This miracle doctor just wants to be fired!

After careful consideration, Zhou Cheng finalized the drinking plan.

Next, have the patient drink 200-300ml of carbonated beverage each time.

Drink once every 1-2 hours.

The total daily intake should be controlled between 1500-2000ml.

At the same time, closely observe the patient's abdominal pain, bloating, and bowel movements, and adjust the dosage and frequency of drinking water in a timely manner.

In addition, Zhou Cheng also considered subsequent observation and nursing measures.

While the patient is drinking carbonated beverages, their vital signs need to be checked every 30 minutes.

This includes body temperature, pulse, respiration, and blood pressure.

At the same time, observe the degree, nature and location of the patient's abdominal pain, as well as any abnormalities such as nausea, vomiting, or bloody stools.

If a patient experiences worsening abdominal pain, significant abdominal distension, vomiting blood, or black stools, it may indicate that a date pit has punctured the stomach wall or intestines, and the consumption of carbonated beverages should be stopped immediately.

Imaging examinations should be performed promptly, and emergency surgery should be performed if necessary.

He also needs to arrange for nurses to closely monitor the patient's bowel movements, and to carefully check after each bowel movement to see if any date pits have been expelled.

If the date pit is not expelled after 3-5 days of drinking carbonated beverages, or if the abdominal pain symptoms are not relieved or even worsen.

Then it is necessary to reassess the condition and contact the general surgery and gastroenterology departments again to seek a more reliable foreign body removal plan.

Alternatively, the doctor can be consulted to adjust the treatment plan, and emergency endoscopy or surgery may be performed if necessary.

……

In less than twenty minutes, Zhou Cheng sorted out these ideas one by one and formed a complete treatment plan.

He returned to the emergency room and carefully examined the patient's condition. The patient's abdominal pain had eased slightly, and his mental state was better than before.

He sat by the hospital bed and patiently explained his treatment plan to the caregiver: "The current situation is quite special. Two departments are temporarily unable to take over, so we can only adopt conservative treatment for now."

"Try having the patient drink a lot of carbonated beverages. The acidic components in the beverages will soften the date pits, while the gas produced will stimulate intestinal peristalsis, allowing the date pits to move from the stomach into the small intestine and then be excreted through defecation."

Upon hearing this, the caregiver hesitated slightly. "Doctor, is this really okay?"

Zhou Cheng said helplessly, "This is the only way now. We can only try it and observe as we go."

Seeing this, the caregiver could only nod and say, "Alright, we'll do as you say."

Zhou Cheng then explained in detail the method, dosage, and precautions for drinking carbonated beverages, as well as possible discomforts such as bloating and belching.

"Don't worry, we will have doctors stay by the patient's side to closely monitor his condition. If any abnormalities occur, we will take immediate action."

"While this method cannot guarantee success, it is the safest and most reliable approach we can think of right now. It is also intended to help patients get rid of their pain as soon as possible and avoid more serious problems."

Hearing this, the patient in the hospital bed seemed to understand Zhou Cheng's good intentions and even hummed a few words, as if to express his gratitude.

Subsequently, Zhou Cheng immediately arranged for Lin Ling to prepare carbonated drinks.

He chose a highly acidic cola and prepared warm water so that the patient could rinse their mouth after drinking the carbonated beverage to relieve oral discomfort.

Lin Ling quickly delivered the drinks to the ward.

Zhou Cheng personally assisted the patient in drinking the beverage, instructing him, "Drink slowly, don't rush, and avoid choking."

Despite his intellectual disability, the patient was very cooperative, sipping his cola in small sips.

……

After treating the patient, Zhou Cheng returned to the doctor's office and recorded his treatment plan in detail in the patient's medical record. He also reported his thoughts and arrangements to his senior doctor, Zhang Biao, once again.

After listening, Zhang Biao agreed with Zhou Cheng's approach: "This method is worth trying, but we must closely monitor the patient's condition and inform me immediately of any abnormalities, so I can coordinate with the relevant departments."

Zhou Cheng agreed and then hung up the phone.

He knew that this attempt was fraught with uncertainty, and whether the date pit could be softened and expelled successfully was still unknown.

Next, there's the issue of nursing care.

Lin Ling would go to the ward every 30 minutes to observe the patient's condition, record the patient's abdominal pain, bloating, the amount of beverage consumed, and bowel movements.

……

The emergency room remains busy even at night.

In the emergency room, observation room, and on the hospital beds, the sound of emergency bells and the footsteps of medical staff could be heard from time to time.

Zhou Cheng spent most of his time in the emergency room, staying by the bedsides of various patients, constantly reviewing every detail of the treatment plan in his mind, and preparing to deal with any possible emergencies.

Perhaps it was this patient with intestinal obstruction that gave Zhou Cheng some inspiration, or perhaps it was the focus he had late at night that made his thinking even sharper.

When Zhou Cheng recalled the old man with low blood oxygen levels, the previously vague clues suddenly became clear, and a flash of inspiration struck him.

A question that had been ignored for a long time suddenly came to mind.

Does breathing affect the brain?

Or is it the brain that "directs" breathing?

As he inquired about the patient's condition, the detail that the family had repeatedly mentioned resurfaced clearly in his mind.

When describing the patient's condition, the family repeatedly mentioned a detail: "Each time, the elderly man would first experience shortness of breath and difficulty breathing, and then become unresponsive and fall into a coma."

This sounds like the most intuitive and conventional diagnosis: difficulty breathing leads to oxygen deprivation, which in turn causes coma.

Previously, doctors from other hospitals had been using this approach to conduct the screening.

Pay close attention to whether the elderly person's airway is clear, whether there is a lung infection, and whether there are any abnormalities in the respiratory muscles.

But at this moment, Zhou Cheng calmed down and carefully examined the process of the onset of the disease, and the more he thought about it, the more he felt that something was wrong.

A bold hypothesis quietly took shape in his mind, even tinged with disbelief: Could it be the other way around?

If the brain malfunctions first, affecting the respiratory center and leading to central respiratory failure, then everything makes sense.

The respiratory center is located in the brainstem. Once the brain is diseased, whether by inflammation, ischemia or other abnormalities, it may directly inhibit the function of the respiratory center, leading to respiratory rhythm disorders, difficulty breathing, or even apnea.

Prolonged respiratory abnormalities can lead to severe hypoxia, eventually causing the patient to become unresponsive and fall into a coma.

This hypothesis breaks with conventional diagnostic and treatment approaches and is even somewhat risky!

But Zhou Cheng knew that it was often these seemingly bold assumptions that could lead to the key to breaking the deadlock.

As for brain lesions...

Thinking about this, Zhou Cheng suddenly remembered an illness.

"Could it really be an epileptic seizure?"

During an epileptic seizure, patients may experience altered consciousness, limb convulsions, and in some severe seizures, the respiratory center may be affected, leading to respiratory abnormalities.

This is somewhat similar to the symptoms of the elderly!

Zhou Cheng's heart tightened, and he pulled out the old man's previous EEG report.

Unfortunately, the report clearly showed that no typical epileptiform discharges were found.

This means that the elderly person's symptoms were not caused by a typical epileptic seizure, and this possibility has been temporarily ruled out!

If epilepsy has been ruled out, what could be causing the brain lesion that would then affect the respiratory center?