Chapter 1193: Chapter 1193: Why Is the Skin Loose?
"OK, blood circulation is normal, no leaks detected. Circulation is abundant, replacement successful."
After Zhou Shuwen finished the operation, Liu Banxia checked and said.
"Then don’t wait any longer, let’s close the abdomen," Zhou Shuwen said.
"You should pay attention too, don’t think closing the abdomen is a simple operation. Especially for this patient, the exposed area is quite large, so you must be careful when closing the abdomen."
"The incision of the whole surgery determines the extent of exposure for the patient. The intraoperative operations assess the standards that can be achieved by this surgery."
"Now the abdominal closure is also related to the patient’s prognosis. This guy keeps asking you to practice suturing, think for yourselves, after the surgery, looking at a long scar, how would you feel?"
"We treat patients not only during their time in our hospital, but we also need to consider their home recovery period."
"In this aspect, our inpatient department’s colorectal division does particularly well. It’s currently the division with the highest increase in overall patient satisfaction in our hospital."
"This is not easy, it’s a great role model for all departments. So you guys should work hard, and think more during surgeries."
"Looks like your Teacher Liu encountered a problem, stopped after two stitches. Such a situation is rare, what’s wrong?"
"Uh... director, the patient’s skin is somewhat loose, not as tight and elastic as a young person’s. I need to adjust for such skin, otherwise, it can easily form large scar tissue," Liu Banxia hurriedly said.
Zhou Shuwen nodded with a smile, "I told them so much just now to distract you. If you continued sewing, I could criticize you."
Su Wenhao and the others were dumbfounded, what’s going on? Was this a trap laid by the director? Why do you all play like this? That’s really not fair.
Liu Banxia also felt similarly, today’s Zhou Shuwen had given him a lot of tests, from repeated intraoperative key point questions to small issues during the abdominal closure, it was somewhat distressing.
But he was also more curious, because he had seen so many patients, done sutures so many times, yet it’s the first time encountering skin like this patient’s.
Normally, in their twenties, it’s the prime time, such skin is really rare.
Ding! Task Released: Slightly Loose Skin
Open Task: During abdominal closure, discovered patient’s skin is somewhat loose, sparking host’s curiosity, needing further diagnosis. Task Reward: Issued according to diagnosis results.
Just as Liu Banxia was thinking about it, the system released a task, he didn’t know how to evaluate it.
Because this could be called not a task, yet an extremely difficult task to complete.
Everyone’s skin quality is different, the young man’s skin is showing like this, perhaps he has a history of weight loss or something, it’s unpredictable.
He didn’t even know where and how to investigate such a situation.
But there’s no choice, the system doesn’t care about his feelings, once the task is released, it must be completed.
"OK, it’s handled, send to ICU."
"Oh, I forgot, today’s lead surgeon was the director, it became habitual."
After saying it, he reacted, hurriedly adding a sentence.
Ding! Surgical Task Completed
Earned 1000 experience points, 50 Glory Points,
This task rated as perfect, earned 1000 experience points, 15 Glory Points + 80 points, 1 Solidified Stone
After finishing the suture, Liu Banxia casually said.
The system’s reward slightly startled Liu Banxia.
"But it doesn’t matter, the timing is just right, there aren’t many people in the cafeteria right now," Zhou Shuwen said with a smile.
Naturally, sending the patient is Su Wenhao’s responsibility.
He is the first attending physician, this patient is under his care, and will be number 1 patient for the second division, but must stay in the ICU first.
In a sense, this patient is quite special.
"Not bad, excellent. Today’s rescue was strong, very well done."
After returning to the emergency center, Chen Xuehai said with a smile.
"Hey... why are you so busy, causing me to be tortured by the director in the operating room," Liu Banxia said helplessly.
"What can I do when there’s surgery? Besides, this is your general surgery matter, why keep thinking about me?" Chen Xuehai refuted.
"Hehe, just used to it. Have you eaten?" Liu Banxia asked.
"Finished, you guys go ahead. The other patients have been dealt with, only this one was serious, not wearing a seat belt, was bumped by the little table panel," Chen Xuehai said.
Liu Banxia nodded, "We also checked the spleen during the surgery, and there was a mild hematoma that didn’t need treatment, it will slowly be absorbed."
