Daily American Drama

medical center.

Emergency.

Dr. Duncan, you are back.

As soon as Adam came over, the little nurse who knew best came up to greet him: How is the wedding? You must be very tired after attending two weddings in a row. Why don't you take a good rest?

fine.

Adam smiled and said, I'm not tired. Is there any interesting case today?

No.

The little nurse who knows best smiled and said, Dr. Yang followed Dr. Burke to perform a congenital heart correction operation, and Dr. Stevenson delivered a child. Everyone else is as usual, there is no special...

Adam nodded as he listened.

After leaving for a day, he needs to grasp the situation in the medical center.

And the little nurse who knew him best obviously understood him very well, picked out what he wanted to know, and said it in an orderly manner.

Doctor Duncan!

At this time, the emergency department was pushed away, and the emergency personnel saw Adam and called immediately.

what's the situation?

Adam ran over quickly.

When the most knowledgeable little nurse saw it, she immediately ran over with the surgical gown, and quickly put it on Adam.

Michael Kenny, 17, collapsed suddenly at school, vital signs were stable, he was a wrestler.

said the emergency personnel.

This should be an internal medicine patient, please call the internal medicine doctor.

Adam gave a pityful order, but he still pushed the patient into the consultation room first.

Call the school, get his medical records, infusion, check blood sugar, blood routine, electrolytes, and add a toxicology test.

The young man who suddenly fainted, taking drugs and western drugs, the probability of tossing himself into the hospital is too high.

Blood pressure is too low, 70/60, blood pressure is still falling.

The nurse who checked the blood pressure quickly reminded: The blood sugar is normal.

Ventricle contraction.

After checking, Adam said in a deep voice, It seems to be a heart problem.

Doctor, extrapulsation.

The nurse reminded: The blood pressure is still dropping rapidly, 60/45.

Arrhythmia.

Adam ordered: Get ready for a central venous catheter.

The nurse immediately brought the equipment over.

Adam made a central venous catheter for the patient.

This is a way to quickly maintain blood pressure during an emergency.

Blood test results came out, no calves, but electrolyte levels are in a mess.

After Adam completed 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 of 20 milliequivalents.

Adam commanded.

Didi.

Didi.

The monitor sounds an alarm.

Heartbeat is fast, heart rate is 240, and it is still rising rapidly.

The nurse reminded.

A rapid IV bolus of 6 mg of adenosine.

Adam ordered while checking the patient's pupils: No response, no contraction, prepare the electric shock device, press the synchronization button, and his heartbeat must be lowered immediately, otherwise he will die.

The nurse immediately picked up the electric shock device and handed it to Adam when she was ready.

100, leave!

Adam yelled and pressed the electric shock device to the patient's chest.

The pulse is weak.

The nurse reminded.

Turn to 200, leave!

Adam increased the shock energy.

Still no pulse, he's going to die.

The nurse reminded.

Give me a pacemaker, I want to speed up the whole blog.

Adam commanded.

Doctor, there is no screen here, do you want to reach in and get it by feeling?

The nurse hesitated.

I also want to watch the screen, but he has no time now.

Adam emphasized: Pacemaker!

Yes, doctor.

The nurse quickly handed the pacemaker to Adam.

Adam slowly sent the pacemaker into the heart through the catheter, and ordered: Turn it up to 300, okay, now, slowly turn it down, and then slow down.

Sinus rhythm is normal.

The nurse who looked at the screen reminded her with admiration.

Ding! +0.01!

The reminder sound of the system is also like a shadow.

It's sudden coronary heart disease!

Adam was in a good mood, and said with a smile: You take care of him, and let me know when he wakes up.

Having a heart attack at 17 is really rare.

The nurse sighed: Thanks to Dr. Duncan, otherwise he would have died.

The heart is like the power supply of an electric car. Young means that it has just been bought and used. As long as it is not a defective product (congenital heart disease), there will be no problem at the beginning.

Only when it is used slowly for a long time, a series of problems such as power aging will appear.

Not paying attention to maintenance will also exacerbate this process.

Adam smiled, got up and left.

As long as the coronary heart disease is not serious to a certain extent, it only needs to be taken care of, and no surgery is required.

Anyway, life has come.

It's no pity for Adam.

half an hour later.

The nurse called Adam and said the patient was awake.

As the doctor who treated him, Adam needed to assess his physical condition and then decide whether he could be discharged.

what are you doing?

When Adam came over, Michael, the patient who had almost died, was already doing leg raises there.

I'm feeling better, I need to do some training.

No, you can't do that, you just had a coronary heart attack and almost died.

Adam reminded: Literally almost died.

I am fine.

Michael was stunned for a moment, then lowered his head and said, When can I be discharged from the hospital?

We need to wait for your parents to come.

Adam said, You're anorexic, aren't you?

NO, I have not!

Michael immediately denied it.

You're a wrestler, weight classes are strict.

Adam said to himself: Once the standard is not met, the competition will not be possible, so dieting is a very common method, but over time, it is easy to suffer from anorexia.

I'm fine...

Michael still wanted to deny it, but when he met Adam's eyes, he couldn't tell the lie again. He just looked at Adam beggingly: I need to be discharged from the hospital. I have a game related to my future next week, and I must participate.

Feel 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. Through the competition, he hopes to enter the university through the way of special university recruitment.

Adam could understand his fluke of running despite the danger.

But this decision was not for Michael and him to make.

According to Adam's understanding, wrestlers are really beyond the reach of ordinary people.

Professional wrestlers, who usually live and train together, must follow strict rules.

For example, no smoking, no alcohol.

Not even allowed to describe.

Emmm.

Not in any way.

You must also go on a diet, usually eating only vegetables, fruit, and dairy.

Beaten every day.

It's not that there is no way or that 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 came over, Adam explained the situation clearly to them and asked them to discuss it carefully before making a decision.

He went out with the phone.

It was Juno calling.

This surprised Adam a little.

It's not surprising that Juno called him.

In fact, they talked on the phone almost every night, chatting about what happened today, and then exchanged cases and discussed medical skills.

only.

Because they are very busy and are night owls, they usually talk before going to bed, that is, in the early hours of the morning.

It's obviously still early.

And usually he was the one who called her.

This is more convenient.

after all.

Adam's regularity of life is far inferior to Juno's.

If it were changed to every time Juno called him, he would probably encounter many embarrassing things.

Although Juno has repeatedly said that she doesn't mind Adam talking to her while exercising.

But Adam minds.

What a beautiful thing to think about!