After everyone read the whole story, they were a little surprised.

"It's amazing. When we first learned about porphyria, we taught it like this. Even the teacher said that most people would never encounter it once in their lifetime."

"Yes, it is a very rare disease. Who would have thought that such severe abdominal pain could be caused by an inborn metabolic disease!"

“Dr. Xu’s clinical experience is so rich!”

"This case is of great significance. In the future, if we encounter similar patients in the Department of Gastroenterology, Dermatology, and Neurology and are unable to diagnose them, we can try to rely on porphyria!"

"Hey, I suddenly feel that Dr. Xu is even better than the doctors at Xiehe University. He can kill such a rare disease instantly with just a few examinations!"

"..."

Among the large group of people, this case caused a stir.

Porphyria is a rare disease that even a hospital like Union Medical College cannot treat at a glance.

Like this patient, he had been seeing doctors for five years before coming to Linhai No. 1 Hospital, but no diagnosis was made.

And Xu Qiu can pinpoint the problem with just a few tests in one day - this kind of diagnostic ability is beyond the reach of even the director of Linhai No. 1 Hospital. www.bǐqυgetν.℃ǒm

Many directors who secretly peeked at the screen and did not speak were breaking out in a cold sweat at this moment.

Thinking about it from another perspective, if they received such a patient, they would never be able to find the cause of the disease as quickly as Xu Qiu did...

For a time, all the directors of the hospital suddenly felt a sense of crisis.

…

"Xu Qiu, go back and have a good rest today, and plan to go to the outer courtyard with me tomorrow."

A few days later, Wang Ping suddenly called Xu Qiu to the office and said solemnly.

Xu Qiu guessed something, "Have you found the group that gambled on your life?"

"Ma Pingchuan, do you still remember?"

"Remember."

"His wife has also been invited to participate in the bet and is willing to cooperate with the police investigation. She will go to the casino tonight to have a look. Once clear evidence is obtained, the police will be dispatched immediately."

"Just the two of us?" Xu Qiu asked.

"Of course not. There are also doctors from cardiac surgery, brain surgery, respiratory surgery and other departments. There is a small team of eight people in total."

Wang Ping's tone was a little solemn.

Theoretically speaking, there is absolutely no need for doctors like them to get involved in this kind of arrest.

But, this time is different.

There are a large number of critically ill patients there. If doctors are dispatched after the arrest, many patients may not be able to be saved.

Therefore, doctors need to go there and be ready to save people at any time.

Xu Qiu nodded.

This can be considered a hospital field service.

It's just...the location is a little bit special.

…

Early the next morning, Xu Qiu had just finished her morning rounds and was still thinking about this incident when something suddenly happened again in the emergency department.

What was delivered was a boy of seventeen or eighteen years old. He was unconscious, breathing deeply and rapidly, and his whole body was twitching. He looked like a dying person, which was extremely terrifying.

The boy's sister came with the ambulance.

Xu Qiu took the patient, looked at her sister, who was at most fourteen or fifteen years old, and asked, "Aren't the parents here?"

The younger sister bit her lips and tears fell: "We are divorced and they don't care about us. We came to the city to look for them. Before we could find them, something happened to my brother... Doctor, please, save my brother!"

"

Everyone present was silent for a moment.

Parents don't care...

The subtext of these four words is that the two of them have no money for treatment.

However, Xu Qiu's expression did not change at all. He pushed the bed and ran to the emergency room, saying: "Hurry, prepare for gastric lavage——"

His sister interrupted him, "Doctor, your stomach has been washed. We have had our stomach washed in the clinic..."

Xu Qiu nodded and ordered methodically:

"Prepare to check blood gases, insert urinary and gastric tubes. Prepare ventilator!"

He touched the patient's hands and forehead, and his whole body was extremely hot.

"Prepare ice caps and ice blankets."

He got closer again and tried to distinguish the smell.

In this case, the boy was obviously poisoned.

Different poisonings often have iconic odors.

Diabetic ketoacidosis smells like rotten apple.

Dichlorvos poisoning has a pungent garlic smell.

Hepatic coma and liver odor.

There are also the smells of bitter almonds, rotten eggs, urine, etc...

The description is very complicated, but for experienced doctors, the judgment of many poisons is just a matter of nose.

However, facing this boy, Xu Qiu was in trouble.

His breath did not smell like any known poison.

Xu Qiu looked at her sister again and asked, "What did he eat before he got sick?"

"No, I don't know...I haven't eaten anything, not even breakfast."

Xu Qiu believed the second half of the sentence.

The boy vomited several times unconsciously, always retching.

That's because there is nothing in the stomach to spit out.

As for not eating before being poisoned - this is absolutely impossible, my sister just didn't notice.

"How did you find out?" Xu Qiu asked.

The younger sister recalled the scene at that time, her body started to tremble, and she said: "I...we came here for the first time. We took a long car ride here, stayed in the guest house for one night, and planned to go find our parents this morning.

As a result, when I got up this morning, I saw that my brother had been shaking and his body was stiff, so I quickly called 120... Wuwuwu!"

Xu Qiu nodded and comforted: "Don't worry, we will try our best to rescue him."

…

Soon, in the emergency room, the results of the emergency blood gas test came out.

The ph value is only 7.15 (normal value is 7.35~7.45)

Oxygen partial pressure 135; (normal value 80~100)

Carbon dioxide partial pressure 73; (normal value 35~45)

…

Severe metabolic acidosis and respiratory acidosis.

Xu Qiu judged that acidosis should be caused by continuous convulsions.

The partial pressure of carbon dioxide is so high that it is still an unsolved mystery.

At this moment, Liu Susu suddenly arrived again and shouted at the door of the emergency room: "Doctor Xu, Director Wang called you because he was very anxious!"

Xu Qiu nodded, "I'll be there right away."

He quickly assessed the boy in the rescue bed.

The most critical thing at the moment is actually acidosis.

Such severe acidosis can cause myocardial depression, leading to cardiac arrest and death.

The top priority is to complete the electrocardiogram and confirm whether there are any abnormalities in the heart.

"Pull an EKG!"

Soon, the electrocardiogram results showed that the patient had ventricular tachycardia.

"Prepare for defibrillation!"

Xu Qiu's movements were very fast.

"Charge!"

"Get out of the way!"
To be continued...