[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"origin-check-in-at-the-hospital-the-first-surgery-shock":3,"chapter-check-in-at-the-hospital-the-first-surgery-shock-check-in-at-the-hospital-the-first-surgery-shock-chapter-329":6},{"origin":4,"title":5},"english","Check-in at the Hospital: The First Surgery Shocked the Nation!",{"chapter":7,"nextChapterSlug":20,"prevChapterSlug":21,"totalChapters":22,"novelImage":23},{"id":8,"novel_id":9,"title":10,"slug":11,"index":12,"content":13,"wordcount":14,"created_at":15,"updated_at":16,"volume":17,"translator":18,"content_hash":19},873916,1146,"Chapter 329 - 220: Emergency Rescue, Infective Endocarditis","check-in-at-the-hospital-the-first-surgery-shock-chapter-329",329,"\u003Cp>Lin Hai and Qin Feng rushed to the emergency room and glanced at the patient on the bed.\u003C\u002Fp>\n\u003Cp>\"Status!\"\u003C\u002Fp>\n\u003Cp>\"Patient Zhu Jianfeng, age 25, no heartbeat, unconscious, has undergone 15 minutes of cardiac compressions, two doses of epinephrine pushed intravenously...\"\u003C\u002Fp>\n\u003Cp>One of the doctors in the emergency department gave a brief overview of the situation.\u003C\u002Fp>\n\u003Cp>Due to the urgency of the condition, the patient was already in critical condition upon arrival, so no relevant examinations were conducted in time.\u003C\u002Fp>\n\u003Cp>The top priority now is to restore the heartbeat and save the patient.\u003C\u002Fp>\n\u003Cp>Lin Hai and Qin Feng listened to the summary without panic, becoming even calmer instead.\u003C\u002Fp>\n\u003Cp>All the current procedures are appropriate, including CPR, intubation, pharmaceutical support, and data monitoring.\u003C\u002Fp>\n\u003Cp>\"Let me take over!\"\u003C\u002Fp>\n\u003Cp>Seeing the doctor performing chest compressions drenched in sweat, Lin Hai stepped forward to relieve him.\u003C\u002Fp>\n\u003Cp>Cardiac resuscitation must not be interrupted now, or all prior efforts will be wasted.\u003C\u002Fp>\n\u003Cp>The relieved emergency doctor could finally catch his breath, panting heavily, with sweat soaking through his white coat.\u003C\u002Fp>\n\u003Cp>Qin Feng, standing beside him, looked at the patient on the bed, eyes shut tight, muscles flaccid, with skin on the face and body losing color, showing a pallor and waxy yellow hue.\u003C\u002Fp>\n\u003Cp>This is a manifestation of insufficient blood supply in the body caused by prolonged cardiac ischemia.\u003C\u002Fp>\n\u003Cp>Beep~\u003C\u002Fp>\n\u003Cp>Beep~\u003C\u002Fp>\n\u003Cp>Beep~\u003C\u002Fp>\n\u003Cp>Finally, after another ten minutes of alternating chest compressions, fluctuations appeared on the heart monitor.\u003C\u002Fp>\n\u003Cp>\"Phew~!\"\u003C\u002Fp>\n\u003Cp>Everyone let out a long sigh of relief.\u003C\u002Fp>\n\u003Cp>For now, the patient is alive.\u003C\u002Fp>\n\u003Cp>\"Quick, perform cardiac and cerebral examinations and expedite fluid replacement.\"\u003C\u002Fp>\n\u003Cp>Lin Hai straightened up and immediately arranged for the nurse to carry out a series of detailed examinations on the patient.\u003C\u002Fp>\n\u003Cp>Soon,\u003C\u002Fp>\n\u003Cp>the cardiac examination report came out.\u003C\u002Fp>\n\u003Cp>When Lin Hai received the report and flipped through it, his pupils constricted immediately, and his expression turned serious.\u003C\u002Fp>\n\u003Cp>\"Take a look.\"\u003C\u002Fp>\n\u003Cp>Saying this, he handed the report to Qin Feng and the two emergency department doctors.\u003C\u002Fp>\n\u003Cp>Upon reviewing the report, all the doctors present were alarmed.\u003C\u002Fp>\n\u003Cp>In the images, the patient’s heart was noticeably larger than a normal heart, which is typically around 50 millimeters, but the scan showed the patient’s heart exceeding 70 millimeters!