Chapter 1266: Chapter 1266: Blessings and Calamities Intertwined
Many times, the logic is quite simple. When facing a severe disease, there is always some hesitation, which is part of the slow acceptance process.
And after accepting it? You have to find a way to treat it.
That child with osteosclerosis is so young, how could the parents possibly give up?
Liu Banxia hadn’t even gone downstairs yet, and his parents had already made the decision—he must be treated.
Du Fancheng helped contact the doctors in the inpatient department’s hematology department—these are the experts in hematopoietic stem cell transplantation. Whether it’s him or Liu Banxia, even if they offer some explanations, they are just scratching the surface, missing the point.
"Teacher Liu, you and Teacher Xu should go eat first. It’s already past lunchtime," said Liu Yiqing.
Liu Banxia nodded, "You should come with us to eat too. Let his wife accompany him for a while here, that’s fine. Right now, he also needs some emotional support; just ensure proper monitoring."
"I feel there’s no big problem. The onset duration is long, and you handled it timely. Currently, there’s no sign of anything wrong with the lungs; just the spasm symptoms are nothing to worry about," Xu Hui said.
"The key lies in the next week, where there might be occasional spasmodic reactions that our current medication can’t control. At that time, symptom treatment will do; it’s not that troublesome."
"If the spasmodic reaction becomes severe later, directly intubate for airway protection. This way is also safer, though for you guys, intubation is very easy."
Liu Yiqing nodded, knowing that there’s a tough battle ahead in the coming week. If the condition keeps worsening, then the only option would be sending him to the ICU.
For now, we can only proceed this way, after all, there’s no specific medication for this disease; we can only respond as issues arise.
The group headed to the cafeteria downstairs, where there weren’t many people eating now.
"This day, busy and tense," Liu Banxia complained.
"Isn’t that quite normal? It’s just today’s situation appears a bit special," Xu Hui said with a smile.
"But illnesses don’t wait for anyone. No matter what the disease, it’s always better to detect it earlier. Take this tetanus patient for instance; if they had the onset at home, things might have gone south."
"When the systemic spasms occur, you can’t say for sure what might get injured. Do your best to treat it; I’m guessing intubation might be needed tonight or tomorrow."
"Does the acute phase progress that quickly?" Liu Banxia asked.
"Isn’t it? This disease is very latent while it’s incubating, but once it flares up, the progression is indeed quite rapid," Xu Hui replied.
"At least for tonight and tomorrow, someone needs to be watching continuously. It’s no wonder we asked them to endure a bit; generally, these are systemic tetanus patients."
"Why are you eating so late?" At this moment, Chen Xuehai arrived at the cafeteria.
"Just dealt with a tetanus patient; what have you been up to?" Liu Banxia asked.
"A heart attack, already admitted three today," said Chen Xuehai.
"There are also two more cases of a stroke; these are common during festive periods. Eating well, drinking well, sometimes emotions get a bit stirred up, easily triggering it."
"Kidney stones are caused by idle habits, while strokes and heart attacks are triggered by excitement. Fortunately, family members are around, ensuring timely medical care."
"We admitted a tetanus patient but didn’t send him to the ICU, kept him in our second department. The hassle is that he also has diabetes," Liu Banxia said.
"Today we also admitted a young patient with osteosclerosis, quite distressing. We can only opt for hematopoietic stem cell transplantation, which is costly,"
"It sure is. By the way, the tracking result for the listeria came out, and you won’t believe what it is," Chen Xuehai said.
"Can’t be the produce bought from the supermarket, can it? That scenario would be chaotic," Liu Banxia said.
Chen Xuehai shook his head, "It’s the radish from his home refrigerator, brought back before New Year’s, stored in a cellar, not commonly seen these days, right?"
"This... is quite unexpected," Liu Banxia said in surprise.
Storing radishes and cabbages in the cellar, that seems like a memory from very long ago. Even in his childhood, the practice of digging cellars for radishes and cabbages wasn’t common.
This was a truly natural great fridge; radishes, cabbages, potatoes stored in the cellar would have not a single problem, and they were still very fresh when eaten.
"We went directly there to sample this morning and conducted onsite testing. It was the soil in the cellar; he probably didn’t wash his hands properly after handling it that day," Chen Xuehai continued.
"That’s fate, isn’t it? Actually, eating fresh radish at this time is quite nice. Otherwise, eating too much meat isn’t feasible," Liu Banxia lamented.
