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

Chapter 167 I'm numb, on the verge of death, are you trying to kill me?!
"No rush for the surgery, Lao Luo. Let's follow the standard procedure, after all, we're recording a demonstration lesson here."

At that moment, Dr. Fang Yuan smiled and said...

The hospital often records surgical procedures and then shows them to the students.

For example, the hospital plans to use today's minimally invasive cerebral aneurysm surgery as a demonstration lesson.

The main reason is that he has performed many similar surgeries, so he is considered a veteran.

"Haha, that's true. Let me be more specific, Ms. Qi Yu. What I'm going to give you now is oxygen. It will make you feel more comfortable. Then, just like I told you, I'll give you medication via IV drip until you slowly fall asleep, and then use gas anesthesia to maintain your sleep. After you wake up, start taking deep breaths and don't move around. Remember what I told you, okay?"

Dr. Luo was holding a mask and looking at Qi Yu.

And then he spoke in a very formal manner.

"Ah."

Qi Yu nodded.

"Now, slowly begin to inhale."

The anesthetic was administered via intravenous drip.

What we are giving the other person now is oxygen.

This can make the patient a little more comfortable.

Qi Yu quickly began to inhale.

[Ding! System detected that the host intends to scan a patient with a red tag. System-assisted scanning is in progress...]

[Accurate detection...0 tests remaining.]

[Routine testing...0 tests remaining for the day.]

[Should I spend 1000 medical points to redeem a precision scan?]

[Medical Points: 3198]

Meanwhile, Zhang Lingchuan seemed somewhat dazed.

I'm pondering a very serious question: if it really was malignant hyperthermia, why wasn't it detected in the scan just now?!

So he decided to find out for himself.

Let's see what the system can detect this time.

Soon, a prompt popped up on the system interface.

Indeed, he no longer has either the precise scan or the daily complimentary regular scan.

However, I still have points; 1,000 points can be redeemed for one precise scan.

"exchange!"

Therefore, Zhang Lingchuan did not hesitate to choose to exchange without hesitation. After all, what are these points compared to human life?

[Ding! Congratulations, host, you have successfully redeemed one accurate scan.]

[Initiating precise detection, please wait...]

The scan and redemption were completed quickly.

The precise scan was initiated, and Zhang Lingchuan anxiously awaited the results.

And this moment.

"The surgery we are going to perform today is a minimally invasive surgery for a ruptured cerebral aneurysm. The surgery is expected to take two and a half hours and will begin soon."

Dr. Fang's voice rang out.

At this moment, the anesthesia was switched to inhalation, with a tube inserted into the mouth, and the bellows of the anesthesia machine moving up and down.

"Xiao Chuan?"

Suddenly, Dr. Fang gently touched Zhang Lingchuan.

"Huh? What's wrong, Teacher Fang?"

The main issue was that the system's reversal was affecting his mood, and Zhang Lingchuan looked at Dr. Fang with a bewildered expression.

"When Lao Luo was talking to you, you just stood there dumbfounded and didn't even reply. How come you've never seen Lao Luo's technique so professional? Even if you haven't seen it much, you should at least say something. You made Lao Luo feel really awkward."

Fang Yuan then chuckled and joked.

However, everyone around could hear it, including Yin Xiaoxiao.

Teacher Fang is trying to help Dr. Xiao Chuan out of a tight spot.

After all, it seemed that the other person had been acting strangely ever since Teacher Luo applied the anesthetic, as if they were a beat slower than usual.

"Old Fang, what are you saying? It makes me sound like I'm petty. But Xiao Chuan, is this your first time participating in a general anesthesia surgery? You do look a bit like we did back then, staring blankly at a patient."

At this moment, the anesthesiologist, Dr. Luo, spoke with a half-smile.

"Teacher Fang, Teacher Luo, I'm really sorry, this is my first time participating in a general anesthesia surgery, and I was a little stunned."

How could Zhang Lingchuan not understand that Dr. Fang was trying to help him out of a difficult situation?

