The condition of Bed 42 is very serious, but that is not the point.
The point is, Lu Chen began to doubt - perhaps what Forty-Two Bed had was not an autoimmune disease at all.
As a doctor living in the era of the coalition government, Lu Chen is lucky and unfortunate at the same time.
Fortunately, since the establishment of the coalition government, humans have discovered only one brand new disease - CBD (plex mental and behavioral disorder), commonly known as the "Great Collapse".
Unfortunately, there have been no new discoveries in the field of clinical medicine for a long time.
The discovery of new diseases is certainly not a good thing for the patients themselves. But it plays an important role in the entire medical community and even the biology department - newly discovered diseases can inspire researchers from many angles. Every new discovery
For a disease, it is possible to discover treatments for more diseases by studying its pathogenic mechanism.
But...in this era of prosperous science, discoveries in the biological field have lagged behind.
Fortunately, the lessons learned by Mr. William Thomson (Lord Kelvin) are still fresh in our minds, and experts in the fields of biology and medicine have not said complacently that "the edifice of medicine has been solemnly completed."
After all, under the dark clouds in the sky, there seems to be no big difference between the edifice of medicine and thatched hut. A radical cure for cancer still seems to be a fantasy, and many rare genetic diseases are also consistent with the treatment plans of decades or hundreds of years ago. Scientific development may bring benefits to mankind.
It has brought hope of landing on Mars, but it has not even been able to buy two more years of life for ALS patients.
The future is bright, but the current situation is depressing. But fortunately, there are treatments for most common diseases... Otherwise, doctors may be the group most affected and hit by the collapse.
But now, Lu Chen seems to have seen a strange sign from the continuous high fever in bed 42, at least not one that he knows about.
According to Baozi's analysis, there are about a thousand kinds of diseases that may cause a patient to suddenly have a high fever from a steady state to 39 degrees. However, a high temperature of 39 degrees can be maintained for more than 32 hours, and it is completely insensitive to various common antipyretics.
There is only one disease that reacts...
Malignant hyperthermia.
Malignant hyperthermia is a rare disease hidden in the human body. It is like an insidious bomb. Usually the carrier will not have any symptoms or performance, just like a normal person. But once the patient begins to receive general anesthesia,
, the muscles throughout the body will spasm rapidly and raise the body temperature.
With high temperatures exceeding 42 degrees Celsius and continuous severe acidosis, the human body will quickly fall into a death vortex of rhabdomyolysis, nervous system and even systemic damage.
Then died within hours.
The analysis result given by Baozi is as simple as this - malignant hyperthermia is the only disease that can cause patients to have persistent high fever without any warning, and is ineffective against antipyretic drugs.
The problem is, this is definitely not malignant hyperthermia... Lu Chen looked at the cases in the forty-two beds and scratched his head.
The AI in the junior sister's hand probably made the same judgment as Baozi. Before the junior junior sister's call was dialed, she issued a medical order for genetic testing to the forty-two beds. The test results showed that the patient did not suffer from the disease.
There are abnormalities in the RYR1 gene segment or CACNA1S gene - genetic testing does not support the diagnosis of malignant hyperthermia.
"Dantrolene has also been used... but the body temperature still hasn't dropped." The junior sister stood next to Lu Chen and whispered, "Brother... why don't you ask Teacher Yang to come back and take a look?"
"Brother Yang, please come back. This patient also has these treatment plans." As Yang Weimin's doctoral student, Lu Chen is quite aware of his mentor's methods. He comforted his junior sister, "Treat the symptoms first, add ice blankets, ice caps, etc.
Go up...I'll think of a solution."
Bed 42 is definitely not malignant hyperthermia. The genotype does not match, the symptoms are wrong, and the fever is far less terrible than malignant hyperthermia... If a cat doesn't look like a cat, doesn't sound like a cat, and doesn't react like a cat,
Cat, then it is most likely not a cat.
This principle also applies to diagnosis - Lu Chen believes that the forty-two beds are likely to be suffering from some kind of disease, something that neither he nor Baozi has ever seen.
This thought made Lu Chen's body tremble. At this moment, Lu Chen suddenly understood what Mu Zhiran felt when he discovered that the electrons outside the lithium element were rotating downward.
Of course there are worries and self-doubts, but what’s more, it’s actually excitement. It’s the kind of excitement like... discovering a new world, excitement like seeing scenery that no one has ever seen before.
But this kind of excitement lasted a little short, and Lu Chen forced himself to calm down again - the first priority now is to find ways to stabilize the situation in the forty-two beds. As long as people survive, research can always be done. If the forty-two beds are not saved, then the next step is to work hard with the family members and ask the other party to agree to hand over the body of the relative to the hospital for autopsy when others are losing their loved ones.
Putting aside the difficulty of this matter, just to make such a request after the treatment failed... Lu Chen himself felt that he could not open his mouth.
In order not to have trouble later, he had to do his best now. Lu Chen put on his white coat and ran to the ward. After seeing the forty-two people lying on the bed asleep, Lu Chen thought for a moment and made a decision.
