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

Chapter 353 Vascular Disorder, Heart Rupture, Halfway to the Underworld! [Seeking Monthly Tickets and Recommendations]

"It's normal to be weak when you first wake up. Drink some water to replenish your energy. As for feeling cold, you'll feel a bit cold due to the blood loss."

Generally speaking, people who have fainted will indeed be in a state of extreme weakness when they first get up.

Furthermore, when the body loses a certain amount of blood, it will feel cold, which is a normal physiological phenomenon.

Actually, this girl doesn't have any major problems; this is the result of his recent system scan.

System scan complete.

[Patient's name: Mo Xiao'e]

[Patient's gender: Female.]

[Patient's age: 22 years old.]

[Patient's condition: general weakness, chills, blood loss, and altered mental status (currently in a state of fainting).]

[Patient Diagnosis: Vasovagal syncope, head injury; currently not in life-threatening condition.]

[System notification: The patient is currently weak and has suffered vasovagal syncope due to a car accident. [Click to view details] First, have the patient lie flat with legs elevated to promote blood flow back to the heart. Loosen the collar to ensure an open airway and treat any injuries. Physical stimulation such as squeezing the palms or fingers can also help to awaken the patient. Afterward, transport the patient to the hospital to stabilize their condition.]

Overall, it was found that the yellow tag on the other party mainly indicated the injury on their head.

The loss of consciousness was due to vasovagal syncope.

What is this word that I recognize each individual character of but doesn't understand at all when put together?

It's quite complicated.

To put it simply, it's because of sudden loss of consciousness due to shock, fear, or severe pain.

To be honest, he's currently doing alright with his medical skills thanks to the system.

However, he also has a very clear understanding of himself. For example, his theoretical knowledge of human medicine is indeed not very high. If it weren't for the systematic and specialized explanations, he would not know what many terms mean at all.

"Fainting!!"

Hao Zixian was stunned for a moment.

Fainting and coma are two completely different definitions.

The former is a brief loss of consciousness, which usually lasts no more than one minute, but in rare cases may extend to several minutes.

The patient collapsed suddenly due to a temporary decrease in cerebral blood flow, such as low blood pressure, dehydration, or emotional stress, but regained consciousness on his own and recovered without any obvious sequelae.

For example, dizziness, pain, or shock after standing for a long time can cause "blackouts" and brief falls.

The latter is a persistent, deep loss of consciousness, which can last from hours to days or even longer.

Generally, the patient cannot be awakened and does not respond to external stimuli such as pain or sound.

It requires medication or surgical intervention to gradually recover.

Some patients may even be left with residual neurological dysfunction.

In short, it is...

Fainting is usually not serious and has no aftereffects, but coma is a very serious matter and there is a high probability of aftereffects.

She believed that Dr. Ogawa, a doctor with a background in the emergency department, wouldn't mispronounce the words.

"Yes, what she experienced was fainting, not coma. As for the cause, after a brief observation, it is most likely vasovagal syncope, a type of neuroreflex syncope."

Zhang Lingchuan nodded in reply.

This type of fainting primarily affects young women, especially those with weak constitutions.

There are many triggering factors, such as excitement, fear, anxiety, acute infection, trauma, and severe pain.

Therefore, the other party was agitated and fearful when the car accident occurred, and the trauma and severe pain led to the current fainting.

"This……"

Hao Zixian scratched her head.

My head hurts. How come I feel like I'm back in my school days, lecturing in class, even though I just graduated from school?

However, after the other person mentioned this point, she did feel that it was indeed possible.

"Doctor, if it's just fainting, why are the girl's pupils dilated? Isn't pupil dilation only seen when someone is near death?"

"Exactly! In TV dramas, dilated pupils are basically beyond saving!"

"The most crucial point is that she also had urinary incontinence, and she woke up just from a massage. That's too exaggerated."

After seeing that the girl had recovered, some curious people in the crowd asked her about it.

Urinary incontinence is bad enough, but dilated pupils? Isn't that a sign of impending death?
"Not necessarily. As Dr. Hao just mentioned, dilated pupils can also be caused by disease, so please don't be fooled by what you see in TV dramas. It's something that can happen, not something that's certain."

Zhang Lingchuan explained to the curious people.

"Yes, yes, if there is a pre-existing medical condition or eye injury, there is a chance that the pupil will dilate."

Hao Zixian nodded.

She still remembers very clearly the factors that could cause pupil dilation.

If Ogawa really rejects her, she feels that her medical career is about to end, because it would be a huge blow.

"So, does that mean Xiao'e has some kind of illness, or that she had an eye injury before? But I've never heard of that!"

