The Enhanced Doctor-Chapter 437 Zhou Li has erupted
Today’s emergency surgery marked the beginning of a busy period. Several car accident patients were soon brought in. Their cases weren’t very serious, so Liu Banxia was put in charge of supervision.
With the increasing number of cars and the ease of obtaining a driver’s license, many people are hitting the roads, regardless of their driving skills. Road conditions are ever-changing, and one misjudgment can lead to an accident.
The pair of patients who had just been brought in had gotten into an argument after a car accident, which escalated into a fight where neither gained an advantage.
"President Liu, a child around ten years old with hypothermia from falling into water is being brought in. There’s also a man, about 50, who is suspected of having a heart attack at the scene," the dispatch nurse called out.
"Okay, Qi Wentai and Wang Chao will take them respectively. Call the cardiology department," Liu Banxia said.
He felt a heaviness in his heart. The child’s chances depended on the severity of the hypothermia; if his body temperature was too low, saving him would be very difficult.
After a short wait, an ambulance brought over the two patients: one young, one older.
"Hypothermia from falling in the water, body temperature 31 degrees Celsius, difficulty breathing. We removed his wet, cold clothing in the ambulance, but his temperature hasn’t come up," said the paramedic pushing the gurney with the child.
"I’ve got him. Resuscitation Room One," Qi Wentai said.
"A 53-year-old male, blood pressure 120/80. He had a suspected heart attack after rescuing the child from the shore. Nitroglycerin and aspirin were administered at the scene," reported a paramedic from the other ambulance.
"Come with me. Let’s get you onto an examination bed. Are you still having any chest pain?" Wang Chao asked the patient.
The patient waved his hand. "I’m fine now. It only hurt for a bit when I was pulling the child out."
"After moving him to the bed, connect the monitor and draw blood to check his cardiac troponin levels," said Xu Guosheng, the cardiologist who had come to consult.
Liu Banxia didn’t need to worry about this patient. Even if he did have a heart condition, he was safe now that he was in the hospital.
He was more concerned about the child with hypothermia. Although the child’s temperature wasn’t excessively low, problems could still easily arise.
When he arrived at the resuscitation room, they had just connected the child to a monitor.
"Li Hao, what stage is this patient’s hypothermia, and what’s the treatment protocol?" Liu Banxia asked suddenly.
"His body temperature is 31 degrees Celsius, which we classify as Stage II. He has aspirated water into his lungs, causing dyspnea. We should consider protecting his airway and use warming blankets on his neck and under his armpits for slow rewarming. Simultaneously, order a chest X-ray to observe the lungs," Li Hao replied promptly.
Liu Banxia nodded and looked at Qi Wentai. "Alright, continue with the treatment. After resuscitation, transfer him directly to Pediatrics."
"Doctor, how’s my son?" the child’s mother asked anxiously as soon as Liu Banxia stepped out.
"His temperature had risen by half a degree when I came out. This will take time. We can only rewarm him slowly; otherwise, it would put too much strain on his body," Liu Banxia said.
"Doctor, will there be any long-term effects?" the child’s mother asked.
"Normally, no. The child was rescued quickly. He only aspirated some water; his brain wasn’t deprived of oxygen. Was it from the artificial lake? That kind of water is often quite dirty, so his lungs might have some inflammation. He’ll likely need to be hospitalized for a few days," Liu Banxia said.
Hearing this, the child’s mother finally relaxed. Pneumonia was treatable. But other after-effects could impact her child’s entire life.
Just as Liu Banxia approached Wang Chao’s area, he heard the patient saying, "When I saw the child fall in, I couldn’t just stand by. I don’t know how to swim, but luckily the water wasn’t deep."
"That’s really something. If it were me, I doubt I could have gone in. You’ve got a cut on your arm here from the ice; it needs stitches," Wang Chao said.
"Have you had any heart problems before? For example, chest pain, or pressure when breathing?" Xu Guosheng asked.
"I haven’t really felt anything like that before. Maybe I was just too anxious today. I felt much better after the paramedics gave me oxygen," the patient said.
"It’s also possible the medication is taking effect. Your ECG shows some ST-segment elevation. Have you contacted your family? We’ll need to perform a coronary angiogram to see if there’s an issue with your coronary arteries," Xu Guosheng said.
"Doctor, is it really that serious? I feel fine now, just a little short of breath," the patient said.
"That’s how heart disease can be; sometimes it strikes very suddenly. And you already had one episode after rescuing the child. A coronary angiogram will give us a complete picture of your heart’s condition and can also help avoid some unnecessary tests," Xu Guosheng said.
"Alright, if you say so, then let’s do it. Saving my life is what’s important," the patient nodded.
With that, this patient’s admission was settled, and Liu Banxia no longer needed to be concerned about him.
Both conditions were actually very serious, but fortunately, neither had progressed too far. Otherwise, one might have ended up in the ICU and the other in the cath lab for PCI.
"Teacher Liu, you should go upstairs quickly! Sister Li is arguing with a patient’s family," an intern nurse exclaimed, running over just as Liu Banxia was about to take a quick break. Startled, Liu Banxia hurriedly followed the nurse upstairs.
