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

Chapter 168 Holy crap! Holy crap! Emergency rescue at the provincial hospital!! [5000 words, requesting monthly votes]

"Xiao Chuan, you and Xiao Yin should get an arterial blood test. Dr. Luo, who of you took the medical history? Please tell me about it as well."

Just then, Huang Xiangning's voice rang out.

"Okay! I'll go get my arterial blood tested right away!!"

Xiao Yin quickly drew a vial of blood.

Then he and Zhang Lingchuan went out together.

"Dr. Ogawa, you're being too aggressive! What if it's not malignant hyperthermia?!"

The blood sample was sent for testing.

Yin Xiaoxiao's mind was buzzing.

The main thing she noticed was how confident Dr. Ogawa was.

The most outrageous thing is that Director Huang actually believed the other party!
"It's served cold, of course."

Zhang Lingchuan's lips curled up slightly.

If the patient were conscious, he could try to convince others by asking questions, but now that the patient is asleep, and the other party's family consists of only a child and a neighbor, they can't get any information out of him.

Therefore, the most effective way is to perform an arterial blood test.

That's probably why his wife asked him to come along.

“Dr. Xiaochuan, don’t be so casual. That was a demonstration lesson… If it weren’t for the malignant high fever this time, you and Director Huang would be finished, especially Director Huang with so many people watching. But if it were malignant high fever… the patient would be doomed. Our hospital doesn’t have any dantraline. Sigh, a dead end. Neither way is good.”

Yin Xiaoxiao looked a little haggard.

If it weren't for malignant hyperthermia, both Dr. Xiaochuan and Director Huang would be in trouble; but if it were malignant hyperthermia, the patient would be in trouble.

She just didn't quite understand.

Why is Director Huang fooling around with Dr. Xiao Chuan today?

Malignant hyperthermia is extremely rare.

You could say that discovering just one of these could be the subject of a paper.

But the patient is indeed a bit strange.

I have been having a fever for no apparent reason.

Zhang Lingchuan simply smiled and remained silent.

After all, the results aren't out yet.

"The results are in!!"

Just then, the inspector handed over a small note.

"Dr. Ogawa! The partial pressure of carbon dioxide in arterial blood is 75, lactate is close to 10, and the pH is only 7.2!!"

Xiao Yin took the note and immediately panicked.

"Let's go! We need to go back quickly!!"

A glint flashed in Zhang Lingchuan's eyes; he knew that his powerful proof had arrived.

This is clearly lactic acidosis!

Combined with fever, abnormal heart rate, and muscle spasms, and especially if we consider the patient's medical history, it can basically be determined to be malignant hyperthermia!
"it is good!!"

Yin Xiaoxiao also knew that there was no time to lose.

They immediately ran towards the emergency room.

Meanwhile, outside the emergency room...

Zhang Lingchuan saw Dr. Fang and his wife at the door, making a phone call.

"Xiao Chuan, you're back from the tests? How's the situation? The patient is still having unexplained fever, but the family denies any history of malignant hyperthermia."

Seeing Zhang Lingchuan and Yin Xiaoxiao running back, Dr. Fang asked them.

"Deny malignant hyperthermia? Maybe they don't know, Professor Huang, let me ask them!"

Zhang Lingchuan had conducted simulations in the system space.

Their family's case of malignant high fever was quite unique, so asking him himself was more efficient.

"Okay! Xiao Chuan, you ask, and Xiao Yin, you tell us the test results."

Huang Xiangning nodded and then handed the phone directly to Zhang Lingchuan.

"can."

"Teacher Fang, Teacher Huang, the patient has lactic acidosis."

Yin Xiaoxiao began to speak.

"What! Lactic acidosis! But the patient's medical history doesn't show any other illnesses!!"

The next instant, Dr. Fang's eyes widened!

The normal range for ETCO is approximately 35-45 mmHg. A level of 75 is commonly seen in cases of hypoxia, medication use, systemic diseases, and congenital metabolic abnormalities.

There should be no oxygen deficiency or medication use.

Systemic diseases, such as diabetes, leukemia, and liver disease, were not mentioned in the medical history investigation.

Could the patient have a congenital metabolic disorder?
But that's impossible!!
If there were any abnormalities in this area, how could there not have been prior warnings?

