The figure of a woman who breastfeeds will be different from that of a normal woman, and her body will also have a unique smell, which is not difficult to detect.
In some families, breastfeeding can last until the age of seven or eight, and it is not unusual to not stop breastfeeding at the age of three or four.
Zhao Yuan asked again, "What is your occupation?"
The girl's mother hesitated and said, "I am a freelancer and I usually like to write something."
"So you're a freelance writer? Have you published a new book recently?" Zhao Yuan asked continuously.
"How do you know? I have a new book that was just published last week, and I have been busy signing books recently, so I don't have much time to take care of my children." The girl's mother was shocked when Zhao Yuan guessed the book continuously.
Zhao Yuan nodded and reported to Xie Changtian.
"It should be acute lead poisoning!"
"Acute lead poisoning?"
Everyone was slightly startled.
Acute lead poisoning does cause abdominal pain.
However, when it comes to ruling out food poisoning, everyone has crossed out this option.
Xiao Ke couldn't hold back and objected, "Lead poisoning should be characterized by lead lines in the gums."
Zhao Yuan glanced at Xiao Ke lightly, "Although the patient does not have a gingival lead line, she can smell a metallic smell in her mother's breath."
Children? Breast milk? Mother? The three are connected in series to form a complete pathological closed logic.
Zhao Yuan patiently explained, "The mother of the child has been exposed to newly printed books recently. The ink in the new books contains a lot of lead, which is inevitably contaminated and penetrates into the blood, thus affecting the breast milk. Adults have stronger detoxification ability, so the mother of the child does not
reaction, but the child’s body is very fragile, and after consuming breast milk, the body simply cannot bear it.”
The room was silent.
Everyone is pondering Zhao Yuan's speculation.
Xie Changtian broke the deadlock and frowned, "Should we do a blood lead test?"
Zhao Yuan shook his head in denial, "I suggest direct lead removal treatment. The blood lead test will take at least a day to produce results. Moreover, the standards for whether a child's blood lead content exceeds the standard are different. If the blood lead result does not reach the danger line, it does not mean that it is correct.
It’s not harmful to children, and even checking it won’t help!”
Xie Changtian fell into silence.
Zhao Yuan's inference is quite reasonable, but there is a risk of misdiagnosis.
Seeing Xie Changtian's hesitation, Ren Min smiled faintly and said, "Lead removal treatment is always less harmful to the child than laparotomy. The dose of the drug can be gradually increased to avoid side effects. That's it. It's decided! If there is a problem, I will be responsible!"
Unexpectedly, Ren Min would support Zhao Yuan so firmly!
Xie Changtian understood that two "in-class tests" made Ren Min change his view of Zhao Yuan!
Xie Changtian and Ren Min found a pediatrician, and several experts discussed it for a long time, and finally decided to follow Zhao Yuan's plan: first try to give the girl an appropriate amount of disodium calcium edetate orally.
Time passes by minute by minute!
The changes in girls every moment affect everyone's nerves.
Half an hour later, the girl's abdominal pain symptoms were significantly relieved.
An hour later, the girl returned to normal...
Lead removal treatment was successful!
Zhao Yuan's judgment was correct. The cause of the girl's abdominal pain was "breast milk lead poisoning."
Zhao Yuan's ability to find the cause of the disease requires not only a deep knowledge base, but also strong reasoning abilities.
All the doctors present knew that lead poisoning can cause abdominal pain, but no one would have thought that the three-year-old girl was not weaned from breast milk. The mother was contaminated with lead, which was indirectly transmitted to the girl's body.
Zhao Yuan successfully demonstrated what high-IQ talents are in front of many directors, deputy directors, and senior supervisors.
This guy is the treasure of emergency surgery!
Xie Changtian tilted his mouth for the first time to express his inner satisfaction.
Returning to the office, Zhao Yuan immediately told Liu Juanjuan, "Juanjuan, the case of abdominal pain caused by acute lead poisoning in children is worth recording in writing. Submit it to Xinglin Magazine and it will definitely be accepted."
Liu Juanjuan happily accepted the task.
She now admires Junior Brother Zhao so much that she is in total admiration.
There are many young people in Tianhua Hospital who are praised as geniuses, but the devil who is both internal and external is unique!
Ren Min learned that the lead removal treatment was successful and couldn't wait to find Xie Changtian.
"What are your plans for training Zhao Yuan?"
Xie Changtian smiled and said: "It seems that you are not at ease with me like me."
Ren Min smiled scornfully, "It's good if he can take care of himself."
Xie Changtian's expression was solemn, "Zhao Yuan's current problem is not his age or ability, but his qualifications. He doesn't even have a professional qualification, which limits his growth too much."
Ren Min suddenly slapped the table and winked at Xie Changtian, "It's not difficult at all to solve this problem. Just put a saddle on the horse."
Xie Changtian was silent for a long time before he thought about what Ren Min meant.