Zhou Li’s voice rang out before they even reached the ward: "Go ahead and complain if you want to! Do you think I’m scared of you? As nurses, we earn our pay honestly and have clear consciences."
"Look at her, everyone, just look! Is this how a nurse behaves? What kind of attitude is this?" a sharp female voice retorted.
A headache started to throb in Liu Banxia’s temples. It was, indeed, the old lady’s eldest daughter. Just what I was afraid of, he thought. I was hoping she’d be discharged peacefully yesterday.
"Nurse, what’s going on here? My mom is hospitalized here, and now she has diarrhea! Isn’t it because your care was inadequate?" an unfamiliar male voice demanded.
"You have the nerve to ask me that? Don’t you know what you’ve been giving the old lady to eat and drink?" Zhou Li retorted, not backing down an inch.
"Everyone, please calm down. Tell me what happened," Liu Banxia said, squeezing into the ward.
"What’s the use of telling you? You’re all in cahoots! I’m going to report you to the Health Bureau!" the patient’s eldest daughter railed at Liu Banxia.
"Fine. Is there anything else? Go ahead and complain. We’ll continue with our nursing duties. If the Health Bureau says we’re at fault, we’ll accept the consequences. How about that?" Liu Banxia said, a hint of irritation in his voice.
"Who do you think you’re talking to?" a man nearby rushed forward and grabbed Liu Banxia by the collar.
"If you don’t let go, you’ll bear the consequences," Liu Banxia said coolly, looking at him.
"You..." the man began, but the patient’s eldest daughter interjected, "Xiaohua, let go! This has nothing to do with you."
The man finally released his grip, but not before shooting Liu Banxia a defiant glare.
"If you want to cause a scene, transfer the old lady to a private room. There’s plenty of space there for you to make as much noise as you want. This is a general ward; there are other patients here," Liu Banxia said calmly.
"I’m the attending physician in charge of the Emergency Center. If you wish to complain about a nurse or doctor, you can complain to me or to our hospital’s medical affairs department. If you believe we’ll cover for each other, you can also go to the Health Bureau. Sister Li, what’s the situation?"
"The old lady just had a bout of diarrhea. Then they started making insinuations, saying we were careless in our nursing and let the old lady catch a chill," Zhou Li said.
"Isn’t that exactly it? Otherwise, why would a perfectly fine person suddenly get diarrhea?" the patient’s eldest daughter retorted.
"Are you determined to make a fool of yourself? Have you no idea what you’ve been feeding the old lady?" Zhou Li flared up again.
"What did you say?" The young man who had just sat back down jumped up again, pointing his finger at Zhou Li.
Liu Banxia didn’t indulge him this time. He shot out a hand and grabbed the man’s wrist. He had to intervene; the man’s finger was about to poke Zhou Li in the face.
How strong was Liu Banxia’s grip? The young man looked aggressive, but he was no match for Liu Banxia’s strength. He immediately yelped in pain.
Liu Banxia flicked his wrist, sending the man stumbling to the side.
"It’s that simple. You are the ones managing the old lady’s food and drink. While this ward might not be as warm as spring, it certainly doesn’t get cold at night," Liu Banxia said.
"If you still want to cause trouble, go right ahead. You can complain about us all you want. My name is Liu Banxia, attending physician in charge of the Emergency Center. Her name is Zhou Li, a nurse in the Emergency Center."
"As her children, you should fulfill your duties. Haven’t you seen that while you’re busy making a scene, the old lady is over there wiping her tears? Is this how children are supposed to act? Still want to make trouble?"
Hearing Liu Banxia’s words, the patient’s family members fell silent. Liu Banxia wasn’t coddling them in the slightest; he laid out the facts bluntly.
It was a very simple matter; their intentions were simply malicious. They couldn’t have been unaware of the problem with the food they gave the old lady. But they didn’t want to take responsibility, so they tried to shift the blame to the nurses.
"Stop arguing, all of you! That pork rib soup was spoiled! Are you trying to kill me?" the old lady on the bed cried, wiping away her tears.
"Ma’am, please don’t get upset. It seems this was all a misunderstanding. Everything’s alright now," Liu Banxia said, moving to the old lady’s bedside.
"However, this agitation might mean you’ll have to stay in the hospital a couple more days. The amount of fluid in your drainage tube is a bit high. We’ll keep an eye on it. If necessary, we’ll draw some blood this afternoon to check your levels."
"Doctor, please don’t be angry," the old lady said.
Liu Banxia chuckled. "Why would I be angry? I’m pretty easygoing. Everyone, please disperse. It’s getting too crowded and stuffy in here. Sister Li, you can get back to your work too."
Hearing Liu Banxia, the onlookers from other beds respectfully dispersed. Zhou Li, her anger subsided, smiled and nodded at the old lady before leaving.
"It was just a small misunderstanding. No need to look so glum," Liu Banxia said, looking at the patient’s eldest daughter and the young man.
Their expressions were a bit awkward with embarrassment, but they sat down quietly by the side. Liu Banxia was giving them a way out; if they didn’t take it now, it would be much harder later.







