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Chapter 340: Case 341: Special Situation!
Chapter 340: Case 341: Special Situation!
Chapter 340: Case 341: Special Situation!
“`
Clinical practice is just like this, diseases are numerous and complex, you must have a pair of insightful eyes, unswayed by external interference.
Patient’s words can’t always be trusted, let alone their family members!
As an experienced emergency physician, Zhang Shu frowned after reviewing all the examination reports and said,
“Has the patient eaten anything unusual recently, or had any injuries, or other life habits that are different from the usual?”
Tian Cong took a deep breath, also calming himself down.
Indeed, just as the doctor said, sort out the problem first before anything else!
“No, I personally take care of my mother’s daily routine, there has been nothing out of the ordinary.”
Zhang Shu continued to ask, “Are you sure there are no such diseases as epilepsy in your family history, right?”
Tian Cong thought carefully, indeed there was none, neither grandmother nor grandfather have ever had it, this was the first time his mother had a seizure.
“No! Absolutely not!”
Such a firm response left the diagnosis mired in difficulty.
Chen Cang, observing the patient’s symptoms, pondered over all possible diseases that matched this reaction, including the entire range of causes associated with epileptic disorders.
The brain really is a supercomputer, constantly filtering, calculating!
Chen Cang also analyzed quickly, wanting to reach a conclusion.
Facial muscle spasms?
Trembling of facial and lip muscles…
Sweating… drooling… nausea… dizziness… palpitations…
But despite the spasms and the many symptoms, the patient’s consciousness was clear!
There was no sign of any confusion in her consciousness.
This was curious…
Suddenly!
An idea surfaced in Chen Cang’s mind!
Thinking this, Chen Cang immediately looked up at the oxygen delivery device by the bed.
His complexion changed instantly!
Chen Cang hurriedly said, “Who turned the oxygen up to such a high flow?”
Zhang Shu, as if enlightened, suddenly looked up!
Her face turned to panic, and she looked bewildered.
Zhang Shu’s expression changed, and she went out, shouting loudly at the head nurse, “Who is in charge of bed 19? Come in here!”
Nurse He, upon hearing this, also felt a sinking heart and walked in nervously. Upon seeing Zhang Shu, she said, “Director Zhang, I am the responsible nurse for bed 19!”
Zhang Shu looked up, saw He, and immediately questioned, “Who turned on the oxygen?”
He looked up in confusion, saw the setting and her face changed instantly, “7.5! Are they crazy?”
She turned and glared at the man, “Didn’t I tell you not to adjust it yourself? Why did you touch it!”
Tian Cong was also flustered, “I didn’t touch anything! I didn’t do anything!”
At that moment, a woman in her sixties, Tian Cong’s mother, finally spoke up, “I… I adjusted the oxygen myself…”
At those words!
The surroundings fell silent.
Tian Cong was dumbfounded and livid, but helpless, “Mom! Have you lost your mind? This is the hospital, what were you thinking?”
The woman looked somewhat embarrassed.
Sighing softly, she shook her head, “Yesterday, the doctor told me that it was good to breathe some oxygen, said my brain would get dizzy from lack of blood and oxygen… I thought, can there be too much oxygen inhalation?”
“Tian Cong, don’t blame the doctors and nurses, they told me not to breathe too much, I just… I just couldn’t bear it, felt that having spent so much money, it would be a waste not to breathe more!”
“So I adjusted it up a bit…”
The woman had lived a life of frugality, raising three children single-handedly, two sons and a daughter, managing the household on her own. It was an old habit that she couldn’t change.
Even at home, she couldn’t bear to throw away leftovers, keeping them for herself to eat.
Even if bread was past its expiration, if it was edible, she would eat it…
“`
Tian Cong knew his mother all too well, and upon hearing these words, he couldn’t help but sigh.
He understood his mother too well; she was capable of doing such things.
Thinking about it, Tian Cong looked embarrassed.
Remembering how he had just reprimanded someone loudly, he felt very ashamed.
Here someone had worked hard to treat his mother, yet he blamed them so, truly feeling embarrassed!
Tian Cong quickly said, “Director Zhang, Dr. Yao! I am truly sorry, it’s all my fault, I’m uneducated and ignorant, please don’t take it to heart!”
As Tian Cong spoke, he bowed deeply.
When it comes to concern, there is chaos!
Faced with a family member’s illness, Tian Cong really couldn’t suppress and control his temper.
Because he felt that his mother was too important to him, he couldn’t afford any loss.
Thinking about it, Tian Cong couldn’t help but feel regret.
Although the diagnosis of oxygen toxicity was exacerbated by the retention of carbon dioxide, it mainly depended on medical history, etiology, and symptoms.
And because the patient didn’t know at first that one could be poisoned by oxygen, they hadn’t provided any effective causes.
If it weren’t for Chen Cang’s decisive discovery, it would probably have taken Zhang Shu a while longer to notice!
With this thought, Zhang Shu looked at Chen Cang with a curious gaze!
This Chen really was extraordinary!
To be able to analyze and reach an accurate conclusion under such conditions and environment was a capability that a clinical doctor should possess but was very difficult to attain.
The more Zhang Shu thought about it, the more impressed she was with Chen Cang!
And Yao Zhiwen looked at Chen Cang with an admiring face.
To be honest, Yao Zhiwen felt that Chen Cang had become the standout among their group.
Even if himself, Wang Qian, Qin Yue, and others all had master’s degrees, when it came to clinical ability, they really were a notch below Chen Cang.
That was the truth.
Thinking about it, Yao Zhiwen gave Chen Cang a thumbs-up with admiration and whispered, “Awesome!”
Chen Cang gave an awkward smile, “Just a coincidence…”
Yao Zhiwen smiled and said no more.
If it was once or twice, you could call it a coincidence.
But when it happens over and over, do you really believe it’s coincidence?
If you do, then you are really naive!
Now that a diagnosis was confirmed, everything naturally followed.
Zhang Shu promptly signaled nurse Xiao He to prepare for the treatment.
The patient’s situation was quite evident; it was a typical case of cerebral oxygen toxicity, with the main principles of treatment being sedation, anti-convulsion, hypnosis, and protecting the head and tongue from injury during convulsions.
After considering, Zhang Shu said to Yao Zhiwen, “Yao, Diazepam 10mg, slow intravenous injection, paraldehyde, 5ml for adults, deep intramuscular injection…”
Yao Zhiwen nodded hurriedly and rose to prepare the medical orders.
And nurse Xiao He ran off to dispense medications.
Meanwhile, the other patients in the vicinity watched the diagnosis and treatment with trepidation and a myriad of emotions.
They whispered among themselves quietly.
“Oxygen can really be toxic?”
“Yeah! This is the first time I’ve heard that oxygen can be toxic!”
“That’s terrifying!”
“Nurse, I don’t want to use oxygen anymore…”
“I don’t want it either, please stop it for me!”
“Right, right! Me too, I don’t want to use oxygen anymore.”
…