The Enhanced Doctor

Chapter 1167: Chapter 1167: Never Underestimate Any Surgery

(Thanks to those who gently encouraged me with monthly votes)

The next morning, Liu Banxia wasn’t in great spirits either.

Last night’s shift was pretty intense, with many drunken and fighting patients coming in during the second half of the night.

At least these two special groups of patients ended up being about equal, though drunken patients are easier to handle.

After breakfast, Liu Banxia went to the room of a patient with echinococcosis.

The atmosphere in the family was gloomy, as no one had expected it to be such a parasitic disease.

"Doctor, will the deworming medicine be effective?" the patient’s mother asked.

"It depends, but her pancreatitis is improving," Liu Banxia said.

"You need to be mentally prepared for more tests today to see if there are more cysts in other locations. Only after a comprehensive examination can we be at ease."

"Yesterday, Doctor Xu mentioned that surgery might be needed. Is it very risky?" the patient’s father asked.

Liu Banxia nodded, "Once the cyst wall of echinococcus breaks, it can cause severe allergic reactions, especially since your daughter is already sensitive, making her condition much more dangerous."

"During surgery, we need to be extremely careful not to rupture the cyst and have to remove it. The challenge is that the location is not so easy to operate on, requiring us to be even more careful."

"Doctor, pardon me, but is there a specialized hospital for this disease?" the patient’s mother asked.

"Actually, no matter where you go, the first step for echinococcosis is medication. If that doesn’t work, surgery is needed to remove it," Liu Banxia explained.

"We had a previous patient whose cyst was in the lung. We started with medication, but eventually had to remove it surgically."

"Currently, the patient’s re-examination results are negative. We just need to identify and clear all cysts to ensure complete removal. Otherwise, any remnants could still pose a significant risk to her."

"The scanning methods include MRI and PET-CT. Although more expensive, the latter provides a better and comprehensive view of the entire body."

"Her situation isn’t urgent right now. Let’s stabilize her pancreatitis first. Later, Doctor Xu will discuss the scanning options with you, and you can also consult friends to find surgeons experienced in this area."

"Sigh... Why does she have this disease?" the patient’s father sighed.

"Generally, it involves some contact history with pastoral areas, maybe from visiting or consuming foods from there," Liu Banxia replied.

"However, tracing this isn’t easy due to the long incubation period. You might also want to have a blood test, as you might have been exposed to the infection source."

The patient’s parents nodded.

They’re just very afraid now, realizing their daughter’s illness is truly dangerous. Surgery itself is risky, and it demands extra caution.

"Teacher Liu, do you think there might be cysts in other locations?" Xu Yino asked curiously after coming out.

"Who can say for sure? It’s better not to miss anything, no matter where it is," Liu Banxia said.

"Is Shan Shan getting a cochlear implant later? If there’s nothing else, let’s go have a look. By the way, how’s the patient with the intracranial infection from yesterday doing?"

"The blood culture results are out, and treatment is ongoing. However, the delay was considerable, and he hasn’t passed the critical period yet," Xu Yino quickly reported.

"Sigh... We’ll just have to endure," Liu Banxia sighed.

The young man’s condition was completely avoidable; if someone had warned him, he wouldn’t have suffered like this.

Unfortunately, his parents don’t have the background knowledge, which is quite common in today’s society. Many should-know life common sense points lack accessible channels for knowledge dissemination.

"Let’s keep this in mind. When we expand emergency knowledge into high schools, let’s also mention the danger of the facial triangle," Liu Banxia suggested.

"It’s similar to the risks of extracting wisdom teeth; many have done it, but few run into issues," Xu Yino commented.

"If he had come straight to the hospital when he had a fever, it would have been a minor issue, not this dangerous. His mother mentioned it had been four days."

"That’s exactly why we must spread this basic knowledge," Liu Banxia emphasized.

"Director Liu, Director Liu."

At this time, a patient with Wilson’s disease waved to him.

"Alright, you seem energetic. Take your medicine and head home," Liu Banxia said.

"Come back in three days for a follow-up to check your electrolyte levels. If there’s improvement, it means we’re on the right path."

"Thank you, Director Liu. I’m a bit embarrassed, but is it possible to finalize the job you helped arrange?" the patient asked, a bit shy.

"Goodness, you sure are earnest! You’ve been thinking about it since we mentioned it yesterday." Liu Banxia joked.

