Chapter 340: Case 341: Special Situation!
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Clinical practice is just like this, diseases are numerous and complex, you must have a pair of insightful eyes, unswayed by external interference.
Patientâs words canât always be trusted, let alone their family members!
As an experienced emergency physician, Zhang Shu frowned after reviewing all the examination reports and said,
âHas the patient eaten anything unusual recently, or had any injuries, or other life habits that are different from the usual?â
Tian Cong took a deep breath, also calming himself down.
Indeed, just as the doctor said, sort out the problem first before anything else!
âNo, I personally take care of my motherâs daily routine, there has been nothing out of the ordinary.â
Zhang Shu continued to ask, âAre you sure there are no such diseases as epilepsy in your family history, right?â
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.
âNo! Absolutely not!â
Such a firm response left the diagnosis mired in difficulty.
Chen Cang, observing the patientâs 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 musclesâ¦
Sweating⦠drooling⦠nausea⦠dizziness⦠palpitationsâ¦
But despite the spasms and the many symptoms, the patientâs consciousness was clear!
There was no sign of any confusion in her consciousness.
This was curiousâ¦
Suddenly!
An idea surfaced in Chen Cangâs mind!
Thinking this, Chen Cang immediately looked up at the oxygen delivery device by the bed.
His complexion changed instantly!
Chen Cang hurriedly said, âWho turned the oxygen up to such a high flow?â
Zhang Shu, as if enlightened, suddenly looked up!
Her face turned to panic, and she looked bewildered.
Zhang Shuâs expression changed, and she went out, shouting loudly at the head nurse, âWho is in charge of bed 19? Come in here!â
Nurse He, upon hearing this, also felt a sinking heart and walked in nervously. Upon seeing Zhang Shu, she said, âDirector Zhang, I am the responsible nurse for bed 19!â
Zhang Shu looked up, saw He, and immediately questioned, âWho turned on the oxygen?â
He looked up in confusion, saw the setting and her face changed instantly, â7.5! Are they crazy?â
She turned and glared at the man, âDidnât I tell you not to adjust it yourself? Why did you touch it!â
Tian Cong was also flustered, âI didnât touch anything! I didnât do anything!â
At that moment, a woman in her sixties, Tian Congâs mother, finally spoke up, âI⦠I adjusted the oxygen myselfâ¦â
At those words!
The surroundings fell silent.
Tian Cong was dumbfounded and livid, but helpless, âMom! Have you lost your mind? This is the hospital, what were you thinking?â
The woman looked somewhat embarrassed.
Sighing softly, she shook her head, âYesterday, 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?â
âTian Cong, donât blame the doctors and nurses, they told me not to breathe too much, I just⦠I just couldnât bear it, felt that having spent so much money, it would be a waste not to breathe more!â
âSo I adjusted it up a bitâ¦â
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 couldnât change.
Even at home, she couldnât 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 itâ¦
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Tian Cong knew his mother all too well, and upon hearing these words, he couldnât 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, âDirector Zhang, Dr. Yao! I am truly sorry, itâs all my fault, Iâm uneducated and ignorant, please donât take it to heart!â
As Tian Cong spoke, he bowed deeply.
When it comes to concern, there is chaos!
Faced with a family memberâs illness, Tian Cong really couldnât suppress and control his temper.
Because he felt that his mother was too important to him, he couldnât afford any loss.
Thinking about it, Tian Cong couldnât 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 didnât know at first that one could be poisoned by oxygen, they hadnât provided any effective causes.
If it werenât for Chen Cangâs 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 masterâs 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, âAwesome!â
Chen Cang gave an awkward smile, âJust a coincidenceâ¦â
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 itâs 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 patientâs 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, âYao, Diazepam 10mg, slow intravenous injection, paraldehyde, 5ml for adults, deep intramuscular injectionâ¦â
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.
âOxygen can really be toxic?â
âYeah! This is the first time Iâve heard that oxygen can be toxic!â
âThatâs terrifying!â
âNurse, I donât want to use oxygen anymoreâ¦â
âI donât want it either, please stop it for me!â
âRight, right! Me too, I donât want to use oxygen anymore.â
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