Examinations are not an easy task, particularly when the patient cannot articulate their symptoms. Besides, the patient has undergone blood transfusions, fluid replenishnt, and general anesthesia, so deducing anything based on lab blood test results is much more challenging now.
After so organization in the waiting hall, the emotions of the patients' family mbers who had rushed over also stabilized.
When they saw their family mbers, they all looked quite battered. After all, in such a major car accident, there were many abrasions and wounds. After their wounds were ticulously debrided and bandaged, they finally felt truly relieved.
"Dr. Liu, Dr. Liu, you're truly amazing! The bone-setting was perfect. A cast for protection later will be fine."
A short while later, the patient with the broken arm walked over.
DING! Consultation complete. Gained 100 experience points, Orthopedics Skill Proficiency 200 points, Glory Points 1.
"Congratulations, that will save you a lot of suffering. Let's get a head CT scan later. You also bumped your head, and it's always better to be cautious," said Liu Banxia.
"Dr. Liu, is that really necessary? I also heard other doctors asking about it. My head doesn't feel anything particularly wrong right now; there's just a bump where I scraped it," the patient said.
"As for feeling dizzy or nauseous, I don't feel any of that anymore. When you were setting my bone just now, that jolt of pain did make feel a bit nauseous."
"Well, this is sothing you have to decide for yourself," Liu Banxia said with a smile.
"Normally, if soone bumps their head, we usually order a cranial CT scan to check for any swelling or hematoma."
"If you had hit your forehead, I wouldn't insist. The bones at the back of the head aren't as hard as the forehead. So people might experience delayed bleeding even if they have no symptoms at the ti."
"If you feel you have no discomfort right now, you can sign a waiver on the paperwork later. If you experience any head discomfort after going ho, co to the hospital imdiately for an examination."
"You don't necessarily have to co here. Go to the nearest hospital that can perform a CT or MRI scan. Although the results from CT and MRI scans are similar, an MRI can provide more detail."
"Alright, thank you, Dr. Liu. I'll get it done then, for peace of mind," the patient nodded.
"I'm not trying to trick you into this, mind you, so you can't regret it later," Liu Banxia said very seriously.
"Regret what? The scan is for my own good. Since I'm already at the hospital, I might as well get it done. It doesn't cost much anyway," the patient said.
"Ah, being healthy is better than anything. What happened to today was a bolt from the blue, wasn't it? I'm fine, just a broken arm. I'm actually quite lucky."
"Isn't that the truth? I'll write up the order for you now, then you can go get in line. Usually, there's nothing wrong; we're just adding an extra layer of precaution," Liu Banxia said.
Once the order was written, the patient happily went to pay the fee.
That's how it is sotis. Faced with the sa situation, different mindsets lead to different perspectives. Encountering such a cooperative patient was also sothing to be happy about.
Otherwise, Liu Banxia really wouldn't have dared to discharge him. Even if delayed bleeding occurred in the future, if he hadn't arranged a CT this ti and the patient hadn't signed a clear refusal, Liu Banxia could potentially be held responsible.
Director Fang, standing nearby, had watched the entire process and was also deeply impressed.
He had seen many doctors consulting with patients, and everyone had their own different thods. This was the first ti he had seen soone like Liu Banxia, whose consultations were more like a chat.
It wasn't that other doctors had bad attitudes, but after a busy day, who would have much energy left? People aren't like mobile phones that you can just connect to a power bank and have no more issues.
Take the patient just now, for example. Liu Banxia rely explained the situation in detail and let the patient choose for themself.
He now had a certain understanding of the dical system and knew that doctors often bore responsibility. Anyway, in his view, Liu Banxia's approach just now had been very successful.
The patient accepted the examination, their rapport was still good, and the patient wasn't made to feel overly conflicted or awkward.
"Dr. Liu, which organ do you think is causing problems for that patient?" Director Fang asked, leaning closer.
"Sigh, there are actually many possibilities in situations like this. However, we can preliminarily rule out common conditions like myocardial infarction and cerebral infarction. If I had to guess, it's probably related to an acute abdominal condition," Liu Banxia said after a mont of thought.
"For instance, appendicitis, intestinal perforation, and cholecystitis are conditions with sudden onset and can be excruciatingly painful. I once treated a patient with ontal torsion."
"At that ti, we ran tests for cholecystitis, intestinal perforation, and appendicitis, but we couldn't find anything. In the end, we perford an exploratory laparotomy and discovered it then."
"A while ago, there was a pregnant patient admitted with acute abdominal pain. She had a baby in her womb, but another fertilized egg had implanted ectopically, causing an ectopic pregnancy."
