The Enhanced Doctor

Chapter 1133: Chapter 1133: Strange Symptoms

(Thanks to Liunian Moxi for the reward and encouragement with the monthly ticket, and thanks to 17953018, Hell Empty Devil in the World, 1111 Xiang, and book friend 20170225145026240 for the monthly ticket encouragement)

Ding! Task issued: Patient with sudden respiratory failure

Open task: Patient admitted with cold diagnosis, examination reveals hypokalemia. Suddenly develops respiratory failure, requiring host to determine the cause. Task reward will depend on diagnosis results.

Liu Banxia just set off when the system issued a task.

This does follow the system’s principle, as there was already some doubt in his mind.

However, the patient’s situation isn’t that promising; even if he hadn’t asked about the exact potassium concentration, mild hypokalemia shouldn’t lead to paralysis of the respiratory muscles.

"Teacher Liu, the blood oxygen is coming up. I was scared to death just now, the blood oxygen suddenly plummeted." As Liu Banxia walked over, Huang Bo had also completed the intubation procedure.

"The situation has become a bit complex. What was his blood potassium concentration measured at?" Liu Banxia asked.

"3.1," Huang Bo hurriedly replied.

"Let’s check the electrolytes again." Liu Banxia said.

"Beep beep beep... beep beep beep..."

Just as Liu Banxia finished speaking, the patient’s monitor started sounding crazily again, this time with a change in heart rate, skyrocketing.

"Ventricular fibrillation, prepare for defibrillation, 150 joules." Liu Banxia shouted.

After shouting, he ran to the patient’s side to compress the jugular vein.

This is also a method to control supraventricular tachycardia; if uncontrollable, it will become ventricular fibrillation, requiring defibrillation.

"Alright, the heart rate has come down, but still a bit high at 110." Looking at the heart rate value on the monitor, Huang Bo breathed a sigh of relief.

"Take an electrocardiogram, and do a cardiac ultrasound, and then call doctors from cardiology for a consultation," Liu Banxia said after listening.

Huang Bo nodded and quickly contacted them.

The defibrillator couldn’t be moved away for now, as they’re uncertain if the patient would have symptoms of tachycardia again; if ventricular fibrillation occurs, prompt rescue is essential.

"Director Liu, what’s happening?" Just after the electrocardiogram was done, Meng Qingfan from cardiology rushed over.

"Doctor Meng, the patient came for cold diagnosis. Shows muscle weakness symptoms and had seizures. Low blood potassium concentration, developed supraventricular tachycardia after potassium supplementation." Huang Bo hastily reported.

Meng Qingfan took the lab sheet and electrocardiogram and examined them carefully.

"It shouldn’t be related to the potassium supplementation medication, has the electrolyte been sampled and analyzed again?" After examining, Meng Qingfan asked.

"It’s been sampled and sent for testing; Teacher Liu suggested doing a cardiac ultrasound as well." Huang Bo said.

"Alright, do it, take him for the test." Meng Qingfan said.

Huang Bo quickly took the nurse with a trolley bed to the ultrasound room.

"Why do you seem so nervous? Your medical orders are already fine, no need to call me over." Meng Qingfan said.

"No, I have a very bad feeling; could it be a very severe influenza virus or a new type of influenza virus?" Liu Banxia said.

"Currently, our emergency center has received over fifty patients with cold symptoms, three of whom show very severe symptoms. Also, I heard from the emergency personnel that two patients with cold symptoms have been sent to the city hospital in a coma."

"Just now, a cold patient we admitted might have cerebral edema; they’re doing a CT scan now. I have a sense that something’s not right."

Meng Qingfan frowned, "Have you communicated with Wang Huan and the others?"

"Not yet, this patient just had a change, so I’ve been thinking more. Yiqing, how is your patient’s situation?" Liu Banxia asked.

"Teacher Liu, the patient’s heart rate has recovered, currently at 57." Liu Yiqing said.

"Ah... Thankfully, her patient hasn’t had any more issues. Her patient had bradycardia, started at 48, and electrolyte check showed sodium ions were a bit low." Liu Banxia said.

"We really need to pay more attention to this situation; I was puzzled why the disinfecting started again." Meng Qingfan said.

"Can’t be careless; I’m worried it might infect our medical staff, which could lead to widespread issues." Liu Banxia said with a bitter smile.

"Our admission pressure is high right now; we can’t afford to be lax, or it could disrupt our operations."

"No, I need to notify the operating room to ensure proper personal protection measures, or if they catch a cold, it could affect surgeries."

After saying this, he took out his phone to contact the operating room to remind everyone to strictly guard against the flu.

Meng Qingfan didn’t mind; it’s better to be overly cautious than not at all, it’s a sign of being responsible.

Otherwise, if several medical staff at the emergency center start showing cold symptoms, even if they can continue working, efficiency will be affected, and it might lead to errors.

"How was the patient for today’s operation?" After Liu Banxia finished the call, Meng Qingfan asked.