"Sigh... I have to think about it. I don’t mind suffering a bit, but I can’t let my mom suffer too much." The patient said.

"Don’t worry, it’s something we can fix in no time. When the time comes, just get ready to work in property management. Anyway, you’re good with all these odd jobs, and you’ll have a lot more free time." Liu Banxia said.

"Thank you, Director Liu, thank you!" The patient was very happy.

"Head home then, and don’t forget to come back for a checkup. Saving money is good, but your condition requires adjusting the medication dosage." Liu Banxia said.

"If the dosage is too low, taking it would be pointless. If it’s too high, it could cause other issues, which will cost more. This is crucial, and I’m not joking with you."

"Director Liu, don’t worry. Doctor Xu explained this to me in detail yesterday. No matter how much I want to save money, I won’t take this lightly." The patient said.

"If I take good care of myself, I’ll live a few more years, earn a bit more, and let my mom enjoy a few more years of happiness. Spending this money wisely is necessary."

"Alright, then pack up and head home. It’s much more comfortable staying at home." Liu Banxia said.

The patient expressed gratitude again and then left with his mother.

"Teacher Liu, your personality seems to have softened!" Xu Yino curiously asked.

"How is it softened?" Liu Banxia asked surprised.

"The patient’s family in the ward just now obviously didn’t trust your skills, and the patient was still concerned about work." Xu Yino said.

"I thought it was something serious, but these are normal situations." Liu Banxia said indifferently.

"It’s because they care that there are such concerns. It’s not aimed at me, but at the situation. But you patiently explained to the patient, and that was great, you handled it well."

"President Qi, I’m going to the operating room to see the cochlear implant surgery. After all, it’s my little patient, and I’ll be back shortly."

"Alright, go ahead, there’s nothing urgent anyway." Qi Wentai nodded.

Xu Yino quickly waved to Qi Wentai, taking the opportunity to sneak away, since she had greeted President Qi.

When they arrived at the operating room, Du Fancheng had already started the surgery.

Compared to when Liu Banxia does surgery, it was quite different; only ENT interns and resident training doctors were there.

"See? Different people, different fates. Our surgery is quite impressive too, but no one comes to watch." Du Fancheng joked.

"I actually think ENT is quite good. It’s not extremely exhausting, and it pays well, at least better than pediatrics and ICU." Liu Banxia said.

"In fact, it’s because there are fewer related surgeries, and many surgeries have been taken over by plastic surgery. I have to do this surgery beautifully; the parents of the child have high expectations." Du Fancheng said.

"I saw them just now while coming in. They’re all neatly waiting outside." Liu Banxia said with a smile.

"I think this is the significance of being a doctor. To help patients relieve symptoms, reduce pain, and improve quality of life. Such wonderful achievements are hard to find in other industries."

"But despite the sense of achievement, it’s really tiring. The workload here is now almost the same as what I have in the inpatient department. In a month or two, there might be more emergency patients than in the inpatient department." Du Fancheng said.

"I won’t talk to you further; the next step is more important, the exposure of the tympanic cavity’s outer wall. If not done properly here, it’s easy to accidentally damage the facial nerve, which wouldn’t be worth it."

Liu Banxia nodded.

Don’t underestimate ENT surgeries; their operational space is just as limited and requires precision work.

That’s why they say all surgeries carry risks. The so-called major and minor surgeries only differ in workload. In terms of risk level, they’re actually quite similar.

These three areas of ENT are actually very close to the brain. Especially the nasal cavity, which is adjacent to the cranial base. Sometimes even common sinusitis can lead to cranial base infections.

"Teacher Liu, do you think when Shanshan grows up, will she need to change equipment?" Xu Yino asked quietly.

"This matter, it seems like it needs changing." Liu Banxia said hesitantly.

"Teacher Liu, after using the outer device for a period of time, it will be appropriately upgraded according to the child’s growth and development." Ai Hua, an intern from the ENT department, quickly said.

"Thank you, we’re both out of our element here." Liu Banxia said with a smile and nodded.

Cross-disciplinary work indeed poses challenges. Even if he excels at surgeries, he wouldn’t manage this surgery well without prior exposure.

He can now grasp some basics, but the overall operation is still at the level of observing and learning.

This makes him even more appreciative, never underestimate any surgery.

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