Chapter 835 - 392: Solving the Seven-Year Respiratory Failure Case, Professor Wu’s Schemes

Chapter 835: Chapter 392: Solving the Seven-Year Respiratory Failure Case, Professor Wu’s Schemes

With the support of the Second Hospital backing him, fully helping Li Jingsheng resolve this matter, it’s naturally resolved beautifully.

Currently, public opinion is rapidly reversing.

By that time, his Sunshine Clinic and he himself should be able to gain another wave of popularity.

The benefits brought by such positive publicity need not be said.

Having a high reputation means having a golden credit in the minds of customers and patients.

People buy Sunshine Clinic’s medicine without blinking an eye.

Coming to see a doctor, they would rush over without hesitation as well.

"Hasn’t the issue online already reversed? Besides, I have the People’s Hospital at my back. Don’t say it’s just a minor issue. Even if you really made a big mistake, it still wouldn’t affect me. Is it that Professor Wang asked you to go over to learn radiofrequency ablation?"

Lian Tao was completely unconcerned about the so-called impact.

Thinking about it, the kind of behemoth that is the People’s Hospital. Unless the hospital’s doctor makes a huge mistake, who would dare to spread rumors is courting death.

"Brother Lian Tao, your news is really well-informed! Old Wang just sent me the message this morning and you already knew."

"Hehe, I was lucky to be in your light for this. Originally, I thought it was quite difficult to connect with Professor Wang. Once he knew I was good friends with you, his attitude towards me became much more enthusiastic. Just today, that respiratory failure case involved a cardiovascular issue, so I went to consult with him. When chatting about you, he mentioned that you’d be going today to learn radiofrequency ablation."

Cardiovascular doctors have three major tools to treat illnesses.

Medication treatment, interventional therapy, radiofrequency ablation.

Now, some larger hospital cardiovascular doctors have begun evolving a fourth ’tool,’ endoscopic surgery.

Truly suspecting that one day, internal and surgical departments will no longer be separated.

Internal medicine doctors will also be able to perform surgeries.

"If you have time, you can come over early and hang out with me!"

Lian Tao was eager to have him come over to help.

"Sure! If I finish work early later, I’ll come over earlier. Send me the information of those two patients first to my phone."

Looking at the films and such, it’s actually best to see the originals.

Viewing on a phone can have some errors, and sometimes it can’t be seen clearly.

But biochemical test results, blood routine tests, those are completely fine.

This is also why experts require full information when registering, to prevent patients from making a wasted trip.

This information does not refer to basic details such as an ID card, but rather the tests the patient has undergone, previous medical records from other hospital treatments, and so on.

Nowadays hospitals generally do not provide the medical records to the patient, since they’re all electronic medical records.

If the patient needs them, they can apply for copies.

For ordinary diseases, it’s unnecessary to go through such trouble.

If there’s a dispute during treatment, or for complex conditions, it’s best to request medical records just in case.

Li Jingsheng knows Lian Tao’s personality very well.

When encountering such complex cases, if he doesn’t help figure out the cause, he truly would not be able to sleep. He would be like a madman, researching through the night, asking people for advice everywhere.

Exhausting his mind to diagnose and theorize.

Li Jingsheng is also very responsible when diagnosing patients, but not to the extent of Lian Tao. At most, he just keeps the patient’s matters in mind, exploring every possibility to find the true cause.

The information for the two patients came over quickly.

The patient with respiratory failure is a male, with symptoms of coughing, cardiac noise, palpitations, and cyanotic complexion.

Usually, when cyanotic complexion or fingertip cyanosis appears, it’s basically a sign of poor oxygen saturation.

It’s highly likely due to various reasons causing hypoxia.

This male patient has cardiac noise and palpitations, which indeed makes one first suspect that it is a cardiac disease affecting lung function, resulting in respiratory failure.

Many people often confuse respiratory failure with heart failure, but they are completely different diseases.

Both illnesses can be life-threatening.

Carefully reviewing this male patient’s data reveals not only palpitations and cardiac noise but also systemic edema.

Moreover, the disease duration has been quite long, a full seven years.

The causes of body edema are numerous, but the essence remains the same.

The fundamental reason is definitely an excess of retained water in the body that cannot be discharged.

The first organ to question is the kidney.

Just like if a medical accident happens during treatment, no matter who caused it, the first to be held accountable is the attending physician.

This attending physician is often an associate chief physician or chief physician.

While an attending physician might also handle outpatient and admit patients, encountering unresolved or problematic cases, they certainly need to report to a superior doctor.

The department functions like a small kingdom, basically operating in groups as units of operation.

To independently lead a group, one must at least be an associate chief physician.

Though Li Jingsheng possesses something equivalent to an independent medical team in the outpatient department, with subordinate doctors and nurses fully equipped, whether patients can be treated is also his call.

However, he’s not yet a group leader in the strict sense.

It’s simply because of his special abilities, considered a unique independent team in orthopedics, directly led by the department head.

Whatever happens, he often reports directly to Director Xiang Hua.

