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Check-in at the Hospital: The First Surgery Shocked the Nation!-Chapter 211 - 140: Elderly Woman with Hypertension Takes Fake Medicine, Lupus!
Xu Tiantian immediately stood up and walked over, helping the elderly woman to lie down, then notified Nurse Chief Liu to prepare the medication,
"Nurse Chief Liu, severe hypertension, administer sodium nitroprusside intravenously."
"Alright."
You know, even for young people, a blood pressure over 220 is alarming.
For the elderly, as their bodily functions decline, and cells lose their vitality, their cardiovascular system becomes extremely fragile.
Many cases of cerebral hemorrhage are due to high blood pressure, compounded by sudden excitement, causing blood pressure to spike and rupture blood vessels.
This leads to severe cerebral hemorrhage; even if rescued in time, it results in a stroke, leaving the person bedridden, paralyzed.
Many don’t even make it to surgery; by the time they get to the hospital, it’s too late.
This is one of the high-incidence cases of sudden elderly death!
And this elderly woman in front of us, with blood pressure this high, even a minor incident could cause her blood vessels to rupture at any time.
At that point, it’s not just a matter of lowering blood pressure; it’s a life of pain from then on.
"Pay close attention to the speed of lowering the blood pressure, keep the decline within 30% over 24 hours."
At this time, Liu Juan had already come in with the infusion, as the nurse administered the injection to the elderly woman.
Qin Feng nodded slightly, acknowledging her experience.
In fact, the role of Liu Juan as a nurse chief, when compared, might even be more significant than Zhao Yitian, Xu Tiantian, and the other two combined!
An experienced, skilled nurse chief holds a status no less than that of an attending physician.
Because, although doctors are responsible for diagnosing and treating patients, the actual treatment process is carried out by nurses.
So if a nurse makes a mistake, even doctors may not react in time.
Therefore, a nurse chief who can fully oversee and consistently motivate nurses is crucial.
They are responsible not only for the nurses’ work but also for patient care, medication accuracy, and attention to their daily needs.
Nurses really have it tough~
Liu Juan had followed three directors, from the triage desk to operating room tours, equipment handling, to being a nurse chief, with consistent dedication over the years.
This mastery over various ailments surpasses even that of a typical resident doctor!
"Admit the patient for observation, have the family stay."
Qin Feng, observing the situation, promptly instructed.
"What is your relation to the patient?"
"I am her daughter."
The woman responded, her face slightly anxious.
"I need to discuss the current situation with you; your mother’s high blood pressure has reached a very severe level."
Qin Feng proactively spoke to her,
"A systolic of 220, diastolic of 160, could very well lead to a vascular rupture, and at that moment, she could be gone just like that.
So, as family members, you must ensure she takes her medication on time and avoid major psychological fluctuations."
"Doctor, we know that."
Upon hearing this, the woman’s expression turned somewhat helpless and angry,
"But she simply doesn’t listen to us, she’s told to take her medication on time, but every time she secretly throws it away.
We have jobs and can’t watch over her all the time, and when we go home at night to give her the medicine, she even holds it in her mouth to spit it out once we leave.
What can we do?"
As she spoke, the woman covered her face with her hands, her voice filled with grievance.
Both Qin Feng and Xu Tiantian sighed inwardly after hearing this.
Such situations are indeed too common, with many elderly people believing medication is useless or resistant to taking it.
Furthermore, with high blood pressure, the condition might not escalate until a critical moment, leading them to think there’s no issue.
But in reality, any slight increase in blood pressure that goes unchecked could, when accumulated to the point of bursting, cause a vascular rupture just from standing up.
By then, there are no regrets.
"Think of a way. As children, you need to help her learn to accept it."
Qin Feng shook his head, continuing to persuade.
"Actually, it’s not that my mom doesn’t believe; she just doesn’t want to take the pharmacy’s medication and secretly buys other antihypertensive meds instead."
"Other antihypertensive meds?"
Qin Feng frowned slightly, "What kind of antihypertensive meds?"
"I don’t really know, it seems like some kind of traditional Chinese medicine."
The woman thought for a moment, then replied.
Traditional Chinese medicine?
For lowering blood pressure?
Upon hearing this, Qin Feng immediately became alert and quickly followed up.
"Did you bring the medicine she takes?"
