Check-in at the Hospital: The First Surgery Shocked the Nation!-Chapter 282 - 183: On-Site Facial Paralysis, Differing Diagnoses
"Dean Fu, anyway, my contract over there hasn’t ended yet, let me think about it."
Qin Feng thought for a moment, temporarily not declining the other party’s goodwill.
"Alright, no problem, take your time to think it over."
Fu Yong nodded repeatedly upon hearing this,
"If you have any requests, be sure to let me know, I’ll do my best to get them for you.
Come, let’s eat, let’s eat! Hahaha~"
The discussion finally came to an end. Although Qin Feng didn’t agree, as long as he wasn’t snagged by someone else, it was fine.
As for the terms, they could be negotiated slowly.
Afterwards, the three continued eating for a while.
Qin Feng was quite satisfied with the food here; it suited his taste.
No wonder it’s one of the top four buildings in Beijing, seems like he can visit often in the future.
"Are you full?"
He glanced at Liu Yan’Er who had put down her chopsticks beside him.
"Yes, I’m full."
Liu Yan’Er nodded, giving a slight smile and nod to Fu Yong. 𝑓𝓇𝘦ℯ𝘸𝘦𝑏𝓃𝑜𝘷ℯ𝑙.𝑐𝑜𝓂
"Xiaoxin, your girlfriend is both talented and beautiful, chasing after her must have taken quite an effort, right?"
Fu Yong looked at the well-matched couple with a teasing smile.
"Yes, indeed, but maybe this is just fate."
Qin Feng’s lips curved slightly, with a touch of emotion.
If it hadn’t been for Chen Yuanfang, the deputy director, being slashed on the carotid artery by a patient, he wouldn’t have acted to save the day, and Liu Yan’Er wouldn’t have rushed back to care for her, and the two might not have met.
So, the one who sacrificed the most turned out to be the mother-in-law!
A moment of life and death ended up creating a relationship between her daughter and the young man she admired most.
Chen Yuanfang always recalled this matter with joy, as if she had gained something.
"Alright, let’s go then."
Having eaten and drunk enough, Fu Yong called for the waiter to settle the bill.
"Sister-in-law still has classes in the afternoon, I won’t hold you up any longer, Xiaoxin, head back now, hahaha~"
After speaking, the three of them stood up just as they finished settling the bill.
Thud!
Before they could even leave the private room, they heard something heavy hit the wooden partition next door.
Immediately afterward, an urgent shouting came from that side.
"Feifei, Feifei, what’s wrong with you?"
"Feifei, are you alright?"
"What’s happening with her? Quick, call someone."
"Waiter! Waiter!"
...
Several cries came through, someone had already rushed out of the private room, passing by them.
Qin Feng and Fu Yong instinctively sensed something was wrong, someone might be in trouble!
The two immediately lifted their feet, walking simultaneously toward the door of the next room, seeing a girl who had fallen to the ground, her expression filled with terror.
Her left side of the face was rigid, only the right side held expression, her mouth could only open halfway.
The entire facial structure showed a strange distortion, it was terrifying!
Facial paralysis!
Qin Feng and Fu Yong simultaneously came to a judgment.
"What’s going on?"
Immediately, Fu Yong quickly walked in and asked sternly.
Qin Feng and Liu Yan’Er followed in without saying anything.
This is Beijing, since Dean Fu is here, there’s no need for him to intervene.
"We don’t know either, she just... just suddenly fell and ended up like this."
A bright-haired girl with dyed yellow hair squatting next to her was evidently scared too.
Fu Yong looked around, noticing a few people with bewildered expressions, even two or three boys subconsciously backed away, trying to dissociate themselves.
But there was no time for that now, an urgent examination was needed.
Then, while calming the girl down, Fu Yong tried to get her to be calm and took out his phone, turned on the flashlight, and began checking the girl.
Qin Feng with Liu Yan’Er stood by the door, focusing on the table.
From the snippets of conversation they overheard, he guessed the girl might have just had a tooth pulled.
And on the table next to where she fell was a small piece of partially melted ice, where teeth marks and a bit of blood were vaguely discernible.
Combining this with the girl’s current state, a preliminary judgment could be made.
It should be peripheral facial nerve paralysis!
Facial paralysis is a relatively complex facial condition, characterized predominantly by impairment in the movement function of the facial expression muscles, commonly manifesting as crooked mouth and eyes.
It is divided into peripheral and central types.
Among them, the incidence of peripheral facial paralysis is relatively high, with the most common being facial neuritis or Bell’s palsy.
The facial paralysis people often talk about usually refers to facial neuritis.
Because facial paralysis can lead to very strange facial appearances, it is often referred to as the "disfiguring disease".
Peripheral facial paralysis refers to facial paralysis caused by lesions in the facial nerve motor fibers.
The lesion can occur in locations below the facial nerve nucleus, such as the lower part of the pons, the facial nerve canal, the middle ear, or the parotid gland, etc.
The muscles of facial expression on the affected side are completely paralyzed, manifesting as inability to close the eyelid, inability to furrow the brow, cheek puff leaking, etc.
The other type, central facial paralysis, refers to facial paralysis caused by damage located between above the facial nerve nucleus and the central nervous cortex, typically due to a brain issue.
This situation is generally more severe, often due to brain vascular disorders, brain tumors, and encephalitis, etc.
About two or three minutes later, the girl was helped up, and Fu Yong, after asking some young people a few basic questions, nodded.
