"How is the patient's condition now?" Liu Banxia asked after examining him.
"His emotional state is relatively stable, and we've notified his family. We didn't tell him the actual situation yet. He's gone for a cranial MRI to assess the severity of his cerebral infarction," Xu Yino replied.
"I've also contacted the Cardiac Surgery Departnt. Dr. Chen will co over after he finishes diagnosing his current patient. I've inford Dr. Zhang too; he said he'll et with us after the cranial MRI results are out."
Liu Banxia nodded, genuinely pleased. If I could give a rating, it would definitely be a five-star praise. This is the kind of person I've trained. Usually, they'd wait for to tell them what to do next. This is the difference between being passive and proactive. Although the outco might be the sa, the significance is entirely different.
And for this patient, dealing with such a massive, space-occupying myxoma is truly not easy. A myxoma differs from other tumors in its shape, which can vary widely—it might be round, elliptical, or irregular. Those types of myxomas aren't a huge problem; the surgery to remove them isn't very difficult. The most feared type? It's like this patient's: extrely irregular. It has bulky tumor masses, and the tumor edges show an uneven distribution of cauliflower-like and polypoid growths. These small polypoid pieces can easily break off, forming tumor emboli and causing arterial embolisms, such as pulmonary, cerebral, or femoral artery embolisms. The extent of the impact depends on the size of these pieces and the vessels they obstruct; it can be quite widespread. Even before the cranial MRI results are back, I can say with certainty that this is a cerebral infarction caused by tumor emboli. In other words, the patient's stroke is a complication of his cardiac myxoma.
"Teacher Liu, what are the chances of a successful surgery?" Xu Yino asked curiously.
Liu Banxia shook her head. "From my understanding of cardiac surgery, the tumor is too large and its shape too complex, making it difficult to operate. However, let's see what Old Chen can do. He might just be able to manage it."
"But for this patient, if this myxoma isn't treated, he'll either die from more arterial embolisms in the future, or he'll die when the tumor completely fills his heart chambers."
"We're all layn in this area. Let's not wait for Old Chen; let's go find him and ask directly. You all can observe this surgery; it's a rare case."
Xu Yino nodded.
Although she wasn't a cardiac surgeon, she could grasp the general idea. At the very least, removing the tumor would require operating on the heart. A tumor this large wouldn't be easy to deal with.
Just as they arrived at Chen Xuehai's consultation room, Chen Xuehai, who had just finished with a patient, looked up. "Oh, I was just about to look for you two. What's the situation with that patient?"
"Take a look. It's very challenging," Liu Banxia said, handing him the examination report.
Chen Xuehai took it and examined it carefully. "A heart transplant. Put him on the transplant list. The surgical difficulty is extrely high; he might not make it off the table. Moreover, there's a chance a myxoma this large has already infiltrated."
"With the current criteria for the transplant list, it'll be tough for him to get a spot, right?" Liu Banxia asked.
Chen Xuehai nodded. "It depends on luck. Otherwise, it's highly unlikely he'd survive the surgery. If they want to proceed with surgery, further examinations are needed. Did he co in voluntarily for a check-up?"
"Teacher Chen, he ca in because of a stroke," Xu Yino quickly added.
"That makes it even worse," Chen Xuehai stated. "He already has tumor emboli, so more will certainly detach soon and cause further arterial embolisms. We'll wait for the examination results and then discuss with the patient. The success rate is extrely low."
"If it were my recomndation, rather than taking such a risk, it would be better to forgo this surgery. If he's lucky, he might get a heart transplant. Even if he's unlucky, he could at least live a while longer."
Xu Yino glanced at Chen Xuehai in surprise. This was a private conversation, so he could speak frankly about the true situation. For soone of Chen Xuehai's skill level to say this, it basically ant that even if the surgery were attempted, it would be forcing the issue.
"Let's wait for the upcoming test results, and then discuss it further with his family when they arrive," Liu Banxia said.
"He's not old, but this disease progressed so rapidly. It seems that even with regular company physicals, it wouldn't be detected without an echocardiogram, right?"
Chen Xuehai nodded. "If one is a bit negligent, even if there are so physical symptoms, they're not easily noticed. And many routine check-ups don't include an echocardiogram."
"An ECG is a relatively good thod for examining the heart. However, for many heart conditions, they aren't easily detected when not actively symptomatic."
"Currently, there are still limitations in diagnosing so diseases. Often, patients need to judge by their own feelings. The more carefree or unobservant a person is, the more likely they are to run into trouble."
Liu Banxia nodded. "That's exactly right. Yesterday, a patient I saw in orthopedics was experiencing so dizziness. Unlike others, he didn't wait or put it off; he ca straight for a check-up."
