(Thanks to Lonely Cold 671112 for their reward and monthly ticket encouragent)
On the way back, Liu Banxia wasn't idle. He directly sent the patient's relevant dical profile to Xu Guosheng, Peng Bo, and Wang Huan.
They were all involved in the treatnt and concerned about this patient. Even though I was lucky enough to make the diagnosis just now, I still had to share the news.
"Miao Rui perford well today. He was the one who noticed the difference in the eschar," Liu Banxia said on the way back.
"Teacher Liu, don't tease . I didn't notice anything; I just asked casually," Miao Rui said with a bitter smile.
"That's a skill too. Why didn't Su Wenhao ask?" Liu Banxia said earnestly.
"Yeah, I didn't notice it either," Su Wenhao said with a laugh.
Liu Yiqing and Xu Yino were highly amused, knowing that Liu Banxia was only teasing Miao Rui because he was happy about diagnosing the illness.
At this mont, everyone could indeed focus their teasing on Miao Rui. Helping a patient was naturally a joyous occasion.
"How co you're back so quickly? Didn't you carefully explain the patient's condition?" Peng Bo asked when he saw Liu Banxia.
The interns also all looked at Liu Banxia. Teacher Liu indeed seed a bit different today.
Normally, an accurate diagnosis was a happy occasion he'd share with the patient. But today, after saying a few words, he just led everyone back.
"We found the eschar in his armpit. Then I noticed his girlfriend seed a bit off, so I figured it was best for us to leave first," Liu Banxia said.
"Teacher Liu, why?" Xu Yino asked, full of curiosity.
"Why? Even during outdoor activities, bites are usually on the legs or feet, right? How does soone get bitten in the armpit?" Liu Banxia asked helplessly.
"Uh... how could it bite so high up? I looked it up too. Mites mostly stay in grassy areas. Plus, he was wearing a shirt, so how did it get in there?" Xu Yino asked in return.
"Haha, I get it!" Miao Rui exclaid, pumping his fist.
Then, realizing his excitent might be inappropriate, he quickly composed his expression.
Xu Yino was stunned for a mont, then she also understood. "Oh my goodness, that's an awful way to get bitten!"
"Well... it's just a guess. The young man has already returned, hasn't he? So, it's hard to say for sure. Let's not get involved; let them sort it out themselves," Liu Banxia said.
"I'm going to write the prescription now. Don't underestimate chloramphenicol; it's very effective against this. The weather is getting warr, and there are more insects out. Many of these little critters can be very dangerous."
"Besides, people travel a lot nowadays, and this disease has an incubation period. So in the future, if you encounter a patient with high fever and a volcanic eschar, you should primarily suspect chigger mites."
"Today, I asked one question too few. I only knew the couple was in a long-distance relationship, but I didn't imagine *how* 'long-distance' their situation was. Although we also have such chigger mites here in the north, they are mostly active in autumn, and their bites aren't as toxic."
"It's different down south. The climate is favorable, so the little critters thrive there. However, this patient is also a bit special. Normally, a rash would appear. It's possible so of his rashes faded, or were perhaps mistaken for acne."
"Anyway, let's just say today's case is successfully resolved. Just pay more attention in the future, as it's not very common. I'd only glanced over information about it in the past, so it took quite a while to recall it today."
Xu Guosheng nodded. "It was indeed well hidden. If not for the alcohol wipe to reduce his fever, it would have been very difficult to find. This disease progresses rapidly, and he was unlucky enough to develop disseminated intravascular coagulation symptoms, which made it even more dangerous."
"Diagnosing diseases these days is really tough. Even mosquitoes rarely bite in the armpit. Well done. He would have been in real danger if it had been delayed another two days."
"Sigh... this also exposes a problem: our patient interviews aren't detailed enough. If we had thought of this possibility earlier, he wouldn't have had to undergo an MRI and lumbar puncture," Liu Banxia sighed.
"Oh my goodness, President Liu, could you please not set such high standards for yourself? Are you trying to make it impossible for the rest of us to live?" Xu Guosheng said helplessly.
"Haha, just a spontaneous thought, just a spontaneous thought," Liu Banxia said, a little embarrassed.
He genuinely ant it, because diagnosing this illness had earned him 300 experience points.
This disease wasn't easy to diagnose; the four doctors had puzzled over it several tis. But from another perspective, it was actually quite simple.
The most crucial indicator is the volcanic eschar. Whose fault was it that a thorough check wasn't done at the ti? If one had examined carefully, so much ti wouldn't have been wasted, and a direct diagnosis could have been made.
Sotis, it's just that simple.
Initially, everyone was misled by the superficial symptoms. A miss is as good as a mile. In dicine, there's truly no room for even the slightest deviation.
"Teacher Liu, if we hadn't diagnosed it, would the patient's probability of death have been very high?" Su Wenhao asked.
