The Enhanced Doctor-Chapter 425 Troublesome Patient’s Relative
(Thanks to my friend "Shui Bu Xing" for the gifts and votes of encouragement, and to "Xiang Cun Wei Shi" and "chunyi" for the votes of encouragement.)
As it turned out, the driver from the car accident earlier was not so lucky. The MRI results showed a tumor inside his brain, which was the culprit behind his sudden convulsions.
"Call Dr. Zhang. Let him handle this patient directly," Liu Banxia said.
"Teacher Liu, this tumor is quite large. Is surgery still possible?" Xu Yino asked curiously.
"That’s hard to say. The difficulty level is high. I guess even Dr. Zhang wouldn’t dare to do it; we’ll need to find Director Xiao," Liu Banxia said. "I’ve read some books about neurosurgery recently. I didn’t realize how complex it was before; it’s more than just removing a tumor. The risk involved in these procedures is significantly higher than in general surgery, and I wouldn’t dare to take one on without comprehensive, long-term training."
"Teacher Liu, even you don’t have confidence?" Xu Yino asked, becoming even more curious.
Liu Banxia nodded seriously. "The required concentration and stability are agonizing. In general surgery, while some blood vessels might be difficult to dissect, even if bleeding occurs, we can usually stop it promptly. But what about brain surgery? The slightest mistake can cause irreversible damage to the patient. No matter how advanced medical technology becomes, you can’t guarantee a brain surgery will be free of sequelae. Otherwise, why do all patients undergo checks after they wake from brain surgery? It’s precisely to monitor for such issues. The brain is too mysterious and too dangerous."
Xu Yino nodded and left to find Zhang Xiao.
Liu Banxia rubbed his face. The first emergency patient of the day doesn’t have a promising prognosis.
After a while, the elderly woman with thyroid nodules also completed her CT scan.
"It’s about what I expected; there are cysts on both sides. My personal opinion is to remove all these cysts. Since she’s going through it once, we might as well get it done thoroughly," Liu Banxia said.
DING! Consultation completed.
You’ve gained 50 experience points, and your Diagnostic Skills proficiency has increased by 50 points.
"Doctor, if surgery is needed, can it be done today?" the patient’s son asked.
"It should be possible, but definitely not this morning. This surgery requires general anesthesia, and the patient needs to fast from food and water for six hours. That also gives us time to book an operating room," Liu Banxia said. "Doing it tomorrow would be more prudent. It’s up to you to consider. However, you need to decide quickly. The inpatient department sometimes books our emergency operating rooms too."
"Let’s do it today then. We’ve all been quite busy recently, and I’m afraid we won’t have much time to care for her," the patient’s son said.
"Alright, I’ll arrange a ward for her then," Liu Banxia replied, nodding.
Currently, most surgeries are performed in the inpatient department. He had accumulated some cases previously, but those were patients who came specifically for him after seeing him on TV. These past few days had cleared out most of them. Although the Emergency Center’s reputation was building quickly, it was still relative.
"President Liu, Dr. Chen from Pediatrics is requesting a consultation," a nurse hurried over and said.
Liu Banxia was taken aback. He hadn’t expected Chen Hongyang to become so proactive. However, he also knew that any case Chen Hongyang invited him to consult on was not to be taken lightly.
"Take a look. This is the angiogram. It’s very difficult to handle," Chen Hongyang said.
Liu Banxia nodded and then observed it carefully. After seeing it clearly, he couldn’t help but suck in a cold breath.
"How old is the child?" Liu Banxia asked.
"Eight and a half. Well? Can it be done?" Chen Hongyang said.
"Let me take another look," Liu Banxia said with a wry smile. "This location is too difficult. The tumor envelops five major abdominal arteries. The slightest mishandling, and the patient might not make it off the operating table. Moreover, even dissecting it would be incredibly challenging. I don’t dare to take this case right now. I need to wait until the Director is out of surgery to discuss it with him. Even if we decide to do it, it requires careful consideration. It would have been better if the child were a bit older. If he could have communicated any discomfort to his parents earlier, the tumor wouldn’t have grown this large."
"Can we still think of some solutions?" Chen Hongyang asked.
"For now, I haven’t thought of anything. You should first explain the condition to the child’s parents. I’ll check on the Director’s surgery and consult with him after he’s done," Liu Banxia said.
That was all he could say. Looking at these test results, even with the System, he was currently at a loss. Too many arteries were enveloped by the tumor. If it were only two, he might have had the confidence to try and figure something out. But now it was five major arteries; how could it be so easy to handle?
When he came outside, his brows were knitted into a tight frown.
I’ve formulated a few plans in my mind, but with every single one, the child wouldn’t make it off the operating table. And this is a child; that factor weighs heavily in the considerations.
"What’s wrong?" Shi Lei asked, seeing his worried expression.
"I’ve encountered a tricky case. Hold on, let me pull up the child’s test results," Liu Banxia said.
