Chapter 39 Significant Progress
The daughter is critically ill and could very well die. It is inappropriate to smile at this time.
This caused the family members to feel disgusted and the conversation could not continue.
Zhou Can simply told the truth.
"Our department director and attending physician are doing their best to diagnose the case. However, your daughter is pregnant, which makes diagnosis much more difficult than for ordinary patients. For now, we can only identify the lesion as being intracranial. Our Dean Zhu has personally inquired about the matter and has transferred doctors from several top departments to provide support. They should be here soon."
Zhou Can deliberately told the family members that reinforcements were on the way and there was no need to worry that the rescue team was not strong enough.
This is also a kind of comfort to the family members.
The old lady showed no expression at all when Dean Zhu personally asked about the matter.
It seems that she knew about this a long time ago.
Upon learning that the hospital had temporarily transferred doctors from several of its top departments to provide support, the old lady's expression eased a little.
"I am just a low-level doctor. I come to you now for no other reason than to seize the time to supplement the medical records and provide more information for our doctors to quickly and accurately identify the cause of the disease."
Zhou Can's honesty made the old lady feel satisfied.
Her attitude towards him was no longer so cold.
"Young man, if you want to know any information, just ask!"
"This should be your daughter's first pregnancy, right?"
Zhou Can asked directly.
"Yes."
The old lady sighed.
"My daughter has high blood pressure, and the doctor doesn't recommend pregnancy. But she wants a child so badly. This child has special meaning to her and our family. She even said to me, 'Mom, the child in your belly is the only flesh and blood of Haowei left in this world, and it is a gift from God to him and me. Even if I lose my life, I will give birth to the child.'"
Zhou Can couldn't help but ask curiously, "Excuse me, did something happen to your daughter's husband?"
"My son-in-law is a drug enforcement police officer. During a bust operation, my son-in-law Chen Haowei was stabbed 27 times and his intestines were spilling out. However, in order to catch the drug leader, he used his flesh and blood and iron will to firmly control the drug leader and pin him down. He closed his eyes forever only when his comrades arrived and caught the drug leader."
When talking about her son-in-law's heroic deeds, tears glistened in the old lady's eyes.
After listening to it, Zhou Can was also moved.
The people’s ability to live and work in peace and contentment is inseparable from the silent protection of those heroic soldiers.
The pregnant woman's husband is willing to sacrifice his own life to protect the people from the harm of drugs. Such a hero is worthy of our heartfelt admiration and gratitude.
At this moment, an idea became firm in his mind.
We must do our best to save the pregnant woman and help her keep the baby.
Because this is the only flesh and blood of the hero left in the world.
“When did your daughter start to have high blood pressure?”
He continued to ask for the information he wanted to know.
"She was probably around 21 years old. She worked too hard in school and didn't pay attention to her diet, which resulted in high blood pressure. Later, as the pressure from study and work increased, her high blood pressure not only didn't get better, but became even worse. Alas, this child is too strong-willed. She doesn't take her health seriously for the sake of study and work."
This means that the pregnant woman in the emergency room has a full fifteen-year history of hypertension.
This is a very important clue.
Can provide guidance for diagnosis.
“Does your daughter have any other underlying diseases or major medical history?”
Zhou Can continued to ask questions based on the principle of caution.
"I haven't heard her say anything else. She does have headaches and fevers occasionally, but she's never had a serious illness." The old lady thought about it seriously before answering.
"Okay, thank you for your cooperation. Please take care of yourself, your daughter will still need you to take care of her when the time comes!"
Seeing that she was older, Zhou Can gave the old lady some confidence through psychological suggestion.
"Okay, thank you!"
The old lady walked to the bench opposite the emergency room and sat down.
Zhou Can entered the emergency room with the completed medical records.
"Teachers, I just received an important piece of information from the family. The patient has a history of hypertension for more than fifteen years."
Han Changqing's eyes suddenly lit up.
"This information comes at the right time! The patient's intracranial pressure is particularly high and he has a long history of hypertension. He is very likely to have hypertensive encephalopathy." Han Changqing said excitedly.
Director Lou was also very happy to see that the patient's condition had made significant progress.
He looked at Zhou Can with appreciation.