Seeing that their friend's situation was gradually improving, the two girls breathed a sigh of relief.

Especially the girl driving, she will definitely take responsibility for her friend's head injury and try to get it treated at a cosmetic surgery clinic.

As long as my life is saved, it's fine.

Otherwise, there would be no way to explain it to the other party's family.

At the same time, she also felt a very heavy sense of guilt.

Honestly, that dilated pupil really scared them.

But I've never heard of the other person having any illnesses or even eye injuries.

"No, no, no, external injury and underlying disease are only one factor. However, in some cases of vasovagal syncope, in addition to a rapid drop in blood pressure, weak pulse, slow heart rate, a few patients may also experience urinary incontinence, dilated pupils, and so on."

Zhang Lingchuan made his point clear.

This is actually a symptom of vasovagal syncope, not a sign of impending death.

"Huh? I'm a little confused!"

"Although I don't understand it, it seems to be very professional."

"Simply put, this little girl is in poor health and is quite weak. When she was sitting in the back seat and bumped into something, she was startled and in pain, so she fainted. Dilated pupils and urinary incontinence are symptoms of fainting. Actually, she is not seriously ill and just needs her wound treated."

Most of the onlookers lacked professional knowledge, so they were all a bit confused by what Zhang Lingchuan said.

Although I was confused, I still felt that it was very professional.

Of course, there were also some viewers with high concentration and comprehension, who made a simple summary.

"That's roughly what this high-ranking official from the provincial court meant."

Hao Zixian gave a thumbs up.

Although this man is not a professional doctor, his comprehension skills are really good.

In just a few words, the focus of Ogawa's work was clearly summarized.

And so, the process of dealing with trauma continues.

Police cars and ambulances arrived an hour later.

"call--"

Zhang Lingchuan's heart, which had been hanging in suspense, was slightly relieved at this moment.

"?"

Unbeknownst to him, Comrade Xiao Song, who was filming, had been observing him the whole time.

She was very puzzled at this moment because she noticed that he actually breathed a sigh of relief after seeing the police car and ambulance arrive.

Didn't they say that Xiao'e had no problems?

Song Wanqing was a little puzzled.

Could it be that Teacher Zhang is lying? But this doesn't seem like his usual style! It can't be just my imagination, right?

Who is the driver?

The police car was slightly faster than the ambulance, and uniformed police officers were seen asking questions.

“I am the driver, Tao Lexin. This is my driver’s license and vehicle registration.”

The girl in the black wool coat took out her ID and said this.

The police have arrived, so they're definitely going to handle it actively; they can't possibly be passive.

"Who's hurt!"

At that very moment, the ambulance also stopped.

A doctor and a nurse walked this way, along with two stretcher bearers.

Their facial expressions showed great anxiety.

After all, the journey is long.

I wonder how the injured person is doing now.

"My friend was injured and fainted, but fortunately the doctors at the scenic spot and the interns from the provincial hospital helped him. He is much better now and his strength is recovering."

The girl in the white down jacket, named Shuxue, spoke to the medical staff.

However, the other person's down jacket became the most eye-catching feature, as half of it was covered in blood and the whole jacket reeked of blood.

At first, the ambulance crew noticed her and thought she was the injured person.

"You're injured and have fainted? Okay, let's go to the hospital in our ambulance to check if there's anything wrong."

The doctor now identified the target.

The stretcher bearers lifted the person onto the stretcher.

"Yes, thank you for your help, doctors."

Shuxue nodded.

When she saw the ambulance arrive, she finally felt relieved.

"Okay, Shuxue, you and Xiao'e go to the hospital with the ambulance for basic treatment. I'll deal with the traffic police here and then come find you."

Tao Lexin walked over and gave instructions.

"Okay."

Seeing her friend's arrangement, Shuxue didn't say anything.

Just wait for her to handle it.

"Huh? You two just had a car accident, aren't you going to the hospital for a check-up together?"

Zhang Lingchuan was standing nearby. After hearing Tao Lexin say that, he asked with a puzzled expression.

"Handsome doctor, we won't go to the hospital for a checkup. There's nothing wrong with us anyway."

Tao Lexin was still very grateful to Zhang Lingchuan, and said with a smile.

After all, if it weren't for him, they would be in unimaginable despair right now.

"Yes... We don't even know your name, ER doctor. Why don't you leave your name so we know who helped us?"

Shuxue looked at Zhang Lingchuan and spoke very politely.

Moreover, the other party had just provided them with a great deal of help, and they still didn't know the other party's name, which was quite embarrassing.

After all, he was one of their saviors, and even these Dr. Hao sisters weren't as professional as him.

