When the Doctor Uses A Hack
Chapter 1093 - 1096: My Dad Has So Many!

People around were all a bit stupefied!

They had no idea why Chen Cang would need something like Viagra at this moment... such an inappropriate medication!

Why not use nitroglycerin or fast-acting heart-saving pills instead of something like this...

But, we don't understand, we don't dare to ask!

Everyone went silent.

At this point, Chen Cang quickly said to Qin Yue, "Go get a glass of water."

Qin Yue hurriedly got up!

Everyone knew that sildenafil citrate tablets were a medication used for treating erectile dysfunction!

But they didn't know that this medication is actually a type 5 phosphodiesterase inhibitor that primarily targets PDE5 on vascular smooth muscles to dilate blood vessels!

Initially, it was developed as a medication for cardiovascular diseases.

However, after discovering the side effects...

They realized, perhaps... the side effects were more marketable!

In fact, this was indeed the case; there are 66 million faithful users of sildenafil worldwide. If the global population is counted as 5 billion, excluding women, the elderly, children, and young men... there are nearly one hundred million people using it among a billion people!

A ratio of one out of ten, do you think that's low?

And over the years, the development of sildenafil citrate tablets has become more focused, extensively used for treating erectile dysfunction as well as pulmonary arterial hypertension!

And the woman at this moment, might very well have pulmonary arterial hypertension!

Can Chen Cang diagnose with certainty?

Of course not!

But is there any other way now?

Pulmonary arterial hypertension is a rapidly progressing, fatal disease.

Once diagnosed with pulmonary arterial hypertension, regardless of whether the cardiac functional classification is Class II or III, whether it is mild or moderate to severe pulmonary arterial hypertension, it should be treated as soon as possible for early benefits, to avoid further deterioration of the condition.

The primary goal of treatment is to improve symptoms!

And now, the patient's symptoms were enough to indicate that she had pulmonary arterial hypertension.

Due to decreased pulmonary vascular compliance, cardiac output cannot increase with exercise, and difficulty breathing after physical activity is often one of the earliest symptoms of pulmonary arterial hypertension.

Due to reduced cardiac output, tissue hypoxia causes fatigue and fainting!

And due to right ventricular hypertrophy and decreased coronary perfusion, there is relative insufficient myocardial blood supply, hence symptoms similar to angina!

But!

None of these are enough to support Chen Cang's diagnosis!

What ultimately confirmed Chen Cang's diagnosis was the woman's hoarse voice!

Why say that?

Because only when pulmonary arteries dilate, a strange pathogenesis occurs: compression of the recurrent laryngeal nerve!

Resulting in abnormal speech.

Afterward, Chen Cang quickly began his own diagnosis, listening to the heart and palpating!

The reason he didn't use nitroglycerin was that Chen Cang suspected there could be hypotension.

Because severe pulmonary arterial hypertension can lead to low blood pressure.

And if blood pressure is too low, using nitroglycerin would undoubtedly be provoking the Grim Reaper.

All these complexities seemed to be formed in Chen Cang's mind within an instant—a deductive thought process.

Three or four children, now both nervous and curious, squeezed into the crowd, looking at Chen Cang and the aunt on the ground.

They looked up at the adults, wondering why they all had shocked expressions.

The effects of sildenafil citrate tablets are quite fast.

Seeing the woman still lying there in discomfort after taking the medication, everyone couldn't help but start to worry.

Chen Cang said, "Wait, it's okay!"

In terms of taking effect, "Viagra" has never let people down.

Generally speaking, within 30 minutes, the drug concentration in blood plasma will reach peak levels.

And it takes effect even faster.

As time ticked by, the woman's breathing eased, and she seemed a lot less terrifying than before.

Even her speech became much clearer!

At this moment, she even slowly stood up...

Everyone was stunned!

It took effect that quickly?

At this moment, everyone looked at Chen Cang with respect in their eyes.

Seeing this scene, the bald man immediately swelled with pride, I have Viagra, I'm proud! I saved someone!

"Thank you! Thank you so much." The woman said to Chen Cang, full of gratitude.

Chen Cang nodded: "You should rest for a bit. This medication only temporarily alleviates your pulmonary arterial hypertension, but you still need to go to the hospital for a proper diagnosis."

The woman nodded, asking with a lingering fear, "What... What's wrong with me?"

"Pulmonary arterial hypertension acute episode!" Chen Cang said, "This condition can be life-threatening!"

Upon hearing this, the woman was momentarily stunned, frowning, "I usually… I don't usually feel unwell, just a bit tired… but it shouldn't be this severe…"

Chen Cang explained, "Early clinical symptoms of pulmonary arterial hypertension are atypical and are often misdiagnosed or missed. Most cases are taken seriously only when they suddenly become acute."

Right at that moment, the ambulance arrived.

Two doctors rushed out in a hurry.

"Where's the patient? What happened?"

Chen Cang said, "The patient is likely experiencing an acute episode of pulmonary arterial hypertension."

Upon hearing this, both doctors' faces turned pale.

An acute episode of pulmonary arterial hypertension?

Isn't that life-threatening?

Considering that it took nearly 20 minutes to get here, both became visibly anxious, "Where's the patient?"

Chen Cang pointed to the woman, "It's her."

Both doctors saw that the woman, though appearing somewhat ill, did not look like a patient with pulmonary arterial hypertension.

The two were about to speak with furrowed brows.

Chen Cang simply stated, "The patient just now displayed obvious weakness, fell to the ground, experienced chest pain resembling angina in the precordial area, had difficulty breathing, and hoarseness in the voice..."

"I conducted an examination and found pulsation intensified in the pulmonary valve area, right ventricular lift-type pulsation, systolic ejection murmur in the pulmonary valve area, systolic regurgitant murmur in the tricuspid area, the third and fourth heart sounds associated with the right ventricle..."

"Oral administration of sildenafil citrate provided relief after 20 minutes!"

This barrage of terms left the two doctors staring in astonishment.

That's quite professional, isn't it?

And to use Viagra to treat the condition!

It's simply genius!

Let alone daring to use it, coming up with the idea is rare indeed!

Both were startled, "Brother… you're a pro, are you also a doctor?"

Chen Cang nodded, "Yes, that's right. You should hurry to the hospital, don't let anything happen on the way."

Hearing this, the doctors hastily nodded, "Alright, alright!"

At this time, a young doctor asked, "You didn't have a stethoscope, how could you hear all that?"

The other doctor glared at him and hastily said, "Let's go, let's hurry! Don't delay."

The doctors quickly took the woman to the ambulance and left in a rush.

The surrounding people started clapping for Chen Cang.

A few young boys below were especially excited!

"The little blue pill is so powerful!"

"My dad has some too!"

"We have them at home as well!"

"I found several boxes in the drawer!"

"My dad has more!"

"My dad has more!"

"My dad takes more!"

...

Suddenly, the scene became somewhat awkward…

...

ps: The update is done, in order to finish this story.

Thank you to "Liu Wei's account" big boss for the 100,000 reward, becoming the Alliance Hierarch of this book, and adding three more chapters.