Chapter 961: Chapter 963: Have You Heard, What People Say? (Extra update for being lighter than a feather!) Chapter 961: Chapter 963: Have You Heard, What People Say? (Extra update for being lighter than a feather!) After Liu Quan left, Chen Cang sat down beside Ma Yuehui.
He sighed again!
Seeing this, Ma Yuehui imdiately beca furious and said sourly, “Isn’t ‘The Annals of Thoracic Surgery’ getting to know you? Why the sighs now!”
Chen Cang shook his head, “Indeed, one shouldn’t be too greedy. ‘The Annals of Thoracic Surgery’ is decent enough, actually… I was hoping ‘The Lancet’ would invite to submit an article.”
A casual remark from Chen Cang.
Caused old Ma to nick his flesh while trimming his nails.
Made the crowd writing dical records type furiously.
Sent Qiao Cheng’an, who wanted to talk to Chen Cang, walking away in a huff.
And tightened the fists of those already jealous and displeased with Chen Cang!
“You hear that, are those even human words?”
Are these words a person should say???
What do you an ‘The Annals of Thoracic Surgery’ is not bad?
That’s TOP 3 in the industry, all right?
That’s an authoritative journal in the cardiothoracic surgery field, and you say it’s just okay?
“The Lancet”!
Why don’t you go for ‘Cell’, ‘Nature’…
Everyone was fuming inside, even old Ma was rubbing his chest, feeling like his qi was blocked, and he felt like he might develop so hyperplasia, which could progress toward nodules if not vented.
Furious!
This Chen Cang has beco more and more outrageous.
Pfft!
Old Ma’s face was livid, veins throbbing, filled with righteous indignation!
However, the biggest advantage Ma Yuehui had was his simplicity; when he saw Chen Cang looking at a paper, he suddenly had a thought.
“Xiao Chen, look… could I add my na?” Ma Yuehui looked at Chen Cang, full of hope.
After hearing this, Chen Cang was montarily taken aback, “Can real nas of patients appear in the paper?”
The people around nearly burst into laughter!
Ma Yuehui kept reminding himself, don’t get mad, don’t get mad, anger doesn’t bring a good al.
Just as Ma Yuehui was coming up with a clever plan, an ergency patient was brought in by the 120 service.
Old Ma couldn’t afford to joke around anymore, quickly put on a serious face, and got up to welco them, with Chen Cang following closely behind.
“Patient, male, 51 years old, severe abdominal pain with acute discomfort in the precordial region for a week, worsened one day…”
The doctor following the ambulance quickly relayed the dical history.
Upon seeing this, old Ma hurriedly called a nurse to push the bed and started transferring the patient.
The patient was conscious, but… his eyes were clearly dull and even sowhat vacant.
The ones who ca with the man were a man in his seventies and a woman of the sa age.
They supported each other as they got down from the ambulance, exhausted from the effort.
After entering the ergency room, the elderly woman looked at Ma Yuehui with worry, “Doctor, please save my son! He… has had a hard life…”
Ma Yuehui quickly nodded, “Of course, don’t worry!”
Then, he signaled to an older nurse at the nurse’s station and instructed, “Nurse Liu, please take care of the elderly.”
The nurse nodded and got up quickly to comfort the old folks.
A lot of mix-ups often happen in ergencies.
Like when a mother brings her child in for treatnt, the child isn’t in serious condition, but the mother ends up getting scared sick.
Having extensive ergency experience, Ma Yuehui always appeared casual and sowhat careless, but in reality, he was very attentive and could even think of things others might overlook.
When Yu Yonggang took the sharps team to the international ergency competition, old Ma truly made a great contribution!
Witnessing this scene, Chen Cang naturally learned from it.
After Ma Yuehui pushed the man into the resuscitation room, he quickly asked, “Where are you feeling uncomfortable now?”
The man looked slightly dazed, “I… feel my stomach hurts, and here… it’s uncomfortable too!”
