The Enhanced Doctor-Chapter 814: Free from Official Duties, Light of Heart
(Thanks to the readers with IDs 20170129014123862, Tianyang0532, Night Cat, Week Fifty-Three, and Goat Seed for their encouragement with monthly tickets)
With two consecutive episodes airing, the medical staff at the Second Affiliated Hospital are full of spirit.
Most importantly, the social response is quite positive. Beyond some special cases, people have really gained an understanding of hospital operations.
Sometimes things are just that simple. Gossip and hearsay compared to truly understanding can have significant discrepancies.
The program doesn't just showcase the good side of the hospital; it also exposes the existing problems in their work. It looks at and discusses issues from an objective standpoint, making such programs truly popular.
Otherwise, if you keep praising endlessly, it can inevitably cause resentment, creating the illusion of doing things for money.
"Qi, I've officially stepped down now, and it's all up to you for the next year. By the way, there's Wang Chao too, he's a good comrade." Liu Banxia joked after personally swapping out the photo for Qi Wentai's.
"Even though I've tried for a few days, today I just feel so much pressure." Qi Wentai said helplessly.
"Haha, welcome President Qi to the position." Liu Banxia greeted.
"Alright, let me be proactive. I'll add some dishes for everyone at lunch. I hope you all take care of me and look after me in the coming year. I'm counting on you all." Qi Wentai quickly said.
"Me too, me too, I also need everyone's help." Wang Chao quickly shouted.
Everyone laughed. The atmosphere now is great; the doctors are very down-to-earth.
Though doctors and nurses operate on different lines, work always inevitably brings some hierarchical concepts into play. Previously, Qi Wentai had some minor troubles because of this.
Now Qi Wentai is different from before and can truly bond with everyone.
Whether or not there's additional food is unimportant; it's primarily about attitude. If this inpatient director wishes to do well, it wouldn't be possible without everyone's support.
"Tsk tsk, I'm delighted today, finally able to go home and sleep properly." Liu Banxia stretched lazily.
"You can't say that, you still have to be more mindful." Wang Chao remarked.
"That patient with Auto-brewery Syndrome is doing somewhat better, but the indicators aren't obvious yet. It's expected he'll need multiple fecal transplants for better results."
"The family's opinion is for him to continue inpatient treatment so he can receive proper care here. They're afraid if he's at home, they won't be able to monitor him, and he might eat randomly again."
"Don't consult with me; the ward is under your management. You should discuss it with Sister Li. If the ward's pressure isn't significant, it shouldn't be a problem. Sister Li is easy to talk to."
"Alright, I'll find Sister Li shortly." Wang Chao nodded.
"Why don't you stay tonight, spend one night here? Otherwise, I don't feel secure. Another night won't make a difference; think of it as being on duty."
Liu Banxia glared at him, "Maybe it doesn't make a difference to you, but it does to me. I've been looking forward to this for so long. Don't worry, you can handle it; I need to go for consultations now. Seems like there's someone who's actually booked my number."
Wang Chao's expression was quite helpless; he truly felt somewhat lacking in confidence with independent solo work. But there's no other choice; if Qiaoqiao wasn't pregnant it wouldn't be an issue, but now they need to ensure Liu Banxia goes home as much as possible.
Arriving at the consultation room, a patient walked in after a little while. 33 years old, slightly burly, with quite audible breathing.
"Where are you feeling uncomfortable?" Liu Banxia asked.
"I just feel a bit of chest pain, and a bit tight," the patient said.
Liu Banxia furrowed his brows, "Then you've come to the wrong department; cardiology internal or external will work. I'll give you a stethoscope check first. How long has this sensation been going on?"
"It occasionally happens, but it intensified a bit after I got up this morning," the patient said.
"Do you have high blood pressure? Any diabetes or heart disease?" Liu Banxia asked.
"I have high blood pressure, but no other illnesses," the patient replied.
Liu Banxia picked up the stethoscope to listen carefully to his heart sounds, "There are indeed some issues with the heart sounds; there's some noise during systole. Are you still feeling that chest pain or tightness now? Is it a dull ache or more like a stabbing pain?"
"It's not particularly painful, just that kind of slight, pulling pain, and it's somewhat difficult to breathe," the patient said.
"Alright, lie down on the examination bed first, I'll check your body further. Have you had breakfast?" Liu Banxia nodded.
The patient lay down on the bed, and Liu Banxia pressed on his abdomen. A little effort was needed due to the patient's thick abdominal fat.
"No, I couldn't eat. Mm, pressing here feels a bit painful." When Liu Banxia pressed the upper abdomen, the patient mentioned.
