My Medical Skills Give Me Experience Points-Chapter 45 - 39 Major Progress

Her daughter is critically ill and it might result in the death of both her and her unborn child. Smiling at this time is highly inappropriate.

It would cause annoyance among the family, making further conversation impossible.

Zhou Can decided to tell the truth straightforwardly.

"Our department's director and attending physician are doing their best to make a diagnosis. However, as your daughter is pregnant, the diagnostic difficulty is significantly higher than usual, and we have only tentatively identified the lesion as potentially being within the cranium. Our Dean Zhu has already personally intervened in this matter, calling in doctors from some of the top departments for support. They should be arriving shortly."

Zhou Can intentionally informed the family that reinforcements were on the way, so they need not worry about the rescue team being understaffed.

This was also a form of reassurance for the family.

The old lady showed no reaction when told about Dean Zhu's personal intervention.

It seemed she had already known about it.

Having heard that the hospital temporarily pulled in doctors from the top departments to help, the old lady's expression eased slightly.

"I'm just a junior doctor. I've come to you not for any other reason but to urgently gather more medical history information to help our doctors quickly and precisely identify the cause of illness based on more data."

Zhou Can's honesty actually satisfied the old lady.

Her attitude towards him thawed somewhat.

"Ask me whatever information you need, young man!"

"Is this your daughter's first pregnancy?"

Zhou Can asked directly.

"Yes," sighed the old lady.

"My daughter has hypertension, and the doctors advised against pregnancy. But she desperately wanted a child. This child means a lot to her and our family. She even told me, 'Mom, the baby in my belly is Haowei's only remaining seed on this earth, it's also a gift from God to him and me. I would risk my life to give birth to this child.'"

Zhou Can, unable to contain his curiosity, asked, "If I may ask, did something happen to your daughter's husband?"

"My son-in-law was a narcotics officer. During an operation, he was stabbed twenty-seven times, his intestines spilling out. Yet, to capture the drug lord, he used his flesh and steel will to firmly pin down the drug lord beneath him. He only closed his eyes forever after his comrades arrived and arrested the drug lord."

As she spoke of her son-in-law's heroic deeds, tears sparkled in the old lady's eyes.

Zhou Can was also deeply moved after listening.

The peace and security of the citizens rest upon the silent guardianship of these heroic warriors.

The pregnant woman's husband had sacrificed his life to protect the people from the scourge of drugs; such a hero truly deserved deep respect and gratitude.

At that moment, a firm thought established itself in his mind.

He must try his utmost to save the pregnant woman and her child.

Because this is the only seed left in the world by a hero.

"When did your daughter start having hypertension?"

He continued to inquire, seeking more information.

"Probably about twenty-one years old. She was overexerting herself in her studies then, not taking care of her diet, which led to the development of hypertension. Her hypertension didn't improve but worsened with increasing stress from studies and work. Sigh, this child is too determined, disregarding her health for the sake of studies and work."

It turns out, the pregnant woman in the emergency room had a history of hypertension for about fifteen years.

This was an extremely important clue.

It could provide guidance for the diagnosis.

"Does your daughter have any other underlying diseases or significant medical history?"

Zhou Can continued to ask cautiously.

"She didn't mention others to me. She occasionally suffers from headaches and fevers, but no serious illnesses have occurred," replied the old lady thoughtfully.

"Thank you for your cooperation. Please take care of yourself; your daughter will need you to look after her later!"

Zhou Can, seeing her advanced age, used psychological suggestion to give the old lady some confidence.

"Okay, thank you!"

The old lady walked over and sat down on the bench opposite the emergency room.

Zhou Can entered the emergency room with the newly gathered medical records.

"Teachers, I've just obtained crucial information from the family. The patient has had a history of hypertension for over fifteen years."

Han Changqing's eyes instantly lit up.

"This information is so timely! The patient has especially high intracranial pressure and a long history of hypertension; it might very well be hypertension-related brain disease," Han Changqing said excitedly.

Director Lou, seeing significant progress in the diagnosis, was also very pleased.

He looked at Zhou Can approvingly.

This young man has made a contribution again.

It seems necessary in the future to communicate more with the family, rather than just focusing on intensive rescue.

