The Enhanced Doctor

Chapter 1271: Chapter 1271: Prevent Problems Before They Start (Part 1)

(Thanks to lu Tiezhu for the monthly ticket encouragement)

"Director, I just got back from lunch."

Liu Banxia knocked on the door and entered Zhou Shuwen’s office.

"So, do you have the confidence to take on a liver transplant?" Zhou Shuwen got straight to the point.

"Teacher, am I really up to it?" Liu Banxia asked with some uncertainty.

"You’re asking me? Who else should I ask? You’ve experienced organ transplants before. This time it’s an allogeneic transplant, you need to ask yourself if there’s any problem." Zhou Shuwen replied.

"Actually, when I first saw the patient, the idea did cross my mind. But after pondering it, I’ve watched, but never actually done the trimming myself, so I feel like I’m still lacking." Liu Banxia said.

"As doctors, no matter what the procedure, there will always be a first time to perform. You need to think it through. If you miss this opportunity, who knows when the next chance will come." Zhou Shuwen said with a smile.

"After all, some patients specifically come to me. Transplant surgeries aren’t like other procedures. I can’t just hand it over to you; it would be difficult to explain to the patient."

"And now you are more specialized in colorectal cancer, so even if patients come over, most of them are of that type."

"Anyway, it doesn’t concern me much, I’ve been a bit idle lately. It’s just one transplant surgery. I won’t get busy until the tenth, as several patients have appointments after the tenth."

Liu Banxia gave him a resentful look. The teacher can be so nonchalant at times.

However, it’s not bad. For Zhou Shuwen, a liver transplant is really not a big deal. He has performed too many surgeries over the years, and now they are all major operations.

Biting his lip, Liu Banxia nodded, "Teacher, I’ll give it a shot. But if you have time, could you supervise me? If you don’t have time, I’ll have to ask Director Qiu."

"Really decided?" Zhou Shuwen asked with a smile.

"Decided. Although extraction will take some effort, as long as it’s planned well in advance, there should be no problem. Extract the donor in the morning, then go directly to the transplant surgery." Liu Banxia said.

"But we still have to see if his children can match. Although the matching requirements for liver transplant aren’t that high, accidents can still happen."

"Are the tests scheduled for tomorrow?" Zhou Shuwen asked.

"Yes, for his father’s condition, it’s better to undergo the transplant sooner. We are currently treating conservatively, but the cirrhosis has advanced too much." Liu Banxia said.

"Try to adjust his physical condition. The sooner he gets to the operating room, the better." Zhou Shuwen nodded.

"How are Liu Yiqing and the others doing? Any other issues with Liu Yiqing’s sister-in-law regarding costs? If there are, we can try to figure something out."

"The six of them have a solid grasp of some basic surgical techniques. This morning, Xu Yino did a tendon and radial artery suture, and Miao Rui did an intestinal suture, both were impressive."

"I’ve observed them during surgeries before, and they all have a solid grasp of the techniques they’ve encountered. As for Liu Yiqing’s sister-in-law’s hospital expenses, I’ll ask her about it."

"It’s really because her relationship with her brother and sister-in-law isn’t great. But her brother is too bothersome, only cares about money."

Zhou Shuwen frowned, "No wonder I’ve been seeing Liu Yiqing downstairs lately, and this is the reason. We’ll have to see what she wants to do. She’s soft-hearted, I’m afraid she’s too shy to speak up."

"Sometimes, things really are hard to predict. As long as she doesn’t regret it in the future. What about the tetanus patient?"

"Currently intubated, had two full-body spasms. But we can handle it for now, no need to send to ICU yet." Liu Banxia quickly said.

"That’s a good arrangement, you can’t just think of sending critical patients to ICU. Treating these patients can provide us with a lot of clinical experience." Zhou Shuwen said.

"Many of our critically ill patients may not be trauma patients, but rather those with other ailments. They lack a lot of experience in this aspect; just because you call an ICU doctor for a consultation doesn’t mean they can come immediately."

"And during resuscitation? We can’t afford to waste even a second. Otherwise, the country wouldn’t have introduced relevant policies, urging us to prioritize the patient’s life during admission."

"The strength of your team is that it’s young and dynamic. But the downside is the lack of experience. This can’t be compensated by intelligence alone."

