The Enhanced Doctor

Chapter 1202: Chapter 1202: Still Have to Interfere

Snatching patients is an absolute taboo in medicine.

Originally, Liu Banxia and Qi Wentai had a big falling out over Wang Xiaoyan, which intensified the conflict between them.

So the task just released by the system was quite amusing, even named "Mediate in Others’ Affairs".

From the reception situation of the doctor just now, it also follows the procedure. They also considered doing an electrocardiogram, but we still have to wait for the test results to see how it goes.

Actually, in Liu Banxia’s mind, he was also considering paying attention to the heart condition.

When he used to teach interns, he always said that for female patients with acute abdominal pain, not only should the internal organs be considered, but the heart should also be monitored.

Because it happens quite frequently that female patients experience heart disease manifesting as abdominal pain.

Maybe Xu Yino was reminding him secretly because of this reason just now.

But a reminder is just a reminder, after all, it’s just a possibility.

Just observing will suffice.

If you say too much, you may think you’re caring for the patient, but it doesn’t look that way in others’ eyes. Especially here, where it’s an away game, not your own turf.

Even if it’s on his own turf, unless it’s an intern or one of the six little ones on call, if another attending doctor sees a patient, he can’t say unnecessary things.

After a while, the electrocardiogram came out negative, nothing wrong.

Nonetheless, Liu Banxia did not relax because of this and showed no intention of leaving.

Because heart disease is a very special condition, sometimes only when an episode occurs does the electrocardiogram show a response.

If the symptoms are mild, after the episode passes, the electrocardiogram will appear normal.

Actually, another fundamental indicator he’s concerned about now is this female patient’s low blood pressure, but since the attending doctor did not report it, he felt it was inappropriate to ask.

"There’s nothing wrong with the heart, have an ultrasound. If there’s no problem with other organs after the examination, we can proceed with symptomatic treatment." The attending doctor said.

The couple looked a lot more relieved, having been quite startled when told that other checks were needed.

But as the patient’s husband helped her stand up to go pay for the examination, the patient frowned tightly, and the sweat on her forehead increased.

"Doctor, I feel a bit nauseous, and my chest feels a bit tight." The patient said.

"Lie down first, hook up the ECG, and take another electrocardiogram." The attending doctor quickly said.

If the patient’s presentation doesn’t catch his attention, he should consider changing professions; the situation now is clearly abnormal.

The nurses on the side began their tasks, and he took out the stethoscope to perform another examination.

"Blood pressure 180/100, heart rate 110." The nurse reported after connecting the cardiac monitor.

"Immediately perform an electrocardiogram." The attending doctor stated.

The new electrocardiogram came out, showing a significant elevation in the ST segment, a hallmark of myocardial infarction, manifesting very typically.

"Doctor, what’s going on?" The patient’s husband asked anxiously.

"Doctor, I find it hard to breathe, as if something’s pressing on my chest." The patient also spoke up, her facial expression very tense.

"Don’t worry, I’ll call another doctor for a consultation." The attending doctor reassured.

"Draw blood, check cardiac enzymes, troponin, process urgently. Notify the catheterization lab to prepare..."

"Doctor, what’s wrong with my wife?" The patient’s husband interrupted the attending doctor’s words.

"Pressure on the chest." The patient added.

Even though the attending doctor didn’t explain the evident situation, the recent actions and arrangements led the patient to realize that the problem had escalated, it wasn’t just a simple diarrhea.

And it seemed to be heart-related, undoubtedly not a minor illness.

Otherwise, why repeat the electrocardiogram?

The more she worried, the more anxious her mood became.

Liu Banxia frowned, he really didn’t want to interfere in others’ affairs. But for this patient, it was essential that he gets involved.

Just now, he was worried about the patient’s blood pressure; the systolic pressure on the cardiac monitor had now risen to 200, and the heart rate to 130.

These are dangerous indicators.

"I see she’s quite anxious and in pain now, perhaps some analgesics can make her feel more comfortable?"

Liu Banxia softly suggested.

Ding! Mediate in Others’ Affairs task completed.

Gained 200 experience points, Glory Points increased by 3.

This task is rated as perfect, earning 300 experience points, 5+5 Glory Points, and 1 solidification stone.

Even if he doesn’t want to meddle, he has to, because if the patient’s current condition continues to develop, the next progression could be heart failure or cardiogenic shock.

Emotions have a great impact on blood pressure, and for this patient’s condition, it’s even more significant.

However, the system’s reward was somewhat excessive, giving him a slight shock.

