When the Doctor Uses A Hack
Chapter 1075 - 1078: A Pain That Painkillers Can't Relieve! (Please Subscribe)

The family known as the "Painkiller Family," the Sackler family, were not entirely useless.

They aimed to make opioid medicine the world's leading drug and establish pain as a treatment standard.

As a result, pain has been increasingly taken seriously, and pain index and rating have rapidly developed.

The pain associated with acute aortic dissection is absolutely top-level grade four pain, that is, level five pain (five-level standard)!

Chen Cang, though he had not experienced this degree of pain, knew from the guidelines that it is persistent and severe, often accompanied by changes in vital signs like blood pressure, and is very difficult for most people to endure.

Perhaps this description is not vivid enough. For example, according to the twelve-level pain scale, level 1 is a mosquito bite, level 5 is a slap that leaves a red mark, level 6 is stomach pain caused by dietary habits leading to gastroenteritis, level 7 is being hit with a club leaving a black and purple mark.

Level 8 is various forms of bleed-inducing traumatic wounds, level 9 is the pain of childbirth - of course, this refers to natural delivery.

Level 10 is the pain of injuries resulting in limb disability in war and blown-off fingers, level 11 is visceral pain, and level twelve... might be akin to the atrocious tortures of the Qing Dynasty.

The pain from acute aortic dissection doesn't have a specific grade because it depends on the context of the plot, but it is definitely not less than the pain of childbirth.

After all, it is a pathological pain.

This pain gives a feeling of impending death, a sensation that death could come at any moment.

You think this is the cruelest?

Of course not!

Watching Tian Zhengkai turn pale with large beads of sweat rolling down, and enduring severe pain that even this over two-meter-tall giant found unbearable, it's clear that Tian Zhengkai, an athlete himself, still has a strong willpower. His teammates and coach fretted heartbreakingly.

Tian Zhengkai has always been the big brother of the team, a humble person, taking good care of newcomers and often sharing skills.

Therefore, everyone respected him a lot!

So seeing him in this state now, his teammates felt very distressed!

"Doctor, can we give him painkillers?"

"Yes, morphine!"

Chen Cang sighed and shook his head: "It's not that we can't administer it, it's just that it would be useless for aortic dissection pain, and morphine could further impact the already unstable blood pressure."

After understanding the situation, Chen Cang said to Ma Yuehui, "Get him in the car and to the hospital."

Several athletes hastily offered, "Let us do it, he is too heavy!"

Chen Cang and Ma Yuehui smiled; their training was not light.

Exchanging glances, they lifted the stretcher and started to head outside.

Seeing this, the deputy coach said, "You stay and continue the competition, I'll go to the hospital with them!"

Without further ado, he followed Chen Cang out.

It was undeniable, the guy was really heavy, and so tall that he barely fit on the stretcher.

Chen Cang was concerned whether the ambulance was long enough...

Fortunately, the ambulance was long enough, so there was no need to worry about that.

The deputy coach wasn't old; he was Tian Zhengkai's senior, and after retirement, became the deputy coach of the Beijing team. Tian Zhengkai came here partly because of him.

Seeing him in this state, the deputy coach was extremely worried.

He quickly asked, "Zhengkai, what's your family's phone number?"

Tian Zhengkai's phone was still in the locker room, and with such a serious situation, it was definitely necessary to contact his relatives.

Tian Zhengkai, now somewhat depleted, slowly repeated his phone number.

Meanwhile, Chen Cang and Xiao Ke hurriedly took an ECG.

And Ma Yuehui was liaising with the hospital, preparing for the necessary procedures and completing the relevant checks as soon as possible.

What's the most dangerous thing about an aortic dissection?

Aortic rupture!

Once it ruptures, the probability of death is very high.

Chen Cang's mind was working quickly, and Ma Yuehui was also helping to set up the monitor to periodically track the blood pressure.

Because under the current circumstances, if the patient's blood pressure rises too high, the already damaged aorta is very likely to suddenly rupture due to excessive tension.

It's like water flowing within a hose, and suddenly an internal break occurs in the hose, then water instantly fills it, causing the hose to balloon and thin out!

At this point, a false aneurysm is formed, obstructing the flow of water, and the immense pressure could further expand the area until… with a "bang"… it ruptures!

The ECG results are out, showing no distinctive features, almost normal!

Chen Cang glanced at Old Ma: "Group Leader Ma, the ECG is normal!"

This seems like good news, as a myocardial infarction can be ruled out.

But with diagnosis, when one killer is ruled out, often another emerges.

Aortic dissection and heart attacks have strikingly similar presentations, but an ECG can differentiate them, and while painkillers are effective for heart attacks, they do not work for aortic dissections.

Now it can be confirmed the patient has an aortic dissection.

In the meantime, Tian Zhengkai's wife receives the call, and the assistant coach quickly explains the situation to her.

This sudden news has certainly startled her!

She doesn't care about work, she rushes out to take a taxi immediately.

Old Ma's eyes are constantly on the blood pressure, fearful of any increase.

Blood pressure has now become a fatal factor threatening the patient's life.

"Xiao Ke, add 100mg of sodium nitroprusside to 500ml of 5% glucose for infusion at 20μg/min!" Chen Cang said after musing for a moment.

"Add 0.5mg of metoprolol!"

Chen Cang made a decisive treatment plan.

Currently, a blood pressure of 100-110 is sufficient to maintain the blood supply required for vital organs such as the heart, brain, and kidneys; anything more is dangerous.

And we must reduce the strength of the heart's contractions to stabilize the vessels, by all means, it must not rupture!

Sometimes, when medical explanations fall short, we can only resort to the metaphysical!

Just like now, the assistant coach is so nervous that he can only pray.

Does prayer work?

The assistant coach certainly doesn't know, but… he doesn't know what else he can do!

It's not just him; Chen Cang and Old Ma are also anxious. Chen Cang has already placed his hand on the instrument box, ready to perform surgery immediately if the blood pressure drops suddenly.

Time pass slowly amidst the tension.

Finally, after 20 minutes, the car stops at the emergency center entrance!

Chen Cang is the first to run out, followed by Old Ma and with the help of four or five people, they managed to steadily wheel out the stretcher.

"Do a cardiac ultrasound first!"

"Contact cardiology for a consultation, prepare for aortic angiography as soon as possible!"

"Quickly draw blood for complete diagnostics; notify the blood bank to prepare blood supply!"

If the aortic dissection actually ruptures, the blood loss won't be minor, we must be ready in advance!

What's the most important in medicine?

Being prepared for any eventuality!

Considering all possibilities.

After all, any slight oversight could cost a life!