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470. Pasta

The chat in the cafe allowed Qi Jing to learn about Li Han's work. Judging from the forensic knowledge he taught himself during this period, although the forensic doctor in front of him looked very young, his professional strength was definitely first-class.

On the way to see the house, he learned a little about the forensic's ability to make money. The money he earned in Shangjing was really a bit of a pediatrician in front of Li Han.

He is not the boss of a company, nor has he done any business. He is just a small forensic doctor who earns every penny. After graduating from university, he joined the public security worker and his monthly salary is only over 2,000 yuan. Even an emergency doctor like Qi Jing is not as good as a doctor.

As for how the money under his name and dozens of properties scattered across the country came from, Li Han explained it very simply.

"The money was given by someone else. If there was too much money, I bought a house everywhere. Some of them were anxious to use money, so I helped me buy it. Some were just used in the city I like, second-hand, and they were decorated in their own fine decoration."

Li Han smiled and said, "I am just a foodie. When I am bored, I will walk around the country and eat local food. Staying in a hotel is not as comfortable as my own house, so I will buy it and reserve it first."

"Is this a good life?"

Qi Jing suddenly realized that his second-generation medical label was no longer good. The reply was filled with poverty: "You are not short of money, just give me some discount."

Li Han drove the car and smiled and shook his head: "I just made it very clear in the cafe. If Dr. Qi cannot accept this price, there is no need to go see it."

"Oh..." Qi Jing sighed, "I can save as much as I can. It's not easy to make money."

"It's a bit expensive, but the house design and surrounding area are still very good." Li Han introduced, "The house in 1999 is located in the city center, closest to First People's Hospital, and it's 10 minutes' walk away. Although it's a bit far away from Danyang Hospital, you can get there by bike for a few minutes."

I have to say that the location of the house is indeed good.

There is the shopping mall pedestrian street that just opened last year in the east. Further ahead is the riverside that flows southward. The night view of the buildings in the southeast is very good. There is Heshan Park in the north, and the high-rise overlooks the largest lake in the city. The scenery at dusk makes people feel like they are born.

In terms of grasping the scenery, the developer has achieved the ultimate goal and is even very forward-looking.

Because even more than ten years later, there are still not many high-rise buildings on the southeast and north sides, and the landscape is maintained very well. In contrast, only the west end is slightly inferior, but there are farmers' markets, campuses of primary and middle schools, and there is a bus stop at the entrance of the community, which is very convenient to travel.

Because it is a larger apartment, 16 floors high, it is a large flat floor that no one cares about more than ten years ago, and the location and supporting facilities are excellent.

There is a garage on the first floor, a public terrace on the top floor, and a large balcony of ten meters on each floor. There is a large amount of greening in the community, as well as other supporting building facilities, kindergartens, gyms, and indoor swimming pools, in terms of price, which is much higher than the affordability of ordinary middle-earnings.

From a professional perspective, the community has low flow density and floor area ratio, and the comfort level is very high in the city center.

"It's good, but the price is 1.33 million for 268 square meters..."

Qi Jing is still "worrying" about the housing price: "On average, it is nearly 5,000 per square meter, which is more expensive than Minghai's."

Li Han naturally knew it was a bit expensive, but there was a reason for him to offer this price: "It's really a bit special to me. If you reject me again, the listing price will probably have to rise a little tomorrow..."

???

Qi Jing was puzzled: "Others can't sell it and they will lower the price. Why did you rise instead?"

"Haha, because I don't want to sell it at all!" Li Han still smiled, "The original price was 1.2 million yuan. There were many people who visited the house before. They were persuaded to withdraw several times, so the price has risen."

The car drove all the way into the community, parked upstairs, and after entering the house, Qi Jing realized what he meant and the particularity of the house to him. Looking at the few photos hanging on the wall, he couldn't help but ask, "Is this the child you mentioned?"

"Well, I was diagnosed with type I diabetes at the age of 8. I finally waited for the pancreas after 8 years of struggle. Unfortunately..."

Li Han didn't say anything, and smiled and pointed to the sofa in the living room: "Why do you want to drink something? Coffee or tea? If you want a drink, go to the refrigerator to find it yourself. There are too many types, and I forgot to buy something myself."

"It's better to have coffee."

"Well, by the way, don't you eat something? I don't have much food here, but it's still okay to eat enough." Li Han went straight into the kitchen.

"No."

"It's almost past mealtime now, aren't you hungry?"

