Chapter 534: Juno Calls
Medical Center.
Emergency.
"Dr. Duncan, you're back. ”
As soon as Adam came over, the little nurse who knew the best greeted him: "How about the wedding? I must be very tired from attending two weddings in a row, why don't you take a good rest?"
"It's fine. ”
Adam laughed, "I'm not tired, are there any interesting cases today?"
"Nope. ”
The little nurse who knows the most smiled and said, "Dr. Yang followed Dr. Burke to do a congenital heart correction, Dr. Stevenson delivered a child, and everyone else was as usual, without special ......"
Adam listened and nodded.
After a day away, he needed to keep track of what's going on in the medical center.
And the little nurse who knows the most obviously understands him very well, picks what he wants to know, and says it in an orderly manner.
"Dr. Duncan!"
At this point, the emergency personnel were pushed away, and the first responders saw Adam and immediately called.
"What's the situation?"
Adam hurriedly ran over.
When the little nurse who knew the most saw it, she immediately took the surgical gown, ran over, and put it on Adam neatly.
"Michael Kenny, 17 years old, suddenly fainted at school and his vital signs were stable, he was a wrestler. ”
First responders said.
"This should be an internal medicine patient, call an internist. ”
Adam gave a rather sorry order, but pushed the patient into the examination room first.
"Call the school, get his medical records, infusions, check blood sugar, blood count, electrolytes, and add a toxicology test. ”
The young man who fainted suddenly, taking drugs and poisoning, the probability of tossing himself into the hospital is too great.
"Blood pressure is too low, 70/60, blood pressure is still dropping. ”
The nurse who checked the blood pressure hurriedly reminded: "The blood sugar is normal." ”
"Ventricular contraction. ”
After Adam examined it, he said in a deep voice, "It seems to be a heart problem." ”
"Doctor, the out-of-period pulse. ”
The nurse reminded, "Blood pressure is still dropping rapidly, 60/45."
"Arrhythmias. ”
Adam commanded, "Prepare for a central venous catheter." ”
The nurse immediately brought the instrument over.
Adam started a central venous catheter for the patient.
This is a quick way to maintain blood pressure during first aid.
"The blood test came back, no calves, but the electrolyte levels were a mess. ”
After Adam had done the central venous catheter and maintained the patient's blood pressure, the nurse came in with the test results.
"How much potassium is in your blood?"
Adam asked.
“2.0.”
The nurse replied.
"Knapsack infusion 20 milliequivalent. ”
Adam commanded.
Drip.
Drip.
The monitor sounds an alarm.
"The heart rate is beating fast, the heart rate is 240, and it's still rising rapidly. ”
The nurse reminded.
"Rapid intravenous bolus of adenylate 6 mg. ”
Adam instructed as he checked the patient's pupils: "No response, no contraction, prepare the shocker, press the sync button, you must immediately lower his heartbeat, otherwise he will die." ”
The nurse immediately picked up the shocker and, when ready, handed it to Adam.
"100, get out of your hand!"
Adam screamed and pressed the shocker down the patient's chest.
"The pulse is weak. ”
Nurse reminder.
"Turn it up to 200, get out!"
Adam increased the power of the shock.
"Still no pulse, he's going to die. ”
Nurse reminder.
"Give me a pacemaker and I'm going to get a whole game. ”
Adam commanded.
"Doctor, there's no screen here, do you want to reach in and get it with your senses?"
The nurse hesitated.
"I want to look at the screen too, but he doesn't have time anymore. ”
Adam accentuated: "Pacemaker!"
"Yes, doctor. ”
The nurse hurriedly handed the pacemaker to Adam.
Adam slowly passed the pacemaker through the catheter into his heart and instructed, "Turn it up to 300, okay, now, slowly turn it down, slow it down." ”
"Sinus rhythm is normal. ”
The nurse who looked at the screen reminded with a look of admiration.
"Ding!+0.01!"
The system's reminder sound is also everywhere.
"It's a sudden coronary heart disease!"
Adam was in a good mood and smiled, "You take care of him, and let me know when he wakes up." ”
"It's rare to get a heart attack at the age of 17. ”
The nurse lamented, "Thanks to Dr. Duncan, he would have died." ”
The heart is like the power supply of an electric car, and being young means that it has just been bought and used, as long as it is not a defective product (congenital heart disease), there is naturally no problem at the beginning.
Only after slow use for a long time will there be a series of problems such as power aging.
Lack of care can also exacerbate the process.
Adam smiled and got up to leave.
As long as coronary heart disease is not severe to a certain extent, it only needs to be well recuperated, and there is no need for surgery.
Anyway, the life expectancy is already in hand.
Adam is not a pity.
Half an hour later.
The nurse called to Adam and said that the patient was awake.
As the doctor who treated him, Adam had to assess his physical condition and then decide if he could be discharged.
"What are you doing?"
By the time Adam arrived, Michael, the patient who had almost died, was already doing a leg raise.
"I'm feeling better and I need some training. ”
"No, you can't do that, you just had a coronary heart attack and almost died. ”
Adam reminded: "Literally almost died. ”
"I'm fine. ”
Michael was stunned for a moment, bowed his head and said, "When will I be able to be discharged from the hospital?"
"Need to wait for your parents to come. ”
Adam said, "You have anorexia, don't you?"
"No, I didn't!"
Michael immediately denied it.
"You're a wrestler, and weight grading is very tight. ”
—————
Adam said to himself: "Once you don't meet the standard, you can't compete, so dieting is a very common method, but over time, it is easy to develop anorexia." ”
"I'm fine......"
Michael wanted to deny it, but in the face of Adam's gaze, the lie couldn't be told again, and he just looked at Adam begging: "I need to be discharged from the hospital, I have a game next week that will affect my future, and I must participate." ”
"I'm sorry. ”
Adam shook his head: "With your state of dieting, once you participate in a high-intensity competition, you may die directly." You are not yet an adult, and this decision needs to be made by your parents. ”
This Michael is obviously a sports student, and through the competition, he hopes to enter the university by taking the path of college recruitment.
Adam could understand his luck in racing despite the danger.
But this decision is not for Michael and him to make.
As Adam knew, wrestlers weren't just the ordinary people.
Professional wrestlers, who usually live together and train together, must adhere to strict rules.
For example, no smoking, no drinking.
Not even indescribable.
Emmm。
Not in any way.
It is also necessary to go on a diet, usually eating only vegetables, fruits, and dairy products.
I was beaten every day.
It's not that there is no way or I really love it, and I can't stick to it at all.
This Michael is talking about his future, obviously not love, but no way.
He is only talented in wrestling.
When Michael's parents arrived, Adam explained the situation to them and asked them to discuss it before making a decision.
He went out with the phone.
It was Juneau's call.
This surprised Adam a little.
Not to be surprised that Juno called him.
In fact, they talk on the phone almost every night to talk about what they encountered today, and then they exchange cases and discuss medical skills.
Merely.
Because they are all busy and night owls, they usually call before bedtime, that is, in the early hours of the morning.
It's obviously still a little early.
And it's usually him who calls her.
It's more convenient that way.
After all.
Adam's life is far less regular than Juno's.
If it were replaced by Juno, every time Juno called him, it was estimated that he would encounter a lot of embarrassing things.
Although Juno repeatedly said that she didn't mind Adam chatting with her while exercising.
But Adam minded.
What a beautiful thing to think!