If you don't say something openly, it's easy for someone to hold a grudge behind your back.

But if you say it outright, it's easy for it to become a topic of discussion.

That's why the other party specifically requested Dr. Luo, to bring up the matter in a joking manner.

At the same time, I reminded myself to find a reason to let the matter drop so as not to leave a bad impression later.

No wonder the teacher's wife felt completely at ease letting him come over after hearing that it was Dr. Fang who would be performing the surgery.

There's really nothing wrong with that person's character.

They are also willing to bring people along.

He should be a slightly tactful and easygoing person.

However, it is still unknown whether it is malignant hyperthermia.

If so, the inhaled anesthetic must be stopped immediately and emergency treatment should be initiated.

As for your question about whether it's okay for him to just shout "malignant high fever"...

It's okay.

But it's not confirmed yet, what if it isn't?
So he had to wait for the system scan results before he dared to take a gamble. Unfortunately, the patient was asleep again. If he were awake, he could have asked about the family medical history!

"No wonder you were so engrossed in watching. Come on, everyone, get into position. We're about to begin. Xiao Chuan, you stay next to me."

Upon hearing this, Dr. Fang smiled.

"Good~"

Everyone nodded.

Finally, the scan results came back.

System scan complete.

Patient's name: Qi Yu.

[Patient's gender: Female.]

[Patient's age: 32 years old.]

[Patient's condition: Headache, dizziness, inability to move left hand, poor mental state and somewhat confused, with signs of fever.]

[Patient Diagnosis: Fractured left hand, cerebral hemorrhage, ruptured cerebral aneurysm, malignant hyperthermia; without intervention, life expectancy is less than one week.]

[System Notification: This patient accidentally fell from a chair while cleaning at home this afternoon, hitting their head on the ground and remaining unconscious for approximately 30 minutes. The injury resulted in a fractured left hand, minor cerebral hemorrhage, mild concussion, and a ruptured aneurysm. Anesthesia was administered during surgery, causing the body to develop a strong reaction. It is estimated that within two minutes, the following will occur: 1. Unexplained tachycardia; 2. Unexplained significant increase in end-tidal CO2; 3. Increased respiratory rate; 4. Muscle rigidity; 5. Rapid increase in body temperature. Within five minutes, the body temperature will rise far beyond normal levels, followed by dark brown urine, rhabdomyolysis, arrhythmia, bleeding, convulsions, and ultimately death. Host, please report this immediately and initiate emergency treatment for malignant hyperthermia. Successful resuscitation will result in a reward package from the system!]

A very long system message!!

Zhang Lingchuan carefully read each and every message.

The person went numb in the next instant!
Why wasn't it showing up just now? This is ridiculous!
You should know that the anesthetic has already entered the body.

Damn it!!

[Friendly reminder: Malignant hyperthermia is caused by mutations or defects in certain human genes. Current systems do not have the ability to provide early warning of related gene defects or mutations; they can only be detected when these defects or mutations are triggered by certain factors and cause abnormalities.]

Almost at the same time, another notification popped up in front of me.

It turned out to be an explanation for something that hadn't been scanned before.

Okay, so it turns out it was due to limited ability.

"Teacher Fang, please stop for a moment. I've noticed that this patient is acting a little strange after the anesthesia was administered."

Zhang Lingchuan was on tenterhooks. After all, it had been confirmed that this was malignant hyperthermia, but how could he get everyone to cooperate in saving the person?!
Should we really shout "malignant high fever"?
It was too abrupt.

The other party might not believe it.

"Huh? Something's not right? Xiaochuan, what's wrong after the anesthesia?"

Upon hearing the key word "anesthesia," Dr. Luo's expression immediately turned somewhat puzzled as he inquired, since this was something he was responsible for.

"Yes, Xiao Chuan, Lao Luo is a veteran attending anesthesiologist who is preparing to be promoted to associate chief physician this year. There will definitely be no problem with anesthesia, and the patient's electrocardiogram, blood oxygen, blood pressure and other aspects are all fine."

