Everyone was sitting on a flower bed with a cup of milk tea in hand.
Gu Chen's notebook is recording Zhang Xiaomei's words.
"Dr. He shouldn't have offended anyone, right?" Gu Chen looked up at her.
"No, no, there are so many people I've offended, I can't even count them." Zhang Xiaomei couldn't help but say while drinking the milk tea given by Gu Chen.
This was a bit beyond Gu Chen's expectation.
Logically speaking, a positive person like Dr. He should be popular, but when it comes to Zhang Xiaomei, why does he feel like he is a public enemy?
This feels unreasonable...
"Does Dr. He have a bad character?" Gu Chen asked.
Zhang Xiaomei raised her head, looked at the street lamp not far away, and said with an analogy: "How should I put it? Just like that street lamp, it can illuminate an area, but if it is placed in this row of street lamps, then this street lamp
The effect becomes insignificant.”
"Dr. He is one of these street lights. He has his role, but among the many people, he does not seem so dazzling."
"You mean he is very ordinary in the workplace?" Lu Weiwei said.
Zhang Xiaomei thought for a moment and then said: "You can say that he is quite ordinary. He is the same as other doctors, but his personality is not gregarious."
"For example?" Gu Chen asked.
"For example...he is not the kind of person who likes to obey others." Zhang Xiaomei turned to look at Gu Chen and said calmly: "Just like the leader's birthday, everyone rushed to send gifts to the banquet, but he didn't come home.
participate."
"The company distributed bonuses and everyone decided to go to karaoke. He thought it was a waste of time and refused to participate."
"In the workplace, everyone likes to chat about all kinds of gossip, but he likes to read and goes home as soon as he gets off work, while others go out and fool around after get off work."
"How can a person like him be popular? It feels like he is excluding himself from the group."
"Eh? Why is this similar to Junior Brother Gu?" Lu Weiwei couldn't help but thought to herself, but after looking at Gu Chen, Lu Weiwei instantly knew the answer.
"Well, the key is that if he is not handsome, his abilities are not as outstanding as his junior brother, and the people around him are not positive, then it is natural for him to be excluded."
Thinking of this, Lu Weiwei asked Zhang Xiaomei: "So even if Dr. He is not gregarious, has he ever had a deep relationship with anyone? Just... the kind of incompatibility."
"Hmm... I don't know." Zhang Xiaomei thought for a long time, but chose to shake her head.
After Gu Chen recorded all this, it seemed that there was not much progress.
But thinking about He Zhengjun's strange behavior at the charity stall today, the doubts in my heart suddenly resurfaced again.
"Yes, his performance at the charity stall today was not good. He was not up to his normal level at all."
"Moreover, if you are a good person, how can you suddenly faint? This shows that He Zhengjun's physical condition has not been good before."
Thinking of this, Gu Chen asked Zhang Xiaomei directly: "By the way, Xiaomei, does Dr. He have any physical diseases? Just the more prominent ones."
"Disease? High blood pressure?" Zhang Xiaomei blurted out after hearing what Gu Chen said.
"High blood pressure?" Gu Chen lowered his head and thought, the flow of information in his mind seemed to be rolling rapidly.
"What's wrong?" Lu Weiwei looked at Gu Chen's face in surprise, and asked weakly: "Is this directly related to Dr. He's fainting?"
"No, I'm just thinking that if a person has physical problems, he should know about it in advance, especially a professional like Dr. He."
"But today Dr. He gave me the feeling that he was completely unprepared. It seemed that his physical condition was not online, so I had a new guess."
"Guess?" Zhang Xiaomei couldn't understand what Gu Chen was talking about, so she asked again, "What does Officer Gu think the situation is?"
"It's very simple." As Gu Chen spoke, the virtual panel in his mind automatically opened.
Various data calculation diagram groups are displayed in his mind, which facilitates Gu Chen's various analysis of the problem.
"I'm thinking that as a professional doctor, Dr. He must have some understanding of his physical condition."
