My Medical Skills Give Me Experience Points Chapter 1203: 475: Resolving a Patient’s Inner Knot with a Single Sentence, Taking on a Difficult Case (Part 2)

There's also an air of belittling others to boost oneself.

In managing ties with medical team members, physicians ought to stay humble whenever feasible. Since doctors enjoy higher standing, earnings, and opportunities than nurses, any sense of disrespect among the nurses could badly harm their drive.

Numerous healthcare duties demand tight teamwork between physicians and nurses, underscoring just how vital nurses are.

Though patients and relatives might scorn nurses and bias against their role, doctors must never do so.

Far from slighting nurses, doctors should support them in all possible manners.

“Blood pressure measures 115/79mmHg!”

For adults, typical blood pressure falls between 90mmHg and 140mmHg systolic and 60mmHg to 90mmHg diastolic. The readings for this patient come out normal.

Zhou Can let out a small breath of relief.

With blood pressure in the normal range, acute issues in the heart or brain vessels can usually be excluded.

Symptoms like chest discomfort, tightness in the chest, labored breathing, and spitting blood signal grave danger.

“Do both arms show the same blood pressure?”

For safety's sake, Zhou Can aimed to run a few basic initial tests to dismiss risks like tears in the aorta, cardiac conditions, and similar threats.

“Pressures on either side of the body match up closely!”

Nurse Luo's skills shine through in these fine points.

Beginner nurses typically check pressure on just one arm. That's fine for routine ailments, of course. Yet for those with chest pain signs, pros always test both arms.

Zhou Can touched the patient's forehead; it felt normal in temperature.

During the earlier tenderness check, he'd quietly tallied the patient's pulse and breaths.

The pulse hovered around 100 per minute, possibly off a bit, but not by much.

That points to a standard heart rate for the patient.

Heart issues get dismissed once more.

Breaths came at roughly 40 per minute for the patient.

Adults at rest normally breathe 16 to 20 times a minute. Over 24 counts as fast breathing. This patient clearly faces breathing troubles.

As Zhou Can eyed the patient before, no clear signs of yellow skin, bleeding spots, or puffed-up outer lymph nodes appeared; features looked even, save for faintly blue lips.

Those blue lips likely tie to the breathing struggles, though the blueness suggests oxygen shortage isn't too bad.

With that in view, Zhou Can grew more relaxed.

The patient faces no urgent threat to life, and immediate life-saving steps aren't needed to prevent death.

He inspected the pupils next; they matched in size, stayed round, and reacted to light, confirming no pressing danger to life.

Should pupils shrink and ignore light, combined with chest pain, extra vigilance is essential.

Those cases carry a heavy chance of sudden death.

Fresh doctors in training who spot such signs must quickly seek advice from veteran physicians. Still, for everyday chest pain cases, experts won't arrogantly dump them fully on rookies.

They tend to assess first, and only pass it to trainees if it's clear no deadly risk lurks.

“Alright, let me check your neck now!”

The patient kept a chilly attitude, barely responding to Zhou Can's checks.

Zhou Can worked hard to build some basic trust with the patient anyway. Spots like the neck, head, waist, underarms, and intimate zones stir natural aversion when strangers touch them.

In close couples, once the girlfriend bonds deeply with her boyfriend, she welcomes his touches. Hugs, waist strokes, or even intimate areas usually meet no pushback.

However, a stranger's hand on the rear, a sudden hug, or a mere shoulder tap could spark sharp wariness or outright revulsion in her.

The neck exam revealed softness, no pushback, and absence of rigidity.

No bulging jugular veins, thyroid normal without swelling.

To be thorough, Zhou Can probed the heart area too, spotting no clear chest bulge upfront and normal heart borders.

“Teacher Luo, could I use your stethoscope?”

“Sure thing!”

Nurse Luo cheerfully passed the stethoscope over to Zhou Can.

Taking hold of it, he tuned in closely to the heart area; beats stayed steady, sounds boomed clear, without any extra noises.

Evidently, no big cardiac troubles exist.

That's puzzling. With intense pain on the left chest side, if the heart isn't to blame, what's going on?

Connecting this to the labored breaths and faint lip blueness.

Symptoms kicked in right after the mother's nagging sparked the patient's flare-up.

Right then, Zhou Can started leaning toward a lung issue for the patient.

He felt the abdomen, which lay flat and yielding, free of pain on press and no bounce-back soreness. Liver and spleen zones showed no solid lumps or growths, meaning no major organ swelling.

Checking limbs revealed solid muscle power and flexible joints.

A reflex test could have been done, but the patient's uncooperativeness led Zhou Can to steer clear of stirring more trouble.

“Doctor, just how bad is my son's condition?”

“Coughing up blood is no small matter, for sure. Young folks today face immense stress, so aim to show your child more empathy going forward. While examining, I saw your son's hands covered in tough calluses, proving he's far from the lazy slacker you think. Actually, it shows he's toiling away with real dedication and non-stop effort.”