The Enhanced Doctor-Chapter 421 Doctors will also feel helpless (for the rise and fall of destiny).

Chapter 421: 421 Doctors will also feel helpless (for the rise and fall of destiny).

(Thanks to book friend 20200818151820324 for the ticket encouragement)

"The situation isn’t good. This section of the colon, about thirty centimeters, will have to be removed," Liu Banxia said after reviewing the colonoscopy results.

"The key is what happens next," Wang Chao added.

"Initially, I thought we could just remove this segment of the intestine and, once the gut flora stabilized, it could be restored. But it seems quite difficult now. The patient might have to use an ostomy bag permanently."

"Adjusting the gut flora takes time, and given the patient’s current condition, achieving a full recovery is genuinely challenging. If we’re not careful, this situation could become very dangerous."

Liu Banxia frowned; this was the outcome he least wanted to see, yet it was now the reality.

"Regardless, the intestine is already showing signs of necrosis. The first step is to resect this segment and create an ostomy," Liu Banxia stated after some consideration.

"You performed the patient’s first surgery, so you should handle this one as well. I’ll do some more research and see if there are any other options to salvage the situation."

Wang Chao nodded. "I’ll perform the surgery as soon as the patient is rehydrated and their electrolytes are balanced. Can probiotics help improve the condition?"

"They might offer slight improvement, but the effect won’t be significant," Liu Banxia replied, shaking his head.

"The patient’s Clostridium Difficile infection has reached an explosive level. Let’s first see if medication can bring it under control. I’ve already consulted Director Xiao, and he doesn’t have any other solutions either."

Wang Chao grimaced; this was indeed a difficult situation.

Liu Banxia went to the bathroom and splashed water on his face, trying to clear his head. After returning to his office, he began to consult various research materials.

"Teacher Shi, it’s lunchtime. Should we call Teacher Liu?" Miao Rui asked Shi Lei.

"Let him be. He’s currently wrestling with the Clostridium Difficile case," Shi Lei replied.

"You all go eat first; I’ll keep an eye on things here. When you’re done, bring him some food, and get a portion for me too. Even if we called him now, he probably wouldn’t have the appetite."

"Teacher Shi, what kind of food should we get for Teacher Liu?" Miao Rui asked, looking concerned.

"Him? Just get him anything. I’ve never seen him be a picky eater," Shi Lei said.

Miao Rui chuckled and headed to the cafeteria with the others.

Given the current situation, they really had to make time to eat. With Wang Chao in surgery and Liu Banxia engrossed in research, the atmosphere in the consultation area grew somewhat tense.

When Miao Rui and the others returned, Shi Lei took the food they’d brought and went into Liu Banxia’s office. "Time to clear your head a bit," Shi Lei said. "You can’t keep obsessing over one thing."

"Huh? Is it mealtime already? I completely forgot," Liu Banxia said, looking up. "Boss, any constructive ideas?"

Shi Lei simply shook his head. "Clostridium Difficile is a superbug. If it were that easy to deal with, things would be much simpler. Being able to control it, prevent a hospital outbreak, and stabilize the patient’s condition is already a significant success."

"The man is only in his thirties. If he has to live with an ostomy bag for the rest of his life, it’s going to be tough," Liu Banxia said.

"Actually, while I was gathering information, I came across one method, but it’s rather risky. Since you’re here, shall we discuss it?"

"Don’t discuss it with me; I’m eating. If you want to discuss it, find someone else," Shi Lei glared at him.

Liu Banxia looked slightly embarrassed. He suppressed the urge to continue talking and began to eat in silence.

Shi Lei gave him a helpless look and could only speed up his own eating. He knew Liu Banxia wouldn’t be able to hold it in for long, so it was better to finish eating quickly. Then, it wouldn’t matter when he started talking.

The two of them ate as if they hadn’t had a proper meal in days. Anyone witnessing the scene would have been shocked.

"Alright, you can talk now," Shi Lei said after finishing the soup in his bowl.

"You’re terrible! What kind of boss acts like that?" Liu Banxia muttered.

"I read that in the United States, many use fecal microbiota transplantation to treat patients experiencing a third recurrence of Clostridium Difficile infection. Do you think it might work for our patient?"

"I knew you were going to bring that up," Shi Lei said.

"Actually, many people have considered this method, but the mechanism by which fecal microbiota transplantation works isn’t clearly understood yet. Our current understanding is that beneficial bacteria gain the upper hand, suppressing the proliferation of Clostridium Difficile."

"However, one crucial point cannot be overlooked: this method has both benefits and drawbacks. Stool contains a vast number of bacteria, and we don’t know precisely which ones are responsible for the therapeutic effect."

"One possible result is a massive bacterial bloom, which could prove fatal for the patient. That’s why, in other countries, they only attempt this upon a third recurrence—treating it as a last-ditch effort."

