Chapter 1312: Fearing What Comes

Chapter 1312: Chapter 1312: Fearing What Comes

(Thanks for the encouragement with the votes, LacMax, An Lin Xiao Xiao, Forest, Qing Lian Sui Feng Piao)

Now the patient and his wife are truly frightened and can no longer care about the potential dangers of the contrast agent; it must be done.

Currently, Liu Banxia has no effective remedies for this patient’s treatment, the only thing that can be done is to continue rapid blood transfusion and fluid replacement, and administer some pro-coagulant drugs.

Because you don’t even know where the bleeding point is, what can you do?

And this type of interventional examination requires an allergy test. No matter how urgent you are, it must be done. Otherwise, if the patient has an allergy to the contrast agent coupled with massive blood loss, things might take a turn for the worse in an instant.

Everyone’s heart is now in their throats.

Hopefully, the patient’s bleeding can be controlled; with such a large volume of blood loss, one wonders how much longer the patient can hold on.

"Doctor, this...this...is it okay?" The patient’s wife asked nervously.

"Don’t worry, we are constantly monitoring the blood pressure. We have started rapid blood transfusion, and although the blood pressure has dropped a bit, it hasn’t dropped too much," Liu Banxia said.

"Oh...if only it was done sooner. Doing it sooner we would have known earlier, and wouldn’t have suffered like this. Now aren’t we just waiting for death, I..."

The patient’s wife murmured halfway through, unable to control her emotions, and burst into tears.

"Your consideration is not the problem; we aren’t at the most dangerous moment yet, don’t worry too much," Liu Banxia reassured and then signaled to Xu Yino.

Xu Yino hurriedly helped the patient’s wife to one side.

Liu Banxia hesitated briefly, then continued watching the patient’s blood pressure for a while longer, not issuing a critical condition notice.

Under normal circumstances, he should issue another critical condition notice now, because nobody knows if the patient’s bleeding will increase.

But the patient’s wife is already on the verge of collapse; if a critical condition notice is issued now, perhaps the patient might still be okay, but the wife might not make it.

"Teacher Liu, her heart seems to be acting up," Xu Yino shouted.

Liu Banxia turned his head to look; the patient’s wife was using her hands to press against her chest, breathing heavily.

"First lay her flat on the ground, elevate the legs slightly. It’s okay; don’t worry, his bleeding has reduced," Liu Banxia quickly ran over.

This is the very situation they feared; if a problem were to occur, she indeed develops a slight condition.

Liu Banxia promptly took out the stethoscope he carried with him to examine the patient.

The patient’s heartbeat was noticeably fast; the heart sounds were very clear but there were no other noises, which somewhat reassured Liu Banxia.

"Deep breaths, big gulps. Follow my command, in...out...in...out...in...out..., good, keep up this rhythm; now the heart rate has slowed, and the breathing is smoother,"

Liu Banxia guided the patient.

"Is there any chest pain?" Liu Banxia asked again.

The patient’s wife nodded with difficulty, a thin layer of sweat emerging on her forehead.

"Have you had similar symptoms before? I estimate that this is a physiological response due to emotional stress. It’s nothing serious, don’t worry, let’s do an electrocardiogram later to make sure," Liu Banxia reassured.

"Teacher Liu, the allergy test result is out, negative. Bleeding has temporarily stopped, blood pressure is up to 110/90."

At this moment, Su Wenhao ran out.

"See, it’s just a minor issue. Your considerations were entirely correct; for invasive examinations like this, we don’t do them unless absolutely necessary."

Liu Banxia looked at the patient’s wife and gestured to Su Wenhao.

Inside they were doing the examination; meanwhile, he had to stay outside to watch over the patient’s wife.

"Inhale...inhale...inhale..., holding this breath was tight enough to almost faint. Doctor, can we proceed?" The patient’s wife asked after taking several deep breaths.

Liu Banxia smiled and nodded, "Already started, while it’s proceeding, you should get an electrocardiogram."

"Doctor, does this mean...I am ill too?" The patient’s wife asked nervously.

"Well, according to my judgment, it’s ’heartbreak syndrome’. It’s a stress response, during major changes, due to emotional fluctuations, it causes the heart to work over capacity," Liu Banxia explained.

"Though this condition is generally temporary, it will alleviate itself after the tension passes. But going forward, you need to be aware, this condition is more prevalent in women between the ages of 30 and 50."

"Especially in women going through menopause, emotional fluctuations can be more significant, thus heightening the effects of heartbreak syndrome."

"You should learn to manage your emotions, you can use the deep breathing technique that I just taught, it’s quite effective."

