When the Doctor Uses A Hack

After Chen Cang came in, he found the frail man already causing a commotion! “What are you doing? Starting an examination without my signature? 1 don’t have money, I’m telling you!”

Seeing this, Chen Cang quickly said, “Don’t be like this! Your wife is in great danger right now. It’s a sort of poisoning symptom. We must clarify it soon; symptoms could worsen after 48 hours!”

Poison identification was a passive skill, and Chen Cang did not think the woman was faking it!

Some diseases can be feigned, while others simply cannot!

Can you make your hands and feet feel ice-cold? Can you fake your blood pressure to 90/60?

As a doctor, whether in internal medicine or surgery, one must have keen discernment.

Just as Wang Yong said, the patient might be here to swindle money, true! Such a possibility cannot be excluded. However, he still had to consider that the patient’s life came first.

No matter if they are good or bad, once they are sick and lying on the emergency bed, they are likely patients.

What’s so complicated for a doctor? Just to treat the sick and save lives.

Right or wrong, Chen Cang didn’t want to judge, but whether or not someone was ill, Chen Cang had to make a good judgment; that was his responsibility.

The scrawny man, hearing Chen Cang say his wife was in danger, suddenly rolled his eyes, stopped causing a ruckus, and, struck by a thought, simply dragged the fat man to the restroom.

Upon entering the restroom and making sure no one was around, the thin man then told the fat man, “You heard it, right? My wife is in grave danger. She doesn’t have health insurance, so all the money will have to come from you.”

The fat man owned a restaurant and often encountered such situations. Not wanting to trouble himself, he directly asked, “How much do you want?”

The thin man said, “5,000 yuan! Just look at what my wife has become; the medical expenses must be at least five thousand.”

Chen Cang couldn’t witness this transaction, but Nurse Xiaolin hurried over, holding a glucometer with a crystal clear reading!

“Blood sugar 33.3mmol/L!”

Chen Cang was stunned!

Flabbergasted!

Indeed, it was that high!

Now Chen Cang was even more certain, even more convinced that it was hyperglycemic hyperosmolar nonketotic coma.

But still, he had to wait for further tests to be sure!

Even if Wang Yong was right about the other party swindling money, and the man’s behavior seemed to indicate as much, Chen Cang was still not careless.

Now it seemed there was no mistake!

A blood sugar of 33.3.

Xiaolin added, “Dr. Chen, this electronic glucometer can only measure up to 33.3; any amount above reads 33.3! For the exact number, we must wait for the lab’s update.”

Upon hearing this, Chen Cang immediately frowned and then quickly said, “Add one more bottle of fluid! Where’s Wang Yong? Add one more bottle of fluid per the medical order!”

Wang Yong, with a tone that was clearly dismissive, retorted, “What fluid!? I’m telling you, last time it was also 33, who knows how much sugar they’ve consumed!”

Chen Cang’s voice was firm, “0.9% sodium chloride 500 milliliters, infused quickly!”

Wang Yong snorted disdainfully, but despite his words, he still had to follow Chen Cang’s orders.

Soon after, Xiaolin quickly said, “Dr. Chen, the CBC result is out!”

Chen Cang’s eyes lit up, “What is it?”

Xiaolin replied, “White blood cells 18.4, neutrophil ratio 90%, HB (hemoglobin): I35g.”

Chen Cang turned around and continued, “Add 250 milliliters of 0.9% sodium chloride + o.4g of levofloxacin, ivgtt!”

If the previous saline was deemed inconsequential, this time the use of levofloxacin made Wang Yong feel that Chen Cang was going too far, prompting him to say, “Boss, it’s clear this is a scam; do you really have to do this? We have limited levofloxacin in our department. Just ask Xiaolin, this is downright fraudulence!”

In the nurse station of the emergency room, three or four other nurses fell silent upon hearing Wang Yong’s words.

Indeed, everyone had seen this couple before, and each time they had come, they acted the same way.

Turning around, Chen Cang glared at Wang Yong, “I’m the attending physician, I take responsibility for whatever happens to the patient. If you’re not willing to follow orders, leave. Xiaolin, help me enter the order.”

Wang Yong huffed coldly, got up to leave, “Whoever wants to make the order, make it!”

After saying that, he left!

Xiaolin sighed and explained to Chen Cang, “Dr. Chen, don’t be upset. Dr. Wang is actually… he just has a strong sense of justice, and he can’t stand these people. Once Dr. Wang called out a scammer, and as a result… well, he got beaten up after his night shift! I also think that these few are here to swindle money…”

Upon hearing this, Chen Cang sighed, not saying much further.

