Chapter 1279: Chapter 1279: Booking the Anesthesiologist in Advance
After spending a while upstairs, Liu Banxia wandered back down.
"Director Chen isn’t here. Is he performing surgery on that patient?" Liu Banxia asked.
"He’s currently in the ICU and on ECMO. Likely a major thoracotomy will be needed," Qi Wentai said.
"The key is to assess the extent of lung damage. If too many alveoli are ruptured, it could be dangerous. It’s like a tire; how can it have such force?" Liu Banxia muttered.
"That’s right; you could say it’s like coming back from the battlefield after being hit by a shell," Qi Wentai replied.
"It’s a freak accident. Normally it wouldn’t be this severe. It’s like accidentally falling and damaging the spleen," Liu Banxia said.
Sometimes, symptoms can be remarkably unpredictable.
There may have been other factors at play that Liu Banxia and his team couldn’t ascertain, but the current outcome is indeed severe.
"I’m going to do a round in the anesthesiology department. Call me if there’s anything," Liu Banxia said.
"Discussing the surgery plan?" Qi Wentai asked with a smile.
"Yes, the surgery might take a long time. Not sure if we need to arrange for two people," Liu Banxia nodded.
"Alright, go ahead. There shouldn’t be much happening today. Even if there is, Dr. Wei is here," Qi Wentai said.
Everyone seemed to have enjoyed some holiday benefits; this year’s festivities went quite well.
The most common ailments are kidney stones, cholecystitis, heart attack, and stroke, most somewhat related to food consumption during this time.
Heavy meals cause bile secretion issues. The increase in alcohol consumption raises the risk of heart attacks and strokes.
"Oh, Director Liu graces us with his presence. Is there a situation?"
Upon seeing Liu Banxia, Wang Lei teased him.
"Speaking of serious matters, I’m being serious. Planning with Sister Li to have a baby this year," Liu Banxia said.
"That’s your serious matter? Already on the schedule. Now that each department has a head nurse, her workload has eased a bit," Wang Lei said.
"Then let’s discuss something less serious. You know my patient with cirrhosis who needs a liver transplant? Who will assist me during the procedure?" Liu Banxia continued.
"Should it be someone consistently with me or should it be approached like two surgeries? As a novice, it will take longer—about fifteen hours,"
"If it doesn’t conflict, I’d follow through alone. But for the operating room staff, it’s better to split into two shifts for caution," Wang Lei suggested.
"Looks like you’re confident now—impressive, handling a liver transplant surgery! How are the patient’s indicators? When are you planning it?"
"According to the current adjustment, it should be no later than the tenth," Liu Banxia said.
"I’m worried about severe adhesions in the patient; that’s what makes clearing difficult, consuming much of the time. Nonetheless, I’ll do my utmost to ensure a successful surgery for the patient,"
"I believe you’re up for it. We were just discussing this. Among young doctors, you’re the one suited for this surgery," Wang Lei said laughingly.
"It’s great, signifying an enhancement in our emergency center’s admissions capability. Otherwise, we’d rely solely on the director for such transplants, which is impressive,"
"Well, it’s a case of being forced into it. However, our emergency center’s current strength is quite good. It’s only slightly lagging behind in neurosurgery, but that should be bolstered soon," Liu Banxia stated.
"Director in general surgery, Whatsher in cardiothoracic, while neurosurgery is slightly lacking. Despite their efforts, neurosurgery talent cultivation in our hospital is somewhat deficient,"
"Given neurosurgeons are appealing everywhere, Zhang Xiao and Xiao Jun are striving diligently, yet our patients impede their learning,"
Wang Lei nodded, recognizing neurosurgery’s complex challenges in cultivating doctors proficient in lengthy and pressure-intensive surgeries.
Although our emergency center has exposed Zhang Xiao and Xiao Jun to low-level neurosurgery procedures, it took substantial time from their advancement with mentors like Xiao Zhaoqiu.
In our center, neurosurgery lacks a director or deputy director-level physician. It’s not reluctance to allocate them; top-notch surgeons are simply scarce.
Still, it fares better than pediatrics. Although boasting Chen Hongyang, his team is understaffed.
"When Lily is truly expecting, ensure you care for her. It’s been delayed so long; they’ll have to call your child brother and sister," Wang Lei said.