The patient’s wife nodded, wanting to get up, yet still concerned about her husband.

"Don’t worry, take your time, let’s go to the clinic next door for an ECG. Your health is also very important," Liu Banxia said.

He wasn’t too worried about the patient’s wife now. He hadn’t detected any other issues during the auscultation just now, and though there were some mild symptoms, they wouldn’t have significant impact.

Broken heart syndrome, this is also something that happens occasionally. If the symptoms persist for too long, it requires attention and can possibly lead to cardiac arrest.

If it were a patient admitted directly with chest tightness or chest pain, more consideration would be needed. After all, the patient’s wife had just experienced a significant "shock," so this situation should be considered.

A real heart attack wouldn’t calm down so quickly.

Her ECG results came out quickly, and everything was normal.

The lingering symptoms were just a slight feeling of tightness in the chest and a bit of pain. This was the aftermath of vascular spasms during the onset of symptoms, and the muscle spasms take time to subside.

"There’s nothing wrong with you. If the symptoms of chest tightness and pain worsen, let our medical staff know. Usually, it takes a day or two to recover to normal," Liu Banxia explained.

"Doctor, is it not finished yet?" the patient’s wife asked.

"Not yet, we’re also waiting for the results," Liu Banxia responded.

The patient’s wife nodded, feeling as if she was waiting for a verdict.

"Doctor, if there’s bleeding in the small intestine, does that mean surgery is required? Cutting open the abdomen?"

After waiting a while, the patient’s wife asked again.

Liu Banxia nodded, "If there’s indeed a bleeding point in some part of the small intestine, we can consider laparoscopic surgery, which is less invasive."

"Did he have any symptoms of bloody stool over the New Year? I feel with such a large amount of bleeding, it couldn’t be the first time today."

"That... we didn’t notice it before," the patient’s wife said.

"I was terrified when I got his call today. Doctor, if surgery is needed, is it dangerous? Is it just about fixing the bleeding spot?"

"Any surgery carries some risk, but when we conduct it, we exercise utmost caution," Liu Banxia explained.

"If a bleeding point is found in a segment, we need to see whether it’s solitary or diffuse. We would need to address all those bleeding points, possibly cutting a section of the intestine."

"But for us, these are minor surgeries. Among the trauma patients we consult, we often have those with intestinal perforation. We need to evaluate his specific situation to determine a surgical plan."

"However, given the current situation, endoscopic hemostasis isn’t feasible. Both gastroscopy and colonoscopy are negative, leaving surgery as the only option for hemostasis."

The patient’s wife nodded, knowing the surgery for her husband was unavoidable.

But there’s no other way, the actual situation is such that if the bleeding isn’t resolved, her husband’s life is seriously at risk.

Just from the bleeding earlier, his face turned pale. Thankfully the bleeding stopped, otherwise, it would have been uncertain.

"Teacher Liu, should we notify the anesthesia department in advance?" Xu Yino asked quietly.

"No need for now, let’s wait for the results first. Anyway, they’re always on standby, whoever’s available will do," Liu Banxia shook his head.

He understood it was for his convenience, preparing early could save some time, preventing a late shift.

However, this patient’s case was quite complex, with negative colonoscopy, gastroscopy, and CT results. What if the angiography is also negative this time?

In that case, whether we like it or not, we’d have to consider that small stone in the pancreatic duct.

There’s no other possibility, it’s not about whether you want it or not.

The upcoming examination was crucial, requiring a laparoscopic exploration. It needed a proper explanation to the patient and his wife, as it was a formal surgery.

After waiting a bit longer, the result came, negative.

Liu Banxia pinched his brow, indeed, today was full of challenges.

"How could it be negative? Could it be that the bleeding stopped, so it wasn’t visible?" Xu Yino mumbled.

"Doctor, then where else could be bleeding? You have to check thoroughly," the patient’s wife said.

Now understanding what negative meant, she realized it wasn’t good news. A condition that couldn’t be detected, yet threatened life anytime, was truly terrifying.

"After he wakes up, I’ll explain the subsequent examinations to you. We can only proceed with laparoscopic exploration, and I’ll personally conduct it," Liu Banxia said.

"With such a significant amount of bleeding, it can only pertain to the digestive system. As Xu Yino mentioned, perhaps because the bleeding stopped, the angiography didn’t show it."

"It might also be a consequence of the small stone in his pancreatic duct, but we currently don’t have the instruments to detect it, so we have to perform surgical exploration."

The patient’s wife was dumbfounded, nothing’s been found, yet surgery is needed?