"My surname is Zhang, you can call me Dr. Zhang. As a medical worker, I still have a suggestion for you. After all, you have been in a car accident, you should go to the hospital for a check-up. This is for your safety."

Zhang Lingchuan revealed his title, saying that in this situation, calling him Dr. Zhang was appropriate.

As for the countryside, he prefers to be called Veterinarian Zhang or Little Veterinarian Zhang.

Currently, one of them has a red tag and the other a yellow tag, so they still need to go to the hospital, especially the girl with the red tag. "Oh! Shuxue, did you say your stomach was a little uncomfortable? You should also get a thorough check-up. Don't worry about the costs; it's my fault, so I definitely won't run away. I'll pay for it."

Tao Lexin looked at her best friend next to her.

The other person said that their stomach was very uncomfortable and in severe pain right after the car accident.

Perhaps you're injured. Anyway, it's definitely a good idea to go to the hospital for a checkup.

This is also her own fault, and she should take responsibility.

"Actually, I feel fine. I'll go get checked out later..."

The girl in the white down jacket with bloodstains nodded. It did hurt a little, but she also had a habit of stomach aches.

So I don't know if it was caused by the car accident or if my old problem recurred.

"Okay. I'll go deal with the accident with the police then. I'm fully responsible for this one-sided accident, so it should be relatively quick. I'll come find you then."

Tao Lexin explained.

After all, my friend is in this kind of trouble, so I definitely have to go to the hospital to take care of him.

"Have you discussed it? If you have, get in the car and we're off!"

Despite the doctor's urging, as an off-site emergency team, they knew that time was life.

Even if the patient appears to be fine, as the person involved in the car accident, it is often not possible to tell from the surface.

In real-life examples, they encountered people who had been in car accidents and seemed perfectly fine, even able to help other injured companions. However, after vomiting blood without warning, they never recovered.

Upon closer examination, it was discovered that the bleeding was internal.

The internal organs were damaged to the point that there was no way to save them.

A life that could have been saved if discovered in time was lost forever.

It's such a pity.

"I'm sorry, doctor, this girl will go with you. I'll stay here to handle the accident."

Tao Lexin spoke to Shuxue, then looked at the doctors.

"Okay, then get in the car quickly! Although you've woken up, such a strong impact could cause internal injuries or a concussion, so we need to get you checked out!"

The doctor in charge nodded.

"I'll send you the payment via WeChat later, Shuxue."

Tao Lexin pointed to her phone, indicating that she would send the payment to her via WeChat later.

After all, this money will definitely have to be paid at the hospital.

She is not someone who shirks responsibility.

"Miss, I suggest you tell the police about this accident and have your insurance company tow your car for repairs. As for yourself, you should also go to the hospital for a check-up, because I think your injury is quite serious!"

Zhang Lingchuan was speechless after hearing the other party's proposal.

If you try to handle the accident yourself and leave your friends and the injured to get checked out, something bad might happen before you even get to the hospital.

Yes.

The red label indicates this is the driver.

The girl who said her stomach hurt was labeled yellow.

So if you don't reveal your hand at this point, the other person will definitely leave before the other two friends.

"Huh? I have a serious problem???"

Tao Lexin was stunned for a moment after hearing Zhang Lingchuan's words.

She truly didn't expect the doctor to say such a thing to her.

"Yes, your complexion is a little off, and there are buckles in your car. Were you not wearing your seatbelt while driving just now?"

Zhang Lingchuan pointed to the other party's car.

He found the seatbelt buckle on the side of the driver's cab—the world's most idiotic invention.

I don’t know how many people have gotten into trouble because of this thing.

"Um, that seatbelt was a bit too tight, it was uncomfortable around my neck, so I put a buckle in, but actually I wasn't seriously injured..."

After hearing Zhang Lingchuan's words, the other party spoke with a slightly embarrassed expression.

She's definitely someone who could be a doctor.

This observation is meticulous.

Even a tiny seatbelt buckle could be found.

"There really is a buckle. You don't wear a seatbelt while driving, do you?"

The traffic police were right there.

He glanced at the car, and the next second his brows furrowed.

He noticed a small pink buckle inserted inside the driver's seatbelt buckle.

"Uh uh uh……"

Tao Lexin hesitated, as if he wanted to say something but then stopped.

Yes.

This successfully caught Uncle Hat's attention again.

What a tragedy!

"Let me tell you, you absolutely must wear a seatbelt when driving. Just because you're fine this time doesn't mean you'll be fine next time. This kind of thing is completely dangerous, you know?"

The traffic police officer in charge of handling the accident gave him a very serious reprimand.

"I understand, I understand. I won't dare to use it again next time. I'll take it off right now!"

