The patient has edema in both lower limbs and slightly engorged jugular veins, which are symptoms of late-stage right heart failure. These numbers and symptoms are the result of the patient being continuously administered certain medications for control. This indicates that the patient’s condition is understandably terrible, with heart function reaching a dangerous level four.

For such a critically ill patient, it doesn’t matter if the room is equipped with a TV and fridge, as they simply cannot enjoy them.

Du Yeqing pulled a stethoscope out of the pocket of his white coat to hand it to Du Haiwei.

Du Haiwei shook his head. In terms of listening to the heart and lungs, he wasn’t as specialized as a cardiothoracic surgeon; listening to the descriptions provided by this specialist cardiothoracic hospital was sufficient.

"This morning’s physical exam showed coarse breath sounds in both lungs, no rales, accentuated second heart sound in the pulmonary valve area, a systolic murmur in the precordial area, and an enlarged heart border towards the left," Du Yeqing added to the patient’s physical exam data.

Standing at the scene was a head nurse with another nurse, holding a fetal heart monitor on the patient’s abdomen to check the baby’s heart rate.

This was a competency within an obstetrician’s area of expertise. Du Haiwei approached to listen and observe the fetal heart data.

The baby’s heart rate was fine, within the normal range. Judging by the patient’s abdominal circumference and the medical records displayed, the fetus should now be thirty-four weeks plus. As a pregnant woman, the patient’s age at twenty-six was not considered advanced, on the contrary, it was the right age for pregnancy and childbirth. Even without being an elderly gravida, there can still be other diseases directly endangering the health of the mother and child.

Du Haiwei looked up, wanting to talk to the patient herself and ask about the situation, but seeing the patient inhaling oxygen at a medium concentration was clearly in a hypoxic state, with unclear consciousness, under such circumstances, questioning would yield no substantial answers.

The group considered this as having finished examining the patient and exited the ward.

A few young medical students, having had no previous opportunity to scroll through the patient’s medical records, could only observe the patient’s condition on-site and guess for themselves.

Du Mengen tugged the hem of Student Xie’s clothing ahead, asking her, "What do you think her illness is?"

Of all the people he could ask, he chose her. Clearly, this teacher’s son was most interested in her answer.

Since he asked her, he must have some understanding after seeing the patient, as did the other listening doctors. In a normal peer exchange, Xie Wanying calmly asked back, "What do you think?"

"This is what I think," Du Mengen, unable to contain his academic insight, enthusiastically began, "The patient is in late pregnancy, not an elderly gravida. It’s very likely a congenital condition; she wasn’t suited for pregnancy but insisted on it, causing this situation. Judging from the patient’s symptoms and signs, I personally think there is a high possibility of primary pulmonary hypertension disease."

Upon hearing his speech, others thought: Indeed, he’s the son of a famous teacher, studying at a renowned medical school, it’s rare to make such a quick judgment without reviewing a medical record, just from the patient’s condition.

When it comes down to it, some of this patient’s significant clinical manifestations are not too difficult for doctors to judge. Right heart failure is common clinically, especially among pregnant women, displaying typical representations of pulmonary hypertension.

What is pulmonary hypertension?

One must first discuss how normal pulmonary artery blood flow pressure is to explain hypertension.

Normal pulmonary artery pressure is relatively low because, unlike systemic circulation, the pulmonary circulation is close to the heart. Unlike the systemic circulation with blood vessels far from the heart, pulmonary circulation does not have an abundance of blood vessels that can serve as a good buffer zone. Under this premise, pulmonary circulation aims to accommodate all the blood ejected from the heart at close range in one go.