"Maintain the original cooling method and implement low-freeze infusion - intravenous infusion of four degrees Celsius normal saline. Test the patient's APTT coagulation time every half hour." Lu Chen decided to use some unconventional means to control the patient's body temperature. "If this can lower the temperature,
If it doesn’t come down, use low-temperature saline for repeated enema.”
The treatment plan of hypothermic infusion is relatively commonly used in neurology and emergency departments. The original intention of this outrageous plan is to lower the body temperature of patients with severe craniocerebral injuries as quickly as possible, thereby protecting the nervous system.
Now being used by Lu Chen in a place like this... is quite appropriate.
After giving the doctor's orders in the ward, Lu Chen returned to the office and prepared to make up some more physics jokes to tease his girlfriend. But as soon as his butt touched the stool, the table in front of him started to scream.
After groping around on the table for a few times, Lu Chen turned on the audio playback system. He looked at the gray head floating on the table and asked in confusion: "Hello? Who is this?"
"Doctor Lu, right?" A hoarse voice came from the other end of the phone, "I'm from the security department... Huh? Why can't this thing see people again?"
Lu Chen looked at the huge "voice only" prompt below the floating avatar and decided not to bother instructing the guy from the security department on how to make a video call. He asked directly, "I'm Lu Chen, what's the matter with you?"<
/p>
"Dr. Lu, the emergency department just called us, saying that the patient you sent to him ran away on his own." The old man from the security department said, "They sent me a photo. I still want to
Take a look..."
"Run away?" Lu Chen was stunned for a moment, and then suddenly realized that he should be talking about Thomas.
"The doctors in the emergency department are very anxious. They said that the patient is still not very conscious and ran out on his own for some reason." The big brother in the security department shouted, "We are already adjusting the monitoring. This person is Dr. Lu. Please arrange it."
I came here to see if I can contact his family members?"
"Uh... OK, let me ask." Lu Chen hung up the phone and then started to send a message to his Dr. Mu.
[The emergency department said that Thomas escaped from the hospital. Do you think he has returned to school? If traces of him are found, then send him back to the hospital quickly. I can’t laugh or cry.jpg]
After a while, Dr. Mu Zhiran replied with a message, [No wonder the door on the accelerator side was locked again.] Then there was no movement.
Um...Hello? Lu Chen looked at the messages on his phone and felt like there were a lot of cats scurrying around in his heart - it's so exciting, Dr. Mu, why don't you broadcast it live for me?
Looking at the time, Lu Chen felt that the cat in his heart was ticking more frequently. It was now two forty in the afternoon, which was Mu Zhiran's last time to do experiments. It was impossible to expect Dr. Mu to be a war reporter. If you wanted to watch the fun,
Then Lu Chen can only make a trip by himself.
If the temperature of the forty-two beds can be lowered, then this lively Lu Chen will be determined. Unfortunately, there is no "if" in reality, and things do not always go as expected.
Lu Chen returned to work with a strong "I'm not happy" emotion. This emotion was so strong that the junior sister seemed a little uneasy - she was worried about the reason why Lu Chen had a smile on his face.
It's her who can't handle the fever in Forty-Two Beds.
Now Lu Chen not only can't see the excitement, the patient's body temperature can't be lowered, but also has to worry about the mental condition of the junior sister. Lu Chen, who is typing the case in the office, is irritable and helpless, and at the same time a little aggrieved.
Let's do something good. Let's not just watch the excitement, but at least do something to divert the little junior sister's attention...
Lu Chen, who was staring at the screen, suddenly felt a little dizzy.
Then, he flew up from the stool. All the objects around him shook violently, and a loud noise came immediately, and almost all the window glass in the room was shattered.
When Lu Chen came back to his senses, he had already appeared in the ward. The world seemed to suddenly turn into black and white, and his white coat was covered with dust and blood stains from unknown sources. Including medical staff
Everyone, everyone was shouting in terror. But Lu Chen couldn't hear anything. His ears were ringing. Apart from the tinnitus, he could only hear his heart beating wildly in his chest.
Lu Chen tried hard to get a tourniquet from the dressing cart to bind and pressurize the bleeding thirty-seven bed to stop the bleeding. But he couldn't touch the tourniquet - the dressing cart seemed to come to life.
It was as if he had grown legs. No matter how hard Lu Chen tried to grab it, his fingertips just couldn't reach his target.
Lu Chen opened his mouth, and then spit out today's lunch directly to the ground. He felt dizzy, as if he had just been thrown into the washing machine and dried for half an hour.
After wiping the dirt from the corner of his mouth, Lu Chen finally grabbed the tourniquet. After using the tourniquet and dressing forceps to complete the pressure rotation to stop the bleeding, Lu Chen's hearing gradually began to recover. He heard cries and screams coming from everywhere.
And various alarm sounds are ringing outside the window.
Looking through the bare window frame, Lu Chen saw a gray smoke column rising into the sky - very close to the hospital and in the direction of the Institute of Physics.
He felt that the blood all over his body was cold.