Chapter 39 Major Progress(1/2)
My daughter is critically ill and may die in one or two deaths. It is very inappropriate to smile at this time.
This offended the family members and made it impossible to continue the subsequent conversation.
Zhou Can simply told the truth.
"The director of our department and the attending physician are doing their best to make a diagnosis. However, your daughter is pregnant with Liujia, so the diagnosis is much more difficult than that of ordinary patients. For the time being, we have only identified that the lesion may be intracranial. We wish the dean has personally dealt with this matter.
We have dispatched doctors from several top departments to provide support. They should be here soon."
Zhou Can deliberately told the family members that reinforcements were on their way and there was no need to worry that the rescue team was not strong enough.
This is also a comfort to the family members.
The old lady showed no expression at all about Dean Zhu's personal intervention.
It seems that she already knew this.
When she learned that the hospital had temporarily dispatched doctors from several top departments to provide support, the old lady's expression softened 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 record information and provide more information for our doctors to quickly and accurately identify the cause of the disease."
Zhou Can's frankness made the old lady satisfied.
His attitude towards him is no longer so cold.
"What information does the young man want to know? Just ask!"
"Is this the first time your daughter is pregnant?"
Zhou Can asked directly.
"Yes."
The old lady sighed.
"My daughter has high blood pressure, and the doctor does not recommend pregnancy. But she wants a child so much. The child she is pregnant with this time has special meaning to her and our family. She even said to me, Mom, the baby in her belly
My child is the only flesh and blood Haowei has 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 asked curiously, "I would like to ask, did something happen to your daughter's husband?"
"My son-in-law is an anti-narcotics policeman. During an arrest operation, my son-in-law Chen Haowei was stabbed twenty-seven times and his intestines came out. However, in order to catch the drug leader, he used his flesh and blood and iron will to kill him.
The drug criminal leader was tightly controlled and pressed against him. It was not until his comrades arrived and caught the drug criminal leader that he closed his eyes forever."
Speaking of her son-in-law's heroic deeds, the old lady's eyes flashed with tears.
After hearing this, Zhou Can was also moved.
The people cannot live and work in peace and contentment without the silent protection of those heroic soldiers.
The husband of a pregnant woman is willing to sacrifice his life to protect the people from the harm of drugs. Such a hero is enough to make people admire and appreciate him from the bottom of his heart.
At this moment, he had an idea 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 the hero has 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.
"About twenty-one years old. She worked too hard when she was studying and didn't pay attention to her diet, which resulted in high blood pressure. Later, as the pressure of study and work increased, her high blood pressure not only did not get better, but became worse.
It’s even more serious. Alas, this kid is too strong and doesn’t take his body seriously in order to study and work.”
In this way, the pregnant woman in the emergency room has had a history of hypertension for fifteen years.
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 based on the principle of caution.
"I haven't heard her say anything else. I do have headaches and fever occasionally, but no serious illness has ever happened." 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!"
Zhou Can saw that she was older, so he gave the old lady some confidence through psychological suggestions.
"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 supplemented medical records.
"Teachers, I just received an important piece of information from my family. The patient has a history of hypertension that lasts for more than fifteen years."
Han Changqing's eyes suddenly lit up.
"This information comes so timely! The patient's intracranial pressure is extremely high and he has a long history of hypertension. He may have hypertensive encephalopathy," Han Changqing said excitedly.
Director Lou was very happy to see the significant progress in his condition.
He glanced at Zhou Can appreciatively.
This kid has made a meritorious deed again.
It seems that it is very necessary to communicate more with family members in the future instead of blindly bowing to rescue efforts.
Emergency departments treat critically ill patients. Because they are eager to save patients, they often neglect detailed communication with their families.
In addition, family members are often very anxious because they are worried about the safety of their loved ones. When doctors are not in a hurry to save people, but ask them questions, they will feel incomprehensible and even get angry.
This will significantly increase the risk of doctor-patient conflicts.
Doctors are afraid of being beaten, so they often do more than less.
When receiving a consultation, just ask a few questions and that will be all.
Han Changqing has begun to investigate hypertensive encephalopathy.
Zhou Can stared at the patient and looked at him again.
He always felt that the patient did not have hypertensive encephalopathy. Because the early symptom of hypertensive encephalopathy was a headache in the back of the head, rather than a direct disturbance of consciousness and rapid coma.
Deputy Director Han was eager to diagnose the cause of the disease before doctors from other departments arrived, which would not only save face but also make great achievements. This mentality of eager for quick success and quick benefits is actually very bad.
It is easy to cause misdiagnosis.
Zhou Can felt that he was forcibly putting the hypertensive encephalopathy on the patient.
"More than fifteen years of history of hypertension, pregnant with Liujia, advanced maternal age, fainting, impaired consciousness, fetal heart rate continued to decrease..."
Zhou Can related these symptoms, medical history and examination results.
After thinking hard, I still gained nothing.
He couldn't help but adjust his thinking again. The patient had a high degree of education and must have some medical knowledge.
She must know that pregnancy with high blood pressure is very dangerous. The pregnancy has been uneventful for nearly six months. This shows that she has controlled her blood pressure very well.
What caused her blood pressure to suddenly rise?
Faintly, 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 awkward.
Caused by cyanosis of lips?
Probably not.
Get close to the pregnant woman's face and examine it carefully.
Because he had just accomplished a small feat, no one criticized him.
"Xiao Zhou, please learn. Diagnosing hypertensive encephalopathy cannot be explained clearly in a few words in a book." Han Changqing thought Zhou Can came over to learn how to diagnose hypertensive encephalopathy.
"OK!"
Zhou Can promised, but didn't even look at Han Changqing's diagnostic technique.
When his eyes fell on the patient's eyebrows, he finally understood why the pregnant woman's face looked awkward.
It turned out that her eyebrows were not drawn properly.
The lines and curves she drew are quite beautiful, at least it can be seen that she has good painting skills.
It's just that the eyebrows on both sides are unevenly drawn, and the ending is a bit crooked.
Logically speaking, you shouldn't make such a stupid mistake.
Zhou Can couldn't help but think of a description in a medical book: "Hypertension during pregnancy is a systemic disease that may cause maternal fundus lesions, blurred vision, or even blindness."
A pregnant woman is a very independent and self-reliant woman. When she is going to visit her parents, she will definitely put on beautiful makeup before going out.
If she notices that her brows are uneven, she will definitely redraw them.
But she didn't.
To be continued...