The Enhanced Doctor-Chapter 530 is the best and most suitable
"Alright, kids, we have to hurry. Otherwise, you won’t be able to watch Wang Chao’s cyst decompression surgery," Liu Banxia said while scrubbing in the next morning.
"That surgery is more traditional than ours. The reason I was chosen to do this one is to let you watch something interesting and gain some experience."
"This kind of surgery is less common in our emergency center. The catheterization rooms are mostly used by cardiology, cardiothoracic surgery, neurology, and neurosurgery."
"Teacher Liu, will the emergency center have specific rules in the future, requiring non-emergency surgeries to be performed only by specialists from the corresponding departments?" Xu Yino asked.
"That will depend on how things are divided; it can’t be generalized," Liu Banxia said after a moment of thought.
"Take our percutaneous transluminal angioplasty, for example. There isn’t a clear classification for it. Cardiologists or neurologists can perform it easily."
"But our surgeons are quite skilled too; they’ve all gained experience from treating myocardial and cerebral infarction patients or performing arterial and venous thrombectomies."
"It will depend on the patient’s personal preference. If the patient trusts their attending physician and the physician is competent, then let the attending physician do it. Don’t treat a patient’s life and safety as a means to gain personal honor. That’s the bottom line."
The interns nodded in unison. In this regard, both Liu Banxia and the entire emergency center were quite flexible. If a patient required emergency treatment and a doctor from the corresponding department wasn’t available, whoever was capable would step up—saving a life was paramount.
"Liu Yiqing, you assisted Liang Xiaolin with a cardiac stent procedure once, right?" Liu Banxia asked.
"Yes, but that was the only time," Liu Yiqing replied.
"Then tell us the pros and cons of this surgery we’re doing," Liu Banxia said.
Liu Yiqing paused for a moment. "This surgery is less invasive for the patient and promotes recovery. As for the cons... is there a possibility the stent could dislodge in the future?"
"Then why didn’t we opt for laparoscopic vascular reconstruction?" Liu Banxia asked next.
"Is it for the sake of the child’s studies?" Liu Yiqing asked hesitantly.
"That’s part of it, but the recommendation is primarily based on his condition itself," Liu Banxia said.
"The child only has a slight vascular malformation. We just need to apply a little pressure to correct the malformation. From the current perspective, this is the most appropriate treatment method for the child."
"Laparoscopic vascular reconstruction is also an option and could achieve a radical cure. However, the child still has to grow, and an artificial blood vessel, after all, is artificial; it can’t compare to an original vessel."
"Then there’s the consideration for his studies. Even a laparoscopic surgery is somewhat invasive for the patient. For the next two to three months, the child’s body will be in a recovery period."
"Remember this saying; the director told it to me: There is no best surgery, only the most appropriate one. The most appropriate one is the best for the patient. Alright, let’s get started."
The interns all nodded. Liu Banxia had mentioned this more than once. However, it was often "forgotten" and not truly taken to heart.
"Dr. Liu, I’m placing myself in your hands," the patient greeted warmly as he walked into the operating room.
"Are you scared?" Liu Banxia asked while putting on his gloves.
"Yes, I’ve never had surgery before," the patient said.
"It’s right to be scared. After all, in a little while, you won’t know anything, and we’ll be doing whatever we want to you," Liu Banxia said with a straight face.
"But after this bit of fear, you’ll be able to relax. You can eat whatever you want. You’ll also be able to attend your tutoring classes without worry, and your mom won’t have to fret about your homework anymore."
"Dr. Liu, why... why are you like this?" the patient said, unsure whether to laugh or cry.
"Just say I’m not serious, that’s all. I’m just trying to cheer you up. A good mood is very beneficial for recovery. Alright, Huang Bo, let’s do the checks."
Even though Liu Banxia had been joking with the patient, the necessary checks still had to be performed. They had to verify not only the patient’s name but also the surgical information.
"Li Hao, tell us the precautions for this surgery," Liu Banxia said after the child was successfully anesthetized.
"Carefully inspect the catheter quality and determine the balloon size based on the examination results. We also need to control the balloon inflation pressure well and be careful during guidewire insertion," Li Hao quickly replied.
"Very good. Actually, in this type of surgery, the most important thing to watch out for is passing through the stenotic segment," Liu Banxia said.
"Our patient has some vascular malformation. For other patients, they might have embolic or atherosclerotic stenosis, and the remaining space could be very small."
"So, during the procedure, we must be patient. Even when it’s an emergency surgery and we’re racing against time, we still need to maintain sufficient patience."
"Not only must your hands be steady, but your mind must also be calm. If you panic, you might not be able to secure more opportunities for the patient or extend their life. Alright, inject the contrast agent."
Hearing his words, Su Wenhao quickly began the procedure.
