Chapter 1147: Chapter 1151: The Elderly Regress to Youth
Before long, Yang Jie returned with the patient.
The CT results were also out.
Zhao Danyan took the CT films and asserted confidently, “There’s no hemorrhage, it’s an ischemic stroke.”
Then she picked up the MRI results.
“There are many old cerebral infarction spots, and there is a new infarction in the left basal ganglia and temporo-occipital junction!”
After saying that, Zhao Danyan quickly said to Chen Cang, “Professor Chen, take him to the resuscitation room, give continuous low-flow oxygen.”
“Complete the ECG test, conduct 24-hour cardiac monitoring, I will examine the patient.”
Chen Cang nodded hurriedly.
And walked towards the resuscitation room with Yang Jie, pushing the patient.
anwhile, Xu Ziming followed silently behind.
Zhao Danyan didn’t look back, didn’t even glance once.
After entering, Chen Cang helped the patient with oxygen, while Yang Jie did the ECG.
The ECG showed myocardial ischemia, but it was not significant.
After reviewing it, Zhao Danyan imdiately began a neurological system assessnt, including level of consciousness, severity of stroke, and so on…
This is the procedure for the neurology departnt, and the assessnt grade directly relates to the treatnt plan.
At this mont, the elderly patient’s consciousness had improved slightly compared to before, but his gaze was hazy, with partial motor aphasia, short-term mory decline, and a significant decrease in calculation ability.
Both pupils normally reacted to light, the tongue protruded to the left side, there was obvious deviation in the mouth and eyes, and the muscle strength on the right side was grade 3 .
Signs of ningeal irritation, Kernig’s sign… were also normal.
Overall, the patient’s condition was neither light nor severe, but considering his age, no one dared to relax.
Once the monitor was connected, an alarm imdiately sounded.
“Blood pressure 190/120mmHg!”
Seeing the blood pressure, Zhao Danyan’s face changed instantly.
Patients with increased blood pressure within 24 hours of an ischemic stroke should be handled cautiously.
Conditions like anxiety, pain, nausea, vomiting, and increased intracranial pressure should first be addressed.
But now, the patient’s blood pressure was continuously rising, which could easily lead to many complications.
Such as hypertensive encephalopathy and so on.
After contemplating briefly, Zhao Danyan ordered, “Administer Labetalol intravenously!”
By this ti, the patient had also completed the blood draw, waiting for further treatnt.
And the elderly lady was pacing anxiously at the door.
Thrombolytic treatnt at the age of 82 actually carried risks, and although Zhao Danyan did not say it aloud, she was already collecting evidence ceaselessly.
An hour later, the patient’s restless and anxious mood had still not subsided.
This made the three of them sowhat anxious.
The elderly man, even with his eyes closed, was muttering and humming words no one could understand, and his hands were groping and flailing without direction as if searching for clothes or making sense of threads on the bed.
This caused Yang Jie, who had just administered an intravenous line, to start worrying.
This shouldn’t lead to any problems with the patient!
Just at that mont, security guard Qi Ping ran in: “Dr. Chen, Director Xu, the old lady said that her husband can be more stable with her by his side.”
Upon hearing this, the three were montarily stunned.
Zhao Danyan nodded, “Hmm, let the old lady co in.”
The security guard nodded and stepped out.
The resuscitation room is guarded for the purpose of preventing patients or others from barging in.
Qi Ping was young, only 22 years old, but he was already an old security guard here, having served for three and a half years.
After the old lady ca in with her walking stick, seeing the old man like this, she couldn’t help but scold: “I an, look at you. Can’t you keep still even in the hospital?”
Hearing the old lady’s words, the elderly gentleman suddenly put his hand down.
He mumbled a few words, incomprehensible to everyone, but… he cald down, and the corners of his mouth began to turn up slightly.
It seed… he was smiling.
The old lady quickly said, “Doctor, go ahead with the treatnt, I’ll just be here, not causing any trouble. This old man is just like a child now, has gone childish, I can’t leave him alone or he gets nervous.”
Hearing the old lady’s words, Chen Cang found the elderly gentleman chuckling to himself.
Seeing this, Zhao Danyan and Xu Ziming both fell silent, then exchanged a glance before looking away from each other.
It wasn’t even Zhao Danyan’s day to be on duty.
Yet after going ho and having a fight with Xu Ziming, she couldn’t sleep and ca back to the on-call room to start her shift with the on-call doctor.
This wasn’t the first ti such a thing had happened.
Nor was it an isolated incident.
So seeing a doctor who’s not scheduled to be on duty hanging back typically ant an internal conflict had erupted.
After all, once people have downti, they start to overthink, and the more they think, the more troubles they feel they have.
Coming to the hospital to work a night shift could potentially clear their heads.
Zhao Danyan was 50 years old, as was Xu Ziming, and Xu Ziming was at his pri; naturally, Zhao Danyan was worried he might stray.
Hospitals are not exactly bastions of purity.
There were frequent instances where unconventional dical reps tried to win favors with embraces and more.
If money doesn’t work, they offer companionship; if one person isn’t enough, they send two!
These occurrences were not rare.
So, observing this scene today, Zhao Danyan genuinely felt uncomfortable.
It was as if her own husband had been taken advantage of.
Especially since Mi Di was so young, beautiful, and well-shaped.
And successful n like Xu Ziming held a significant allure to these young won.
Actually, Zhao Danyan didn’t even know that Xu Ziming was on an ergency night shift with Chen Cang.
Encountering him tonight stirred a bit of happiness in her heart.
At the very least, it confird he wasn’t ssing around outside!
…
…
When twelve o’clock ca around, all the patient’s test results were in.
Holding a scale in her hand, Zhao Danyan said to Chen Cang, “The patient’s condition warrants a Level I recomndation, with Level A evidence; intravenous thrombolysis is the primary thod for recanalization!”
Chen Cang nodded: “Hmm, Sister-in-law, you are more professional.”
Chen Cang was determined that night not to call her Director Zhao, but Sister-in-law, in case it could alleviate any misunderstanding between them.
Zhao Danyan turned to the old lady, “Auntie, the patient requires thrombolytic therapy to break the blood vessel blockage, but this treatnt definitely carries certain risks, so we need you to sign a consent form.”
After hearing this, the old lady very decisively nodded and agreed, saying, “Doctor, don’t worry, I’ll sign! Just go ahead with the treatnt.”
After finishing her words, the old lady picked up the pen: “It’s not his first ti getting thrombolysis, I know!”
The old lady’s na was Xiang Jinghe.
Her handwriting was graceful, each stroke thodical, neither hurried nor slow.
After she was finished, the old lady said to Zhao Danyan, “Doctor, may I go and say a few words to him?”
Zhao Danyan nodded, “Yes, you may.”
Hearing she could, the old lady also smiled and slowly walked over.
After arriving, instead of speaking, she first held the old man’s hand. Holding hands like this, the old man opened his eyes and looked at the old lady, his eyes noticeably clearer.
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