After entering the medical order and waiting less than 20 minutes, all the test results came out!

Blood sugar 35.immol/L (the lab is more accurate than the glucometer, which maxes out at 33.3, with the electronic glucometer reading only 23.3), blood sodium i82mmol/L, blood potassium 4.95, blood chloride too, urine test: ketones 3+, urine glucose 3+.

This was a severe complication of diabetes: hyperglycemic hyperosmolar state!

Quickly!

Blood gas analysis, lactate, and other tests had all come back.

The more Chen Cang looked, the colder his heart grew.

It was good that treatment had been timely, otherwise there would have been major issues.

One must know that this illness is life-threatening.

At this moment, the fat and skinny men approached, whether they had reached a favorable agreement or not, the two seemed very happy to see each other and chatted merrily.

The fat man got up and left.

The skinny man smoothly pushed open the door to the resuscitation room, about to enter.

Just then, he saw Chen Cang approaching, “Your wife is in critical condition, she’s in the danger zone and must be hospitalized for treatment.”

Instead of heeding the words, the man scoffed and patted the woman on the shoulder, “Wife! Let’s go, we are going home.”

But-

After several pats, the woman still did not respond in any way.

The man was stunned, then chuckled, “You rascal, falling asleep, I’ll carry you home.”

As he spoke, he was about to remove the IV from the woman, lift her, and leave, but Chen Cang, seeing this, quickly intervened!

“She’s very dangerous right now, do not touch her.” Chen Cang hurried over.

The man was taken aback, “What do you mean?”

Chen Cang explained, “She is currently in a dangerous phase, suffering from hyperosmolar nonketotic hyperglycemia coma, which is critical. You’re her husband, right? We need you to sign the paperwork.”

Upon hearing this, the man was shocked, “What nonsense is this? Are you trying to scam money from me? Have you injected her with a sedative, don’t think I don’t know!”

When Chen Cang heard the man’s words, he could tell that the man was a habitual offender, even employing the sedative trick!

It’s truly using the mind of a petty man to guess the heart of a gentleman – one can’t help but admire such twisted logic!

Chen Cang presented the lab results, “Here are her test results. You might not understand them, but let me tell you directly, her condition is very dangerous. If she leaves rashly, her life could be at risk. She needs hospital treatment right now.”

Upon hearing this, the skinny man’s face changed, he thought for a moment, then bolted, yelling as he ran, “1 have no money, she’s not my wife, we don’t know each other.”

His running resembled too closely… “love.”

It also resembled life too closely!

Everyone around was dumbstruck!

Several young nurses couldn’t help but say, “Scumbag! Trash!”

Chen Cang could only sigh helplessly.

Perhaps, spouses are like birds in the same forest, which fly in separate ways when disaster strikes.

At this moment, the nurses around Chen Cang were thoroughly impressed.

In such a situation, Chen Cang’s ability to discern right from wrong showed his remarkable capability.

His demeanor and presence, especially his decisiveness and confidence in diagnosing diseases, were so similar to Director Li Baoshan!

Perhaps, all capable people look the same.

Seeing this, Xiaolin asked, “Dr. Chen, what should we do?”

Chen Cang sighed, “Use the emergency funds for the resuscitation first, start the treatment, I’ll write the orders, and you carry them out.”

Xiaolin nodded, “Dr. Chen, is she really not faking it?”

Chen Cang nodded, “Yes, she’s not. No one would feign this illness, it’s too dangerous, a matter of life and death!”

Hearing this, Xiaolin also sighed, thinking of the man who had run away, feeling sorry for the woman, yet couldn’t help asking, “Okay. Dr. Chen… can this disease be fatal?”

Chen Cang shook his head, said nothing.

Is any disease as cruel as the human heart?

Is any pain as merciless as the man’s decisiveness when he left?

Sigh-

In the end, it’s the human heart that tests us, not the disease.

Half a minute later, Chen Cang efficiently issued the medical orders.

The trickiest part of such poisoning diseases is finding the cause; once identified, it’s a matter of treating the symptoms.

Chen Cang suddenly realized how powerful the “Poison Identification” skill he had learned from Director Li was!

Upon seeing the patient, the logic in Chen Cang’s mind was clear and discernible.

Classifying the types of poisoning and their clinical manifestations allowed Chen Cang to directly discover the cause of the illness and devise a treatment strategy.

Wang Yong had also disappeared somewhere. Chen Cang sighed, perhaps there were also some issues with the way he handled things. He would find time to communicate with Wang Yong..