Chapter 954: Chapter 954: The Problem of Assessing the Value of Emergency Rescue

(Thanks to firebat1980, Lazy Dazed Bug, Super Handsome Uncle Handsome, Men’s Line Monthly Ticket Encouragement)

Wu Shaoming’s condition is much more severe than Tang Feifei’s and is also much more serious than Liu Banxia estimated.

His injury is an old one, accumulated from years of filming action scenes. Even though Liu Banxia gave his shoulder some massage treatment, in terms of bearing stress, it will always be somewhat worse than normal.

But having done something about it is better than nothing. Even if Liu Banxia isn’t a traditional Chinese medicine practitioner, his massage technique is very effective.

"Every day feels like there’s endless work to do," Liu Banxia complained after walking out.

"Oh my, Teacher Liu, I am so envious. It’s like you don’t know the hunger of someone who’s starving, such amazing technique," Xu Yino said.

"Then work hard and improve your technique, and while you’re at it, bring me more patients who need surgery," Liu Banxia replied.

"Rest assured, it’s not just me. Now, the entire emergency center’s internal and surgical departments are collaborating to find the first lucky patient for a NOSES surgery," Xu Yino said earnestly.

This amused Liu Banxia, "Coordinate their schedules. If you can arrange it, we can all have fun together. If not, that’s okay, there will be more opportunities in the future." 𝒇𝙧𝙚𝓮𝔀𝓮𝒃𝙣𝓸𝒗𝒆𝒍.𝙘𝒐𝒎

"Once everything’s arranged, let me know, and I’ll let President Qi know. It’s an emergency, so he will understand. Besides, your usual workload is already enough, and now we have so many resident doctors and interns helping out."

Xu Yino nodded happily, it was okay as long as Liu Banxia had said this.

Even though it would be reasonable to take a break, it’s not easy to explain when so many people are involved. With Liu Banxia speaking up, there was no problem. She was just worrying about this.

Back in the office, Liu Banxia pondered slightly over the completion of this task.

It might be because this was an on-site emergency surgery, which is tougher than usual operating table procedures. Moreover, the transition task’s starting task was of level three, which is quite sufficient.

As for the system, there are no other changes now. Possibly because my level hasn’t reached sixty yet. Otherwise, based on the system’s usual behavior, there would surely be a change.

Let’s keep looking forward to it, the more you look forward each day, the more colorful life will be.

"All done?" While Liu Banxia was enjoying the thought, Shi Lei walked in.

"All done, what’s up?" Liu Banxia asked with a grin.

Shi Lei looked at him helplessly, "Didn’t the director talk to you?"

Liu Banxia nodded, "He did, but don’t take it to heart. This kind of distribution is normal. You’re feeling a bit guilty, aren’t you?"

Shi Lei was even more helpless, thinking, you know it and yet you still ask?

"Haha, you guys will need to bear it a bit tonight, I need to borrow the six little ones." Liu Banxia said.

"What’s it for?" Shi Lei was curious and naturally knew there must be something going on.

Though the six little ones can’t undertake major surgery responsibilities yet, with them around, the emergency center’s admissions are flawlessly managed.

"Qing Kewa sneaked back, and Qiaoqiao is hoping for some fun. Just the right chance to take them all out for some fun after work," Liu Banxia said.

"No longer than four hours, then we can return some of them. I bet Xu Yino and Liu Yiqing will likely be left behind by Qiaoqiao."

Shi Lei nodded, "No problem, I’m on duty tonight anyway. With the three of us and so many resident doctors, we’ll be able to manage."

"Besides, even if things get hectic occasionally, we can always borrow someone from cardiothoracic. It’s not like all emergency patients are general surgery cases."

"Got a question for you: what thoughts do you have on that massive tumor patient? I’ve been racking my brain and still can’t come up with a better plan."

"Boss, let me put it this way. When that patient came, I discussed it with the director. It wasn’t as severe back then. The safest option is an autologous liver transplant to take out the tumor."

"Now, his condition has worsened a bit, and the tumor has grown in size. But from the current perspective, surgical indications are present, and the opportunity is promising."

"If we delay another month or so, I think it will be very dangerous. Right now, it’s just because the tumor is large, making the surgery painstaking."

"Sigh... The director asked me to think about whether there’s a better plan. It’s not easy to think of one, the main issue is the financial situation of the family," Shi Lei sighed.

"The decision hasn’t been made yet because they don’t have enough money. They’ve raised some money now, so the surgery can be completed. But there are also considerable postoperative costs, which are hard to support."

