When the Doctor Uses A Hack-Chapter 744: What is the Truth?

Upon learning of the emergency consultation initiated by Chen Cang, Director Niu Tianfu and Tao Zi rushed over directly from their homes.

Considering they lived just in the hospital community, it was merely a few minutes' walk, so nobody minded.

At their age, to be honest, it's better to spend time in the hospital than at home stewing with one's spouse, venting midlife dissatisfaction.

Chen Cang had arranged for an echocardiography and was urging the elderly patient to quickly contact their children and make a decision as soon as possible.

In emergencies, it often happens that after the elderly make a decision, the children are dissatisfied and cause a commotion in the emergency room.

In the end, family matters turn into public affairs, and the relatives unanimously resist the hospital.

In fact, with medical issues, as long as there are no problems, it's all good, but once a problem arises, nobody can expect an easy time.

After finishing the echocardiogram, the elderly patient's three children hurried over.

Chen Cang straightforwardly said, "The current situation with the elderly patient is that they have multiple underlying diseases, but the key issue is mitral stenosis. If the problem with the mitral valve isn't resolved, not only will there be strokes, but it could even induce myocardial infarction and other diseases."

"Moreover, to speak frankly, the elderly patient's condition is quite bad, with multiple ischemic foci inside the brain – these are already chronic."

"But now, having had two acute cerebral infarctions within three months, the risk factor increases proportionally."

"My recommendation is to have the surgery as soon as possible, either to perform mitral valvuloplasty or valve replacement."

Upon hearing this, the family members basically all agreed.

After all, at that point, there was no value or meaning in discussing further.

That day, the patient completed the formalities and was directly transferred to the cardiac surgery department.

And they also needed a consultation with the neurology department to actively proceed with thrombolytic and anticoagulation therapy for the cerebral infarction.

Actually, the occurrence and development of diseases could still be aptly addressed by the therapeutic philosophy of traditional Chinese medicine!

"Treat the symptoms urgently, then address the root cause when it's slower!"

At this time, the elderly patient had an acute cerebral infarction along with mitral stenosis.

It was necessary first to treat the acute cerebral infarction and then complete the surgery.

However, Chen Cang frowned at this moment.

To a patient who seemed complex yet also very common, he simply didn't know how to proceed with research.

By now, Chen Cang's task progress was only at 66%!

In other words, so far, Chen Cang had only completed sixty-six percent of this task.

What exactly had he missed?

Chen Cang could not remember.

After all, the elderly patient's condition was already very clear; rheumatic heart disease was the main cause.

At this thought, Chen Cang suddenly realized that he might have overlooked something crucial.

That was to ask about the triggering factor!

At this realization, Chen Cang's expression changed.

The following morning, regardless of having worked the night shift, Chen Cang went directly to the department of cardiac surgery.

It's said that enemies often cross paths without trying.

No sooner had Chen Cang stepped off the elevator than he saw Qian Lin.

Upon seeing Chen Cang, Qian Lin's face turned pale, and he nearly fell to his knees!

Brother, what deep grudge do you hold against me that you relentlessly pursue me like this?

I, Qian, am the only seedling of my family; must you be so utterly merciless?

With that thought, Qian Lin didn't bother with greetings and turned to run.

Classmate A, a step behind, was caught by Chen Cang who asked, "Which bed is the elderly patient from last night in?"

Seeing Qian Lin running away, Classmate A paused, sneered with disdain, and thought to himself: '300 pounds of flesh, and still... fatty liver!'

Such a coward!

Once Chen Cang arrived in the ward, he saw both the elderly patient and their family members were there.

Upon seeing Chen Cang enter, the elderly patient was filled with emotion.

They directly said, "Young doctor, I really should have listened to you, I never expected it to actually happen."

As they spoke, the elderly patient sighed heavily.

After consoling them for a while, Chen Cang got straight to the point and asked, "Elder, have you taken any cough syrup recently?"

After all, at this point, the outcome had become quite clear.

This was related to the cough syrup, and since it triggered the task, it couldn't be unrelated to this thing.

When Chen Cang posed the question, the old man was immediately startled!

"Young doctor, you can tell that? I indeed drank some," replied the old man.

Chen Cang's eyes immediately shone, "What about last time?"

At this moment, the old man and his spouse exchanged a glance, and shock was visible in their eyes.

It seemed... his cerebral infarction occurred really after drinking this cough syrup.

The old man was instantly surprised.

Could it really be?

At this time, the old man's son said, "My father tends to cough easily during autumn and winter. Ordinary cough medicine doesn't work well, so when I saw this imported cough syrup, which was said to have fewer side effects, I bought it for him."

The old man frowned and added, "I've been taking the regulated dose, this should not be happening, right? The side effects listed didn't mention any risk of cardiovascular and cerebrovascular diseases!"

The old man's child also nodded in agreement, "Yeah... it's FDA-certified in the United States, it shouldn't be a problem, should it?"

Chen Cang sighed!

Is the FDA really reliable?

Not necessarily!

How many times has history slapped the FDA in the face?

As a certification of the U.S. Food and Drug Administration, it serves capitalism, and one could say it's relatively fair, not allowing for obvious flaws to be found.

However, this certification is a standard set by them, a means of safeguarding their own interests. Why is it so difficult for domestic drugs to gain approval from the U.S. FDA?

Is it truly because they are not up to the mark?

Of course, that's not the only reason!

Isn't it also due to the struggle for market dominance?

Because many countries around the world use the FDA's standards to regulate their pharmaceuticals.

Once a drug is approved by the FDA, it can generally circulate in many countries worldwide.

Are the drugs from countries like India and China truly counterfeit?

Not likely...

Ultimately, it comes down to the protection of capital driven by excessive profits.

To put it bluntly, with so much money, why not enjoy the monopoly?

It was then that the old man slowly said, "I've been drinking this cough syrup all autumn long, from October until now, continuously."

Chen Cang had recently been researching.

According to VOLB Company's description of the cough syrup, it was made clear that they had altered the traditional codeine phosphate ingredient to reduce the affected organs.

What did that mean?

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A medication, once it acts on the human body, can have many effects, like adrenaline, for instance.

Adrenaline can dilate pupils, increase cardiac contractility, and constrict blood vessels all at once.

However, if you only want to use it to dilate pupils, then increasing heart function and constricting blood vessels become side effects!

In fact, side effects are not merely side effects; the drug inherently possesses this range of mechanisms.

What VOLB Company's cough syrup boasted was that it targeted central cough suppression and could reduce dependence to some extent.

To Chen Cang, this "improvement" seemed to have its shortcomings.

After thinking it through, Chen Cang made up his mind.

He wanted to be involved in the old man's surgery tomorrow!

He wanted to see if he could identify shortcomings during the surgery with the help of his own cheats.

The more Chen Cang thought about it, the more he looked forward to it!

…

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ps: Some things are written to enable everyone to understand more about the medical field through this book.