The Enhanced Doctor-Chapter 810: The Syncope Patient Is About to Be Discharged

"OK, very nice, Old Wu's skills are truly exceptional."

After Wu Mingyu finished his work, Liu Banxia gave him high praise.

Ding! The consultation task is completed

Gained 500 experience points, 200 proficiency points in dressing change skills, 200 proficiency points in suturing skills, 300 proficiency points in splenectomy skills.

100 proficiency points in bone-setting skills, 400 proficiency points in fasciotomy decompression skills, 300 proficiency points in internal fixation of fractures skills, Glory Points +3

This task is rated as Flawless

Gained 500 experience points, 300 proficiency points in dressing change skills, 300 proficiency points in suturing skills, 400 proficiency points in splenectomy skills.

200 proficiency points in bone-setting skills, 500 proficiency points in fasciotomy decompression skills, 500 proficiency points in internal fixation of fractures skills, Glory Points +5 +6

This task can be considered complete, from consultation to surgery. Therefore, more experience is granted. There were also a variety of topics involved in this surgery, resulting in a significant amount of skill proficiency rewards.

If he handles everything else afterward, a perfect surgery rating is unavoidable.

If it were in the past, he would definitely think this way. But not anymore; he is always considering teaching. Among the patients admitted to the emergency center, those with splenic repair and removal are also quite numerous.

The spleen is a rather special organ, sometimes very fragile. Even if you bump it or fall and knock it, you might injure the spleen.

Often, it might just cause a little bit of pain, which people often don't pay attention to. When the blood loss becomes severe and rescue is needed, it might be too late.

Therefore, in consultations, patients who have fallen or have been in car accidents are always checked thoroughly for spleen issues.

Wu Mingyu over there wasn't the slightest bit influenced by Liu Banxia's compliments. In fact, internal fixation is not very difficult.

Liu Banxia has his own unique experience in bone-setting, so once he has mastered the method, performing internal fixation becomes quite easy for him.

Can't accept any praise from this guy. In the future, let's make him do it himself. If I accept his praise, he'll choose all the orthopedic surgeries he likes, which won't do.

"Alright, send him to the ICU for overnight observation. Su Wenhao, please explain to the patient's family, they should be waiting outside," Liu Banxia said.

Su Wenhao nodded and led the interns to wheel the patient out.

"Why aren't you going?" Wu Mingyu asked.

"Let them accumulate some experience, and help clean up the operating room while they're at it. The blood loss was considerable, so it's messy everywhere," Liu Banxia replied.

"You too, you're trying to scare them, aren't you?" Wu Mingyu said confidently.

"They need to experience it once. Next time they see a similar situation, they won't be as nervous," Liu Banxia said with a laugh.

"Actually, today's patient was quite lucky; the blood loss wasn't that severe. Otherwise, he might not have made it to the hospital."

"Dr. Liu, Dr. Wu, you can both go on. We'll handle the rest. It's still early in the morning, and there must be a lot of things to do," said the anesthetist, Xue Ying.

"It's alright. In the surgical department, our emergency center is quite strong. How is it? Have you adapted to our work pace here by now?" Liu Banxia asked.

"It's alright. According to Brother Wang, as long as you don't keep scrubbing in for surgeries non-stop, things are generally fine. Plus, there's no need to borrow staff from the ward anymore; they're busy too," Xue Ying replied.

"See? If you go crazy, everyone else will be left without anything to do," Wu Mingyu joked.

"Ugh...Even if they asked me to scrub constantly, I wouldn't do it anymore. There are so many people now; it's enough," Liu Banxia sighed.

"The most troublesome thing is when the director has a meeting; that really gets in the way. We were just complaining about it yesterday, but there's nothing we can do," Liu Banxia said.

"It's unavoidable. When our emergency center expands in the future, relevant meetings will need to be held," Wu Mingyu replied.

"It's not like it was in the beginning, when there were just a few people and everything could be resolved with a quick chat in the lobby."

"Now? Everyone has more patients to manage. Do you still hold those meetings to address shortcomings? Even if you do, the frequency must have decreased, right?"

Liu Banxia nodded, "Indeed, it's decreased, and things are really busy. Before, we could chat freely; there weren't many patients. Now, it's not possible—whether in consultations or in the ward, there are quite a few."

"Now, it's a big change from the past. It's actually good. Everyone stays busy and fulfilled, and the bonuses can be more substantial."

