This miracle doctor just wants to be fired!
Chapter 249 Seven Intubations
Zhou Cheng came out of the emergency room and reported on the patient's current condition, which relieved all the family members present.
Two middle-aged family members walked up to Zhou Cheng and thanked him repeatedly.
Zhou Cheng simply nodded slightly, then returned to the emergency room.
While continuing to monitor the data on the monitor, he instructed Lin Ling: "Maintain blood oxygen saturation above 90%, closely monitor vital signs, and tell me immediately if there are any abnormalities."
"Okay, received," Lin Ling replied.
Zhou Cheng then conducted further examinations on the elderly man.
This included checking the pupils and listening to the lungs, confirming that the elderly person's condition had temporarily stabilized, and the rescue work was temporarily brought to a halt.
Zhou Cheng went to the computer at the nurses' station and began to fill in the emergency medical orders, but he was also very puzzled.
He had already asked, and the patient's two family members did not have any medical background and did not seem to be people working in the medical field.
But the fact that they immediately requested intubation upon arrival, and even knew the risks involved, was highly unusual.
After Zhou Cheng finished recording the medical orders, he waited until the patient's condition stabilized slightly before returning to the door of the emergency room.
……
At this moment, the emotions of the two middle-aged male family members at the entrance of the emergency room had calmed down considerably.
Seeing Zhou Cheng approaching, the two immediately went to greet him and thanked him again: "Dr. Zhou, thank you so much. If it weren't for you, my dad would probably be in danger today."
Zhou Cheng waved his hand, his tone softening: "This is what we should do. The old man's condition has stabilized for now, but he still needs further observation and treatment. He will also need to undergo relevant examinations to determine the cause of his breathing difficulties. Now I'll briefly understand some of the patient's previous medical history."
He paused, then couldn't help but ask the question that had been bothering him, "You requested intubation as soon as you arrived, and one of your family members mentioned that you'd had it done before?"
Upon hearing Zhou Cheng's question, the two middle-aged men exchanged a glance, their faces displaying a complex expression.
After a moment of silence, the middle-aged man in front of him slowly spoke: "Dr. Zhou, to be honest, if you include this intubation, my father has had a total of seven tracheal intubations."
Zhou Cheng was startled and asked in surprise, "Seven times?"
In his many years of medical experience, although he has seen patients with recurrent illnesses, this is the first time he has encountered a case of repeated tracheal intubation within six months, which is extremely rare.
The middle-aged man nodded slowly, his eyes slightly red: "Yes, it happened seven times in total. Each time it was the same. Suddenly I felt tightness in my chest and shortness of breath, my blood oxygen saturation dropped sharply, and I became confused and unresponsive."
"Each time, the doctors had to perform emergency intubation to save his life."
"Moreover, after each intubation, his condition would gradually improve, and then he would be successfully extubated. We all thought that he was finally okay this time, but not long after, the same situation would happen again, and he would have to be intubated again. It happened again and again, and we were almost at our breaking point."
Zhou Cheng's brows furrowed even more, his doubts growing deeper.
He pressed further, "Didn't the doctors find a specific cause for these seven episodes?"
The recurrence of such respiratory failure must have a root cause; it cannot occur without a reason.
In Zhou Cheng's view, every disease has its cause. As long as the root cause is found, targeted treatment can be carried out, so that patients do not have to suffer such pain repeatedly.
Upon hearing this question, the middle-aged man shook his head helplessly, a look of despair on his face: "We've taken him to many hospitals and done countless tests, big and small, including chest CT scans, MRIs, blood tests, lung function tests, and even sleep apnea monitoring. But each test showed no major problems, and the doctors couldn't find the specific cause, only saying it was respiratory failure of unknown cause."
"Speak," the middle-aged man sighed, "We really have no other choice now. We can only be prepared to intubate him at any time to save his life. As soon as he shows any abnormality, we will rush him to the hospital, for fear that if we are even a step too late, it will be too late."
Upon hearing this, Zhou Cheng learned about the patient's medical history and treatment process. Although his doubts were not completely resolved, he gained some new insights.
Six months ago, the elderly man accidentally fell while taking a walk, resulting in a leg fracture. He was rushed to the local hospital for surgery.
Fortunately, the surgery was very successful, and the elderly patient recovered well after the operation.
The whole family was overjoyed, thinking that the accident would soon pass and the old man would recover quickly.
However, no one expected that a week after the surgery, the nightmare would quietly begin.
That afternoon, the old man was resting in his ward when he suddenly experienced chest tightness and shortness of breath. His breathing became abnormally rapid, his face turned pale instantly, and his lips turned bluish-purple.
Upon discovering this, the nurse immediately checked the elderly man's blood oxygen saturation.
The results showed a sharp drop in blood oxygen saturation.
Moreover, the elderly man soon became unconscious and unresponsive, and his condition was extremely critical.
The local hospital doctors acted immediately, performing tracheal intubation on the elderly man and then transferring him to the ICU for emergency treatment.
Considering that the elderly man had been bedridden and had very little activity since his fracture surgery, the doctor's first thought was that he had suffered a pulmonary embolism.
Pulmonary embolism is a common complication in bedridden patients, and once it occurs, the mortality rate is extremely high.
To confirm the diagnosis, the doctor immediately arranged for a pulmonary artery CTA for the elderly patient.
However, the test results were a cold shower for everyone. The pulmonary CTA showed no signs of embolism in the elderly man's lungs, only a small amount of aspiration pneumonia. This result left all the doctors puzzled.
Although aspiration pneumonia can also cause difficulty breathing, it is never serious enough to cause a sharp drop in blood oxygen saturation or loss of consciousness, and it certainly does not require emergency tracheal intubation for resuscitation!
Fortunately, after two days of intensive care and symptomatic treatment, the elderly patient's condition gradually improved, his blood oxygen saturation slowly returned to normal, and he regained consciousness. He was successfully extubated and transferred back to a regular ward.
The whole family breathed a sigh of relief, thinking it was just a false alarm.
With proper care, the elderly person can recover quickly and this situation will never happen again.
Little did they know that this was just the beginning, and a long and painful ordeal was only just beginning.
Less than five days after returning to a regular ward, the same scene played out again.
The elderly man suddenly experienced symptoms of chest tightness, shortness of breath, and profuse sweating. His breathing became increasingly difficult, his blood oxygen saturation dropped sharply, and he quickly fell into a state of confusion.
The doctor performed another emergency tracheal intubation on the elderly man and sent him to the ICU for emergency treatment.
Fortunately, the elderly man's condition improved again the next day, and he was successfully extubated and transferred back to the respiratory ward.
But this time, a shadow fell over the doctor's heart, and everyone was worried.
When will the next outbreak occur?
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