Chapter 1666: Chapter 1670: Scene Simulator!
In fact, participating in Doctors Without Borders and daring to go to those dangerous places.
What tests a doctor is not just courage!
It’s also confidence!
A doctor who is not confident in their own professional abilities cannot possibly have the courage to face these dangerous situations.
No one dares to climb Liangshan without skills!
Deng Ming heard Chen Cang’s words and felt immense guilt!
He knew that Chen Cang was right.
He realized he had a kind of "ignorant" pride in his heart.
Thinking that he had seen a lot of the world.
Believing that he could face life-and-death situations, yet couldn’t manage to be an ordinary emergency surgeon?
Reality is laid out so clearly.
That’s right!
You just can’t do it.
At this moment, Deng Ming’s once firm heart finally settled into the dust.
And at the same time, when he calmed down, he began to seriously consider Chen Cang’s words.
After all, Deng Ming is an outstanding graduate of Harvard Medical School, a clinical medicine Ph.D.
Upon hearing Chen Cang’s words...
He suddenly thought of a possibility.
It was a rare pulmonary hypoplasia syndrome first brought forward in 1960!
However, he had only seen this disease in rare case reports!
He never expected to see it in real life.
Moreover, it was suggested by a doctor with military experience!
Thinking of this, Deng Ming said excitedly, "Are you talking about... Scimitar Syndrome?"
Chen Cang heard Deng Ming quickly adjust his state and enter fluency.
Chen Cang nodded: "That’s right, I just examined, and the old lady’s main symptoms now are still responses due to ischemia and hypoxia, but upon auscultation of the lungs, there is no possibility of any lung infection or pneumonia at all."
"For COPD... to reach this stage requires obvious clinical signs, but now there’s no barrel chest, and most importantly, providing oxygen hasn’t relieved symptoms and instead worsened the situation."
"And after you performed CPR just now, I found that the location of the strongest apical impulse seemed off. Percussion revealed cardiac displacement to the right, resembling dextrocardia."
"Later, combined with the patient’s long-term history of chronic cough, susceptibility to colds, and other circumstances, I suspect it’s Scimitar Syndrome!"
Listening to Chen Cang’s meticulous logic, detailed patient history, and disease information collection, Deng Ming’s heart was surging!
This is an emergency doctor!
Faced with a patient, with limited conditions and information, invisible injuries, and lack of condition, can utilize all resources effectively for a diagnosis!
Deng Ming suddenly felt that returning home this time might have been the right choice.
However, at this time, the two family members of the patients changed their expressions dramatically after hearing it.
"Professor Chen... What do you mean by Scimitar Syndrome?" The old lady’s daughter asked curiously and worriedly, "And... what should be done about Scimitar Syndrome?"
The old lady’s son also stared intently at Chen Cang, extremely worried.
In such a situation where busywork indeed creates chaos.
Now it’s hard to determine the old lady’s condition.
Chen Cang said calmly, "Scimitar Syndrome has nothing to do with trauma. It is primarily due to abnormal development of the pulmonary venous vessels, which is an extremely rare cardiac and pulmonary malformation."
"The direction of blood flow in the old lady’s right pulmonary veins is unusual; its path does not enter the left atrium but flows downward through the diaphragm into the inferior vena cava, returning to the right atrium, and eventually enters pulmonary circulation instead of systemic circulation. It’s like going into a ’dead end.’"
"Due to the anomalous veins, an X-ray examination reveals a scimitar-like shadow along the right heart border, hence the name Scimitar Syndrome."
"But... the old lady certainly isn’t solely affected by Scimitar Syndrome but has combined cardiopulmonary failure and abnormalities. Specifically, I can’t determine."
Upon hearing Chen Cang’s words, the man’s face turned ashen!
Feeling somewhat guilty!
"Mother has been susceptible to colds for so many years... I really should have taken her to the hospital more often!"
"Always thinking it’s nothing, nothing... delaying and delaying... all the way to today!" The man was very sad; his mother was 83 this year, and his father had passed 20 years ago.
For all these years, the elderly woman lived alone in the old neighborhood.
Today is her 83rd birthday, exactly 83 years old.
The whole family came to celebrate, and this is what happened.
The old lady, who always kept saying, ’It’s nothing, no big deal,’ now had a cyanotic complexion and lips, looking very much like... she’s about to leave.
The man’s voice choked with sobs, crouching on the ground, holding his mother’s hand, tears flowing uncontrollably.
"Doctor, please save my mother, I beg you!" This nearly two-hundred-pound fifty-something-year-old man couldn’t hold back at this moment, looking at Chen Cang as if he were the last straw of salvation!
The woman was also wiping her tears, nodding, and pleading.
In this not-so-large elevator, oppressive heat, crying, struggling, fear were spreading.
Deng Ming saw this scene and couldn’t help but sigh.
In such an elevator.
No cardiac monitors, no ECG machines, with limited devices at hand... how to save?
You think Professor Chen is a god?
Right now, the ones who can save lives are the staff outside, quickly opening the elevator and sending them to the hospital!
Indeed, when faced with such a situation lacking detection and examination equipment.
The basic operations of sight, touch, percussion, and listening become particularly important.
But what is an emergency?
This is an emergency!
It’s about needing to face various emergencies.
At this moment, Chen Cang suddenly heard a crisp system notification sound.
[Ding! Triggering a special scenario for pre-hospital emergency care, recording in progress...]
Chen Cang was taken aback!
This... is the reward he just received!
[Scenario Simulator!]
It can collect and simulate based on the scene condition of the patient.
Chen Cang’s eyes suddenly lit up!
Scenario simulation?
[Recording in progress... 1%, 2%...]
At this time, Chen Cang suddenly noticed the old lady’s condition worsening, with her mouth open and shoulders raised, nostrils flaring, and even her hands starting to move chaotically, as if searching for something!
This is the condition worsening!
No way!
It is necessary to take action at this time; the patient’s condition is evidently not aggravated by infection.
But because the burden on her heart and lungs was gradually increasing, causing the condition to build up day by day.
Because most patients with Scimitar Syndrome, apart from impaired cardiopulmonary function, do not experience this situation like the old lady.
At this time, the phone suddenly rang.
The man hastily answered the phone.
"Brother, how is mom!" A voice came through the phone.
"Mom’s condition is getting worse, you guys hurry and open the elevator, she must get to the hospital quickly!"
Hearing the man’s words, the other side was also anxious, urging those people hurriedly.
"Brother, half an hour, the elevator maintenance people will be there soon, hang in there!"