I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 162 A Real Family History of Illness, The Anesthesiologist's Nightmare, The Perfect Host's Double Test!

[Training space simulation assessment.]

[Ding! Host, would you like to open the system's large-scale real-world simulation training space? Details of this assessment require entering the training space, and there is a minimum ten-minute countdown.]

【whether. 】

Because of the extensive searching, it was already 9 PM before I knew it.

After replying to some messages from Song Wanqing, Zhang Lingchuan re-entered the system's resident physician assessment space.

The process of getting the injured person to the Nongjiyuan residential area on Xidajie Street and bringing them back to the hospital was basically the same as before. Qi Yuqin, the injured person, only woke up when they were about to arrive at the hospital, and then she groggily touched her daughter's hand.

Generally speaking, traumatic coma is indeed difficult to awaken.

Unless he's given a forced awakening drug like meclofenac hydrochloride, but he doesn't think it's necessary.

The other person regained consciousness after undergoing a CT scan at the hospital.

Next to the bed in the emergency department.

"Okay, okay, Mom will be more careful next time. After we're discharged from the hospital, we'll take Yueyue to MixC and have some delicious food."

Lying on the hospital bed, Qi Yuqin gently stroked her daughter's hair, looking at her with a face full of love.

"Yes, Grandma Wang wants to go too."

Wearing a pink dress, Yueyue, with her round little face, was very well-behaved. After nodding, she looked at Grandma Wang next to her.

"Haha, this old lady won't join in the fun. Little Yueyue can go with her mother."

When Aunt Wang heard Yueyue mention her, she couldn't stop smiling.

What a sensible child.

“Aunt Wang, I’m awake now. I’ve really taken up too much of your time today. Why don’t you go back and rest? I’m so grateful to you for this.”

Qi Yuqin thanked Aunt Wang next door, not expecting that she would faint from the fall.

If it weren't for Aunt Wang, I don't know what would have happened to me today.

I've troubled her for too long. Actually, now that I'm awake, I can let her go back.

"No need to thank me. Didn't Yueyue's grandfather take good care of me back then? It's normal for neighbors to help each other. Besides, if I go back now and you have surgery soon, what will happen to Yueyue? She'll be waiting for you outside alone. If she encounters something malicious, that would be terrible. I'll wait here until your mother arrives."

Aunt Wang began to speak in a reasonable and well-founded manner.

After all, we are all residents of the Agricultural Machinery Bureau.

It's only right that we help each other out when needed.

"Then I'll trouble you a little longer, Aunt Wang. My mom just answered the phone. If we hurry, it should take about three hours to get there."

It's 2 PM now. Qi Yuqin called her mother earlier but got no response.

Fortunately, I just got through and told the other party what happened.

Unfortunately, my hometown is in another city, and my mother would arrive by bus around 5 or 6 pm.

"It's okay, it's just three or four hours. I sit at home or in the hospital, it's the same thing."

Aunt Wang smiled and began to speak.

She is 56 years old and retired, so she has plenty of time.

"Oh, Dr. Zhang, you're here!"

As the two were talking, Zhang Lingchuan walked to the bedside.

"Uncle Zhang~"

Yueyue greeted him as well.

"Yueyue is so good."

Zhang Lingchuan patted the other's head.

"Dr. Zhang, when is Yuqin's surgery scheduled?"

Aunt Wang asked curiously.

"Ms. Qi Yuqin's minimally invasive surgery is scheduled for 4:30 pm. Ms. Qi, have you been able to reach your family by phone yet?"

Although my phone was unlocked when I was admitted to the hospital, I don't know if it was because I was taking a nap or eating lunch and didn't take my phone with me, so I couldn't make the call.

Zhang Lingchuan then asked Qi Yuqin if she had gotten through to the phone at home.

"Dr. Zhang, I just got through on the phone. The child's maternal grandmother is on her way from her hometown, but she won't arrive until around 5 or 6 p.m. at the earliest."

Qi Yuqin answered at this moment.

She had a very good impression of this Dr. Zhang.

My daughter too.

Because the other party treated her broken hand on the spot, the doctor in charge said that his skills were very good.

"Okay, okay, it's good that you can come. Next, Ms. Qi, in order to ensure that the surgery can proceed smoothly, I need to ask you some questions. You must answer me truthfully."