When Shi Lei saw the images displayed on the screen, he also felt a headache coming on. A tumor this large, enveloping so many major arteries, was truly rare. Just as Liu Banxia had considered, if the child had been a bit older, or if the parents had been more attentive, this tumor wouldn’t have progressed to its current state.
"Around what time will the Director be out of surgery?" Liu Banxia asked.
"It’ll be noon, at least," Shi Lei replied.
"Sigh... It’s quite heart-wrenching. I didn’t even dare to go see this little patient," Liu Banxia sighed. "Let’s wait for the Director to come down and make a decision. I’m completely out of ideas. Sister Li, what’s wrong? Is a patient getting emotional?"
"It’s that patient you just admitted. Those three daughters and one son are all so difficult," Zhou Li complained. "Where are there so many empty beds to choose from in the wards now? They’re not satisfied with this ward, and that bed doesn’t look good to them. Do they think they’ve come to stay in a hotel?"
"My goodness, look how angry Sister Li is. Calm down, calm down," Liu Banxia quickly said.
"Sigh... Actually, it’s not a big deal for us nurses to be troubled. But you know, the day before yesterday, there was a young girl who’d had an appendectomy, and she was in the bed by the window. One of that old lady’s daughters just kept pestering the girl to switch beds," Zhou Li said. "She kept saying things like, ’This is to take care of the elderly. Older people need more sunlight to recover faster.’ It made the young girl so annoyed, even the nurses couldn’t stand watching it."
"Calm down. No other conflicts arose, right?" Liu Banxia asked. 𝘧𝑟𝑒𝑒𝘸𝘦𝘣𝑛𝑜𝘷𝑒𝓁.𝘤𝘰𝓂
"No. They were all smiles after the bed was switched. They didn’t even say thank you to the young girl. Now the whole family is discussing what kind of soup to stew for the old lady to help her recuperate, and also figuring out how to manage the overnight stays," Zhou Li said.
"Perhaps they’re just overly concerned about their mother. Thank you for your hard work, Sister Li. Have a good talk with the patient who switched beds—the young girl. She’s about to be discharged, and we don’t want her getting upset over this and affecting her discharge," Liu Banxia said.
"I’ve already spoken with her. But that family... they’re really something else," Zhou Li said.
Liu Banxia felt somewhat relieved. Otherwise, if conflicts arose between patients, it would be troublesome to handle and would consume even more of the nurses’ energy.
This is the hardship of nursing. You never know what kind of patients or patients’ families you’ll encounter. It’s filial piety for children to care for their mother. But you can’t disrespect others just because you’re being filial, can you? Just as Sister Li said, this is a hospital, not a hotel. If patients were allowed to pick beds as they pleased, the hospital would descend into chaos. There’s only one window bed in each ward, and getting it is really up to luck. Perhaps none are available when you’re admitted in the morning, but a patient might be discharged in the afternoon, freeing one up. If one person picks a bed so arbitrarily, it might encourage more patients to demand switches. The nurses really wouldn’t have time for anything else; they might as well just be attendants.
"It seems I’ll have to be even more meticulous with this afternoon’s surgery. But first, I need to discuss this child’s situation with the Director," Liu Banxia said.
"It’s difficult. I was also just mulling it over, but I couldn’t devise an appropriate plan," Shi Lei said. "The surgery will undoubtedly take a long time, and with so many arteries involved, it’s extremely difficult. We can only see if the Director has any other methods. This case is too challenging."
Liu Banxia nodded. Neither he nor Shi Lei could think of a solution. Now, their only hope rested on Zhou Shuwen.
"By the way, how’s that car accident patient with the brain tumor doing?" Liu Banxia then asked.
"He had another seizure after coming back and was then wheeled into the operating room," Shi Lei replied. "It made Zhang Xiao extremely nervous too. Director Xiao from the inpatient department and the two deputy directors all had surgeries, so he had no choice but to bite the bullet and go for it. Otherwise, if the patient had a few more seizures, it could cause brain damage."
Liu Banxia nodded. This was a case of being forced into it; he had to do it whether he was ready or not. It’s indeed a challenge for Zhang Xiao, but he has the foundation. He just hasn’t tackled something of this difficulty before. Again, doctors aren’t gods; they can’t cure every illness. If one gets sick, seeking medical attention early will definitely benefit the patient’s prognosis. For the young patient with abdominal leiomyosarcoma, the surgical difficulty isn’t just a matter of being high; there might not even be an executable surgical plan. As for the driver with the brain tumor, because the tumor is large, handling it is also quite troublesome. However, with Zhang Xiao stepping up, there’s still significant hope. It wasn’t even noon yet, and he had already encountered two such highly difficult cases. The old lady’s thyroid cysts weren’t troublesome; it was a very simple, routine surgery. But her children were somewhat troublesome. He was confident he could perform the surgery cleanly and efficiently, but the patient was, after all, elderly. If any issues arose post-operatively, her children might very well erupt. This wasn’t an impossibility. Sometimes, many doctor-patient conflicts arise between medical staff and patients’ families. Now, the nurses already had a poor impression of this family. He just hoped the old lady could have a peaceful few days in the hospital and then be discharged smoothly.
