The Enhanced Doctor

Chapter 1259: Can’t Control the Mouth, Suffering the Consequences

"Teacher Liu, I think it's about time you lifted your restrictions, don't you agree?"

After returning to the emergency center, Xu Yino said.

"No way, speak cautiously, act carefully, that's the best policy," Liu Banxia said, looking very serious.

"But without your old chatter, it feels like something's missing. What do you all think?" Xu Yino asked the others.

The rest all nodded in agreement.

The usual work is very demanding, leaving no room for other thoughts. But today is different, today is quite relaxed.

We were only busy for a while in the morning, but by the afternoon, it was just scattered patients.

Even come evening, at most we might have some kidney stone patients. That's nothing, those who can hop will hop, those who can't will undergo extracorporeal shock wave lithotripsy.

"Teacher Liu, I just looked at the test results. Wow, so many ingredients, almost all of them are contaminated," Su Wenhao came over at that moment.

"That's why it's a difficult issue; further testing is needed to roughly determine the source of the infection," Liu Banxia said.

"These ingredients are very susceptible to secondary contamination, which can easily mislead. Plus, this bacteria breeds quickly, it's really hard to determine right now."

"Moreover, now it's the holiday season, there's no way to verify with those businesses. Many people are on vacation and gone home, and with the high volume of goods moving during the holiday, it's too hard to find."

"But I think, generally speaking, packaged foods and those from big supermarkets are still somewhat reliable. Otherwise, there wouldn't be just this one case, is there any special vegetable?"

"They're all normal vegetables. We can only eliminate what's been purchased yesterday and today. And we can't determine whether the listeria on the braised beef came from the beef itself or was contaminated by other dishes," Su Wenhao said.

"It's all been destroyed and can't be traced. But I think it's more likely from the braised beef itself, or the patient picked it up from outside."

Liu Banxia nodded, "We'll have to wait until the patient's spirit improves and then slowly recall if they can remember, that's the problem."

"Actually, it's like helping a patient diagnose their illness; sometimes multiple symptoms mask each other, and we have to peel away the layers to find the trouble-making ailment."

"Teacher Liu, it's New Year, how about a break from lecturing and chatting instead?" Xu Yino said helplessly.

"What serious chat is there? Just keep an eye on those fracture patients upstairs, prep... Uh huh, you get it, I won't say," Liu Banxia said, cutting himself off halfway.

Everyone was tickled, watching the 'big demon' talk like this was actually quite amusing.

"Laugh at what? You want to exhaust my 'black mouth' spirit and bring you all a busy spell?" Liu Banxia glared.

Everyone grinned collectively.

No worries joking with Liu Banxia, but if his 'big demon's black mouth' actually comes true, that's not what they want.

Usually, the hope is to treat more patients to gain more experience.

But today is New Year, and they don't want to be that busy.

"Alright, go video call your family. Find a quiet place to avoid any patients coming in, seeing you all on phones, and then complaining later," Liu Banxia waved his hand.

"Thanks, Teacher Liu."

"Thanks, Director Liu."

Both doctors and nurses chimed in.

It's a small perk, but it's been sanctioned by Liu Banxia; as long as they're not busy, they can chat more with family.

"Director Liu, things are really happening. There's still a lot of talk about your orthopedic case and the onsite craniotomy today. You're impressive," Wang Chao excitedly ran over.

"Are you just teasing me? How long has it been?" Liu Banxia asked, surprised.

"Look, I guess everyone's pretty idle today, the most serious incident was the car accident rescue. What else can you do? The Spring Festival Gala isn't starting yet," Wang Chao said.

"It's amazing, really standing out in Binhai City today, surpassing any number of NOSES surgeries you've done."

Liu Banxia shook his head, albeit slightly puzzled inside.

He genuinely didn't find the onsite orthopedic case that remarkable or the craniotomy that impressive. Swapping someone else in, as long as they master orthopedics and have the guts for craniotomy, it can be done.

To him, despite performing NOSES surgeries proficiently, he still believes the surgery's difficulty is higher.

It's like unintentional success, but everyone cherishes their reputation.

Although he's performed well and often done major surgeries, his fame mainly circulated in the second hospital.