"This……"

Huang Xiangning also frowned.

Could it really be malignant hyperthermia? But why is the family completely unaware of this...?

"Hello, this is the Provincial Hospital. The patient is currently experiencing unexplained fever. We would like to inquire whether your family has any family history of hereditary diseases, and whether, as Ms. Qi Yu's parents, you have ever had surgery performed under anesthesia?"

While they were reviewing the test results, Zhang Lingchuan quickly began questioning the patient.

"We...have not had surgery, and we just clearly told Dr. Huang that."

The voice on the other end of the phone was that of a woman in her fifties or sixties, and she spoke with unwavering conviction.

"She hasn't had surgery? What about Ms. Qi Yu's father? He hasn't had surgery either?"

Zhang Lingchuan then offered his advice in a different way.

After all, you can't just ask directly if your spouse is dead.

If someone were truly that wise, they'd easily get hammered to death.

In the system training space, the patient's father had a brain tumor and died on the operating table after surgery. He used this as an argument to persuade Dr. Fang, and the patient was eventually rescued with malignant hyperthermia.

"Old man, I'm looking for you!!"

Suddenly, the older woman on the other end of the phone called out to me.

"Huh? Looking for me? Wait a minute, am I coming over?!"

Judging from the sounds, the elderly couple seemed to be on a rural bus.

They don't seem to be sitting together yet.

"Auntie, is Ms. Qi Yu's father here?"

Zhang Lingchuan appeared calm on the surface.

But that one sound had already caused his cerebellum to atrophy.

It shouldn't be.

Shouldn't this father have died of a brain tumor?!

"Yes, yes, we're on the bus to the station right now. It's a bit crowded, so we're not sitting together. He's coming over to answer the phone now."

At that moment, Qi Yu's mother replied on the other end of the phone.

"Doctor! How is my daughter now? No one in our family has ever had surgery!!"

The voice then changed to a male voice.

The other party's tone was also very anxious.

"Well, Mr. Qi, if neither of you has had surgery, does Ms. Qi have any siblings who have had surgery or been hospitalized for serious reasons?"

Fortunately, I didn't make the stupid mistake of asking the other person's father if he had a brain tumor.

The system had set a trap for him.

The training space is somewhat different from the real world.

For example, in this case, patient Qi Yu's parents are both alive.

My father did not die on the operating table from the brain tumor.

"Surgery... I don't think so. Oh, I remember now, fifteen years ago my eldest son was robbed. When he resisted, they stabbed him in the stomach. He was taken to the hospital, but the rescue failed, and he died on the operating table..."

After Zhang Lingchuan asked this question.

Qi Yu's father thought about it for a moment.

She then began to talk about her eldest son.

"Mr. Qi, do you still remember the scene of the rescue? Was it a sudden danger, and then many doctors rushed in, and at the same time, there were signs of fever?"

However, he didn't see Zhang Lingchuan's eyes light up.

It was my brother who drowned!

He was robbed and stabbed here!

"Oh...it seems that she suddenly developed a fever, and many doctors rushed over to save her, but in the end, the child couldn't be saved. Sigh, doctors, you mustn't let anything happen to Xiaoyu. She's our only child, and her husband has passed away, and her husband's parents are also gone. She's all we have left, and she just turned five yesterday!"

Qi Yu's father spoke with a heavy heart on the other end of the phone.

My daughter has had a hard life.

But the granddaughter suffers even more!

If the mother also passes away, the child will go from being raised in a single-parent family to losing both parents.

"Thank you for your reply, Mr. Qi. We will do our best to treat you!"

At that moment, Zhang Lingchuan spoke earnestly.

He saved Qi Yuqin's life in the system simulation space, so how could he just watch her die in the real world?

"Hiss—, it really is malignant high fever! Xiaochuan, your judgment is very accurate, and the way you asked the questions is even something I should learn! Your thinking is very clear!!!"

Huang Xiangning was in a daze!
Based on the other party's response, the possibility of malignant hyperthermia is very high!

God!

This is a disease that, once it develops, has a 100% mortality rate due to the lack of a cure.

It's hard not to say.

Ogawa's judgment was very accurate.

It was precisely because of the other party that they were able to figure out the cause of the disease so quickly.

