WHEN THE DOCTOR USES A HACK

Chapter 802: Chapter 802: Mother’s Self-Reproach (Part 1)

The woman was only in her twenties and burst into tears as soon as she entered.

“Save my child, I beg you.”

Right now, looking at the child in this state was truly terrifying: a pale complexion without a hint of color, cyanotic lips, rapid breathing, and most importantly, he had already passed out!

The woman was terrified. She had been having a good time taking her child to the amusement park, but upon returning, he ended up like this.

At this thought, Qin Fang was overcome with panic!

Qin Fang was not a native of the capital but had come to work there with her husband. Qin Fang did housekeeping, while her husband drove a taxi.

After three to five years of hard work, they had finally saved up some money and built a house in their hometown.

Their child had always been left in the care of his grandparents in the rural village of Beihe Province.

Families like this were numerous across the country and were nothing unusual, but the long periods of separation between parents and child meant that the child even felt somewhat estranged from his parents.

This left Qin Fang and her husband deeply disheartened.

Both of them lacked education and wanted to earn more money to provide a slightly better future for their child.

But after returning to their hometown for this year’s New Year, Qin Fang discovered that when the child saw them, he even began to dodge and avoid them, creating a sense of estrangement and distance.

For Qin Fang, a mother, this was undoubtedly a heavy blow.

During that time, she and her husband reflected for a long time.

They realized they spent too little time with their child and didn’t understand him well enough, so they decided to try keeping the child with them, rent a slightly bigger apartment, and spend more money, no matter the hardship, to prevent their child from becoming a left-behind child!

After all, as parents, they just wanted the best for their child!

Half a month after arriving in the capital, the couple watched their child’s smiles grow more and more frequent, and they couldn’t help but feel joy.

Fortunately, their hard work was not in vain.

And the five-year-old, coming from a small village to a cosmopolitan city, was full of shock and curiosity. Today, the couple took time off to take the child to see an amusement park in real life, just like the ones on TV!

They also wanted to experience the Ferris wheel, ride on a roller coaster…

But, the once-joyful occasion took a turn after the child got off the carousel, and Qin Fang suddenly noticed that his breathing was becoming more and more rapid. He held his chest and said, “Mommy, it hurts, I feel so uncomfortable!”

This startled Qin Fang and her husband!

No longer in the mood for enjoyment, they hurriedly took the child to the hospital.

On the way, the child grew increasingly pale, which worried Qin Fang to death. As they were about to reach the hospital, the child suddenly fainted!

This made Qin Fang cry!

A woman in her twenties, she had never gone through anything like this!

She was flustered and worried.

All the way she blamed herself for not paying enough attention to her child usually.

Just then, a man in his thirties also rushed in hurriedly.

“Doctor! Please, save my child!”

“I’ll pay whatever it costs to save him!”

Chen Cang nodded and said to Qin Fang, “Don’t worry, we will definitely do our best to treat him. Come in with me, I need to ask you a few questions.”

Finished speaking, Qin Fang followed Chen Cang into the emergency room with a heart full of unease.

After finishing the paperwork, the man outside waited anxiously.

Chen Cang, observing the boy’s condition, realized it was clearly caused by a lack of blood and oxygen!

These symptoms could only be caused by a few diseases, but… how old was the child?

Could it be a congenital issue?

“Nurse Yang, get an ECG for the child!” Chen Cang said to the nurse.

Then he asked Qin Fang, “What happened when the child fell ill? Were there any triggers?”

With tears streaming down her face and a sobbing voice, Qin Fang replied, “I took him to the amusement park, riding roller coasters and such. After getting off, he suddenly told me his chest hurt and he felt bad, and then he started sitting on a bench and gasping for breath…”

Hearing Qin Fang’s words, Chen Cang quickly picked up on several key words.

Chest pain, orthopnea, difficulty breathing.

Could it be heart failure?

At this moment, the ECG results hadn’t come out yet, and Chen Cang quickly checked the child’s hands, feet, and eyes for any swelling, of which there was none.

Next, Chen Cang placed his hand at the strongest point of the apex beat and immediately felt a significant increase in the palpitations!

And this was… a heaving apex beat?

This clue made Chen Cang’s eyes light up!

He gently placed his hand again and sure enough, he felt a tremor in the heart’s systole!

Suddenly, Chen Cang thought of a condition: “Mitral regurgitation!”

But the child was so young, the likelihood of rheumatic heart disease was very small, and it was likely a congenital heart defect.

Then, Chen Cang took out a stethoscope and began to listen over the precordial area!

Indeed, Chen Cang heard a loud, coarse, high-pitched, prolonged systolic blowing murmur accompanied by an accentuated S3 in the apex area!

This was the characteristic sign of mitral regurgitation!

Since it was mitral regurgitation, the significance of the ECG might not be that great anymore.

