The Enhanced Doctor

Chapter 1308: Chapter 1308: Electrical Injuries Are Difficult to Treat

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"Teacher Liu, Teacher Liu, the tests are done."

Liu Banxia had just finished reading the patient’s examination report when Xu Yino ran in excitedly.

"Are the complications severe?" Liu Banxia asked.

"Well... it’s kind of complex," Xu Yino said.

"There doesn’t seem to be much issue with movement, probably because the body’s damage is significant, current muscle strength is a bit weak, but now he can’t recognize many characters or write them."

"It feels as if the word is on the tip of his tongue, but he can’t pronounce it. Another effect seems to be his facial expressions."

"There’s some facial palsy; when you ask him to smile, he just slightly moves the corner of his mouth, giving a symbolic smile. Doctor Peng said, due to the patient’s complexity, further testing is needed during rehabilitation."

"Alas... there’s still a certain level of brain damage. Currently, it’s not severe and won’t affect normal life," Liu Banxia nodded.

"Teacher Liu, do you think the facial palsy could recover in the future? Maybe with acupuncture?" Xu Yino asked.

"It’s hard to say. Whether it’s due to vascular blockage pressing on nerves or brain cell necrosis causing it is unknown," Liu Banxia said.

"The rescue process was too lengthy; although we provided CPR support throughout, we can’t ensure each compression or abdominal lift pumped blood to the head."

"Anyway, the result now is acceptable. My biggest worry was permanent epilepsy, which is truly troublesome. For some brain injury patients, epilepsy complications are most common."

"Alas... the brain is still too mysterious. In the rescue process, we were very diligent," Xu Yino said.

"Many times, we can only do our best and leave the rest to fate," Liu Banxia said.

"Five patients admitted today. Two were found to have rectal cancer during check-ups, which is straightforward to handle, so scheduled them for tomorrow."

"There’s also one with stage 3 rectal cancer, and stage 2 and stage 3 colon cancer patients, scheduled for the day after tomorrow. Tomorrow, a thorough body check is needed."

"Of the five surgeries, four are NOSES procedures, and one is a regular laparoscopy. How about it, want to do them? I think there shouldn’t be any problem?"

"Uh... Teacher Liu, can I have three minutes to consider?" Xu Yino hesitated slightly and asked.

"Two minutes. No more," Liu Banxia said seriously.

"Do them, absolutely. Is it rectal cancer or colon cancer?" Xu Yino hurriedly asked.

"Rectal cancer, initially judged as stage 3. During surgery, communicate with the family based on the actual situation, whether to proceed with anal excavation," Liu Banxia said.

"Uh... if anal excavation is needed, I might take more time on this surgery," Xu Yino said a bit self-consciously.

"Delay if you must; anyway, when it’s time, I clock out, and any problem isn’t my concern," Liu Banxia said indifferently.

Xu Yino was quite worried.

She knew Liu Banxia was joking; a supervising teacher must oversee surgeries.

But Liu Banxia’s words piled the pressure on her.

Radical rectal cancer surgery plus anal excavation is quite challenging. Based on what she knew of Liu Banxia, it could be more than the tumor being close to the anus; it possibly has evident spread.

"Look at the data; I think it’s pretty good, with some possibility of preserving the anus," Liu Banxia pulled up patient data on the computer.

Xu Yino glanced at it. There’s no chance of preservation; the tumor has spread to the anus’s edge. Only anal excavation, tricked by the demon king again.

"It’s not a big deal, why not just tell the patient that anal excavation must be done?" Xu Yino asked.

"The patient’s emotions are involved; he knows but doesn’t want to decide now, so communicate directly with the family later," Liu Banxia said.

"He always thought he had hemorrhoids, which delayed treatment. Now the nerves around the anus are affected, so he came to the hospital for a check."

"A finger exam confirmed it, which brought him here. The upper metastasis isn’t much, making surgery still feasible."

Xu Yino nodded, feeling the pressure.

This is significant surgery, and being the lead surgeon isn’t easy. Utilizing Liu Banxia’s expectations makes it clear many surgeries ahead will require them to lead.

There’s motivation, but greater pressure.

Because Xu Yino herself isn’t sure if she can keep up the effort under such pressure.

