When the Doctor Uses A Hack
Chapter 1152 - 1156: Why Bother? (Request for Monthly Ticket)

After speaking, Zhao Danyan quickly asked, "Have you contacted the family?"

The nanny said anxiously, "Doctor, about that... Miss Mi's parents passed away three years ago, and she is now alone in the capital!"

"And when we tried to contact her boyfriend, he said they had broken up and no further contact was necessary!"

Hearing this, both Chen Cang and Zhao Danyan looked at the young girl with additional sympathy.

However, such emergencies are not unprecedented!

Medical Affairs to prepare the records!

Proceed with emergency resuscitation!

At this moment, Xu Ziming said, "Director Hong from the Neurosurgery department has arrived."

As he spoke, a middle-aged man walked in.

Upon seeing Zhao Danyan, he nodded, "Director Zhao, hello, Doctor Chen, hello."

Zhao Danyan nodded back, "Hmm, Dr. Hong! Please assess the patient's condition."

Hong Sheng nodded, examined the medical images, and immediately frowned!

However... the more Hong Sheng reviewed the images, the more troubled he became, and after a moment he finally said,

"Surgery is definitely required!"

"Because the patient's condition is indeed too unique."

"Normally, intracranial hemorrhages require hemostatic medication, but the patient also has deep vein thrombosis, with over 70% blockage in the superior sagittal sinus now, and a hematoma has already formed!"

"At this point, using hemostatic medication not only won't stop the bleeding but will worsen the deep venous sinus thrombosis, worsen the hematoma, and induce significant bleeding!"

"Now, what is the intracranial pressure?"

Zhao Danyan immediately replied, "Half an hour ago, in the ambulance, it was at 400 mmHg! We used mannitol..."

Hearing Zhao Danyan's words, Hong Sheng took a deep breath and pondered.

The entire emergency room fell into tense silence.

With his experience as a senior associate chief physician, Hong Sheng naturally had methods to handle this, but the patient's situation was truly exceptional.

Hearing Hong Sheng's exposition, Zhao Danyan also felt troubled:

"Indeed, if the parietal hematoma continues to increase, it will certainly lead to further cerebral edema, which could induce cerebral herniation at any time, and even... endanger life!"

"Is surgery possible? Director Hong?"

We can't just drag this out in the middle of the night, can we?

Hong Sheng nodded, "It is possible, in fact, surgery is the best approach as the patient's intracranial pressure is due to both bleeding and swelling, with surgery we can extract the blood, but, for this deep venous sinus thrombosis... thrombolysis will definitely induce cerebral hemorrhage, it's better to use Sindou transverse sinus bypass surgery later on!"

After speaking, Hong Sheng said with some difficulty, "But not now, let's reduce the intracranial pressure first."

"Director Zhao, we still need you to design a plan!"

Zhao Danyan took a deep breath, "Alright!"

Just then, the lab results came out!

However, when Chen Cang saw the lab report, he was stunned.

The platelet count was more than double the normal, plasma viscosity was also high, homocysteine 70!

This made Chen Cang furrow his brows.

How could a 24-year-old young lady be in such a hypercoagulable state?

Pregnant?

But the patient said she was not pregnant yesterday!

Not just Chen Cang, but also Zhao Danyan and Hong Sheng thought of this possibility!

So, they quickly arranged for an ultrasound technician to perform a check.

And everyone was relieved by the result.

No pregnancy!

But without any hereditary diseases or any special illnesses, what could induce such a hypercoagulable state?

In such a condition, even if a surgery were performed, it could still potentially induce cerebral thrombosis.

At this moment, Chen Cang suddenly said, "Sister Yang, have the lab urgently check the progesterone and estrogen levels."

Hearing Chen Cang's words, Zhao Danyan and Hong Sheng became somewhat curious.

Why check for these?

The patient isn't pregnant.

With such high coagulation, thrombolytic drugs can now be used.

However, caution still needs to be taken.

After much thinking, Zhao Danyan suddenly said, "Use urokinase for thrombolysis, calcium heparin for anticoagulation, improve circulation, and reduce intracranial pressure!"

"Provide hyperbaric oxygen to promote recovery of neural function and limbs."

"It's best to ensure the surgery is completed this morning!"

Thus, the emergency room's staff once again began their tense and busy work.

The patient's condition must be constantly monitored, with intracranial pressure measured twice overnight.

By 7 o'clock, the intracranial pressure had reached around 200, and most importantly, the patient's overall condition had improved.

If the patient had undergone surgery initially, the existing slowed heart rate and abnormal pulse blood pressure could easily pose problems.

Inside the resuscitation room, several people had fought through the night without closing their eyes.

Fortunately, the patient's condition was progressively improving.

At this moment, Mi Di opened her eyes, looked around at the people, and then suddenly fell silent.

Chen Cang looked at Mi Di and couldn't help but smile.

After examining her, Zhao Danyan noted that Mi Di had improved significantly compared to last night.

At this time, Hong Sheng also breathed a sigh of relief: "Then I'll go up first. If we're considering surgery for the patient... I suggest inviting Director Xue to perform it. The blockage in the superior sagittal sinus is unique, he's very familiar with the cranial anatomy, and he excels in evacuation of subarachnoid hemorrhage without damaging the surrounding tissues, minimizing complications."

At this point, Hong Sheng couldn't help but add, "After all, he studied at Harvard Medical School for two years; his level is quite high!"

Meanwhile, the test results for the hormonal levels came back.

When the results were handed to Chen Cang, he immediately furrowed his brows.

Why are the progesterone levels so high?

Looking at the silent Mi Di, Chen Cang couldn't help but ask, "Have you been taking birth control pills for a long time?"

Mi Di looked at Chen Cang, her eyes pitiful, and tears rolling down her cheeks.

"Yes."

Her voice very soft.

The awakened Mi Di seemed to have gone through a life-and-death experience, feeling absurdly out of place.

All that for a man!

But what was it for in the end?

Zhao Danyan and Xu Ziming, among others, looked at Chen Cang, "What does that mean?"

Chen Cang said, "Birth control pills contain a large amount of progesterone, prolonged use can increase the coagulation components in the blood, making the blood thicker and slowing down the blood flow, potentially causing venous sinus thrombosis!"

"Long-term oral contraceptive users have an eight to ten times higher rate of deep venous sinus thrombosis than those who do not take them!"

Hearing this, Mi Di couldn't stop her tears.

And the people around, seeing this scene, couldn't help but sigh.

Poor girl!

Meanwhile, the nanny Peng Zhen hugged Mi Di, crying out of sympathy, "Poor child, how could she end up with such a scoundrel!"

...

ps: There are five more updates today; ask for monthly tickets!

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