Ch11 - Cardiovascular Ward 06

After 10 seconds of countdown, the space was distorted again and the crowd returned to their beds in the ward.

The old grandfather in bed no. 15 was still there, and Yue Xingwen only had time to glance at him before his upper and lower eyelids started to fight, as if there was an invisible force urging him to fall asleep as soon as possible, and then he closed his eyes, fell asleep unconsciously. 

At 7:00am the next morning, a nurse pushed her way in and urged, “Bed no. 16 and bed no. 17, let’s draw your blood now that your stomach is still empty. After your blood is taken, you have to rush to wash your face and follow me to the imaginary room for a coronary angiography.”

The two men were pricked for injection early in the morning and were instantly awake. Yue Xingwen got up and got out of his bed, came to the bathroom door and was just about to go in to wash up when he found that the old grandfather in bed no. 15 was actually not in bed. He froze for a moment and turned back to the nurse and asked, “Where is the patient in bed no. 15?”

 

 

Liu Zhaoqing followed Yue Xingwen’s gaze to the bed no. 15, holding up the back of his head doubtfully. “That’s right, where’s the patient in bed no. 15? Why is he missing early in the morning?”

The nurse replied calmly, “Last night, the old grandfather in bed no. 15 had an acute myocardial infarction and passed away.” 

Passed away? The two men looked at each other in dismay.

 

After waiting for the nurse to leave, Yue Xingwen then said with a low voice, “There is something strange. How could the old grandfather suddenly pass away?”

Liu Zhaoqing said, “First, we need to wash our faces and do the examination, and then meet up with the other students.”

Both of them went to the bathroom to wash up one after another, then followed the 40-year old something nurse aunt to the imaging room—— This was what Dr. Xiao had instructed them yesterday. They had an appointment for a coronary angiography this morning and could not be late.

 

A few moments later, the other students also came in pairs following the nurse. As everyone sat in the corridor waiting for their turns, a female student asked Liu Zhaoqing softly, “Senior brother Liu, is this coronary angiography examination dangerous?”

Liu Zhaoqing explained, “Coronary angiography is a very common examination in cardiovascular specialties, where a contrast agent is injected into the body through the blood vessels, and then a CT scan is taken so that the blood vessels of the heart can be clearly shown in the image. Of course, this examination can’t be done if you are allergic to the contrast agent, and you will generally do an allergy test before the examination.”

The professional explanation from the medical student put the crowd much more at ease.

 

The next moment, the nurse began to call, “Cardiovascular ward, Qu Weiwei, follow me to do an allergy test.” 

Yue Xingwen reminded everyone in a low voice, “Everyone can return to the ward as soon as possible after the examination, and meet at the usual place after lunch.”

Everyone nodded their heads in understanding.

The students were called one by one. Yue Xingwen had to put aside his thoughts for a while and dutifully go for a coronary CT scan examination.

It was almost noon after the examination, and when they returned to their ward, the hospital kitchen delivered the lunch uniformly. Yue Xingwen and Liu Zhaoqing always felt awkward when they looked at the empty bed no. 15. 

Yue Xingwen frowned and said, “Senior brother, I remember when the doctors did their rounds yesterday morning, that Dr. Xiao said that bed no. 15 was a 77 years old grandfather who had just had a heart stent implant and his vital signs were still stable?”

Liu Zhaoqing nodded. “I remember that too. The patient passed away suddenly after the stent implantation. There are several possibilities in theory, one is a rejection reaction; Second is postoperative complications of infection leading to septic shock; third is sudden myocardial infarction. The fourth is what you said…” He lowered his voice, “Murder?”

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Last night’s frightening battle royale was a memory that belonged only to their 10 students, and it was like a nightmare. However, if someone died last night, perhaps today, they could see one of their classmates being pushed away and covered with a white cloth for the reason of ‘heart attack’.

 

Ten people were quickly gathered at the rest area.

Yue Xingwen spoke up and asked, “What happened to the patients who share the same ward with everyone?” 

Zou Yuhang said with a sullen face. “The patient in bed no. 25 of our ward is an 80-year-old grandfather, his condition has been quite serious. Yesterday when the doctors did their rounds, the doctor said he had been hospitalized for the sixth time. Specifically, I didn’t understand, so I wrote down a few key points, saying that his coronary artery anterior descending valve is severely stenosed, he has a serious atherosclerosis, and let him pay good attention to something.”

When he said this, he looked up at Liu Zhaoqing. “Senior brother Liu from the Faculty of Medicine, do you know what the reason is?”

Liu Zhaoqing replied, “80-year-old elderly people with severe coronary stenosis. It’s difficult to bear the risk of interventional surgery if they are not in good health, and it is possible that atherosclerosis formed a thrombus blocking the artery, causing an acute myocardial infarction.”