"So as you just said, Dr. He has high blood pressure, so he should take high blood pressure medication."
"Yes, Dr. He insists on taking high blood pressure medicine, because his high blood pressure is related to genetics, and his parents have high blood pressure."
After hearing what Gu Chen said, Zhang Xiaomei quickly confirmed the fact that Dr. He was taking medicine for high blood pressure.
But thinking back, Zhang Xiaomei asked again: "So Officer Gu, don't you think that Dr. He's fainting is related to high blood pressure drugs?"
"I didn't say that, I was just speculating." Gu Chen took the milk tea next to the flower bed in his hand, took a sip and said, "I was just thinking that Dr. He usually works with the same intensity, and nothing like this happened today.
A bizarre incident.”
"First I fainted without warning at a charity stall, and then I started to feel dizzy while riding a scooter home."
"So I've been wondering, which drug causes dizziness and fainting?"
"Or...could it be that Dr. He accidentally took some medicines, which caused this abnormal symptom?"
"Accidental ingestion of medicines?" Zhang Xiaomei was stunned, shook her head at Gu Chen and said, "I think the possibility is very small, because Dr. He has always had a very regular schedule, and he also exercises regularly."
"It's even more unlikely that he would accidentally take medicines that he usually avoids."
As for the possibility raised by Gu Chen, Zhang Xiaomei actually knew in her heart that this hypothesis completely existed.
After all, Dr. He is an ordinary-looking and unpopular little doctor in the workplace.
We usually communicate with each other, but sometimes we deliberately avoid Dr. He.
But now, the seemingly most ordinary person in the department suddenly transformed and was reported and forwarded by many mainstream media, and became an Internet celebrity for a while.
Many people in the department had never imagined such a rapid rise in popularity, and were even a little jealous.
It is not ruled out that someone deliberately tampered with Dr. He. After all, everyone had always been calm before, but after Dr. He became famous, so many things happened.
This will inevitably make Zhang Xiaomei think wrong.
Gu Chen drafted on the side of his notebook and began to list some of the properties of drugs he knew.
Gu Chen first wrote the three characters "hypertension" and then started drawing pictures in groups around high blood pressure.
I kept asking myself, does anyone else want Dr. He to look like he died of natural causes?
Or at least an accidental death from an overdose of prescription drugs?
Moreover, based on what I learned about He Zhengjun’s condition during my investigation, dizziness plays a large role in why He Zhengjun is like this.
“Are there any cardiac drugs that mainly target blood pressure or other conditions and have few or very mild side effects if taken at normal doses, but may cause dizziness or syncope when taken in large amounts?”
"Or maybe the condition is milder. At what dose does an individual feel dizzy or dizzy after taking it, but it's not really to the point of fainting, it's just very shaky, unstable, or confused?"
Thinking of this, Gu Chen even wanted to do a test on He Zhengjun, who was in a coma, to see if he could find out whether the content of such drugs was too high?
But in Gu Chen's understanding, patients often don't know their medication status, and they are usually elderly.
Either taking too much, forgetting to take medicine, or taking multiple medicines on an empty stomach at the same time, which speeds up the body's absorption and enhances the effectiveness of the medicine.
Each condition can cause serious side effects.
but……
These only happen to older people.
Elderly people have poor memory, so taking medicine without the supervision of family members is indeed dangerous.
Gu Chen suddenly remembered that when he was a child, an old man in the community once forgot the doctor's instructions and couldn't remember how to take medicine.
In addition, my family was not at home at the time, so I accidentally took an overdose of pills, and eventually passed out while walking in the garden of my community.
If Gu Chen, who was playing with his friends at the time, hadn't discovered it and called an adult to rush him to the hospital for treatment, I'm afraid the old man wouldn't have survived that day.
Therefore, since then, the elderly family members have come to visit with fruits to express their gratitude.
Thinking of this situation when I was a child, it suddenly happened again before my eyes.
