Chapter 752 - 349: Improvement May Be Only an Illusion, Unconditional Support for Dr. Li

Chapter 752: Chapter 349: Improvement May Be Only an Illusion, Unconditional Support for Dr. Li

Because the child is currently in a coma and his heart rate is alarmingly low. In this situation, vital signs are unstable, and the fracture in his arm does not affect his life. If he kindly sets the right arm fracture for the child,

what if the child doesn’t make it later on? Would the family blame him for making the child worse?

So, in this situation, it is absolutely impossible to reposition the child’s right arm fracture.

Otherwise, it might not turn out well.

He conducted a careful examination and found that the child’s bones showed signs of osteoporosis. Moreover, the child was fairly thin and weak in physique.

Some parents love their children dearly, indulging them with all sorts of snacks.

Carbonated drinks, candies, and high-sugar pastries eaten by the child on a daily basis — it’s no surprise the body isn’t healthy.

Li Jingsheng also specifically checked the child’s head again and saw no obvious external injuries.

"Miss, do you have a stethoscope?"

"Yes!"

The nurse seemed to know Li Jingsheng and was warmly amicable towards him.

Soon, she brought over a stethoscope.

Li Jingsheng carefully listened to the child’s heart and lung sounds, consistent with the results checked by the admitting doctor.

"Haven’t used any cardiac stimulants yet?"

"The directors’ consultation hasn’t yielded results, how dare we use any medication! For now, we’re just connecting a bottle of hypertonic glucose solution for fluid supplementation."

There’s a strict protocol for rescuing a patient.

In the case of such a special patient, without imminent life-threat, treatments are usually conservative.

Only after the directors determine the cause and give orders will medications be administered.

Unless the patient exhibits symptoms like respiratory failure or cardiac arrest, then measures such as administering adrenaline, external cardiac massage, or defibrillation are considered.

Li Jingsheng felt the child’s forehead with the back of his hand; the temperature seemed slightly elevated.

He also touched the child’s hands and feet, which were somewhat cold.

Returning to the consultation room, he had a very bad premonition in his heart. The child’s condition was serious, and the cause was unknown, making it very prone to complications.

"Director Hua, I checked and found a minor fracture in the right arm, a dislocated elbow joint, and signs of osteoporosis, but it shouldn’t directly affect the child’s coma and extremely low pulse."

Essentially, the injury to the right hand is unrelated to the child’s current condition.

"Secretary Bei, during my examination of the child, I noticed the child’s constitution was poor. Before this incident, did the child suffer from a cold or viral infection?"

"Hmm... probably not! I’m usually quite busy with work, and it’s mostly my husband, and my parents who look after him. However, my son is quite prone to illnesses, going to the hospital seven or eight times a year. When he was about four, he was hospitalized for over three months."

Secretary Bei seemed a bit unsure as she answered.

From her answer, however, Li Jingsheng discovered an important clue.

"What illness did the child have around the age of four?"

Being hospitalized for over three months indicates a very serious illness.

Of course, for families like theirs, there might be a tendency to be overprotective. They would keep the child in the hospital until fully recovered, feeling it safer with healthcare personnel around.

"At that time, it was due to a fever, persistent fever, then joint pain. After diagnosis, the doctor also mentioned a heart murmur and diagnosed it as rheumatic heart disease. After treatment, there have been no more episodes, just occasional minor colds or stomachaches."

Her attitude towards Li Jingsheng subtly shifted.

Because she could sense that this young doctor was providing substantive answers.

Not as slick as those few directors.

His inquiries were also highly targeted.

"The blood test results show lymphocyte count is only 0.31, with a notable increase in white blood cell count. I suspect the child’s heart might be infected by a virus. I suggest you ask the family if the child has recently had a cold or viral infection. I personally think the child may have had issues even before the fall, just not disclosed to you adults."

Li Jingsheng expressed some of his diagnostic viewpoints.

Since it was a discussion, he could speak freely.

"Myocardial viral infection usually presents with symptoms such as chest pain beforehand, so it doesn’t quite fit. However, Dr. Li’s mention of viral infection warrants examination."

Director Yan looked at Li Jingsheng with renewed admiration.

Underneath the fame, there is real ability.

This young man, who gained stellar recognition in skill competitions, indeed possesses true skills and knowledge.

The abilities he’s now showcasing clearly extend beyond just expertise in bone setting.

"Alright, I’ll go inquire thoroughly right away, you guys continue the discussion."

Secretary Bei, seeing progress in the consultation, also cooperated positively.

Not long afterwards, the director of the Cardiovascular Medicine department arrived. He was a man who had lost all his hair and had a seriously stout body, likely nearing sixty, with a kindly, benevolent appearance.

Many internal medicine doctors are very amiable, possibly related to the nature of their work.

Doctors too impatient wouldn’t last in internal medicine.

Because treating patients in internal medicine often doesn’t produce immediate effects, it takes time to see results.

