Chapter 553: Aristocratic disease, tetrodotoxin

  Li Quan diagnosed several patients like this kind of rickets.
  Relying on the master-level inspection technique, he felt at first glance that this little boy should not be a bone disease.
   "Child, stick out your tongue and show it to Uncle!"
  Li Quan said to the little boy.
  He opened his mouth obediently and tried to stick out his tongue.
  It seems to be very strenuous.
  I saw that the tongue of the sick child was much larger than normal.
  Li Quan checked his body and found that the little boy’s spine was slightly curved. Similar to the girl with dystonia before.
  The symptoms of the two have many similarities, but Li Quan instinctively thinks that they should not be the same disease.
  The little girl’s illness is much easier to treat.
  "Okay! Put your hand flat on the examination table, I will give you the pulse first. Tell me what is uncomfortable with you?" Li Quan said mildly.
  The little boy is quite courageous, but not timid.
  Strongly stretched his hands on the table.
"Uncle, I just feel that I have no strength recently, especially my legs, as if I have just climbed a high mountain, and I don't even have the strength to lift my legs. I obviously didn't play around with other friends, but it feels better. The whole day of physical education is even more tiring.
  When I woke up in the morning, my head was particularly painful.
   By the way, when I was sleeping, my parents said that sometimes I suddenly lost my breath. It will take a long time to recover. "
  The little boy’s presentation skills are quite excellent.
   Describe your symptoms very clearly.
   "Well, you are great! The condition is described very well."
  Li Quan praised the little boy and gave him a pulse carefully.
  Compared with the previous girl with dystonia, the pulse condition is obviously different.
  This little boy has problems with his liver and heart. And breathing is particularly laborious.
  However, his lungs and bronchus have not been found any problems.
  What kind of disease is it?
  Li Quanrao has inherited the medical skills and diagnosis and treatment experience of many ancient genius doctors, and it is still the first time he has encountered this strange disease.
  The patient’s bones have been checked just now.
  Associated with the patient's breathing suddenly disappeared after falling asleep. Li Quan couldn't help thinking that the patient might have a neurological disease.
  He carefully checked the pulse of the patient again.
  All nerves are normal.
  This...what is the strange disease?
  Suddenly, Li Quan thought of an extremely rare disease. When he was in college, he saw a terrible disease called "aristocratic disease" in a medical book in the library.
  If a baby has this disease, it will generally not live for six months and will die soon.
  There is no special medicine.
  Children or adults who get this disease can also easily die.
  Its disease name is Pompe disease, also known as acid maltase deficiency or glycogen storage disease.
  The cause of the disease is that the 17th pair of chromosomes has disease, which leads to the lack of acid α-glucosidase enzyme in the body, and the inability to break down glycogen, which can lead to muscle weakness and heart enlargement.
  It’s easy to die silently from this disease.
  Including when sleeping, you may suddenly lose your breath.
   "I will open a few examination applications for you first. His disease may be very troublesome, so you have to be mentally prepared." Even though Li Quan had diagnosed the cause of the little boy, he did not immediately say it.
  Just get vaccinations in advance.
  "Doctor Li...what kind of disease does my son have? Is it difficult to treat?"
  The father of the sick child is a little nervous.
  "Don't worry, I will tell you after the examination. It is only a preliminary diagnosis, and the results may be inaccurate." Li Quan opened five examination applications to the patient.
  It’s easy to confirm whether Pompe disease is.
  Laboratory blood routine examinations can reveal a significant increase in serum creatine phosphokinase.
  EMG indicates myogenic injury.
  Muscle biopsy, light microscopy, indicates vacuolar myopathy.
  Chest X-ray examination showed that the heart was enlarged in a spherical shape.
  Of course, the most authoritative diagnosis involves direct enzymatic activity testing to detect the activity of α-glucosidase.
  After asking the patient to go for the examination first, Li Quan went to work on his own affairs.
  After becoming the dean, there are still many things.
  ……
  Towards the evening, the sick child finally finished the examination.
  I have been diagnosed, and I got Pompe disease.
  This disease, if possible, needs to stay in the intensive care unit of the hospital.
  When apnea or other dangerous symptoms appear, it is convenient for the hospital to rescue at any time.
  Of course, the cost of treating this disease is also very expensive.
  Take medicine every day.
  It is possible to rescue at any time.
  Even if Li Quan's medical skills are superb, facing this disease, he is temporarily helpless.
  Perhaps waiting for his medical skills to become better in the future, he can work out a prescription to treat this disease.