As the old saying goes, eat radishes in winter and ginger in summer. The radish is good, just the soil it carried was not appropriate.
Probably worried about freezing outside, and fearing it would become pithy indoors, hence stored in the refrigerator.
If the patient’s immune system were stronger, he probably wouldn’t have had any issues.
Because even careful handwashing may not eliminate Listeria. The usual careful wash at home isn’t all that thorough.
And if there are slightly longer nails, there could still be residues left.
However, his wife and children must have consumed the food from the fridge but didn’t get infected. It can only be said that his immunity is indeed somewhat weak, which is why he unfortunately got infected.
Exercising isn’t just a joke, especially now when most people are in a sub-healthy state.
Many families have cars, and no matter what, regardless of the distance, driving is always the first choice.
Actually, walking, exercising at times, is still very beneficial to the body.
Perhaps when public fitness is truly realized, everyone’s immune system will improve a bit, and this killer hidden in the fridge might be less lethal.
"You all must be worried about that tetanus patient," said Chen Xuehai after eating for a while.
"Consider it as gaining experience. Anyway, we are already prepared. We’ve arranged for him to stay on the other side of the corridor, isolated, to avoid interruption," Liu Banxia said.
"The rescue equipment and medicines in the room are all ready. As long as he shows symptoms, we will immediately provide treatment. Liu Yiqing and the others will have to work hard, especially in the first week."
"By the way, if there’s a lung infection, do you have any other solutions? This situation needs to be prevented. Su Hongbo said that the most annoying issues are laryngeal spasm and lung infection."
Chen Xuehai shook his head, "There’s no other way, it’s all about adapting to the situation, that’s the only method. You definitely want to avoid tracheostomy, but if it really develops to that extent, you will have to do it even if you don’t want to."
"Your patient also has diabetes, making care more troublesome than for ordinary tetanus patients. Be mentally prepared, as there could be other complications."
"Sigh... The headache lies here. Because after the onset, there will be sweating, plus nutrition needs to be supplemented," Liu Banxia sighed.
"Actually, I’m not sure if I should thank his diabetes. If he didn’t have diabetes, he wouldn’t have diabetic foot and naturally wouldn’t have sought medical care."
"After the original wound heals, when the tetanus truly acts up, no one would even know where the wound was. Skin lesions are too common, even he might forget them."
"But this diabetes increases the difficulty of care and may cause other complications. It’s worrisome, and we’ll have to see how the symptoms develop."
"Blessing and curse always accompany each other. That’s how illnesses often are," Xu Hui said with a smile.
"I know you’re undoubtedly bothered that you didn’t diagnose tetanus immediately. You’re just overthinking it. As doctors, we’re not omnipotent; we can’t foresee everything."
"It’s impossible for every patient with a wound to ask if they’ve had a tetanus shot when they come in. It’s also impossible for every patient to check what the needle’s previous job was before using it to pop a blister."
"This is just a coincidental occurrence. All we can do is provide comprehensive treatment and be done with it. Why overthink it? It’s self-inflicted worry."
"Tsk, tsk, I feel he’s a bit arrogant," Chen Xuehai commented.
Liu Yiqing beside them was amused. The big bully, again and again; indeed, somewhat arrogant.
Liu Banxia, however, looked at the two of them helplessly. In truth, he did have this tendency.
It stems from his "smooth diagnoses" after gaining the system. Many times, he can foresee the conditions in advance, including noticing hearing issues in a little child today.
Just as Xu Hui mentioned earlier, it’s a "blessing and curse" thing.
Because the system made him "stronger," it significantly helped in diagnosing. Thus, unknowingly, he also raised his "standards" for himself.
Is it truly a high standard? Not necessarily. It might also be that he’s become a bit overconfident.
This issue definitely needs attention later.
It doesn’t just affect the mood when receiving patients in the future, it might also leave a bad impression on others.
With Xu Hui and Chen Xuehai, everything’s open; they’re very close. A couple of jokes don’t matter. But when it’s unfamiliar people? Would their impression be that this guy is a bit arrogant?
This is not conducive to unity and harmony. Currently, he’s the deputy director of the emergency center, the project leader for promoting NOSES surgery, and also the initiator of collaborations with local hospitals.
These small issues will need more attention in the future.
After all, he’s also in a leadership position, different from when he was drifting without direction. Back then, life had no direction; he could take things lightly as he wished.
Studying medicine requires constant learning, and so does being a person.
Living and learning, that saying is always useful.
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