At the same time, I just realized that when I was questioning the patient, my questioning method was not as efficient as Xiaochuan's.

He hit the nail on the head!
"ox!!!"

Dr. Fang also looked at Zhang Lingchuan in disbelief.

No wonder Vice President Huang chose to trust the other party; his judgment and ability to communicate with the patient's family are simply outstanding!

Yin Xiaoxiao was also stunned.

Dr. Xiao Chuan obtained the information that Director Huang failed to obtain in less than a minute.

"Teacher Huang, Teacher Fang, I think we must immediately follow the procedures for treating malignant hyperthermia and administer dantrolene promptly!!"

Zhang Lingchuan's expression was serious.

He had actually already trained these skills in the system space. That's why it was easy for him to ask.

Otherwise, they'll just be like headless flies.

I don't know if the provincial hospital has dantrolin.

If we had one, today's task would be much simpler.

If not, then this is really troublesome.

For him, it was a devilish challenge that was even more hellish than the assessment.

"Let's go to the operating room first!!"

Huang Xiangning's heart sank.

"it is good!"

Zhang Lingchuan returned the phone.

"Doctor, is my mom in danger? You'll definitely save her, right?"

Suddenly, a girl wearing a pair of denim overalls looked at Zhang Lingchuan with her big, cute eyes.

He asked in a childish voice.

"Don't worry, little one, we will do our best to save you. Hold onto your mom's phone and wait for our good news."

After returning the phone, Zhang Lingchuan said to the little girl.

I don't know if the other person's name is Yueyue.

But how to say it.

He will definitely do his best this time.

"pat-"

The doors to the operating room corridor were closed.

No one is allowed to enter the surgical area without permission; patients wait on the outermost side.

Qi Yu is currently in the ninth operating room, which is marked as "Operating in Progress".

"Hurry! Hurry to the operating room!!!"

Once you enter this area.

Huang Xiangning's voice became very urgent, and she started to jog along.

Because their hospital didn't have dantrolin at all!
There aren't even any nearby!
She needs to call for backup immediately!
“Pah, pah!!”

The group rushed into the operating room!
"Drip drip!!"

At this moment, the operating room is filled with the beeping of instruments.

"Dr. Luo, how is the patient now?"

Huang Xiangning asked anxiously.

"The situation is not good. The patient's unexplained fever has persisted, and the temperature has now reached 38.5 degrees Celsius, and ventricular fibrillation has occurred! I suspect that we may have encountered malignant hyperthermia!!"

Dr. Luo was now covered in sweat.

Everyone in the operating room was as anxious as ants on a hot plate.

Everyone, take turns performing CPR!!

"We've inquired about the family medical history and confirmed Xiao Chuan's diagnosis: the patient likely has malignant hyperthermia! Dr. Luo, take Xiao Chuan to perform CPR! He's an expert in this area! Quickly! Try to eliminate the ventricular fibrillation! Meanwhile, Dr. Fang and Xiao Yin, go request backup now and find me ice packs and ice blankets; we need to use physical methods to lower the temperature first!!"

Ventricular fibrillation!

It's a matter of life and death!

Huang Xiangning is now extremely grateful that she listened to Xiao Chuan and stopped the anesthesia early!
Otherwise, if the anesthetic continues to enter the body, the patient may not even have a chance to be saved.

"Okay! Xiaochuan, come with me! Prepare to switch people for CPR!!"

Dr. Luo's only thought right now is to save lives.

As an anesthesiologist.

In my entire career, not a single patient has ever died on the anesthesia table due to surgery!

He hopes the same for today!
Although this hope is a little slim.

But this is already the fastest emergency response.

Otherwise, the condition might only be discovered after surgery has begun, at which point it would be too late to reverse the situation.

I must say, the younger generation is truly formidable!
"understand!"

Zhang Lingchuan quickly followed Dr. Luo to the patient's side.

That was incredibly fast!

Unexpectedly, in just a short time, the patient developed ventricular fibrillation.

Meanwhile on the other side.

"Hello! This is Huang Xiangning! We urgently need backup! A patient with malignant hyperthermia has appeared in the operating room, and we must find dantrolene immediately, but our provincial hospital doesn't have it! I need you to get this drug as fast as possible! Hurry!!!"