Why work so hard? It's still for the money you earn. That's definitely the driving force. Without it, relying solely on passion is bound to fail eventually.

After helping to clean up the operating room briefly, the remainder of the work was left to others, and Liu Banxia returned to the emergency center.

"Teacher Liu, the patient who was dizzy yesterday wants to be discharged. What should we do?" Xu Yino came over directly.

"Why does she want to be discharged? The test results aren't out yet, right? How can she be discharged without finding out the cause of the illness?" Liu Banxia asked with a frown.

"The patient can't lie down anymore, so she started talking to her boyfriend. Her boyfriend just listens to her. They went to Dr. Peng first, and he said he needed to discuss with you, so it was delayed a bit," Xu Yino said, slightly annoyed.

"Alright, let's go up and meet them," Liu Banxia said.

Before the surgery, we were still considering this patient's condition, but alas, the patient herself can't hold on anymore.

"Teacher Liu, are you really planning to let her go?" Xu Yino asked.

"It's not up to me whether she stays or goes. We're not kidnappers, and no one's going to pay us a ransom," Liu Banxia said.

"We still haven't figured out the cause yet. Let's see if we can persuade her to stay. If not, there's really nothing more we can do."

"Yesterday, I was even praising her in my heart for being a cooperative patient. But today... sigh, it's just that we're not trying hard enough."

"Teacher Liu, that was the correct order of examinations, wasn't it?" Xu Yino said, somewhat disgruntled.

"Hmm... Are you standing up for me, or is it because she has a considerate boyfriend?" Liu Banxia suddenly asked.

"Teacher Liu, can you be serious?" Xu Yino was exasperated.

Liu Banxia laughed; it seemed to be both.

When they arrived at the patient's room, her boyfriend immediately stood up when he saw Liu Banxia coming in.

"I just finished surgery and heard you want to leave, not checking anymore?" Liu Banxia asked.

"Dr. Liu, Nana can't stay here anymore. Plus, there's nothing wrong right now. If she experiences dizziness again, we can come back, right?" the patient's boyfriend said.

"You can, but right now she does have a significant potential risk," Liu Banxia said.

"I told you yesterday, if dizziness occurs under certain circumstances, it could be life-threatening."

"How about this, we do a lumbar puncture. If the result is negative, I'll discharge you tomorrow."

"Nana, should we listen to Dr. Liu?" the patient's boyfriend looked at her.

"No, I don't want to stay in the hospital anymore. I'm feeling very upset, and there's nothing wrong with me," the patient said.

Her boyfriend, at a loss, could only look at Liu Banxia again.

"Miss, when it comes to eating and drinking, we can be a bit indulgent, but we can't mess with our health," Liu Banxia said.

"I bet you love shopping, with all those escalators in malls. What if you fall from the top of one? Even if he's by your side, he might not catch you."

"If there are people below, it won't just be your problem; it could hurt many others. I personally lean more towards syncope with your symptoms, which is even more dangerous than dizziness."

"Some patients have organic lesions, but your cranial test results so far are fine. Plus, our long-term dynamic ECG and EEG show nothing; I'm leaning toward something neurological."

"Or, I'm just saying maybe, there's some issue with the blood vessels in your brain. These require a step-by-step examination, a step-by-step elimination."

"Your boyfriend treats you so well; if you leave like this, he'll be really worried. Although we haven't diagnosed the disease yet, we can exclude some more dangerous conditions."

"A lumbar puncture can determine if there's an infection in your brain or if there's a teratoma. Although the likelihood is low, it doesn't mean it's nonexistent."

"We can also do an enhanced CT of the head to check if there's a problem with the blood vessels there, which could be reasons for your episodes of syncope."

"One of my patients had moyamoya disease, with brain vessels appearing like smoke. A regular CT couldn't detect it; only an enhanced CT confirmed it."

"Though his symptoms included syncope, it was accompanied by hemiplegia. I considered it yesterday, but your symptoms didn't match, so I didn't mention it."

"Everything I said is true; there's no need to mislead you with these. Normally, I'd be eager for you to leave. If anything happens later, it wouldn't be our hospital's responsibility, nor is it because we can't treat you."

Liu Banxia was sincerely trying to persuade her, bringing up every possible reason and argument he could think of.

It's not about the task; it's really because the potential danger for the girl is too significant. The more it remains undiagnosed, the more dangerous it might be.

Because many patients have specific symptoms that aren't common, having no increase in white cells or headaches doesn't necessarily mean there's no encephalitis.