This kid has done something great again.
It seems that it is very necessary to communicate more with the family members in the future, rather than just blindly focusing on rescue efforts.
The emergency department admits critically ill patients, and because it is eager to rescue the patients, it often neglects detailed communication with their families.
In addition, family members are often very anxious because they are worried about the safety of their loved ones. If doctors are not in a hurry to save people but ask them questions, they will feel confused and even angry.
This will greatly increase the risk of doctor-patient conflicts.
Doctors are afraid of getting beaten, so they often think less is more.
When seeing the patient, just ask a few simple questions.
Han Changqing has begun to screen for hypertensive encephalopathy.
Zhou Can stared at the patient again.
He always felt that the patient did not have hypertensive encephalopathy, because the early symptoms of hypertensive encephalopathy are headaches in the back of the head, rather than direct loss of consciousness and rapid coma.
Deputy Director Han was eager to diagnose the cause of the disease before doctors from other departments arrived, so that he could save face and achieve great success. This kind of mentality of seeking quick success and instant benefits is actually very bad.
It is easy to cause misdiagnosis.
Zhou Can felt that he was forcing the diagnosis of hypertensive encephalopathy on the patient.
"A history of hypertension for more than fifteen years, a woman who is six months pregnant, an elderly woman, fainting, impaired consciousness, and a continuously decreasing fetal heart rate..."
Zhou Can linked these symptoms, medical history and examination results together.
I thought hard but still got nothing.
He couldn't help but adjust his thinking again. The patient was highly educated and must have some medical knowledge.
She must have known that pregnancy with high blood pressure is very dangerous, and she was safe and sound for nearly six months, which means she controlled her blood pressure very well.
What exactly caused her blood pressure to suddenly rise?
Zhou Can seemed to have grasped the key to the problem.
His eyes swept over the pregnant woman again.
From the moment he entered the emergency room, he always felt that the pregnant woman's face looked a little weird.
Caused by cyanosis of lips?
Probably not.
Get close to the pregnant woman's face and examine it carefully.
Since he had just made a small contribution, no one criticized him.
"Xiao Zhou, learn something. The diagnosis of hypertensive encephalopathy cannot be explained clearly in a few words from a book." Han Changqing thought that Zhou Can came to learn him how to diagnose hypertensive encephalopathy.
"OK!"
Zhou Can agreed verbally, but he didn't even look at Han Changqing's diagnostic method.
When his eyes fell on the patient's eyebrows, he finally understood why the pregnant woman's face looked a little weird.
It turned out that her eyebrows were not drawn well.
The lines and curves she drew are quite beautiful, at least it shows that she has a good foundation in painting.
It’s just that the eyebrows on both sides are drawn unevenly, and the ends are a little crooked.
Logically speaking, we shouldn't make such low-level mistakes.
Zhou Can couldn't help but think of a description in a medical book: "Pregnancy-induced hypertension is a systemic disease that may cause fundus lesions, blurred vision, or even blindness in pregnant women."
A pregnant woman is a particularly independent and strong woman. She is going to visit her parents and will definitely put on beautiful makeup before going out.
If she finds that her eyebrows are drawn unevenly, she will definitely redraw them.
But she didn't.
There was only one possibility, that she didn't know that the end of her eyebrow was not drawn properly, which meant that her vision was already impaired before she went out.
Maybe it wasn't particularly serious, so she didn't care.
[Pathological diagnosis experience value +0.2. ]
The sudden increase of 0.2 experience points further verified that Zhou Can’s diagnosis was correct.
Under normal circumstances, diagnosing a patient can increase 1 experience point.
He had encountered this situation once when he was with Dr. He from the General Surgery Department. At that time, the patient also suffered from multiple diseases at the same time. Zhou Can only diagnosed one.
So only partial experience points were gained.
Now only 0.2 experience points have been added, which means that the pregnant woman still has diseases that have not been diagnosed.
Despite this, Zhou Can still felt very excited.
Diagnosing such difficult cases would greatly improve his diagnostic capabilities.
If you treat patients for minor ailments like colds and fevers every day, you will still be a quack even if you practice medicine all your life.
Only by constantly challenging ourselves to diagnose such difficult cases can we rapidly improve our level.