Huang Xiangning was quickly dialing a phone on a red landline.

The tone was extremely urgent!

Not a moment later.

The sound echoed throughout the emergency room building.

"Emergency surgery in Ward A, patient number 999! Malignant hyperthermia!!"

"Emergency surgery in Ward A, patient number 999! Malignant hyperthermia!!"

In an instant, all the doctors were stunned!

Malignant hyperthermia!!!
Without dantrolene, those are malignant symptoms with a 100% mortality rate.

"quick!!"

In an instant!
Many available medical staff rushed to Zone A.

"Mom, what does 999 mean in cases of malignant high fever? The doctors ran so fast!"

Emergency area.

Some of the children who came for treatment asked questions out of curiosity.

"My dear child, that's the King of Hell coming! The loudspeaker is summoning the doctors to fight him!"

The child's mother gently patted her child's head.

He spoke in a gentle and concerned tone.

"Mother……"

Outside the operating room.

Watching wave after wave of doctors rush in.

The little girl in jeans was calling out for her mother.

"Grandma Wang, my mom will definitely be alright, right?"

Then his eyes turned to look at Grandma Wang next to him.

These are their neighbors across the hall.

"Yueyue, be good. With so many doctors helping, your mom will definitely be alright. We need to trust them."

Aunt Wang, the neighbor, was comforting her.

At the same time, I was extremely shocked.

What's wrong?

Has Xiaoyu broken some heavenly law?!

Why are so many doctors rushing in for such a minor surgery?

"Yes, I believe in you, Doctor. Mom, you'll be alright!"

The image of Zhang Lingchuan flashed through Yueyue's mind.

At this moment, Zhang Lingchuan had already taken over CPR.

"electric shock!!"

We are working closely with everyone to perform defibrillation.

"Adrenaline! Push!!"

"Continue CPR!!!"

Zhang Lingchuan was frantically performing CPR.

At this moment, Dr. Luo and his team are all doing their jobs and doing their best to assist in the rescue!

Now Dr. Luo finally understood why Vice President Huang had said that Dr. Xiao Chuan was an expert in cardiopulmonary resuscitation.

The other person's CPR skills were truly impressive; it was as if their heart was beating on its own.

Most importantly, the opponent doesn't even need to make substitutions to disrupt the rhythm.

But can it really be saved?

"Drip-drip-"

"Her temperature has risen again! 39.6 degrees Celsius! Has the ice blanket and ice packs arrived yet?!"

[T1 "39.6" T2-T1.]

On the machine.

At this moment, the sine wave is strong, and my body temperature has reached 39.6 degrees Celsius.

It's safe to say that the Black and White Impermanence have already locked up the soul!

"Deputy Director Huang! I urgently contacted all the pharmaceutical companies in Northeast China, but none of them could find the medicine. In the end, we had to get it from Peking Union Medical College Hospital. It has already departed from the hospital and is preparing to take the fastest flight to get here! But it will take at least three hours!!"

It takes at least 25 minutes to get from Concord to the airport, and it takes 5 minutes to drive from the airport to the aircraft.

It normally takes an hour and fifty minutes for a plane to reach them.

It will take at least 35 minutes to get from the airport to their location.

In other words.

The timing is terrible; it will take three hours to get there.

"Three hours! Three hours! Director Wu! How am I supposed to hold on for three hours! Has the ice arrived yet?! Start physical cooling now! Do everything you can to maintain the patient's vital signs while we wait for the medication to arrive!!!"

Although Huang Xiangning already had a feeling that the medicine might not be available in the Northeast.

But three hours really felt like an eternity.

"Director! Ice! The ice blanket has arrived!!"

Dr. Fang and Yin Xiaoxiao, along with a group of medical staff, brought various cooling items!

"My God! This, this is still ventricular fibrillation!!"

Many medical staff who came to help were dumbfounded when they entered the operating room.

Because they saw a young man, covered in sweat, performing CPR on the patient, combining adrenaline and electric shocks simultaneously!

The peripheral ECG monitor shows a sine wave.

Is it really possible to save him?

For some reason, everyone is inexplicably having some difficulty breathing!
　Um... I'll do two updates tomorrow. Just one update today. No more staying up late, no more staying up late, healthy living~
　　
　
(End of this chapter)