Seeing everyone’s bewildered faces, Liu Zhaoqing cupped his left fist and his right hand gestured to explain with an example, “The heart is like a pump that transmits blood to the surrounding area with each beat; the arteries are like a river that transports blood. Coronary arteries are located on the surface of the heart and are important rivers for transporting blood. Coronary stenosis is the disease that narrows coronary arteries, and the narrowing of coronary arteries mean narrowing the river and can affect the efficiency of blood transport.” 

He paused and then continued, “Atherosclerosis is similar to the silt that has been produced in the river for many years. When a patient with heart disease has a rapid heartbeat during strenuous exercise, or when they are agitated, causing an instant blockage in an already narrow river; Or the silt in the river suddenly falls off and flows to a narrow location to block the river, if the river is blocked and the blood can’t get through, then the area under the jurisdiction of the river will die because the blood cannot circulate—— This is a myocardial infarction.”

Senior brother Liu explained it in an easy-to-understand manner, and the audience probably understood the meaning of ‘coronary stenosis’ and ‘atherosclerosis’. From this point of view, the sudden death of an 80-year-old grandfather with a sudden heart attack was really too common in medical science.

Zou Yuhang said, “The 80-year-old grandfather in our ward suddenly passed away, that is, his arteries were blocked for some reason, causing myocardial infarction? Does this belong to accidental death?”

Yue Xingwen looked calm, and his eyes swept over the crowd. “It depends on what the situation is in the other wards. Let’s talk about it in detail.” 

Liu Xiaoxiao said with red eyes, “The grandmother in bed no. 5 in our ward also passed away last night. This grandmother is especially nice, and yesterday afternoon her family came to see her, brought her a fruit basket, and she peeled oranges for us to eat. Her condition was not serious, and I remember that in the afternoon she was still discussing with the doctor about being discharged today. However, when I woke up in the morning, she was pushed away covered in a white cloth, and when I asked the nurse, she said that the grandmother had a sudden myocardial infarction last night and couldn’t be resuscitated.”

Yue Xingwen and Liu Zhaoqing looked at each other and continued to ask, “Qin Lu, what about your side?”

Qin Lu replied, “Our ward’s bed no. 33 is a 60-year-old grandmother. The cause of her hospitalization is also because of coronary stenosis, and she was ready to perform interventional surgery. During the doctors’ round yesterday, her doctor in charge said that the deputy director would personally operate on her and that the surgery was scheduled for 3 days later, but she suddenly passed away of myocardial infarction last night as well?”

Yue Xingwen looked at Ke Shaobin, who immediately said, “Bed no. 50 in our ward is a 70-year-old grandfather. He had done interventional surgery before. This time, he was admitted to the hospital is due to angina of unknown reason, and also had a sudden myocardial infarction last night.” 

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Hearing this, everyone finally sensed that something was wrong.

Liu Xiaoxiao’s voice trembled as she said, “Everyone’s wardmate, they are all-all passed away?”

Zou Yuhang frowned and looked at Yue Xingwen. “Bed no. 15 in your ward, has he passed away too?”

Yue Xingwen nodded his head and said solemnly, “This is the topic for the additional question.” 

All of the patients in the ward where the students were located died overnight, and it seemed that the exam did come to the additional question section.

Yue Xingwen quickly took out the paper in his pocket, which was the important information he had noted down from Ke Shaobin’s laptop yesterday, including the basic information of all the patients in the ward. He quickly wrote an X after five of the patients, and briefly summarized, “Five people who died last night, namely the patients in bed no. 5, no. 15, no. 24, no. 33, and no. 50, one of them was recovering from surgery, prepping for surgery, some hospitalized and others about to be discharged, in completely different degrees of severity, with the only common point for them being a sudden death during the night.”

 

When everyone saw him take notes, they could not help but admire him in their hearts—— This was the manner of the top student towards the exam?

Yue Xingwen looked at his notes and said calmly, “The five deceased were all patients who were in the same ward as us. However, we don’t know anything about when they actually died last night, what the cause of death was, whether the doctors resuscitated them, or what happened during the resuscitation because we were forcibly dragged to the night examination room.” 

Zou Yuhang could not help but spit out, “That means the additional question only gave a ‘five death’ topic and a ‘find out the real cause of death of the patient’ question, and then told us to look it up ourselves?!”

The male student from the Chemistry Department pressed his chest and said with a pale face, “Is this course about suspense reasoning during the day, and a thriller battle royale at night?”

Zou Yuhang added, “And also giving us collective heart diseases.”

Everyone: “…” The difficulty was too high, right?” 