Gu Chen couldn't help but think about it carefully and became extremely frightened.
"He was an old man at that time, but now Dr. He... is a middle-aged man!"
"If Dr. He has been taking high blood pressure medication, then the high blood pressure medication fully meets this criteria."
"Furthermore, these drugs are designed to lower blood pressure. The types and dosages required by each person vary greatly."
Thinking of this, Gu Chen seemed to have his own ideas.
Lu Weiwei asked him puzzledly: "Junior brother Gu, what kind of high blood pressure drugs were you talking about just now? Do you mean that Dr. He overdosed on high blood pressure drugs and caused dizziness?"
"It's totally possible!" As if he had made a major discovery, Gu Chen directly opened the notebook to the blank space and wrote an introduction with a pen.
"You see, the cardiovascular system actually includes the heart and blood vessels, forming a closed system."
"Hypertension is an increase in the internal pressure of the system. Just like a car tire, the simplest way to increase or decrease tire pressure is to inflate or deflate the tire to release excess air."
"But for the human body, this 'deflation operation' has to be completed by diuretics."
"What... what are diuretics?" Yuan Shasha was confused and confused.
Gu Chen paused briefly before writing the English word for diuretic on it.
"Diuretics, the English word is called 'diuretices', refer to a class of drugs that can promote the excretion of electrolytes, mainly sodium ions, and water in the body to increase urine output."
"Because diuretics force salt and water to be excreted through the kidneys, and as the salt and water are reduced, the pressure decreases."
"Another way to reduce the pressure inside the tire is to make the tire larger. Of course, this is impossible. However, if the tire expands and the internal volume increases without adding air, the pressure inside the tire will naturally decrease.
"
"And the condition of high blood pressure that we often talk about has to be solved by drugs that dilate arteries and blood vessels. Can you understand this?"
Gu Chen did not speak very quickly, but also used vivid examples to give you an overview of the status of hypertension treatment.
Lu Weiwei and Yuan Shasha looked at each other and nodded to express their understanding.
Of course Officer Wang can understand it.
The principle is explained vividly by Gu Chen, making it natural and easy to understand.
Zhang Xiaomei, who was on the side, was shocked and couldn't help but said: "Officer Gu, do you even know this? This doesn't seem to be the knowledge that you police officers should have, right?"
"It's okay." He also felt that Zhang Xiaomei was a little fussy, so Gu Chen added: "I once learned about the use of some drugs from Forensic Doctor Liu's forensic notes."
"Later, I copied down the names of drugs and drug principles mentioned in the notebook and went to the library to check them out, so..."
Pointing to his head, Gu Chen added: "So... it has always been remembered in my mind."
"Then...then your brain is really good." Zhang Xiaomei couldn't believe it. Gu Chen was even better at this kind of medical knowledge than many professional doctors.
Although I understand some of this principle, I definitely cannot remember the English word "diuretics" alone.
But Gu Chen was able to blurt it out.
It can be seen that Gu Chen's memory has already surpassed his peers by several blocks.
However, here Zhang Xiaomei deserted, and over there Gu Chen had to explain the principle clearly to Lu Weiwei, Officer Wang and Yuan Shasha.
Gu Chen turned the notebook to the next page and continued to write and introduce: "Actually, this type of drug can increase the internal volume of the closed vascular system, while the blood volume remains unchanged, so the pressure decreases."
This chapter is not over yet, please click on the next page to continue reading! "Hypertension drugs are also divided into several categories, or families."
"Based on what we just discussed, the two types of drugs that are most effective are calcium ion channel blockers and beta-blockers."
"The former is mainly used to dilate arteries, while the latter is used to slow down the heart rate and weaken the contraction force of the heart."
"Their net effect is that if used in the correct amount, they can regulate high blood pressure to a healthier level, but too much can lower blood pressure to a dangerous level."
