Back in the ergency center, Zhang Xiao and Peng Bo both sang Liu Banxia’s praises. However, Liu Banxia wasn’t fooled and still insisted on the pig trotters he was owed.
In fact, regarding today’s case, Liu Banxia didn’t really think it was anything special. There was an elent of guesswork to his success; it wasn’t entirely based on a clear diagnosis from his dical knowledge. As he himself said, it was partly due to luck, and the situation did match his initial assessnt, thus making him seem very capable.
This led to a new question: What is the true significance of diagnostic skill proficiency? Initially, he understood diagnostics to be all-encompassing, but now it seed that wasn’t the case. It had its own limitations, and these limitations were related to his own knowledge base. Despite his high level in diagnostic skills, approaching level five, it didn’t an he could diagnose every illness. The improvent in diagnostic skill proficiency rely allowed him to take fewer detours during the diagnostic process. And this was still related to his own knowledge reserves and diagnostic experience. With this realization, a new question arose: What kind of impact did skills like wound dressing and suturing have on his improvent? They likely also provided a bonus based on his existing foundation, rather than aning that with these two skills, he could clean any wound or handle any suturing difficulty. These three basic skills were, in fact, an enhancent of his actual abilities. To truly improve his dical proficiency, he still had to work hard. The system was purely auxiliary; it wouldn’t just hand him freebies. To gain more, he needed to contribute more. To get stronger physically, attribute points were important. To get more ti, Glory Points beca important. Because the improvent from attribute points was also an enhancent based on one’s own foundation. His innate conditions were what they were; later on, he could only rely on attribute points to build them up. To put it colloquially, striking iron requires one’s own strength.
"President Liu, a patient who fainted will be arriving soon."
Just as Liu Banxia was pondering this, the dispatch nurse called out.
"Su Wenhao will take the case. I’ll observe," Liu Banxia replied.
Hearing Liu Banxia, Su Wenhao quickly began to prepare.
Less than ten minutes later, the ambulance arrived at the entrance of the ergency center.
"46 years old, fainted, regained consciousness in the ambulance. Blood pressure 70/100. Complaining of chest pain. Oxygen administered, and sublingual nitroglycerin given," the paradic reported.
"Resuscitation Room 1. Does your chest still hurt?" Su Wenhao asked.
The patient nodded with difficulty.
"Call a cardiologist. After moving him to the bed, connect the monitor," Su Wenhao instructed.
Once in Resuscitation Room 1, Su Wenhao first listened to the patient’s heart sounds.
"Heart sounds are diminished, pericardial friction rub. EKG, CBC, and blood chemistry panel," Su Wenhao ordered after the auscultation.
"Doctor, do I have a heart condition? My chest still hurts a bit," the patient asked.
Su Wenhao thought for a mont and nodded. "Let’s look at the EKG first. You should be past the acute phase now. Try to relax; you’re in the hospital."
The patient nodded.
"Dr. Su, I’m here." At this mont, Liang Xiaolin also walked in.
"The patient fainted before arrival; we suspect a heart condition. The EKG will be ready soon," Su Wenhao said.
Liang Xiaolin nodded and waited by the EKG machine.
"Do you have a history of heart disease, hypertension, or diabetes?" Su Wenhao asked the patient.
"I’ve had occasional chest pain before but didn’t pay much attention. This must be it, right?" the patient replied.
"What about hypertension or diabetes? Is there a family history of these conditions?" Su Wenhao continued.
The patient shook his head.
"The ST segnt is sowhat elevated. Let’s skip the echocardiogram and go straight for a coronary angiography. It’s likely a heart attack," Liang Xiaolin said, looking at the EKG.
"Doctor, does a heart attack an I need surgery?" the patient asked.
"It depends. If it’s just the capillaries, thrombolysis will be sufficient. Coronary angiography can show us the situation directly and save a lot of ti," Liang Xiaolin explained.
The patient nodded.
"Dr. Liu, I’ll take the patient now then? Can you handle the paperwork when the family arrives?" Liang Xiaolin asked.
Liu Banxia nodded. "Don’t worry, I can handle that. Relax, there probably aren’t many blocked vessels, or you wouldn’t be this alert right now."
This last sentence was to comfort the patient. To a patient, a heart attack is a terrifying illness. Even with Liang Xiaolin’s reassurance, he was still extrely nervous. In terms of comforting the patient, neither of them had been ticulous enough. But that was alright; it also depended sowhat on the patient’s condition.
"Forty-seven years old, already in the high-risk age group," Liu Banxia remarked after the patient was wheeled away. "When the patient’s family arrives, you explain the situation and get the paperwork done. Doctor Liang ordered this, so it must be done thoroughly, or there’ll be trouble."