\u003C\u002Fp>\n\u003Cp>This situation is severe. Although this report alone cannot determine the cause, such a serious heart condition doesn’t develop overnight; it results from accumulated issues over time.\u003C\u002Fp>\n\u003Cp>\"Contact the cardiothoracic department for a consultation, and notify the family to come to the meeting room.\"\u003C\u002Fp>\n\u003Cp>Lin Hai glanced at the nurse beside him and immediately instructed.\u003C\u002Fp>\n\u003Cp>\"Okay, Dr. Lin.\"\u003C\u002Fp>\n\u003Cp>The nurse nodded and quickly left to contact the on-duty cardiothoracic doctor and inform the patient’s family waiting outside.\u003C\u002Fp>\n\u003Cp>Soon,\u003C\u002Fp>\n\u003Cp>the on-duty cardiothoracic doctor arrived, and it happened to be Associate Director Liu Guofeng tonight.\u003C\u002Fp>\n\u003Cp>\"Director Liu.\"\u003C\u002Fp>\n\u003Cp>Seeing Liu Guofeng enter, Lin Hai stood up and greeted him.\u003C\u002Fp>\n\u003Cp>\"Have a seat, Xiaolin.\"\u003C\u002Fp>\n\u003Cp>Liu Guofeng raised his hand, then looked at Qin Feng with a smile,\u003C\u002Fp>\n\u003Cp>\"Qin Feng, you’re here too. Have a seat. What’s the situation?\"\u003C\u002Fp>\n\u003Cp>\"This is the patient’s cardiac examination report.\"\u003C\u002Fp>\n\u003Cp>Lin Hai handed the report to him and briefly explained the situation.\u003C\u002Fp>\n\u003Cp>At first glance at the report, Liu Guofeng’s brow furrowed slightly.\u003C\u002Fp>\n\u003Cp>The report indicated significant heart enlargement in the patient, with no signs of tumors.\u003C\u002Fp>\n\u003Cp>They quickly formed a rough judgment that it might be an infection.\u003C\u002Fp>\n\u003Cp>But the specific type of infection and whether there are other problems remain unknown.\u003C\u002Fp>\n\u003Cp>\"Where are the patient’s family members? Call them in for an inquiry.\"\u003C\u002Fp>\n\u003Cp>Liu Guofeng set aside the report and immediately asked.\u003C\u002Fp>\n\u003Cp>\"The family is outside. Xiaocheng, call them in.\"\u003C\u002Fp>\n\u003Cp>Lin Hai instructed the nurse nearby,\u003C\u002Fp>\n\u003Cp>\"Also, hasten the cardiac angiography. Have the lab speed up the process.\"\u003C\u002Fp>\n\u003Cp>\"Alright, I’ll go right away.\"\u003C\u002Fp>\n\u003Cp>The nurse replied and headed out.\u003C\u002Fp>\n\u003Cp>About a minute later, two middle-aged men and a middle-aged woman entered, followed by a young man about the patient’s age.\u003C\u002Fp>\n\u003Cp>\"Doctor, how is my son?\"\u003C\u002Fp>\n\u003Cp>As soon as she entered, the woman wiped her tears and asked anxiously, her face full of panic.\u003C\u002Fp>\n\u003Cp>\"Please don’t worry for now. We’ve conducted timely resuscitation on the patient, and there is no immediate life threat, but the condition is not good.\"\u003C\u002Fp>\n\u003Cp>Lin Hai quickly explained, then pointed to Liu Guofeng,\u003C\u002Fp>\n\u003Cp>\"This is our cardiothoracic Director Liu, who needs to ask you about some details. Please sit down, everyone.\"\u003C\u002Fp>\n\u003Cp>The patient’s family sat down, faces still tense and worried.\u003C\u002Fp>\n\u003Cp>\"The patient hasn’t woken up yet, so I have some questions to help us make an assessment.\"\u003C\u002Fp>\n\u003Cp>Seeing that they were somewhat calmer, Liu Guofeng nodded and asked,\u003C\u002Fp>\n\u003Cp>\"Has the patient had any prior heart issues or abnormalities?\"\u003C\u002Fp>\n\u003Cp>\"No issues were found with his heart before.\"\u003C\u002Fp>\n\u003Cp>The woman thought for a moment and then suddenly seemed to remember something.\u003C\u002Fp>\n\u003Cp>\"Oh right, my son had a bit of diarrhea a while ago, but we thought it was normal, and he got better after a few days of medication.