WHEN THE DOCTOR USES A HACK

Chapter 714: Chapter 714: Difficult and Complicated Diseases!

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Time spent with Qin Xiaotian always flies by so quickly, and it’s always so sweet!

I don’t know if it’s the taste of her lipstick or that love is just so sweet.

Perhaps that’s just the way it is when two people are together?

For some professions, love can indeed be difficult to start and even harder to part.

Chen Cang and Qin Yue work in the same department, seeing each other daily, which is good.

Many doctors’ spouses only get to spend less than three days together each week all year round, with rotating shifts, rest days, night shifts, and hospital stays taking up much of their time.

These rotations alone can account for a significant amount of time.

That’s not even including further education, rural service, studying, attending conferences, and such, which basically means being apart more often than together.

Then there are other service positions such as military families, police, and so on.

Perhaps when a profession carries a special mission, the family must inevitably make sacrifices.

On Sunday, Chen Cang took Qin Yue for a steaming hot meal at Xiao Long Kan in the afternoon and then satisfiedly headed to the cinema with two cups of milk tea in hand. Qin Yue, not yet satiated after one movie, slept right through the second one.

Chen Cang draped his down jacket over her, and looking at her long eyelashes, he couldn’t help but laugh.

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Once she woke up, Qin Yue was refreshed and full of vitality again, dragging Chen Cang around shopping, eating street food, and wandering through the night market in the evening.

It was only then that Chen Cang realized he had been away for more than a month due to continuous competitions abroad without accompanying her.

Chen Cang had just sent Qin Yue home and hadn’t even had a chance to rest when a phone call came in!

“Director Chen, please come quickly, we have a special patient in the emergency room!”

Chen Cang heard Lele’s voice and was momentarily stunned. “Okay, wait for me, I’ll be right there!”

Chen Cang hung up the phone and ran towards the hospital.

Upon reaching the hospital entrance, he saw many people gathered. Pushing through the crowd, Chen Cang immediately spotted Lele waiting, holding his white coat.

Seeing Chen Cang enter, she hurriedly handed him the coat, whispering into his ear, “Dr. Chen, it’s a celebrity!”

Chen Cang was stunned for a moment when he heard this.

No wonder the crowd’s outfits seemed off.

Outside the resuscitation room, several middle-aged men were standing, hesitating upon seeing Chen Cang enter.

Lele quickly introduced, “This is our Deputy Director of Emergency Medicine, Director Chen.”

The men then breathed a sigh of relief. “Director Chen, please excuse us, the situation is special, and we don’t want to attract too much attention or trouble.”

Chen Cang was confused, while Lele added, “Director Chen, Dean Qin and Director Li are at a meeting today, and the duty doctor is Dr. Shi.”

Chen Cang nodded and entered the resuscitation room, deciding it was best to assess the patient’s condition first.

Upon entry, he found a man lying on the bed with monitors attached, his complexion pale and his breathing rapid and labored.

Chen Cang quickly asked, “Dr. Shi, what happened?”

Seeing Chen Cang arrive, Shi Na somehow felt relieved.

“He was brought in coughing up blood, then he started to faint after admission, with accompanying respiratory difficulty, and he’s had two seizures within ten minutes, recovering on his own; his current temperature is 39.2 degrees Celsius.”

Chen Cang looked at the man, who seemed strangely familiar…

Suddenly, it clicked—he looked like a young hip-hop star, what was his name… Yu Yi!

He had a wild look, and a few years ago, he rose to fame after a program called “China’s Hip-Hop,” gradually becoming popular.

With his crazy shouts and roars, he attracted a lot of attention.

Chen Cang took over the medical record and started reading.

He then asked, “Is there a medical history or family history?”

Shi Na shook her head. “Not sure, he suddenly passed out before we could ask.”

Chen Cang calmed himself down, lifted the man’s clothes, took the stethoscope, and was about to listen.

But then he noticed a significant expansion of the thorax!

He was momentarily shocked!

A thoracic expansion, accompanied by fainting and loss of consciousness, coughing up blood!

These were several significant factors, and when intertwined, they seemed particularly complicated.

What’s the situation with fainting?

It’s a symptom!

It refers to transient, self-limiting loss of consciousness, often leading to falls.

The onset of fainting is rapid, followed by spontaneous, complete, and speedy recovery.

The mechanism is a brief cerebral hypoperfusion, which, plainly speaking, is a sudden lack of blood to the brain.

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But when coughing up blood and fainting occur together, it becomes quite complicated.

Coughing up blood generally means that blood from the throat, lungs, or lower respiratory tract is expelled through the mouth.

The patient’s vital signs are showing rapid breathing, at 40 breaths per minute!

The heartbeat is at 95 beats per minute, blood pressure is normal, and body temperature is 39 degrees.

Chen Cang immediately asked, “How much blood did he cough up?”

Shi Na shook her head, “Not much, less than 20ml, but the cause is unknown.”

After pondering for a moment, Chen Cang lowered his head to pick up the stethoscope and listened carefully.

Beyond the increased heart rate, Chen Cang detected a typical arrhythmia!

Premature contractions and supraventricular tachycardia occurred within one minute.

At this time, Chen Cang found systolic pulsation in the second and third intercostal space at the left sternal border!

This is…

This is the palpable closure vibrations of the pulmonary valve!

…

Just then, the monitor alarm suddenly went off.

Chen Cang was momentarily stunned!

The blood pressure is starting to drop?

Why is there a drop in blood pressure?

Upon careful auscultation, he found that the heart sounds were diminished!

The whole process was quite cumbersome, and even Chen Cang felt somewhat at a loss.

There were too many signs from the patient now!

A plethora of complex symptoms flooded Chen Cang’s mind, utterly overwhelming him.

Sometimes, making a diagnosis is like solving a case.

When the clues are unclear, it feels like fumbling in the dark, unable to grasp any precise leads, because any sign could be a clue.

Just as everyone was panicking, the blood pressure stabilized!

Chen Cang was taken aback again.

It stabilized?

Although the blood pressure was low, at least it stabilized!

He suddenly looked down at the apex of the heart, and the apical pulse was no longer visible?

The heart rate had shot up to 110 beats per minute?

Chen Cang suddenly examined carefully!

“Pericardial friction sound!”

Chen Cang understood immediately, there was a slight pericardial effusion, which was impeding the heartbeat and causing the blood pressure to drop.

But why did the patient have pericardial effusion?

Now there was one more clue.

“Have you done an x-ray and CT scan yet?”

Shi Na shook her head, “No, he was just brought in, I’ve just ordered blood to be drawn.”

Chen Cang nodded, looking at Lele, “Let the family come in.”

Lele quickly stood up and went out, and that middle-aged man came in.

“I’m his manager.”

Chen Cang nodded and asked, “Okay, hi, I have a few questions to consult you on, and I hope you can cooperate.”

The man hesitated for a moment then nodded, “Okay, Director Chen, go ahead.”

Chen Cang frowned, “Can you sign for him? The patient’s symptoms are unclear, and he may need to be declared critically ill.”

The man took a deep breath, “I’m also his father!”

Chen Cang nodded, “Alright, Lele, bring the medical notification and critical condition notice.”

…

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PS: Thanks to “Hua HuaゝLoafer” for the 20,000 reward, and to “Bi Mo Shu Dan Qing” and hushengayi for the 10,000 reward from two friends.

This story is quite complicated to write, and I’ve edited it several times. I’m somewhat embarrassed by the disconnected fragments, but let’s continue tomorrow.

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