The Enhanced Doctor-Chapter 505 A drop of alcohol for the driver, two lines of tears for the loved ones
"Blood pressure 60/90, heart rate 110. Lost consciousness after getting in the ambulance. Blunt trauma to the chest and abdomen, left innominate bone fracture, suspected internal bleeding. Blood and fluid replacement has been administered," the paramedic reported.
"Trauma Room One. Notify the operating room to prepare," Zhou Shuwen said.
As this patient was wheeled away, Liu Banxia’s expression grew serious. He hadn’t expected the patient’s injuries to be so severe. This is a big one for just the twenty-ninth, he thought.
"Male, 37 years old, head laceration, conscious when found, blunt trauma to the abdomen. His current condition has slightly deteriorated, but his vital signs are stable," the paramedic from the second ambulance announced, pushing in another gurney.
"Trauma Room Two. What kind of car accident was this? So severe?" Liu Banxia asked the accompanying traffic police officer.
"The car went under a large truck. They’re lucky to be alive. Probably drunk driving," the traffic officer replied.
Liu Banxia nodded.
It didn’t snow today. Even if they were driving a bit fast, as long as their reactions were quick, the injuries shouldn’t have been this bad, he mused.
"Connect the monitor," Wei Yuan said after the patient was transferred onto the bed. "Dr. Liu, you check the head; I’ll check the chest and abdomen."
Liu Banxia went to the patient’s head, carefully examined the wound, and then began to palpate the skull.
"The right temporal bone seems somewhat fractured; we’ll need to pay attention to that during the CT scan. There’s slight pupillary asymmetry. How’s the abdomen?" Liu Banxia asked.
"The abdomen seems fine for now. Heart and lung sounds are normal, and there are pulses in all four limbs. Let’s draw blood first, then send him to the CT room. The neurosurgeon should be available by the time the scans are ready," Wei Yuan said.
BEEP BEEP BEEP, BEEP BEEP BEEP...
Before they could even wheel the patient out, the monitor started blaring frantically.
"Seizure! Call Neurosurgery, roll him onto his side, secure the airway!" Liu Banxia ordered, helping to turn the patient.
This was standard procedure; there was no other option.
A little later, Wei Yuan, who was helping to support the patient, said, "Looks like there’s some degree of brain injury, hydrocephalus at the very least."
Why is this seizure lasting so long? Liu Banxia thought, wiping froth from the patient’s mouth. "Thankfully, he seems to be recovering now."
He was drenched in sweat; the patient’s seizure had lasted over forty seconds.
"What’s happening?" At that moment, Xiao Jun from Neurosurgery rushed in.
"Fracture in the right temporal bone, slight pupillary asymmetry. He just had a convulsive seizure that lasted for quite a while," Liu Banxia explained.
Xiao Jun glanced at the patient. "He might be in pain. Give him some painkillers first, then take him for a CT scan. When I arrived, the patient in the next room was already being wheeled to the OR."
To encounter something like this during the New Year... Liu Banxia muttered.
He had just finished speaking when he saw the patient’s eyes snap open. Startled, before he could react, the patient’s arm swung at his face.
His reflexes were actually quite fast, but he’d been startled by the patient’s eyes suddenly opening and hadn’t dodged in time.
SMACK! Liu Banxia took the blow squarely.
Everyone in Trauma Room Two was stunned. Looking closer, they saw the patient had struck Liu Banxia’s raised hand.
"Ten milligrams of lorazepam! The patient is likely in a post-traumatic delirium. Help me restrain him!" Liu Banxia shouted, pressing down on the patient’s arms.
But how could the patient, in his current state, allow himself to be controlled? Even with Liu Banxia’s strength, he could barely hold the man’s arms. Wei Yuan and Xiao Jun each had to pin down a leg.
Only after the nurse injected the patient with a sedative did his struggles slowly subside.
"My god, this job is genuinely life-threatening. Let’s hurry and get him to the CT room," Liu Banxia said, exasperated, rubbing his hand.
DING! Consultation complete.
Gained 50 EXP, 30 Diagnosis Skill Proficiency Points, and 50 Orthopedics Skill Proficiency Points.
Liu Banxia watched the patient being wheeled away, clicking his tongue. What a raw deal. I got hit, did all that work, and this is all the reward I get?
"There have been cases of patients exhibiting aggressive behavior after recovering from post-traumatic seizures, but it’s not that common. You might as well go buy a lottery ticket," Xiao Jun joked.
"If that had been one of us, we definitely would’ve caught that slap in the face," Wei Yuan remarked.
"Get me an ice pack, please. I’m practically disabled today," Liu Banxia said with a wry smile, showing everyone his hand.
A clear, swollen handprint showed just how much force had been behind that blow.
Doesn’t this prove that human potential is truly limitless? I feel like if the patient were in his right mind, he definitely wouldn’t have that kind of strength, Liu Banxia mused.
"What’s wrong? I heard President Liu got beaten up by a patient again?" Wang Chao chimed in, leaning over.
"You should have taken this patient earlier and worked with Brother Wei," Liu Banxia grumbled, shooting him a glare. "My hand is all tingly and burning now. I doubt I can use it for the rest of the day."