"Good, it’s consistent with our previous examination. Inject heparin, send in the balloon," Liu Banxia said after assessing the situation.
The interns all stared intently at the screen. The next step was crucial. Once the balloon was delivered to the site and appropriate pressure was applied, this slight malformation could be corrected.
"Before we apply pressure, Xu Yino, tell us about the risks," Liu Banxia said after positioning the balloon.
"We need to be prepared for an emergency if the blood vessel ruptures. The blood vessels at the malformed site might be very fragile," Xu Yino said.
"Yo, Little Xu, you’re quick on the uptake today. You’ve grown, truly grown," Liu Banxia said.
"Teacher Liu, I don’t want a reward even if you praise me. The reward will definitely be making me buy chicken drumsticks and pig trotters," Xu Yino said.
She was determined not to fall for it. Teacher Liu was being very devilish right now.
"Tsk tsk, you’ve saved me money then. I was originally planning to add a pig trotter to your reward to supplement your collagen. Slowly apply pressure," Liu Banxia said.
"I don’t believe you! If I hadn’t said anything, you would definitely have made me buy them. I’ll go complain to Teacher Liu’s wife later! You’re too much of a bully!" Xu Yino said.
The other interns all nodded in agreement; it was indeed true.
Even Li Liwei was amused. "President Liu, just say it, how badly do you usually torment them?"
"Sigh... it’s not easy leading this bunch of little ones. Alright, the stent is deployed. Inject papaverine to prevent vasospasm," Liu Banxia said with a feigned sigh.
The interns didn’t take his words to heart. Teacher Liu was too mischievous these days. They could only endure it silently, unable to resist, because he really would make things difficult for them.
Chicken drumsticks and pig trotters were minor issues; saving face was a big deal. It looked like they would have to spend their future in a long-running battle of wits with Teacher Liu.
DING! Surgery complete.
Gained 200 Experience Points, 50 Diagnostics Skill Proficiency, 100 Dressing Change Skill Proficiency, 500 Catheter Surgery Skill Proficiency, 3 Glory Points.
This surgery was rated: Perfect. Gained an additional 500 Experience Points, 100 Diagnostics Skill Proficiency, 200 Dressing Change Skill Proficiency, 1,000 Catheter Surgery Skill Proficiency, 10 Glory Points.
Liu Banxia sighed internally. The experience points and Diagnostics Skill proficiency awarded were still very low.
If this were in the past, these values would have been one or two thousand, but now it was just this little.
Moreover, he was currently looking forward to one thing: his Diagnostics Skill proficiency was already close to level five, and he had no idea what kind of effects that would bring.
"This procedure looks very simple and doesn’t take long, but the entire operation tests patience and skill, which is why I didn’t dare let you try it today," Liu Banxia said as the child was waking up.
"But don’t be discouraged. If you really want to perform this type of surgery in the future, you can practice more. When you feel you’re ready, I’ll assess you, and I can even help you get a case."
"However, you must be cautious. There’s a saying, ’one can’t have too many skills,’ but there’s also another saying, ’don’t bite off more than you can chew.’ You need to carefully consider which direction you want to take in the future."
"Our general surgery department is large. Although we’re currently in the emergency center, you can also decide on areas to focus your studies on for the future. Gastroenterology, nephrology, splenic surgery, hepatology—all can be learning points for you to conquer."
"Take it one step at a time; that’s how you’ll get a chance to achieve comprehensive mastery. A more elegant way to put it is ’let one point lead to comprehensive understanding’? A more practical way is that you can have a specific focus when you’re assisting in surgeries in the future."
The interns nodded, knowing this was a convenient opportunity Liu Banxia was creating for them. Otherwise, how could they possibly have such a choice of focus during their internship?
"Awake now? Don’t rush to speak; you’ve just recovered from general anesthesia. The surgery was very successful. We’ll send you to the ward in a moment," Liu Banxia said when he saw the child waking up.
The child tried hard to manage a smile, but the anesthetic hadn’t completely worn off yet.
"Alright, send him back to the ward. The rest of you, go and see how Wang Chao is doing; his surgery should be starting soon," Liu Banxia waved his hand.
"You’re really good to them," Li Liwei said.
"What else can I do? I truly hope they can all stay. Otherwise, our emergency center’s strong general surgery department will have to keep training new people," Liu Banxia said with a wry smile.
"With this group here, they can at least support us for two or three years, maybe even three or four, right? If they do well and don’t job-hop or go for further studies, they can support us for even more years. How many doctors from our hospital left for doctoral programs last year?"
"I think it was six. I didn’t inquire in detail," Li Liwei said.
"So I have to coax them into staying. Once they’re all settled, I’ll get my revenge," Liu Banxia waved his arm, revealing a mouthful of white teeth.
The nurses in the operating room all chuckled. It seemed President Liu and his interns were always quite cheerful together.