"Even though his initial consultation was in Orthopedics, it was basically confird to be cardiogenic, likely caused by an arrhythmia. He had an echocardiogram first, which showed so minor issues with his coronary arteries."
"Alright, this case is basically out of our hands now. The rest is work for your Cardiac Surgery Departnt," Liu Banxia said. "When the patient cos back, I'll have Xu Yino bring him to you."
Chen Xuehai nodded. "Don't start him on anticoagulant drugs yet. If surgery is really necessary, we'll need to assess all his indicators comprehensively first."
"Understood. Xu Yino, inform Zhang Xiao in a bit. Have her coordinate with Old Chen," Liu Banxia said.
Xu Yino nodded.
The patient's diagnosis on my end is essentially complete. Next is work for cardiac surgery and neurology, primarily cardiac surgery. Even if I'm very interested in this case, all I can do is watch the surgery from the sidelines. When it cos to cardiac surgery, even as chief resident, I can't really get involved.
Leading Xu Yino out, Liu Banxia froze. The waiting area was suddenly packed with patients.
"Qi Wentai, why are there so many extra patients?" Liu Banxia asked.
"They're all here for the plastic surgery departnt; they've all registered for appointnts there. I just took a quick look—twenty-seven of them," Qi Wentai replied with a wry smile.
"I'm not trying to stir up trouble or just watch the drama unfold, you know. Anyway, we don't have any issues between us anymore, and I still count on you. You should be careful; this looks like a preditated move."
Xu Yino listened with great curiosity. It seed quite rare to hear such words from Teacher Qi. He was usually a bit aloof and rarely joked around.
Liu Banxia chuckled. "I couldn't ask for more. The more prepared he is, the better! Our ergency center will make more money. I glanced at Doctor Xu's surgical price list; it looks pretty good, quite profitable indeed."
"You can't only think about that! They're clearly targeting you, so why can't you be more vigilant?" Qi Wentai said helplessly. "I don't want to take over as chief resident only to find a new boss suddenly placed over ."
"Well, it really depends on how you look at it. Personally, I don't think we need to waste too much ntal energy on this," Liu Banxia said after a mont's thought.
"dical skill is certainly one aspect of the qualifications for deputy director. However, we're in different departnts. While there's so overlap, there are still distinct differences."
"Besides, whether I can beco deputy director also depends on what the leadership decides. Isn't that often how it is? You only get the green light if the leaders say you're good to go."
"And this whole thing, which should have been resolved within our hospital, has now been escalated to the dical school level. Is this the Chief Director's appointnt or sothing? Aren't they blowing this a bit out of proportion?"
"Actually, Wang Chao's mom also offered to help. Regardless of whether it would make a difference, she could at least put in a word. But I declined. It's better not to involve outsiders, especially those not from within our system."
"Sigh... The more you act like this, the more worried I get," Qi Wentai sighed. "I don't know why I was so stubborn back then. What was the point of competing with you?"
"Haha, you're just jealous that I'm handso," Liu Banxia said with a laugh.
"COUGH, COUGH, COUGH..."
Xu Yino, who had been keenly listening to the gossip, nearly choked.
It was just getting good! She thought more juicy details were about to be revealed, but then Teacher Liu started being flippant again.
They, the interns, had indeed heard so rumors about the animosity between Qi Wentai and Liu Banxia. However, since Qi Wentai was also in the ergency center, people didn't elaborate much, even when ntioning it jokingly. This only made the interns more curious. Who would have thought Liu Banxia would suddenly steer the conversation in a completely different direction?
Qi Wentai felt a bit helpless. Though Liu Banxia had said it jokingly, there seed to be an elent of that factor back then. But more than that, it felt like they were natural-born rivals at the ti; they just couldn't stand the sight of each other.
"Teacher Liu, how about I go ho and ntion this to my mom?" Xu Yino asked.
"You should stay out of it too. It's better not to get involved in this," Liu Banxia advised.
"I have the support of the Chief Director and the departnt director; that's already very strong backing. Besides, I genuinely hope Doctor Xu works even harder. The profits from plastic surgery projects are substantial—real, hard cash."
Xu Yino shook her head helplessly.
She wondered how Xu Qixin would feel if he knew what Liu Banxia was thinking. If it were her, she'd definitely feel incredibly frustrated. Accumulating so many patients couldn't have been easy; it must have been a 'killer move' he'd been planning for a long ti. Although plastic surgery is popular now, for Xu Qixin, who only recently returned to Binhai City, how could so many patients suddenly appear out of nowhere? Not only did it have no effect, but it actually made Liu Banxia quite happy. How could Xu Qixin possibly be in a good mood after that?
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