Liu Zhanjun already had a sudden epilepsy seizure and mental consciousness disorder, which shows that the condition has penetrated into the nervous system and is very serious. However, there is a simple characteristic identification method for this disease, and the color of the urine changes.

The reason why blood can transport oxygen is hemoglobin, and heme is needed to make hemoglobin.

The human body is a large processing plant that decomposes the food used as raw materials and then reorganizes and processes it into something in its own body.

When making finished products from raw materials, a large amount of waste will definitely appear, and porphyrins are intermediate products and wastes that appear in the process of making heme. Some porphyrins need to be put into the next processing process, while the excess will be metabolized into other substances that are harmless and useless to the human body, and then leave the human body.

When there is a problem with the processing process, the yield of the finished product will decrease. What is shown is a decrease in heme, a decrease in hemoglobin, and anemia in the human body.

However, when the finished product output decreases, the yield of these intermediate materials will not decrease, and a large amount of porphyrin will accumulate in human tissues.

The first thing to be affected is the skin, the largest organ in the human body. The large amount of porphyrins accumulated cause various skin diseases without reason, such as molting, erythema, rash, blisters, etc. Following the involvement is the nervous system throughout the body and the digestive system that occupies the entire abdominal cavity.

These porphyrins eventually need to be slowly excreted through urine feces.

A considerable number of patients with porphyria have a red or even dark brown urine. This is because a type of compound in porphyria itself has this color and is a characteristic symptom of porphyria.

Of course, it's just a considerable part, and there will be some urine that can still be colorless.

Ji Qing looked helplessly at the bottle where he usually drank water: "Qi Jing, the color of his urine is normal."

"No hurry, red urine does not necessarily appear." Qi Jing lifted the bottle, looked at the sunlight twice, and then shook it symbolically, "Just leave it for a while."

Ji Qing looked back at the bottles and cups on the table. In addition to some of the colored ones, there were also many translucent plastic bottles: "Why don't you use Qu Yi's Coke bottle? There are also disposable cups under the cabinet, which can be used too! Why use mine?"

"The reason why the urine of porphyria patients is colorless is that the colorless porphyria has not turned into other reddish-brown synthetics, and it needs to be shined in the sun for a period of time."

Qi Jing placed the bottle containing urine on the windowsill and explained: "There is wrapping paper on the Coke bottle, which will block out some of the sunlight. The disposable cup itself is opaque and has a strong occlusion effect on the oblique sunlight that gradually enters dusk."

Ji Qing hung a few black lines on his forehead: Why do I use a glass bottle?

"Yes, there is only one fully transparent container on the table." Qi Jing moved the bottle of urine to a good place to bathe it in the sun, "Why are you so petty? You are just a bottle.

"Okay, you won. Fortunately, it's summer now, and there are three hours of sunshine." Ji Qing sighed and shook his head helplessly, "I will definitely change to a colored one next time."

......

Qi Jing takes medicine very accurately. Sodium valproate can fight epilepsy and mental disorders at the same time, and the effect is very good.

After this injection, the patient got rid of the forced spasm of epilepsy in a short while. After recovering, the old man did not worship Buddha again, and his manic state improved. He sat alone by the bed and became much quieter.

Ji Qing found a nurse to bring a hospital gown and changed him into a clean set of clothes.

More than ten minutes later, Liu Zhanjun's grandson-in-law arrived.

He is a handsome young man with a tall figure. When he asked, he realized that he was a policeman and he had to come here today. When he saw the old man like this, the young man became anxious: "How is the old man? Is his life in danger?"

Ji Qing told him some general situation, and then handed a stack of examination sheets to him: "Now I have used medicine, and my mental symptoms have temporarily stabilized. However, the specific diagnosis must be done after the examination is completed before I know."

"Okay." The young man nodded repeatedly, "I'll take the old man to do an examination now."

After saying that, he looked at his wife again: "Xue'er, why don't you go back first."

"No, I'm pretty good." Liu Xue touched her stomach and said, "I still have to wait for grandpa's inspection report here."

"That's OK."

He helped Liu Zhanjun up and was about to leave when Qi Jing suddenly walked up: "The old man should have other medical records before, are you still staying at home?"

