Chapter 962: Chapter 962: Liu Banxia’s Little Classroom

(Thanks to 1278, Rural Guardian, Book Friend 110813135333134, Xu Hyperion, Lang Ru Tie 83, Zhiyi for the encouragement in the form of monthly tickets)

"Teacher Liu, it’s confirmed, the MRI shows it’s a brain tumor, pressing on the pituitary gland, causing endocrine disorder."

In the afternoon, Liu Banxia was flipping through medical records when Liu Yiqing walked in.

"Good, it’s confirmed. How did you suggest doing the MRI?" Liu Banxia asked.

I did another physical examination and found a slight bruise on the patient’s calf," Liu Yiqing said, frustrated.

"The tumor not only affects the endocrine system but also impacts her motor balance, albeit very slightly that she didn’t notice."

"If I had done the examination earlier, could we have confirmed it earlier? Then we wouldn’t have been so troubled, and they wouldn’t have been so worried?"

Facing Liu Yiqing’s barrage of questions, Liu Banxia set aside the medical records, "If I call you silly, you really are silly."

"Teacher Liu, I’m not silly." Liu Yiqing felt even more frustrated.

"Which patient needs a full examination as soon as they come in for consultation? You can’t just order an MRI for dizziness and nausea; that’s overdiagnosis." Liu Banxia said with a laugh.

"We’re doctors, not gods. One glance to decide life and death? That’s stuff from movies; it doesn’t work in the real world. So when I say you’re silly, you stubbornly refuse to believe me."

"Teacher Liu, didn’t Wang Mingxing twist his ankle back then, and you discovered the problem, diagnosing pancreatic head cancer?" Liu Yiqing retorted defiantly.

"Oh, not bad, you actually used my case to argue back." Liu Banxia gave a thumbs up.

"Oh come on, Teacher Liu, be serious." Liu Yiqing was getting anxious.

"Go outside and see if anyone else is free. Call them in, so I can give you all a good lesson." Liu Banxia said.

Liu Yiqing glanced at him, uncertain about his intentions, but followed his instructions and called the others in from outside.

The previously empty office suddenly filled up.

"The topic we’ll discuss next is very important, whether Liu Yiqing is actually silly." Liu Banxia said earnestly.

As the subject, Liu Yiqing could only look at him resentfully, without having any recourse.

"The cause of the incident is the consultation we had over lunch. We just finished the cranial MRI, and there’s a tumor pressing on the pituitary gland." Liu Banxia continued.

"According to Liu Yiqing’s judgment, she is to blame because she wasn’t thorough enough when receiving the patient, didn’t do a full examination, which delayed it till the afternoon, thus wasting much effort to finally confirm the diagnosis."

"Her reasoning is based on a case I previously diagnosed. She knows about it, and we even ate together; it’s Wang Mingxing."

"Wang Mingxing came to our hospital due to a twisted ankle, and I magnificently discovered the danger with one glance. That examination revealed pancreatic head cancer."

"It was precisely because of this case that I made a name for myself in the emergency department. During the subsequent surgery, I gained the director’s appreciation and, through my thick skin, squeezed into the director’s circle."

"And then..."

"Teacher Liu, can’t we stick to the point?" Xu Yino said helplessly.

The others also nodded along, as if Teacher Liu was straying too far. Following this route, it seemed everyone might end up being silly.

"Business, business is very important too. It’s about what I just said; I say Liu Yiqing is silly, she doesn’t admit it. Now the choice is yours, tell me if she is silly or not." Liu Banxia leaned back in his chair and took a satisfied sip of water.

"Qingqing isn’t silly, though sometimes her reaction is a bit slow, she’s always very meticulous during consultations." Xu Yino spoke first.

Liu Yiqing looked at her helplessly, thinking it might have been better if she had said she was silly.

"Well..., you can’t call it silliness; it’s more about stubbornness in helping patients diagnose their ailments." Huang Bo said cautiously.

"Just like the heat stroke patient I diagnosed today, if I had Teacher Liu’s skills back then, I wouldn’t have panicked, and I could have given a proper treatment earlier."

"Hmm..., I like hearing that. Are there any others? You all have to put in some effort. You need to prove that Liu Yiqing isn’t silly and also praise me a bit." Liu Banxia said, delighted.

"Teacher Liu, I think we should be more meticulous during examinations as well," Cui Jia spoke up.

"And the rest of you? Speak up, say what’s on your mind. Otherwise, just take action. Stand behind Liu Yiqing if you think she’s not foolish. If not, stand by me," Liu Banxia said.

