Isn''t this bullshit playing a word game?
Alcoholism is not drinking. Is it because doctors and nurses treat ethanol as saline to calm patients? Such a serious mistake has not occurred in the medical history of the Republic.
Director Zou''s face became ugly. Chu Zhixi''s words were more ugly and uncomfortable than pointing to his nose and swearing. It''s the same as listening to the book of heaven. How can Professor Chu talk nonsense.
Matthew didn''t speak, but looked at Chu Zhixi calmly. He seemed to think of something. Eyebrows gently pick, still remain silent.
"Professor Chu, what you said makes me very upset." Director Zou said, "there will certainly be no medical ethanol to calm the patients..."
"Didn''t say it was a medical accident." Wu Mian said, "Director Zou, director Xia, is the head nurse there?"
head nurse? Director Zou and director Xia were stunned at the same time.
Generally speaking, the head nurse seldom participates in the hospital consultation, unless there is any major operation involving nursing work after operation. Today''s patient''s difficulty lies in diagnosis. The head nurse has gone home after work.
"Miss Wu, the head nurse is off duty." director Xia Qing explained.
"Well, ask the head nurse if the ward has lost hand sanitizer."
"..." everyone in the office stared at each other, fast or slow, and soon understood what Wu Mian and Chu Zhixi meant.
Hand sanitizer contains isopropanol. Among other things, this substance has the word alcohol, and its chemical structure is similar to ethanol.
Moreover, some disinfectants also contain alcohol. For example, the alcohol concentration of some disinfectants is as high as 70%.
right!
A fog was broken by a few words from Wu Mian and Chu Zhixi, and suddenly it was bright.
Director Xia Qing quickly took out his mobile phone and called the head nurse.
"Mr. Wu... Your judgment should be correct." a doctor thought for a few seconds according to Wu Mian''s idea and said, "oral hand sanitizer can explain ketones and consciousness disorders in urine, as well as anion gap metabolic acidosis. Because isopropanol can be metabolized into acetone, it is caused by oral hand sanitizer."
"Well, hand sanitizer contains some lactic acid, which may cause the increase of anion gap," Wu Mian said faintly.
"I remember," said another middle-aged doctor with a frown. "There are reports of a false increase in serum creatinine level after isopropanol poisoning, which can explain the increase in serum creatinine level and the normal blood urea nitrogen level observed in the patient."
"Yes." Wu Mian smiled. "Ingesting a large amount of hand sanitizer can cause mental state, upper gastrointestinal bleeding, false increase of acetone in urine and serum creatinine levels."
"Miss Wu, the head nurse said to come right away." director Xia Qing said.
"No, just ask if you have any impression." Wu Mian said with a smile.
"The head nurse said that the things in the big library were not lost. The hand sanitizer outside was in the treatment room, and the patient could not go in."
"Oh, tell the head nurse it''s all right." Wu Mian said with confidence. "Director Xia, please ask the patient''s family, including those who were discharged today and were still in the hospital last afternoon and evening."
Wu Mian''s reminder was in place, and even the most subtle details were thought of. Director Xia Qing didn''t have time to think more. He immediately began to arrange tasks and commanded the doctors on duty, the chief inpatient, the second-line professors and nurses to inquire in different wards.
In less than 10 minutes, director Xia Qing came in excitedly, "Miss Wu, I found it!"
"Oh." Wu Mian smiled.
"A patient''s family said that they lost a bottle of hand sanitizer when they washed in the bathroom yesterday afternoon."
At the end of the ward corridor of the first hospital of Medical University is the toilet and toilet. In the middle is the position for washing. The men''s and women''s toilets are divided into left and right. It is a very standard and typical old-fashioned building.
"The patient''s family said they went to wash their hair with washing utensils. As soon as they looked up, the hand sanitizer disappeared. Later, they asked a lot of people, but no one saw it."
"Ask the time and check the video surveillance."
Uh, is there any more trouble? Director Xia Qing was stunned. Looking at Wu Mian, he didn''t know what to say.
"Oral hand sanitizer is only one of the possibilities. There are other diseases that may occur in similar situations to be investigated, so we can''t arbitrarily think that it must be oral disinfectant."
Director Xia Qing wanted to ask what the situation was, but hesitated twice and finally gave up the idea.
Fortunately, Director Zou contacted the security office to obtain the corridor surveillance video at the same time and determined that the patient did go to the bathroom once at the same time.
Because there was no monitoring in the bathroom, the process of "Shun" taking hand sanitizer was not photographed. But with so much evidence, everything is clear.
There is no doubt about the diagnosis of isopropanol poisoning.
"Mr. Wu, there is a diagnosis. Please give me a treatment plan." director Xia Qing explained everything. Later, he went to Wu Mian and said respectfully.
Mr. Wu looks young, but the diagnostic level... Is there. During the whole hospital consultation, we talked for several hours and had no clue about the patient''s condition. When Mr. Wu came, he said a few words to solve the problem.
Oral hand sanitizer... It''s not a diagnosis, but an inducement. It''s a little weird. Normal people who take that thing orally, isn''t that sick.
"There is no specific treatment for isopropanol poisoning. Normal support treatment is OK." Wu Mian said with a smile. "Director Xia, you''re welcome. Isopropanol intake rarely has fatal consequences, and you don''t have to worry too much."
Wu Mian''s words broke director Xia Qing''s mind.
"Miss Wu, I''m here..." director Xia Qing was a little embarrassed.
"Director Xia, you have strict management and meticulous work here." Wu Mian praised, "generally, patients steal hand sanitizer in the treatment room, resulting in isopropanol poisoning. But our department has done very well. The head nurse can make sure that the hand sanitizer is not lost. It''s terrible!"
Listening to Wu Mian''s words, director Xia Qing carefully distinguished the subtle expressions on his face. Praise is sincere, but... Miss Wu is really good-looking.
Beauty is justice. What teacher Wu said must be right. Director Xia Qing thought of it in his heart.
"Miss Wu, have you met?" director Xia asked.
"I joked with an engineer in a lab in New York state. He adjusted a bottle of hand sanitizer and drank it directly."
“……”
"Surfactants, three chloro hydroxyl two methyl ether, emollients, flavors, deionized water, olive oil extract and isopropanol."
"What happened later? Was he poisoned?"
"I didn''t drink much. After all, I was joking. We discussed the taste of hand sanitizer together." Wu Mian smiled.
People all over the room looked at Wu Mian with surprised eyes.
Is this kind of thing worth discussing? Did Miss Wu throw up lotus flowers and make the foreigner lame?