In his view, this was just a small task, barely worth mentioning, and he never expected it to receive a perfect rating.

"Yes, inject 2mg of morphine."

With his reminder, the attending doctor quickly responded, giving him a grateful look, recalling the scary possibility Liu Banxia had just considered.

Actually, it’s not that the attending process was wrong; the patient’s emotions were taken into account, so the diagnosis of "myocardial infarction" wasn’t stated outright.

But he still forgot to consider one aspect: the patient’s psychological endurance.

The administration of this morphine indeed had a good effect.

As a potent analgesic, it not only provides quick pain relief but also calms the patient’s emotions.

Now the patient’s blood pressure has dropped, with systolic pressure down to 150. Although still somewhat high, it buys time for the team to proceed with further treatment.

The problem now becomes simpler: a green channel and routine myocardial infarction treatment will suffice.

Because the indications on the ECG were too obvious, and the patient’s manifestation was so severe, it was definitely not a minor blockage. In such cases, there’s no need to wait for blood test results, surgery can proceed immediately.

Yet, these matters are no longer his concern; there are doctors specifically handling this condition, and it’s beyond his expertise.

"Thank you, Director Liu, it was indeed a bit dangerous just now," Chief Director Ning said appreciatively on the way to the operating room.

"No need for such courtesy, as long as you don’t mind my meddling," Liu Banxia replied with a bitter smile.

"Actually, it’s just a habit I’ve developed, always following them, watching their reception and operation, and feeling compelled to speak up when I see something."

"Moreover, the patient’s situation hadn’t reached a particularly dangerous level, perhaps just causing some panic due to the scene."

"Don’t be so modest, didn’t Doctor Xu notice this at first?" Chief Director Ning asked.

"That should be asked of her; after all, she’s not someone who stays idle," Liu Banxia said with a smile.

"Actually, I just overheard the patient saying she had severe diarrhea, but she was sweating from the pain on her face, which seemed odd," Xu Yino explained.

"Doctor Xu, if you encounter such a situation, how would you handle it?" Chief Director Ning continued to ask.

"I would add cardiac enzyme and troponin tests in the initial blood sample, and also do an echocardiogram," Xu Yino said.

Chief Director Ning nodded, "As expected from an outstanding disciple of a famous teacher, noticing the issue from subtle symptoms."

"Chief Director Ning, it’s actually because we encountered a case before when admitting a female patient with abdominal pain; it was actually a heart attack," Xu Yino said.

"At that time, Teacher Liu told us that the proportion of heart attacks among female patients with acute abdominal pain is not low. Plus, seeing the patient’s chubby physique, I was also worried about her high blood pressure."

"Mischievous, you always have to involve me. You’ll be responsible for the equipment adjustments later while I chat with Chief Director Ning," Liu Banxia said.

"Alright, anyway, dinner’s on the house tonight, so it’s worth doing this job," Liu Yiqing laughed and said.

Subsequent tasks definitely fell to them. Liu Banxia and Chief Director Ning just chatted on the side, without discussing anything serious, just idle talk.

However, Chief Director Ning truly felt a deep appreciation in his heart, perceiving that seemingly trivial situations reflect significant issues.

This is the gap in experience.

Our attending doctor is also a senior physician, but experience-wise, not much better than these two young girls.

Large hospitals have a high influx of patients, providing more experiences. Even doctors who aren’t particularly dedicated see enough patients to gain substantial experience.

Not to mention Liu Banxia’s two prized disciples; despite their youth, they possess genuine skills.

This firmed his resolve to send people to the Second Hospital’s emergency center for proper training. Usually, they sent them to the City Hospital, but this needs a change in approach now.

He doesn’t expect much, just hope they can learn well there, and after their training, they will become the main force of the City Hospital.

The emergency department is a special unit, facing many challenges daily. But it’s also the department where achievements are most likely, often serving as a measure of a hospital’s capability.

For a comprehensive hospital like the City Hospital, an emergency department is indispensable. Instead of handling it poorly, it’s better to invest some money and manpower to enhance its emergency reception capacity.

Improving reception capacity and saving more patients will elevate the City Hospital’s reputation.

He did feel a bit envious of Liu Yiqing and Xu Yino; resident doctors of their level weren’t available here. If he had doctors of their caliber, it would elevate the hospital’s emergency department significantly.

But he knew that was just wishful thinking, as his humble establishment couldn’t afford such great talents.

Rumors in the martial world say Liu Banxia has six expert disciples, each formidable, and now it seems it’s indeed true. Moreover, their abilities might be even stronger than what he’s perceived.

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