Chapter 1129: Chapter 1129: A Doctor’s Duty Is Never Trivial
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Ding! Emergency surgery task completed
Gained 800 experience points, 800 points in suture skills proficiency, 500 points in dressing change skills proficiency, 500 points in kidney surgery skills proficiency, 500 points in liver surgery skills proficiency, 500 points in intestinal surgery skills proficiency, Glory Points +10
This task rating is perfect level, gained 1000 experience points, 1000 points in suture skills proficiency, 800 points in dressing change skills proficiency, 800 points in kidney surgery skills proficiency, 800 points in liver surgery skills proficiency, 800 points in intestinal surgery skills proficiency, 15 Glory Points + 20 points, 1 solidified stone
Ding! Suture skill level increased to level 5
Indeed, surgery is the king’s path.
If sufficient time were given for this surgery, it would just be a routine procedure.
With the surgical skills Liu Banxia currently possesses, even performing such a massive surgery doesn’t grant much task reward.
But the difficulty of this surgery lies in the timing of defibrillation for the patient. If defibrillation is done too early, what does it matter if sinus rhythm is restored when blood pressure plummets?
It’s like a barrel with a hole at the bottom; no matter how much water you pour in, if more flows out than you pour in, it’s all for nothing.
Of course, Liu Banxia didn’t choose direct resuscitation, which also poses a possibility: even with significant blood loss during defibrillation, the patient might still be saved.
This is something that can’t be verified; no one can turn back time and experiment again with the patient.
"Don’t wake him up yet, just send him straight to ICU." After collecting his thoughts, Liu Banxia said.
"Teacher Liu, it was too thrilling to be on the stage today." Xu Yino said.
"Thrilling or not, I’m exhausted right now." Liu Banxia said with a bitter smile.
"Actually, why did I let you all handle the surgeries afterward? Those two minutes of extreme operation have drained all my energy."
"You also have to be careful in the future. The tension of doing surgery wears you out physically. You need to replenish your energy at all times, you never know when you’ll need to work continuously."
He wasn’t lying; the tension of today made him forget to redeem the blend, and he somehow managed to pull through.
Now, he doesn’t know if it’s psychological or real exhaustion, but he feels like he’s done several surgeries in a row.
"What are you all doing here? You have nothing to do here, is it not busy downstairs?"
Just walking out of the surgery room, he saw Su Wenhao and the others outside.
"Teacher Liu, we feel that with today’s performance, we must welcome you down the aisle." Huang Bo said.
"Nonsense, a red carpet welcome and I don’t even get an extra dish." Liu Banxia said.
"But Xu Yino’s liver release today was really good, I don’t know if there’ll be any expression of appreciation. Don’t look at me, I don’t know either."
"Teacher Liu, I’m really trying to save money now, in another two months I’ll be a mortgage slave." Xu Yino said with a bitter face.
"Haha, I’ll take care of the extra dish for lunch today." Wei Yuan said cheerfully.
Watching them mess around like this, he found it quite amusing.
"Thank you, Teacher Wei."
Those standing at the door shouted in unison.
"Director Liu, these are the family members of the injured person." At this moment, the coordinator also brought over the patient’s parents.
"His injuries are quite severe. Today’s surgery was very successful, but we also need your consent to send him to the ICU. He’s not completely out of danger yet." Liu Banxia looked at them and said.
"Agreed, agreed, doctor, why is Xiao Bin still unconscious now?" The patient’s mother asked.
"Because the injury to his internal organs is quite severe, the spleen was shattered, the left kidney shattered, and a long incision was made on the liver for a partial liver resection." Liu Banxia said.
"Two places on the intestines were also cut and couldn’t be repaired, so we did an intestinal resection of about 33 centimeters. Please take a look at him first, there are also some situations during surgery that need to be explained to you."
Hearing his words, Wei Yuan gave him a surprised look, not expecting him to explain to the patient’s family now.
The couple leaned over the bed, carefully looking at their child. But the patient is currently in a drug-induced coma, unable to respond.
"Escort him to the ICU, then find me at my office on the first floor." Liu Banxia said.
The couple nodded, their entire focus was on their child now.
"Director Liu, are you sure you should be explaining now? Shouldn’t we wait for the patient to wake up and finish the tests first?" Wei Yuan asked worriedly on the way back.
"Explain now, after all, the decision I made on stage today is controversial. But our hearts are pure, and we don’t mean to harm them." Liu Banxia said.
"Actually, I’m worried that there could be certain after-effects. Although there’s talk of the golden four minutes, the longer the delay, the greater the brain damage."