Su Wenhao was amused. Among all the interns in the ergency center, Liang Xiaolin was probably the only one who truly didn’t take Liu Banxia seriously.
"Dr. Liu, have you set a date for your honeymoon yet?" Qing Kewa chid in.
"We haven’t been able to set one. But if there’s a chance, we’ll definitely visit you at your place. Not much ti left, are you a bit reluctant to leave?" Liu Banxia said with a smile.
Qing Kewa nodded. "I am a bit reluctant. I feel like there are so many delicious foods and fun things I haven’t enjoyed yet. I don’t know when I’ll be able to co back next ti, and work will be busy when I return ho."
"In that case, how about I give you a green light?" Liu Banxia asked after a mont’s thought.
"A green light? Are you going to make things easier for ?" Qing Kewa asked curiously.
Liu Banxia nodded. "Consider it a convenience. At least for the remaining ti, you can rest normally and not have to burn the midnight oil like us. During your breaks, you can find Qiaoqiao and have her take you out. You’ve participated in most of the surgeries you can. If there are any specific surgeries you want to observe, let know, and I’ll arrange it."
"Wow, thank you, Dr. Liu!" Qing Kewa exclaid happily.
"No need to be so polite with . After all, I can’t just eat your family’s caviar for free," Liu Banxia said with a straight face.
Qing Kewa was delighted. "It’s no problem! If you like it, I have more here."
She was genuinely generous, which amused Liu Banxia. That caviar was quite expensive; how could he have the nerve to ask for so much?
More trauma patients ca in, but Liu Banxia didn’t need to worry about them. Was his role like that of a firefighter, only needed where the flas flared up?
"How did it go?" Liu Banxia asked when he saw Liang Xiaolin return after a while.
"I initially thought a stent would be enough, but it turns out he needs a bypass," Liang Xiaolin said. "Coronary atherosclerosis. Multiple severe stenoses in the right coronary artery and the left anterior descending branch. For it to reach this stage, his usual symptoms must have been significant, yet he endured it."
"Sigh... these things can’t be helped. Often, patients think they can just hold on for a few more days and only go to the hospital when they absolutely can’t bear it anymore. Is Dr. Chen available?" Liu Banxia said.
Liang Xiaolin nodded. "He’s scheduling the OR. But once this surgery starts today, it’s going to take a long ti."
She didn’t have ti to chat with him; she still had to explain the surgical procedure and potential risks to the patient and his family. This was a major operation, much more complex than stenting. But in the patient’s current condition, a stent could no longer solve the problem, so a bypass was necessary. As the na suggested, a bypass ant creating a detour for the blood flow, avoiding the congested sections. Normally, such a surgery might be delayed, but doing it today definitely ant the patient’s stenosis was too severe, with a risk of another heart attack at any mont.
Liu Banxia went upstairs to the wards for a quick round. He only had ti for this because there were fewer patients downstairs at the mont. He mainly checked on the hemophiliac patient, the Klebsiella pneumoniae patient, and the patient who had one testicle removed. This patient was now showing so signs of depression. At the ti, he just wanted to get better quickly, but now, after all, he was missing a testicle. Liu Banxia could only offer a certain degree of comfort for this, but it wouldn’t have much actual effect. That was a job for a psychiatrist, which the Second Hospital currently didn’t have.
Just as he returned downstairs, he saw Liang Xiaolin rushing out.
"What’s wrong? Shouldn’t the surgery have started by now?" Liu Banxia asked in surprise.
"The patient is allergic to the anesthetic; general anesthesia is impossible. He’s been resuscitated, and the reaction wasn’t too severe," Liang Xiaolin said with a wry smile.
Liu Banxia was stunned. The anesthetics currently used were very safe. It was just that occasionally, a patient might have an allergic reaction; he hadn’t expected to encounter one today.
"Then what treatnt plan is Dr. Chen considering?" Liu Banxia asked with a frown, a dreadful idea forming in his mind.
"High epidural anesthesia, but the patient will remain conscious," Liang Xiaolin said.
Liu Banxia sighed inwardly. That was exactly what he had just thought of. But this is major heart surgery! It’s not like an anal fistula operation that’s over with a bit of poking around. How strong must the patient’s willpower be to endure this surgery while wide awake? If it were him, he doubted he’d have such courage.
"Have you communicated with the patient? The surgical risk is very high," Liu Banxia said.
Liang Xiaolin shook her head. "We haven’t told the patient yet. My brother asked to consult you on its feasibility."
Liu Banxia was dumbfounded. So it was just an idea they were considering, and now they were consulting him. But he couldn’t make the decision on sothing like this. It depended on the patient’s wishes, and all the associated risks had to be clearly explained. This was a huge undertaking.
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