However, the ECG results also came out at this moment, and Chen Cang took a look. In fact, he expected it to be a basically normal ECG.

Because generally, patients with mitral regurgitation have many normal ECGs!

But when Chen Cang took the ECG results, his face changed immediately!

This wasn’t a normal ECG at all, but a severely abnormal one!

What Chen Cang saw were signs of left atrial enlargement and left ventricular hypertrophy!

Chen Cang couldn’t help but frown.

This meant that it was already a severe case of mitral valve insufficiency, and given the child’s current condition, it indicated extremely poor tolerance, possibly requiring immediate surgery.

But…

Chen Cang had a question. With the left atrium and ventricle so thickened, the child’s episodes must have happened more than just once or twice, right?

Could the family really be unaware of it?

Thinking this, Chen Cang said to Yang Jie, “Go call Doctor Xin, have him perform a four-dimensional UCG (ultrasonography) for the child!”

At this moment, compared to other examinations, a four-dimensional echocardiogram could provide the clearest view and even assess the severity!

Yang Jie nodded and quickly stood up.

While Chen Cang, looking at Qin Fang, couldn’t help but say, “Your child’s situation is quite serious, with mitral valve insufficiency and, judging by the current condition, possibly accompanied by heart failure.”

“But! If the child has been through this, it must not have been the first time, maybe even frequent occurrences. Haven’t you noticed at all?”

Upon hearing Chen Cang’s words, Qin Fang froze where she stood, stunned!

“I… I didn’t know…” Qin Fang was filled with guilt.

Chen Cang couldn’t help but shake his head, “Has the child never suffered any trauma or had any diseases before?”

Qin Fang was stunned!

Suddenly, she realized she knew nothing about her child, even such a basic question was hard for her to answer.

She was ignorant about her child’s illnesses, whether they had been injured or what they had experienced – she knew nothing as a mother…

The tears of self-reproach kept streaming down, regret and pity filled her heart.

Was she a qualified mother at all?

Seeing Qin Fang cry like this, Chen Cang also couldn’t help but sigh…

He simply waited patiently for Doctor Xin to come and perform the examination.

A four-dimensional echocardiogram allowed observation of the structure and movement of the mitral valve leaflets in a three-dimensional direction, giving clearer visualization of the origin, direction, and shape of the regurgitant jet, which was of great help in diagnosis!

After the contrast agent was successfully injected, the examination began.

However, the more Doctor Xin conducted the examination, the more furrowed his brows became, sweat breaking out.

“Doctor Chen, things look a bit pessimistic!” he said.

Chen Cang was startled upon hearing Doctor Xin’s words, “What’s the matter?”

Xin Rong, a woman doctor in her thirties, looked at the results with trepidation and unease.

“Look, during the first systolic period, the contrast agent has reached the entire left atrium and is visible in the pulmonary veins… This is a 4/4 degree regurgitation, no wonder it caused the coma!”

Chen Cang’s expression also changed upon hearing this!

Four-degree regurgitation?

That’s serious!

We need to arrange surgery as soon as possible!

By then, Xin Rong had already printed the report: “It’s confirmed, congenital mitral valve insufficiency.”

“And, there’s mitral valve stenosis accompanying the insufficiency, but valve mobility overall is good, the anterior leaflet uniform and flexible!”

Chen Cang was delighted to see the report; it looked like there was no need for artificial valve replacement.

For a child this size, artificial valve replacement would be very cumbersome.

Chen Cang looked at Qin Fang and said, “The child’s condition is critical and requires immediate surgery. Please sign the consent forms quickly.”

Upon hearing this, Qin Fang hurriedly nodded, “Alright, alright, I’ll sign! Doctor, I’ll listen to you, anything you say, please save the child.”

Qin Fang was almost in despair at that moment.

That her child suffered from such a serious illness and she, as a mother, was totally unaware – she had been so negligent!

With this thought, Qin Fang took a deep breath, overwhelmed with regret.

Chen Cang quickly instructed the nurse:

“Draw blood for tests,”

“Inject digoxin to strengthen the heart!”

“Inject enalapril to reduce regurgitation!”

…

“Notify the operating room to prepare!”

Preparations started hurriedly on this side, while Chen Cang, looking at the echocardiogram report, fell into deep thought.

This little patient…

Might have quite a special situation.

Such a young age to have such severe heart failure, ventricular hypertrophy, atrial enlargement, if extracorporeal circulation is used, it might not be good for future development.

Perhaps… perform mitral valve plastic surgery without stopping the heart?

Thinking this, Chen Cang was eager to try!

Meanwhile, Ma Yuehui, who was outside assisting in the emergency treatment, suddenly felt a chill down his spine, shivering uncontrollably.

Ma Yuehui shook his head instantly, what was happening?

“Damn, why have I been feeling so weak recently?”

…

…

ps: Only one chapter tonight, I can’t finish writing the second, my head hurts.

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