"Anyway, the human body has so many organs. If any single one of them doesn't work properly, it can bring pain to this body."
"For that patient now, we have to wait and see if her condition can be detected by ultrasound. If the ultrasound can't detect it, we can only wheel her out for now and wait until she regains consciousness to ask her more questions."
"Dr. Liu, how often do ergency tasks of this magnitude, like today's and the one from the night before last, occur?" Director Fang asked further.
"Not very often. Most are triaged by the dispatch center to various hospitals. Especially for major accidents, like that infamous chain-reaction car crash in the tunnel I was involved in – all the hospitals in our city sent people then," Liu Banxia said.
"Our country's current ergency dical system is quite comprehensive. And I'm not just saying this to flatter you because you're from the dia."
"However, even so, there are still many uncooperative incidents in society. For example, when our ambulances are en route to pick up patients or transport them, we still hope private cars will yield the way."
"Of course, there's an issue here. When yielding, it's easy to get points deducted from your license or be fined, and you have to rember to appeal it yourself."
"So people are very busy with work and don't have that much ti to deal with this. So they adopt a 'less trouble is better' attitude, thinking, 'anyway, the red light won't last much longer.'"
"Actually, if relevant policies and technical asures could be introduced for this, I think it would be very helpful for public ergency services, whether it's saving lives or fighting fires."
"But this is a rather large issue; it still involves matters between multiple departnts. It's not easy to coordinate, and I don't expect it to be implented imdiately."
Director Fang shook his head with a wry smile. "You've certainly thought this through clearly. That's indeed how it is—two completely different systems. Many violations are caught by traffic caras, so you can only appeal it yourself."
"There are so many vehicles nowadays. Even though so cities have license plate restriction policies based on the last digit, it hasn't eased things much. Where it's congested, it's still congested."
"I was chatting with my dad during Chinese New Year, and he said even our small county town is now overrun with cars. The main roads are always jamd during commuting hours, and it's always congested in front of the schools. Officer Ma, have you contacted that patient's family?" Liu Banxia asked.
"I just contacted them. I spoke to her father; I just hung up the phone. He said he might not be able to get here until late tonight," Ma Limin replied.
"I also inford them about the need for additional examinations, and they expressed their support. Is there any update on the patient yet?"
Liu Banxia shook his head. "Not yet. She should still be undergoing examination. Let's wait a bit longer."
Just as he finished speaking, his phone rang. Seeing it was Shi Lei's number, he quickly answered, "Boss, are the examination results out yet?"
"Sigh... yes, we have them. It's right-sided ovarian torsion. I'm going to perform a laparoscopic exploration imdiately to see if it's due to congenital reasons or caused by sothing like a cyst," Shi Lei said.
"Have the family mbers been contacted? If the problem is severe, I might have to perform a resection. I don't know how long the ischemia has lasted. If it's necrotic, it will have to be removed."
DING! High Lactate Patient Mission Complete. Gained 30 experience points.
"They've been contacted. You go ahead with the exploration, and I'll contact the patient's family right away." Liu Banxia said this, then hung up and looked at Ma Limin.
"Officer Ma, we still need to contact the patient's parents. It's right-sided ovarian torsion. She's currently undergoing a laparoscopic exploration. We'll do our utmost to restore it, but depending on the actual situation, we can't rule out the possibility of resection."
"Huh...? You want to tell the patient's family? What if I say it wrong?" Ma Limin beca a bit anxious.
"I personally suggest it's best if the person who already spoke with them communicates this. It can reduce their panic," Liu Banxia said.
"You can also tell them the good news: we've identified the condition. The bleeding vessel in her neck has also been perfectly managed. Once the ovarian issue is resolved, there shouldn't be any other problems."
"As for future compensation, it seems neither you nor I can help much with that. Liability has to be determined according to regulations. At least this proves she didn't intentionally swerve onto the expressway; it was because of the pain."
"Okay, okay, I'll go contact the patient's family." After saying this, Ma Limin hurried off to one side.
"Sigh... this counts as rare good news," Liu Banxia sighed.
"At the very least, this proves this accident wasn't caused by her deliberate decision. It was an accident, which makes feel a bit better."
"Sigh... if that other patient hadn't been brain-dead, it would have been even more perfect," Director Fang also remarked with emotion.
Today's experiences left a deep impression on him, filled with the joy of success and the helplessness of loss. He knew that in a place like a hospital, it's impossible to successfully save every patient.
But as an ordinary person, he still hoped every situation could have a good outco.
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