"Another consideration is the difficulty in finding a suitable donor. How can you be certain whose stool is healthy? Everyone’s physical condition is different, and the quantity and proportion of bacteria in their gut vary."

"The success rate for this procedure is only a few percent, so there’s a high probability of failure. In any case, I urge you to be cautious. Beyond success or failure, I don’t see any other outcome."

Liu Banxia nodded. Shi Lei was right; the approach was too risky. It’s not as if every risk taken guarantees success. Even if you disregard the low odds, it still warrants careful consideration.

"You have to consider the relative risks. When it comes to a patient’s life or death, even the slightest danger must be taken into account."

Things can be incredibly frustrating sometimes. Every patient presents a unique situation. As doctors, they all want to cure their patients, but it’s never an easy task.

After eating, Liu Banxia put away the books and materials. This was all he could do; spending more time on it would be futile.

Even with the system’s help, he was just a doctor, not a god. For such diseases, current medicine offered no breakthroughs.

"Don’t look at me like that; I didn’t find any effective solutions. Has Wang Chao finished his surgery yet?" Liu Banxia asked as he stepped out of his office.

"Not yet. Although Teacher Wang is very skilled, you can’t use your own surgical speed as a benchmark," Li Hao replied helplessly.

"Although you’re right, no extra points for that. Alright, my dear children, let’s get to debridement!" Liu Banxia announced with a wave of his hand.

"Teacher Liu, you can’t tease me like this," Li Hao said with mock complaint.

Liu Banxia chuckled. "That’s exactly how it should be."

The other interns smirked at Li Hao, while Xu Yino even raised a small fist playfully.

They knew Liu Banxia was just joking to lighten the mood. Otherwise, the depressing atmosphere stemming from the patient with Clostridium Difficile would affect how they attended to other patients.

"Although they are all quite good, it seems Qing Kewa is currently the most outstanding," Shi Lei commented.

"Their foundations are different. Qing Kewa’s techniques reflect the traditional style from her region—a bit more robust. It seems their teaching methods there follow a similar style," Liu Banxia explained.

"The director warned me last time that I’m assigning these interns too many surgical cases. Although nothing has gone wrong so far, it’s because they are the cream of the crop."

"I must be more careful during their future residency training, or problems will arise. Boss, please keep an eye on me. Sometimes, when I get carried away, I tend to act recklessly."

Shi Lei nodded. "You don’t need to worry too much about it. In fact, your assessment of their skills is quite accurate. Think of it this way: if you had been a bit more serious back in your day, and performed at their current level, would you have ever worried about a lack of surgeries?"

Liu Banxia grimaced. What a terrible boss, always poking at old wounds.

"Go on, there are patients waiting. I’ll take a break," Shi Lei said.

Liu Banxia nodded and cheerfully hurried off to see the patients. He knew this was Shi Lei’s way of showing concern, hoping that smooth consultations would help Liu Banxia adjust his mood.

"You’re 16, in high school, correct? What seems to be the problem?" Liu Banxia asked as he sat down.

"There’s nothing wrong with her. She’s just being defiant because she doesn’t want to study hard," the patient’s mother replied.

Liu Banxia frowned slightly, then put on a smile. "Well, since you’re here, you might as well tell me about it. We wouldn’t want this trip to be for nothing."

"Headache, dizziness, drowsy," the girl finally said.

"Tell me, are you secretly dating someone? I asked your homeroom teacher, and he said you’ve been distracted lately and often drift off in class," the patient’s mother interjected. "What were you doing on Christmas Eve when you had the day off? Don’t you have any consideration for your mother? We moved near your school just so you’d have more time to study. I even quit my job! How can you treat me like this after all that?"

Liu Banxia felt a headache coming on. This was precisely the kind of patient’s family member he disliked dealing with the most. They not only disrupted the normal consultation but could also provide misleading information.

"Ma’am, why don’t you take a short break over there? Let me finish the diagnosis first, alright?" Liu Banxia suggested.

"Doctor, please, you have to talk some sense into her. I’m not saying she can never date; she can do that in college. But she’s only in junior high now! What will become of her if she doesn’t get into a good university?" the patient’s mother urged.

Liu Banxia nodded quickly. "Rest assured, this is part of my job. Please, go have a sip of water over there for a moment."

Only then did the patient’s mother move aside, though she didn’t go far.

"I have to admire your composure. That was quite a barrage from her. Is it always like this?" Liu Banxia asked the girl with a smile.

The girl nodded. "I’ve just been having some headaches and dizziness recently, and then she accuses me of dating."

"I can understand that. If I had a daughter as lovely as you in the future, I’d worry too," Liu Banxia said.

"What’s that popular saying these days? Something about being afraid another family’s pig will come root up your prize cabbage? Anyway, the sentiment is similar. Parents, you know... even when they’re nagging, they’re genuinely concerned about you."

The girl glanced towards her mother but remained silent.

No wonder his head was aching. He was a general surgeon, yet here he was, having to double as a psychological counselor.