If medication shows improvement the next day, that’s considered very fast indeed.

More often, medications may need to be administered for three or four days, or even longer, before seeing some effect.

That’s just how it is with internal medicine treatment.

It’s not like surgery, where you can cut down and remove the lesion directly.

It requires medication to control the condition bit by bit, and then utilizing the body’s own immunity to recover slowly.

A disease comes like a mountain falling, and goes like silk being pulled, is actually referring to internal medicine.

The Cardiovascular Medicine department at the Second Hospital has always been a weakness.

This Cardiovascular Medicine Director was forced into the task, regardless of his skills, he’s gritting his teeth and has to come over.

"Director Jin, the situation of this child is extremely complex. We’ve been discussing it for quite a while, and now we suspect the child’s heart is having problems. We’re waiting for you to lead the diagnosis."

Director Luo greeted proactively.

Li Jingsheng usually interacts less with this Director Luo, he only knows that Director Luo has a good relationship with Director Mu.

Today, watching Director Luo’s performance in this consultation, it was truly eye-opening.

Unexpectedly, he’s so cunning.

"With so many directors and experts here for consultation, I, an old man from the cardiovascular department, wouldn’t dare to take on the chief diagnosing role. Let me assist you, in a supporting role, that I can do."

Director Jin flatly refuses to take the bait.

Which chief physician surviving past fifty isn’t a master?

"Then take a look at the child’s records first. The current discussion has led to two initial diagnoses. Dural hematoma accompanied by a concussion, and possibly a viral infection in the heart."

Director Luo handed the records to him.

Taking over the records, Director Jin reviewed them carefully.

"The possibility of viral invasion cannot be ruled out, but I personally believe the issue with this child’s heart is unlikely to arise just once. It’s very likely there’s a similar medical history, or this has been occurring for a long time."

Director Jin’s expertise is evident, pointing out the likelihood of a similar medical history.

"The child’s mother reported that at four years old, the child was hospitalized for over three months with rheumatic heart disease at the time."

"Alright, that aligns."

Director Jin nodded upon hearing this.

"Should we strengthen the heart first or proceed otherwise? The pulse is only 47, if there’s really a dural hematoma, such a poor heart rate may exacerbate the swelling."

The heart needs to supply blood to the head, requiring more energy.

"We can start by treating it as rheumatic heart disease and see the effect. The child’s possibility of falling flat due to heart disease is very high. Administer hypertonic glucose drip infusion, then use a large amount of vitamin C, and administer atropine and penicillin."

Director Jin was straightforward, directly suggesting a series of medications.

After medication, the child’s condition showed noticeable improvement.

The heart rate rose above 70 beats per minute, with consciousness gradually regaining clarity.

The child’s mother was extremely excited and joyful upon seeing her son awaken.

Li Jingsheng, however, felt the crisis was not over.

Within the consultation room, chief physicians were still discussing.

Neurology’s Director Luo believed the likelihood of dural hematoma was high.

Because the child’s mother reported after consulting the family, the child’s grandmother mentioned the child had hit the door head-on while playing a few days ago. Cried for a while, then slept and was fine afterward, so she didn’t take it seriously.

Director Jin, on the other hand, believed in the possibility of rheumatic heart disease but thought a more likely cause might be acute myocarditis or similar heart conditions.

Although after following Director Jin’s medication plan, the patient’s condition had significantly improved, he bluntly stated that true treatment effects would require waiting at least until tomorrow.

Today’s improvement might just be an illusion.

In clinical treatment, improvement post-medication followed by relapse is quite common.

Li Jingsheng listened to the director’s discussion, and didn’t interrupt.

Director Hua was the same.

Bone Setting usually only gives opinions on skeletal treatment during consultations.

They seldom voice opinions on diseases in other fields since they aren’t proficient in them.

"If Director Jin believes the patient might not have rheumatic heart disease and is more likely to have acute myocarditis, then I suggest doing a brainwave test on the patient." Li Jingsheng spoke at this moment.

"Dr. Li thinks acute myocarditis is affecting the brain?"

Director Jin questioned.

"This possibility exists. Dural hematoma might be possible, but I personally think it’s quite low. Whether it’s the child’s grandmother’s report of head bumping a few days ago or today’s fall, both should not suffice to cause a dural hematoma. I’m more concerned about viral infection affecting both the heart and brain simultaneously. If acute myocarditis is confirmed, the likelihood of viral encephalitis exceeds 90%."

Li Jingsheng expressed his opinion.

Neither touching the child’s bones nor synthesizing various symptoms, Li Jingsheng believed the possibility of dural hematoma was extremely low.

Even if this condition exists, the disease should progress gradually.

It generally wouldn’t occur abruptly.

"I support Dr. Li’s diagnosis unconditionally, and recommend immediate brainwave and brain CT tests."

After listening, Director Jin unexpectedly supported Li Jingsheng’s perspective directly.

This surprised everyone present.

He even used the term unconditional support.