  Li Quan finished processing several difficult patients in the orthopedics department. Looking at the time, it was only after seven o'clock. I thought, I can finally get off the morning shift today.
  I promised to help Vice President Min’s wife with a medical consultation. After so many days, it’s time to have a look.
  At this moment, Li Quan’s cell phone rang.
  A glance, it turned out that Director Zhang of the Emergency Department called over.
   "Lao Zhang, what's the matter?"
  Director Zhang is a real person and rarely calls Li Quan. Every time I call Li Quan, there are important things.
"Dean, are you still in the hospital? Dr. He Chi, who is on night shift in the emergency department, called just now and said that he had received two drunk patients and the situation was a bit serious. He was not sure and called me for help. I took my mother to a relative's house. It is not convenient to rush over now. Can you help me deal with it?"
  The emergency department is just a lot of things.
  Some patients may come to the emergency department at any time.
  Ordinary emergency patients can be handled well. Encountering difficult emergency patients is not a joke, accidents may happen in minutes.
  Li Quan hurried to the emergency department.
  He has worked here for a while, so he is fairly familiar.
  "Doctor He, Director Zhang is out there and there is something to do, so I can’t rush over. Let me take care of the two seriously drunk patients."
  Li Quan greeted Dr. He Chi.
  "The two drunks are right there. Now they are so drunk that they are not awake. I measured their blood pressure and heartbeat. They were very abnormal. I was afraid of accidents, so I asked Director Zhang for instructions."
  Doctor He Chi pointed to the two drunks in the emergency room.
  Only saw a young man in his twenties sitting next to him playing with his mobile phone indifferently.
   "Are you the family of two drunk men?"
  Li Quan asked the guy who played with the mobile phone.
  "I am not a family member, but a relative of them. Today, my grandfather is 80 years old. They came to congratulate my grandfather. They might have drunk a little during the dinner and got drunk.
  I can't wake up at all.
  My family was worried that something might happen, so they sent them to the hospital for a visit. "
  The young man replied without looking up.
  Li Quan nodded and checked the situation of the two drunks.
  I saw the two people's faces flushed, and they were unconscious, as if they were really drunk.
  However, Li Quan’s vision diagnosis technique has reached the master level, and he can directly diagnose the patient’s condition.
  The complexion of these two people is very wrong.
  At the same time, his smell and diagnosis technique also found abnormalities in the breathing of these two people.
  Normal drunk people will definitely fall asleep after falling drunk.
  The two drunks fell down and fell asleep, but their facial expressions were painful, and their breathing was short and disordered.
   is obviously not a characteristic that an ordinary drunk should have.
  Li Quan also noticed a trace of lifelessness from the two faces.
  Yes, it's lifeless.
   is the kind of despair that a dying person has.
  This is also the ability that he only possesses after his inspection technique reaches the master state.
  "Have you measured the blood pressure of the two?" Li Quan asked the doctor He Chi standing next to him.
  "I have measured it! Blood pressure is low."
  After receiving a patient, measuring blood pressure and heart rate are all routine operations.
  Drunk people, blood pressure should rise under normal circumstances.
  I believe you have often heard that people with high blood pressure should not drink alcohol.
  Because alcohol can have a stimulating effect.
   can accelerate blood circulation and increase blood pressure.
  The situation of the two drunks is just the opposite. Instead of rising, they are lower than normal.
   is worthy of vigilance.
  Li Quan diagnosed the pulse of the two.
  'S face changed again.
   "No, this is poisoning. And it's neurotoxin."
  Li Quan was shocked and hurriedly asked the young man.
  "Is the wine that these two drink reliable? Will it be fake wine?"
  The first thing that comes to mind is industrial alcoholism.
  Some illegal vendors will use industrial alcohol blending to make fake wine.
  After drinking this fake wine, it is easy to kill people.
   "Impossible. The wine we drink is bought from a big supermarket, and it is a good wine of a big brand. Besides, there are a lot of people who drink, and everyone else is fine."
  The young man shook his head repeatedly.
  Since it is not alcoholism, it is probably food poisoning.
  "What did you eat at the banquet?"
  Li Quan continued to inquire.
   "I think about it... buckle meat, frog meat, green vegetables..."
  The young man counted with his fingers in the same way.
   "It's impossible for a birthday banquet to have no fish, did you miss the count?" Li Quan understood a little bit.
  Birthday banquets are generally festive and auspicious.
The meaning of   fish is very good.
   symbolizes surplus every year, koi longevity and so on.
  How could the hotel not serve this dish?
