Chapter 308
Chapter 306: Chapter 153: Latent Shock, Everything is Insignificant Before True Strength_2
“Thank goodness Dr. Zhou suggested monitoring the blood pressure, it almost led to a disaster.”
Dai Wei wiped the cold sweat from his forehead, feeling a wave of relief afterward.
He had experienced for himself Zhou Can’s capabilities for the first time.
No wonder he could gain Director Wen’s appreciation by being a standardized trainee; his skills were indeed impressive.
At this time, the patient had begun to speak incoherently.
His consciousness was clearly disordered.
The calls from his family didn’t seem to help much.
The disease progressed very quickly.
Or rather, they had not previously noticed the patient’s abnormal condition.
After all, talking nonsense during a high fever was quite normal.
“Dr. Zhou, now that the patient is like this, please share the rest of your diagnostic thoughts! Although I am a primary care physician, pathology diagnosis has always been my weak point. Just from reviewing the patient’s data and observing the symptoms of high fever, you were able to diagnose low blood pressure, which is dangerous. This shows that you must have a diagnosis in mind.”
Dr. Ou, responsible for the patient, felt highly tense seeing this emergency.
He could perhaps figure out the cause with time.
But with someone more skilled present, there was no need for him to exert that much effort.
Moreover, the patient’s condition was rapidly deteriorating, and any delay could be more dangerous.
The family now realized that this young doctor, who seemed pleasant to chat with, actually possessed superb medical skills.
Their looks towards Zhou Can were filled with appeals.
“First of all, this is just a preliminary diagnosis based on some clues, and the result may not be accurate. I suggest an immediate blood test; the patient might be experiencing septic shock.”
Zhou Can spoke modestly, not confirming the diagnosis.
In reality, he had already earned the Experience Points for the diagnosis.
He was very confident about this diagnostic result.
“The patient isn’t in shock yet! And isn’t shock defined by blood pressure falling below 90mmHg?”
Dr. Dai felt very puzzled.
“How pedantic! Who said that shock must have a systolic pressure below 90mmHg? Such dogmatism is unacceptable. For septic shock, the blood pressure should not be the sole criterion.”
Dr. Ou might have been treating Dr. Dai as a student with his teaching manner.
Otherwise, he wouldn’t call Dr. Dai pedantic and dogmatic.
“Dr. Zhou, please explain to him the reference for diagnosing toxic septic shock,” Dr. Ou gave Zhou Can the chance to shine.
Certainly, he might also want to create more opportunities for the two to mend their relationship.
“Low blood pressure, high fever, clouded consciousness, and then look at the patient’s neck, it appears highly unnatural. This indicates the presence of nuchal rigidity. These four signs combined can almost confirm the diagnosis of septic shock. However, to be safe, we should wait for the blood test results, which will virtually remove all doubt.”
Zhou Can had noticed since entering the ward that the patient’s facial complexion and lips were unusually pale.
Tips of his fingers were slightly cyanotic.
Later, he also discovered nuchal rigidity in the patient’s neck; the movement, stretching, were all extremely unnatural.
Combining various symptoms, he boldly concluded that the patient was actually in a state of shock.
Using Indomethacin Suppository was a typical symptomatic treatment.
Blind and superficial, treating the symptoms rather than the cause.
It could even be considered entirely counterproductive.
When humans develop a fever, as long as the temperature doesn’t exceed 39 degrees Celsius, there is usually no urgent need to lower the fever.
Because this is the body initiating the immune mechanism to eliminate invading viruses and bacteria.
The most common fever is from inflammation or a cold.
Some people, as soon as their child shows signs of fever from a cold, immediately administer a large dose of antipyretics. The fever may subside, but they also miss the chance to let the body’s immune system eliminate the virus.
To put it graphically, when our body starts to heat up, it is like preparing for a battle against viruses that have invaded our body.
It constantly burns stored energy, raising the temperature to eliminate the virus.
At this time, those without medical knowledge who take large doses of antipyretic drugs are basically like a foolish emperor. While the general is leading the army in a charge and likely to win,
the emperor suddenly orders a retreat.
Eventually, even commanding to execute the general leading the troops.
Then, the viruses celebrate, for they’ve encountered such a foolish emperor, who else should they kill?
The viruses then begin to aggressively attack more organs and tissues of the body.
A minor cold might turn into a severe one, or even lead to death.
Many think that drinking plenty of lukewarm water after catching a cold is nonsense.
Can water cure a disease?
The answer is that it can.
Drinking plenty of water maintains efficient bodily metabolism, flushing out a large number of viruses and harmful substances through urine and other means.
This is actually very beneficial for bodily recovery.
Speaking of body temperature, there’s something that the whole of humanity should be alert about.
Human body temperature has been decreasing.
Thousands, or even tens of thousands of years ago, we can’t know our ancestors’ body temperature due to their primitive technology.
Just considering the time humans have been able to measure body temperature, within two hundred years, the average body temperature has dropped from 37 degrees to 36.6 degrees. 37 degrees has become a historical norm for humans.
Some might think the decline of 0.4 degrees is trivial.
However, for each degree decrease in body temperature, the immunity drops by more than 30%.
Conversely, each degree increase enhances the immune strength by five to six times.
So, in the future, when our body develops a fever, let’s not rush to reduce it! As long as it’s below 39 degrees, observe, ensure fluid intake, and keep warm.