The Enhanced Doctor-Chapter 623: Scared Afterwards
"Teacher Liu, we've confirmed the diagnosis; it's echinococcosis. We've arranged for the patient to have a liver ultrasound to see if there are parasites in the liver," Miao Rui rushed over.
DING! Rapid weight loss patient task complete.
You have received 50 experience points.
Liu Banxia felt quite upset, feeling like the system had gotten the better of him.
Ever since his diagnostic skills climbed to level 5, he thought he had finally turned the corner, with his proficiency in diagnostic skills being converted into Glory Points rewards.
But what was the reality? The system "overlooked" tens of points like these in diagnostic skill proficiency, which might be some unique kind of rounding.
He was somewhat prepared for the lesser reward this time. After all, Wang Huan had confirmed this case, so his reward for tagging along wouldn't be much.
The rewards for these two tasks hadn't included Glory Points. It could only mean that his understanding of the system wasn't deep enough.
Because this probably still fell within the basic range, it wouldn't give him any extra benefits.
"Teacher Liu, shall we give Metronidazole?" Seeing Liu Banxia didn't respond, Miao Rui probed.
Liu Banxia nodded, "Yes, let's try one course of treatment first. If the patient reacts severely, we will need to proceed with surgery in advance."
"By the way, also inform Dr. Chen. It's his job to handle this, and he needs to schedule the surgery well. Even if there are no liver hydatids, dealing with just the ones in the lungs will keep him busy."
Miao Rui nodded, "By the way, the patient's father has already arrived at the hospital. Would you see him?"
"Let's see him. We also need to run a checkup on him," Liu Banxia said.
Following Miao Rui to the ultrasound room, the patient was still waiting in line here.
"Now it's confirmed. The reason it wasn't diagnosed earlier was because the larvae were in the early stages of development," Liu Banxia said, looking at the patient.
"Dr. Liu, thank you. Dr. Miao mentioned that medication alone might not kill all the parasites?" the patient asked.
Liu Banxia nodded, "This is your father, right?"
"Hello," the patient's father quickly greeted.
"You'll also need a check-up later. Since you've lived in herding areas year-round, you must have heard about echinococcosis prevention and control, right?" Liu Banxia continued.
The patient's father nodded, "I just never thought we'd be so unlucky. I've never had any health problems before."
"It's mostly because these parasites can live in the body for a very long time. Many infections occur during infancy, but the disease often doesn't manifest until adolescence or middle age," Liu Banxia explained.
"My personal suggestion is that not only you, but also your family and the cattle and sheep you raise, need to be screened."
"If possible, it would be best to notify your neighbors as well. This parasite has many intermediate hosts. If there's a contaminated water source, the screening range will need to be expanded."
"Don't worry, I'll contact my family. Should I get the check-up now?" the patient's father asked.
"Let's just do a serum test for now; no need for imaging equipment yet," Liu Banxia said.
"Thank you. I've seen people get this disease when I was young," the patient's father said earnestly.
Liu Banxia was right; there was indeed awareness about echinococcosis in the pastoral areas. The father just hadn't expected his son to contract such an uncommon disease.
It was impossible to determine how he got infected, especially after what Dr. Liu had said about the parasite's long incubation period. If it was because of the livestock they raised at home, his whole family might be at risk.
Liu Banxia waved his hand with a smile, "Please, no more thanks. A doctor from another one of our departments made the diagnosis. However, you have to be prepared; your son will probably need surgery."
"Given the complexity of echinococcosis, I recommend Dr. Chen Xuehai from our hospital's Cardiac Surgery Department. He'll also arrange for someone to explain the surgical details to you later. But for now, let's try medication and see if we can expel the parasites with drugs."
The patient's father nodded. His son hadn't gone through this, but he himself had witnessed it before.
Returning to the emergency hall, he reflected that even though the characteristics of echinococcosis were clear, diagnosing it still had its perplexities.
He felt a little scared reflecting on today's events.
If Wang Huan hadn't helped today, and he had to judge the condition himself, he would have performed a direct biopsy.
Then the cyst would have ruptured, and the fluid leakage would have caused the patient to go into anaphylactic shock. It could have happened on the operating table or after returning to the ward.
That would have been followed by resuscitation measures, and only after resuscitation could echinococcosis have been confirmed.
Although Wang Huan was only a small step ahead, for this patient, it was a giant leap.
Medically speaking, even if he had proceeded that way, it wouldn't have violated any regulations. Yet, it would have caused the patient more suffering, cost them more money, and made them endure far more.
It seemed that while his diagnostic skills had reached Level 5, his knowledge of parasitic diseases wasn't particularly extensive. Maybe it was still below a foundational level?
"President Liu, why are you so cruel to me?"
