Juno Calls
Medical Center.
Emergency room.
"Dr. Duncan, you're back."
As soon as Adam arrived, the Nurse Know-It-All greeted him, "How was the wedding? Attending two weddings in a row must have been tiring. Why don't you take a good rest?"
"Fine."
Adam laughed and said, "I'm not tired. Any interesting cases today?"
"No."
The Nurse Know-It-All smiled and said, "Dr. Yang performed a congenital heart defect repair surgery with Dr. Burke, Dr. Stevenson delivered a baby, and everyone else was fine as usual, nothing special..."
Adam listened and nodded.
After being away for a day, he needed to get a feel for what was happening at the Medical Center.
The Nurse Know-It-All, focused on what he wanted to know and explained it in a well-organized manner.
"Dr. Duncan!"
At that moment, the emergency room doors were pushed open, and the paramedics saw Adam and immediately called out to him.
"What's going on?"
Adam ran over immediately.
The Nurse Know-It-All saw this and immediately grabbed a surgical gown, ran over, and quickly put it on Adam.
"Michael Kenny, 17, collapsed suddenly at school. His vital signs are stable. He is a wrestler."
"That's what the paramedics said."
"This must be an internal medicine patient. Let's call an internist."
Adam gave a somewhat regretful instruction, but still pushed the patient into the examination room first.
"Call the school, get his medical records, give him an IV drip, check his blood sugar, blood routine, electrolytes, and also do a toxicology test."
The young man who suddenly fainted was very likely to have taken drugs and ended up in the hospital.
"Blood pressure is too low, 70/60, and it is still dropping."
The nurse checking blood pressure quickly reminded her, "Your blood sugar is normal."
"Ventricular contraction."
After examining the Adam, Adam said in a deep voice, "It seems to be a heart problem."
"Doctor, out-of-term pulsation."
The nurse noted, "Your blood pressure is still dropping rapidly, 60/45."
"Heart rhythm disorder".
Adam instructed, "Prepare to insert a central venous catheter."
The nurse immediately brought over the instruments.
Adam began inserting a central venous catheter into the patient.
This is a method to quickly maintain blood pressure during emergency treatment.
"The blood test results are in. There are no calf samples, but the electrolyte levels are terrible."
After Adam completed the central venous catheterization and maintained the patient's blood pressure, the nurse came in with the test results.
What is your blood potassium level?
Adam asked.
"2.0."
"That's what the nurse replied."
"20 milliequinoxes for backpack-type infusion".
Adam gave the order.
Didi.
Didi.
The monitor emitted an alarm.
"My heart is beating too fast, my heart rate is 240, and it's still rising rapidly."
The nurse reminded her.
"Administer 6 mg of adenosine monophosphate via rapid intravenous injection."
As Adam gave instructions, he checked the patient's pupils. "No response, no contraction, prepare the defibrillator, press the sync button, his heart rate must be brought down immediately, or he will die."
The nurse immediately picked up the defibrillator, prepared it, and handed it to Adam.
"100, release!"
Adam yelled and pressed the defibrillator against the patient's chest.
"Weak pulse."
The nurse reminded her.
"Set it to 200, then let go!"
Adam increased the power of the electric shock.
"There's still no pulse; he's going to die."
The nurse reminded her.
"Give me a pacemaker, I want to increase my whole pulse rate."
Adam gave the order.
"Doctor, there's no screen here. Are you going to have to reach in and do it by feel?"
The nurse hesitated.
"I also want to do it while looking at the screen, but he doesn't have time now."
Adam emphasized. "Pacemaker!"
"Yes, doctor."
The nurse quickly handed the pacemaker to Adam.
Adam slowly inserted the pacemaker into the heart through the catheter and instructed, "Increase it to 300, good. Now, slowly decrease it, even slower."
"Sinus rhythm is normal."
Looking at the nurse's reminder on the screen, I felt a deep sense of admiration.
"Ding! +0.01!"
The system's notification sounds were also ever-present.
"It's a sudden coronary heart attack!"
Adam was in high spirits and said with a smile, "You all keep an eye on him and let me know when he wakes up."
"It's really rare for someone to get a heart attack at the age of 17."
The nurse exclaimed, "Thanks to Dr. Duncan, he would have died otherwise."
The heart is like the power source of an electric vehicle. Being young means it's just been purchased and is in use. As long as it's not defective (Congenital Heart Disease), it will naturally be fine from the start.
Only after prolonged and gradual use will a series of problems such as power supply aging occur.
Neglecting maintenance can exacerbate this process.
Adam smiled, got up, and left.
If coronary heart disease is not severe enough, it can be managed with proper care and does not require surgery.
Anyway, I've already reached the end of my Lifespan.
Adam would not have been a pity.
Half an hour later.
The nurse called Adam and said the patient had woken up.
As his doctor, Adam needs to assess his physical condition and then decide whether he can be discharged.
"What are you doing?"
When Adam arrived, Michael, the patient who had almost died, was already doing high leg raises.
"I feel much better, I need to do some training."
"No, you can't do that. You just had a sudden coronary heart attack and almost died."
Adam pointed out, "Literally, almost died."
"I am fine."
Michael paused for a moment, then looked down and asked, "When can I be discharged from the hospital?"
"You need to wait for your parents to come."
Adam said, "You have anorexia, don't you?"
"No, I didn't!"
Michael immediately denied it.
"You are a wrestler, and weight class control is very strict."
Adam continued, "If you don't meet the standards, you can't compete, so dieting is a common method, but over time, it can easily lead to anorexia."
"I'm fine..."
Michael wanted to deny it, but when he met Adam's gaze, he couldn't tell the lie. He just looked at Adam pleadingly and said, "I need to be discharged. I have a game next week that will affect my future, and I have to play it."
"Feel sorry."
Adam shook his head. "With your current dieting, you might die if you participate in a high-intensity competition. You're not an adult yet, so this decision needs to be made by your parents."
Michael is clearly a student with athletic talent, hoping to gain admission to university through special admissions by competing in competitions.
Adam could understand his luck in competing despite the danger.
But this decision was not something Michael and he could make.
As far as Adam knew, being a wrestler was no easy feat.
Professional wrestlers typically live and train together and must adhere to strict rules.
For example, smoking and drinking are not allowed.
It is even forbidden to describe things in a way that is indescribable.
Emmm.
No method will work.
They also have to diet, usually eating only vegetables, fruits and dairy products.
He gets beaten and thrown around every day.
It's not that there's no way to keep going or that I truly love it; it's just that I can't persevere.
Michael was talking about something that affected his future; it was clearly not out of passion, but out of helplessness.
He only has talent in wrestling.
When Michael's parents arrived, Adam explained the situation to them and asked them to discuss it carefully before making a decision.
He then took the phone and went outside.
It was Juno calling.
This surprised Adam.
It wasn't strange that Juno called him.
In fact, they talk on the phone almost every night, chatting about what happened that day, exchanging medical cases, and discussing medical techniques.
Only.
Because they are both very busy and night owls, they usually talk on the phone before going to sleep, which is in the early hours of the morning.
It's obviously a bit early now.
And usually, he's the one who calls her.
This is more convenient.
After all.
Adam's life was far less structured than Juno's.
If Juno were to call him every time, he would probably encounter a lot of awkward situations.
Although Juno repeatedly said she didn't mind Adam chatting with her while exercising.
But Adam minded.
What a pipe dream!