   "We ate fish, but not ordinary fish, but pufferfish!" The boy hesitated, then said.
   "No wonder!"
  Li Quan suddenly realized after listening.
  The symptoms of these two drunks are similar to tetrodotoxin poisoning.
  Fugu is a high-grade aquatic product.
  High nutritional value.
  But when cooking, it is easy to be poisoned if it is not handled properly.
   Tetrodotoxin is one of the most toxic neurotoxins in nature. There is no antidote.
   Once poisoning occurs, only gastric lavage, intravenous injection of hypertonic or isotonic glucose solution to promote the discharge of toxins and other comprehensive treatments can be used.
  "Doctor He, these two drunks are not alcohol poisoning at all, but tetrodotoxin poisoning. Hurry up and transfer to the intensive care department for emergency treatment. They will be dead again later."
  Li Quan immediately commanded and dispatched two drunks to the intensive care unit for rescue.
  The survival of these two people can only be determined by their own destiny.
  Since it is a party attended by many people, there should be more than these two people who are poisoned.
  Many people have no experience of pufferfish poisoning, and even if they feel unwell, they rarely seek medical treatment.
   and will choose to sleep.
"Young man, you immediately find a way to contact all the guests attending the birthday banquet. Ask the people who ate the pufferfish meat if they have symptoms such as a tingling tongue, unwillingness, nausea, and weakness? If so, let them immediately Go to the hospital for first aid. Otherwise, it is easy to die."
  After Li Quan arranged first aid for the two drunk men, he hurriedly told the young man playing with the mobile phone.
   "Doctor, it's not as serious as you said. I don't think there is any need to worry about others."
  The young man indifferently rejected Li Quan's instructions.
   Seeing that this young man was ignorant, he did not understand the terrible pufferfish poison at all.
  Li Quan, in order to save the lives of the guests who have not found himself poisoned, he quickly called the police.
  Originally, this kind of thing should be properly handled by the host hosting the birthday banquet.
  There is no way, now I can only ask the police to intervene.
  ……
   More than half an hour later, the emergency department of Whale Hospital sent more than forty emergency patients. They were all people who attended birthday banquets and ate fugu meat.
  Some people think that they are caused by drinking, even if they feel uncomfortable and vomit, they still don’t take it seriously.
  After drinking a glass of water, I went home and fell asleep.
  Family members were notified by the police that they were completely scared after hearing that they were poisoned by eating pufferfish meat. Quickly send the person to the hospital for examination.
  There are several people, like these two drunks, they are already unconscious.
   Suddenly, the emergency department, intensive care department, and poisoning department of Whale Hospital were all busy.
   Busy until 11 o'clock in the evening, Li Quan dragged his tired body back to the rental house.
  After completing their missions, the two agents have already left.
  Now, only Li Quan lives in the rental house.
  He probably won’t live for a few days.
  Because his supreme villa is about to be renovated, it is estimated that he can move in next month.
  At that time, if you marry Sophie, Li Quan can live in a mansion, have beautiful people, and become a winner in life.
  Li Quan has been so busy these days.
  The development of new drugs for leukemia is under his leadership and is proceeding in full swing.
  Judging from the current experiments, the experimental data and data obtained by the two agents are not problematic.
  Only the last difficulty is left, waiting for Li Quan to solve it.
  He has found a way to crack, and is currently experimenting with prescriptions.
  In addition to researching new leukemia drugs, Li Quan reads Chen Ziming's medical books whenever he has time. While gaining favorability, he is also learning medical knowledge about obstetrics and gynecology diseases.
  Includes prescriptions, experience in treating various cases, methods, etc.
  ……
  Time flies quickly, and more than twenty days have passed in the blink of an eye.
  Whale Hospital's ophthalmology, traditional Chinese orthopedics, brain, and obstetrics and gynecology departments have all become prosperous again under the leadership of Li Quan.
  Sitting in the office, Director Hu of the hospital office walked into Li Quan’s office with a full face of joy.
   "Dean, this is the performance report of our hospital last month. Please have a look."
  Li Quan took it and looked at it.
  The upward curve graphs made him look particularly comfortable.
  The hard work and dedication of more than a month has finally paid off.
  Traditional Chinese Medicine Orthopedics business is nearly twice as high as in its peak period. The number of consultations in a single day is now stable between five and six hundred people.
  Ophthalmology, which was almost finished, has achieved a surge in business, which is more than twice as strong as it was at its peak.
  Especially Li Quan's famous optic neurology department, now it seems to be the most famous hospital specialty in the province.