The Enhanced Doctor
Chapter 868: The Curious Kidney Disease Patient
(Thanks to pirate flag Xin Nuo, chunyi, book friend 20191129192043765, reminiscing a cigarette, book reader Ah for the encouragement of the monthly ticket)
"What have you been busy with today, running around crazily?"
Wang Huan asked during lunch.
"What can I be busy with? Just adapting to my new job. No one came for consultations for two days in a row, so I could only take some emergency cases," Liu Banxia said.
"That's how it's going to be from now on. You folks in internal medicine should work harder to refer more patients with clear surgical indications to us. We can just go up and operate, saves a lot of hassle,"
"The number of surgeries this month has significantly dropped; we've almost cleared the backlog since the New Year. We need to reach new heights, Wang Chao, you can't eat any meat chunks."
"You're like my real brother, always bullying me for what?" Wang Chao said helplessly, and vindictively grabbed a piece of fried yellow croaker from Liu Banxia's bowl.
"It's normal. Even if the scale of the emergency center expands greatly, it will only have more patients when the reputation of you surgeons truly gets out there," Wang Huan said with a smile.
"Actually, when people seek medical care, for minor illnesses, they directly get treated wherever they are. But for major illnesses, especially those requiring surgeries like tumors, visiting two hospitals is considered minimal."
"Some of it stems from distrust in local hospital's medical techniques, others are just looking for a suitable surgeon during follow-ups. And those well-known ones become alternatives, making appointments difficult; they wait all the same."
"Just like surgeries here, currently the director has the most patients. The rest of you are similar, including Old Chen. Despite all his accolades, he hasn't established his reputation yet."
"Even though I'm in internal medicine, I know that the lead surgeon's skills significantly contribute during surgeries. Not to brag about Banxia, his patient satisfaction rate is the highest."
"Thanks for the compliment, have a piece of fried little yellow croaker." Liu Banxia said happily.
"Wait, do you actually dislike eating this? So why did you order it?" Wang Chao asked curiously.
Liu Banxia nodded candidly, "That's right, I used to love eating it. But recently I've been eating stewed fish at home, with Qiaoqiao removing the bones for me. Eating these small fish feels a bit troublesome now."
Wang Huan and Wang Chao both sneered; this guy is just flaunting.
At this time, Xu Yino also walked over with a tray, "The patient who got beaten has a negative CT scan and has woken up. It's really hard to say how they'd resolve it."
"How about the girl's injuries?" Liu Banxia asked curiously.
"The girl is fine too. I'm really puzzled; her fighting ability is quite high. But you can see, what kind of fitness coach is that? No skill," Xu Yino said sarcastically.
"According to Officer Xu, it's a currently popular phenomenon," Liu Banxia said.
"Then I thought each industry might have its own tricks. Fitness businesses have this kind of routine; our medical industry has the operation of swiping a card and paying halfway through surgery. Other industries might be similar."
"Honestly, good businesses are ruined like this. Traps are everywhere, and if you're not careful, you'll fall into a pit, making newcomers cautious."
"All for making money, but not thinking about making honest money. Now defending rights is so inconvenient; what can you do? The cost is too high," Wang Chao said.
"How's the patient with kidney failure doing?" Wang Huan asked.
"Oh? You've heard too? Still undergoing dialysis, hasn't woken yet. Possibly needs to finish dialysis and adjust electrolytes before recovering," Liu Banxia said.
"The difficulty is contacting his family. We dare not randomly try passwords on his phone; what if it's locked out?"
"We'll wait a bit more; if it doesn't work out, we'll have to ask the police for help. No idea what's up with the guy, left a contact number that's either vacant or misdialed."
"That's possible; nowadays some people randomly change their phone numbers. The cause hasn't been found?" Wang Huan said.
Liu Banxia shook his head, "Teacher Wu also said securing the kidney is crucial; the levels are almost at the standard for uremia. Really don't know why this young man has this issue; kidney ultrasound hasn't shown organic lesions."
"Thought of whether too many kidney stones led to him fainting. His colleagues said he was speaking at a morning meeting, then fell from his chair."
"He's very young, I'm really curious now. Have been reading through books, haven't found any chronic disease causing such results. Even considered nephritis, but with nephritis, he'd have taken precautions early on."
Wang Huan nodded, agreeing with Liu Banxia.
Although chronic nephritis manifests differently in various stages, reaching the level of this patient would minimally involve hematuria symptoms.