Liu Xiaoxiao suggested, “If not, we can give up the additional question, it won’t affect the clearance. I usually like to watch sci-fi movies, and my reasoning is really not good.”

Some people also joked in a low voice, “I’ve never done an additional question on an exam since elementary school, and I’ve never been able to do it correctly anyway.”

Yue Xingwen said, “This is only the first level of the library, and you guys are going to give up and not trying?”

The Faculty of Medicine on the 1st floor was already so perverted, what kind of faculty was on the 2nd and 3rd floor behind? What kind of courses were given to everyone? It really sent a shiver down everyone’s spine just thinking about it. 

Yue Xingwen put away his notes and said, “Everyone cooperated very well last night, and I hope that everyone can cooperate with each other and share some information in the future. After all, no one can keep an eye on five wards at the same time. It is difficult to make a complete answer by doing the question alone. If you are willing to try to do the additional question, you can join in, let’s discuss and brainstorm together.”

The crowd looked at each other and nodded their heads.

Zou Yuhang was the first to raise his hand. “I think that classmate Xingwen’s thinking is calm and logical, and thanks to him last night, we were able to survive to today with 0 deaths. It’s not certain that we’ll all meet after we finish this course, so there’s no need to get defensive with each other, and sharing clues make it easier to reason. I suggest that we listen to Xingwen’s arrangements and try it together. The score of the additional question is 30 points, if we do it right, the students who contribute more will definitely get high scores, and others can also get some basic points, multiplied by 4 credits, and it’s a lot of points ah!”

Liu Yufan from the Physics Department next to him also nodded his head. “I agree with him.” 

The male student from the Chemistry Department raised his hand and said, “I’d like to join.”

“What about you guys?” Yue Xingwen looked at the others.

The four female students nodded their heads. “I agree.”

“If you need any help, just arrange it.” 

“I can’t reason well, but I can run errands and help everyone to gather clues!”

No one objected, and Yue Xingwen said cheerfully, “Then, let’s divide the task. First of all, Everyone can start to recall and organize everything you can remember from every word your wardmates said yesterday, the doctors’ judgment about their condition when they checked in, including the conversations during family visits.”

 

He quickly tore ten sheets of paper from the dictionary and handed one out to each classmate and said, “After dinner, hand it over to me to summarize.”

Everyone looked at Yue Xingwen’s calmness and admired him in their heart. 

To remain calm in this situation and gather everyone to quickly look for clues and analyze for reasoning, Yue Xingwen must have usually held an important job in an organization like the student council and was very good at leading a team.

Zou Yuhang made a joke, “We’re also kind of a temporary class here. Class monitor assigns homework, it must be carefully done!”

Yue Xingwen gave him a brief nod towards Zou Yuhang and asked Liu Zhaoqing, “Senior brother, after a patient dies, the doctors write a death analysis, right?”

Liu Zhaoqing replied, “Generally, a death case report will be written out within 24 hours, and there will be a meeting to discuss. Their meeting must be in the conference room and we can’t get it, but we can wait until they finish the meeting and have junior brother Ke to check their minutes of meeting.” 

Yue Xingwen looked at Ke Shaobin and said, “Young Ke can hack into the doctor’s computer and find out the key information. After dinner, everyone can help young Ke and make a good cover, for example pretend to be sick, and call all the nurses and doctors away, emptying the doctor’s office.”

Everyone looked at Ke Shaobin with a surprised look on their faces, “You can still hack their computers ah?”

Ke Shaobin nodded his head proudly. “I’m from the Computer Department, and hacking computers is a basic operation.”

Ke Shaobin was still the same as before, his eyes lit up when he mentioned the computer. Yue Xingwen looked at the tips of classmate Ke’s reddened ears, smiled gently and finally instructed again, “After the doctors’ meeting in the afternoon, the minutes of meeting will be recorded on the computer in the evening. At that time, everyone will use their acting skills to stall all the medical staff in the ward and buy time for young Ke to copy the information.” 

Yue Xingwen swept his gaze over the crowd and got up, “Go back and compile the information first, then move in unison at 7:30pm in the evening.”

This exam would be graded based on each student’s performance, and even if we all end up working together to answer the additional question, the scores would definitely be different. Yue Xingwen’s main partners were still Ke Shaobin and Liu Zhaoqing, this two schoolmates, one from the Computer Department, and he was responsible for getting the information, and the other from Medical Department, and was responsible for analyzing the cases, then he would come to do the summary and reasoning.

Those who contributed a lot like Ke Shaobin and senior brother Liu naturally their final score would be higher. The other classmates who cooperated with the action might only get a basic score. However, with the classmates’ cooperation, solving the problem would become much smoother.

Five people died overnight? 

Yue Xingwen believed that as long as a murdered had existed, it would definitely have left traces of the crime.

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