The Enhanced Doctor

Chapter 1170: Chapter 1170: Even Director Xiao Has No Confidence

(Thanks for the encouragement from DRDER and the vote of the reader 160422092202586)

"Teacher Liu, the PET-CT results of that echinococcosis patient are out, and the situation is not optimistic."

Xu Yino walked into Liu Banxia’s office, with a very serious expression on her face.

"Were other places found as well?" Liu Banxia asked.

"There are also three echinococcal cysts near the dura mater, but the condition of the cyst on the pancreas is different from the others, it should be the inflammatory pseudocyst you diagnosed." Xu Yino said.

Hearing this latest examination result, Liu Banxia gasped.

Indeed, there are issues in other locations as well, and more importantly, it’s in the brain.

If the cyst wall were to be ruptured, it would basically signify severe complications for the patient, possibly death.

Because the rupture of the cyst would cause severe allergic reactions in the patient, while dealing with the allergic reactions, you wouldn’t be able to manage the echinococcus.

What if the echinococcus burrows into the brain? How can you possibly extract it?

Even if you could manage to clamp the echinococcus first and then handle the allergic reactions, who can guarantee it would be clamped within a try or two without harming the patient’s brain?

"My dear Director Liu, even if I work myself to exhaustion, I can’t do this job, better find Director Xiao." The voice of Neurosurgery Attending Zhang Xiao chimed in.

"I contacted Teacher Zhang." Xu Yino added.

"What’s wrong? You’re afraid to take on the challenge?" Liu Banxia asked.

Zhang Xiao rolled his eyes, "Even if I cultivate for another five, six, seven, eight years, I still wouldn’t dare. So, should you contact Director Xiao, or should I?"

"Ah... I’ll make the call then." Liu Banxia sighed and dialed Xiao Zhaoqiu.

That was naturally a joke; the current situation of the patient is not a matter of who does the surgery, but who has the courage to perform this surgery.

Although the surgical risk is high and there would be no accountability even if it fails, it would impact the surgeon’s psychological state significantly and wouldn’t be slight.

Otherwise, Zhang Xiao wouldn’t dare to say no matter how many years you give him, he wouldn’t dare to undertake such a surgery, even if he could perform it, the psychological pressure might not be bearable.

"Banxia, what’s the matter?"

Upon connecting the call, Xiao Zhaoqiu asked.

"Director Xiao, there’s truly an issue. Are you busy now? I need to report a patient’s condition to you, anyway, Zhang Xiao said that besides you, no one else can do it." Liu Banxia quickly said.

"Putting a high hat on me, I just stepped down from the stage myself. Have the cafeteria send you a meal, I’ll come directly." Xiao Zhaoqiu said.

"Thank you so much, I’ll prepare all the patient’s data." Liu Banxia said.

Xiao Zhaoqiu responded with a "Hmm" and hung up the phone.

"Director Liu, you are something, I was all ready to go back home, but couldn’t leave." Zhang Xiao gave a thumbs up.

He was truly impressed; a phone call and Neurosurgery’s Head, Director Xiao, personally comes over for the consultation. It’s not the first time, proving Vice-Director Liu Banxia’s recognition.

"Ah... it’s not my face value, it’s Xiao Yue’s. She’s dating my younger brother and would visit my home when she has time." Liu Banxia said with a wry smile.

"You know what Director Xiao likes to eat, right? Place an order with Zhou Qiang and put it on my tab. I’ll compile the patient’s information, it’s a headache."

Zhang Xiao smiled and didn’t say anything, also quickly contacted Zhou Qiang. Got to work fast and send it over.

Liu Banxia pondered a moment, seeing that Zhou Shuwen’s office door was also open, he directly headed over.

"Director, will you have time later?" Liu Banxia asked.

"Just speak directly." Zhou Shuwen said.

"There’s an echinococcosis patient who just completed a PET-CT, with cysts found in both the umbilicus and brain. I just contacted Director Xiao, and he decided to come over for a consultation in person." Liu Banxia said.

"Alright, let’s go to the small conference room, I’ll also join." Zhou Shuwen nodded.

"Okay, I’ll go make the arrangements." Liu Banxia said happily.

"Don’t use little schemes mere blindly, if Director Xiao is willing to come, his primary concern will be the patient’s condition. As for who accompanies the consultation, you don’t need to worry too much." Zhou Shuwen said.

"I feel slightly guilty, also a bit worried about this surgery." Liu Banxia admitted.

"At noon, they each ordered a dish to encourage me, I was stuffed, didn’t even dare to ask you to step in."

Zhou Shuwen glared at him, "Dare not say, but still said it? If you hadn’t done a TaTME surgery before, I wouldn’t say anything."

"Having experience with such surgeries, you still want to back down? I’ll kick you right back. Prepare your award acceptance speech, don’t talk nonsense."

Liu Banxia nodded quickly, this was all within expectations. However, some effort still needs to be made; looks like it will fall on him eventually.

Within less than a quarter of an hour, Xiao Zhaoqiu hurried over.