Who would believe if someone peed blood they'd ignore it and carry on as if nothing was wrong? ππ«ππ²π¨πππππ―ππΉ.ππ¨πΊ
If they sought hospital checks, it would definitely be diagnosed. However treated, nephritis wouldn't progress to this severity.
"So, I'm truly interested in this patient. Just waiting for him to wake up to find out what's going on. If we still don't get it, we'll consult Teacher Wu," Liu Banxia continued.
"But I always feel he knows what's happening, just that he can't communicate now. Once he wakes up, it might be a very simple thing."
"See that? He's got some free time again lately. Just finished a full day of surgeries, and now there's nothing else on his plate," said Wang Huan.
"Not really, I guess he's just used to being busy and bustling around. When things suddenly slow down, it feels a bit off," Liu Banxia replied.
"If there's nothing in the afternoon, I'll swing by the inpatient department and take a look. I also need to get a sense of the training situation in each department. Sometimes it's quite a headache, always seems like there's no end to the work, I'd rather be doing surgeries," Liu Banxia said.
"Same here, doing surgeries is much less hassle, fewer things to worry about," Wang Huan said with a laugh.
Everyone was feeling a bit sentimental, thinking about how Liu Banxia would soon officially become their leader, no matter how close they were personally.
The only comforting thought was that even if Liu Banxia became a leader, he wouldn't put on airs and would stay the same.
The group laughed and chatted as they finished their meal and returned to the emergency center.
It was a rare moment of relaxation. Even though today's work seemed easy, it was actually quite tiring.
After a busy morning, the queue at the outpatient clinic was mostly cleared, except for pediatrics. In the surgery section, there were only a few patients who needed bandage changes, which didn't require Liu Banxia's attention.
Qiaoqiao said that this Huangqi and goji berry tea is good for the body, so Liu Banxia continued to drink it.
After a while, Xu Yino brought over a patient. Liu Banxia still remembered her; she was the one diagnosed with endometriosis a few days ago.
"Ready for this?" Liu Banxia asked.
The patient nodded, "No matter what, I have to get it done. Otherwise, it's just too much suffering."
"Alright, get admitted first, then we'll do a digital rectal exam, an anoscopy, and a pelvic MRI to see how things look now. Xu Yino, you follow up with her. If everything's fine, we'll proceed the day after tomorrow," Liu Banxia said.
"Okay," Xu Yino responded eagerly, waiting for those words.
"Dr. Liu, can it really be done the day after tomorrow?" asked the patient.
"As long as your indicators are good, there shouldn't be a problem. If it's endometriosis, it's a minor surgery, but let's see the situation first," Liu Banxia replied.
The patient nodded and went with Xu Yino to complete the paperwork.
Liu Banxia stretched lazily. Finally, some work to do. With his love for being busy, he really can't sit still.
Everything's about habits, and being busy all the time makes a short break feel wonderful. But resting too much could drive him insane.
He originally planned to visit the inpatient department, but with the patient here, he had to wait till she was settled.
After less than half an hour, Xu Yino came running back, "Teacher Liu, her lumps have shrunk a lot."
Liu Banxia smiled and looked at the rectal endoscopy report. "This confirms it even more. The lumps are caused by endometriosis. Rest easy."
"One characteristic of this condition is edema and enlargement during menstruation. The edema subsides as the period ends. By the time we operate the day after tomorrow, it might be even smaller, making it easier for us to handle. How many people are in line for the MRI?"
"Teacher Liu, four people," Xu Yino replied.
"Then there's plenty of time," Liu Banxia nodded.
"I'm planning to use the transanal endoscopic microsurgery technique, which reduces a lot of trauma and doesn't require abdominal incisions."
"Will this surgery leave scars?" asked the patient.
Liu Banxia nodded, "Don't worry, it's done entirely through the rectal cavity."
Hearing this made the patient very happy. Last time she came, she didn't even ask what kind of surgery it wasβjust worried about whether it might be cancer.
"Xu Yino, make sure to explain the surgical process to her tomorrow. If there are no issues, just schedule the operating room. It's a simple surgery," Liu Banxia said.
Xu Yino was a bit excited. She'd get to observe in two days. Even without the chance to perform it, watching was still good.
She hadn't participated in a TEM surgery yet since joining the emergency center.
"Teacher Liu, the kidney patient in 203 had a situation, just woke up suddenly and started throwing stuff," a nurse ran over at this moment.
This startled Liu Banxia, hoping for the patient's recovery but definitely not them causing a ruckus.
Without hesitating, he dashed upstairs, leaving the patient to focus on addressing the new situation.