"It should be here." The young man was not very clear about this kind of thing and looked at Liu Xue sitting next to him.

Liu Xue replied: "The medical records are kept and they are all placed in the drawer of the TV cabinet."

Qi Jing nodded, looked at the young man again, and said, "After you help the old man do the examination, it is best to go back and bring all his previous medical records."

"OK."

Liu Xue didn't understand: "Didn't you just talk about porphyria? Why do you still need to read the previous medical records?"

"This is just a suspicion, and it is not that easy to diagnose." Qi Jing said, "If the examination reports are all negative, you can get the medical record early and you can make the diagnosis clear as soon as possible."

Liu Zhanjun needs to do a lot of examinations. First, he draws blood to routinely check the degree of anemia and the content of porphyrins, followed by liver function, because a large amount of porphyrins will accumulate in the liver, and liver function may occur. Then there is routine urine porphyry test, and finally imaging examination of brain CT and abdominal flat films.

When a certain disease is suspected, other aspects of the examination must also be followed, and the negative imaging itself is also a basis for diagnosis of porphyria.

"It will take a lot of time to diagnose the whole set?" Liu Xue couldn't help asking after seeing her husband take her grandfather away.

"It takes about an hour, and it depends on the speed of the CT room and the X-ray room."

"Then I'll go home and I'll help you get the medical records."

Qi Jing had never seen a pregnant woman with such strong ability to move, so she left as soon as she said. Before she could finish her speech, she stood up staggeringly, and after that, she picked up her bag and walked out the door.

"Oh, wait." Qi Jing stopped him, "Where are you living in?"

"Not far away, Qingyun Community on Hualin Road." Liu Xue carried a small bag and said, "The bus can be reached in more than half an hour."

"Half an hour is not far away?" Qi Jing quickly helped her back to her seat, "It's the rush hour after get off work, you may not necessarily squeeze into the bus. You are so big, you have to be a little conscious. You can fight back and forth in such weather. What if something happens?"

"I just said that the prenatal examination results are pretty good today."

Qi Jing shook his head: "I think my belly is not low, so I should be about to give birth."

"382." Liu Xue said with a smile, as if this was all her wealth, "I have been kicking me hard these two days, I should be a boy!"

"It's almost time to kick it. You'd better go back and rest early." Qi Jing immediately gave up his thoughts and persuaded, "With your husband accompanying us, our doctor is here, so you don't have to worry too much. When the old man stabilizes, let your husband go for another trip."

Liu Xue didn't take this to heart: "When I was a child, my grandfather took me to cross-country, and I started ten kilometers at a time, and I had to carry my schoolbag. This little thing will cover me..."

She said it very easily, but looking at Qi Jing's persistent eyes, she also noticed something was wrong: "It's really not possible?"

"Obeing obedient is still safety first."

This is not Qi Jing is disgusting there. In fact, he hopes to see Liu Zhanjun's old medical records more than anyone else. But the mother itself is a high-risk factor. If there is an unpredictable situation on the way back, he will not be able to bear the responsibility.

"Go home quickly."

"All right."

"Stop squeezing the bus, call for a taxi."

Liu Xue smiled and nodded: "I understand, thank you doctor."

She is a rare woman waiting for delivery, so she attracted a lot of attention when she left the emergency room. Hu Dongsheng, who was supposed to be here to pick up Ji Qing's class, happened to meet her.

Hu Dongsheng changed into a white coat, and when he entered the door, he picked up his water bottle and filled some pure water with a bucket of pure water. He asked, "Brother Qi, is there a mother in a hurry?"

"Well, it's a patient's family. Let her go back and rest first."

"Family?" Hu Dongsheng took a few sips, and then relied on the strong wind power of the central air conditioner to remove a lot of heat. "Is the patient very sick?"

"The situation is OK, but the diagnosis has not been confirmed yet." Qi Jing glanced at him, "Why did you ask that?"

"This pregnant woman's face is as serious as if something big happened." Hu Dongsheng smiled, put the water bottle back to the original place, and immediately found fresh things on the windowsill, "Huh? This is the glass bottle used by Brother Ji to drink water. Why did you change to boiled water to lemon tea?"