This is somewhat akin to a ’special economic zone’ or ’directly governed city,’ belonging to a very special existence.

The patient has systemic edema, and the course of illness is as long as seven years.

Additionally, there’s cardiac noise.

Li Jingsheng can almost think with his eyes closed that the patient likely has an issue with the mitral valve. The most probable condition is rheumatic heart disease.

This illness is not very common, but its symptoms are quite distinctive.

The patient’s body temperature is normal, 36.6 degrees, with a pulse of 120 beats per minute, which is clearly a bit fast.

Breathing is 31 breaths per minute, far above the normal rate.

For adults, under normal circumstances, breathing 12 to 20 times a minute is sufficient.

Most people breathe about 15 or 16 times a minute.

If it approaches 20 times per minute without intense physical activity, in a relatively calm state, this frequency is high.

We need to consider whether it’s due to poor lung capacity or other issues.

This patient is experiencing respiratory failure, with cyanosis of the face; his body is desperately breathing to obtain more oxygen.

Therefore, his breathing rate is much higher than that of an ordinary person.

When humans engage in intense physical activity, the breathing rate increases, which is actually quite similar in principle.

The oxygen consumption increases during intense physical activity, so the body automatically raises the breathing frequency to meet the demand for oxygen.

He looked at the patient’s blood count and blood gas analysis results.

Hemoglobin 192 grams per liter.

The normal hemoglobin level for an adult male is between 120 and 160.

This man’s hemoglobin is significantly higher than normal, indicating a clear abnormality.

There are many causes for elevated hemoglobin levels.

The most common causes are hypoxia, tumors, particularly liver cancer and kidney cancer, and ovarian cancer in women is most likely to result in excessive red blood cell production.

Additionally, people who snore often can have hemoglobin levels higher than normal.

The snoring is caused by blockages in the nasal passages, and while in a sleep state, the body subconsciously makes protective reactions. Opening the mouth to snore is a very common phenomenon.

Ultimately, the reason snoring causes elevated hemoglobin is due to long-term oxygen deficiency.

Moreover, myeloproliferative diseases can also cause abnormal hemoglobin levels.

However, relatively speaking, bone marrow diseases are less common in clinical practice.

The main reason for this patient’s high hemoglobin is likely long-term oxygen deficiency.

Li Jingsheng temporarily set aside this clue.

He then sought more diagnostically useful clues.

The patient’s chest X-ray showed patchy shadows in both lungs, and the heart was significantly enlarged. This reminded Li Jingsheng of a case he diagnosed not long ago; the similarity was very high!

However, even so, the same disease with the same pathological presentation may ultimately have completely different causes.

He didn’t make a hasty conclusion based solely on his previous diagnostic experience.

The fact that even Lian Tao consulted Professor Wang Weiwei and still couldn’t find the ultimate cause indicates that this illness is definitely complex.

He was eating while meticulously studying this case, and before he knew it, more than forty minutes had passed.

"Sigh, time is increasingly insufficient."

He let out a faint smile, stood up, and walked out of the cafeteria.

Today, he couldn’t make a round at the Orthopedics Inpatient Department.

His greatest pleasure besides work was accompanying his girlfriend.

If she encountered a case she couldn’t resolve, Li Jingsheng would step in to help her.

Professor Wu is a sly old fox, and after knowing Li Jingsheng’s protective nature toward his girlfriend, he often intentionally assigns some challenging or tricky cases to Ou Qinglan.

Because he knew full well that as long as Li Jingsheng was there, he wouldn’t bear to see his girlfriend in trouble.

More often than not, he would step in to help.

Li Jingsheng was fully aware but never exposed it, and every time it went according to Professor Wu’s plan.

Honestly, he didn’t mind.

Every adult makes some calculations for their own interests.

If a person doesn’t care for themselves, they will face divine retribution.

A completely selfless person is only fit to live in a fairytale world; in the real, harsh world, they don’t have the ability to survive.

Unless they have parents or a boyfriend to rely on, then it’s indifferent either way.

Even if they can’t compete, they can still have no worries about food and clothing.

Ordinary people must learn to be selfish. This is also human nature.

Almost all animals have this instinct.

Take the simplest example, a sow usually has fourteen teats. If it births fourteen piglets in one litter, each one can have one. This would be relatively fair.

However, researchers have found that strong piglets have a strong sense of feed protection.

They will monopolize two or even three teats.

And other weaker piglets, if not intervened artificially, may very well not have any milk to drink.

This phenomenon is even more complex in human society.

Because humans are highly intelligent creatures.

When competing for certain interests, the methods are numerous. Various tactics are used, rather than simple grabbing.

So, Li Jingsheng understood Professor Wu’s calculations very well.

Helping Ou Qinglan increase her standing in Orthopedics while also enabling her to learn a lot of knowledge from diagnosing these challenging cases and improve her medical skills, Li Jingsheng is naturally willing.

For him, giving a little more is no big deal.

He spent the day helping Lian Tao diagnose these two challenging cases and therefore did not visit the Orthopedics Inpatient Department.