Chapter 1412: Fair to say
“Dr. Cao said not to consider brain issues for now. You need to quickly address the current infections and potential blood loss of the patient. If surgery is needed, do it immediately.” Huang Zhilei reported Cao Yong’s words to Li Guoxin.
That’s truly Cao Yong, undeniably straightforward; if surgery is needed for rescue, do it without worrying about potential death on the operating table. Not sending to surgery will more surely result in death.
The entire hospital knows Cao Yong’s style. One by one, doctors from General Surgery Department One could only sigh in resignation. Does Cao Yong think everyone is as fearless as he?
“So, do you need me, the resident chief, to help you contact the Anesthesiology Department?” Huang Zhilei raised his phone as if to make a call, ready to assist this undecided group in contacting the operating room. Senior Cao was right on the phone; this group might just need a whip to move forward.
Li Guoxin squeezed his eyes at Huang Zhilei: “The patient’s blood pressure has come up.”
He asked Huang Zhilei to consult Cao Yong not for urging them to do surgery.
“Could it be lactic acidosis?”
Clinically, there are multiple reasons for sudden changes in a patient’s consciousness; it is certainly not necessarily caused by brain diseases. Conditions like metabolic acidosis can cause drowsiness and coma in patients. The most common reason is lactic acidosis. Normal human lactate levels are very low, 1 to 2 millimoles per liter; reaching 4 or above indicates lactic acidosis. Causes of excessive lactate production include seizures, convulsions, anemia, shock, asthma, and more.
“Seizures are impossible; he has no history of epilepsy. His convulsions are temporary; isn’t he running a fever with high body temperature? Anemia and shock are his most typical symptoms right now, aren’t they? Don’t say the blood pressure has gone up; unless you address the underlying issues, the rise in blood pressure is only temporary.” Huang Zhilei followed up on someone else’s statement.
Ultimately, do not blame neurosurgery. It’s fine to request consultations, but it’s crucial to analyze problems scientifically. If it’s not a neurosurgical issue, neurosurgery can’t treat it. Honestly, focus on treating the General Surgery Department’s problems.
By observing the patient’s condition from outburst to now, it truly doesn’t align much with neurosurgical diseases. Lactic acidosis due to metabolic issues seems undeniable. The attending doctor is not unaware; they have done blood gas analysis, and checked blood lactate levels. It’s just a pity that if there were genuinely a neurosurgical issue, it could be transferred over.
Seeing the other party getting honest without speaking, Huang Zhilei pushed up his glasses and turned to see who just mentioned lactic acidosis speaking fairly for neurosurgery. With a glance, he saw: Oh, the little junior sister is here.
Unexpected and pleasantly surprising.
Xie Wanying is not specifically speaking for neurosurgery; she genuinely believes in being realistic. Now’s not the time to complain about who accepted the patient, maybe she made mistakes, but now is the rescue time.
Her knitted brows did not relax.
Huang Zhilei recalled and asked her: “Aren’t you off duty tonight? Why are you here?”
Upon receiving Senior Brother Huang’s question, Xie Wanying paused in surprise; she didn’t expect her senior brother to know her duty schedule well.
Of course, he knows; Senior Cao is very aware of every move of the little junior sister, Huang Zhilei thought to himself.
Xie Wanying remembered tonight’s interventional surgery, feeling suddenly a bit guilty towards Senior Brother Huang: “Hmm.”
“What do you mean hmm?” Detecting her unease, Huang Zhilei walked up to her and said, “Senior brother advises you, don’t speak recklessly; senior brother studies the human brain. Whatever you plan, senior brother knows entirely.”