"Teacher Liu, these are the patient’s parents, and he... is considered the patient’s agent." After that, Su Wenhao brought three people over.
The agent was the one who had communicated with Liu Banxia upon admission.
"Doctor, how long does he have to stay in the ICU?" the patient’s father asked.
"This is hard to say, we’ll have to see how he recovers post-surgery. After all, it’s an abdominal aortic dissection rupture, and we performed an artificial blood vessel replacement after removing it," Liu Banxia said.
"Doctor, was the dissection caused by damaged blood vessels? How did it become like this?" the patient’s mother asked.
"There could be many reasons; it could be an inherent dissection. We found that the patient’s blood pressure is a bit high, and according to the blood test indicators, his usual lifestyle was quite good."
"It could also be an abdominal aortic dissection caused by an impact, which is a possibility. Luckily, the length of his dissection was not very long; the most severe cases are much longer than this."
"According to the current assessment, he will have to stay in the ICU for at least over a week. Only when his condition is fully stabilized can he be transferred to a regular ward. This surgery is still quite invasive to the body."
"I see he also has stitched wounds here; does he also have heart issues?" the patient’s father pointed and asked.
"That’s the incision we made when performing emergency hemostasis," Liu Banxia patiently explained.
"At that time, if we hadn’t quickly stopped the bleeding, he might not have even had a chance to be rescued on the operating table. There’s no need to worry about that part; it won’t affect him."
"By the way, I’d like to ask, what was his previous weight like? Has he gone through weight loss or binge eating episodes?"
This was also a concern for him, as there was a system task involved. Even if this task seemed somewhat frivolous, the issue had to be figured out.
"No, Erdong has never lost weight, and he isn’t a mukbang broadcaster; he dances and often performs at entertainment venues," the patient’s agent said.
Liu Banxia nodded, "Then his diet should have been carefully monitored, but more attention is needed; reduce oil and salt. From the condition of the replaced blood vessel, his vascular quality isn’t very good."
"Although he hasn’t been awakened yet, it’s to allow his body to undergo further healing. Tomorrow, he should be awake by then."
"Leave your contact numbers; we’ll stay in touch at all times. Also, when we wake him, we’ll call you; any situation will be reported to you immediately."
The three nodded, now having a clear understanding of the patient’s condition.
"Didn’t you explain the surgery situation to the patient earlier?" After the three left, Liu Banxia asked.
"I did, but they’re more concerned if the dissection was caused by the accident. It seems they’re less responsible, and it involves compensation issues," Su Wenhao said.
Liu Banxia understood, but had no further opinions—this is human nature.
With such an incident, recovery would take a long time, not to mention getting back on stage easily.
Compensation is an eternal topic, one that has to be faced regardless of desires.
However, he was also more curious; there was some discrepancy with his speculations. The patient’s condition wasn’t caused by weight loss, so why was his skin so loose?
"Teacher Liu, the director called you for a meal," Su Wenhao reminded.
"Oh yes, I almost forgot about eating," Liu Banxia quickly said.
The top priority now is to finish the meal; I was a bit distracted just now.
"What were you thinking just now?" Zhou Shuwen asked casually on the way to the cafeteria.
"Not much, just felt something was off with the patient’s skin condition," Liu Banxia said.
"At first, I thought it was due to rapid weight loss, but a chat with the family showed it’s not."
"His skin, compared to dermatochalasis, doesn’t seem to reach that level, but considering his age and occupation, it seems a bit below the mark."
Zhou Shuwen frowned, looking at him with slight helplessness.
"Director, what’s wrong? Did I say something wrong?" Liu Banxia asked curiously.
"I’m quite moved; we were all present and considered the suture issues but didn’t think about why his skin was loose," Zhou Shuwen said.
"To be honest, do you ponder over any symptom you encounter? Is that why you’ve noticed things others overlooked in previous consultations?"
Liu Banxia grinned, "Director, I haven’t reached that level. It’s just personal curiosity as I was doing sutures."
To be exact, the task issued by the system piqued his curiosity. Unexpectedly, it led to a misunderstanding by Zhou Shuwen, who even praised him.
Somewhat flattered and a bit guilty.
Zhou Shuwen laughed, amused by the slightly embarrassed expression on Liu Banxia’s face.
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