The Enhanced Doctor

Chapter 1217: Chapter 1217: Is It an Infectious Disease?

(Thanks for the encouragement from Maple Leaf Luohuangquan monthly ticket)

"Teacher Liu, how is Su Wenhao?"

Just back, Xu Yino couldn’t wait to ask.

Others who weren’t attending to patients also looked over, all concerned about Su Wenhao’s condition.

"Let him rest this afternoon for now, there shouldn’t be any issues," Liu Banxia said.

"Don’t worry too much. You should think about how you will handle similar situations in the future. It’s a kind of personal moral guilt, which isn’t really related to our procedures."

"Delayed subdural hematoma, the key is still the amount of bleeding. If there’s really a lot, the prognosis generally won’t be very good."

Xu Yino nodded, "I feel like I can handle it. But sometimes Su Wenhao tends to overthink things. He doesn’t say much usually, but he thinks a lot."

"You don’t need to be too concerned about him or comfort him. Let him process it on his own," Liu Banxia said.

He was actually quite relieved, although such things happen from time to time during consultations. But Su Wenhao being so affected shows he has heart.

Having heart is definitely better than not having any.

But he also hopes Su Wenhao can quickly adjust his emotions, which is a quality a doctor should have. Otherwise, you’ll be distracted in future consultations, which is irresponsible to the patient.

"Oh, by the way, Teacher Liu, the patient with the right liver lesion from this morning’s consultation has been admitted to our second department. When is the surgery scheduled?" Xu Yino asked.

"The day after tomorrow, prepare for a day, and it happens to be my surgery day. Check his test indicators and see if any adjustments are needed. Match the medication to the symptoms," Liu Banxia said casually.

"Got it, I’ll check it out now."

Xu Yino responded.

For this patient’s choice, Liu Banxia felt it was okay, without hesitating too long.

The judgment he gave, the best result might be the late stage of phase two, possibly already at phase three.

If liver tumors progress to phase three, it’s extremely dangerous. The metastasis becomes very rapid because there are so many blood vessels in the liver.

"Doctor, doctor, quickly help!"

At that moment, shouts came from the doorway as a man supported a woman in poor condition, around thirty years old.

Liu Banxia didn’t hesitate, dragging a stretcher over.

"Put her on the examination bed first, what’s the situation?" Liu Banxia asked.

"Coughing, then feeling breathless, and now it’s become like this," the man said.

"Any family medical history? Prepare the intubation kit," Liu Banxia said after a brief check.

"Uh... I don’t know, I’m not her family," the man hesitated slightly.

"Her bilateral breath sounds are very weak. Try to contact her family. Send her directly to the emergency room for intubation."

Liu Banxia shouted.

Li Hao and Miao Rui rushed over, pushing the stretcher together to the emergency room.

"Connect the ECG, open an intravenous line, 20 units of etomidate, 100 units of succinylcholine, administer the medication, then intubate," Liu Banxia said.

The nurses hurriedly started to work.

"Beep beep, beep beep..."

The ECG just connected, started alarming frantically.

"Blood pressure 80/60, heart rate 130, oxygen saturation 85."

The nurse reported.

"Medication administered."

Another nurse responsible for medication administration quickly reported.

Li Hao didn’t hesitate, immediately began intubating the patient.

Liu Banxia kept an eye on the monitor; with such indicators, the patient could go into cardiac arrest at any moment.

"Intubation successful, connect to the ventilator, 100% oxygen."

Li Hao said after completing the intubation.

"Blood pressure is still a bit low, slightly increased, heart rate 100, oxygen saturation rising, 93," the nurse reported.

"Phew... temporarily stabilized, was really worried about ventricular fibrillation just now."

Liu Banxia exhaled a long breath.

"Proceed with routine checks. I’ll go out and ask her companion what’s going on. Not a family member, probably doesn’t know much either."

But just stepping out of the surgery room, he was taken aback, a group of people came in, several with similar situations to this patient.

Some coughing, some being supported by others, at a glance, there were eight or nine people.

His heart skipped a beat.

"Set up an isolation area, prepare intubation kits, be ready with protection, notify the hospital,"

Liu Banxia called out.

His shout startled many, following his gaze, they saw the group entering through the door.

"Infectious disease?"

This was the thought that simultaneously popped into everyone’s mind.

"Director Liu, you handle the reception, I’ll manage the perimeter, Director Chen is setting up the isolation ward."

Qi Wentai said.

Liu Banxia nodded and quickly began preparing his protective gear.

Although the situation remains unclear, the patients show similar symptoms: coughing and respiratory distress. With so many cases, it meets the criteria to initiate an emergency plan.