"Alright, sit up. Do you usually eat fatty foods? Do you smoke or drink alcohol?" Liu Banxia asked.
"If it's not tasty, I can't eat it. I smoke less, but drink more," said the patient.
"Then let's first measure your blood pressure, take blood for a complete blood count and liver function test, check the levels of cardiac enzymes and glycated hemoglobin. After that, we'll do an ECG and echocardiogram to look at your heart condition," Liu Banxia said.
"Doctor, do I need to do so many tests?" the patient asked hesitantly.
Liu Banxia nodded, "Based on your symptoms, I suspect there might be issues with the heart or cardiovascular system. Most patients with chest tightness or chest pain also have some heart condition."
"Judging by your physique, you must be close to 300 pounds, right? Usually indulging in greasy foods, smoking, and drinking heavily. Even though you say you don't have heart disease or diabetes, my assessment is that there might already be some symptoms present."
"The ECG and echocardiogram are to check your heart, the cardiac enzyme test sees if you have a risk of myocardial infarction right now. The glycated hemoglobin test is to check your recent blood sugar levels."
"You need to stay alert now, with this weight and lifestyle habits. Don't be fooled by your young age; the warning lights are flashing."
The patient nodded and left after Liu Banxia finished writing up the case file and filled out the forms.
Since it's my first day on duty, the number of patients choosing to register with me is not many. This patient can be considered as coming across field, probably due to being overwhelmed by cardiology and cardiothoracic queues, so he came here.
"Is it over?" Wang Chao asked curiously upon seeing Liu Banxia walk out.
"Of course, it's done. Chest tightness and chest pain are probably heart-related. Once the tests are done, we'll see. If there's a real issue, the patient might need to be transferred to cardiology or cardiothoracic for detailed follow-up," Liu Banxia said.
"Hehe, I think it's quite nice now. When there are patients, I receive them; when there aren't, I can stay relaxed without worrying too much."
"Are you gloating? You're very vexing." Wang Chao remarked helplessly.
"Actually, I'm quite serious about it," Liu Banxia said.
"Since the emergency center was established, I seem not to have had a break. This period counts as a rare leisure time for me, so I have to cherish it."
"I was worried a few days ago, already used to such a fast-paced lifestyle. Would I be unaccustomed when it slows down? But now it feels relaxed and comfortable, which is nice."
"Ah... Indeed, you've been pretty busy this year." Wang Chao nodded.
He can fully attest to this. Because of Liu Banxia's large scope of authority as the residential chief, he had to participate in many things.
At that time, Liu Banxia was practically doing the deputy director's job, with a naturally heavy workload.
Now Liu Banxia has no official title, just a general surgery attending at the emergency center. His only task is treating patients without worrying about other hassles.
Of course, this ease is temporary. Once the deputy director appointment comes through, he will have to ramp up the intensity. Even now, he needs to balance teaching responsibilities; it's just not as large a burden as being the residential chief previously.
Liu Banxia is well-known within the industry, and also in the small circles he interacts with. However, in the eyes of ordinary people, he's just a regular doctor.
So there aren't many people registering under him, which means he's practically on vacation now. He even takes time to guide interns on debridement techniques, currently liaising on such tasks.
"Dr. Liu, your patient has finished the tests."
While he was busy, a nurse came over.
"Alright, I'll go have a look," Liu Banxia nodded.
When he returned, the expression on the patient's face was not as relaxed as during the consultation, "Doctor, they said I have left ventricular hypertrophy, and elevated levels of glucose, cholesterol, and triglycerides."
"Let me have a look; mainly, I need to check your cardiac enzymes. Hmm... they're still within the normal range," Liu Banxia reviewed and nodded.
"The other indicators are indeed a bit high; you really need to be careful. Fortunately, at least your heart doesn't have major issues right now. Are you still experiencing pain?"
"Maybe because I walked around during the tests, I burped twice, so the chest isn't as tight, and breathing feels easier. But my stomach seems a bit uncomfortable," said the patient.
"Lie down again, let me listen to bowel sounds and do some palpation," Liu Banxia said.
Upon hearing this, the patient obediently lay back on the examination bed, as Liu Banxia palpated the upper abdomen.
"Yes, it's right here, pressing on it hurts a bit," the patient said.
"It might be some issues with your upper digestive tract. Let's do a barium meal test first," Liu Banxia said after examining.
"Even though the related indicators are somewhat high, they're still within acceptable limits. Moreover, the pain point is a bit away from the liver, let's first rule out issues with the upper digestive tract,"
"Alright, I'll go do it now," the patient quickly said.
No longer hesitant like before, the physical indicators weren't just showing warning signs; they were alarmingly high.







