The Enhanced Doctor-Chapter 664: The reason for painless liver cysts
(Thanks to the readers Parrot Conch, Cloud Rain, Poison, Crazy Reader 007, Happy Home Happy People, Mr. Monster, and his friends for their monthly tickets.)
"Alright, restore blood supply."
Chen Xuehai's voice broke the silence in the operating room.
Liu Banxia's heart leaped. Even though they had prepared an emergency plan before the operation, the patient's heart had stopped beating for so long that it was impossible to confirm what impact it might have.
With the restoration of blood supply, the patient's heart started to beat. Liu Banxia even pumped his fist in a small cheer.
The patient had pulled through; at least their cardiopulmonary function was fine. During the cardiac arrest, Chen Xuehai had quickly performed cardiac massage, ensuring blood supply to the brain, likely preventing brain damage.
Equally excited were the people in the observation room. If the patient hadn't been able to recover normal blood supply, all the effort they had poured in over the past few hours would have been wasted. Even a perfect bypass would have been useless.
The human body truly is a mystery. Any small anomaly you overlook could affect the entire operation. Even with many instruments monitoring simultaneously, many results are also unknown.
"Okay, count the instruments. Linlin, you do the stitching. We can't really hand it all over to the Second Assist. He's such an important figure and has already helped us a lot," Chen Xuehai said with a laugh.
"Ah, I'm just like a firefighter, running wherever there's a flicker of flame. I'll have to talk to Director Xu later and ask him to send someone over quickly; otherwise, Comrade Old Wu will keep ordering me around like I'm free labor," Liu Banxia grumbled.
"Well, what can be done? You're the one most proficient in orthopedics right now," Wang Lei said.
"There have been too many orthopedic patients recently; they've borrowed our operating room several times. But it should just be for these next couple of days, so you don't need to be too anxious."
"The capable should do more work. Besides, I think your technique in vascular dissection and suturing is really good. To perform this well on your first time participating in a bypass operation is enough to prove your fundamental skills are very solid," Chen Xuehai continued.
"I'm really impressed by that. It hasn't been long since you last operated with Teacher Liu, and your skills have improved significantly. For this alone, shouldn't a belated lunch be arranged?" Liang Xiaolin also spoke up.
Hearing Liang Xiaolin's words, the people in the observation room then recalled that this was indeed the case. Just now, Liu Banxia hadn't just helped with vascular dissection; he had also assisted with many other procedures.
The reason this surgery concluded so quickly was genuinely inseparable from Liu Banxia's assistance.
Some people had only heard that Liu Banxia from the Emergency Center was fast, but today they finally got a clear idea.
However, they had all been too focused on the surgery just now and hadn't had the mind to consider the speed of Liu Banxia's dissection and suturing.
Many people were deeply impressed. Indeed, a great reputation is well-deserved. Regardless of the controversy surrounding this Liu Banxia, his actual abilities were truly formidable.
This wasn't just about his general surgery skills; he could even handle a bypass surgery this smoothly on his first attempt.
"Old Wang, see? I've become the meal ticket again," Liu Banxia grumbled once more.
"But everyone has indeed worked hard today. We're only ten minutes behind our usual mealtime now. It'll take about an hour to get everything cleaned up."
"Given that we've accomplished such a dangerous operation, if I don't show some appreciation, it would be truly unreasonable. I can't let everyone down, right, Comrade Old Chen?"
"That's for sure! This patient was transferred from you, and you were the one who reduced the fracture, weren't you?" Chen Xuehai retorted.
"OK, I solemnly announce that today's lunch is on Old Chen! No applause, please, or the instruments might go flying," Liu Banxia said earnestly.
Chen Xuehai was taken aback, then shook his head helplessly. This fellow was too good at stirring things up.
The others, however, were overjoyed. The oppressive atmosphere from the surgery earlier had vanished completely, without a trace remaining.
As for the people in the observation room, many of them didn't know what to say now. The atmosphere in the operating room was genuinely good, and this Liu Banxia seemed to be genuinely lively.
No wonder the rumors about him outside were somewhat polarized; it was probably due to his somewhat flighty personality. But having him around for a bit of fun like this occasionally did seem to be a great stress reliever.
"OK, suturing completed. Teacher Wang, the patient can be awakened now."
After a little while, Liang Xiaolin spoke.
DING!
Operation completed.
Acquired: 200 Experience Points, 300 Proficiency Points for Suturing Skill, 300 Proficiency Points for Dressing Change Skill, and 2 Glory Points.
Mission Rating: Perfect.
Acquired: 500 Experience Points, 500 Proficiency Points for Suturing Skill, 500 Proficiency Points for Dressing Change Skill, and 10 + 5 Glory Points.
Liu Banxia felt ecstatic. His diligent hard work last night hadn't been in vain; otherwise, he wouldn't have received such generous rewards. It had been a long time since he'd received so many points for Dressing Change Skill and Suturing Skill.
Just like finishing the rim is crucial when weaving a basket, successfully awakening the patient was the most important part now.
