This is on an airplane, not on the ground, so you can’t just call another doctor or take a taxi to the hospital.
"Sister, you go." Leilei grabbed her mother’s hand, preventing her mother from grabbing her sister’s clothes. Her sister’s words had made her much stronger.
Mother Leilei puffed up in anger but could only sit back in her seat. After a while, she and the other passengers on the plane curiously looked around. What kind of patient would it be this ti?
Earlier when her daughter was sick, no one said they were ill.
Adults have a higher tolerance for pain than children. Especially so hard-working elderly, who often endure minor illnesses until they beco major ones just to avoid worrying their family. This old lady endured until she almost couldn’t take it anymore before her daughter accompanying her discovered it.
Quickly walking to the elderly patient’s side, Xie Wanying glanced at the patient, alarm bells went off, sensing sothing bad like the nurse.
"Should she lie down?" The flight attendant once again suggested, thinking this patient visibly in serious condition should probably lie flat.
"No, she can’t lie down." Xie Wanying and the nurse said in unison.
Heart failure patients cannot lie flat; in dicine, there is a specialized term for this particular manifestation called seated breathing.
To explain this phenonon, one must first understand what heart failure is. Heart failure is not an independent disease; it’s a group of clinical manifestations, a typical symptom cluster that many cardiovascular diseases show when they reach a certain stage. The cause of these symptoms, discovered by dical researchers through studies of human physiological structure and function, indicates that such patients’ cardiac contraction and relaxation functions are impaired compared to normal people; so have both impairnts, while others have one, resulting in the reduced return of venous blood to the heart, a technical term called reduced venous return. The reduction in venous return causes venous blood that cannot return to the heart to congest in the body’s venous system. Blood pumped out by the heart to the body’s arterial system subsequently decreases, showing arterial perfusion deficiency.
According to the aforentioned principle, heart failure patients have impaired cardiac function, lying down increases the normal venous blood return burden on the heart, which the patient cannot tolerate, so the patient subconsciously sits up, letting venous blood store in their lower limbs, so their heart feels more comfortable. This is the origin of seated breathing.
Thus, edema in both lower limbs is also one of the common symptoms of heart failure patients.
The old lady waved her hand to refuse to lie down, evidently struggling to breathe and unable to lie flat, displaying symptoms of acute heart failure seated breathing.
The nurse rolled up the patient’s pant leg, exposing the patient’s ankle.
If there is edema, the skin around the ankle, which is thin and weak, when seen, felt, or pressed, dical personnel can discern quite a bit.
This old lady was peculiar, she was overweight, but when the dical personnel’s fingers pressed on her skin, no usual edema indentations appeared.
Lu Xin felt like scratching her head.
Xie Wanying, however, had so understanding of the patient’s condition, confird by the dialect of the elderly woman’s daughter.
A province in China is quite large, equivalent to a small country internationally. There are differences within the province, each with its own local dialect and customs. For doctors, distinguishing which specific place a patient cos from is not to treat patients differently, but to help doctors identify possible local diseases.
Each place, due to differences in climate, soil, diet sources, etc., has its own endemic diseases.
User Comments
0 comments from readers