"Alright, I’ll accompany you. After all, I’m one of the doctors on stage." Wei Yuan said.
"Thanks, Brother Wei. Add some dishes for them, I’ll add a chicken leg for you at lunch." Liu Banxia said with a smile.
"How about swapping it for some crispy fried hairtail?" Wei Yuan joked.
This is camaraderie.
Liu Banxia is the chief surgeon, and the decision rests with him; the responsibility lies with him. Wei Yuan accompanies him, meaning that if any real problems arise, Wei, as a senior attending physician, will also share the responsibility.
A doctor’s responsibility is no small matter, even if Liu Banxia is now saving the patient, there’s still responsibility upon close examination.
Back in the office, they waited for nearly twenty minutes before the patient’s parents came in.
"First of all, I want to say that the entire surgical process is meticulously recorded." Liu Banxia said.
"However, during the surgery, we encountered a very difficult choice, mainly discussing it with you regarding this issue."
"His abdominal organs were severely damaged. Just now, we already explained which organs were damaged. Because of these injuries, it’s led to significant bleeding."
"We’ve administered the fastest possible infusion and blood transfusion, but his blood pressure was still steadily declining. During our rescue efforts, he experienced ventricular fibrillation."
"Faced with this situation, we had two choices. One was timely defibrillation. But the consequence of this might be that defibrillation also takes time. At that time, the blood loss was so great it had already reached the standard for hemorrhagic shock."
"So, as the chief surgeon, my choice was to stop the bleeding first, then defibrillate. My judgment was that only this could save his life."
"I need to inform you that because his blood pressure was very low at the time, his brain blood supply was not very good. Our time for stopping bleeding was two minutes and thirty-seven seconds, which could potentially affect his brain to some extent."
"Although the likelihood of such an impact is very low, we still need to inform you. Whether there’s an effect, and how much of an effect, we’ll know after he wakes up."
"Doctor, you’re saying that when Xiao Bin wakes up, he might become a fool?" The patient’s father looked at Liu Banxia and asked.
Liu Banxia shook his head, "At present, we can’t determine that, but my personal judgment is that it won’t reach the level described colloquially as ’fool’."
"There may be some neurological disorders or functional impairments, and it’s merely possible. Ultimately, we’ll need to wait until he wakes up to know."
"Doctor, what exactly is the likelihood?" The patient’s mother asked.
"Under normal circumstances, if successful resuscitation occurs within four minutes after cardiac arrest, it generally won’t cause significant issues." Liu Banxia said.
"Medical determinations state that widespread brain cell death occurs after six minutes of oxygen deprivation, resulting in irreversible damage."
"Your son’s case is somewhat unusual. His blood loss was severe, with low oxygen-carrying capacity in his blood, so I’m concerned about potential damage."
"However, medical research determines that genuine cessation of brain electrical activity occurs after two minutes of oxygen deprivation. While stopping the bleeding, our medical staff also performed CPR."
"This method of compression allows blood to be pumped to the brain, delaying the oxygen deprivation state. It was such an urgent situation at the time, there was no time to call you, so I made the judgment on the spot."
"That’s how the situation is. The rest of the surgery adhered to standard protocols, and we executed it quite successfully. Initially obtained specimens are conserved."
"Doctor, are you implying that your operations today weren’t very standardized?" The patient’s father asked again.
"The judgments I made at the time pertained to special circumstances and can’t be evaluated in terms of standards." Liu Banxia thought for a moment and said.
"And now we are fulfilling our obligation to inform you. If recovery proceeds well, we will wake him up tomorrow afternoon, at which point we can conduct appropriate tests."
"We’ll consider it." The patient’s father left a sentence and pulled the patient’s mother out with him.
Wei Yuan looked at Liu Banxia helplessly, "Seeing his calm reaction, I sense this matter won’t pass easily."
"Well... it’s unavoidable. Sometimes, as with the surgical conditions not meeting standards and still needing on-site surgery, there just aren’t that many choices." Liu Banxia sighed.
This was the expected result; it’s a typical human reaction.
It’s better than those who say "doesn’t matter" and then go back to file a complaint against you.
"What do you estimate will happen?" Wei Yuan asked.
"I feel like there won’t be any problems, although his blood pressure was quite low, with significant blood loss, our CPR was given timely." Liu Banxia said.
"Yet such matters are unpredictable; perhaps others can go four or five minutes without issue, but he might not wait a minute."
"Let’s see how it goes; if they really file a complaint, we have to handle it. Thankfully we informed them earlier; if we informed them later, the trouble might have been even greater."
Wei Yuan nodded in understanding; this is very likely.
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