The environment within the medical system is relatively closed. Unless you reach the level of Zhou Shuwen, Xiao Zhaoqiu, Xie Chunli, Xu Peichen, you can't really achieve widespread recognition.

But to get there, it's not just about performing a few high-difficulty surgeries. It requires time, accumulation, and patients' reputation.

But regarding this, Liu Banxia just thinks about it and that's it. No need to take it too much to heart; it's all normal practice, keeping a calm mind.

Chatting idly with Wang Chao, a brother wearing slippers, limping, arrived at the emergency center.

"What's going on? Injured your foot?" Liu Banxia came forward.

"Doctor, I have diabetes, and I might have diabetic foot, which is hard to manage." The patient hurriedly said.

Liu Banxia frowned, "You know what's going on yourself, why not pay more attention? Where's your family?"

"My wife is parking the car outside. Should I register first?" The patient asked.

"Sit on the examination bed first and take off your socks so I can have a look." Liu Banxia said while putting on gloves.

The patient quickly sat on the examination bed, cautiously taking off his socks.

Liu Banxia took a glance at the wound under the right big toe and nodded, "Glad you came over; this is quite dangerous. You'll have to stay here for the eve of the New Year."

"Do I need to explain the dangers of diabetic foot again? Isn't your medication up to date? You're not that old, you should pay more attention."

"Sigh... Doctor, can my foot be saved?" The patient sighed with a sad face.

"Currently, I can't give you any guarantee, we can just say we'll begin treatment and see." Liu Banxia said.

"For diabetic foot treatment, besides related to care, it relates more to your physical condition. We'll draw some blood later and do glycated hemoglobin tests. Have you measured your fasting blood sugar usually?"

"Sometimes it's 7, sometimes it's 8. Actually, I've been taking medication on time, but I can't resist food temptation." The patient said.

"Doctor, can his foot be saved?" At this point, the patient's wife also rushed in.

"Just told him, there's no hundred percent surety, but we'll do our best." Liu Banxia said.

"I'll admit him to the hospital first, then proceed with blood sugar reduction and wound cleaning. If we can control his blood sugar well, the chance of recovery is still high."

"Currently, gangrene hasn't set in, coupled with his age isn't very old. But even so, I have to criticize you both for not taking care of your body."

"If you don't control your diet, even taking blood sugar-lowering drugs or insulin shots would be in vain. The insulin dosage is also related to your daily dietary habits."

"Now you're scared, aren't you? If you had to chop off your foot, how would you live in the future?" The patient's wife commented.

"Alright, let's not blame him now. After this incident, I believe he will pay more attention." Liu Banxia said with a smile.

"Register him now, directly admit him to the hospital. Whether he celebrates or stays until after the Lantern Festival depends on his condition."

"Doctor, are you joking? Does that mean my foot isn't too serious?" The patient asked cautiously.

"Serious or not, you're dangerously testing the limits." Liu Banxia said.

"Fortunately, gangrene hasn't set in, if it had, the chances would really be slim. But we can't be careless, for diabetics, even a small wound can lead to amputation."

"You're truly careless, even drank alcohol at dinner? You're not taking your life seriously. From now on, if you have wounds on your foot, you should rush to the hospital for treatment. They heal poorly, and further infection makes them harder to manage."

"I just walked a lot recently, got a blister. After popping it, within two days, it became like this, I thought the blister wouldn't be a big deal." The patient said.

"Blisters are more dangerous. Having a blister makes your skin barrier thinner, allowing bacteria easier access." Liu Banxia said.

"Don't think about anything else now, wait for me in the treatment room, I'll clean your wound properly. It must be cleaned thoroughly, then gradually recover."

The patient nodded, limping away, hopping to the treatment room.

Controlling your diet can truly prevent many illnesses.

Like today's patient, knowing he had diabetes, still ended up like this.

If he controlled his diet and managed his blood sugar, he wouldn't have reached this state.

For diabetic patients, failing to control their diet is a major taboo. Medication can only moderately control it; fail to restrain your diet, and blood sugar will spike.

Over time? Various symptoms will continually appear. The kidneys will be the first to suffer; we must check this patient's kidney function later.

It's necessary, considering the patient already shows signs of diabetic foot, indicating poorly controlled blood sugar.

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