Chapter 118 Bacon
It was not an infection, not an autoimmune disease, not an organic compound poisoning. Sun Lien hugged Hu Jia and turned around in circles. He was so happy.
"Should I wait outside for a while before coming in?" Dr. Pascal half leaned against the door frame, looked at Sun Lien and Hu Jia with a smile and asked, "Why are you so happy all of a sudden?"
"I understand what kind of disease Zhan Hao got!" Sun Lien said to Dr. Pascal, "It's not an autoimmune system disease, it's poisoning, heavy metal poisoning!"
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Heavy metal poisoning refers to poisoning caused by heavy metal elements or their compounds with a relative atomic weight greater than 65. Because heavy metals can cause irreversible properties to change the surface of proteins, heavy metal poisoning often manifests as hemolysis, smooth muscle spasms, and neurological symptoms. Since the liver and kidneys are the main metabolic and detoxification organs in the human body, heavy metal poisoning will also seriously affect the health of the human liver and kidneys, and in severe cases, such as organ failure, may even occur.
"It can explain all his symptoms." Dr. Pascal nodded after thinking for a moment, then shook his head, "But he has no way to contact him."
"I'll call everyone back first, Xiao Guo! Take a urine test and check for lead!" Sun Lien did not investigate how the patient consumed lead. The second half of the sentence was shouted at the nurse Xiao Guo.
Several phone calls were called back by Xu Yourong and Yuan Ping'an, who had not had time to wash his hair. Even Liu Pingchuan was invited to the conference room by Sun Lien. The urine samples had been sent to the laboratory department for testing, and he explained his diagnosis to many members of the treatment team. Hu Jia found an empty seat to sit down and quietly admired his boyfriend's performance.
"There is no other explanation to explain his symptoms except heavy metal poisoning." Sun Lien explained his diagnostic opinions to the team members. "From the symptom, the most consistent manifestation is acute lead poisoning. I have asked Xiao Guo to send a specimen for testing, and the results should be released soon."
Liu Pingchuan frowned and knocked on the table, "You said that it was acute poisoning. Whose acute poisoning manifests itself as an attack nine days ago and then relieved itself, and then another attack nine days later?"
"If fat-soluble compounds are poisoned, the problem of nutritional intake may gradually increase. I have heard of some allergic cases caused by fat-soluble substances. Even in the clean room of the hospital, it still cannot prevent his blood from continuing to absorb and store allergic substances by fat cells. Later, he reluctantly stopped his fat consumption with high-calorie food. However, it continued to deteriorate, and there was no such fluctuation in the middle." Dr. Pascal said his opinion, "He was sent to us from another hospital. He went through about 30 minutes on the way, and it might be a bit cold after getting on and off the bus. But I don't think the thirty minutes of bumps and short cold may cause the already alleviated disease to break out again - even heavy metal poisoning should not be possible."
"The most important thing is that the patient is engaged in retail. He opened a small supermarket by himself. It is not a smelting or metal processing industry, nor a heavy pollution industry such as batteries. The amount of acute lead poisoning required to consume a large amount of acute lead poisoning in our city in the past five years, and there are not even a few chronic diseases." Xu Yourong also disagreed with Sun Lien's diagnosis, "Even if he is really poisoned, it is obvious that he has left the toxic substances when he is hospitalized in the hospital. In this case, he will not have an acute attack again nine days later."
Sun Lien's diagnosis was often questioned by other doctors because of cheating, but at that time Sun Lien was very confident - how could the result of cheating be wrong? But this time it was different. This time the diagnosis was entirely based on Sun Lien's own inference. The information provided in the status bar was actually very limited, and there was no more than the existing examination results.
Therefore, Sun Lien was a little weak.
But Sun Lien understands the logic rules best when he infers himself. Indeed, disease diagnosis is the same as detective reasoning. When you rule out all other possibilities based on existing intelligence and evidence, no matter how unbelievable the remaining answer is, it is the correct answer.
The patient's condition and blood test results do not match any known infection or autoimmune disease. Zhan Hao either caused by heavy metal poisoning and ingested poison again within nine days, or suffered from some unknown disease.
The second situation is not completely impossible, but the first one is obviously more likely.
"No matter what, we will know when the urine lead result comes out." Sun Lien was full of confidence at this moment by relying solely on making the diagnosis.
Yuan Ping'an suddenly laughed, "You really don't want to say that if it's really heavy metal poisoning, you may be the only one in this room that is most likely to be diagnosed."
"Why?" The atmosphere in the room eased, and Hu Jia couldn't help asking. Although she and Xu Yourong were quite familiar with each other, she felt a little unhappy when she saw a group of doctors constantly denying Sun Lien's diagnosis. Now that she heard Yuan Ping'an's approval, Hu Jia suddenly became curious.
"Heavy metal poisoning is not included in the scope of diagnosis and treatment in our ordinary hospitals. Especially the lead poisoning he is currently in the process of checking for." Yuan Ping'an replied, "If it were not for medical students in public medicine and occupational disease prevention and control, they could have been exposed to the concept of 'lead poisoning', which is when they were in the junior year of taking public health courses. To put it bluntly, Sun Lien could clearly remember this disease among the doctors present. If he had not thought about this aspect, we might have to work hard for a long time before we would consider it."