"Director Xiao, please take a look at these scans first." Liu Banxia quickly said.

"Who will perform the other procedure? You or Old Zhou?" Xiao Zhaoqiu asked after glancing at the scans.

"It’s pretty much up to me, but I’m not very confident, feeling a lack of assurance." Liu Banxia said.

"It’s normal to lack confidence. If you dared say you were confident, I’d have to seriously ponder it." Xiao Zhaoqiu replied.

"Old Zhou, should we let Banxia take this case? This is quite a challenge, might make him give up immediately. I’m a bit hesitant right now."

"He has been promoting the NOSES procedure and has some experience with TaTME procedures, so this surgery should be handled by him. Haven’t had lunch yet, huh?" Zhou Shuwen said.

"Just happened to come over for a meal and discuss some other matters with Banxia." Xiao Zhaoqiu said.

"Director Xiao, isn’t it about Yueyue? That’s quite difficult." Liu Banxia said helplessly.

"Let’s discuss that later. Let’s go over the patient’s condition first." Xiao Zhaoqiu glanced at him.

"Should you go first, or should I? Normally, the brain surgery should be prioritized. But I’m not sure if the patient can endure the following procedures after the brain surgery."

Liu Banxia frowned and thought carefully, "Director Xiao, my personal judgment is that in about two and a half hours, I should be able to remove these echinococcus cysts."

"Hmm..., better make it three and a half hours. I haven’t done similar surgeries before, so I should give myself more time."

Xiao Zhaoqiu nodded, "In that case, there’s no major problem. Although you’re also worried and very concerned about the surgery’s success, daring to get on stage means you’re already more than halfway successful."

"Try harder yourself, and you’ve succeeded a little more. As for the rest, leave it to fate. If fate favors us, we can conclude successfully."

"Brain echinococcosis is very rare. Almost ten years now, right? At least ten years, this is the third case I’ve seen. In the past, there wasn’t much focus on it, so many patients suffered from echinococcosis."

"The key to echinococcosis is prevention, not treatment. The incidence rate has decreased a lot over the years, mostly affecting the liver and lungs, but this patient bypassed those two organs."

"Honestly speaking, my confidence isn’t high either. Even if you operate very carefully, the cyst might rupture by itself. Such situations can also occur."

"Discontinue the antiparasitic medication for now. Don’t administer it unless echinococcosis larvae are free in the body to avoid irritating and prematurely rupturing the cyst wall."

"Alright, I’ll notify them right away." Liu Banxia signaled Xu Yino.

"That’s settled then, I’ll enjoy my meal in peace." Xiao Zhaoqiu said.

Liu Banxia was a bit dumbfounded, is that all? No further words?

"Were you really just here for a meal? Could have said a few more words." Zhou Shuwen said with a smile.

"What more is there to say? He already knows where the surgery risks lie. Naturally, he’ll prepare mentally and plan how to deal with it." Xiao Zhaoqiu said.

"I don’t even know if I’ll be successful, so where’s the time to worry about that. Let’s just do our best, and leave the rest to fate."

"Though it’s a bit irresponsible, isn’t that how surgeons are? Even if the tumor is removed, theoretically it’s a cure, there’s still a risk of recurrence."

"I noticed some inflammation in the pancreas, so let’s wait another day and schedule the first procedure the day after tomorrow morning. I’ll come over then, send me the data later."

"Fooled, huh? Really came over for a meal." Zhou Shuwen teased.

"It’s fine to join for a meal, anyway Director Xiao is leading, and I can learn something along the way." Liu Banxia said.

"This surgery has great teaching value. You’ll handle the patient consultations." Xiao Zhaoqiu said.

"After I finish eating, let’s meet the patient together. All possible situations need to be explained, as currently, she primarily shows severe pancreatic inflammation symptoms."

"But how did you come up with doing a PET-CT? You wouldn’t conduct echinococcosis serology tests just because there’s a single pancreatic cyst, would you?"

"It was this kid. The patient had an allergic reaction prior to the diagnosis, and then he became concerned. He investigated thoroughly and discovered echinococcosis." Zhou Shuwen said.

"Wow, that’s impressive. People usually only focus on the liver and lungs, seldom considering other areas. Truly impressive." Xiao Zhaoqiu said, genuinely surprised.

This isn’t a joke, but sincerely meant.

This patient’s parasitic location is too unique, a slight oversight could lead to missed diagnosis of echinococcosis.

If there are no adult worms in the body, a stool examination won’t reveal anything.

"Actually, it’s because I once treated a patient with severe allergic reactions, so I’ve been particularly attentive." Liu Banxia said.

"No need to be humble, this diagnosis is indeed very commendable." Xiao Zhaoqiu said with a smile.

"Many follow standard procedures by directly handling pancreatic cysts, considering allergic reactions as isolated events. I noticed he’s identified a susceptibility to allergies, which seems quite likely."

Liu Banxia grinned, feeling a bit embarrassed by Xiao Zhaoqiu’s praise.

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