Chapter 1060: Chapter 1060: Still Not Enough Experience
"Teacher Wu, are you busy now?"
Liu Banxia arrived at Wu Wenlin’s office in the urology department holding the patient’s examination report.
"Not busy, what’s up?" Wu Wenlin asked with a smile.
"There’s indeed something. A female patient I consulted with yesterday was diagnosed with Walnut syndrome. Would you mind taking a look?" Liu Banxia said, putting the report on Wu Wenlin’s desk.
"Oh, diagnosing Walnut syndrome isn’t easy; it’s often missed. Is the hematuria severe?" Wu Wenlin asked casually.
"The hematuria is manageable, with two plus signs for blood in the urine under routine tests. However, the patient mainly complains of abdominal pain. I’ve only seen this condition in books and don’t fully understand it," Liu Banxia said.
"I know this condition is very painful, and the patient’s history has been ongoing for several months. To endure this long without breaking down, she must be very strong."
"That’s indeed the case. The pain from this condition is very intense, more than you can imagine," Wu Wenlin nodded.
"Although the hematuria isn’t very severe, the pain is, and surgery is the only option. While interventional treatment can be performed, it’s not recommended."
"Despite the widespread use of interventional therapy, I still feel it carries hidden risks. Especially for this patient, a left renal vein transposition with end-to-side anastomosis of the vena cava would be better."
Liu Banxia nodded in agreement. He understood this point as there’s a risk of balloon detachment, requiring long-term anticoagulant medication.
When dealing with patients with coronary artery atherosclerosis causing infarction, using a stent is relatively easier. Otherwise, bypass grafting is necessary, which is more invasive.
"This condition is hard to diagnose because there are many causes of hematuria. Moreover, the position of the left renal vein is between the angle of the abdominal aorta and the superior mesenteric artery, which is quite hidden," Wu Wenlin continued.
"There’s a handy tip: patients with this condition are often tall and thin. If during consultation, there’s unexplained abdominal pain, back pain, or hematuria, we can suspect this condition."
Liu Banxia thought carefully and realized it was true. This patient is quite tall and thin, which he initially thought was due to illness.
"Thank you, Teacher Wu. If I had come to you earlier, the patient wouldn’t have suffered for so long. I hesitated to bother you since her kidneys showed no issues," Liu Banxia said sincerely.
"No need to thank me; this is all in the books. It’s just that you mostly deal with tumor and trauma patients, so you haven’t paid much attention to this area," Wu Wenlin waved his hand.
"For some young patients during development, we often start with conservative treatment. Some children’s conditions improve significantly after development, making surgery unnecessary."
"Others aren’t so lucky, but even if surgery is needed, it’s best after their development is complete. This condition is indeed tormenting, and it doesn’t have the name ’Walnut Clamp’ for nothing. Tomorrow afternoon, we’ll fit her in."
"Thank you, Teacher Wu. Who do you want to be in charge of the patient’s care?" Liu Banxia asked.
"Yunting, you take charge of this patient," Wu Wenlin replied.
"Okay, Teacher Wu. Director Liu, should we go now?" the chief physician in the urology department, Hu Yunting, asked.
"Alright, Dr. Hu, thank you," Liu Banxia said with a smile.
Wu Wenlin is indeed impressive; a few simple words gave me a clearer understanding of this condition. That’s the power of experience, as I can train in operational skills but can’t gain more diagnostic experience.
This experience only accumulates through consulting patients and dealing with case by case.
"Dr. Hu, has Teacher Wu been quite busy lately?" Liu Banxia asked on the way to the ward.
Hu Yunting nodded, "Three surgeries yesterday, two more tomorrow, and with this patient, that makes three. Recently, there have been more prostate disease patients, many referred by old patients."
"But it’s hard work for Teacher Wu, and there’s no choice; others can’t replace him because their skills aren’t up to par," Liu Banxia remarked.
This is indeed a real expert. How long have I been at the emergency center without building a reputation? Wu Wenlin already has his reputation.
Even if in the martial world he ranks behind Zhou Shuwen, Li Mingwu, and Xu Peichen, his skills are formidable though his specialty differs.
In every industry and system, there’s somewhat of a hierarchy.
"Director Liu, can this be completely treated this time?"
Just entering the patient’s office, the patient happily shouted.
The delight was apparent, with a bright smile on the patient’s face.