"Actually, it was not what I thought of." Sun Lien explained with a smile, "Hu Jia and I mentioned the fall of the insulation tableware coating, and I thought of this aspect. Didn't I often say that the fallen coating would lead to poisoning? The doctor in the laboratory also mentioned to me that there are a large number of basophilic red blood cells under the microscope of the patient's blood sample. The large number of basophilic red blood cells is likely to be caused by heavy metal poisoning."
"If it is poisoning, you must figure out whether it was because he accidentally consumed it in his daily life or whether there was a poisoning situation." Liu Pingchuan made a decision, "The patient is still awake now, and his family seems to be in the hospital. Lien, go and ask about the situation. If necessary, notify Lao Wu to come."
Hu Jia and Sun Lien walked out of the conference room together. After a minute or two, Hu Jia waved her hand to Sun Lien, and she had to go back to rest. Sun Lien walked to Zhan Hao with a strange sense of satisfaction of performing successfully in front of her girlfriend.
"Doctor Sun." Zhan Hao still looked very weak, but he was still in good spirits. "I'm really bothering you this time."
"This is what we should do." Sun Lien pulled a stool and sat down beside Zhan Hao's bed. "I have some questions about your cause. Please try to answer truthfully. If you don't remember or are difficult to answer, you should also tell me the reasons."
Zhan Hao nodded with a wry smile, "I have been in pain twice in more than a week. I never want to have this feeling for the third time in my life. Ask me, I promise to say everything."
"Before you first started to get sick, have you done anything related to metal smelting? Or entering places like a factory?" Sun Lien asked from the simplest place. The most likely thing to cause heavy metal poisoning is air, and metal dust may enter the alveoli through the respiratory tract and enter the blood during the gas exchange of the alveoli.
"No, there is no such place near my home." Zhan Hao shook his head gently and asked with some concern, "Doctor, I have always felt that my eyes don't see clearly..."
"The vision problem should also be related to your condition." Sun Lien explained, "We need to determine the cause of your disease before we can deal with this problem in a targeted manner." Demyelination is actually a very difficult lesion that is difficult to continue to be treated - the damage it causes is almost irreversible. But if it can be diagnosed as early as possible and treatment begins, Zhan Hao's vision can still have a certain chance of recovery - but the degree of recovery is hard to say. Therefore, Sun Lien did not say anything, and now is not a good time to increase the psychological burden of the patient. "During this time, have you taken any folk remedies or Chinese medicines to regulate the body?" Such as medicinal materials such as lead powder, lead dan, yellow dan, Mituoseng, and Chinese patent medicines such as two-flavor black tin dan will contain a lot of lead. Sometimes, due to pharmacies mistakenly grasping medication, or the wrong measurement of the drug dose in the prescription prescribed by the doctor, it is very likely to lead to drug-derived lead poisoning.
"No." Zhan Hao continued to shake his head, "My brother works in medical school. He always tells me what medicine is three-point poison, even Chinese medicine. What's the same with Chinese medicine? What's the problem with Chinese medicine recently?"
"Then have you eaten any food you have never tried before? Or drinks, medicinal wine?" Sun Lien continued to ask. He was a little panicked. Poisoning always requires a way to contact. Without a way to contact, could this toxic substance fall from the sky and then fall into Zhan Hao's mouth?
"No..." Zhan Hao wanted to deny this question, but suddenly frowned, "The neighbor of my hometown came to Ningyuan a few days ago and brought me some bacon and other things. It tasted pretty good when I ate it."
Sun Lien suddenly felt excited, "Baoke? How much did you eat last time? Have you eaten it recently?"
"Last time... I seemed to have my stomach started to hurt the next day after I finished eating." Zhan Hao also realized that there was a problem here, "And the day before yesterday I asked my brother to go back and stir-fry the remaining half of the bacon for two dishes. He said that he liked to eat this meat, so he gave me all the dishes."
Bacon, that must be a problem with bacon! Sun Lien suppressed his excitement and gently patted Zhan Hao on the shoulder to let him rest. Then he quickly walked out of the rescue room and grabbed Zhan Jun who was sitting at the door. "Brother Zhan, is there any leftover bacon your brother had eaten before?"
"Yes." Zhan Jun nodded, wondering why Sun Lien suddenly asked this question, "What's wrong?"
"In your store, right?" This question was answered by Zhan Jun. Sun Lien hurriedly, "Go back immediately and watch the bacon. I will call the police now and ask the police to come over and pick it up... No, you are here to wait for me. I will call Lao Wu over."
Zhan Jun was stunned again and again, "What's wrong with this? Why are there any police officers?"
"There may be a problem with that piece of bacon. Someone is planning to harm your brother!" Sun Lien ran back, whispered in Zhan Jun's ear, and then left a sentence, "Wait for me here", and then ran to the police station.
Chapter completed!