When the Doctor Uses A Hack

Chen Xiaoli's condition was already unique; a few days ago, she had taken rat poison orally, leading to abnormal blood coagulation and inducing bleeding.

Could it be that she's taken medication again?

For a moment, this possibility flashed through everyone's mind once more!

Ma Yuehui hesitated for a moment before getting up and heading to the ward.

Chen Xiaoli was terrified at that moment!

That's how people are; suicide is like "impulse buying," only this purchase is one's life, and most people regret it after surviving.

Chen Xiaoli was like this; she thought she had escaped death, but now she suddenly started bleeding, which scared her out of her wits!

Could it be... am I going to die?

Seeing the pale-faced Chen Xiaoli, Ma Yuehui quickly asked, "You haven't taken any more medicine, have you?"

Chen Xiaoli's face changed, she shook her head: "No..."

"Have you eaten anything unusual recently?"

"No, during these last two days in the hospital, I've only eaten food from the hospital cafeteria." All of this was bought by Chen Xiaoli's mother using Chen Cang's meal card.

Chen Cang received a meal subsidy of 600 yuan per month at the hospital, which he often didn't use, so he gave it to Chen Xiaoli's mother for them to use.

Ma Yuehui continued asking, "Is there any history of bleeding in your family?"

Chen Xiaoli frowned and glanced at her mother.

"No... there isn't any."

Ma Yuehui frowned; this was strange.

Could it be the aftereffects of the rat poison?

Returning, Ma Yuehui immediately started conducting tests with the department staff, hoping to find some diagnostic clues. They first used simple tests for screening to determine which stage the bleeding might be occurring, followed by complex diagnostic tests for confirmation.

This is the standard procedure for diagnosis.

If in doubt, quantum mechanics doesn't work in the medical field.

Old Ma instructed the attending physician: "Full blood count, every two days, also do a manual blood cell classification, screening test, platelet adhesion and aggregation test, coagulation..."

This type of bleeding is not a trivial matter at all.

Nosebleeds are better, but if there is bleeding in the central system, the consequences are severe; even a small amount can lead to death.

We must ascertain the cause!

Actually, for doctors, the scariest disease is not the most severe one, but the unknown risk.

Is cancer frightening?

But have you ever seen oncologists very worried?

Of course not, because they have detailed guidelines to make plans according to the patient's situation.

And is a nosebleed a big or small concern?

It can be both!

At 10:12 AM, Chen Xiaoli started having nosebleeds again!

At 10:40 AM, she began to cough up blood!

At 11:00 AM, the bleeding intensified again!

...

All of a sudden, the attending physician was completely at a loss, and Ma Yuehui immediately invited consultative experts, inviting the department heads from Hematology, Otolaryngology, Respiratory, Endocrinology, and Rheumatology and Immunology for a joint consultation!

Everyone started discussing with heightened tension.

The continuous bleeding couldn't be stopped!

Blood count and coagulation indices were normal, which meant coagulation treatment couldn't be initiated yet.

But where was the blood coming from?

If it's not coagulation abnormality, is it internal organ bleeding?

Leukemia?

Or a tumor?

However, the leukemia test results didn't support this.

Could it be a tumor or internal organ bleeding?

Do a laryngoscopy and gastroscopy first to check for bleeding of the stomach mucosa and any injury to the throat area.

For such a strange case, these department heads were extremely attentive.

This exploration of the unknown was what they loved doing the most at their age.

If... if they discovered a previously unknown disease, they would be extraordinary.

However, half an hour later, the results showed no bleeding in the esophagus or stomach.

At this point, everyone became quite intrigued.

"Let's do a CT scan to rule out any lung injury," suggested the Director of Respiratory, and everyone nodded in agreement.

Given the history of rodenticide poisoning and the patient's hemoptysis and nosebleed, it was necessary to consider whether it originated from the respiratory tract and lungs.

Chen Xiaoli was once again transferred to the Radiology Department this way.

Ma Yuehui and others discussed the condition outside, waiting for the results.

Just then, the radiologist rushed out urgently, opened the door, and said, "There's trouble, the patient's heart has stopped!"

That one sentence immediately terrified everyone!

How could this...

What happened?

How come the heart stopped suddenly!

Old Ma rushed in and asked, "What's going on?"

Director Yang from Radiology was sweating profusely: "Cardiac tamponade! It could very well be cardiac tamponade, I noticed the heart shadow is enlarged, quickly do an echocardiogram to check."

Upon hearing the Radiology Director's words, everyone was dumbfounded.

How did suddenly become a case of cardiac tamponade?

The pericardium, a closed fibrous serous sac surrounding the heart, contains a small amount of serous fluid for lubrication when the heart beats.

Once bleeding occurs here, it inevitably compresses the heart and affects its beating!

If this situation arises, the patient is basically in a life-or-death situation.

Though these department heads were seasoned veterans, neither shock nor curiosity made them forget what needed to be done now.

The Radiology Department and the Emergency Department were on the same floor, and a stretcher was quickly brought by the nurse.

Chen Xiaoli was hurriedly transferred to the emergency room.

In no time, the emergency department was bustling again.

Old Ma personally took charge, starting the fluid drainage under ultrasound.

Old Ma was very skilled, and his long-term experience in emergency care allowed him to handle the situation with ease.

The pericardial tap was successful!

Chen Xiaoli's heartbeat resumed, but her blood pressure was still very low.

This meant that the situation was far from optimistic!

Just as Old Ma hadn't even caught his breath, an alarming situation arose: Chen Xiaoli's eyes, mouth, nose, and ears began to bleed!

At that instant, everyone was scared out of their wits!

The previously pale face had not a hint of blood color!

And now, suddenly, there was a ghastly seven orifices bleeding?

The entire emergency department was terrified upon witnessing this, even the well-experienced staff were afraid at that moment!

Even the nurses assisting in the rescue felt a pang of sympathy looking at this young woman.

Does she still have a chance to survive?

Should we continue the rescue?

Can we... save her?

These questions appeared in everyone's mind at this moment.

All were a bit bewildered.

Rescue... shock... stop the bleeding... transfusion...

This had become the now prevailing theme.

Maybe...

If we do the blood transfusion fast enough, she won't die, right?

Old Ma sighed with a bit of regret and helplessness.

This is the emergency room.

Clearly, just when we thought we had succeeded, things like this always happened.

"What should we do?" the young attending physician couldn't help but ask.

But this time, nobody answered.

Because nobody knew how to respond.

Could it be that she would just die in confusion?

Suddenly, the attending physician said, "Should we call Professor Chen?"