Dr. Fang quickly added.

After all, this is no small matter; it's questioning an anesthesiologist.

The person that Vice President Huang recommended this time seems a bit simple-minded.

This is difficult.

"Teacher Luo is definitely fine; it must be the patient's own problem."

Zhang Lingchuan said.

His mind is racing right now.

"Huh? The patient's own problem??"

Dr. Fang and the two men exchanged glances.

He looked a little bewildered. He also checked the ECG monitor, but didn't find anything wrong.

Yin Xiaoxiao was also stunned at this moment. What was Dr. Xiaochuan doing?

"Huh! Looks like I've arrived just in time. What patient's problem, Ogawa?"

Just then, the operating room doors opened.

Huang Xiangning walked in.

The hat and other protective gear were already on, and Yin Xiaoxiao helped the other person put on a sterile gown on the spot.

She asked him with a hint of curiosity.

“Teacher Huang, look, the operating room is so cold, but since the anesthesia was administered, the patient’s body temperature has remained at 36.5 degrees Celsius, which is extremely abnormal.”

Zhang Lingchuan stroked the patient's hand and began to speak.

He needed to find evidence to prove his point.

His previous experience told him that...

Body temperature and heart rate are external manifestations of malignant hyperthermia.

But now the patient's temperature is actually starting to rise.

It just hasn't manifested itself yet.

Because, under normal circumstances, a patient's body temperature drops during surgery.

But the other party strangely maintained a temperature of 36.5 degrees.

"This body temperature is definitely a bit off. Could it be that the temperature reading wasn't set up correctly?"

After being reminded, Dr. Luo noticed something slightly off and immediately asked one of his assistants about it.

When a patient is receiving an IV drip, their body temperature should normally decrease.

"Teacher Luo, your mouth temperature should be fine, right?"

"That's what the assistant replied."

"Look! It's gone up! 36.6 degrees!!"

Right now.

My body temperature has started to rise.

Zhang Lingchuan immediately pointed to the temperature check and said.

"Xiao Luo, stop the anesthesia first."

Huang Xiangning immediately said that she would definitely not believe it if someone else had said it.

But Ogawa is a very special person.

According to what she knew, the other party's two patients, one with stomach cancer and the other with choriocarcinoma, had already been diagnosed yesterday.

Is it another pulse check?
She had just noticed that Zhang Lingchuan was touching the wrist of the person being anesthetized.

"Huh? Deputy Huang, we're doing a demonstration lesson here... It's not good to stop now, is it? There are people watching."

Dr. Luo and Dr. Fang were both stunned. What was going on?

Huang actually believed Xiao Chuan and demanded that the anesthesia be stopped.

It's unreasonable.

Huang is a senior professor, and given the other person's personality, he doesn't seem like the type to indulge in the nonsense of some second-generation rich kid.

Hospital teaching and research office.

"This……"

The teacher, who was watching the entire live recording, was also a little confused.

"Teacher Luo! Your temperature has gone up again! It's 36.8 degrees Celsius!!"

At the same time, the assistant checking body temperature spoke like a sharp sword, cleaving through the brief silence.

He looked extremely excited.

"What's going on! Let me check the IV drip and find the cause!"

Luo looked completely bewildered.

The patient's temperature is normal, especially now that the anesthesia has been stopped. Why is the patient's temperature still rising? Could it be an infusion reaction?

"It's alright, let's demonstrate. I believe there must be a reason why Xiaochuan made this judgment. Of course, Xiaochuan, you mustn't embarrass me. You have to give a reason for stopping the anesthesia immediately."

Huang Xiangning looked at Zhang Lingchuan.

She certainly knew this was a demonstration lesson.

Although listening to a student like this might seem like a sign of low intelligence to others, she believed that Xiaochuan would never risk a patient's life!

"Teacher Huang, Teacher Luo, Teacher Fang, I think we should focus on asking about the patient's family medical history, because I suspect it's malignant hyperthermia!!"

