My Medical Skills Give Me Experience Points

Chapter 1429 - 570: Infant Hypertension and the Hazards of Consanguineous Marriage

"Did the patient have vascular problems since childhood? The family didn’t inform us about this. Fortunately, we didn’t rush to surgery, otherwise the risk factors would have been exponentially higher."

A few department heads listened and felt quite alarmed.

It is customary to understand a patient’s medical history and underlying conditions before surgery. Such important information wasn’t provided by the family, nor did anyone ask.

This also reveals a problem regarding responsibility.

It could even be considered a procedural loophole.

Cardiothoracic Surgery thought the patient was already admitted and assessed by the Emergency Department and Cardiovascular Department. Whatever medical history there might be should have already been clarified, right?

So they simply didn’t consider it further.

"Several department heads here are experts in cardiology. What do you think is the cause of the patient’s systemic arterial vascular malformation?"

Zhou Can was more interested in the cause.

For the patient to undergo heart surgery, the cause of the arterial malformation must be clarified.

This is a cautious duty doctors must fulfill to minimize perioperative risks as much as possible, greatly increasing the success rate of the surgery.

"The specific cause is difficult to determine. We must conduct tests and a detailed investigation of the patient’s childhood illness history, as well as whether the parents and grandparents also have this condition, to potentially find the cause. But there are many peculiar illnesses in the world where the exact cause is simply unknown."

"One thing is fairly certain, it is related to the patient’s long-term hypertension."

"Yes, I also think it’s related to a long-term history of hypertension."

Everyone expressed their opinions one by one.

Gathered on site are most of the top experts in Cardiothoracic Surgery, each possessing extensive knowledge, broad insight, and rich clinical experience.

"Is there hypertension from birth?"

Zhou Can found this conclusion quite alarming.

Last time during a casual chat with the family, Mrs. Zhang only told Zhou Can that Zhang Qilian had vascular diseases since childhood, which were difficult to treat domestically. To cure the illness, he went to Japan to study.

It was both to learn medicine and to seek treatment.

"The patient’s condition is quite critical now. We must promptly remove obstacles and expedite the surgery. Why not directly invite the family over to participate in the consultation together?"

Xue Yan suggested.

Whenever there are such urgent critical patients in the department, she becomes particularly anxious.

It is precisely because of her strong sense of responsibility that the department’s mortality rate is effectively controlled. The current mortality rate in Cardiothoracic Surgery has dropped to the lowest in history.

Zhou Can has made invaluable contributions, and Xue Yan’s strong sense of responsibility deserves great credit.

"I think it’s a good idea to invite the family over, making it easier for everyone to inquire directly about the patient’s medical history."

Soon, the family was invited into the consultation room.

During routine doctor consultations, if the situation is special, or the patient’s or family’s status is rather distinguished, the family might be invited to join the discussion.

Of course, the family, not being professionals, mostly listens and answers the doctors’ questions.

Mrs. Zhang’s eyes were red and swollen, her appearance haggard.

Zhang Qilian’s sudden exacerbation has placed her under tremendous pressure, subjecting her to severe mental torment.

It’s apparent that she has deep feelings for Zhang Qilian.

Eastern women have always been favored by men for their role as housewives. In Japan, most families have men earning income while women stay at home full-time.

Unmarried young adult women are relatively more active in joining the workforce.

Under normal circumstances, when the husband returns home, the lady of the house greets him by kneeling.

Of course, this kneeling is sitting on their knees.

In Japan, sitting on the knees is a common etiquette. Bowing does not need further explanation, it genuinely takes the adage "better over-courteous than under-courteous" to a new height.

In any case, these details reflect the reliance and respect women have for their husbands.

That Zhang Qilian could marry such a beautiful and deeply loving Japanese woman is truly the fortune of several lifetimes.

"Hello doctors, I’m entrusting you all with my husband’s illness!"

She bowed to everyone.

The etiquette was Japanese standard courtesy.

"Mrs. Zhang, no need to stand on ceremony, please sit down! We’ve invited you to participate in the discussion because your husband’s condition is urgent, and there are some matters we haven’t yet grasped. To save time, we need to understand certain details directly from you."

Xue Yan invited her to sit at the head of the consultation table.

Two people can usually sit here. Most times reserved for nurses or family members.

"Please feel free to ask whatever questions you have, and I’ll provide as detailed answers as possible for anything I know."

She sat down, slightly shy.

"Just now in our discussion, we learned from Dr. Zhou that your husband has had vascular diseases since childhood, which poses a significant risk for heart surgery. Do you know the specific cause?"

"I know a bit; this matter involves Qilian’s privacy, so please keep it confidential."

After speaking, she stood up again and bowed to everyone.

"Protecting patient privacy is our duty, you need not worry."

Xue Yan promised her.

"When Qilian was young, he told me he developed hypertension before he was three months old. At that time, the medical conditions in his hometown were not very advanced, and doctors said this situation was extremely rare. Considering the poor tolerance in infants, doctors were extremely careful with medication. Doctors also informed Qilian’s parents that since the child was still young, with very good vascular pliability, if the blood pressure does not continuously rise, there wouldn’t be much of an issue."