"How are you all feeling? Is it mostly coughing and struggling to breathe?" Liu Banxia asked after putting on his protective clothing.

"We don’t know what’s going on, but several people are like this," one of the delivery staff replied.

"First, help them lie down on the examination beds. Don’t leave. We’ll determine the cause before doing anything further," Liu Banxia instructed.

"Attention everyone, bring over the ventilators from the inpatient department. Each patient needs someone by their side, and have intubation kits and defibrillators ready."

"Director Liu, the isolation area framework is ready, we can move them in now," Chen Xuehai called out.

Liu Banxia waved his hand, and the well-prepared medical staff pushed the wheelbeds toward the temporarily set-up isolation area.

This setup intimidated the people who brought the patients in.

They were already slightly fearful seeing their colleagues in such a state, and even more so seeing the hospital on high alert; a few were tempted to run away.

Their worry was that staying might lead to contracting the illness themselves.

"Why are you running? If there’s nothing wrong now, there should be nothing wrong. If you suddenly get sick outside, can we help in time?" Liu Banxia said, blocking the door.

"Stay calm, we will provide you with a separate room, you won’t be placed with them. We also need some information from you, as we still don’t know what’s happening."

"But no matter what, remember this: the hospital is the safest place. Even if something happens, you can get immediate treatment."

His intervention and words calmed them down, their expressions slightly embarrassed.

"Don’t overthink it, this is normal psychology. I believe there’s nothing wrong with you, or you would have shown symptoms by now," Liu Banxia reassured them.

"Follow me, I’ll take you to the clinic, and we can learn more about the situation," Qi Wentai said.

Liu Banxia left them and walked directly into the makeshift isolation area.

To his surprise, Su Wenhao, who should have been resting, was also present.

"No issues?" Liu Banxia asked.

"Teacher Liu, don’t worry, patients first, I can manage," Su Wenhao replied firmly.

"OK, listen up everyone in the isolation area: once you’re in, don’t go out. Preliminary assessment suggests it’s not an airborne infectious disease," Liu Banxia announced.

"But during examinations, maintain proper protection, and primarily monitor respiratory issues and blood oxygen levels. If blood oxygen drops rapidly, intubate immediately."

"Teacher Liu, what treatment plan should we use for now?" Xu Yino asked.

"Start with a bronchodilator, ensure cardiopulmonary function, auscultate promptly, and intubate if there’s an issue," Liu Banxia instructed.

"Be cautious while collecting blood samples from patients, also cultivate sputum samples if possible. Follow the procedural package to avoid contamination."

*Beep...*

"Ventricular fibrillation; I’ll intubate quickly. One unit of epinephrine, 200 joules, CPR!"

The moment Liu Banxia finished speaking, the patient under Su Wenhao’s care developed complications.

"Intubation complete."

"Charging complete."

Su Wenhao and the nurse in charge of the defibrillator shouted in unison.

"Clear!"

*Zap*

"Continue compressions, 200 joules."

"Charging complete."

*Zap*

"Sinus rhythm restored, blood oxygen is very low."

"Provide maximum oxygen flow, lower it once the blood oxygen improves," Su Wenhao directed.

"Well done on the rescue," Liu Banxia commended.

"Teacher Liu, the symptoms are progressing too rapidly. This patient showed no major issues earlier, and suddenly deteriorated, aligning with acute respiratory distress syndrome," Su Wenhao observed.

"Indeed, we need to determine the cause. Personal factors and airborne transmission can be excluded. For now, symptomatic treatment with bronchodilators and wait for test results," Liu Banxia agreed.

The rapid progression of these symptoms likely tied to the panic among the people.

Considering this, Liu Banxia clapped his hands, "Everyone, although we haven’t identified the cause, I believe the risk is manageable, so don’t worry too much."

"We’ll conduct analyses and tests swiftly, and provide medication and oxygen to make you more comfortable."

"Our medical staff will soon collect blood and sputum samples. Please cooperate. We’ll also ask about your current condition, so we ask for your cooperation."

"Don’t let my attire frighten you, thinking it’s serious. As a doctor, I must adhere to the guidelines, or else my pay will be docked."

"I assure you, it’s not an airborne disease. Many of your companions are healthy, so please stay calm and cooperate with our medical staff."

Liu Banxia, however, wasn’t as relaxed as he appeared. The symptoms were advancing swiftly.

Ding! Task issued: Is it a contagious disease?

Open task: A large number of patients are being admitted with symptoms of cough and acute respiratory distress, requiring the host to conduct further examinations and determine the cause. Task reward: To be issued based on diagnosis outcomes.

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