A discussion meeting lasted for two hours, and now it was already eight o'clock. Qi Jing was hungry, but when he met for the first time, he went to someone else's house to eat and drink, which always made him feel strange: "No need, I'll make an appointment later."

"Oh? Is it my girlfriend?" Li Han asked with a smile.

"Um."

Qi Jing nodded casually and finally put an end to the chat.

The house is indeed a good house and the decoration is also good. The area of ​​less than 300 yuan has been planned to have a feeling of 400 square meters. What surprised Qi Jing the most was the "speciality" mentioned by Li Han, the life photos that can be seen everywhere, and the photos are full of memories.

"That child is still in college, right?" Qi Jing asked, looking at the two people in the photo.

"Well, I went to the music school last year."

Qi Jing looked at the grand piano covered with a layer of cloth in the corner of the hall: "Did you learn piano?"

"Well, the piano system..." Li Han seemed to be busy with something, and his voice gradually became much lighter.

Qi Jing had some questions about the boy's identity, but the more questions he had, the more he could feel the other person's feelings, and the less he wanted to uncover the scar. After thinking about it, he changed to a more relaxed topic: "What are you busy with? I'm going to leave after reading his medical records and the house."

"Eat something casually." Li Han tinkered with his own dishes in the kitchen. "It's just pasta, it's easy to make. Oh, by the way, which kind of sauce do you want? State in advance, I don't have black sauce here, Xiao Mo doesn't like it..."

Qi Jing had no requirements for what to eat: "You can do whatever you want, I don't care about these."

"Haha, I knew that doctors are the same, their lives are irregular and they have no quality at all." Li Han smiled twice and said, "If you are bored, just check his medical records first. I put them in the drawer of the coffee table, and they should be there."

"Um."

The medical records are kept intact in a file bag, and all medical history, examinations and treatments are found 11 years ago.

Qi Jing read the records before the pancreas transplantation.

The patient has typical symptoms of diabetes at the beginning, with three more and one less. The fasting blood sugar fluctuates around 15-20 at the beginning, and there are always four urine sugars. Considering the patient's age and the content of insulin in the blood, plus the 4-word ketoacidosis that he experienced in more than 8 years before the operation, the diagnosis of type I diabetes is definitely fine.

Even medical students who are studying can easily see this point. It is not difficult. The real difficulty in the entire medical record lies in the final cause of death.

The patient's medical history is extremely thick, not inferior to internal and surgical textbooks. If you want to find the answer from it, it is really similar to finding a needle in a haystack.

Qi Jing’s first reaction is repulsion. Is it caused by the repulsion reaction?

Rejection after pancreatic transplantation will affect pancreatic function after surgery. The patient is type I fragile diabetes, and hypoglycemia is also one of its complications.

The patient has experienced three rejection reactions, and the pancreatic islets must be damaged. However, according to the medical history, the patient uses 10u of insulin every day to maintain blood sugar, and the results of several follow-up examinations are very satisfactory. After being discharged from the hospital, his blood sugar has stabilized a lot, and his fasting has remained at 5-7, and there are few fluctuations.

Even if there were several rejection reactions after the operation, the transplanted pancreas had partial fibrosis. Judging from the results, the success of the surgery cannot be denied.

But this kind of life lasted only 2 years.

On November 28, the patient was unwell and was sent to the nearest First People's Hospital. After rescue, he failed to survive the disaster and died in the emergency room in the hospital. The direct cause of the death was acute renal failure.

The signature and stamp were both He Tianqin, and it was obvious that the old man was there, and the three-pair of death was the purpose of passing it.

"Didn't it go suddenly?"

Li Han brought two plates of pasta, poured with red and green sauce, and gently placed it in front of Qi Jing: "Come and try my skills. I don't know what sauce you like, choose a plate yourself."

I haven't eaten yet, just from the color and fragrance, the plate of food in front of me completely killed the canteen of the hospital and emergency center.

Qi Jing couldn't help but move the most common red pasta to himself: "It's better to be red."

"Oh, by the way!" Li Han looked at Qi Jing who was a little confused and quickly got up and returned to the kitchen, "Do you want chopsticks or forks?"

“Don’t you use a fork to eat pasta?”

"I don't care. I use chopsticks when eating steak, and I really can't use Western tableware."

After all, supper is an episode. Qi Jing's main purpose is to look at the house and the medical records of the 19-year-old boy.

