Chapter 514 Someone always fires the first shot, why can't it be us?
"Secretary Fu, Mayor Lu..."
Before Xu Qiu had time to speak, the two of them nodded in agreement.
"Go, life is at stake." Fu Qing said.
They knew Xu Qiu's character, and the patient's safety was paramount in his eyes.
Moreover, the staff at the clinic showed great concern for Xu Qiu. If there were any rescue operations at night, they would usually call Wang Ping, He Hai and others to come to the rescue, not wanting to disturb Xu Qiu's rest.
Now that the attack has directly reached Xu Qiu, there is a high probability that Director Wang Pingping will be unable to do anything. Only Xu Qiu's intervention can save...
"Okay, I'll go first." Xu Qiu said goodbye politely and rushed to the doctor without stopping.
Looking at Xu Qiu's leaving figure, Fu Qing laughed.
"This is the first time I have met such a person in so many years. He deserves the word 'doctor'." Fu Qing said.
Mayor Lu admired him from the bottom of his heart: "A pure heart is extremely valuable."
Xu Qiu is the only one who can appoint a provincial secretary and ignore a city chief just for a patient.
"Secretary, what are the opinions of other provinces?" Mayor Lu asked.
It is easy to ban Gan An Ning, but it is too difficult to completely remove the sales network at all levels it has left in Daxia.
For example, the king of pesticides, paraquat, is low-priced and extremely effective in killing weeds. It kills weeds whenever they see green. Weeds will wither and die within four hours after spraying. However, it is also extremely toxic.
For this reason, countless people choose to commit suicide by using paraquat, which is cheap and easy to obtain. As long as they drink it, even if it is only a few milliliters, the chance of being saved is slim.
Daxia issued a production ban in 2014, leaving two years for the grassroots to digest the stock. It was not until 2016 that the production and sale were completely banned, and even any pesticide containing paraquat was not allowed to be produced and sold...
This is already a clearly stated legal provision at the national level.
But, nine years later, what is the effect?
It is true that paraquat is no longer available on the surface, but for farmers, paraquat costs 2 to 3 yuan a bottle, and trichlorfon and other pesticides cost 28 yuan a bottle. In terms of price alone, they are low in price.
Before paraquat, there were few that could fight it.
What's more, paraquat's weed-killing effect is extremely strong, several times that of other pesticides.
Therefore, you can still buy paraquat in many places, but instead of buying it openly, you can buy paraquat in a trichlorfon bottle, or you can take a small bottle and fill it yourself...
Repeatedly banned.
This is true even for a pesticide that is extremely harmful and banned from sale by strict regulations, let alone liver safety?
It is easy for Baiyun Province to draft a ban and promote resistance at all levels of medical care, but to drive Gan An Ning out of Daxia cannot be achieved by the decision-making of one province.
For this kind of thing, we can only have a glimmer of hope by uniting a few more provinces and issuing a joint document.
"We talked about it, but it was vague." Fu Qing shook his head.
This result was within his expectation.
Huining is very smart, and their positioning of Liver Tranquility is very precise.
The main focus is the sinking market of sorafenib.
Sorafenib, a miracle drug for liver cancer that costs 25,000 a bottle, is unaffordable, and domestic generic drugs priced at 1,500 are also considered too expensive. So, the cheap Liver Serum will surely penetrate the patient community and have a large number of users.
Just relying on Baiyun Province, I am afraid it will be difficult to completely eradicate Gan An Ning...
"No matter what, someone has to do it." Fu Qing sighed softly.
Other provinces are unwilling to participate in this matter for various reasons, but Baiyun Province cannot stay out of it.
Someone has to fire the first shot, why can't it be them?
…
…
"Doctor Xu is here!"
In the emergency room, as the nurse's surprised voice sounded, everyone's tense nerves suddenly relaxed.
"Doctor Xu!"
"Come and see, the patient passed out half an hour ago, and now the acidosis is getting worse!"
Everyone made way for Xu Qiu.
Xu Qiu's eyes immediately fell on the emergency bed.
For ordinary doctors, the various values of ECG monitoring are the most important indicators.
But in Xu Qiu's eyes, his first criterion for judging a patient's condition is often the patient's condition.
However, this method can only be used by Xu Qiu.
Without sufficient clinical experience and intuition, it is difficult to tell that something is wrong with the patient at first glance.
"The lips are cherry red, the breathing is deep and heavy, the face is flushed, the muscle tone has progressed to at least level one, and the tendon reflexes have almost disappeared!"
Acidosis has developed to an extremely serious level.
And the patient has fallen into a coma at this time, and his life may be endangered at any time!
"Where's the blood?"
While Xu Qiu spoke, he glanced at the ECG monitor.
The heart rate is 107, the blood pressure is 109/79, and the breathing is faster than before when the ventilator was paralyzed, reaching 39 times per minute!
"Brother Xu, blood!" Wang Fan handed over the order.
He was supposed to be working the day shift today, but because he ranked first on the help list last month, while receiving the bonus, he was also punished for several night shifts.
He happens to be on duty tonight.
Wang Fan didn't get much rest in the past two days. After finishing this 24-hour shift, he took a half-day break and then had to work another 36-hour shift...
It stands to reason that only doctors at the stage from intern to resident would be so miserable.
The attending doctor should be much more relaxed when he first comes into contact with the hospital's management.
But Wang Fan was different. He simply relied on dominating the rankings and won the devil's duty hours that were comparable to those of a hard-working resident doctor...
Of course, the money is also the most.
Except for the position of director and deputy director, his bonus even exceeded that of Zhou Hua, Chen Jia and others, and was second only to Yun Mei.
…
Xu Qiu took the blood test sheet, glanced at it, and felt a thump in her heart.
None of the patient’s indicators are normal!
The pH value is only 7.07, which is far lower than the 7.35~7.45 of normal people.
There is a clinical saying, called Ning acid but not alkali.
That is, we would rather let the patient become acidotic than rush to supplement alkali.
Because an acidic environment can stimulate peripheral chemoreceptors, thereby stimulating the respiratory center.
During shock, patients are often in a state of severe hypoxia. At this time, acidosis can inhibit the functions of the myocardium, blood vessels, smooth muscles, and kidneys, and at the same time stimulate the body to increase its intake of oxygen, thereby improving central hypoxia.
In this case, acidosis protects the central system from damage.
If alkali is supplemented at this time, without the stimulation of acidosis, the brain will quickly become deprived of oxygen, causing irreversible damage to nerve cells and extremely serious consequences...
However, there is a certain degree of preference for acid rather than alkali.
Clinically, there are different opinions on the standards, but a more reliable statement is that when the pH is lower than 7.20, alkali supplementation must be considered.
After all, any lower the level, the harm caused by acidosis will outweigh the benefits it brings to the body.
Chapter completed!