Tao Lexin nodded.

He looked like he was about to be punished for his mistake.

"Also, the young doctor who helped wasn't wrong. The airbag deployed and you weren't wearing a seatbelt. It would be bad if you suffered internal injuries. You should go to the hospital for a check-up."

The traffic police officer maintained a critical and lecturing tone.

This accident is minor and there's probably no problem.

And if a major accident happens next time, how will you get to the hospital if you're not wearing a seatbelt?

"Definitely! Officer, you're right! I'll go with you to handle the accident, and after the tow truck takes the car away, I'll definitely go to the hospital for a check-up. We haven't even resolved the immediate issues yet!"

Tao Lexin began to speak.

"Girl, airbags are designed for people who wear seatbelts. If you, who aren't wearing a seatbelt at all, hit an airbag, there's a high chance you'll have internal bleeding. If you go to the hospital after all this, aren't you afraid the Grim Reaper will drag you away?"

Zhang Lingchuan was speechless.

System scan complete.

[Patient's name: Tao Lexin]

[Patient's gender: Female.]

[Patient's age: 22 years old.]

[Patient's condition: Currently experiencing mild weakness, and a slight tightness and pain in the chest.]

[Patient Diagnosis: Five millimeters of ruptured heart. The patient requires immediate medical attention.]

[System notification: Because the patient was not wearing a seatbelt, the impact of the airbag deployment caused a rupture of a large coronary vein located adjacent to the circumflex branch of the coronary artery on the left posterior side of the heart. The rupture is approximately 5 millimeters in size. This situation is extremely dangerous and requires immediate medical attention.]

[Daily task activated. Although there are no obvious symptoms at present, immediate medical attention is necessary. The patient has been successfully admitted to the hospital and treated. The host will receive 1 regular treasure chest.]

This patient also prompted him to take on the mission of saving lives.

In fact, he used precise scanning when he was bandaging Xiao'e.

I initially thought it was something like a ruptured spleen.

Unexpectedly, it ended up breaking my heart.

Honestly, this is really outrageous.

However, he used systemic scanning, X-ray eye, and B-ultrasound ear.

After a thorough inspection, this is indeed the problem.

That's why he's worried.

Because a ruptured heart is a serious condition, chest compressions in this situation could worsen the heart injury, leading to significant bleeding and further deterioration of heart function.

When the integrity of the heart wall is compromised, pressing on it will increase the pressure inside the heart, causing blood to be lost rapidly and endangering life.

In summary, cardiac rupture is an absolute contraindication for external chest compressions.

Therefore, he cannot use either perfect-level CPR or perfect-level precordial thump.

Does that mean we can only wait to die?

Not really.

In this situation, the only thing that can be done is to perform emergency open-chest surgery and chest compressions.

Clearly, such conditions are not met here.

"Am I... am I that badly injured?"

Tao Lexin was stunned.

The police were also a bit bewildered.

The onlookers at the scene also looked at Zhang Lingchuan with surprise.

"It's quite serious, it feels like I have one foot in the grave."

Zhang Lingchuan nodded.

"Half a foot in the grave? That's an exaggeration!"

Tao Lexin's words are utterly incomprehensible!
"Hey! Let me tell you, if Dr. Xiaochuan tells you to get checked right now, then get checked right now. There's no need to be so long-winded. If you really don't believe me, go search for 'Veterinarian Zhang' online and see if what he says is reliable."

Just when the atmosphere at the scene was getting a little strange.

No one expected that Dr. Hao would step forward again, speaking with an annoyed expression.

Dr. Xiaochuan is right here; do you think he's joking?

How serious is it?

Why don't you go online and look it up? What does "Seventh Master's mortal enemy" mean?
"Veterinarian Zhang!"

"Dr. Ogawa!!"

At that moment, the medical staff were completely stunned.

to be frank.

They had originally planned to give the other party a piece of their mind, but although they had regained consciousness after fainting, they were in a very urgent situation.

Still babbling on and on.

When the out-of-hospital emergency team learned that the driver hadn't been wearing a seatbelt and had been impacted by the airbag, they weren't in a hurry to leave.

As for what happened after I found out this person was Dr. Zhang, the veterinarian.

Their hearts pounded.

Dr. Ogawa will not proactively see patients unless the person is critically ill or on the verge of death.

In other words, Tao Lexin's condition was more serious than they had imagined; he was even a terminally ill patient!
Surely it couldn't really be a ruptured spleen?
That would be dangerous.

However, the doctors were unaware of this at the time.

This is an even more dangerous case of a ruptured heart! Enough to cause a shockwave!
……

(End of this chapter)