"Well, this can't simply be asured by probability. So people might fight off the disease with their own immune system, while others can't," Liu Banxia said after pondering for a mont.
"And sotis, I really struggle with the concept of probability. I always feel it's just a statistical figure, not sothing we can directly apply in our diagnostic and treatnt process."
"Take surgical success rates, for example. Rember that old man who fell and suffered an aortic dissection? He needed a second bypass surgery."
"The chances of that surgery succeeding weren't very high, but with people like Chen Xuehai and Liang Xiaolin involved, wouldn't that chance increase sowhat?"
"Anyway, that's how I understand it. Probabilities have a fairly large range of elasticity. It's best to rely on your own experience for judgnt. If there's a definite risk of fatality, you must be vigilant and not gamble on probabilities or rely on luck."
Su Wenhao nodded. Indeed, that was how it should be understood. It's hard to find two people with completely identical physical conditions. Even with the sa illness, their prognoses can differ greatly.
"You all look so cheerful. Have you cured another patient?" Wang Chao asked as he approached them.
"Can't say 'cured,' more like 'successfully diagnosed' for now. How did your errand go today?" Liu Banxia asked.
"It went okay, I suppose. But there's still a lot of negotiation to do. This matter is quite significant. Providing a donor once or twice is about saving a life, but for long-term provision of donors, we need approval from the higher-ups," Wang Chao shared.
"Then our hospital will also need to prepare an official hospital-level docunt to give them. They'll then use that to seek approval from their superiors. It's a process, but it shouldn't be too complex."
Liu Banxia nodded. "Then there shouldn't be any problem. You're the project leader, so it's good you're thinking about these aspects. Oh, right, next ti we also need to do a small promotional piece on anorectal diseases like hemorrhoids, anal fistulas, and perianal abscesses, and add it to the community materials."
"Why again? You were the one who initiated that project. How co it's all landing on my shoulders now?" Wang Chao asked, frustrated.
"The more capable you are, the more work you do. I think you have great potential in this area. You should focus on developing in this direction in the future. Just do a surgery or two when you have free ti," Liu Banxia said, grinning.
"No way! I have so much on my plate already," Wang Chao protested, feeling he had to resist.
Liu Banxia, still grinning, pulled out his phone.
"What are you doing? Are you going to report to the director?" Wang Chao questioned.
Liu Banxia simply shook his head, dialed a number, and put the call on speakerphone.
"Dr. Liu, what can I do for you?" Ma Limin's voice ca from the phone.
Wang Chao was startled. He never thought Liu Banxia would be so insidious, planning to pull the rug out from under him.
"Officer Ma, there's actually a small matter," Liu Banxia began, glancing sideways at Wang Chao.
What else could Wang Chao do? He could only beg for rcy.
"Here's the thing: my driver's license is from out of town, and it's due for renewal. I was wondering if I could get it done at the local vehicle administration office in Binhai City?" Liu Banxia continued.
"Yes, that's possible. You can renew it anywhere in the country now. I thought it was sothing serious! You could have asked Baozi; he's very familiar with these things," Ma Limin said.
"Sigh... I ant to ask him this morning, but he's been quite busy lately," Liu Banxia sighed.
"Isn't there a newly established project? He's the one in charge. We also had a previous project promoting basic dical knowledge in the community, and he was in charge of that too."
"He's been swamped these days, running around in circles. The day after tomorrow, he's even assisting in a liver surgery. Day in and day out, he's so busy you can barely catch a glimpse of him."
Hearing Liu Banxia praise him like this, Wang Chao felt quite pleased. Yes, that's the way to praise !
"Dr. Liu, is Baozi really that capable now?" Ma Limin asked curiously.
"Absolutely! He's basically in charge of all our ergency center's external liaison work. It's his natural talent; we can't let it go to waste," Liu Banxia said earnestly.
"That's true. He might not be good at other things, but he's crystal clear on matters like these. Dr. Liu, I'm a bit busy right now, so I'll talk to you later. If you have any questions, just ask Baozi. He knows a lot about these things," Ma Limin said.
"Alright, thank you, Officer Ma. Co visit us when you're free, and we'll have Wang Chao treat you to a al," Liu Banxia said.
"Haha, that sounds good! I'll hang up then," Ma Limin said cheerfully and ended the call.
"President Liu, I have to hand it to you. You're ruthless, truly ruthless! Here I am, slaving away for you, and I still have to feel indebted to you," Wang Chao said with emotion.
"Otherwise, what did you have in mind? Should I talk to Officer Ma again?" Liu Banxia teased, waving his phone.
"Bro, you're my real bro! I'll go to the proctology departnt right away and get the materials, okay?" Wang Chao surrendered.
"That's more like it. You should cherish her; Officer Ma is a good young woman." After saying this, Liu Banxia walked towards the pediatrics departnt with his hands behind his back.
Watching his retreating figure, Wang Chao shook his head helplessly. Truly, a case of misjudging a friend.
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