"This is necessary. You really need to work hard. Don’t let Shi Lei beat you to it, or it’ll be really lively then," Liu Banxia said with a grin.
"It’s not just about hard work. Shi Lei is actually quite diligent," Wang Lei said with a wry smile.
"The last time we had a break, I went out to eat with Lily and happened to run into them. I thought they were pretty nice, very quiet, and you could see that their relationship was quite good."
"Of course, you know what Shi Lei’s personality is like, right? He never hides anything. He’ll definitely lay all his cards on the table first," Liu Banxia said.
"Actually, it’s better this way than having problems later on and ending up with conflicts. If it feels right, just be together; otherwise, it’s a waste of time for both parties."
"Those six under me, I still have to work hard. To be precise, Qiaoqiao is already working hard, especially with Liu Yiqing. Qiaoqiao has to keep a close eye on her."
"That girl’s too soft-hearted. Qiaoqiao is always worried that she’ll be bullied after she gets married. Anyway, I don’t worry too much about it, just let her be."
"You guys are really busy," Wang Lei said with a laugh.
"Director Liu, those six are really getting quite famous now. Yesterday, I caught up with some old classmates, and we talked about them too," Li Liwei added.
"After all, they were carefully selected by the Chief Director. At that time, I was a bit worried, afraid I wouldn’t be able to convince them and they would leave," Liu Banxia said.
"Luckily, they are ambitious, seizing every opportunity to show up. Over the next six months, I should gradually let them perform NOSES surgeries, so I’ll have an easier time and can study pediatric surgery a bit."
"Wow, then we’ll be even busier by then. There are quite a few newborns with issues now, and not all expectant mothers take good care of themselves during pregnancy," Wang Lei said.
"And in some places, they just muddle through prenatal checkups, still thinking the old way that as long as they’re pregnant, everything will be fine."
"I have a classmate at the third hospital, and there were three newborns with issues just recently. They’re actually as busy as we are here."
"It’s just that they don’t have to crawl out of bed at night as often as we do, maybe once or twice occasionally. If you want to study pediatric surgery, should you go check out the third hospital first?"
"I think if you have that idea, both the director and the Chief Director would support you in getting it done. But it’ll involve a lot of commuting, and you’ll be much busier."
"Actually, I’ve had this thought, too. It’s one of my insights from learning surgeries over such a long time," Liu Banxia said.
"If you don’t watch others do it and just figure it out on your own, you’ll end up taking detours. Learning and observing more can let you learn others’ methods."
"Pediatric surgery is so risky; one wrong move and it’s easy to nick unrelated tissues, causing harm to the child."
"I remember there was a year that Shi Lei talked about; a pregnant woman came to our emergency department at night. The surgeon on duty did a C-section, but the incision was too deep, cutting the baby’s arm."
"Back then, Shi Lei and I hadn’t been at the second hospital for long. Even though the cut wasn’t very long, the impact was significant. Later, the doctor resigned and moved elsewhere," Wang Lei said.
"So afterwards, the rules for on-site surgeries in emergency have been very strict, and the result is our emergency department has gotten a weaker reputation."
"It’s just that you popped up and brought back that fighting spirit. Let’s put it this way, the surgeries done in the emergency center’s rescue room this year equal the number in the past decade."
"It’s not that everyone was scared of trouble; management was stricter during those years, and medical malpractice claims were quite severe."
Liu Banxia nodded.
As a surgeon responsible for emergencies, he naturally knows how risky it can be.
Just like the complaint he encountered last time, some patients’ families can be unreasonable.
Of course, some people also make mistakes during surgeries and then try to cover them up to avoid responsibility.
Because of this, the doctor-patient relationship has grown increasingly complex.
After chatting a bit in the anesthesiology department, the issue with the anesthetist was resolved. These two surgeries will be exhausting if you want to get through them entirely.
After all, it’s not just sitting and resting after administering anesthesia; you need to constantly monitor the patient’s vital signs and make appropriate adjustments.
It’s genuinely hard work, and it’ll be time to resume work by then, which will definitely bring a small wave of busyness.
The surgeries that were supposed to be done during the New Year have been postponed. Not to mention, Zhou Shuwen has at least three surgeries waiting.
Actually, he’s working so hard on this liver transplant hoping to share some of Zhou Shuwen’s burden.
Dealing with hospital affairs and performing surgeries is truly exhausting.
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