"Haven’t had the chance to ask, too many cold patients today." Liu Banxia said.

"There shouldn’t be any problem, right? Although I’m not a surgeon, I think your operation at that time was fine." Meng Qingfan said.

"Now it depends on the attitude of the patient’s family, but at most it’s just some trouble, and I don’t even need to be suspended for investigation." Liu Banxia said.

"It’s reflected in the medical records, and we have also explained everything to them without any concealment. Though it’s like that, I still hope he has no sequelae."

"Recently, my mind has been on my two children, so I’ve been spending less energy on our emergency center."

"Isn’t that normal? Who doesn’t care about their children? Besides, nothing is happening at our emergency center, the current staffing is fine, and the technology is also very strong." Meng Qingfan said.

"Teacher Liu, could you come over here for a moment?"

At this time, Liu Yiqing called out.

"What’s wrong?" Liu Banxia asked.

"This patient of mine is sweating more, more than before, without a significant increase in body temperature, and is having some difficulty breathing." Liu Yiqing said.

Liu Banxia came to the examination bed, carefully checked the patient’s condition, and listened to the lungs attentively.

The patient was now sweating profusely, gasping for breath.

"The breath sounds are indeed a bit diminished, prepare for intubation, and take the patient for a chest X-ray to check the lung condition." Liu Banxia said.

"Doctor, what’s happening to me?" the patient asked with some difficulty.

"It might be bronchospasm caused by an upper respiratory infection, we’ll give you medication later to relieve it." Liu Banxia said.

The patient nodded.

As Liu Yiqing and her team pushed the patient away, Liu Banxia took another look at the patient’s heart rate and frowned.

In such a short time, it had increased by 2 points, now reaching 60.

Ding! Task released: Elevated Heart Rate

Open task: The patient came in with a cold, initially diagnosed with bradycardia, and low blood sodium. After fluid replacement, symptoms of sweating and difficulty breathing, with an elevated heart rate, caught the host’s attention, requiring further investigation. Task rewards will be granted based on the diagnostic results.

"Teacher Liu, are there any other orders?" Liu Yiqing asked.

"No, go ahead, notify me immediately if there are any changes." Liu Banxia said.

The elevated heart rate caught his attention because the patient was somewhat different from ordinary people.

He is a fitness enthusiast; the heart rate considered normal for ordinary people is a bit high for him. However, it is still within a reasonable range, and it might be the overexertion of breathing that caused the heart rate to increase.

At this moment, Liu Banxia’s phone rang again, and seeing it was Su Wenhao calling, he quickly answered, "How’s the patient’s condition?"

"Teacher Liu, the patient has developed brain swelling and a small amount of fluid in the lungs." Su Wenhao said.

"Call the neurologist and when you return, bring the internist to discuss it." After saying this, Liu Banxia hung up the phone.

"The results are in?" Meng Qingfan who had followed over asked.

"Brain swelling and fluid in the lungs, have been referred directly to neurology." Liu Banxia said.

"Just now, how do you think Liu Yiqing’s patient’s condition is? He’s a fitness enthusiast, and now his heart rate has increased a bit. Should we pay special attention?"

"I saw it too, let’s not rush. See if the symptoms improve after using bronchodilators and relieving the asthma." Meng Qingfan said.

"You’re a bit off today, if the situation wasn’t right, I wouldn’t care if you’re the director, I would definitely speak up. Why are you so unsure of yourself?"

Liu Banxia grinned, "Isn’t it because today’s changes in the patient’s symptoms seem a bit strange to me? They seem reasonable, yet I feel something is not quite right."

"Sigh..., maybe it’s also because I’ve been busy with surgeries lately, so I haven’t been seeing many patients. Plus, this is internal medicine stuff, not my specialty."

"Why hold yourself to such high standards? You’re putting a lot of pressure on us." Meng Qingfan laughed and said.

"In fact, we in the cardiology department also attach great importance to diagnosis, often having to judge whether the symptoms are caused by heart issues or are temporary due to emotional factors."

"Huang Bo is back as well; judging by his expression, it should be negative. This patient’s case is truly tricky, let’s see if there’s any sign of tachycardia or ventricular fibrillation later."

"Teacher Liu, Teacher Meng, the echocardiogram is negative, the heart rate is still high." Huang Bo said as he walked over.

"Dr. Meng has already made the judgment, let’s continue observing. No issues with blood oxygen, right?" Liu Banxia asked.

"Blood oxygen is fine at the moment." Huang Bo said.

"Then continue with the potassium chloride drip and observe his muscle strength after the blood potassium levels have increased." Liu Banxia said.

Huang Bo nodded and ran back to the patient’s bedside. This patient needs his close attention; otherwise, any situation might delay rescue.

Liu Banxia rubbed his face, still unable to shake off that strange feeling inside.

He didn’t know whether it was because he hadn’t seen patients recently and was worried unnecessarily, or the system’s task was causing the issue.