Chapter 38 Alternative Diagnostic Approach
Deputy Director Han smoothed the strands of gray hair on his forehead and frowned deeply.
"Based on the current examination results and the patient's symptoms, there are no problems with the heart, liver, lungs and other important organs. The possibility of malformation and pathology of the liver and cardiovascular vessels can basically be ruled out. The head CT scan showed that there seemed to be a hemangioma near the brain stem. In addition, the intracranial pressure monitoring was significantly higher than the normal value. So I think the cause of the patient's fainting is in the head."
After he gave his diagnosis, he seemed a little unconfident, afraid of being embarrassed.
He looked at the female attending physician with brown curly hair. "Doctor Ai, this patient's condition is special. She is a pregnant woman. You usually see a lot of pregnant women in emergency. What do you think?"
The emergency department is a department with very high work intensity.
Most female doctors simply can't handle it.
Not to mention anything else, just working night shifts every two days is enough to make many doctors over 35 years old feel overwhelmed.
Dr. Ai has extensive experience in general practice and is a rare female doctor, making her as valuable as a treasure in the backward emergency department.
"The pregnant woman did not have any risk diseases such as uterine fibroids, bleeding, or placenta previa. I also tend to diagnose that the cause of the fainting was in the head. Her blood pressure is so high, like a bomb store that could explode at any time. We have to find a way to lower it as soon as possible . Also, the fetal heart rate has dropped from 116 to 105 in just over ten minutes since it was received. This is very, very dangerous."
She used two "very" to remind everyone that the fetus' current situation is more dangerous than that of adults.
Several senior doctors felt heavy in their hearts and their expressions became even more solemn.
Every profession has its own specialization.
Deputy Director Han diagnosed the approximate extent of the lesion in the pregnant woman, but Doctor Ai found that the fetus was in great danger.
Therefore, when encountering patients with complicated conditions, it is necessary for doctors from multiple departments to jointly consult. Everyone is good at different fields, and by working together, they can learn from each other's strengths and avoid major omissions.
Just then, Director Lou's cell phone rang.
Being interrupted by a phone call, he showed a hint of impatience, took out his cell phone, frowned, took a look at it, and then did a Sichuan Opera face change.
His expression became extremely respectful.
Quickly swipe across the screen to answer the call.
People also stand straight.
From his reaction, one could guess that it must be a call from a big shot like a leader.
"Hello, President Zhu. I am Lou Jingshan from the emergency department. Please give me your instructions."
"Okay, we will do our best to rescue him."
"The cause of the disease has not yet been determined. It is only initially believed to be caused by a problem with the intracranial blood vessels. The fetal heart rate of the pregnant woman has dropped below 110, which is quite dangerous."
Director Lou reported the patient's condition to President Zhu.
The normal fetal heart rate in my country is between 120 and 160. A fetal heart rate below 110 is already quite serious.
"clear!"
After a brief conversation, Director Lou put the phone into his pocket.
"This pregnant woman is of very serious status. Dean Zhu has ordered us to rescue her at all costs and with all our manpower. Neurosurgery, neurosurgery, and obstetrics and gynecology will send people to support us immediately. Everyone, our emergency department has always been looked down upon by other departments. Please work harder and try to find the cause of the disease before other departments arrive. Otherwise, we will inevitably be ridiculed by them again."
Who is the patient?
It was so great that Dean Zhu mobilized three of the best doctors in the department to come and save the patient.
Director Lou picked up the patient's information and looked at it again.
"Go and urge the laboratory. The blood test results are also a very important reference."
"OK."
Ye Tingting ran to get the blood test results.
The patients who can be personally attended to by President Zhu are either rich or noble.
This richness does not mean a net worth of tens of millions or hundreds of millions, but extremely rich. Generally, if a millionaire with a net worth of tens of millions or hundreds of millions comes to Tuya Hospital for treatment, it will be difficult to talk to even the head of the department, let alone to alert the director Zhu.
Generally speaking, people with a net worth of over 100 million will have a certain influence in both the political and business circles.
It is normal to know one or two powerful officials.
The pregnant woman's background is much greater than that of a person worth over 100 million.
Who dares to neglect?
The senior doctors all worked at full capacity, wishing they could cure her immediately and achieve great success.
This is a great opportunity to gain both fame and fortune.
Zhou Can didn't care about credit, nor did he think about currying favor with anyone.
All he wanted was to earn this 1 point of diagnostic experience.
I have been following Dr. Xu in the emergency department's operating room for the past two days, and have gained a lot of surgical experience.
The only chance to earn diagnostic experience points is rare.
Because Dr. Xu doesn't see patients, the only rooms he uses are the emergency room and the operating room.
Zhou Can's eyes fell on the pregnant woman. Her bulging belly indicated that the fetus was well supplied with nutrition.
He has gone over the pregnant woman's examination information many times in his mind.
Director Han and Doctor Ai's diagnosis opinions are actually equivalent to saying nothing.
Because the cause of the patient's illness has not yet been found.
Zhou Can walked to the bed, lifted the pregnant woman's shirt and looked at her belly.
There are already many stretch marks on it.
The color appears lighter.
This indicates that these stretch marks have not appeared for long.
Theoretically, this elderly pregnant woman should be pregnant for the first time.
At the age of 36, women who married early are almost becoming grandmothers.
There are only two possibilities for her to be pregnant with her first child at such an old age. The first possibility is that she is a public figure pursuing her career, such as a female star or a senior executive of a large company.
The second type is that they have underlying diseases that prevent them from getting pregnant, or they just can’t get pregnant.
Zhou Can felt it necessary to understand clearly which situation it was.
The pregnant woman was now in a coma and could not answer his questions at all.
I wonder if the old lady outside is her relative?
Zhou Can stared at the woman's face and felt that the old lady outside was a little bit like her.
"Doctor Xu, I'll go out and find the family to learn about the pregnant woman's medical history."
"Go ahead!"
Dr. Xu readily agreed.
"Has Xiao Zhou made another discovery?"
Director Lou remembered that Zhou Can also found out the reason for the child's repeated shocks yesterday by asking the family members.
At this moment, with no significant progress in diagnosis, he had a little more hope for this intern who had made great contributions.
"No, no, I just think it is necessary to supplement the patient's medical history so that I can provide more detailed diagnostic basis to the senior doctors." Zhou Can quickly denied.
So many directors and attending physicians were unable to find out the cause of the disease, but he, a resident intern, could find it out with just a few glances.
Then he is not a man, but a god.
The most he had was that his diagnostic thinking was different from that of other doctors, and he discovered some clues that other doctors thought were unimportant.
If a pregnant woman faints, no doctor will spend precious time and energy studying the stretch marks .
Zhou Can's train of thought has always been quite unique.
After arriving outside the emergency room, the old lady was still nervously waiting for the result.
"Excuse me, are you a relative of Ms. Cao Qin?"
Zhou Can discovered that the watch the old lady was wearing was an old Shanghai mechanical women's watch with a very vintage feel.
From this detail, we can roughly infer that she is a nostalgic person.
"Well, I'm her mother. May I ask how my daughter is doing?"
The old lady looked at Zhou Can with a rather cold attitude and a particularly strong .
This old lady is definitely not an ordinary person.
"Still in the process of rescue."
Zhou Can answered with this universal phrase.
"I saw a group of you doctors outside the door, examining and discussing my daughter, but you never took any actual action to treat her. Tell me the truth, don't talk nonsense."
The old lady is not easy to fool.
Much smarter than the average family member.