Whether it was the people in the operating room or those watching from outside, everyone was now looking at the patient; all attention was focused on the patient. This made Wang Lei feel a bit more pressure; he had never encountered such a situation before.
Perhaps it was due to the cardiac arrest during surgery and the emergency extracorporeal circulation. That procedure was only a precaution; the probability of it being used wasn't usually that high.
"OK, the surgery was successful! To celebrate, I'll add a bowl of egg drop soup for lunch," Liu Banxia said cheerfully as the patient opened his eyes.
This surgery had indeed been a risky one. Fortunately, everyone was lucky, and it was a success.
"Linlin, go inform the patient's family," Chen Xuehai said.
"Sigh... I need to get a good rest. I still have two surgeries this afternoon," Liu Banxia stretched lazily.
"I don't have any more. You keep up the good work," Chen Xuehai added.
This amused everyone again; they were probably also eager to see Liu Banxia take a hit.
Even though the promise of treating everyone to a meal was made jokingly in the operating room, it had to be carried out resolutely.
Actually, Chen Xuehai was also very happy today. He, too, had no confidence at all regarding this surgery. Fortunately, it was successful.
「In the cafeteria」
Seeing Li Hao also eating there, Liu Banxia casually asked, "Are you guys just having lunch now? How's that liver abscess patient?"
"Teacher Liu, it hasn't been done yet. Diabetes was detected during the morning examination, and his blood sugar indicators were also a bit high," Li Hao replied with a wry smile.
"We started him on sugar control. We'll see how things are tonight. At the latest, the surgery can be done tomorrow. I was shocked after the morning examination."
No wonder the patient didn't feel any abdominal pain; so this was the root cause, Liu Banxia mused.
"Yeah, the patient himself hadn't noticed anything. We did a glycated hemoglobin test, and the reading was 9%," Li Hao said.
"He usually didn't control his diet, and there's no family history of diabetes. Teacher Liu, it should be manageable by tonight, right?"
Liu Banxia nodded. "It's not particularly severe. Adjusting it with medication should be fine. The puncture surgery shouldn't be a problem. When the time comes, the extracted pus should also be thoroughly cultured. Who went over this morning?"
"Teacher Shi led us there," Li Hao replied.
"Then it's definitely fine. He is quite conservative; it should be fine tonight," Liu Banxia said with a laugh.
"That's Shi Lei's style. He was like that when I was learning from him. Stability first. You guys will have to get used to it gradually. I have two more surgeries this afternoon. I have to go home after I'm done."
"Tomorrow, I have some personal matters and need to take a day off. If anything comes up, just defer to Shi Lei. The main thing is to observe more post-operatively. Once the culture results for the pus are out, things will be easier."
"Okay, please enjoy your meal first. I won't disturb you," Li Hao said and then left the cafeteria. 𝐟𝚛𝕖𝚎𝕨𝗲𝐛𝚗𝐨𝐯𝐞𝕝.𝐜𝗼𝗺
"Sigh... diabetes. Sometimes it's truly something you can't guard against effectively. Many patients only realize it belatedly. If it continues to develop, it could even progress to ketoacidosis," Liu Banxia remarked with a sigh.
"There's not much to be done about it. Even if people know about the 'three polys and one less' symptoms, they don't necessarily pay attention," Chen Xuehai said.
"Otherwise, what would be the point of having so many of us doctors? Haven't you noticed? Many patients come in to be treated for ailment A but end up being diagnosed with ailment B."
"Plus, many patients have a habit of delaying, which also makes the illness more complicated. Often, minor illnesses are dragged out until they become major ones."
"This patient's situation is exactly like that," Liu Banxia picked up the thread.
"When he came for consultation yesterday, it was because he'd sneezed and cut his finger, so he came for stitches. Li Hao was more meticulous; after asking, he found the patient also had cold symptoms."
"Initially, we thought it was pneumonia. Who would have guessed that a liver abscess would be diagnosed in the end? The lack of abdominal pain symptoms was likely due to diabetes. It affected the peripheral nerves, which significantly reduced his pain sensation."
I think that's also why many people feel hospitals are a bit of a rip-off. It's because every time they come to the hospital, they find some illness, so many people don't dare to come anymore.
Chen Xuehai looked at him helplessly. This complaint was indeed quite potent.
However, this accurately depicted the current reality. When two conditions are mixed, diagnosis isn't straightforward. Targeted instrumental examinations become necessary, and that costs money.
Just like yesterday, after discovering the liver abscess, Liu Banxia directly had Li Hao arrange an enhanced CT. This is a direct diagnosis. Although it costs more, it can reduce unnecessary steps.
The key is still the indications. As long as the indications are clear, you can proceed boldly. Otherwise, you have to be more careful, lest the patient calls you a quack before leaving.
After waiting a little longer, the people cleaning the operating room also came down, and their group began to eat in a lively atmosphere.
Zhou Qiang, however, didn't find it too strange. After all, Liu Banxia could get along with anyone. This time, mingling with the cardiothoracic surgery and operating room teams was perfectly normal for him.







