“`
Yan Ming’s departure had hastened the emergency department’s recruiting efforts.
No matter how one looked at it, Yan Ming was an experienced old doctor with years of service; his absence had certainly made the internal medicine section of the emergency department feel the pinch.
Working in the emergency department’s internal medicine was no easy task, as most of the emergency patients suffered from internal diseases. Compared to surgery, the daily routine was more complex and exhausting.
The recruitment work had also been approaching its end recently.
It was said that in the next few days, all the major recruiting units would begin preparing for interviews.
Out of curiosity, Chen Cang logged into the hospital’s official website; he was quite eager to see if any of his classmates had made it to the interview stage.
Only after checking did he discover that Luo Zhou was the only one who had made it to the interview stage ranked first in the written test, while the others, though they had also advanced, had only achieved mediocre preliminary scores and had no significant advantages.
But when it came to interviews, since ancient times, they’ve been highly subjective.
How does that saying go?Let the strong be strong,
A breeze soothes the hillside;
Let the forceful be forceful,
The bright moon illuminates the great river;
But I rely on my own network!
After checking, Chen Cang logged out. It would be good if Luo Zhou made it into the emergency surgery department, but… it was up to his own fate now. Chen Cang was just a small fry himself, struggling to get by, let alone worry about others.
…
…
Generally speaking, Friday mornings were a bit more relaxed than the rest of the week, possibly because everyone knew the weekend was about to start—just hang in there!
So, this day was usually quieter, but Friday evenings were another story.
The captivating weekend was about to begin, and naturally, after a week of hard work, it was time for revelries.
As Chen Cang was about to finish his morning shift, he suddenly heard a commotion from the wards.
Chen Cang immediately stopped in his tracks.
Although the emergency department was divided into internal and surgical sections for patient management, any medical situation would be addressed with full dedication from both sides’ staff.
Driven by curiosity, Chen Cang moved towards the noise, but before he got there, he heard a patient shouting loudly:
“Help! Save my mom!” a man rushed out of the room in a flurry.
Chen Cang sensed trouble and his heart skipped a beat. Could it be that something serious happened?
With this thought, Chen Cang ran towards the commotion.
“What happened?” Chen Cang quickly asked the family member.
At this time, Zhang Shu and Yao Zhiwen from internal medicine also rushed over.
The patient’s face was filled with panic: “Doctor! Quick, my mom suddenly started having convulsions!”
That sentence startled the three of them, and upon entering the room, they saw the patient’s facial muscles twitching, both sides of her face and her lips trembling slightly!
The three of them then relaxed a bit!
They thought something else had happened… Is this epilepsy?
That was their first impression upon observing the symptoms.
As they were preparing for the next steps, the patient suddenly calmed down and stopped convulsing.
Epilepsy with a minor seizure?
Zhang Shu quickly asked the family member, “How did this happen all of a sudden?”
The family member shook their head, their face changing color as they watched their mother sweating profusely, dabbing sweat with a paper in a delicate manner, heartachingly.
“Mom? Are you okay? You scared me to death! Do you feel uncomfortable anywhere now?”
“`
The woman appeared to be in her fifties or sixties, dressed plainly, with socks that had been patched up several times. It was evident that her family situation was possibly very… ordinary.
Her eyes were tightly closed, her head drenched in sweat, as she groaned, “Oh my, I feel terrible, my heart’s racing uncontrollably, I’m so dizzy… I feel nauseous, I want to vomit!”
The woman’s face was contorted with pain, her voice choked up and trembling; she truly seemed to be suffering!
The man’s face suddenly changed, “What exactly is going on here? Didn’t you say my mom had vertigo? Wasn’t it just a simple case of cerebral insufficiency? Why is she now having convulsions!”
“What exactly is the issue!”
“After three days in emergency, her condition hasn’t improved, but rather worsened, and now she’s started to have convulsions again. Is this going to be resolved or not!”
The man’s emotions grew increasingly agitated, and by the end, he was even yelling.
Zhang Shu remained calm, “Step aside first, let us take a look at the patient!”
The man, named Tian Cong, was thirty-five years old. With only a high school education, he started working after graduation. After several years of hard work, he and his wife finally settled down in Anyang City, opening a successful clothing store. However, life was busy, so he had brought his mother to the city to help take care of his children.
Tian Cong’s father had passed away early on, leaving his mother to raise him single-handedly, which made him very reliant on her.
Three days prior, his mother had suddenly gotten unbearably dizzy in the middle of the night, causing the world around her to spin, which frightened Tian Cong enough to call 120 and rush her to the Second Provincial Hospital.
Upon arrival, the examination did reveal that there wasn’t much wrong, with the most likely diagnosis being posterior circulation ischemia!
The brain includes both the anterior and posterior circulatory systems. Insufficient blood supply, for instance, from the vertebrobasilar artery, causing inadequacies in areas like the vestibular nuclei, can lead to a series of ischemic responses.
Since the vestibular system controls spatial awareness, ischemia in this area would result in manifestations like the room spinning.
This too is a type of acute illness.
Zhang Shu looked at Tian Cong with a serious tone, “Don’t panic. Panicking won’t solve anything. Let’s first figure out what the situation is!”
Tian Cong’s expression was somber, his eyes fixed on Zhang Shu, “If anything happens to my mom! I… I…”
Tian Cong was not a bad person, nor was he evil; he couldn’t actually utter any harsh words.
All he wanted was for his mother to get better; nothing else mattered.
Zhang Shu nodded, “Rest assured, if it is our responsibility, we will definitely take charge. Now please, step aside.”
After saying that, Zhang Shu turned to Yao Zhiwen, “Bring me the patient’s medical records and the test results.”
At that moment, the patient was lying in bed, gasping for air. Zhang Shu watched the scene with great curiosity.
What exactly was happening?
How could this result occur?
Convulsions?
Quite strange!
The woman was pale as Zhang Shu quickly arranged for the patient to be hooked up to cardiac monitoring.
The more Zhang Shu observed, the more curious and perplexed she became. Even the medical orders were all standard. Such a condition should not have arisen.
What exactly was the issue?
A complex medical mystery indeed…
All test indicators were normal, with the only abnormalities being elevated blood lipids and plasma viscosity. Otherwise, there was nothing unusual.
During hospitalization, in order to rule out diseases of the brain system, tests such as CT, MRI, and cerebral ultrasound were all normal.
How could she have started convulsing?
Every diagnosis is like carrying out a detective investigation, with the goal of identifying the true culprit.
After reviewing all the test results, Zhang Shu still shook her head, still without any cause.
Even the side effects of the medications used would not result in the occurrence of convulsions or seizures!
What exactly was the issue?
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