\"\u003C\u002Fp>\n\u003Cp>\"Diarrhea?\"\u003C\u002Fp>\n\u003Cp>Hearing this, Liu Guofeng’s eyes immediately changed.\u003C\u002Fp>\n\u003Cp>Upon hearing this, Qin Feng also felt a stir in his heart, and his mind quickly began analyzing based on the heart examination report.\u003C\u002Fp>\n\u003Cp>The possibility of a heart infection is growing!\u003C\u002Fp>\n\u003Cp>But just having diarrhea isn’t enough to diagnose completely, further confirmation is needed.\u003C\u002Fp>\n\u003Cp>\"Is there anything else? Or has there been any heart problems before?\"\u003C\u002Fp>\n\u003Cp>Liu Guofeng continued to ask.\u003C\u002Fp>\n\u003Cp>\"Yes, when Xiaofeng was six, he had heart surgery, some aortic valve surgery.\"\u003C\u002Fp>\n\u003Cp>A tall, thin man with a small mustache sitting next to the woman hurriedly said.\u003C\u002Fp>\n\u003Cp>The moment he finished speaking, Liu Guofeng turned his head and exchanged glances with Qin Feng and Lin Hai, their gazes suddenly became heavy.\u003C\u002Fp>\n\u003Cp>Aortic valve of the heart!\u003C\u002Fp>\n\u003Cp>In an instant, a possibility flashed simultaneously in the minds of the three.\u003C\u002Fp>\n\u003Cp>Infective endocarditis!\u003C\u002Fp>\n\u003Cp>Then,\u003C\u002Fp>\n\u003Cp>Liu Guofeng asked a few more brief questions before asking the family members to leave and wait.\u003C\u002Fp>\n\u003Cp>\"Lin Hai, Qin Feng, what do you think?\"\u003C\u002Fp>\n\u003Cp>Liu Guofeng looked at the two, asking in a deep voice.\u003C\u002Fp>\n\u003Cp>\"Although the imaging isn’t out yet, I feel if it’s really an aortic valve issue, it’s very likely infective endocarditis.\"\u003C\u002Fp>\n\u003Cp>After pondering for a moment, Lin Hai shared his opinion.\u003C\u002Fp>\n\u003Cp>\"Qin Feng, what about you?\"\u003C\u002Fp>\n\u003Cp>Liu Guofeng nodded upon hearing that and turned his gaze to Qin Feng.\u003C\u002Fp>\n\u003Cp>\"I agree with Dr. Lin’s view, there’s a high possibility of infective endocarditis.\"\u003C\u002Fp>\n\u003Cp>He also nodded, this was almost beyond doubt.\u003C\u002Fp>\n\u003Cp>Even though the imaging wasn’t out yet, based on the current situation and the patient’s medical history, it could already be diagnosed.\u003C\u002Fp>\n\u003Cp>However,\u003C\u002Fp>\n\u003Cp>The patient’s infection is so severe that it has led to heart stoppage.\u003C\u002Fp>\n\u003Cp>\"Yes, I agree with you both, if it truly is infective endocarditis, the patient’s current condition simply cannot support surgery.\"\u003C\u002Fp>\n\u003Cp>Liu Guofeng’s expression looked somewhat grave, his tone carrying a hint of helplessness.\u003C\u002Fp>\n\u003Cp>Indeed!\u003C\u002Fp>\n\u003Cp>The patient’s physical condition is too poor, now is not suitable for the operating table, otherwise they might die from the infection right on the table.\u003C\u002Fp>\n\u003Cp>A few minutes later, the results from the imaging department were out.\u003C\u002Fp>\n\u003Cp>When the nurse handed the imaging to Liu Guofeng, the three of them instantly had a clear understanding of the condition.\u003C\u002Fp>\n\u003Cp>The patient’s heart aortic valve showed obvious regurgitation!\u003C\u002Fp>\n\u003Cp>Combined with the family’s description, during a recheck three years ago, they had already discovered aortic valve regurgitation, but due to being busy with work, they hadn’t undergone surgery in time.\u003C\u002Fp>\n\u003Cp>Moreover, since it hadn’t affected daily life, it was quickly forgotten.\u003C\u002Fp>\n\u003Cp>But a severe diarrhea two weeks ago likely led bacteria to infect the heart through the bloodstream, triggering infective endocarditis.\u003C\u002Fp>\n\u003Cp>In addition, with the severe regurgitation of an already incompetent aortic valve, it caused heart failure...