Zhang Lingchuan looked at Qi Yuqin intently.

"Dr. Zhang, go ahead and ask. I certainly wouldn't joke about my own life."

Qi Yuqin nodded.

"I feel that this young doctor is really responsible. When I called, she asked me all sorts of questions, and she asked me the same questions in the ambulance and here. Yuqin, it's rare to see such a responsible doctor."

Aunt Wang couldn't help but sigh.

The hospitals are all very busy.

It's really rare to see a doctor who is so patient and attentive to a patient.

If Yuqin and the others hadn't genuinely not known this Dr. Zhang, she would have almost thought he was their relative.

"That's to be expected, after all, so that the surgery can proceed smoothly. Ms. Qi, have you never had any surgery with anesthesia before? I mean, surgery with general anesthesia, or even a gastroscopy."

Zhang Lingchuan asked him questions.

Anesthesia, general anesthesia—that's the approach he chose.

"No, I've never had a gastroscopy. The only thing I did was tear during childbirth and I was given anesthesia."

Qi Yuqin shook her head. She had never had any major surgery, let alone a gastroscopy.

The only thing I had was stitches when I gave birth.

They must have been given anesthesia at the time.

"Okay, Ms. Qi, may I ask about your family composition?"

This means that the other party did not undergo general anesthesia. Zhang Lingchuan decided to look for clues from the other party's family members to verify his deduction.

Because these patients often have a family history of genetic abnormalities, which are related to gene mutations and are hereditary.

In short, if there is a similar illness in a family, then the children are high-risk carriers.

"My family used to be a family of four: me, my mom, my dad, and my brother. But now only my mom and I are still alive. My brother died in an accidental drowning when he was a child, and my dad died in the hospital more than ten years ago due to late-stage brain tumor."

Qi Yuqin said with some helplessness that she is now her only daughter.

There was an older brother back then.

Unfortunately, he drowned while catching fish.

That was all twenty or thirty years ago.

Because her brother was eight years old and she was three at the time, she is now thirty-three years old.

The other one is her father.

He also passed away from a brain tumor when he was in high school.

"Late-stage brain tumor, died in the hospital? Ms. Qi, can you recall the circumstances? Because this is part of your family medical history, I need to record it in detail!"

Upon hearing that the other party's father had died in the hospital from a brain tumor, Zhang Lingchuan's eyes lit up instantly.

His intuition told him that this must be an extremely crucial piece of information.

Because he knew it wasn't enough.

He had to persuade the hospital.

"Well... it was about fifteen or sixteen years ago. I was in high school at the time. My dad had a late-stage brain tumor and was in a lot of pain. He didn't have much time left. The doctor said that surgery could prolong his life a little. Our family wasn't rich, but we had some savings because we ran a small clothing store on the main street in our village. So we discussed it and decided to take out the money and try our best to keep him alive a little longer. But we didn't expect that when he was taken into the operating room, they said something had happened. Then I saw a lot of doctors rushing in. In the end, my dad passed away that day. He didn't even have time to go back to the village."

Qi Yuqin reminisced about what happened back then.

Their hometown is in a relatively remote town, and each town has its own small market area.

Their family happens to live in this area, which is known as the street.

My parents sell clothes on this street.

Back when Taobao and online shopping hadn't existed yet, their business was booming, and many people would go to the town streets to buy clothes during the Spring Festival.

So their family was considered quite well-off for that era.

But then times changed. People found it easier to buy clothes and transportation became more convenient, so shops in the countryside basically had no business.

However, her mother had been running a clothing store for many years and had a skill in altering clothes. So now that she couldn't sell clothes, she would do odd jobs like altering trouser hems and replacing zippers to make ends meet.

This is why the other person was unwilling to come and live in the city when she asked them to.

Because she knew everyone in the countryside.

They also have their own small shop.

When she arrived in the city, she felt like a fool.

Out of place.

This is actually a normal phenomenon among the older generation.

Life in the countryside is too drastically different from life in the city. My mother has acquaintances back in our hometown, and the neighbors can all help out.

I didn't know a single person in the city.

After thinking about it, I realized that my father wasn't around, so it wouldn't be bad to have the neighbors' uncles, aunts, and sisters-in-law keep me company.

