The Enhanced Doctor-Chapter 843: Too Many Uncertainties in Surgery
"Old Wang, let’s discuss something, shall we?"
The next morning, as soon as Liu Banxia got to work, he went straight to the anesthesiology department’s office and cornered Wang Lei.
"Tsk tsk, you two look like you’re up to some shady deal. Tsk tsk... I don’t even know how to comment on that." Li Liwei teased.
"What do you want to do? Isn’t it just a low rectal cancer resection? The patient’s test results are quite good, anyone can do it. Why are you looking at me? We did so much already yesterday." Wang Lei said helplessly.
"It’s not that, there’s a new patient coming today. The situation is quite complicated, I’ll be in the operating room with Shi Lei." Liu Banxia said.
"The patient hasn’t arrived yet, but he’s one of our peers. He has liver cancer, at the end of stage two leaning towards stage three, along with a small aneurysm, hypertension, and extensive adhesions."
"Given the patient’s condition, prolonged anesthesia isn’t suitable, but his issues need to be addressed. Even at the quickest, it’ll take about seven hours, basically a whole day."
"And then?" Wang Lei asked, his expression unchanged.
"Heh, there’s no ’then’, I’m just here to discuss it with you. Do you think it’s better to do the rectal cancer resection today, or schedule both surgeries for tomorrow?"
"The rectal cancer resection will take about three hours; it’s not very complicated, just involves the rectal sparing, but technically it’s not difficult."
"In that case, it’s better to do them together. First do the rectal cancer resection, then quickly eat and rest, and proceed to the second one." Wang Lei said involuntarily.
"Haha, then it’s happily decided." Liu Banxia said and then strolled out.
"Li Liwei, did that guy just trick me?" Wang Lei asked.
"Sort of, you’re essentially booked by this kid now. Tsk tsk, another full day, and such a dangerous patient, good luck." Li Liwei said.
The others also looked at Wang Lei with a smile. Liu Banxia is something you can’t guard against. Since Liu Banxia said the surgery would take about seven hours, it proves the difficulty level is high.
So, he first threw out another surgery, teasing Wang Lei, and Wang Lei just took the bait.
"No, I have to call my wife and complain. We agreed that if we got off work at a regular time tomorrow, we’d have a sweet time together, it’s been a while since we went out to eat." Wang Lei pondered and said.
"Old Wang, I think you should give up. Sister Li takes such good care of this kid, like a brother. What are you resisting for?" Li Liwei said.
"Hmm... that makes a lot of sense. My wife has been completely swayed by them, why is my life so tough?" Wang Lei nodded, as if seriously acknowledging.
This wasn’t just a joke; the relationship between Zhou Li and Qiaoqiao was as close as sisters, and Zhou Li always thought of visiting Qiaoqiao whenever she had a break, no matter how far it was.
Back in the lobby, Liu Banxia saw Sun Changhe leading someone older than him inside.
This was perfectly normal, as at the graduate level, there can be some age differences among classmates.
"Banxia, let me introduce you. This is my classmate, Wu Zhen." Sun Changhe introduced.
"Dr. Liu, I’m in your hands." Wu Zhen said.
"Let’s do some checks first, then finalize the surgical plan. This time, we’ll focus on the coronary arteries and heart; the surgery will take some time." Liu Banxia said.
"Actually, I had given up, planning to just live with it. But Changhe mentioned you, giving me a chance." Wu Zhen said, his tone respectful.
"What I can promise is to do my utmost. If all goes well, the surgery will start around eleven tomorrow." Liu Banxia said.
"I’ll be working on the surgery with Doctor Shi Lei from our emergency center; the adhesions are quite severe, and handling them alone would slow things down significantly."
"Plus, he’s skilled in vascular transplantation, so if your aneurysm gives us trouble, his skills will be needed."
"You’re in the field as well, so basically it’s a right hemihepatectomy and aneurysm ligation. The tumor is very close to the bile duct, and its infiltration isn’t very clear; let’s keep a worst-case scenario in mind."
"As for the gallbladder, we’ll have to see after opening you up. I can’t offer comforting words; the reality might be much worse than our estimates."
Wu Zhen nodded. "That’s why I was considering giving up. With the aneurysm, there was no way to do chemotherapy in advance to shrink the tumor."
"If the aneurysm ruptures during the surgery, and the anesthesia time is extended, I’m afraid I might not wake up. They comfort me by saying it’s stage two, but I know, I’ve already shown many stage three symptoms, there’s definitely significant spreading."
