Chapter 67 An unexpected discovery
In addition to discovering that the bride-to-be Yao Chengyun was more than a month pregnant, Yu Zhiming also unexpectedly discovered that her kidneys were obviously swollen and inflamed.
After further inquiries, he learned that Yao Chengyun's bowel movements and urination this morning were normal.
Now I don’t feel any pain or discomfort.
Yu Zhiming initially concluded that it was an attack of acute nephritis.
Moreover, the onset of the disease is quite rapid.
After learning that Yu Zhiming was a young doctor recruited by Huashan Hospital, Yao Chengyun followed his advice.
She immediately followed Yu Zhiming, Zhou Mo, and Zhou Mo's mother Zhou Hao into a car. After more than half an hour, they arrived at the Qi Yue Medical Research Center of Huashan Hospital.
After arriving at the center, Yu Zhiming gave Yao Chengyun a further detailed examination.
This examination really shocked Yu Zhiming.
Yao Chengyun's kidneys showed signs of functional failure, and her liver and lungs also showed signs of inflammation.
Moreover, whether it was an illusion caused by nervousness and fear or it was real, Yao Chengyun said that she felt a burning sensation in her throat, nausea, and her abdomen began to hurt.
Yu Zhiming corrected his judgment to acute poisoning.
Or, high-risk viral infection.
He asked the nurses and interns to induce vomiting and perform gastric lavage on Yao Chengyun as if she was suffering from acute poisoning, and to provide drug support treatment for her kidneys, liver, lungs and other organs.
In addition, Yu Zhiming also injected Yao Chengyun with broad-spectrum antibiotics to enhance her resistance to viruses.
At the same time, he also asked the nurse to urge the hospital's testing center to initiate an emergency rapid procedure to test Yao Chengyun's blood, saliva, urine, feces and other samples sent there.
While Yao Chengyun was undergoing gastric lavage, Yu Zhiming came to the laboratory of the Medical Research Center and tested Yao Chengyun's body fluid samples using the specific reagents available there.
Quickly test for possible toxins or viruses in their bodies.
The result is that none of them match.
Yu Zhiming panicked a little, took out his phone and called Qi Yue...
"Teacher, I encountered a patient in critical condition..."
Yu Zhiming described Yao Chengyun's situation and his response measures concisely and without omission.
"Teacher, her condition is progressing very quickly. If we can't find the cause and provide targeted treatment, I doubt..."
"Her liver and lungs will likely fail, just like her kidneys."
"By then, it's probably too late."
"Zhiming, there were no mistakes in your medication and response measures. You can say you did a pretty good job."
Qi Yue first affirmed the situation on the phone, then criticized, "As a doctor, no matter how bad the situation is, don't panic. If you panic, how can you treat patients better?"
Yu Zhiming took a deep breath and said, "Teacher, this is the first time I've encountered a patient whose disease progresses so quickly."
"Both my kidneys failed in less than an hour. So, I don't have much time left."
"I still have no idea. The testing center hasn't sent me the results yet..."
Qi Yue persuaded: "Testing requires a process."
"Hey, did the patient mention anything unusual he ate or drank today?"
Yu Zhiming replied, "I asked in detail on the way to the hospital."
"The patient said that in order to maintain her figure and look her best at the wedding, she had been eating healthy and had never eaten out."
After a moment's silence, Qi Yue's voice suddenly came from the phone again.
"There was a burning sensation in the throat, nausea and vomiting, abdominal pain, and damage to organs such as the kidneys, liver and lungs."
"Zhiming, you diagnosed it as acute poisoning or a high-risk virus, but the specific test reagents readily available in the laboratory can't detect it."
"If, as you say, the patient is truly poisoned, then what toxin would you associate with this symptom?"
What toxin?
Yu Zhiming tried hard to think.
But at this moment, his brain seemed to be frozen, and nothing could come out.
He had no choice but to be honest and frank: "Teacher, my head is empty now. I can't think of anything useful."
Qi Yue's voice suddenly came from the phone, "Every inch has its own strengths and weaknesses."
"You're so young and have limited experience, so it's inevitable that you're not good at responding to emergencies under pressure."
After a pause, Qi Yue suddenly gave orders in a deep voice.
"Zhiming, I suspect it's ricin poisoning."
"Please notify the testing center and ask them to first test the patient's feces for castor-related substances."