"Oh, I purposely brought it with me when I left."
The woman nodded, pulling out a small blue porcelain bottle from her bag and placing it in front of them.
Qin Feng hurriedly took it, opening the cork, and a strong herbal aroma wafted out.
He poured out two small, dark pills.
This smell~
Doesn’t seem right!
Having long acquired knowledge from ancient medical texts such as the "Qingnangjing" and "Chenjinfang," he was quite adept at recognizing traditional Chinese medicine.
And from this pill, there was an overwhelming smell of licorice.
Licorice inherently contains a lot of glycyrrhizin, glycyrrhetinic acid, which can easily stimulate an increase in blood pressure.
For patients with stage I or II hypertension, a small amount might not be a significant problem, but this patient had reached severe stage III hypertension.
Moreover, with the amount she usually takes, it’s no wonder such severe conditions occurred!
"Where did you buy this medicine?"
"No." The woman shook her head, "I think a friend of my mom’s recommended it, and then helped her get it, claiming it’s very effective, and she takes it herself."
"Do you have that friend’s number? Call her now and ask where this medication is purchased."
Qin Feng immediately said seriously. 𝐟𝚛𝕖𝚎𝕨𝗲𝐛𝚗𝐨𝐯𝐞𝕝.𝐜𝗼𝗺
"What’s wrong? Is there a problem with the medicine?"
The woman was taken aback for a moment, then quickly realized, pulling out her phone and dialing a number,
"Hello, Aunt Zhang, I want to ask about the antihypertensive medicine you got for my mom; where did you buy it from?"
"No, no, I’m not doubting you, I just ~~~ have a colleague whose dad has persistent high blood pressure, and she knows my mom takes this medicine and wants to try buying two boxes.
I’m just asking you where you bought it so she can be assured."
Qin Feng listened to the woman’s response, acknowledging her tactfulness.
"What?! An online friend!"
Suddenly, the woman’s voice rose several octaves, and she shot up from her chair, her face looking extremely grim.
"Aunt Zhang, didn’t you say it was bought from an out-of-town pharmacy? Why is it online now!
My mom’s hospitalized now! You need to clarify this for me!"
Hearing this, Qin Feng and Xu Tiantian’s hearts sank.
Something went wrong!
...
A moment later, the call ended, and the woman’s face looked livid, clearly showing her anger.
"Where was this medicine bought? How much did it cost?"
Qin Feng asked calmly.
"It... it was from information she saw on WeChat Moments, then added the contact to buy it; one box costs 790, and my mom spent over 5000 on the medicine."
The woman spoke through gritted teeth with a sense of bitterness.
Gosh!
It was undoubtedly fake medicine!
"Alright, your mother’s condition should be stabilizing; you should report this to the authorities, it’s sufficient for a case."
Qin Feng handed her the payment receipt, advising.
The woman took it and walked out, looking despondent.
Xu Tiantian shook her head in resignation beside them.
"Seriously, if the elderly woman had continued taking it for a few more days, she might have been brought in on a stretcher; how can they be so clueless?"
"Sigh~ Anyway, hopefully, they learn a lesson from this."
Qin Feng patted her shoulder and smiled wryly.
Such incidents happen often in the emergency room; fake medicine sellers target the elderly specifically.
These dealers create distrust among seniors, leading them to believe that hospitals and pharmacies are deceitful, that their medications don’t truly heal but are meant to be taken long-term for profit.
Taking their medicine may seem expensive in the short term but promises a cure, saving money and improving health.
Thus, some health-conscious seniors inevitably fall into the trap, even endorsing it to others.
Without such people, who would buy the countless health supplements out there?
...
"Call the next person."
"Okay."
After handling appointments all morning, Qin Feng simply stayed seated, considering that the end of his shift was near, and seeing one or two more cases would finish up the day.
Ding~
Patient number 223, please proceed to General Consultation Room 1.
"Doctor."
Swish~
A few seconds after the notification sound faded, a woman’s figure appeared at the consultation room door.
Qin Feng looked up upon hearing her and immediately stood up.
Although the woman was wearing a mask, the exposed area around her eyes unsettled him.
The smooth, bright redness made her symptoms overwhelmingly apparent.
Qin Feng recognized it instantly, able to fully diagnose it.
Lupus!