Zhang Lingchuan answered quickly, even getting straight to the point!

"Malignant high fever!!!"

In the next instant, everyone present was stunned!

"Xiaochuan, your conclusion is too hasty! It's just a rise in body temperature, how could it be malignant hyperthermia! Many anesthesiologists have never seen anything like it in their entire lives!"

Lao Luo immediately shook his head.

After all, many anesthesiologists have never seen malignant hyperthermia in their entire lives.

If it weren't for saving face...

He really wanted to say, "Is this kid here to cause trouble?"

"Xiao Chuan! How confident are you?!"

But unlike the others who were shocked, Huang Xiangning frowned deeply!

Making the diagnosis of malignant hyperthermia when a patient experiences fever during anesthesia requires an extremely high level of expertise!
But for a veterinarian to say that sounds utterly absurd!
But for some reason, Huang Xiangning felt a strange sense of trust in him, probably because he had always been absurd.

"Teacher Huang, it's at least 80%!"

Zhang Lingchuan was very fortunate that he lacked the ability to persuade others in the real world, because his master's wife believed in him.

Of course, he also knew the consequences of his teacher's wife's actions in accommodating him.

If it weren't for a malignant high fever, the teacher's wife might have been ridiculed, or even had her career stalled.

It's still 80% likely!

Not only Lao Luo, but also Dr. Fang felt this was a bit outrageous.

In particular, their demonstration lesson was broadcast live.

Someone's watching! Look at the mess this has made!

Did Vice President Huang take the wrong medicine today?!

"Classmates, this is a typical case of medical school syndrome. You think you have a disease for whatever you learn, but you usually keep it to yourself. But like your senior, Xiao Chuan, you dare to speak out and even ask to turn off the anesthesia. In particular, the teacher is protective of his students and is willing to believe him. This is really outrageous."

"Although it sounds outrageous, it's actually quite reasonable. After all, many doctors are only responsible for surgery and focus on their own surgical skills. They don't know anything about anesthesia."

And so, a teacher witnessed this absurd scene.

They started commenting directly.

"Wow—"

A burst of noise erupted from the scene.

"Drip-drip-"

The machine made a sound again.

"Your temperature has risen again!!"

Meanwhile, the temperature reading on the monitor has reached 37.1 degrees Celsius!

[T1 "37.1" T2-T1.]

[T1 "37.6" T2-T1.]

[T1 "37.9" T2-T1.]

Almost simultaneously, the readings on the testing machine started jumping again, reaching a rapid 37.9 degrees Celsius within a short period!

"Oh no, a muscle spasm! How could this happen to the patient, Lao Luo? Is there any way to rule it out?!"

Even the patient's muscles experienced spasms!
Dr. Fang looked at Lao Luo!
"ETCO (Terminal Exhaled Carbon Dioxide Partial Pressure) is rising!!"

"My heart rate is also unstable!!"

Next, the entire operating room...

Each sound was like a death knell!

"Fuck!!"

Luo's eyes widened, he was completely stunned, and his breathing became rapid!
"Drip-drip-"

[T1 "38.3" T2-T1.]

At that moment, the patient's temperature also soared to 38.3 degrees Celsius.

The entire operating room fell silent.

No way!
Is this really malignant hyperthermia?!

……

　Yesterday I told a reader who was urging me to update that I would post two chapters today, and I actually did manage to do so. However, just as I was about to write the second chapter, I suddenly realized that the time from the onset of general anesthesia to unconsciousness is only ten seconds, or about three sentences. This means that the entire process of questioning the patient in the first chapter, and then the deduction of malignant hyperthermia, all have to be cut... And then I'm doomed! I have to rewrite the first chapter... and my train of thought has been completely disrupted. The extra chapter I promised to the reader will have to be added tomorrow, since I didn't even write 5,000 words today. Sorry, sorry. o(╥﹏╥)o
　　
　
(End of this chapter)