I have to say that he is very satisfied with the house. Even if some of the layouts are not in line with the habit, there is a lot of room for modification of the large flat floor. After the house is obtained, he can be processed slowly by decoration.

"The master bedroom is there, next to it is the main bathroom, there is the living room, dining room and kitchen. The place where you come in is the cloakroom, and the innermost is the study room..."

Qi Jing reviewed the locations of each room, then looked at a door in front of him and asked, "Is this the second bedroom?"

"Oh, no, the second bedroom is on the other side." Li Han pointed to the room at the end of the corridor behind him and said with a smile, "This is my personal interest house, used to store some messy things. Are you interested? Do you want to go in and take a look?"

"Forehead......"

Seeing that he was quite interested, Qi Jing became more careful.

He was digging too many pits for people, and he still had some research on cutting pits. "Curious about killing cats" happens every day: "Forget it, let's talk about Xiaomo's medical records."

Li Han was a little disappointed, and his mood fell a lot after hearing Xiao Mo's name. After all, he had lived together for more than ten years, and Li Han spent too much energy and time on his diabetes.

"At the end of November, I had a major case across provinces to be dealt with. I was on a business trip for a while, but I didn't expect that before I could return to Danyang, I called the First Hospital."

Li Han sighed, sat back on the sofa, took out the death diagnosis and handed it over: "The Director of Neijing said it was acute renal failure caused by nephrotic syndrome, hypoglycemia coma, cardiac arrest and respiratory failure. I heard that the person was no longer able to do it when the ambulance came."

He was very guilty of this matter. If he could be with Xiao Mo, he would at least find the problem as soon as possible and would be sent to the hospital in time. Even the previous transplant and postoperative rejection were overcome, Li Han couldn't think of anything else to stump them.

But it was two years of stable life that paralyzed him, giving him the illusion that he was not by his side and Xiao Mo could live a good life.

Once you are careless, several years of hard work will be vain.

"He called the emergency number directly at that time. He fainted as soon as he finished speaking. The emergency doctor even called the fire brigade and then broke the door." Li Han looked at the pile of medical records in front of him and sighed, "He probably was afraid of disturbing my work, and I was not in Danyang at that time, so I couldn't help."

Qi Jing looked at the diagnostic report in his hand and hesitated for a moment: "From the medical history, there is no big problem with the diagnosis, but..."

"Just what?"

"After the pancreatic transplant, his body looked no different from that of a normal person, but there was another scene in his body. Moreover, this acute renal failure came too suddenly. The last follow-up examination was six months ago. No one knew what happened in his body during this period."

Qi Jing suddenly asked, "Have you considered an autopsy?"

It is really unreasonable for a forensic doctor to not go for an autopsy after his friend died mysteriously.

"I thought about it at the beginning, but I'd better forget it. He doesn't like it." Li Han shook his head, but the smile on his face was still there. "In fact, it's good that he can live safely for two years. His blood sugar control before the operation was not ideal. He was also in the hospital several times due to ketoacidosis. His kidneys were actually not good."

"Why didn't the combined pancreatic kidney transplant?" Qi Jing asked, "Combined transplantation is more effective than single transplantation."

"In the car accident, both of the donor's kidneys were seriously damaged and they were useless." Li Han explained, "The director of the transplant center of the first hospital suggested that we wait a little longer, but Xiao Mo couldn't wait."

Type 1 is also brittle diabetes with the greatest fluctuations in blood sugar. The condition is repeated and unstable. The patient is like being hung in mid-air. He doesn’t know when the rope will break, and his physiological and psychological pressure is under tremendous pressure.

Qi Jing can fully understand the patient's mood of trying to fight to the death.

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Severe diabetes can damage the kidneys, and the immunosuppressants used after transplantation can also damage the kidneys. The causes of hypoglycemia caused by renal failure are very complex and diverse.

First, patients with renal failure have disordered electrolytes in their bodies, and there is often low calcium and high phosphorus. Calcium ions will promote glycogen decomposition and increase the sugar content in the blood. High concentrations of phosphorus ions can accelerate glucose oxidation and cause blood sugar drop. Secondly, patients with acute renal failure lose their appetite and cannot even feel hunger, which leads to insufficient sugar intake and causes hypoglycemia. When renal failure develops to the end stage, the kidneys will completely lose the function of excreting insulin, and the normal excretion of 6-8u per day will zero, which will lead to insulin accumulation in the body.
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