\u003C\u002Fp>\n\u003Cp>\"Alright, the situation is clear now.\"\u003C\u002Fp>\n\u003Cp>Liu Guofeng withdrew his gaze, the condition was now very clear,\u003C\u002Fp>\n\u003Cp>\"Although the patient has currently regained vital signs, and the infection has somewhat subsided, they still don’t meet the surgical criteria for valve replacement surgery.\"\u003C\u002Fp>\n\u003Cp>\"Understood, Director Liu.\"\u003C\u002Fp>\n\u003Cp>Lin Hai nodded, and Qin Feng remained silent.\u003C\u002Fp>\n\u003Cp>Because what they could do next was to try to control and reduce the infection, allowing the patient to survive these days and make it to the operating table.\u003C\u002Fp>\n\u003Cp>Operate, to survive!\u003C\u002Fp>\n\u003Cp>....\u003C\u002Fp>\n\u003Cp>Liu Guofeng left, as the patient yet doesn’t belong to cardiac surgery and needs to survive the critical phase in intensive care.\u003C\u002Fp>\n\u003Cp>Qin Feng followed behind Lin Hai, watching him skillfully arranging things.\u003C\u002Fp>\n\u003Cp>Afterwards, the two of them returned to the office.\u003C\u002Fp>\n\u003Cp>In this situation, there is actually not much more that they, as doctors, can do.\u003C\u002Fp>\n\u003Cp>Anyone who studied medicine understands that modern medical techniques can largely only play an auxiliary role.\u003C\u002Fp>\n\u003Cp>What truly saves a life, is oneself!\u003C\u002Fp>\n\u003Cp>\"Phew~\"\u003C\u002Fp>\n\u003Cp>Lin Hai sat on the chair, exhaling deeply,\u003C\u002Fp>\n\u003Cp>\"I hope he can pull through, only 25 years old, still so young, sigh~\u003C\u002Fp>\n\u003Cp>Qin Feng, do you think making money is more important or is life more important?\u003C\u002Fp>\n\u003Cp>Knowing there’s a problem with one’s health yet showing such little concern, resulting in this situation, it makes me angry just thinking about it!\"\u003C\u002Fp>\n\u003Cp>Qin Feng smiled and shook his head.\u003C\u002Fp>\n\u003Cp>It’s not just them, which doctor isn’t covered in injuries.\u003C\u002Fp>\n\u003Cp>Compared to pulling all-nighters, working 996, doctors, because of their professional attributes, seem to outsiders as nothing but noble and glamorous, forgetting that this profession is one of the most prone to sudden death.\u003C\u002Fp>\n\u003Cp>...\u003C\u002Fp>\n\u003Cp>Bang!\u003C\u002Fp>\n\u003Cp>\"Dr. Lin! The patient’s heart has stopped!\"\u003C\u002Fp>\n\u003Cp>Early morning, as dawn was just breaking, Qin Feng was still looking over materials when suddenly the office door was pushed open heavily.\u003C\u002Fp>\n\u003Cp>Boom~\u003C\u002Fp>\n\u003Cp>\"Which one? Let’s go!\"\u003C\u002Fp>\n\u003Cp>Lying on the recliner and having just dozed off during a brief free moment, Lin Hai was startled and rolled off directly.\u003C\u002Fp>\n\u003Cp>The next second, he bounced up from the ground, like a spring, and shouted loudly.\u003C\u002Fp>\n\u003Cp>Upon hearing this, Qin Feng also immediately stood up and looked towards the nurse at the door.\u003C\u002Fp>\n\u003Cp>\"Bed 25, it’s the infective endocarditis case from last night!\"\u003C\u002Fp>\n\u003Cp>The nurse said anxiously.\u003C\u002Fp>\n\u003Cp>Upon hearing this, Qin Feng and Lin Hai’s expressions changed, and a sinking feeling dropped in their hearts.\u003C\u002Fp>\n\u003Cp>The situation is dire!\u003C\u002Fp>",1693,"2026-06-03T05:20:17.807Z","2026-06-03T05:20:20.950Z",1,"novelbin.me","294cf308e346eb88dc7b45305663d120416e02b13c03e5d4e6bd49c3f168255b","check-in-at-the-hospital-the-first-surgery-shock-chapter-330","check-in-at-the-hospital-the-first-surgery-shock-chapter-328",468,"https:\u002F\u002Fnovelzhen.com\u002Fimages\u002Fcovers\u002Fcheck-in-at-the-hospital-the-first-surgery-shock-cover.jpg"]