Chapter 262: Paraquat

Liu Churan has been discharged from the hospital and is recuperating at home. Lin Tiancheng and Yun Jinlan have made an appointment to visit the next day.
The next day, Lin Tiancheng did not go to Yun Jinlan's home the first time. He reported to the Provincial Hospital yesterday, and asked for leave on the first day of work today. The impact was not good.
He didn't want to use his relationship just because of the small matter of asking for leave.
Lin Tiancheng was assigned to the Department of Gastroenterology. The intern teacher was Xu Wenming. He was an associate chief physician. He was in his forties and was very thin, only one meter six.
Early in the morning, Lin Tiancheng came to the door of the department to wait.
Seeing Xu Wenming coming, Lin Tiancheng immediately took two steps forward and said: "Director Xu, my name is Lin Tiancheng. I am an intern at the Provincial Hospital of Traditional Chinese Medicine. I also ask Director Xu to teach."
Xu Wenming nodded, without any expression on his face, and walked into the consulting room with his hands behind his back.
In fact, he was a bit repulsive to Lin Tiancheng in his heart.
He already understood Lin Tiancheng's situation.
Lin Tiancheng's internship in traditional Chinese medicine in the province is just a formality. His doctor's qualification certificate will be issued soon and he can become an official doctor at any time.
Xu Wenming, an intern teacher, has no deterrent effect on Lin Tiancheng.
Thinking that after graduating from school, he was an apprentice and an internship, and when he was transferred to a regular examination, he was looking for relationships and gifts. Xu Wenming felt a little unbalanced.
However, Xu Wenming knew very well that there must be someone behind Lin Tiancheng's walk so smoothly.
Therefore, Xu Wenming also planned to do well, and let Lin Tiancheng, an intern, let them go.
Seeing that Xu Wenming's attitude towards him is neither lukewarm nor cold, Lin Tiancheng has not been close to the past, anyway, he came to the Provincial Hospital of Traditional Chinese Medicine for internship, just to find a charging target.
After changing his white coat, Xu Wenming poured himself a cup of tea, sat on the chair, flipping through here and there, as if he was busy.
Not many patients came to the Provincial Hospital of Traditional Chinese Medicine. Even if Xu Wenming was the deputy chief doctor, he waited for almost half an hour before a patient came.
The patient is in his thirties, his mental state is not very good, and his face is a bit worried and worried.
He scanned Xia Lin Tiancheng and Xu Wenming, came to Xu Wenming decisively, and said, "Doctor."
"What's the problem?" Xu Wenming raised his eyes.
"During this period of time, I always feel sick in my stomach. I have to defecate three to four times a day. I often hear noises in my stomach. I want to ask what the situation is."
Xu Wenming asked about the patient's daily diet, whether he had blood in the stool, etc., and then began to pulse the patient.
Feeling that the patient’s pulse is not a major problem, and that the patient is so young, Xu Wenming feels that the problem is not serious, so he said:
In your case, it’s best to have a routine check.

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"I did a routine check in the first half month, and there was no problem."
Xu Wenming asked for the patient's medical card and said: "It should be an intestinal disorder. I will prescribe you some Chinese patent medicine. You can try it for a while."
With that, Xu Wenming picked up the card and swiped it.
Suddenly, Xu Wenming's face changed a little, and he said, "Have you seen another doctor?"
The patient looked at Xu Wenming apologetically, and said: "Yes, the doctor just asked me to take medicine, saying that it might be a bowel disorder, I don't worry, just..."
Before the patient finished speaking, Xu Wenming threw the patient's card onto the table and said with a calm face: "You have seen another doctor, why are you still looking for me? Get out."
The patient took a step back, still unwilling to give up, "Then I still have to take this medicine?"
"You ask who gives you the medicine." Xu Wenming said coldly.
The depression on the patient's face added a bit more, and it is obvious that today's consultation did not achieve the goal.
Lin Tiancheng can understand the mood of the patient.
It is estimated that the patient has been seen in other hospitals, and the medicine for intestinal disorders has also been taken, but there is no effect, so he came to the Chinese medicine hospital. Hearing that the doctor still said that the intestines were disordered, the patient was worried, so I went to see Xu Wenming again.
In fact, most of these patients are caused by mental stress.
He can also understand why Xu Wenming got angry. After all, drug rebates are Xu Wenming's biggest source of income. Other doctors have already prescribed medicine to patients. It is only strange that Xu Wenming is not angry.
Next, some patients came to see Xu Wenming.
Although Xu Wenming did not intend to let Lin Tiancheng help, when Xu Wenming was too busy, Lin Tiancheng would also help the patient to look at the test sheet or film.
When he saw a chest radiograph, Lin Tiancheng said: "There is no problem with the lungs, it's just influenza. This is a self-healing disease. Go home and rest and drink plenty of water."
Hearing Lin Tiancheng telling the patient to leave, Xu Wenming's face darkened again.
He glanced at Lin Tiancheng blankly and said, "The patient who caught a cold just now, it is inappropriate for you to say that."
"Teacher for advice."
Xu Wenming said sternly: "The film shows only the results of the instrumental examination. Some diseases may not be shown on the chest radiograph. How can you say that the patient has no problems with the lungs? You should say that there is no problem from the film. Although the cold is a self-healing disease, it is normal to take medicine after a cold. The department must generate income and the doctor must live."
"I know, I will pay attention to it later."
"You can read and listen more in the future. When you become an official doctor, you will understand."
With that, Xu Wenming raised his wrist to check the time, and found that it was almost twelve o'clock, and got up to get off work.
At this moment, a nurse hurried to the door of the clinic and said nervously to Xu Wenming: "Director Xu, go downstairs to receive the consultation. There are three patients, one family, who drank paraquat and were in a critical condition. On the way here, the leaders of the municipal party committee also rushed over."
When Xu Wenming heard this, his complexion changed drastically, and he immediately followed the nurse to the rescue room.
Lin Tiancheng followed Xu Wenming, his expression a bit solemn.
Paraquat is a herbicide.
Once it came out, it became popular all over the world for its excellent weeding properties. However, for humans, it is a highly toxic potion with no antidote. Compared with the common pesticides such as dichlorvos in the past, it is many times more toxic. It is known as the water of death, and 10 ml can cause death.
Every year, there are many people who end their lives due to different reasons.
There are not many people who drink paraquat by mistake. Most of them drink paraquat because of couple conflicts, broken relationships, unsatisfactory test results, etc.
To treat patients who drink paraquat, it is necessary to race against time. After the mistaken drinking, gastric lavage and catharsis should be performed within a few minutes, followed by hemoperfusion and other comprehensive treatments.
However, even so, the rescue success rate is still pitiful. Some patients die within a few hours, and some will delay for a week or two, but in the end they cannot escape the hands of death.
A family of three drank paraquat, and even the leaders of the municipal party committee were alarmed. I am afraid it is not as simple as suicide.
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