These are rare opportunities; many future surgeries from Liu Banxia will be assigned to them, increasing their experience. But each surgery is like a high-pressure bomb, not necessarily manageable.

Who can be like Liu Banxia, mastering each surgery after doing one? Surgeries are not simple at all.

"Take a good look, then make a surgical plan, choose an assistant yourself. I’ll go outside to check, I guess the electrocuted patient has also finished the examination." Liu Banxia said, then walked outside.

Just as he stepped out, he saw Shi Lei nearby and walked over, "Finished so quickly?"

"The CT was completed and we went on stage. There is a large edema in the brain, probably caused during the electrocution. Whether he can be saved, it’s really hard to say." Shi Lei said.

"The liver, kidney, and spleen function test results aren’t out yet, and we don’t know if the electrocution caused any tissue necrosis. But the intestines seem fine, bowel sounds are normal on auscultation."

"Director Chen also joined on stage, experiencing bradycardia, not sure if the myocardium was damaged during electrocution, anyway it’s quite dangerous."

"We’ve treated electrocuted patients too; usually, those sent to the hospital are already in critical condition." Liu Banxia nodded.

Watching film and TV shows often portray electric torture during interrogations. That’s because the process of electrocution is indeed very painful, using limited current to achieve the purpose of torture.

But what about electrocution injuries in daily life? They often become extreme.

Either the person gets flung away with no harm, or they are seriously injured.

Some people struck by lightning only have traces of current on their body, with no life-threatening issue. Others accidentally connected to household electricity can be electrocuted.

Brain edema is a very direct manifestation. Because when current passes through the body, it causes the most damage to the cardiovascular and central nervous systems.

Then other organs and tissues of the body, blood vessel walls etc., will show new symptoms during the subsequent treatment process.

"Oh, there’s a laceration wound on the outer side of the patient’s right arm. Check it after they come off the stage, do you want to debride it?" Shi Lei asked.

"That works, this wound is tricky, often a small surface but large inside, don’t know the extent of internal damage." Liu Banxia frowned.

"That’s why you’re needed, with your experience you’ll handle it more steadily. Just keep a close eye on it." Shi Lei said.

Liu Banxia felt helpless; no wonder he was waiting outside, actually waiting for him.

The patient currently has the most serious issues with brain edema and cardiovascular damage, requiring emergency surgery.

If life cannot be preserved, dealing with the arm wound is not necessary.

"Which operating room? If nothing else, I’ll go over and take a look." Liu Banxia said.

"Operating room number three, let’s wait for the blood test results." Shi Lei said.

Liu Banxia nodded, there’s no rush, still time.

After waiting a while, the blood and urine test results came out, indicating some damage to kidney function. Also, creatine kinase levels have risen.

Liu Banxia changed clothes and went directly to the operating room.

Xiao Jun had just completed the brain edema drainage for the patient.

"Renal function impaired, creatine kinase levels have risen." Liu Banxia stated.

"There was just a ventricular fibrillation, but we managed to rescue him. Are you handling the arm wound?" Chen Xuehai asked.

"Shi Lei handed that task to me, not knowing the extent of internal damage." Liu Banxia said.

"This patient’s injuries are indeed quite severe, but clean it fast. The sooner he’s sent to ICU, the safer." Li Liwei said.

Liu Banxia nodded and began inspecting the wound on the patient’s arm.

The wound was surrounded by electrocuted scars, not very long, just over a centimeter. But don’t underestimate such small wounds, you need to cut open to see what’s inside.

While disinfecting, Liu Banxia expanded the area before cutting open the wound, and everyone sighed internally.

The tissue under the wound was necrotic, how much flesh to remove for clean debridement, it’s hard to say.

"Looks like I’ll be fighting hard, take a break if you need." Liu Banxia said with a wry smile.

"This is easier than debriding necrotizing fasciitis; keep it up, you might catch the second round of lunch." Chen Xuehai said.

Liu Banxia felt helpless; saying is one thing, but doing it isn’t that easy either.

Another characteristic of electrocution injuries is the patchy muscle necrosis formed where current passes. It’s not easy to clean.

And some injuries may appear later, due to occlusive necrosis caused by vascular rupture.

Such damage can’t be detected initially, only found during later care. When discovered, treat it symptomatically.

Upon admission they look one way, and change in a few days; this is typical for electrocution injury patients.

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