Check-in at the Hospital: The First Surgery Shocked the Nation!

Intracardiac conduction block,

conduction block occurring below the junction of the atrioventricular bundle branches.

This is a symptom commonly seen in cardiac lesions, mostly resulting from organic changes in the heart itself.

Common causes include coronary heart disease, cardiomyopathy, myocarditis, hypertension, rheumatic heart disease, and pulmonary heart disease.

Some are also caused by other diseases, like electrolyte imbalance, neuromuscular diseases, diabetes, etc.

And a very small portion occurs in healthy individuals.

What truly surprises them is that this condition cannot be detected even with a stethoscope; at the very least, an electrocardiogram is required to find abnormalities.

There are usually two types of conduction block, one is intracardiac conduction block, and the other is atrial conduction block.

If it is atrioventricular block, it is generally divided into first degree, second degree, and third degree with varying severities.

Upon reaching second degree, changes in heart sounds can barely be detected through a stethoscope to perceive cardiac abnormalities.

But intracardiac conduction block cannot be detected without instruments!

"Isn’t this a bit exaggerated? I think it’s impossible."

"Shouldn’t we test it with instruments to know for sure?"

"Professor Lu, what do you think?"

The other three professors looked at Professor Lu, casting puzzled looks.

Although all four of them have some research in basic and clinical medicine, when it comes to the heart, Professor Lu surely has the most say.

Because her specialty is in the heart, her judgment will be more accurate than the other three.

"Alright."

Professor Lu responded by nodding.

This condition cannot be detected through palpation and inquiry alone for sure.

After speaking, she gave Qin Feng an inexplicable glance, one mixed with doubt and surprise.

It must be known that such precise judgment of these subtle heart changes cannot be achieved through traditional Chinese medicine alone, and this condition was only discovered with the advent of modern medicine.

So she was quite skeptical of Qin Feng’s judgment, you could say she completely disbelieved it.

Subsequently,

the professors stood up and took the young man to the side instrument room to start a detailed examination.

It’s also to be responsible for the student’s health, as early detection and treatment are possible if there truly is a heart condition.

"Senior Qin, won’t there be any problems?"

Waiting on the side, Xiao Xiaoxiao noticed the unusual demeanor of the four professors and showed a worried expression on her face as well.

"It’s alright, his condition isn’t serious. Just need to rest well and take medication, and he’ll recover after a while."

Qin Feng smiled and shook his head in response.

Seeing his confident smile, Xiao Xiaoxiao felt her nervousness slightly ease.

She understood that Senior Qin might also be a trigger for this contest due to the conflict at the seminar between herself and Yu Peng over traditional Chinese medicine.

If they lost, she would be very upset and feel sorry for Qin Feng.

After all, this matter has somewhat to do with her!

Thinking of this, Xiao Xiaoxiao lowered her head, intertwining her fingers and staring intently at the door of the instrument room.

Meanwhile, Qin Feng took out his phone and began looking at something, seemingly without any pressure.

Ding-dong~

’Liang Donglai: Qin Feng, are you busy now?’

’A bit, it will be over soon. What’s up, Brother Liang?’

’Liang Donglai: I just attended a consultation. Thought you might be interested and wanted to chat with you.’

’Liang Donglai: I’ll send over two images first, take a look.’

’Liang Donglai: IPG’

’Liang Donglai: IPG’

Receiving the images, Qin Feng was stunned upon opening them, quickly enlarging them with his hand.

These are two leg CT images. Within the lightbox, at the lower left position near the tibia of the smallest calf, a distinct shadow appears.

And comparing both legs, the lower part of the left fibula is unexpectedly half gone!

The entire leg is swollen, almost thicker than the thigh, showing severe mottling in the lower extremities and systemic cyanosis.

Upon seeing the situation in the images, a rare yet terrifying thought suddenly flashed in his mind.

This isn’t just a disease, but a bacterial infection.

’Vibrio vulnificus infection?’

His expression turned serious immediately, promptly sending a message back to Liang Donglai.

’Liang Donglai: True to your sharp eye, you spotted it right away!’

’Liang Donglai: Indeed, it’s a marine Vibrio vulnificus infection, just transferred up from an affiliate hospital.’

’How is the situation now?’

Qin Feng asked quickly.

’Liang Donglai: It’s not looking good, with coagulation disorders, resuscitated twice already. As the time dragged on, initial symptoms of organ failure have appeared; we just conducted an MDT (Multidisciplinary Team: currently the most cutting-edge multidisciplinary therapeutic model internationally) consultation, we can only control first, consider amputation when stabilized, life-saving is prioritized.’

After seeing this message, Qin Feng calmed down.

Once coagulation disorders and organ failure appear, it indicates the bacteria have already spread through the entire body via the bloodstream.

It is dangerous in this situation; early amputation could preserve life, but now it’s likely too late, life is at stake at any moment.

’Liang Donglai: We don’t encounter this illness often, guessing you haven’t seen it either, so I sent it your way.’

’Liang Donglai: I’ll send you the case report once done, consider it an experience.’

Seeing Liang Donglai’s relatively light tone, Qin Feng couldn’t help but shake his head with a bitter smile.

Still, there is no choice; Vibrio vulnificus is known as the ’Marine Devil’ in the medical world.

It’s a gram-negative, thermophilic, alkaliphilic, halophilic marine pathogen, pathogenic alongside Vibrio cholerae and Vibrio parahaemolyticus.

Typically contracted through consumption of food containing Vibrio vulnificus (especially raw oysters, shrimp, crabs, etc.), or via skin direct infection, such as being pricked by fish, shrimp, or crabs, wounds exposed to seawater.