"Sure enough, you have the most clever ideas!"
…
Zhao Yuan was called to the office by Xie Changtian.
There was another person in the office, Dr. Sun, whom he had met several times before.
"Zhao Yuan, let me introduce you to a partner." Xie Changtian pointed at Sun Liang and said, "Dr. Sun will cooperate with your work in the future. Whether you have any questions about life or work, you can consult him."
Zhao Yuan stood up, walked to Sun Liang, and reached out his hand.
Sun Liang's heart was filled with ups and downs, but with a habitual smile on his face, he quickly held it and said, "I will need more care from Dr. Zhao in the future."
Sun Liang was recommended by Ren Min.
Ren Min felt that although Sun Liang's business ability was ordinary, he was able to make both ends meet, so he became Zhao Yuan's partner and could help Zhao Yuan make up for his shortcomings.
Just now Xie Changtian and Sun Liang communicated alone for a long time.
Xie Changtian told Sun Liang in various ways to follow Zhao Yuan's command in the future.
That's right, having a resident take orders from an intern!
Where can I go to reason?
Sun Liang knew that his situation was very embarrassing, but he had no choice.
If you refuse, you will have no place in emergency surgery.
If you accept it, you will become the object of ridicule.
"Well, Doctor Sun, you go out first, I'll have a chat with Zhao Yuan."
Xie Changtian sent Sun Liang away.
Sun Liang left quickly and walked to the door carefully.
His head was dizzy and he wondered if he was going to the hyperbaric oxygen department to inhale high oxygen!
"After these two days of inspection, your performance is very good. So I discussed with Lao Ren and arranged a deputy for you. Sun Liang is qualified, so it will be more convenient for you to work."
"Thank you and Director Ren for your recognition."
Zhao Yuan thought to himself that interns often complained on the forum of Tianhua Hospital that the hospital did not treat interns as human beings.
It seems biased!
Which hospital will equip interns with "tool men", no, deputies?
"Tianhua Hospital's emergency surgery department ranks high in the country. Judging from your recent performance, you are a general practitioner and the emergency surgery department is suitable for your growth."
Zhao Yuan smiled, "I have never doubted my choice!"
"You haven't graduated yet, so your salary and benefits are not yet in place. But please believe that once you meet the personnel requirements, I will actively fight to give you the best treatment." Xie Changtian paused and added, "Before that,
I will apply for an intern subsidy from the hospital."
The interns who come to Tianhua Hospital are all voluntary workers, and I have never heard of any subsidies!
In order to allow himself to stay in the emergency surgery department with peace of mind, Xie Changtian has started a "money offensive".
Zhao Yuan must express his stance!
"Director Xie, please rest assured. I can feel everyone's concern and care for me. I promise you, no matter it is sugar-coated bullets or coercion, I will not forget my original intention, stay in the emergency surgery department, and cultivate myself!"
…
Zhao Yuan returned to his office, where the "tool man" was moving things.
Sun Liang was transferred from the third group to the second group, and his new office was arranged next to Zhao Yuan.
After sorting the documents, Sun Liang took out two apples from the drawer and handed one to Zhao Yuan.
Zhao Yuan looked at Sun Liang in surprise, confused.
Sun Liang said with a smile, "Eating an apple every day can supplement a variety of trace elements necessary for the body."
Zhao Yuan was embarrassed to refuse, so he took a bite in his hand. It was crispy and tasted good.
"Plenty of water and very sweet. Where did you buy it?"
"Do you like to eat? I will bring it to you every day from now on." Sun Liang said happily.
Seeing how enthusiastic Sun Liang was, Zhao Yuan regretted praising Apple.
"That's so embarrassing!"
Sun Liang smiled and waved his hand, "I have a sister who runs a micro-business and will push me some fruits every month. They will go deep into the front line to find pollution-free green fruits that taste good and are healthy."
Zhao Yuandao: "How about you give me your sister's contact information? I can't always let you spend money. I will also buy some regularly."
"Oh, a little fruit, that's it. I'll have to rely on your help in the future." Sun Liang had already finished chewing the apple and threw the core into the trash can.
After a fierce inner struggle, Sun Liang had figured it out.
Xiao Ke said something before that woke him up.
All gold will shine, jealousy is the original sin.
Why should I be jealous of Zhao Yuan?
Just because Zhao Yuan is an intern?
Just because he took away an operation that wasn't originally his?
He has been racking his brains to get close to Xiao Ke, not just to climb up the big tree of Xiao Ke, hoping to learn something from Xiao Ke and then improve himself.
Now that a rising star is right under his nose, why doesn't he hug her?
It sounds a bit ugly for residents to serve as assistants to interns.
But in the long run, according to Zhao Yuan's talent, many people who want to give Zhao Yuan shoes ten years from now will not have the chance!
The residents who can survive in Tianhua Hospital are all human beings.
Sun Liang, a resident doctor with common ugliness, quickly adjusted his mentality.