"The incubation period for ricinus poisoning ranges from three to twelve hours. If we're lucky, we might be able to detect ricinus in her stool."
"You should first treat the patient as if he had ricin poisoning."
"As for the rest, I'll tell you when I get to the hospital."
Yu Zhiming was about to say something when he found that Teacher Qi had hung up the call.
However, Teacher Qi's judgment of "castor poisoning" made Yu Zhiming feel heavy-hearted.
Ricin is extremely toxic and even a small amount can be fatal if accidentally ingested.
Moreover, this toxin cannot be detected through existing technical means, and can only be judged empirically based on the symptoms exhibited by the patient.
Most importantly, the toxin has an average incubation period of ten hours.
Once the incubation period is over and the symptoms of poisoning become obvious, there will be no effective treatment.
The best treatment is to induce vomiting and gastric lavage as soon as possible after accidental ingestion, and provide supportive treatment. This way there is a good chance of saving a life.
Because of this property of ricin, it is reportedly often used as a poison in political or spy assassinations...
Just a few minutes later, Yu Zhiming received a notification from the testing center saying that crushed castor bean shells were found in the patient's feces.
Finally, a conclusive test result was obtained, but it did not bring Yu Zhiming any good mood.
Looking at Yao Chengyun, who had become much weaker after the ordeal, lying on the hospital bed, Yu Zhiming didn't know what to say for a moment.
"Where's your fiancé?"
"He went to Jinling early in the morning..."
Yao Chengyun suddenly realized something, stopped abruptly, and grabbed the sheets tightly with both hands.
"He said this business trip was important to his career and I didn't want him to come back if it wasn't necessary."
"Doctor, do I need to notify him to come back?"
"Also, do I need to notify my parents and family as well?"
Yu Zhiming noticed Yao Chengyun's nervousness, and her voice began to tremble.
However, there are some things Yu Zhiming must say.
While she still looks quite "healthy" and has enough physical and mental strength, let's arrange the next things.
"Your condition is quite serious. To avoid unnecessary trouble, the hospital needs your family to sign many documents. It's best to have them... all come."
Yao Chengyun's face turned pale in an instant, without a trace of blood on her face, and tears kept pouring out.
"Doctor, what's wrong with me?"
Yu Zhiming was silent for a moment, then slowly said, "It has been confirmed to be ricin poisoning."
When Yao Chengyun heard this, she quickly picked up the mobile phone beside her and started searching frantically.
Looking at the search results, she murmured, "I just went to the studio today to try on my wedding dress."
"I didn't do anything, how could I be poisoned?"
“Woo…”
"I also found out today that I'm pregnant, woo woo..."
Yao Chengyun suddenly dropped her phone, grabbed Yu Zhiming's hand, and begged, "Doctor, please, I'm only 25 years old and I just found out I'm pregnant."
"Doctor, I don't want to die, I really don't want to die!"
Yu Zhiming comforted him, "Don't worry, Director Qi from our center is on the way."
"He's a nationally renowned medical diagnostic expert."
"We will also invite relevant detoxification experts to consult, and we will do our best to treat you."
"We will not give up."
"Don't give up on yourself..."
It took Yu Zhiming's persuasion to make Yao Chengyun regain some of her composure and self-control.
She picked up her phone and called her father.
"Dad, I'm going to die, wow wow..."
Yu Zhiming walked out of the emergency room and looked at Zhou Mo and her mother Zhou Hao who were waiting outside.
“Not very optimistic.”
He mumbled something, then adjusted his mood and said to Zhou Mo's mother, "Auntie Zhou, since you're in the hospital, why not have a comprehensive physical examination?"
Zhou Hao declined, "There's no need for a comprehensive examination, Doctor Yu. Just give me a quick check..."
Yu Zhiming took Zhou Mo and Zhou Hao to an examination room and let Zhou Hao lie on the examination bed.
He put on surgical gloves and, under Zhou Mo's watchful eye, began to give Zhou Hao a full body examination from head to toe.
After the initial examination of the chest and abdominal organs, Yu Zhiming did not find any problems worthy of concern.
However, when doing a gynecological examination, it is time to check the uterus, fallopian tubes and other organs.
An unexpected discovery, Yu Zhiming couldn't help showing a surprised expression...
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(End of this chapter)
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