"Many conditions can only be truly understood after firsthand experience. Otherwise, it’s just textbook knowledge, not practical skills."

"This also applies to you. You have strong learning and comprehension abilities but lack time. Not enough time to accumulate, nor enough patients to learn from."

"Through this admission period, you can also see that with medical advancements, many previously so-called difficult and unknown diseases can now be diagnosed."

"But these diseases often have significant overlap with others, making differentiation challenging. Why do people prefer old doctors?"

"Isn’t the reason simple? They believe old doctors have seen many patients and have their own experiential conclusions in diagnosis, helping patients avoid unnecessary detours and expenses."

"I’ve recently been idle, so I reviewed the medication you prescribed to patients. It’s very good, not just recommending high-profit drugs. They’re mostly within the scope of healthcare coverage. This is also commendable."

"Teacher, you reviewed all this?" Liu Banxia asked curiously.

"Of course I did, because the benefits that pharmaceutical companies provide to our hospital are significant, I have to be vigilant." Zhou Shuwen said.

"Other hospitals or departments aren’t under my jurisdiction, and I don’t have the authority to manage them. Although I’m a deputy director, I don’t oversee these areas."

"But because our emergency center’s patient volume has increased significantly recently, it’s been targeted by these pharmaceutical companies for a long time."

"This problem is endemic in our hospitals and seemingly incurable. No matter how strict your preventive measures are, there’s always someone with a crooked mindset because of greed."

"In this aspect, I’m genuinely happy. More so than if our emergency center performed countless remarkable surgeries, because we’re being fair to patients, and to ourselves."

"Maybe it’s just because the emergency center is newly established, so everyone is cautious and doesn’t dare to overreach. But I hope this situation can continue; the longer the better."

"Expecting the emergency center to remain pure is unrealistic. But as long as it doesn’t go too far and isn’t just for benefits, I can accept it."

"Teacher, this is indeed a major problem." Liu Banxia nodded.

"Alright, I don’t have anything else. Just a few grievances from being idle recently. Your teacher’s wife said, when you have some time off, bring Qiaoqiao and the kids to our house for a meal." Zhou Shuwen said with a smile.

"Sometimes at home, I video call with Qiaoqiao and see your two little ones. I heard the little girl is more well-behaved now? Not as noisy?"

"Actually, not much more well-behaved. Mainly, our Tang Dou and her babies can look after them. Whenever they cry or fuss, Tang Dou would nuzzle them, letting the two little ones play." Liu Banxia said with a wry smile.

"Their ears are even sharper than ours. Several times we didn’t even hear the cries, but they did, and bolted upstairs."

"They’re smart too, they open doors with a flick of their paws, and check on who’s crying. Thanks to them, Qiaoqiao has been somewhat relieved."

"Haha, that’s great. Next time you come over, bring Tang Dou along. I’d love to see her. You go ahead and get busy, prepare well for the liver transplant patient, ensure all relevant indices are thorough, there should be no problem."

Liu Banxia nodded, then left the office.

"What did the director say to you?"

As soon as he came out, Wang Chao approached.

"Not much really, just praised our emergency center doctors for being prudent with medications." Liu Banxia said.

"Really? No complaint letters or anything?" Wang Chao suddenly perked up.

"Where’s there a complaint? Just the director’s self-inspection. He’s worried about this turning into a problem, so he pulled up some statistics on medication usage." Liu Banxia said.

"But it’s true that we need to pay attention to this. Luckily, we have no bad intentions, or we’d be caught red-handed."

"Address potential issues early. Once this habit starts, it leads to bigger risks. Remind everyone in conversations, just a friendly reminder."

Wang Chao nodded, agreeing that this matter is indeed significant.

No one is born with a corruptible heart; it’s the small temptations in life that lead one astray.

But once this starts, it won’t just stop. It drags on, deeper and deeper, until you fall into a trap.

This is very apparent; if a hospital turns a blind eye, there’s no problem. But with someone as diligent as Zhou Shuwen, where can you escape to?

"Do you say this drug is effective?"

In reality, that’s not a legitimate reason.

Because unless it’s a patented medicine, the effectiveness of generic drugs is quite similar.

If a doctor is a bit unscrupulous, they might prescribe a bunch of out-of-pocket drugs, causing only the patients to suffer.

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