"Changhe said you are quick in surgeries, so let’s make this a teaching surgery. Although I don’t have any exceptional skills in medicine, at least I can contribute to the field."
"Thank you, let’s start with the examination, leave everything else to me." Liu Banxia nodded. 𝙧𝙚𝙚𝔀𝒆𝓫𝓷𝙤𝓿𝒆𝙡.𝒄𝙤𝓶
Huang Bo took Wu Zhen away, offering special care. Even without jumping the queue, proper arrangements could be made.
"Assistant Sun, it seems this old brother has come to terms with it, so I don’t have to bear so much pressure. Otherwise, the uncertainties in this surgery are too many, and I am somewhat anxious myself," Liu Banxia said.
"It’s also because he understands his situation and thinks there’s no point wasting money," Sun Changhe replied.
"I heard from other classmates, which is how I got in touch with him. If there’s a chance, we should try. Otherwise, if it progresses and metastasizes widely, it will be suffering even if he survives."
"Since the situation is similar anyway, it’s better to take a good fight. If it succeeds, at least he can gain a few more years; if it fails, it’s just a matter of months."
"In his condition, the cancer might not be a problem, but an aneurysm could rupture. Anyway, do your best without a burden."
"Leave it to me, if all goes well, we’ll operate tomorrow," Liu Banxia nodded.
With the situation communicated, it would now depend on Wu Zhen’s luck. Doctors are merely assistants, helping to remove diseased tissues and organs.
Unexpected incidents are very common during surgery, and no surgeon, including Liu Banxia, can guarantee there won’t be any issues.
Sun Changhe didn’t stay long, as his primary role was to make an introduction and he had his work to tend to. He was confident in leaving it to Liu Banxia, otherwise he wouldn’t have recommended his classmate to this place.
The difficulty of this surgery lies in its duration and the potential for surprises during the procedure.
Having seen Liu Banxia handle many surgeries before, he believed that with Liu Banxia’s responsiveness and skill, the success rate of this surgery would undoubtedly be higher.
"You four are truly fortunate. Tomorrow’s two surgeries are both noteworthy. One is a common surgery, while the other is quite complex. It’s the first time I’m encountering it." Liu Banxia called the interns over.
"If you have time today, review the procedures for these two surgeries thoroughly. To save time, there may not be much explanation, so you’ll need to understand them yourselves."
"If you don’t understand something, feel free to ask Xu Yino and others. They’ve been with me for several surgeries and have more experience than you."
The four nodded in unison, barely able to contain their excitement.
This is the benefit of interning at the emergency center. Although it might be exhausting in the future, due to the fewer interns here but numerous surgeries, everyone has more opportunities.
If Liu Banxia hadn’t picked their names, they wouldn’t even dare to watch such surgeries. For them right now, it’s somewhat overreaching.
A radical rectal cancer surgery is manageable, but such severe liver cancer and hepatic aneurysm are not common. These are two bombs, both need to be addressed for a successful surgery.
"You six, draw lots among yourselves. I can’t give you much attention right now," Liu Banxia called Xu Yino over.
"Don’t worry, we’ll sort it out internally," Xu Yino smiled and nodded.
"Dr. Liu, do you think if this surgery succeeds, many patients will come to us in the future? The incidence rates for hepatic aneurysms and liver tumors are high."
"Are you trying to work me to death or what? I’ve long asked you to choose a specialization, yet you’re still indecisive," Liu Banxia said helplessly.
"Choosing early will make it easier for me to manage surgeries and train you. Once you’re trained, it will be easier for all of us. Many surgeries will only require me to take a look halfway through."
Xu Yino rolled her eyes, "You just say that, but you wouldn’t hand over your patients to us that easily."
"Ah, it’s just to give you a hopeful outlook. Besides, if discussed with patients, they might understand us, giving us a chance," Liu Banxia said.
"Hehe, no matter what, Dr. Liu, I really think you’re gaining a bit of a reputation now. Otherwise, why would Assistant Sun recommend patients to us? Being a referrer isn’t easy," Xu Yino said.
Liu Banxia nodded delightfully, "I think so too. Don’t forget to follow up on that rectal cancer patient’s condition; we’ll start earlier than usual tomorrow."
Xu Yino nodded, knowing this task must be done well, as it’s part of her responsibilities.
They already enjoy more involvement than others, primarily owing to Liu Banxia’s audacity, allowing them significant participation in many surgeries.
Someone else? Who would dare?
