When doctors have a simulated operating room

After about two hours, Jiang Yimin woke up. His family called the doctor immediately. The director of the Department of Nephrology and two residents rushed to the ICU. "Jiang Yimin, can you hear me clearly?" Jiang Yimin felt dizzy, nauseous and wanted to vomit, and had no strength in his body. He had these symptoms before he was admitted to the hospital, but now he felt several times more serious than before. He felt so uncomfortable. "Yes..." Jiang Yimin frowned and nodded. "Do you know where this is? Who am I?" Li Xigui, director of the Department of Nephrology, continued to ask. "In... hospital... you are... doctor."

Li Xigui understood that the patient was indeed awake now and was very conscious.

Then he turned to look at the two family members and said:

"Since he is awake now, I will ask them to take him for examination. You family members don't need to go with him. The examination has high radiation and needs to be done in isolation clothing."

Jiang Yimin's wife asked suspiciously:

"Huh? Didn't you do several examinations this morning? Do you need to do it again now?"

Li Xigui nodded without changing his expression:

"Yes, his condition has suddenly become serious. After discussing with several doctors, we decided to do an MRI to see if his constant dizziness and nausea are related to intracranial nerves or tumors."

Li Xigui made up a random excuse.

Because, after Zhang Yi left, he felt more and more that something was wrong.

The patient's symptoms were obviously improving in the first three days of hospitalization.

But after he took leave to have a meal, something happened.

The patient didn't drink much alcohol, nor did he eat any toxic foods, but his condition worsened and led to toxic liver and kidney damage?

Li Xigui thought more and more strangely.

The most common clinical causes of toxic liver damage are accidental ingestion of poisonous mushrooms, bites by poisonous snakes, and alcoholic liver poisoning caused by drinking too much alcohol at one time.

Or long-term use of chlorine or sulfur drugs leading to poisoning.

But this patient has never tried any of the above.

The attending doctor of Jiang Yimin on the day of admission also asked about it. He had not been bitten by a poisonous snake recently, not to mention poisonous snakes, cats and dogs.

And he ate poisonous mushrooms and so on. His family ate from the same pot.

If it was really food poisoning, it would be impossible for him to be the only one in trouble, and his wife and son would be fine.

As for the drugs, the patient had always been healthy before, and had not taken these drugs that were prone to liver and kidney metabolic damage.

So, after comprehensive consideration, there is only one relatively rare possibility, but it does happen.

That is chemical poisoning.

The above are all drug and food poisoning.

Chemical poisoning refers to liver metabolic damage caused by chemical drugs such as organophosphorus, organoarsenic, carbon tetrachloride, etc., which can directly lead to organ failure (such as drinking pesticides to commit suicide).

Chemical poisoning is still relatively rare in clinical practice, especially in recent years.

But some workers working in chemical plants, or some scientific researchers who often come into contact with toxic substances.

These people may suffer from toxic liver damage due to long-term exposure to poisons.

But Jiang Yimin is not in this kind of job. He is a small boss who has opened several large supermarkets in the capital.

How could he come into contact with those toxic chemicals? ?

So, after thinking about it, Li Xigui felt that Zhang Yi's analysis was very accurate.

The elimination method excludes food poisoning, drug poisoning, and even stings by venomous snakes and bees, so in the end only chemical poisoning is left.

And the patient's surrounding environment is difficult to come into contact with these toxic substances.

So, where does this poison come from?

Then we can only start from the family!

But Li Xigui didn't say anything, just ask first.

What if their doctors think too much?

"Brain problem? This... Isn't it liver damage? How can it be related to the brain?

How about this, I'll go with you? I'm more assured of my husband."

The family member wants to go with him for the examination!

Li Xigui raised his eyebrows and refused with a dignified tone:

"Don't bother, it's professional for doctors to help, and this is the rule of our Union Hospital."

"Ah? Then... OK."

The family member's wife's eyes flickered a few times, and she had no choice but to agree to Li Xigui's request.

Soon, the two doctors from the Department of Nephrology pushed the bed directly to the laboratory for examination.

At this time, Li Xigui also notified Zhang Yi.

Wait for Zhang Yi

When I arrived at the door of the MRI room, I saw two doctors from the Department of Nephrology waiting outside with Jiang Yimin's bed.

When Zhang Yi came over, Li Xigui also came over.

"Jiang Yimin, do you know who I am?"

Zhang Yi walked to the bedside and asked Jiang Yimin.

The main purpose was to see if he was completely conscious now.

The questions answered in this way were true.

Jiang Yimin looked up and nodded immediately:

"Aren't you... Doctor Zhang Yi? Doctor Zhang, why is my condition getting worse again... If I had known, I would not have stayed in the Nephrology Department. I should have been hospitalized in the Emergency Department..."

The patient was complaining, as if his condition worsened after coming to the Nephrology Department, so he was not only very conscious now, but also knew how to blame others.

Then it seems that there is really no problem.

On the side, several doctors in the Nephrology Department had a flash of embarrassment in their eyes.

Uh...

We didn't deliberately make your condition worse. There must be other reasons for your worsening condition, right?

We in the Nephrology Department are wronged~~

Then, I saw Zhang Yi slowly lowered his body and leaned close to Jiang Yimin's ear, and asked in an extremely serious tone:

"Mr. Jiang, I want to ask you a question now. Do you usually like to eat pickles or pickled vegetables?"

"Pickles? It's okay. If there are pickles on the table, I might pick one or two, but I don't like to eat or eat them often. What's wrong, Doctor Zhang?

Is my illness related to eating pickles? ? But I don't eat pickles much. "

As soon as these words came out.

The surrounding nephrologists, including Zhang Yi, had a specific goal in mind.

His wife is lying!

Why lie about liking pickles?

Is it to divert the doctor's attention to the cause of the disease to pickles??

Zhang Yi narrowed his eyes and felt that this matter was really not simple.

Seeing that the expression on Zhang Yi's face was not right, Jiang Yimin asked hurriedly:

"What's wrong, Doctor Zhang? What's my situation now?

I promise you, I didn't eat anything when I went out last night, and I didn't drink much wine. I couldn't refuse it, so I drank half a cup, and that half a cup was at most a few milliliters.

I... I can't be so serious that I have a trachea all over my body because of this small sip of wine, right? "

Zhang Yi looked at Li Xigui, then stared at Jiang Yimin's face, and said word by word:

"Mr. Jiang, what I'm going to tell you next may shock you.

But please tell us the truth, because..."