She didn't insist that the other party come to live in the city.

"So, your father suddenly encountered an accident during the surgery. What was the specific cause of death? Does the hospital have a relevant investigation report?"

Zhang Lingchuan was overjoyed.

The feeling of uncovering the truth layer by layer gave him a strange sense of excitement.

"I don't know that. Maybe it was a terminal brain tumor with his life hanging by a thread, and since things weren't as standardized back then, there wasn't much accountability investigation."

Qi Yuqin shook her head.

In any case, she didn't recall any investigation report.

When my father passed away, we brought him home and held the funeral.

"I see. Do you remember the scene when Ms. Qi was being resuscitated? Did the doctor say anything about the patient suddenly having a fever, high temperature, or convulsions...?"

The lack of relevant reports is problematic.

"Let me think... it seems, it seems there really was something said that my dad suddenly developed a fever..."

Qi Yuqin is trying hard to recall the scene from back then.

Before we knew it, it was 2:40.

"Okay, okay, thank you for your cooperation, Ms. Qi. I'll be going now."

After a period of detailed questioning, Zhang Lingchuan left the hospital bed, thinking he should know the answer.

It's really a roundabout way of things.

So this is where the system's assessment was supposed to be!
The injured person they treated turned out to be suffering from an extremely rare familial hereditary skeletal muscle abnormality with hypermetabolic muscle disease.

This disease is related to congenital genes and is generally asymptomatic. Inhalation of anesthetics and muscle relaxants may trigger it.

Honestly, who the hell could answer these kinds of questions correctly?

Even the most accomplished professors would be caught off guard and suffer setbacks.

Looks like I'll have to go to the office first.

Try contacting Dr. Wu Xiang, the deputy director of the emergency department, and ask him not to rush into surgery, but to take basic precautions first.

He felt this should be the system's second assessment point.

In addition to observation skills and technical skills, communication skills are also assessed.

In short, just knowing isn't enough; you also need to convince the hospital to prevent this medical malpractice from happening.

Indeed, the title of "perfect" is not easy to obtain.

"Hey, Xiao Chuan, are you still busy with that patient from the agricultural machinery compound we picked up at noon?"

Zhang Lingchuan had just reached the corner when he decided to go find Wu Xiang, the deputy director of the emergency department, hoping to get the other party to take this seriously.

Unexpectedly, they ran into Dr. Fang, who seemed to have just finished his work and asked them questions with a smile.

"Yes, Teacher Fang, did you just get back by car?"

Zhang Lingchuan nodded.

During their time together, he discovered that Dr. Fang had no ill intentions and was actually a very nice person.

Moreover, I have a very good relationship with the other party.

"Yes, we just got back. Our Group A is going to rest for a while. We've already made three or four trips today. Look at Qiao'er, she can't even walk anymore."

Fang Yuan pointed to Yin Qiao'er, who was carrying a medicine box behind him.

It turned out that after the first trip to send the person to the hospital, they went on three more missions in a row. They were busy all noon and were exhausted.

"Dr. Zhang, how is Ms. Qi today?"

Yin Qiao'er waved to Zhang Lingchuan as a greeting, and at the same time inquired about the situation of the woman who had fallen while cleaning earlier that day.

"The situation is okay now, but I've discovered some problems. Teacher Fang and Qiao'er, it's good that you're here, so please help me analyze them."

Zhang Lingchuan chatted with his two teammates who had come to pick up Qi Yuqin. Although he had his own judgment, he needed everyone to trust him.

After all, he was just a junior resident physician with only a basic professional title, so his words carried little weight.

Qiao'er and Teacher Fang, especially Teacher Fang, might be my best help.

After all, the other side is far superior to us mere supplies; they're the real backbone of the emergency department... I mean, the core force!
"Huh? What's going on? Xiaochuan, tell me!"

Fang Yuan, who was about to go to rest, was stunned when he heard this.

"Yes, Dr. Zhang, please speak freely. Leave the analysis to Professor Fang."

Yin Qiao'er also chimed in.

She's a nurse, good at nursing-related work, but she's really not good at analyzing specific medical conditions.

But with Teacher Fang here, there's absolutely no problem!!

