When the Doctor Uses A Hack

The emergency night shift here was a bit livelier than at the provincial second hospital!

That's right!

At one o'clock in the morning, the capital hadn't quite entered the nightlife phase, and Chen Cang, following the 120 ambulance out, gained a deeper understanding of the city's night.

To truly know a city, you have to be familiar with its 24 hours.

Chen Cang had never wanted to understand the capital, because he knew it was nothing but an elusive dream.

Little Ke, by his side, looked at the city and asked Chen Cang, "Dr. Chen, you're so amazing, why don't you work in the capital?"

Chen Cang couldn't help but smile wryly; perhaps, if it weren't for Li Baoshan's shelter, he wouldn't even be able to stay in An阳 now.

He had been to the capital, but was scared away after half a year, because he couldn't bear the land under his feet!

"Because the me back then wasn't worthy of its goodness," Chen Cang said, speaking frankly from the heart.

"How many years have you been in the capital?" Chen Cang asked the young girl.

"Three and a half years, I came when I was 21, I'm 24 now."

The vehicle stopped at the entrance of a residential complex, where a man stood frantically waving his hands: "Here! Here!"

Supporting a frail girl with his right hand, he called out, "Doctor! Over here!"

The vehicle came to a stop, and Chen Cang quickly got out with Little Ke hurrying to follow.

Little Ke brought down the stretcher from behind.

Chen Cang and the man worked together to lift her into the ambulance!

"Tingzi, Tingzi, you can hear me talking, right? Don't fall asleep, the doctor is here, we are going to the hospital right now!"

The man's voice was shaking, his hands holding the girl's as worry filled his face!

The girl was pale, breathless, and spoke weakly, but fortunately, she was still conscious and hadn't fainted or gone into shock.

Chen Cang quickly asked, "Where do you feel uncomfortable?"

Clasping her abdomen, the girl replied, "My stomach hurts! It really hurts!"

Hearing her complaint of stomach pain, especially from a woman, Chen Cang instinctively asked, "Are you pregnant?"

After all, encountering young women with abdominal pain in emergency is a natural clinical instinct!

Upon hearing Chen Cang's question, the man hesitated for no moment, nodding, "She's pregnant, more than four months now!"

Upon hearing the word 'child,' the woman's spirits seemed to lift a bit, and she added, "Almost 20 weeks."

"Lately, my stomach constantly hurts, and it gets worse at night. It's better when I'm at work."

Rubbing her stomach, beads of sweat continuously steamed from her face, soaking her temples, making the already pale girl look all the more pitiable!

Seeing his wife in such a state, the man's heart melted.

"Tingzi, it's okay, I'm here! Don't be scared!" the man tried to reassure her with his words, but inside he was more frightened than anyone.

The woman was quite petite, only about 1.5 meters tall and somewhat frail. Lying there, if the couple hadn't informed him, Chen Cang might not have even realized she was pregnant.

Actually, abdominal pain can mean many things!

Some are simple, some are complex.

There are false alarms to be grateful for, and life-or-death situations that are perilous.

Abdominal pain accompanies almost every emergency doctor throughout their career.

So, of course, Chen Cang took it very seriously!

"Lie down properly, bend your legs and lift them, I will press down and see!"

While speaking, Chen Cang helped the woman into position and stood up.

The girl was wearing light pajamas, and once Chen Cang lifted her shirt, he could see her swollen belly.

Chen Cang performed a routine abdominal palpation, starting around the navel and moving outward.

"Does it hurt?"

"It hurts!"

"What about here?"

"That hurts too!"

...

Chen Cang suddenly froze, could it be… peritonitis?

But it didn't seem like it!

At this time, the girl's pain became increasingly apparent, and she was in great agony. Chen Cang quickly let go!

Based solely on physical signs, it was now very difficult to diagnose what the cause was!

"How long has it been hurting?" Chen Cang had no choice but to ask, hoping to find some clues from her medical history, "Have you had any episodes of overeating or binge drinking, or any past illnesses?"

The woman's pain became more and more evident, and all the questions were answered by the man on her behalf!

It was clear that the man knew the woman's condition very well, even understanding her menstrual cycle and dietary habits in detail.

Seeing the girl's face dripping with more and more sweat, Chen Cang couldn't help but ask, "Do you need pain medication?"

Upon hearing 'pain medication,' the girl opened her eyes and asked in pain, "Can pain medication… be used?"

Chen Cang nodded, "You are currently 20 weeks pregnant, and pain medication can be used with caution."

The man quickly said, "Should we use it?"

At this point, the girl seemed very concerned and asked another question, "Will it affect the baby?"

Chen Cang paused and spoke the truth, "The medication definitely has an effect; it's impossible that it has absolutely no impact on the fetus, but large data sets show that in most cases, it's safe!"

Upon hearing this, the girl clenched her fists tightly and shook her head, "Then I won't use it!"

Seeing this, Chen Cang's frown deepened immediately!

It's best to send her to the emergency room quickly, for a complete examination…

The presence of pregnant patients invisibly increases the difficulty level of emergency care; they are definitely among the top challenges for emergency doctors!

Moreover, the encountered condition is abdominal pain!

Therefore, there's a lot to consider.

At this time, the girl curled up, shifting from lying on her back to now bending her body and curling into a ball.

It seemed as if this position could reduce her pain!

At this moment, Chen Cang frowned deeply.

Generally speaking, a patient's position can reveal the severity of their condition.

So what could be the girl's problem now?

Cholecystitis?

Appendicitis?

Peritonitis could be ruled out, because it didn't seem like it when Chen Cang just palpated... But... everything hurt, so maybe it couldn't be excluded after all!

And there was no muscular tension in the abdominal wall either?

Now, Chen Cang was confused!

The pregnancy was already five months along, and Chen Cang couldn't help but start leaning towards considering issues related to obstetrics and gynecology.

"Have you been doing regular pregnancy check-ups?"

The boy nodded after hearing this, "Yes, we have!"

"But at the very beginning when we just got pregnant, we didn't. We used a home pregnancy test, and that's how we found out."

"We've been together for five or six years, and we finally have our child, so we really cherish it."

"But at the start, for the first two months or so, we didn't know about the pregnancy, so we didn't go for a check-up, and after we found out, we started trying to book appointments actively.

But as you know, in the capital, one has to wait a long time for prenatal appointments, and they have to be scheduled days in advance."

What the man said was true, "But this back and forth caused some delays, and we both thought it was fine at the beginning and that we just had to be careful later on."

"We went through the Down syndrome screening, which was normal, and had an ultrasound last week, which also showed no problems!"

The ultrasound was fine!

The Down syndrome screening was fine!

Could it be that it's not a gynecological issue?