he followed his advice.

She immediately followed Yu Zhiming, Zhou Mo, and Zhou Mo's mother, Zhou Hao, to the car. After more than half an hour, she arrived at the Qiyue Medical Research Center of Huashan Hospital.

After arriving at the center, Yu Zhiming gave Yao Chengyun a further detailed inspection.

This inspection really shocked Yu Zhiming.

Yao Chengyun's kidneys unexpectedly showed signs of functional failure, not only that, the liver and lungs also showed signs of inflammation.

Moreover, I don't know if it was a hallucination caused by nervousness or fear, or it was real, Yao Chengyun said that there was a burning sensation in her throat, nausea, and her abdomen began to hurt.

Yu Zhiming corrected his judgment to acute poisoning.

Or, a high-risk viral infection.

According to acute poisoning, he asked nurses and Gui Peisheng to induce vomiting and gastric lavage for Yao Chengyun, and to support her kidneys, liver, lungs and other organs with drugs.

Moreover, Yu Zhiming also injected Yao Chengyun with broad-spectrum antibiotics to enhance her resistance to the virus.

At the same time, he also asked the nurse to urge the hospital testing center to start an urgent and rapid procedure to test the samples of Yao Chengyun's blood, saliva, urine and feces sent over.

While Yao Chengyun was having gastric lavage, Yu Zhiming came to the laboratory of the Medical Research Center to test Yao Chengyun's body fluid samples with the specific reagents that were always there.

Rapid detection of possible toxins or viruses in their bodies.

The result is that none match.

Yu Zhiming was a little flustered, took out his phone and dialed Qi Yue's number...

"Teacher, I have encountered a critical patient..."

Yu Zhiming explained Yao Chengyun's situation and his countermeasures concisely, without omission.

"Teacher, her condition is developing rapidly. If the cause of the disease cannot be found and targeted treatment is carried out, I suspect..."

"Her liver, her lungs are likely to fail as well as her kidneys."

"By then, it may well be too late for anything."

"To Ming, your medication and countermeasures have not made any mistakes. It can be said that you have done quite well."

Qi Yue first affirmed on the phone, and then criticized: "As a doctor, no matter how bad the situation is, don't panic. If you panic yourself, how can you treat patients better?"

Yu Zhiming took a deep breath and said, "Teacher, this is the first time I have encountered a patient whose disease progressed so quickly."

"In less than an hour, both kidneys failed, so I don't have much time left."

"I don't have a clue yet, and the testing center hasn't sent the test results yet..."

Qi Yue persuaded, "Testing requires a process."

"Hey, did the patient say that he ate or drank anything unusual today?"

Yu Zhiming replied: "I asked in detail on the way to the hospital."

"The patient said that during this time, in order to maintain her figure and show her best self at the wedding, she has been eating healthy and has never eaten outside."

After a moment of silence, Qi Yue's voice suddenly came from the phone.

"There was a burning sensation in the throat, nausea and vomiting, abdominal pain, and damage to organs such as the kidneys, liver and lungs."

"To Ming, you judged that it was acute poisoning or a high-risk virus, but the specific detection reagents that are always available in the laboratory could not detect it."

"If, as you said, the patient is really poisoned, what kind of toxin can you associate with the symptoms of poisoning?"

What toxin?
Yu Zhiming tried hard to think.

But at this moment, his brain seemed to be frozen, and nothing could come out.

He had no choice but to say honestly, "Teacher, my mind is empty now, and I can't think of anything useful."

Qi Yue's lively voice suddenly came from the phone, "The ruler is shorter, but the inch is longer."

"You are so young and have limited experience. It is inevitable that you are not good at emergency response under pressure."

After a pause, Qi Yue suddenly ordered in a deep voice.

"To Ming, I suspect castor poisoning."

"You notify the testing center and ask them to test the patient's feces for castor-related components."

"Castor poisoning has an incubation period ranging from three to twelve hours. If we are lucky enough, we may be able to find castor in her feces."

"You first treat the patient according to castor poisoning."

"Others, wait until I come to the hospital."