"This may cause dizziness, loss of consciousness, and it may be fatal no matter how high the dose is, but Dr. He's previous conditions tell me that he seems to be very consistent with these symptoms."
"Yes." Lu Weiwei heard Gu Chen's words and nodded silently: "Isn't that what Dr. He's situation was like at that time? Dizziness and loss of consciousness have all happened."
Looking at the crowd, Lu Weiwei gestured with her hands and said, "Did Dr. He experience dizziness when he was at the charity stall?"
Seeing everyone nodding silently, Lu Weiwei asked again: "Did he lose consciousness at the place where the car accident occurred?"
"That's true." Officer Wang nodded slightly and couldn't help but said: "We all saw it in the video of the traffic police team at that time. Dr. He did lose consciousness at the intersection, and then the battery car left the road.
It directly collided with the white SUV."
Yuan Shasha trembled when she heard this, and said: "Then do you really have to be careful when taking this medicine? It is a three-part poison, and it is really not just a casual talk."
"Taking the right amount of medicine may save your life, but taking it illegally may be fatal."
Gu Chen nodded slightly and explained to her: "Don't be so nervous, Xiao Yuan. We follow a scientific approach in everything."
"You need to know that commonly used calcium ion channel blockers include nifedipine, brand name Guandayue."
Gu Chen wrote all these Chinese terms in a small notebook and added: "A typical dose is 30, 60 or 90 mg per day, and verapamil hydrochloride, which is verapamil, and verapamil is verapamil."
Another name for rice, 180 or 240 mg per day.”
"And beta-blockers include propranolol, also known as propranolol, 10 to 80 mg twice daily."
"Atenolol, also known as Atinol, takes 50 to 100 mg twice a day, and metoprolol, also known as Betaloc, takes 50 to 200 mg a day."
Looking up at everyone, Gu Chen saw that everyone was listening carefully. Gu Chen continued to explain: "If someone deliberately gave Dr. He four to five times the normal dose, then this might significantly lower Dr. He's blood pressure and make him faint.
Dizziness or loss of consciousness may result in a car accident.”
"So that's it?" Lu Weiwei listened intently, and then asked: "Then if you took four or five times the normal dose, when did your blood pressure start to drop?"
"That's not necessarily true." Gu Chen turned the pen with his right hand and continued to explain: "When blood pressure starts to drop varies from person to person, and also depends on the type of medication."
"If someone deliberately makes arrangements for the process, then there needs to be an interval of one to two hours between taking the medicine and the accident. You can give him all the pills after a meal."
Officer Wang was thoughtful and asked: "Is there any faster way to speed up the absorption of drugs?"
After all, he is an old comrade. Officer Wang's questions were very constructive and he addressed the issues to the point.
Gu Chen nodded slightly and said calmly: "Situations like what Senior Brother Wang mentioned also exist. If it only takes 10 to 30 minutes, then crush the pills, or open the capsule and pour out the powder, and arrange for Dr. He to accompany him with a small amount of food and drinks.
Take.”
"In this way, the drug absorption rate will be much faster, the drug effect will be exerted faster, and the impact will be more severe."
Gu Chen closed the notebook, stood up and said, "What I'm most worried about now is whether Dr. He's emergency situation is what I deduced?"
"Gu Chen." Officer Wang stood up immediately, patted him on the shoulder and asked: "I have another question. If we test Dr. He, will we find an increase in drug concentration?"
"Yes." Gu Chen blurted out without thinking, "Although it is possible, you have to search hard to find it."
"Because some drugs must measure their therapeutic effect based on blood content, high blood pressure drugs are not included in this list because their therapeutic effect is determined by measuring blood pressure."
"So what I'm worried about now is whether Dr. He can hold on. If Dr. He dies unexpectedly, it's impossible to evaluate, because the blood pressure of the dead person is...is..."
"What is it?" Seeing Gu Chen suddenly stuttering, Lu Weiwei asked nervously.
Gu Chen took a deep breath and said calmly: "It's 0/0."
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