When the Doctor Uses A Hack
Chapter 1146 - 1150: Jiazi Couple

Chen Cang hurriedly asked the nurse to request an urgent consultation and then rushed to the emergency department entrance.

Following behind Chen Cang, Xu Ziming, as the chief of cardiosurgery, naturally had ample emergency experience.

And importantly, his neurology knowledge was also quite sufficient!

After all, his wife was the chief neurologist and the deputy director of neurosurgery at the emergency center, so he learned quite a bit by observation and experience.

Not to mention that in the past, in order to pursue Zhao Danyan, Xu Ziming had prepared extensively, posing as a study enthusiast, and had gained some understanding of neurological diseases.

After getting married, family disputes were also unconventional; whenever he annoyed Zhao Danyan, he would try to write some papers on the nervous system, which surprisingly taught him quite a lot.

Otherwise, he wouldn't have thought of delusional syndromes and other neurological damages just now.

Here, the ambulance came to a stop and the accompanying doctor helped the patient safely to the ground.

Nurse Yang Jie hurried over with a gurney to transfer the patient onto the bed, preparing for resuscitation.

The elderly patient was not unconscious at the moment, merely closing her eyes, clearly agitated and restless, mumbling something, her hands flailing around.

As the gurney was lowered, an elderly woman carefully alighted from the ambulance, her face wrinkled, apparently over eighty years old.

Seeing this, Xu Ziming quickly assisted the old woman, gingerly helping her down.

The attending doctor told Chen Cang, "The patient fell three hours ago, has slurred speech, right side limb numbness and weakness, and a crooked mouth…"

Chen Cang's expression changed immediately: "Did she fall first and then show these symptoms, or did the symptoms appear first and then she fell?"

The doctor shook his head: "The old lady herself is not sure."

These words escalated the risk factors for the patient significantly.

The old lady came over, her face full of concern, and said, "It seems her legs became weak first, then she fell."

Seeing this, Chen Cang said to Yang Jie, "Take the patient for a revealing CT scan first to see if there's any cerebral hemorrhage?"

For neurological examinations, if within a certain time window, to determine whether a patient has cerebral hemorrhage, a cranial CT is necessary because the bleeding within a period of time can be more accurately seen by CT than MRI.

So now, many patients when hospitalized, many doctors always ask to do a CT first to rule out cerebral hemorrhage before conducting an MRI because MRI is more accurate in detecting cerebral infarctions.

Cerebral hemorrhage and cerebral infarction are both referred to as strokes, but their mechanisms of occurrence and treatment methods are fundamentally different.

One requires hemostasis due to ruptured cerebral vessels, while the other, a cerebral infarction, requires thrombolysis and blood circulation restoration.

If treatments are mistaken, performing circulation enhancement on a bleeding condition could lead to severe consequences.

Although the mortality rate for strokes is not high, if you reverse the treatment plan, it could lead to paralysis if not death.

Thus, for suspected stroke patients, a rapid diagnosis should be made to complete a cranial CT and other basic evaluations within 60 minutes of reaching the emergency room and make a treatment decision.

After Chen Cang urgently called the radiology department, he instructed that if there's no bleeding, to refine the MRI examination.

The old lady, although appearing very worried, calmly opened a cloth bag and slowly took out a stack of hospital records.

"Doctor, these are his hospital records from 2015, from 2018, from 2019..."

After Chen Cang opened the records and saw the well-organized information inside, he instantly felt relieved.

Having these documents indeed saved a lot of trouble.

Hospital records are the most comprehensive, and having several sets of records allows a relatively complete assessment of the patient's disease progression.

The old lady stood by, not disturbing Chen Cang, but the look of worry remained etched on her face.

His partner's cerebral infarction wasn't just a matter of one or two days, and for the 82-year-old, every visit to the hospital was a severe test.

Moreover, this time it was an emergency.

Chen Cang couldn't help asking, "Auntie, how long has it been since the onset of the symptoms?"

The elderly lady pondered for a moment, looked at the rather historical-looking watch on her wrist, and said confidently: "Less than 1 hour, to be precise, it's been 50 minutes."

Upon hearing this, Chen Cang's eyes lit up, knowing that for a cerebral infarction, the shorter the time, the better the treatment outcome.

While Chen Cang was collecting the case history, the elderly lady was able to recount everything accurately, having a thorough understanding of the old man's condition.

What medications he takes daily, how much, his blood pressure in the morning and afternoon, and how his recent blood sugar control was...

This made Xu Ziming, who was standing by, couldn't help but say, "Auntie, you really know a lot, even more meticulous than the nurses in the monitoring room."

The old lady chuckled and sighed, "At our age, looking after him is like looking after myself. Growing old, I am afraid of being alone. Having him by my side, even if he just lies there without speaking, I feel at peace!"

"We got married at 16, and now we are both 82, it's been more than a cycle of sixty years. If I were to lose him, I probably wouldn't live much longer."

When the old lady spoke, there was a cultured feel in her words.

Her eyes were clear yet resolute.

Xu Ziming was inexplicably struck by her words.

The old lady looked at them and slowly said, "Doctor, I'll speak from the heart, please make him comfortable. If it really comes to an end, seeing him suffer pains me, I'd rather he passed away peacefully."

"He was a capable man, lived a vigorous life, and has a very strong self-respect. He used to tell me, if he became despised in his old age, he'd rather have a peaceful departure."

"Don't worry, dear, we will do our best!"

Hearing this, Chen Cang and Xu Ziming were startled, then turned around to find Zhao Danyan, Xu Ziming's wife.

Unbeknownst to them, she had come down!

And they didn't know how long she had been there.

What puzzled Xu Ziming even more was seeing his wife at the hospital.

Chen Cang turned around, smiled and said, "Sister-in-law, you're here."

Xu Ziming wanted to say something, but Zhao Danyan did not look pleased.

Zhao Danyan nodded, "Hmm, show me the patient's medical record."

Chen Cang quickly nodded.

Compared to Zhao Danyan, he felt much more amateurish, especially since it was a neurological disease, Zhao Danyan would handle it more effectively.

Chen Cang nodded, hurriedly handed over the information he had collected and the patient's medical record.

Xu Ziming wanted to say something, but could only sigh.

He really didn't know how to explain this situation.

He simply stood aside.

Seeing that Zhao Danyan was ignoring Xu Ziming, and Xu Ziming was not initiating conversation but just standing aside, Chen Cang couldn't help but smile bitterly.

This misunderstanding was really troublesome.

After all, Mi Di was not here, and the situation was hard to clarify without her.