Just as Yu Zhiming was about to say something, he found that Teacher Qi had hung up the call.

However, Teacher Qi's judgment of "castor poisoning" made Yu Zhiming feel heavy.

Ricin is extremely toxic and can kill a person if swallowed in a small amount.

Moreover, there is no way to detect this toxin through existing technical means, and it can only be judged empirically based on the symptoms displayed by the patient.

Most importantly, the toxin has an average incubation period of ten hours.

Once its incubation period has passed, the symptoms of poisoning will obviously appear, and there is no effective treatment.

The best treatment is to quickly induce vomiting and gastric lavage at the beginning of the accidental ingestion, and provide supportive treatment, so that there is a high possibility of saving a life.

Because of this property of ricin, according to reliable sources, it is often used as a poison for political or espionage assassinations...

Just a few minutes later, Yu Zhiming received a notification from the testing center, saying that the crushed castor bean shells were found in the patient's feces.

Finally got a conclusive test result, but it didn't bring Yu Zhiming any good mood.

Looking at Yao Chengyun who had become much weaker after being tortured on the hospital bed, Yu Zhiming didn't know what to say for a while.

"Where's your fiancé?"

"He went to Jinling early in the morning..."

Yao Chengyun suddenly realized something, stopped abruptly, and grasped the quilt tightly with both hands.

"He said the trip was important to his career and I wouldn't want him back if it wasn't necessary."

"Doctor, do I need to call him back?"

"Also, should my parents and family be notified?"

Yu Zhiming saw Yao Chengyun's nervousness, and her voice began to tremble.

However, there are some things Yu Zhiming has to say.

While she still looks quite "healthy" and has enough physical and mental strength, she can arrange the following things.

"Your situation is a bit serious. In order to avoid unnecessary troubles, the hospital needs your family members to sign many documents. It is best to let them... all come."

Yao Chengyun's face turned pale in an instant, and there was no trace of blood on his face, and tears kept pouring out.

"Doctor, what is wrong with me?"

Yu Zhiming was silent for a moment, then said slowly: "It has been confirmed that it is ricin poisoning."

Upon hearing this, Yao Chengyun quickly picked up the mobile phone that was put aside, and searched in a panic.

Looking at the searched content, she murmured: "I just went to the studio to try on a wedding dress today."

"I didn't do anything, why did I get poisoned?"

"Woooo..."

"I still know that I'm pregnant today, woo..."

Yao Chengyun suddenly dropped the phone, grabbed Yu Zhiming's hand, and begged, "Doctor, please, I'm only 25 years old and I just found out that I'm pregnant."

"Doctor, I don't want to die, I really don't want to die!"

Yu Zhiming comforted: "Don't worry, Director Qi from our center is on his way."

"He is a well-known medical diagnostic expert in the whole country."

"We will also invite relevant detoxification experts to come for consultation, and we will definitely do our best to treat you."

"We won't give up."

"Don't give up on yourself..."

It was Yu Zhiming's good talk that made Yao Chengyun regain some emotions and self-control.

She picked up her cell phone and dialed her father's number.

"Dad, I'm going to die, wow..."

Yu Zhiming walked out of the emergency room and looked at Zhou Mo and her mother Zhou Hao who were guarding outside.

"Not very optimistic."

He made a vague sentence, adjusted his mood again, and said to Zhou Mo's mother: "Aunt Zhou, since you have come to the hospital, why don't you take a comprehensive physical examination by the way?"

Zhou Hao declined and said: "There is no need for a comprehensive examination, Doctor Yu, just give me a casual examination..."

Yu Zhiming took Zhou Mo and Zhou Hao to an examination room, and let Zhou Hao lie on the examination bed.

He put on surgical gloves, and under Zhou Mo's watchful eye, he began to check Zhou Hao's body from head to toe.

Yu Zhiming didn't find any problems worthy of attention during the initial chest and abdominal viscera examination.

But when it comes to gynecological examination, it is the turn to check the uterus, fallopian tubes and other organs.

An unexpected discovery, Yu Zhiming couldn't help showing a surprised expression...

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(End of this chapter)