The Enhanced Doctor-Chapter 824: Must Transfer to Plastic Surgery

(Thanks to Night Rain and Xiao for the encouragement of the monthly ticket)

"The teacher's wife is really amazing, she introduced so many patients at once."

After those people left, Xu Yino remarked.

"Sometimes I really don't understand, do you girls really dare to try anything for losing weight?" Liu Banxia asked.

"Teacher Liu, that's doable. My waist is a centimeter thicker now, can't help it, the surgery tasks are so heavy, I can't not eat." Xu Yino said.

"Eat freely, as a surgeon, it's really essential to have a good physique. Last time during a surgery, I was so intense that my legs cramped." Liu Banxia said.

"Oh... How many people can really undergo such intense surgeries?" Xu Yino sighed.

"Every day you have to stay highly focused and stand for so long, it's not easy to handle. Anyway, even if I have that kind of skill in the future, I won't go crazy like that."

"Luckily I'm a bit slow, to truly master it, it'll take at least two to three more years. During this time, I want to really enjoy my life as a doctor and maybe even date someone."

Seeing Xu Yino speak so earnestly, Liu Banxia was amused. At her stage, wanting to date is really not a simple matter.

After waiting a bit longer, the rectal cancer patient came back with newly taken scans.

"Let me take a look first, see if there's any further development." Liu Banxia said, taking the scans.

The patient's mood turned tense, which puzzled Xu Yino. It seemed the patient wasn't very afraid of cancer, but worried about saving the anus.

"Look here, from this scan you can see, compared to your previous one, the tumor's base has infiltrated over a larger area. Although it's not marked as large, we'll need to extend some during removal." Liu Banxia pointed at the scan.

"Doctor, can the anus still be preserved?" the patient asked nervously.

"Considering the current situation, it's barely possible, but I'm not sure if you can accept the potential consequences." Liu Banxia said.

"Even if we're very careful during surgery, at such close proximity, complications like constipation, incontinence, difficulty urinating, and sexual dysfunction may occur."

"So, for this low rectal cancer, we often suggest patients undergo anal extraction directly, as the chance of those complications occurring is very high, over eighty percent."

"However, it's still up to you to decide. If these complications do occur, it can be quite troublesome. I need to make it clear to you, because if a second surgery is really needed, it won't just be you suffering, it'll also cost a lot more."

The patient nodded bitterly, "At least you gave me some hope; my county hospital told me I could only have the anus extracted."

"Actually, such surgical plan changes also depend on the patient's actual condition." Liu Banxia said.

"For example, you are now strongly requesting to preserve the anus. We can meet this technical requirement, given the conditions allow, we can try."

"But we can't attempt it for you without informing you of potential issues. Go and discuss it with your family, it's best to decide quickly. If time drags on, it's no longer just about preserving the anus."

Ding! Consultation task completed

Gained 100 experience points

The patient nodded, took the scans Liu Banxia handed over, and placed them into the bag.

Actually, this isn't the first or second time Liu Banxia encountered this problem; the explanation is almost the same each time. Nowadays, the incidence rate of rectal cancer is high; no one wants to live with a colostomy bag.

One reason is the inconvenience in daily life, another is the cost of frequent bag changes.

"In the future, you will also encounter many such patients, clearly explaining the situation to them, and let them make their own choices." Liu Banxia said.

"Although the chance of complications is high, there are successful cases as well. So in this aspect, we can't give them recommendations, only urge them to have surgery soon, never delay."

Xu Yino nodded; she still remembered a patient who wanted to keep the anus too, but later found extensive abdominal organ adhesions. Despite barely completing the surgery, the person didn't make it through.

At this moment, today's third patient walked in with scans and blood test results.

Liu Banxia first glanced at the blood test results, everything normal, then put the scans onto the film viewer.

This patient was relatively lucky; from the current scans, there's no spread, and it's confined to the skin around the eye socket and eyelids.

"Your tumor can be removed." Liu Banxia said with a smile.

"But the surgery is relatively complex, entailing post-operative reconstruction issues. Because the eyelids are thin, the tumor's base has infiltrated to some extent."

"Also, your eye socket's skin might not be preserved. Fortunately, the tumor hasn't affected the bones nor shown signs of lymphatic tissue spread around."

"Doctor, is this cancer?" the patient asked.

