Read Novel Full Chapter 1377 547: So They Came to Present a Banner, and a Measure of Wariness
Chapter 1377 547: So They Came to Present a Banner, and a Measure of Wariness
The patient is not very old, only thirty-four or thirty-five years old. If something goes wrong, it would be a significant blow to the family.
It's tough for any family to raise a son.
At thirty-four or thirty-five, the patient is essentially taking over the family burden from his father, with a rapidly rising career and just recently married with a child. One can imagine how much impact it would have on the family's life if something were to happen.
Why is the mortality rate of acute pancreatitis high?
Firstly, why does it cause low blood pressure?
The main reason for the drop in blood pressure is the secretion of substances like bradykinin.
Bradykinin can dilate blood vessels, causing the patient's blood vessel capacity to increase, leading to low blood pressure, accompanied by symptoms such as pronounced thirst and cold limbs.
If it were only low blood pressure, it wouldn't necessarily be fatal.
The real cause of death is organ failure, systemic inflammatory response, severe abdominal infection, digestive tract bleeding, and other complications. The secretion of bradykinin is a triggering factor for these complications.
The pancreas is a very peculiar organ; it can 'self-digest.'
Once pancreatic enzymes are activated, a horrifying phenomenon occurs: pancreatic tissue digests itself, eventually leading to bleeding or even necrosis.
Being the second-largest digestive organ in the human body, how does it digest itself?
The pancreas mainly secretes insulin, regulating blood sugar levels, effectively utilizing glucose from food to maintain normal metabolism. The pancreatic juice it secretes helps the body process greasy food, digesting the fats.
It's truly a diligent and meritorious digestive organ.
When first secreted, pancreatic juice exists in the form of pancreatic enzyme and is activated only after coming into contact with gastric acid or protein-based foods.
People with acute pancreatitis are prone to gallstones.
Once gallstone disease occurs, stones may fall into the junction of the pancreatic duct and gallbladder, blocking the outlet, causing bile to flow into the pancreatic duct or pancreatic juice to flow backwards. In this case, inactive zymogen activates into active enzymes and begins self-digestion.
This is the entire process of the pancreas digesting itself.
Among the relatives, there's a slightly younger man who looks somewhat similar to the patient, in his twenties, possibly the patient's brother.
After hearing Zhou Can's diagnosis, he was still somewhat worried and asked, "Doctor, is your diagnosis reliable? What if my brother's illness isn't acute pancreatitis? Would the rescue be delayed?"
"Please don't take offense! It's mainly because you're too young. Lives are at stake, and we came to Tu Ya seeking safety."
The relatives are mainly worried that Zhou Can is too young and lacks work experience, potentially delaying the rescue.
"No doctor can guarantee a diagnosis. If you don't trust my diagnosis, I have no other choice but to refer you to another doctor for treatment."
Facing such questioning, Zhou Can couldn't deny feeling bothered.
In his experience, once the family doubts the doctor, trouble tends to follow.
Which is highly detrimental to the medical treatment.
When a doctor prescribes a medication, families might ask what the drug is for, whether it's effective or not, what to do if it's ineffective, or if there's a better alternative...
Endless questions can drive the attending doctor to distraction.
To be honest, Zhou Can wasn't supposed to handle the triage reception work. Whenever a duty doctor couldn't solve something, he would step in to help.
After all, saving lives is the most important thing.
Furthermore, Director Lou, Deputy Director Han, and others have repeatedly authorized Zhou Can during departmental meetings or public occasions to lead rescue operations as necessary.
This is because rescues often need to be conducted swiftly.
If they aren't present, a skilled doctor is essential to lead the rescue.
Undoubtedly, Zhou Can stands out among the Emergency Department doctors. Only a few like Director Lou, Deputy Director Han, and Dr. Xu have substantial skills in this area.
Currently, Zhou Can is likely the most skilled in rescue operations in the Emergency Department.
At this moment, Deputy Director Han arrived from the ICU.
Emergency ICU generally alternates between two quite capable chief physicians and deputy chief physicians. But in some extremely challenging acute cases, the Emergency Department's top doctors need to collaborate to save the patient.
Sometimes, maintaining the patient's breathing, as well as heartbeat and blood pressure, is beyond the capability of a single doctor.
Moreover, operating extracorporeal membrane oxygenation and such rescue equipment requires multiple doctors and nurses working together. Proficiency is necessary.
"Director Han, your timing is perfect! The relatives have some doubts about Dr. Zhou's diagnosis. Please examine the patient again!"
Dr. Xie is the first attending doctor, deeply concerned about the patient's chance of survival.
Now Zhou Can has finally reached a diagnosis, but the families refuse to cooperate, causing anxiety.
Relatives trust older doctors, and Deputy Director Han is sufficiently experienced.
"What's Dr. Zhou's diagnosis result?"
Deputy Director Han glanced at the family members and then looked at Zhou Can.
"I strongly suspect the patient may have acute pancreatitis. I requested blood tests, fasting blood glucose tests, and abdominal ultrasound. But the relatives think I'm too young and want an older doctor to diagnose again for their peace of mind."