"When I was asking the injured Qi Yuqin about her medical history, I inadvertently learned that her father had died on the operating table. According to her, he suddenly had an accident after undergoing general anesthesia, with symptoms such as fever, arrhythmia, and convulsions. I think this information is very important. I originally wanted to go find Director Wu Xiang."

Zhang Lingchuan said to Dr. Fang and Yin Qiao'er.

Finding the cause of the illness is difficult, and convincing the hospital of your judgment is equally challenging.

Fortunately, he had just asked some provocative questions about details, such as whether the doctor had mentioned that the patient suddenly had a fever, arrhythmia, convulsions, etc., in an attempt to jog the patient's memory.

Then he received an answer that he was very satisfied with.

That was during the rescue, she remembered that a doctor said the patient suddenly started to have a fever.

In the end, the fever even led to convulsions.

"There were complications during the general anesthesia? Fever, arrhythmia, convulsions? Malignant hyperthermia?! Which hospital performed the surgery? Do you have any related reports?"

Fang Yuan frowned.

His professional instincts told him that this news was not only crucial, but potentially life-threatening! Because this person could very well be a patient with malignant hyperthermia!!
"There are no relevant reports because the surgery was performed more than ten years ago, and the patient was in the late stage of brain tumor at that time."

Since there is no substantial evidence, only the patient's own verbal description, the best way to get the hospital to take this matter seriously is to have someone support them.

"On the operating table for a late-stage brain tumor... and without a high-explosive one, what do you plan to do, Ogawa?"

Although Dr. Fang's furrowed brows relaxed slightly, he remained serious and asked with a hint of curiosity.

He wanted to know what decision Zhang Lingchuan would make.

“I believe that human life is paramount! Now that we know this news, we absolutely cannot ignore it. We must report it and treat it with the same attitude we would take for malignant high fever. Because if it really is malignant high fever, our hospital can afford it, but their family cannot.”

Zhang Lingchuan spoke from the bottom of his heart.

In the event of such a medical malpractice, the hospital can only offer compensation.

But what about their family?
Young Yueyue lost her father, and not long after, she lost her mother; their lives were truly over.

So this time he hopes to complete the task directly, rather than waiting until the fifth or sixth time.

“Yes, our hospital can afford it, but Yueyue can’t. Xiaochuan, what you said makes a lot of sense. Qiao’er, go and rest first. I’ll go with him to confirm with the patient and then find Director Wu.”

Zhang Lingchuan was unaware that his words had inexplicably touched Dr. Fang's heart.

Yes, this medical history really resembles malignant hyperthermia, which is also the most difficult to detect, so they must take it seriously.

Otherwise, if danger occurs, they will be unprepared and unable to provide any rescue even if they try.

"Okay, Professor Fang, Dr. Zhang, keep it up! Looking forward to your good news!"

Yin Qiao'er nodded.

Malignant hyperthermia—a term that's both unfamiliar and familiar.

Known as an anesthesiologist's nightmare, she now only hopes it's just a false alarm.

Qi Yuqin's hospital bed.

"Dr. Zhang, Dr. Fang, what's going on here???"

The three people present were all a little stunned.

They didn't expect that after Dr. Zhang left, Dr. Fang would actually come back with the other party.

"Ms. Qi Yuqin, I've come here to ask you about something. Xiao Chuan just found out that your father had brain tumor surgery and something went wrong on the operating table, is that right?"

Fang Yuan asked earnestly.

"Yes, that's exactly what happened back then."

Qi Yuqin nodded.

……

five minutes later.

"Ms. Qi Yuqin, I am Wu Xiang, the deputy director of the emergency department. You must answer me truthfully from what I am about to say, without any mistakes or omissions. Regarding your father's initial resuscitation, are you sure you heard words like fever, high fever, and convulsions?"

Qi Yuqin, who was resting in bed, had no idea.

Another person has arrived.

This time, not only Dr. Zhang and Dr. Fang were brought along, but even the deputy director of the emergency department, a doctor named Wu Xiang, was brought along as well.

What's going on?

What are they all doing?
Why do I keep asking about my father's surgery back then?

Could it be that her father died on the operating table during surgery back then? Surely she can't be the same way this time? There's no evil curse on our family!
……

　5200 words, please vote with monthly tickets and recommendations~
　　
　
(End of this chapter)