Liu Banxia thought for a moment, nodded, and said, "It can be considered a malignant tumor, but it's still manageable. However, after removing the tumor, you will need reconstruction. Otherwise, you may not be able to save your eyeball."

"The eyelid is the protective tissue for the eyeball. Without the protection of the eyelid, the eyeball naturally becomes very vulnerable. Once the eyelid is reconstructed, generally, the problem is not too serious."

"However, my skills are a bit lacking, so I need to refer you to a professional plastic surgeon. Xu Yino, please contact Xu Qixin and see if he has some time now. If he does, take the patient over; only they can handle this task."

Ping! Case task completed.

Gained 200 experience points.

Actually, Liu Banxia could also handle eyelid reconstruction, but he certainly couldn't do it as well as Xu Qixin. Although there was competition between them, they couldn't joke around with patient treatment.

With Liu Banxia's instructions, Xu Yino quickly got in touch.

Fortunately, Xu Qixin didn't have any current patients and was checking on burn patients admitted yesterday.

"The person I contacted for you is the chief plastic surgeon at our emergency center, very skilled. You can listen to him discuss the removal and reconstruction plan, and then make a decision," Liu Banxia said.

"Thank you, doctor," the patient said gratefully.

He was now feeling regretful, knowing about the tumor long ago but neglecting it due to money concerns. Now it seems it will cost a lot of money.

Xu Yino led the patient to the plastic surgery department, and Liu Banxia stretched lazily.

The number of patients seen today was more than yesterday, but that's about it. Perhaps they were referred during registration, afraid of having too few, pitiful patients of their own.

Outside, the work in the hall was proceeding in an orderly manner.

The interns were also busy in the treatment room; there wasn't much preparation time. Once reminded, they had to start working immediately.

"Business is good today, quite a few patients," Wei Yuan said with a smile.

"Ah... Three serious patients, two with malignant tumors, but fortunately, they haven't metastasized yet. How are things on your side?" Liu Banxia said.

"Nothing much on my end, two people just came in from a fight and are off for X-rays. No major issues, just stitches afterward. The emergency surgery here is different from the surgical inpatient department; they transferred a thyroid cyst from internal medicine," Wei Yuan said.

"That's true, aside from obvious cases, most are transferred from internal medicine." Liu Banxia nodded.

"Actually, I find our work here quite okay. Besides receiving emergency patients from the ambulance, there's not much happening usually."

"Haha, that's because we have a lot of people working under us, so it's easier for us," Wei Yuan said with a laugh.

"Without their help, if it were just up to us, we'd be in constant agony. Remember how overworked we were in the beginning? There was no time for proper rest."

"I'm happy now, it was right to put the interns under your care. Your strictness made them learn quickly and carry responsibilities. It's great."

"Just benefiting from it, hahaha, only our general surgery has this advantage," Liu Banxia said with a grin.

"That's because our side is the emergency center. Many of the patients we see have trauma and emergency needs, so we need more staff in general surgery."

"If there's nothing much in the afternoon, I'll go around the proctology department. If I don't go soon, Director Jiang will start nagging again. It's a bit stressful, they have quite a few interns on their side this year too."

"The regular training doctors should be here in a few days, expanding our team. It doesn't matter if they're interns from our general surgery or not, simple trauma cleaning can be a good experience for them."

"When are you planning to teach them about non-invasive tracheal intubation and chest drainage?" Wei Yuan asked.

"Once everyone's here, it'll be easier to explain all at once. I've realized I'm getting a bit lazy now," Liu Banxia replied. 𝘧𝓇ℯ𝑒𝓌𝑒𝑏𝓃𝘰𝘷𝘦𝘭.𝒸ℴ𝓂

"Teacher Liu, that patient just got transferred to the plastic surgery department. They are undergoing tests today, and if everything is fine, they'll have surgery tomorrow," Xu Yino said, strolling back.

"What's with the happy face? Planning to get a thinning injection too?" Liu Banxia teased.

"No way, though I did look around a bit. Plastic surgery seems quite interesting," Xu Yino replied with a smile.

"Alright, I'll give you the opportunity. You can swing by when we're not busy here, as long as it doesn't delay patient care," Liu Banxia waved generously.

He wouldn't set any obstacles in this regard. Even if Xu Yino really chose plastic surgery, he would let her go. It's about her future.

But he was sure that for Xu Yino, plastic surgery might just be an interest, general surgery is what she truly cares about.