"Uh... well." Qi Jing was stunned and nodded, "It tastes pretty good."

"oh?"

Hu Dongsheng looked back at the door of the clinic, secretly unscrewed the bottle cap, and as soon as he leaned over his mouth, he smelled a strange smell. He stopped his original action in time, twisted the bottle cap back, and then looked at Qi Jing thoughtfully: "Brother Qi, you are cheating me."

"What a clever person you are, how can I get you?"

Hu Dongsheng put the bottle back on the windowsill, smelled his fingers, and hurriedly went to the sink to wash it carefully: "I naively thought that Brother Ji had changed his taste, but it turned out to be urine. Why are you putting urine on the windowsill?"

"A test method for porphyria." Qi Jing just said roughly.

"Porphyria?" After all, it is a rare disease. Hu Dongsheng has only heard of this word and is not very clear about the details.

"Okay, let's get back to the point." Qi Jing was originally full of Liu Zhanjun's illness, but now he has to be distracted by Liu Xue. "The mother's face was very serious just now?"

"Well, it looks like you're having a big deal."

Although Qi Jing had taught her a lot just now, hoping that she would put children first and ordinary people should be able to listen. But seeing Hu Dongsheng say this, Qi Jing was still a little worried: "I will help you with your middle class. Now I take off my white coat and chase the pregnant woman."

"ah?"

Even Hu Dongsheng, who often partnered with Qi Jing outside, doesn't understand why he wants to do this himself: "Is there a problem with this pregnant woman?"

"There may not be a problem. I'm afraid she can't think about it and mess with herself." Qi Jing was helpless, "Go quickly. I'll send you a text message if you want to do something."

Hu Dongsheng nodded and hurried out of the clinic.

After having a simple communication with Hu Dongsheng, Qi Jing directly called Xiao Yu's cell phone.

Now this time is the time for the night check-in of ordinary wards, and Xiao Yu is no exception. He should be bringing a group of interns and doctors on duty to check the ward. At this time, there are no people in the office, so using the hospital landline to turn on the inside will definitely not be able to answer. Even if you pick it up, you have to explain the purpose of the interns. It is very troublesome, so it is better to just do it.

"Why are you calling me at this time?"

"Mom, I want a maternity document named Liu Xue." Qi Jing said, "I just had a prenatal examination today. Can you help me check it?"

"Liu Xue?" Xiao Yu felt familiar with the name. He was the one who had just had a prenatal checkup today. He immediately reacted and replied, "No need to check, she is Liu Guanyin's number. I happened to be in the outpatient clinic this morning and saw this girl. What's wrong?"

"You've seen it, that's the best." Qi Jing briefly said the previous incident and asked, "In this case, if you squeeze the bus back and forth, can she bear the tossing and going for more than an hour on the road?"

Xiao Yu paused and recalled Liu Xue's examination report carefully: "The fetal heart rate is 130, and the fetal monitoring is quite normal. There is no hypertension or diabetes, and there is no high-risk factor."

"Then can she stand it?"

"This is hard to say." Xiao Yu said, "Although women who are waiting to give birth need some exercise to prepare for future recovery, you should not overdo everything. Exercise a lot, and in such a hot summer, it will definitely increase oxygen consumption, which is not a good thing for children."

Qi Jing sighed: "I understand."

Xiao Yu's suggestion was collected through Qi Jing's fingers and sent it to Hu Dongsheng's mobile phone. It was meaningless to chase people back at this time. No matter how hard you persuade them, it was not Qi Jing's style...

Qi Jing sighed at the news: Another stubborn temper

The station is right at the entrance of the hospital, and the occupancy rate is very high. If nothing unexpected happens, Liu Xue should be able to sit all the way home. But she is afraid that she will go out again after she goes back. At this time, Hu Dongsheng will need to take the medical record back.

Although it was very rough, it was at least temporarily stable.

As soon as Qi Jing turned off his cell phone, before he could breathe a sigh of relief, Ji Qing ran in from outside the door: "Qi Jing, we made a mistake. He is not porphyria."

"What's wrong?"

"There is a problem with Liu Zhanjun's head."
Chapter completed!