My Medical Skills Give Me Experience Points-Chapter 44 - 38 Alternative Diagnostic Approach

Deputy Director Han stroked a few strands of gray hair on his forehead, his brows deeply furrowed.

"Based on the current examination results and the patient's symptoms, there are no issues with vital organs such as the heart, liver, and lungs. Liver and cardiovascular diseases can be largely ruled out as anomalies or pathological changes. The head CT scan shows a possible aneurysm near the brainstem. Additionally, intracranial pressure monitoring reveals levels significantly above normal. Therefore, I believe the cause of the patient's fainting lies in the head."

After giving his diagnostic opinion, he seemed somewhat unsure, as if afraid of being contradicted.

His gaze then turned to the brunette attending physician, Doctor Ai, "Because of the special condition of this patient, who is a pregnant woman carrying a child, you have more experience in handling emergency cases for pregnant women. What is your opinion?"

The Emergency Department is a high-intensity work environment.

Most female doctors simply can't withstand it.

Not to mention anything else, just the night shifts every two days are enough to be unbearable for many doctors over 35.

Doctor Ai, possessing a wealth of comprehensive diagnostic experience and being a rare female doctor in the backward Emergency Department, is as precious as a treasure.

"There's no risk of diseases like uterine fibroids, bleeding, or placenta previa in the pregnant woman, and I also lean toward the diagnosis that the cause of syncope is in the head. Her blood pressure is so high, like a powder keg that could be ignited at any moment; we need to find a way to get it down quickly. Also, the fetal heart rate has dropped from 116 to 105 within the short span of a few minutes since she's been admitted, which is extremely dangerous."

She used the word "extremely" twice to alert everyone that the fetus's situation was even more critical than the adult's.

Several senior doctors felt disheartened, and their expressions turned even more grave.

Specialization is key.

Deputy Director Han had diagnosed the general area of the pregnant woman's pathology, but Doctor Ai discovered that the fetus was in great danger.

That's why, when faced with patients with complex conditions, it is necessary for doctors from multiple departments to perform a joint consultation. Each person has different strengths; by combining them, they can complement each other and prevent major oversights.

Just then, Director Lou's phone rang.

Being interrupted by a phone call at this time, he showed a hint of impatience, took out his phone to take a look, and then his expression changed dramatically.

His demeanor became extremely respectful.

He quickly swiped the screen to answer the call, standing up straight.

From his reaction, one could guess that it certainly must have been a leader or an important figure calling.

"Dean Zhu, hello, this is Lou Jingshan from the Emergency Department. Please instruct."

"Understood, we will do our utmost to save her."

"Currently, the cause is not clear and has only been preliminarily identified as a possible issue with intracranial vessels. The fetal heart rate of the pregnant woman's baby has already fallen below 110, which is quite dangerous."

Director Lou gave a brief report of the situation to Dean Zhu.

In our country, the normal range for fetal heart rate is between 120-160. A fetal heart rate below 110 is already quite serious.

"Understood!"

After the brief call, Director Lou put his phone back into his pocket.

"This pregnant woman's status is no small matter; Dean Zhu has ordered us to spare no cost or effort in the rescue. Internal Medicine, Neurosurgery, Obstetrics, and other departments will soon send people over for support. Everyone, our Emergency Department has always been looked down upon by other departments; let's all put in extra effort to find the cause of the illness before the other departments arrive. Otherwise, we'll once again be subjected to their ridicule."

Just what kind of background does this patient have?

She was even able to have Dean Zhu mobilize doctors from three of the most elite departments to come to her aid.

Director Lou picked up the patient's file and looked through it again.

"Go and urge the laboratory again. Blood test results are also a very important reference."

"Okay."

Ye Tingting ran off to expedite the blood test results.

Patients who get personal attention from Dean Zhu are either rich or of high status.

This kind of wealth doesn't refer to owning tens of millions or hundreds of millions, but immense wealth. Ordinary millionaires or billionaires seeking treatment at Tuya Hospital wouldn't even disturb someone of Dean Zhu's caliber, not to mention getting a department chair to engage with them.