Liu Banxia was still reflecting when Wang Chao, with a face full of resentment, approached.
"What's wrong? Why are you looking so pitiful?" Liu Banxia asked with a laugh.
"I get it now! You guys weren't discussing my patient's case at all; you were having a consultation for your patient! Why did you trick me into buying a meal?" Wang Chao complained, his voice full of resentment.
"Oh well, it's all pretty much the same. Tell me about you and Comrade Ma. I really think you two are a good match; at least you're well-suited in terms of background, right?" Liu Banxia said.
"President Liu, do you really think so?" Wang Chao suddenly became eager.
"Yes. She doesn't have a boyfriend, does she?" Liu Banxia asked back.
"Her? Where is she supposed to find one?" Wang Chao responded disdainfully.
"Isn't that great, then? You two know each other well. If you genuinely have feelings for her, you need to act on them," Liu Banxia said.
"I'm being serious here. Sometimes, if you miss an opportunity, it's gone for a lifetime. Also, another thing: you haven't scheduled any surgeries lately. You need to start lining them up, or the interns might surpass you."
"Don't worry. Today, I'm more focused on the effects of the fecal transplant. We'll see if there's any significant improvement after 48 hours, and then check again at the 72-hour mark," Wang Chao said.
"Otherwise, even if I were performing surgery, I might not be able to keep my mind steady. Can't you see I'm already a bit restless? I'm really hoping he gets better."
Liu Banxia nodded, "We all feel the same way. After all, so much hard work has been poured into this patient. Even the director would understand."
"Make sure to record all related data thoroughly. It's not just for your records; the hospital needs it too. In the future, someone might inherit your work and take over this area."
"For now, you're the one who has to manage it. In other hospitals, internal medicine doctors handle this part-time, but here we've assigned it to surgery. It's not a bad arrangement, actually. Keep it up."
Wang Chao nodded, "The data is fine. I'll go upstairs and check on him again." 𝒇𝙧𝙚𝓮𝙬𝙚𝓫𝒏𝓸𝓿𝓮𝒍.𝓬𝙤𝓶
After saying that, Wang Chao immediately headed for the second floor.
Liu Banxia chuckled. Wang Chao was so easy to distract when he was worried about his patient.
Just as he was about to deal with his own tasks, his phone rang.
He glanced at the screen and quickly answered, "Hello, Director Xia, this is Liu Banxia."
"Dr. Liu, will you be free at seven o'clock the day after tomorrow evening?" Director Xia asked.
"No problem. I can clear my schedule for seven o'clock the day after tomorrow evening," Liu Banxia said.
"That's good. Then we'll set it for seven o'clock the day after tomorrow evening. I'll also send an official letter to your Emergency Center, so you won't have trouble getting the time off," Director Xia said.
"Thank you so much. I'll get there a bit early and prepare thoroughly. Director Xia, thank you again," Liu Banxia said.
"Keep up the good work. We hope that you can cultivate more outstanding doctors and contribute to our entire healthcare system. We'll leave it at that for now. If there are any changes, let me know in advance and we'll adjust the timing."
With that, Director Xia hung up.
Holding the phone, Liu Banxia felt a bit troubled again. He really hadn't thought about what exactly he should talk about. He figured introducing some of the Emergency Center's achievements would be enough, but that seemed too superficial.
This was a real headache. It was tied to his "achievements." If he couldn't handle this teaching and recruitment event well, he felt he wouldn't have many other outstanding accomplishments to show for himself.
As for the interview, he wasn't too worried anymore. After all, just being on the show counted as an achievement. This was an "achievement" the Chief Director had practically forced on him; it didn't have much to do with his own efforts.
Oh well, he'd just play it by ear when the time came. He'd say whatever came to mind. As long as he didn't make any wild promises to the students, it should be fine.
He found the prospect overwhelming and decided to stop thinking about it. He really wasn't good at this sort of thing. He'd gladly trade it for three liver surgeries with severe adhesions; he'd rather be exhausted from those.
"Dr. Liu, Dr. Liu, there's an appendicitis patient! Can I do the surgery tomorrow?" Qing Kewa rushed over excitedly.
"No problem. Go book an operating room yourself," Liu Banxia nodded.
"OK."
Qing Kewa dashed off happily.
Truth be told, for the current Emergency Center, an appendectomy was a really straightforward operation.
It wasn't like the old Emergency Department, where even if they had patients with acute abdominal pain, unless they were practically rolling on the floor in agony, they'd almost always be sent to other hospitals or the inpatient department.
Now, they had built up a decent reputation. Quite a few patients even came from other districts. Otherwise, he wouldn't have so many opportunities to let the interns perform surgeries; he might not even have enough cases for himself.