The man gestured toward his stomach and just below his sternum.
Facing such a situation, Ma Yuehui’s first reaction wasn’t abdominal pain but to conduct an electrocardiogram to see, and considering the patient was 51 years old, the first thing to consider was to rule out the possibility of a heart attack.
It’s common for many patients to co to the ergency room looking like they’re in stomach pain when it truly is a cardiac issue.
So Ma Yuehui hurriedly said to Xiao Ke, “Xiao Ke, we need an ECG, quickly.”
After speaking, he personally applied oxygen to the patient.
Then he patiently waited.
At this mont, Nurse Liu had also assisted the elderly man in completing his paperwork and brought in the man’s dical records.
After reviewing it, Ma Yuehui frowned in thought, then handed the dical records to Chen Cang.
Upon opening the dical records, Chen Cang’s reaction was identical to Ma Yuehui’s!
The man was 51 years old, divorced fifteen years prior due to his wife’s infidelity, and in the sa year, his child died in a car accident. Since then, he had developed post-traumatic stress disorder, borderline personality disorder, and had a history of affective schizoaffective disorder.
Seeing this, Chen Cang looked at the scruffy middle-aged man, thought of what the old man had said earlier, and couldn’t help but sigh—another pitiful individual.
Ten years previously, he had abdominal surgery due to ingestion of foreign objects: an exploratory laparotomy and duodenectomy.
For the three years following, he suffered intermittent intestinal adhesions and small bowel obstruction due to post-surgical adhesions.
He had no history of cardiovascular disease, no infectious disease history, and no genetic diseases were discovered in his parents’ dical examinations.
He was currently taking Fluvoxamine and Tramadol (Dilixin)…
Chen Cang briefly reviewed the dical history and before he could ponder further, the electrocardiogram was out.
Upon seeing it, Ma Yuehui’s expression imdiately changed!
He had already ruled out cardiovascular disease, suspecting it was a gastrointestinal obstruction, given the man’s previous dical history, still, these should be considered.
But!
The ECG results showed: Acute Myocardial Infarction!
Though Ma Yuehui wasn’t accustod to relying on machine diagnoses, the ECG now indicated a ST-segnt elevation with an upward curve, elevated ST-segnt at the heart’s lower wall, and biphasic T waves in V2/V3…
He could even recognize it as a classic heart attack ECG.
Thinking this, Ma Yuehui instinctively prepared a series of dical orders such as anticoagulation and thrombolysis.
At the sa ti, Chen Cang, upon seeing the results, was montarily stunned.
Could it really be a heart attack?
But…
If it was a heart attack, there’s no ti to delay; it’s imperative to anticoagulate and thrombolyze quickly, or even perform interventional treatnt.
Because heart attack patients can face life-threatening crises at any mont.
But…
The man showed none of the symptoms typically associated with acute myocardial infarctions.
Could it be…
Ma Yuehui was also puzzled.
In the ergency departnt, there are too many odd diseases.
Ma Yuehui and Chen Cang exchanged glances, seeing a lot of confusion in each other’s eyes.
Chen Cang picked up the ECG again, and this ti, he looked at it seriously, and it seed… there were so abnormalities?
Chen Cang noticed sothing different!
Then he started a physical examination, didn’t detect any cardiac murmurs, the lower abdon was soft without any swelling, and there was mild tenderness on light pressure in the upper left quadrant…
“Let’s quickly check the cardiac markers and get an abdominal X-ray done; both are fast and won’t waste much ti.”
After all, sotis the ECG can be misleading.
Ma Yuehui nodded and agreed.
If this were a small hospital, they would definitely proceed with treatnt for heart disease, but they were at the Capital Ergency Center Hospital. Ma Yuehui, having seen and known much, had his doubts.
They quickly moved the patient to have an abdominal X-ray themselves.
The results were out!
Multiple scattered foreign body shadows were visible in the upper left abdon.
…
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