Usually, individuals with a net worth in the billions would have a certain influence in both political and business circles.

It's quite normal to know a few powerful officials.

The background of this pregnant woman is much more significant than that of a billionaire.

Who would dare to neglect her?

The senior doctors started working at full capacity, wishing they could cure her immediately and earn significant credit.

This is a good opportunity to gain both fame and fortune.

Zhou Can, on the other hand, didn't care about credit, nor did he think about sucking up to anyone.

He was obsessively determined to earn those few points of diagnostic experience.

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Following Dr. Xu in the Emergency Department's operating room the past couple of days, his surgical experience points soared.

But opportunities to earn diagnostic experience points were exceedingly rare.

Because Dr. Xu neither held consultations nor was he anywhere else but the resuscitation room or the operating room.

Zhou Can's gaze fell upon the pregnant woman, whose highly raised belly indicated that the fetus was receiving quite good nutrition.

He had already gone over the pregnant woman's examination data many times in his mind.

The diagnostic opinions from Director Han and Doctor Ai were as good as saying nothing.

Because the cause of the patient's illness had still not been found.

Zhou Can walked over to the patient's bed and lifted the pregnant woman's shirt to examine her abdomen.

There were many stretch marks already crawling across it.

Their color seemed rather light.

Indicating that these stretch marks had not appeared long ago.

Theoretically, this older pregnant woman should be having her first pregnancy.

At 36 years old, women who married early are nearly grandmothers.

For her to be pregnant with her first child at such an advanced age, there are only two possibilities. The first, she is a public figure, pursuing a career. For instance, a female celebrity, or a high-ranking executive at a large company, and so on.

The second, there are underlying health conditions, precluding pregnancy. Or she had consistently failed to conceive.

Which case it might be, Zhou Can felt it necessary to clearly understand.

The pregnant woman was currently in a comatose state, utterly unable to answer his questions.

He wondered if that elderly lady outside could be her family member?

Zhou Can stared at the woman's face for a moment, feeling that the old lady outside bore a slight resemblance to her.

"Dr. Xu, I'm going to go out and talk to family members to understand the pregnant woman's medical history."

"Go ahead!"

Dr. Xu readily agreed.

"Xiao Zhou has found something again?"

Director Lou remembered that just yesterday, it was Zhou Can who, by questioning a family member, had identified the cause of a child's repeated bouts of shock.

At this moment, with no major progress in the diagnosis, he held an extra measure of hope for this resident doctor who had made significant contributions.

"No, no, I just think it is necessary to supplement the patient's medical history, which can provide more detailed diagnostic grounds for the senior physicians." Zhou Can hurriedly denied.

So many directors and attending physicians hadn't identified the cause, yet he, a resident, should have figured it out with just a few glances.

If that were the case, then he wasn't human; he would be a god.

At best, his diagnostic approach differed slightly from other doctors; he had merely found some clues that other doctors deemed insignificant.

When a pregnant woman faints, no doctor would spend their precious time and energy studying the stretch marks on her belly.

Zhou Can's thought processes were always quite unique.

Stepping outside the resuscitation room, the old lady was still anxiously awaiting the outcome.

"Excuse me, are you Mrs. Cao Qin's relative?"

Zhou Can noticed that the old lady was wearing a very vintage Shanghai brand mechanical women's watch.

From this detail, he could generally deduce that she was a person who cherished the past.

"Mhm, I'm her mother. How is my daughter?"

The old lady took a quick glance at Zhou Can, her attitude quite cold and her presence particularly commanding.

This old lady was definitely not an ordinary person.

"She's still being resuscitated."

Zhou Can used this universal response.

"I saw you doctors outside all huddled around my daughter, various check-ups, discussions, yet no actual lifesaving measures. Tell me the truth, no runaround."

The old lady was not easy to fool.

She was much sharper than the average family member.