Emergency Department admits critically ill patients, and due to the urgency of saving lives, communication with family members is often overlooked.

Moreover, at this time, family members worry about the safety of their loved ones, and emotions are often very agitated. If the doctors do not rush to save lives but instead ask them various questions, they feel misunderstood and may even erupt in anger.

This greatly increases the risk of conflicts between doctors and patients.

Doctors fear being assaulted, often adhering to the principle of "less is more".

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During the reception of the patient, they only ask a few simple questions.

Han Changqing has already begun to investigate hypertension cerebrovascular disease.

However, Zhou Can stared at the patient and re-evaluated him.

He always felt that the patient did not seem to have hypertension cerebrovascular disease because the early symptoms are headaches at the back of the head, not sudden consciousness disturbances leading to coma.

Deputy Director Han, eager to diagnose before doctors from other departments arrive, wishes to gain respect and mark a significant achievement. This impatient and profit-driven mindset is actually very harmful.

It easily leads to misdiagnoses.

Zhou Can felt that he was forcibly fitting the diagnosis of hypertension cerebrovascular disease onto the patient.

"Over fifteen years of hypertension history, pregnant for six months, elderly pregnant woman, fainting, consciousness disturbances, continuous decrease in fetal heart rate..."

Zhou Can linked these symptoms, medical history, and examination results.

After deep contemplation, he still gained no new insights.

He couldn't help but adjust his thinking again; the patient was highly educated and certainly understood some medical knowledge.

She must know that hypertension during pregnancy is very dangerous. Being pregnant for nearly six months and nothing untoward happening indicates she controlled her blood pressure very well.

What exactly caused her blood pressure to suddenly rise?

Vaguely, Zhou Can seemed to grasp the key issue.

His gaze swept over the pregnant woman again.

From the moment he entered the resuscitation room, he always felt there was something slightly off about the pregnant woman's face.

Was it due to cyanosis of the lips?

Probably not.

He moved closer to the pregnant woman's face for a closer examination.

Since he had recently made a minor achievement, nobody shooed him away.

"Xiao Zhou, learn something. Diagnosing hypertension cerebrovascular disease is not as straightforward as it is explained in books," Han Changqing still thought Zhou Can came over to learn how he diagnosed hypertension cerebrovascular disease.

"Okay!"

Zhou Can verbally agreed, but his eyes did not even glance at Han Changqing's diagnostic methods.

When his gaze landed on the patient's eyebrows, he finally understood why the pregnant woman's face looked somewhat odd.

It turned out her eyebrows were not well drawn.

The drawn lines were quite beautiful, at least showing that she had good drawing skills.

However, the heads of the eyebrows were unevenly drawn, and the tails were somewhat crooked.

Logically, this kind of basic mistake should not have happened.

Zhou Can recalled a description from a medical book, "Hypertension during pregnancy is a systemic disease which can lead to ocular fundus changes, unclear vision, and even blindness in the pregnant woman."

The pregnant woman was a particularly independent and strong-willed woman; she was preparing to visit her parents and would definitely put on beautiful makeup before stepping out.

If she noticed that her eyebrows were uneven, she would definitely redraw them.

But she did not.

There was only one possibility; she did not realize the tails of her eyebrows were incorrectly drawn. This indicates her vision was already impaired before she left the house.

Perhaps the severity was not particularly serious, so she did not pay attention to it.

[Diagnostic Experience Points +0.2.]

The sudden increase of 0.2 experience points further validated Zhou Can's diagnosis as correct.

Normally, diagnosing a patient could increase experience points by 1.

This situation had also occurred once when he followed Dr. Hee from General Surgery. At that time, the patient had multiple diseases, and Zhou Can only diagnosed one.

Therefore, he only gained partial experience points.

Now that only 0.2 experience points were added, it indicated that there were still undiagnosed diseases in the pregnant woman.

Despite this, Zhou Can still felt greatly encouraged.

Diagnosing such difficult cases tremendously benefits his diagnostic skills.

Every day dealing with minor ailments like colds and fevers, one could spend a lifetime in practice and still remain mediocre.

Only by continuously challenging such difficult case diagnoses can one rapidly improve.