The Enhanced Doctor
Chapter 1223: So Angry My Heart Fibrillated
Chapter 1223: Chapter 1223: So Angry My Heart Fibrillated
You could say delayed subdural hemorrhage has already become a thorn in Liu Banxia and the others’ hearts.
Even if this young man’s exam right now doesn’t show any other problems, blood pressure this high is still not a normal finding.
The higher the blood pressure, the greater the chance of bleeding. And if it really does bleed, the amount might very well be quite large.
"How’s his heart rate?" Liu Banxia asked.
"Around one hundred," Huang Bo said.
"Give him a shot of diltiazem, let’s bring the blood pressure and heart rate down first," Liu Banxia said.
"Don’t be nervous, your blood pressure is a bit high right now, so we can’t do the reduction yet. We’ll get your blood pressure down, then I’ll check your pupils again, then we’ll do a head CT, and when you come back we’ll set the bone."
"Doctor, is my big brother really okay?" one of the young men who had come along asked.
"He’s fine, he’ll be okay after the medicine. These are all routine checks," Liu Banxia said.
"His pupillary response is good too, and his eyeballs are straight, no sign of strabismus. Are you all relatives? Out shopping together this time?"
The three beside him all nodded.
"That’s really something to envy. Big extended families like this aren’t that common anymore these days," Liu Banxia said with a smile.
"Teacher Liu, his blood pressure and heart rate are both down. Should I take him for the CT now?" Huang Bo asked.
"Doctor, we really have to do a CT? I don’t want to, I’m almost out of money," the patient lying on the exam bed said.
"We have to. You banged your head, so we must scan it," Liu Banxia said with a smile.
"Normally, for a reduction we’d need to take two sets of films. If you trust me, we can skip one. I’ll reduce it directly first, and then we’ll see how the reduction looks on the film afterward."
The young man nodded.
He knew that once you’re in a hospital you have to listen to the doctor, but he really didn’t want to tell his family yet that his pocket money was about to shrink again.
Liu Banxia carefully checked the spot on his head where he’d been hit; it was already a bit red and swollen. In any case, the CT had to be done; otherwise he really couldn’t feel at ease.
"That kid really gave me a scare just now. His blood pressure was way too high—what kind of anger does it take to get like that?" Huang Bo said.
"We’d be about the same if it were us," Liu Banxia said.
"He’s at the age where all he wants to do is play, and he breaks his arm right over the New Year. Never mind having fun, even taking care of himself is going to be compromised."
"I’m guessing they were horsing around. Otherwise the supermarket would bear some responsibility too. Kids these days are all so hyperactive, it’s a bit of a headache."
After waiting a while, the young man came back.
"Doctor, the doctor over there said it’ll take some time before the films are out. Can you fix the fracture for me first?" the young man asked.
"Sure, we can pull the images up on the computer and take a look first," Liu Banxia said with a smile.
That meant the young man was fine; if there was a problem, they would have called him directly from over there.
But you still couldn’t say for sure; delayed hemorrhage can show up even a day later. Basically, though, the longer the time interval, the easier the bleeding is to control.
They pulled the CT images up on the computer, and the four young men were quite curious. The result was negative, so the young man probably just had a mild concussion.
"No fireworks allowed this year—kind of boring, isn’t it?" Liu Banxia said as he took hold of the young man’s hand.
"Doctor, are you about to set the bone? Should I be biting down on something?" the young man asked.
"This is why I say I don’t like treating you young folks—you know too much. It’s not even easy to trick you anymore," Liu Banxia complained.
The young man grinned. "Doctor, that’s how it is on TV. I’m actually a bit scared of the pain. I’ll bite on a towel... ah... hiss..."
While he was still thinking about what to bite, Liu Banxia had already made his move.
You can’t delay a reduction for too long; if the swelling gets bad it makes manual reduction harder.
For Liu Banxia, though, a reduction like this was very easy.
"Okay, we’ll take another film in a bit to check the reduction. If you can keep it under control, I’ll put on a splint for you; no need for plaster," Liu Banxia said.
"Then give me the splint, plaster is too inconvenient," the young man said.
"Doctor, that one move just now—you actually could have just done it right away. It wasn’t as painful as I imagined. It only hurt for a moment, and if you tough it out you’re fine," he said.
"Well now, we’ve got a tough guy today," Liu Banxia joked.
The young man smiled, a bit embarrassed.
"Actually, just now it was mainly because your blood pressure was a bit high. Your blood pressure just then was about the level we see in forty- or fifty-year-old adults," Liu Banxia went on.
"Hypertension is a common underlying condition and normally doesn’t cause us too much trouble. But in certain situations—like when we’re treating you—if both your blood pressure and heart rate are high, that spike of pain will push your blood pressure up even further."
"That’s when it gets really dangerous, I have to think about your safety. When you’re dealing with stress, do your emotions easily get worked up?"