"No way around it, you’re an experienced doctor, this kind of situation isn’t rare, is it?" Liu Banxia said.

"The other day, I glanced over, and the expenses at our emergency center have increased quite a bit. The key issue is that some money hasn’t been collected yet, which is quite worrisome."

"I reckon, in a few more days, we’ll also have to rein ourselves in a bit. Especially when rescuing some emergency patients, we have to gauge properly and make effective assessments."

"Sigh... it’s really distressing," Shi Lei also sighed.

Of course, everyone knows how to make these ’effective assessments,’ but for every doctor, they all want to save the patient.

If the patient’s family is present, it’s easier to handle; you can explain things to them, including the chances of successfully rescuing the patient and the estimated costs.

But some emergency patients are brought straight from the accident scenes, and it’s impossible to contact their families, which becomes a real test for the doctors.

How should we handle patients whose chances of success in rescue are very low?

Because miracles can still happen in this world, as long as there are signs of life, there’s hope. Having hope doesn’t mean success is guaranteed, and if we fail, things get complicated.

"What do you think? Will the director come to discuss with you two?" Shi Lei asked.

"We’ll wait for the director to make a decision, but this matter really has to be judged on-site," Liu Banxia said.

"We’ve all experienced patients like this; we just hope to contact their family soon. If we really can’t, we’ll have to handle it as it comes."

"It’s not just us; actually, every hospital with an emergency department faces this issue. Blindly saving patients isn’t feasible because you never know what kind of family you’ll encounter."

"Additionally, once the rescue starts, many times new equipment is used, and the cost of medication and devices used is high. Sometimes the family wishes to bear the cost but cannot afford it."

"I think it’s hard to define this legally. How do you define it? It can only be based on the feeling on the scene. If there’s a feeling there’s a chance for rescue, you should give it a shot. If even you think there’s no chance, don’t force it."

"At least we’re still doing individual accounting, so we’re less constrained. As the number of patients increases, we do have some supplementary funds, but all expenses have also grown a lot."

"Now our emergency center has become the first choice within a certain range for emergencies, and there are more patients brought in by ambulance. Anyway, it’s going to get tougher in the future; we want to save lives and also protect ourselves."

"Today, while we were on standby, we were chatting, and a patient’s family questioned whether there was excessive rescuing or medication at the city hospital."

"Review it bit by bit, analyze one procedure after another, whether that approach is reasonable. When it involves human lives, it’s not something that’s easily quantifiable."

"Luckily, I’m just an ordinary surgeon, so I don’t have to worry too much about this; it’s something for leaders like you to consider," Shi Lei said.

Liu Banxia rolled his eyes, "You should know the director’s personality by now, right? He’ll definitely delegate that authority to the front-line attending doctors. Including some emergency surgeries now, it’s the operation first and approval later."

"Special cases handled specially; how can you review each one individually? That’s why I find it distressing; too much deficit in the future, and the director will be under great pressure."

"But now we are receiving more patients, so at least it’s a strong supplement. Don’t overthink it; just be aware."

"Are you the Second Assist in the surgery the day after tomorrow?" Shi Lei asked.

Liu Banxia grinned, "I’m just observing, just watching the commotion. But I can bring in the Six Little Ones, and we’ll see how the director arranges things."

"Sometimes the director is quite casual when he’s on stage. Anyway, this surgery is mainly for you; you should prepare more."

Shi Lei glared at him, knowing this guy was trying to increase the pressure on him.

"Teacher Liu, oh, Teacher Shi is here too. I’ve notified all of them, and Doctor Liang is available," Xu Yino ran in at this moment.

"Alright, I’ve talked to Dr. Shi; I’ll just mention it to President Qi, and it should be fine." Liu Banxia nodded.

Xu Yino ran out again, quite excited for the little gathering tonight.

"Alright, stop overthinking it. It’s not your first time on stage. You’ve got so much experience; what’s there to panic about?" Liu Banxia said earnestly.

"Later on, we’ll have to meet with everyone to discuss the rescue of patients. I don’t think we should wait until the director is overwhelmed and comes to us. Let’s come up with a decent plan ourselves first."

Shi Lei nodded, "Probably as you said, making effective judgments based on what’s happening on-site. The key is to contact the family, making sure they face less regret."

"That’s more like it. You go ahead and keep busy. I’ll go find President Qi and talk," Liu Banxia said with a smile.

This was also his thought, the principle of the hospital is to respect the decisions of the patients and their families. Often, doctors don’t have the authority to act on behalf of patients and their families.