Liu Banxia nodded with a smile, "Absolutely, we can perform the procedure tomorrow afternoon. Let me introduce Dr. Hu from our hospital’s urology department, he will explain some aspects of the surgery to you later."
"As for the lead surgeon, it’s Teacher Wu, the chief physician of the emergency center’s urology department. If you had booked Teacher Wu’s appointment yesterday, it would have been diagnosed yesterday."
"Director Liu, aren’t you the one performing the surgery for me?" the patient asked, somewhat surprised.
"Each field has its specialists. Teacher Wu has done many nutcracker syndrome surgeries. Others have to queue up, so I’m squeezing you in." Liu Banxia said with a smile.
"Otherwise, normally scheduling the surgery would take at least three days. I’m getting you in tomorrow, but it will be in the afternoon, as we can’t push back the already scheduled surgeries."
"Xu Yino, make sure to listen intently when Dr. Hu explains things later. Rare learning opportunity, must seize it well."
"Okay." Xu Yino nodded happily.
Liu Banxia didn’t stay any longer and signaled before leaving the ward, handing over the remaining work to Hu Yunting.
Even though he was the initial diagnosing doctor, Hu Yunting was the one overseeing the patient’s bed, so the case had to be handed over.
Thankfully, Hu Yunting wasn’t the petty type, otherwise seeing the patient’s disappointed expression at hearing he wasn’t the one doing the surgery could have been aggravating.
The patient came to see him, trusted him for the diagnosis, so naturally had a high level of trust in him.
Otherwise, Xu Yino wouldn’t have been left here, fearing the patient might feel "sold out."
"Impressive, diagnosing nut-cracker syndrome." Just as he returned to the emergency center lobby, Wang Huan gave a thumbs up.
"Stop flattering me, I just chatted with Teacher Wu. If he handled it, the diagnosis could’ve been made yesterday." Liu Banxia said with a bitter smile.
"Really? I just flipped through some books, this disease can only be diagnosed through exclusion. How could it be diagnosed so quickly?" Wang Huan asked.
"Teacher Wu said symptoms of hematuria, unexplained abdominal pain, waist pain, and patient’s height can all indicate this disorder." Liu Banxia replied.
"I sense from Teacher Wu, this disorder isn’t that rare; he probably has substantial experience with it. We seldom consider a patient’s stature during diagnosis, focusing only on symptoms."
"Another reason could be the patient’s unique presentation. While the medical history is long, urine occult blood wasn’t excessively high."
"Normally, when reaching three plus signs, patients go directly to urological surgery; catching it in our department is rare indeed."
Wang Huan nodded in agreement. Even at the hospital, the guides direct you to urological surgery.
Considering current circumstances, once hematuria is found, people will search online and pinpoint urological issues, excluding other departments.
Actually, general surgery can address this, shifting the compressed renal vein slightly. But with urological surgery available, it’s handed over.
Similar to nephrological issues, emergency surgeries are indisputable; non-emergency follows specialty protocol.
From this diagnosis session, Liu Banxia realized his shortcomings. His initially inflated self-confidence dwindled; too young indeed.
After lingering a bit, he saw Xu Yino strolling back.
"How was it?" Liu Banxia asked.
"Dr. Hu’s explanation was detailed, the patient understood; ultimately, what matters is pain relief." Xu Yino replied.
"But since her family lives far away, she hasn’t told them. Living afar is tough, bearing everything alone."
"This guy, making you feel sentimental." Liu Banxia said helplessly.
"Well, it’s true." Xu Yino said.
"Teacher Liu, count how many out-of-town patients we’ve diagnosed here? Living away from home without family is tough when one falls ill without care."
"What’s there to do? Everyone has to live, huh." Liu Banxia said nonchalantly.
"To quote a popular saying, one has to complete the path they chose, even if crawling. It’s all for a better life; there’re more job opportunities here than back home, possibly more earnings."
"We’re all workers, my family isn’t from Binhai City either. But I’ve settled, got a wife, and soon children. Not too bad."
Xu Yino pouted.
Showing off again, huh? Once the child arrives, definitely have fun teasing them later.
This brought slight anxiety, having to partner with Liu Yiqing on stage. If the abdomen isn’t closed properly, imagine facing the mistress’s wrath?
Besides, Teacher Liu will surely inspect it, truly worrying.