The young man nodded.
"So you need to pay attention from now on. Once your arm heals, get one of those squeeze toys, and just squeeze it when you’re free. It’ll help a bit with your mood, you have to slowly adjust." Liu Banxia said.
"Doctor, does that really work?" the young man asked.
"The key is still that you know how to regulate yourself. That’s just an external aid. You can also use deep breathing to control it. You’re still young, it’s easier to adjust now."
"The splint is already fixed. Now go get an X‑ray. Even though I’m very confident in my own skills, I still need to double‑check."
"And you need to be careful not to bump this arm. First go home and see how it feels. If it doesn’t work, we’ll put on a cast. It doesn’t really cost much anyway, and your family can get it reimbursed."
The young man gave a bitter little grin.
"Alright, I’ve finished the order. Go get the X‑ray." Liu Banxia said with a smile.
There was no way he could hide this from his family; just now Liu Banxia hadn’t insisted on calling the parents mainly because of the young man’s blood pressure issue.
That blood pressure reading was really a bit high for him. In folk terms, this is what people call being "short‑tempered" or "easily riled up."
Actually, this kind of situation is really common in everyday life. Like that old lady with the recent heart attack they’d just admitted—hers was also caused by getting overly worked up emotionally.
If the young man doesn’t pay attention to adjusting now, once he’s older, smoking and drinking, and if he puts on some weight, his blood could very easily shoot up to two hundred. How dangerous would that be?
Now that his blood pressure has come down and he’s calmed down, Liu Banxia can tell him all this. Otherwise, when someone’s in the heat of the moment, whatever you say, they can hardly take it in.
"Kids nowadays, they’re all different from when I was young." Huang Bo sighed.
"Isn’t that normal? Every generation is stronger than the last. When you were kids you were already better off than we were. Can’t be ungrateful." Liu Banxia said with a smile.
"Strictly speaking, I’m an ’80s kid too, even if I only just caught the tail end. I hear that the leading edge of our ’80s generation had it even rougher when they were young."
"There’s stuff online saying the ’80s generation is the most hard‑pressed bunch." Huang Bo said with a grin.
"Seems like we didn’t catch any of the good national policies either, did we? And now they’ve fully relaxed the two‑child policy, but a lot of people truly want kids and still don’t dare have them."
"Exactly. If you don’t have some savings behind you, you really don’t dare just have kids casually." Liu Banxia nodded.
"Didn’t someone say recently that poor families can also produce successful children? But if you actually tally it up, of all the poor families nationwide, how many ’successful children’ have really come out of them?"
"Family environment and living conditions are very important to a child’s development and growth. Parents all hope their kids will have a good life in the future, but then they feel their own pockets and realize they can’t give their kids full support."
"Just look at kids now: from birth to starting school, how much does that cost? From starting school to graduating college, how much more? And graduation isn’t the end of it—you still have to worry about finding a job and starting a family."
"And that’s just the younger generation. Look up above them and there are four elderly parents. It’s better if they have public‑sector pensions, then the retirement pay is higher. Plus they need decent health, they can’t be getting sick all the time."
"Everybody’s pretty exhausted, but you still have to keep a tough, optimistic attitude and keep living. And you never really know which choices are absolutely right, and which are absolutely wrong."
"In our little county town, housing prices are already over five thousand per square meter. If the kid ends up working locally, it’s okay. But if he runs off to a big city, how much is a single apartment going to cost?"
"Sigh... Teacher Liu, isn’t that exactly what we’re going through now, grinding away and working hard?" Huang Bo said.
"Nonsense. Following me, we actually count as a high‑income group. At least in Binhai City, we’re somewhere above the middle of the pack. That’s good enough." Liu Banxia said with a laugh.
"When you buy a place in the future, that won’t be a problem either. Everyone has a housing benefit quota. It’s just that the two girls got to enjoy it first."
"If you trust me, then when you’ve got money, buy a home first, don’t buy a car. Cars aren’t that useful; even parking is a hassle. At least these last few years, housing prices have only gone up."
Huang Bo nodded.
He was already brewing over this himself, but he still had to think it through. Whether to get a fully finished place, or just a bare‑bones one.
While they were chatting, the young man finished his X‑ray.
"Doctor, the doctor over there said the reduction looks great."
The young man was quite happy.
"That’s good. Let’s observe you a bit longer, and once all the films are out, you can go home." Liu Banxia said.
The young man nodded, but his expression suddenly changed, and his breathing sounded rougher.
"Didn’t you say you wouldn’t tell my mom yet? Can’t I just tell her myself when I get home?" the young man said dully.
"Your aunt messaged me, I didn’t dare ignore her." The young man next to him said, head lowered.
"I..."
The young man had just said one word when his eyes rolled back, and his whole body collapsed to the floor.
"V‑fib! Prepare to resuscitate!"
Liu Banxia grabbed him in his arms and shouted.
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