Chen Cang, though he didn't know what the truth referred to,
he felt that if Yu Yi's illness could be diagnosed clearly, the hint for the next task would erge.
The next day, Chen Cang went to work as usual.
The matter concerning Yu Yi was suppressed by Qin Xiaoyuan to prevent word from spreading, not for any other reason, but to avoid disrupting the hospital's order.
Being a public figure was indeed troubleso, carelessly attracting the attention of "interested parties" from all social strata.
It could lead to various scandals.
Chen Cang kept an eye on the progress bar, which was steady at about eighteen percent.
This had beco one of Chen Cang's greatest concerns recently.
Chen Cang felt that if he could figure out the cause and developnt of Yu Yi's disease, this progress bar would likely be completed, and the next task would be triggered!
However, he now had to wait for the examination results and report.
That afternoon, Director Zheng from the ICU called Chen Cang, "Director Chen, Yu Yi's examination results are out, co and take a look."
Upon hearing this, Chen Cang finished the matters at hand and rushed to the ICU.
By then, Yu Yi had already regained consciousness.
This imdiately heightened Chen Cang's expectations; perhaps a direct conversation with Yu Yi would provide him with more clues!
Nonetheless, he first went to the doctors' office, where Director Zheng was hesitating over Yu Yi's report.
Seeing Chen Cang enter, his eyes lit up, "You're here, good timing, we were just discussing Yu Yi's condition."
Chen Cang nodded and took a seat while Zheng Yongjun passed over the docunts in his hand, "Director Chen, look, these are the tests you had ordered, including the muscle tone test. Zhao, explain Yu Yi's situation."
The lean man across nodded, "Beginning from early last night, the patient experienced more than one episode of muscle twitching, of unknown cause, accompanied by arrhythmia and unstable blood pressure, fluctuating up and down.
We initially suspected postoperative complications, and monitored the patient all night long, with none of us daring to sleep."
"Around 8:25 in the morning, the patient experienced another seizure and twitches, of unknown cause. After stabilizing the patient's condition, we are now prepared to call the neurology departnt to request a consultation."
"However, our initial diagnosis doesn't resemble epilepsy, and we are still unable to find the cause of the muscle twitching."
Zheng Yongjun nodded, "Director Chen, take a look at the electromyogram, it shows obvious abnormalities."
Chen Cang nodded, after reviewing all the reports, he said affirmatively, "Actually, the main reason for the patient's seizures, including lowered blood pressure and respiratory depression, may have a lot to do with the codeine in the cough syrup."
Everyone perked up upon hearing this, curious.
Zheng Yongjun also furrowed his brow, "You an, Director Chen..."
Chen Cang continued, "The patient has had long-term insomnia and has been taking psychiatric suppressants orally, such as alprazolam, diazepam, and zopiclone tablets, these are sleep dications."
"I just got this news from Yu Yi's father last night, so after going back, I checked so literature and found out: Codeine, when used with central nervous system depressants, can exacerbate central respiratory depression and cause hypotension, and even lead to arrhythmia."
The mont Chen Cang finished speaking, the others had a mont of realization!
The combination of codeine with anesthetics could have such an effect!
In this case, Yu Yi's symptoms from the night before could be explained.
But, there was one more issue!
Dr. Zhao curiously asked, "Then... Director Chen, why are there abnormalities in the electromyogram?"
Chen Cang wasn't very clear on this question himself.
He too had spent the night researching, without finding a specific cause, but he still had so conjectures.
Chen Cang said, "I have two suspicions, one is ningitis, the other is cerebral infarction."
"But if it's ningitis, when I examined yesterday, there was no sign of ningeal irritation, and if it's cerebral infarction, let's wait for the patient to stabilize and then do a cranial MRI to see."
After hearing this, everyone nodded in agreent!
In the eyes of ICU and ergency departnts, diseases like cerebral infarction seed way too trivial; in their view, as long as it wasn't a life-threatening illness, it could be dealt with slowly and calmly.
Is cerebral infarction troubleso?
Definitely, but cerebral infarction isn't fatal…
Besides, the patient's positive signs weren't prominent, and now the most important thing was the monitoring of vital signs for 48 hours post-surgery.
It was crucial to get through this critical period.
After discussing with Zheng Yongjun and others, everyone had a clearer picture of the case.
But suddenly, Zheng Yongjun looked at Chen Cang and asked, "Director Chen, why do you think Yu Yi contracted this disease?"
This question left Chen Cang speechless!
After hesitating for a mont, he said, "Endothelial damage should be the main reason!"
This response made Zheng Yongjun startle, "Oh?"
Chen Cang shook his head, "It's just a guess!"
Zheng Yongjun, after hearing this, didn't laugh but nodded in deep agreent instead!
"Now that you ntion it, I seem to have clarified the clues."
"Yu Yi already had the preconditions for deep vein thrombosis, which is endothelial damage. With this condition, the patient had been taking codeine and anxiolytics for a long ti, resulting in a sudden cardiac arrhythmia!"
As he reached this point, Zheng Yongjun's eyes lit up and he said to Doctor Zhao, "Xiao Zhao, did you set up a 24-hour dynamic ECG yesterday?"
Doctor Zhao's eyes glead, "Yes, but it hasn't been 24 hours yet!"
Zheng Yongjun, "How long?"
"Around eighteen hours."
Zheng Yongjun, "That's enough! Get the report! See if there's atrial fibrillation!"
Doctor Zhao quickly nodded, stood up, and rushed to get the device and produce the report.
About ten minutes later!
Doctor Zhao ca back with an excited deanor and said, "It's out! Director Zheng, there is! There is atrial fibrillation, and it occurred last night!"
As soon as these words ca out, everyone suddenly saw the light!
Chen Cang was also enlightened; indeed, many hands make light work.
Now, the pathogenesis of Yu Yi's disease was finally discussed and understood.
The cause was clear: endothelial damage was the basis for thrombus formation.
If the arrhythmia caused atrial fibrillation, it could likely be the trigger for the pulmonary embolism!
The diagnosis, treatnt, and examination of diseases are all very important.
Often, although a patient's disease is treated, the underlying cause remains unclear.
At this mont, Chen Cang and the ICU team had completed a detailed process of disease deduction.
Just then, Chen Cang suddenly noticed that the system's task progress bar had jumped to: 25%!
Chen Cang was instantly delighted!
But...
Was 25% still not enough to move on to the next phase?
Perhaps!
Chen Cang's eyes brightened, tomorrow, when the patient's vital signs returned to normal and all the results were in, with the diagnosis clarified, the progress bar would surely be sufficient!
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