"You’d better recover quickly, old man. What if a big emergency comes up that needs you? We can’t manage without you!" Wang Chao said hurriedly.
The traffic police officer also came over and asked anxiously, "Dr. Liu, what was the patient’s condition just now? Was it very dangerous?"
Liu Banxia waved his hand dismissively. "It wasn’t that serious, probably a normal stress response. After a car crash like that, he must have been terrified, and then he had that prolonged seizure."
"He was essentially unconscious. When he wakes up, if you ask him about it, he won’t remember a thing. The three of us plus a nurse had to hold him down, and it only worked after we gave him a sedative."
"That’s good. I was worried it was something very dangerous. It would be awful if any of you got hurt during the New Year," the officer said.
"It’s no big deal. Have you eaten? If not, head to the cafeteria for some dumplings. They were all made fresh today. We ate early. You guys must be coming off shift and right on time for a meal, huh?" Liu Banxia asked with a smile.
"How much longer will these two patients need?" the traffic officer asked.
"The first one is hard to say. This one needs a CT scan first. You’ll probably have to deal with the families soon, right? I can have the cafeteria send some food over. Leek and egg, or pork and cabbage dumplings?" Liu Banxia asked, smiling.
"Pork and cabbage, please, with extra vinegar," the traffic officer replied with a chuckle.
Liu Banxia nodded and went to make the arrangements.
Broadly speaking, it’s all about sacrificing personal interests for the common good. Conventionally, it’s about shouldering one’s responsibilities. From a narrower perspective? They were kindred spirits in their suffering. At least doctors mostly work indoors with heating. Aside from being tired when there are many patients, it’s not too bad. Traffic police are different. They have to be out in the elements, and the wind now cuts right through you.
The dumplings had just been delivered when the results of the patient’s head CT came back: a hematoma from the fracture was compressing the brain tissue. Time to send him to the OR. This was Xiao Jun’s job now.
"Tsk, tsk, beaten up again, huh?" Zhou Li remarked, sidling up.
"What can I do? Have you told Old Wang yet?" Liu Banxia asked.
"Not yet. Let’s just get through the New Year peacefully, and then we’ll talk," Zhou Li shook her head. 𝒇𝓻𝓮𝓮𝙬𝙚𝒃𝒏𝓸𝙫𝒆𝙡.𝓬𝓸𝒎
This was a troubling matter, but for Zhou Li right now, there was truly no room for compromise.
They chatted casually for a few more sentences. But when Liu Banxia saw Zhou Shuwen leading a group out of the elevator, his heart lurched.
"The head injury is very severe, and there were too many bleeding points in the abdominal cavity. We performed a craniotomy for decompression and drainage, and packed the abdomen to stop the bleeding before sending him to the ICU," Xu Yino quickly reported to Liu Banxia.
"Well, at least there’s still a chance. You guys should go eat too. Otherwise, you won’t have time once things get busy again," Liu Banxia said.
"What happened to your hand?" Zhou Shuwen asked, frowning as he approached.
"The patient became delirious after the seizure. The CT scan showed a hematoma, so he was sent to the OR for a craniotomy and drainage," Liu Banxia quickly explained.
"Alright. I thought you’d gotten into another fight with a patient. Go rest on the side; we’ve got this," Zhou Shuwen said with a nod.
This amused the interns. It seems only Qiaoqiao and the director can handle the great Demon King Liu; no one else stands a chance. They were also very curious, though, and a bit regretful. If they had been downstairs helping with the intake, they might have witnessed such a legendary scene. As everyone said, the patient was unconscious. You couldn’t really blame him for what happened.
After Zhou Shuwen left, Wang Chao teased, "You know, thinking about it, you seem to get injured the most in our entire emergency department. A real combat doctor, huh?"
"I wouldn’t mind sparring with you. How about it?" Liu Banxia retorted, glaring at him.
Did he have a choice? This time, he was truly innocent. As for the past, he just hadn’t wanted to be a pushover all the time. Doctors have tempers too; they’re not scapegoats or punching bags.
After a while, a group of people rushed in—the families of the two patients. Upon hearing about the patients’ conditions, several of them couldn’t handle it.
And the blood tests from the patient sent to the ICU confirmed he had been driving under the influence.
It’s just as they say: ’One drop of wine for the driver, two streams of tears for the family,’ Liu Banxia muttered to himself.
"Speaking of which, how’s Huang Bo’s patient with auto-brewery syndrome?" Wang Chao asked curiously.
"We’re still adjusting his treatment. Luckily, his drug sensitivity hasn’t changed much. But he is showing symptoms of brain fog. If he can’t control his eating, things will be really uncertain next time," Liu Banxia said.
"I looked it up. Other hospitals have also recorded cases of this condition. Currently, there’s no truly effective therapy. We can only try to adjust the gut flora as much as possible without making drastic changes."
Wang Chao nodded. Isn’t that just like the patient with Clostridium difficile? An imbalance in his gut flora caused the C. diff to flare up. The gut is home to so many types of bacteria. Each one contributes a little bit of power, and together, they become very strong. If you make changes that are too drastic, it will inevitably lead to an imbalance in the flora.