Hearing his words, everyone stood unanimously on Liu Yiqing’s side.

The thought process was simple: the sooner a diagnosis is made for the patient, the better. Even though the director is intimidating, this time they have to stand on the side of justice.

But for some reason, after seeing the smug smile on Liu Banxia’s face, their hearts became a little uneasy.

"You all have been led astray by Director Liu."

At this moment, Wei Yuan’s voice came over.

Everyone turned to look and saw that Wei Yuan had somehow joined them without notice, and they hurriedly greeted him.

"Why are you causing trouble? Haven’t you had enough fun?" Liu Banxia said helplessly.

"I couldn’t bear seeing you torment them," Wei Yuan replied with a smile and then stood beside Liu Banxia.

"I listened to what you said earlier and got a general idea. I feel that you haven’t grasped the essence of the problem. Actually, what you should be discussing is not whether Liu Yiqing is foolish or not; I also believe she’s not foolish. Can a foolish person help a patient?"

"What you need to focus on is why Director Liu brought up such a trivial issue with you. You need to look at the essence through the phenomenon, just like diagnosing a disease."

"The essence of this issue is actually summarized by whether Liu Yiqing needs to perform more thorough examinations on the patient during consultations. Think about it, isn’t it so?"

Liu Banxia gave a thumbs-up. "What Dr. Wei said is exactly what I wanted to convey to everyone. Because Liu Yiqing feels guilty for not conducting a comprehensive examination at the outset, which led to a delayed diagnosis."

"This is also why I said she’s a bit foolish. However, this kind of foolishness is quite good, at least it shows she has a strong sense of responsibility."

"But from this issue, we can reflect on many problems, such as the serious attitude in consultations, over-medicalization, communication with patients, etc., which can all be reflected in this case’s consultation process."

"In the past, we used to conduct a debrief on cases, during which we would discuss some invalid operations found in consultations."

"For this case, the patient came in with dizziness and nausea. After basic inquiry, if it were your consultation, what kind of examination would you conduct? That’s the first question."

"The second question that arises is, the patient is a high school student, so pregnancy becomes a sensitive issue. If the patient was a working woman and the blood test result confirmed pregnancy, would you conduct any follow-up examinations?"

"Then the third question arises: what standard should we use when consulting a patient to determine which instrumental examination to conduct?"

"Every question may lead to countless consequences. For example, the first question: after the patient finishes narrating their symptoms and you do an auscultation, would you insist on conducting a physical examination?"

"I am that patient, feeling irritated. Why should I let you touch me randomly? I would definitely file a complaint. This is harassment, and it applies not only to opposite sexes but also to same genders."

"Liu Yiqing responds to the complaint, saying, ’I feel aggrieved, I’m just worried she might have a serious condition.’ But does that work? No, we have our standard operating procedures for consultations."

"The second question becomes even more interesting. The patient actually always wanted a baby. Upon realizing she’s really pregnant, she leaves happily."

"Two months later, the dizziness and nausea worsen, and it’s discovered to be a brain tumor. The situation suddenly becomes complicated, and she files a complaint against Liu Yiqing. ’Why didn’t you do a thorough examination earlier? If you had discovered it earlier, I could have been treated.’

Hearing Liu Banxia’s words, everyone in the room fell into deep thought. They knew Liu Banxia was presenting these situations with a teasing tone, but they were indeed situations that could realistically occur.

Especially for the male doctors present, they need to be even more mindful when consulting female patients. Earlier, things seemed lighthearted, but now they have to seriously consider these issues.

Because soon, everyone might face such scenarios. It’s not like once the patient comes in, you can immediately diagnose all symptoms. If you don’t have a clear judgment at first, what do you do next?

In the past, it was just observing, watching how others conducted consultations. Now the scenario is transferred to themselves, even if only hypothetical, it’s putting them under great pressure.

No one is thinking about whether Liu Yiqing is foolish anymore. Now they feel a bit foolish themselves. If they encountered the same patient Liu Yiqing did today, they might also be puzzled.

Without a comprehensive examination, it’s impossible to suspect other reasonable conditions. If the patient wasn’t a young student but a woman of childbearing age, they might miss a brain tumor diagnosis.

And their actions could lead to subsequent complaints, complaints that are no joke. On a small scale, they affect future promotions and salary increases; on a larger scale, they concern their entire lives.

Liu Banxia wasn’t in a hurry either; he needed to give them time to think on their own.

Only when they figure things out themselves will they leave a lasting memory. Many things people are told go in one ear and out the other.