My medical skills add experience

Chapter 39 Major Progress
The family's daughter is critically ill, and it is very likely that she will die twice.It is not appropriate to smile at this time.

It offended the family members, and there was no way to continue the conversation later.

Zhou Can simply told the truth.

"The director and attending physician of our department are doing their best to make a diagnosis. It's just that your daughter is pregnant, and the diagnosis is much more difficult than ordinary patients. For the time being, it is only locked that the lesion may be in the brain. We wish the dean has personally intervened in this matter. We have transferred doctors from several top departments to support them. They should be here soon."

Zhou Can deliberately told the family members that reinforcements are on their way, and there is no need to worry that the rescue team is not strong enough.

This is also a comfort to the family.

The old lady didn't show any expression when Dean Zhu personally asked about it.

It seems that she already knew about this.

Knowing that the hospital temporarily transferred doctors from several top departments to support, the old lady's expression softened a little.

"I'm 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 basis for our doctors to quickly and accurately identify the cause."

Zhou Can's frankness made the old lady satisfied.

His attitude towards him was no longer so indifferent.

"Young man, what information do you want to know, just ask!"

"Your daughter should be pregnant for the first time, right?"

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 badly. The child she conceived this time has special meaning to her and our family. She even told me, Mom, the baby in my belly The child of Haowei is the only flesh and blood that Haowei left in this world, and it is also 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 asking curiously, "May I ask, did any accident happen to your daughter's husband?"

"My son-in-law is an anti-drug police officer. During an arrest operation, my son-in-law Chen Haowei was stabbed 27 times and his intestines flowed out. However, in order to catch the drug leader, he used his flesh and blood and iron will to kill the drug leader. Firmly controlled and pressed against the body. It was not until the comrades in arms rushed to catch the drug leader that he closed his eyes forever."

Speaking of her son-in-law's heroic deeds, the old lady's eyes glistened with tears.

Zhou Can was also moved after listening to it.

The people can live and work in peace and contentment without the silent protection of those heroes and soldiers.

The husband of a pregnant woman would not hesitate to sacrifice his life in order to protect the people from drugs. Such a hero is enough to make people admire and appreciate from the bottom of their hearts.

At this moment, an idea became firm in his heart.

We must do our best to save the pregnant woman and help her keep the child.

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.

"About 21 years old. She worked too hard in her studies and didn't pay attention to her diet. As a result, she developed high blood pressure. Later, as the pressure of study and work increased, her high blood pressure not only did not improve, but became worse. It's serious. Sigh, this kid is just too strong, for the sake of studying and working, he doesn't take his body seriously."

In this way, the pregnant women in the emergency room have had a history of hypertension for 15 years.

This is a very important clue.

can provide guidance for diagnosis.

"Does your daughter have any other underlying diseases or serious medical history?"

Zhou Can continued to ask in accordance with the principle of caution.

"I haven't heard anything else from her. Occasionally, I have a headache and brain fever. I haven't 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!"

Zhou Can saw that she was too old, so he gave the old lady some confidence through psychological hints.

"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 got an important piece of information from my family. The patient has a history of hypertension for more than 15 years."

Han Changqing's eyes lit up immediately.

"This information came too timely! The patient's intracranial pressure is extremely high, and he has a long-term history of hypertension. It is likely to be hypertensive encephalopathy." Han Changqing said excitedly.

Director Lou was also very happy to see that his condition had made significant progress.

He glanced at Zhou Can appreciatively.

This kid has done it again.

It seems that it is very necessary to communicate more with the family members in the future, instead of blindly bowing their heads to rescue.

The emergency department treats acute and critically ill patients. Because they are eager to rescue patients, it is often easy to 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.Doctors are not in a hurry to save people, but ask them about things, they will feel confused and even angry.

This will greatly increase the risk of doctor-patient conflicts.

Doctors are afraid of being beaten, and they often think that doing more is worse than doing less.

When receiving a doctor, ask a few simple questions.

Han Changqing has begun to investigate hypertensive encephalopathy.

Zhou Can stared at the patient again.

He always felt that the patient did not seem to have hypertensive encephalopathy.Because the early symptom of hypertensive encephalopathy is a headache in the back of the pillow, rather than a direct disturbance of consciousness and a rapid coma.

Deputy Director Han was eager to diagnose the cause before the arrival of doctors from other departments, which would save face and make great contributions.This mentality of eager for quick success is actually very bad.

It is easy to cause misdiagnosis.

Zhou Can felt that he was forcing the patient with hypertensive encephalopathy.

"History of hypertension for more than 15 years, pregnant with Liujia, elderly pregnant women, fainting, disturbance of consciousness, continuous decline in fetal heart rate..."

Zhou Can linked these symptoms, medical history and examination results together.

After much deliberation, there is still no gain.

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 have known that pregnancy with high blood pressure is very dangerous. She has been pregnant for nearly six months and has been safe.It shows that she has very good blood pressure control.

What caused her blood pressure to rise suddenly?

Faintly, Zhou Can seems to have grasped the key to the problem.

His eyes swept over the pregnant woman again.

Ever since he entered the emergency room, he always felt that the pregnant woman's face looked a little awkward.

Cyanosis of the lips?
It should not be.

Get close to the pregnant woman's face and examine it carefully.

Because he just made a small achievement, but no one bombarded him.

"Xiao Zhou, learn a little bit, the diagnosis of hypertensive encephalopathy is not something that can be explained clearly in a few words in a book." Han Changqing thought that Zhou Can came to learn how he diagnosed hypertensive encephalopathy.

"Ok!"

Zhou Can agreed with his mouth, but he didn't even look at Han Changqing's diagnosis method.

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 well.

The lines and curves drawn are quite beautiful, at least it can be seen that she has very good drawing skills.

It's just that the eyebrows on both sides are drawn unevenly, and the tail is a little crooked when it ends.

It stands to reason that such low-level mistakes should not be made.

Zhou Can couldn't help but think of a sentence in the medical book that "hypertension during pregnancy is a systemic disease that may cause fundus lesions, blurred vision, and even blindness in parturient women."

A pregnant woman is a very self-reliant and self-reliant woman. She is going to see her parents, and she will definitely put on beautiful makeup before going out.

If she finds that the brows are unevenly drawn, she will definitely repaint them.

But she didn't.

Then there is only one possibility, she doesn't know that the end of her eyebrows is not well drawn.It means that before she went out, her eyesight had already been impaired.

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 value.

He also encountered this situation once when he was with Dr. He in 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 part of the experience points were obtained.

Now only 0.2 experience points are added, which means that pregnant women still have diseases that have not been diagnosed.

Even so, Zhou Can still felt very excited.

Diagnosing such a difficult case is of great benefit to improving his diagnostic ability.

He sees patients with minor ailments such as colds and fevers every day, and he is still a quack doctor for the rest of his life.

Only by constantly challenging such difficult case diagnosis can we quickly improve the level.

(End of this chapter)