It turns out the girl had just had a tooth pulled two days ago, today she came out to have a meal with these boys.
One relatively wealthy boy bet with her that if she could eat an ice cube from the cup of milk tea, he would give her 5000 yuan, and book a room for her tonight.
Qin Feng and Fu Yong also understood now, the well-bodied, scantily dressed girls in front of them were nightclub workers.
"Xiaoxin, based on the current situation, I suspect she has peripheral facial paralysis caused by stimulation of the trigeminal nerve from consuming the ice cubes.
Would you like to take a look too?"
He walked over to Qin Feng, thought for a moment, and said.
"No need, Dean Fu, I just took a look, the most likely diagnosis is peripheral facial paralysis."
Qin Feng shook his head in response, his opinion was basically the same as Fu Yong’s.
The teeth belong to the trigeminal nerve, and many people experience trigeminal neuralgia after tooth extraction.
In such cases, a severe stimulus to the trigeminal nerve could very likely cause facial nerve degeneration, leading to facial paralysis.
This girl is too bold!
Truly risking her life for money, dares to do anything.
Thud~
However, before he could finish speaking, the next second the girl sitting in the chair, still terrified and tearful, rolled her eyes and fell to the ground again.
And this time, she fainted!
...
Damn!
"Don’t move her!"
Seeing the girl next to her intending to help, Qin Feng immediately stopped her sternly.
Then, he and Fu Yong stepped forward again, laid the girl flat on the ground, examined her for the second time, her facial nerves were unresponsive, pupils showed obvious contraction, body muscles stiffened.
"It could be neural damage."
Fu Yong said, frowning tightly.
Qin Feng finished examining and still felt something was amiss, this situation would cause fainting, but he couldn’t conclude.
Trigeminal nerve, facial paralysis...
Aside from neural damage, there are other possibilities!
He reached out with three fingers to feel the girl’s wrist, directly taking her pulse.
If it’s just stimulation of the trigeminal nerve causing facial paralysis and fainting, it would be manageable; the fear is the cause is not this but the brain.
About two minutes, Qin Feng had taken her pulse on both wrists, the heart pulse was normal.
"Xiaoxin, do you suspect a brain issue?
If there’s compression of the superior cerebellar artery and the anterior inferior artery, the situation could be bad."
Fu Yong continued beside him.
Wait!
Before he finished his sentence, Qin Feng’s eyes suddenly lit up.
He had detected that one of the veins in the girl’s neck had lost its pulse!
"No, that’s not it."
Withdrawing his hand, he shook his head and said deeply,
"It shouldn’t be the brain artery, it might be an issue with the vertebrobasilar artery."
"Vertebrobasilar artery?"
Hearing this, Fu Yong was also stunned, immediately surprised!
Just as Qin Feng was taking her pulse, he was a bit surprised, as this is the realm of traditional Chinese medicine, does Qin Feng know Chinese medicine too?
Now, he provided an entirely different diagnosis.
However, if there’s compression or displacement of the vertebrobasilar artery, it could indeed cause fainting.
But this diagnosis is even more serious than his!
"Doctor, how is she, is it serious?"
At this time, a young man stepped forward and asked carefully.
"It’s hard to say right now, when the ambulance arrives, she will need a detailed examination at the hospital."
Fu Yong shook his head, he didn’t dare to draw a direct diagnosis, it needs to be confirmed through examination,
"Xiaoxin, you guys go back first, I’ll handle it here."
"Okay then, Dean Fu, we’ll leave first."
Qin Feng glanced at the time, if he didn’t go now, it would be really late, Liu Yan’Er had class in the afternoon.
After speaking,
he took Liu Yan’Er out of the restaurant, and just as they got into the car, he saw the ambulance with sirens blaring stop at the restaurant entrance, and several medics in white uniforms rushed out as the door opened.
"Is the girl very serious?"
Liu Yan’Er, looking at this scene, couldn’t help but feel a bit tense, whispering to ask.
"It’s pretty serious, considered as quite serious."
Qin Feng nodded,
"But this is Beijing, there shouldn’t be any major problems with surgery.
I’ll take you back to school first and come to pick you up this evening."
"Okay~"
Upon hearing this, Liu Yan’Er was slightly relieved. After all, it was her first time witnessing someone faint in front of her, it made her a bit nervous.
"Dean Fu? Why are you here too?"
Inside the restaurant,
the emergency doctor, accompanied by a nurse, followed the group hurriedly into the private room, looked up and saw Fu Yong in front of them, exclaiming in surprise.
"I was just dining next door, happened to run into this."
Fu Yong nodded at him and moved aside to let them in,
"Preliminary diagnosis, the patient suffered peripheral facial paralysis due to trigeminal nerve stimulation, followed by unconscious fainting, physiological indicators are temporarily fine, suspected compression of the superior cerebellar artery and anterior inferior artery..."
He paused at this point, then continued,
"Or it might be fainting caused by compression or displacement of the vertebrobasilar artery, perform a [trigeminal nerve reflex test], a cranial MRI, and a vertebrobasilar CT scan on the patient."
"Understood."
After saying this, the girl was already being lifted onto a stretcher, ready to be taken away.
"Who among you is the family member? Come with me."
The emergency doctor said to the people present, and after he spoke, surprisingly no one answered!
"Then... I’ll go."
Seeing this, Fu Yong and the doctor couldn’t help but frown.
After a few seconds of silence, a girl stepped forward a couple of steps, biting her lip, and spoke softly.
"All right, come get in the car."
....
