The Enhanced Doctor

Chapter 1143: Chapter 1143: Another Case of OHSS?

(Thanks to book friend 20201230111532489 for the reward and encouragement, and thanks to sincostgctg, You Zhi Ze Ming, JIANGWM, Sheep Seed, book friend 20201030113516403, Dreaming of Dance, Ai Lifu, Mo Zi for the monthly ticket encouragement)

The next day, Liu Banxia went to work with a bright spirit, and judging by his current state, it was as if he had just returned from a long vacation.

"Teacher Liu, have you received any insider news? It’s all okay now?" Xu Yino leaned next to Liu Banxia.

"Logically, it shouldn’t be, I even had my mom inquire, but there’s no news at the moment," Wang Chao said puzzled.

"Overthinking it, aren’t you?" Liu Banxia glanced at them helplessly.

"I just went home and had a good sleep. Before sleeping, I played with my daughter and son for a while. Played happily and slept beautifully."

Xu Yino pouted, "Let me correct you, you were playing with the babies, not just accompanying them. Those chubby little arms and legs, I want to play with them too."

"So I had kids for you all to play with, huh? But honestly, their chubby little bodies are much firmer than when they were just born," Liu Banxia said joyfully.

"If there’s nothing else, how about you handle admissions today?" Qi Wentai asked with a smile.

"Alright, tomorrow we have four surgeries, we’ll complete them all in one go. You six can group yourselves, two in the morning, two in the afternoon," Liu Banxia replied.

"Absolutely, no need to worry about other things. Today, some are also being discharged, and we’ll have time to follow up on the data tomorrow as well," Xu Yino said.

"Uncle, uncle, eat banana."

At this moment, a tender little voice from Yuanyuan came over.

"Haha, so energetic, today she’s being discharged, time to have some fun," Liu Banxia said looking at the little one.

"Ah... it feels like my wife and I died once," Yuanyuan’s father said.

"If my daughter turns out to be as good as Yuanyuan in the future, that’ll be great," Liu Banxia said with a smile.

"Wait for my call in the coming days to see when I’m off. We’ll have a round of barbecue at my place. Bring Yuanyuan to relax at my place, and let’s drink a bit with Old Bao and Old Qiu."

"Sure, if you don’t call me, I’ll be mad," Yuanyuan’s father said seriously.

"Alright, go complete the procedures. Although Yuanyuan is brave and well-behaved, no child likes being in the hospital," Liu Banxia said with a smile.

Yuanyuan twisted her little body, still a little shy.

But she steadfastly peeled the banana and fed it all to Liu Banxia before following her parents to complete the procedures.

"I’m really curious, why do these kids all seem to like Director Liu so much?" Wang Chao asked.

"Kids are so simple, they can clearly tell who is good to them," Liu Banxia replied.

"Looks like I need to work harder, not to mention, your rate of patient admissions is really high. By the way, how are the prognoses of your NOSES surgery patients?" Wang Chao asked.

"Hahaha, Teacher Wang, this is not an exaggeration, currently, on average, they are discharged 5.5 days post-surgery. Do you think that’s good?" Xu Yino said proudly.

"The results are so good? That’s really impressive." Wang Chao said in surprise.

"Currently, the number of patients is still small, and these patients are all in good condition, so the prognosis is a bit better," Liu Banxia said.

"Still need to keep working at it, among similar types and age groups of surgical patients until reaching hundreds, the data won’t mean much. With so many different conditions, at least hundreds to thousands of patients are needed."

"Then need to compare with patients of laparoscopic surgeries, only then does it hold significance. We have not succeeded yet, need to continue working hard."

"Don’t rush, at your pace, this really won’t be a problem. If we proceed now with standard NOSES surgery, four in a day should definitely be doable, right?" Wang Chao asked.

"Standard procedures are not an issue, if they have adhesions, then handling them can be a bit tricky," Liu Banxia said.

"This relates to the specimen collection process, need to maintain sterility and tumor-free, so it’s a bit troublesome. But such patients aren’t very common, reaching severe abdominal adhesions is generally stage four."

"Basically, if you go all out, you can complete them all in two years without being too exhausted," Wang Chao said with a smile.

The people around listened with a shock, a thousand surgeries in two years. This doesn’t even include other surgeries and emergency surgeries, is this a bit crazy?

But thinking that the person doing this is Liu Banxia, it somewhat makes sense.

In the past year, how many various surgeries has he performed? And back then he primarily focused on emergency surgeries. Now, he’s got fame, reputation and the future will only bring more patients.

"My dear President Wang, that’s only the ideal scenario, not all needed data patients just come our way," Liu Banxia laughed and said.

"So let’s say five years, with so many methods and tumor situations, it will be enough for them to write papers. And all these data are self-collected, not borrowed from others."

"They are really lucky, like divine intervention," Qi Wentai lamented.

Papers are really a headache, mainly because they take so much time, and it’s impossible to utilize fragmented time like Liu Banxia.

Most often, only at night, when it’s quiet and undisturbed, can one write something.

Otherwise, just when you’re getting into the mood, they’d call you for a consultation.

The six little ones are amazing. In the future, they’ll have so much data at their fingertips, and these papers will be just a breeze to write. They were personally involved, and the more substantial the data, the easier it is to pen down the research.

"Hehe, we indeed had some good luck. But we’re not destined to win the lottery, so we still have to keep pushing forward," Xu Yino said with a smile.

"A patient has been brought in, Director Liu, you’d better go conduct the consultation. Anyway, unless this one gets complete testing, your mind won’t be at ease for other work," Qi Wentai said.

Liu Banxia turned his head, and saw an emergency worker bringing in a female patient.

"Good thing you’re here, go do the consultation," Liu Banxia said.

Xu Yino quickly ran over, while Liu Banxia followed behind at a leisurely pace.

Actually, he was indeed still worried, wanting to see if this patient would have any sequelae.

Not all people who have experienced cerebral hypoxia exhibit sequelae, but some do, which is inevitable.

Especially since this patient’s hypoxia duration was somewhat long, which has always been on Liu Banxia’s mind.

Even if there was a complaint, he still hoped the patient would have a good prognosis.

"The patient is 38 years old, experiencing difficulty in breathing and abdominal pain. Blood pressure is 80/120, heart rate 85. Underwent in vitro fertilization half a month ago. The ambulance provided oxygen," the paramedic said.

"Doctor, is it a complication from the in vitro fertilization? Can the child be saved?" the patient asked after removing the oxygen mask.

"Let’s take a look at the situation first. I’ll call an obstetrician over, and I will check you in the meantime. Take the patient to the diagnosis bed, Cui Jia, start an ECG, and bring over the portable ultrasound. Call Doctor Huang," Xu Yino said.

Liu Banxia was quite satisfied, the consultation mood was quite good, not comforting the patient too early nor making any promises. If it were Liu Yiqing, the situation might have been different.

"Temperature 38, blood pressure 80/125, heart rate 90, blood oxygen saturation 92," said Cui Jia after finishing the ECG.

"Provide oxygen through nasal cannula, both lungs have moist rales, we’ll do an X-ray later. Draw blood for CBC, blood chemistry, and an obstetrics blood test. We’ll do an ultrasound first to examine the abdominal pain," Xu Yino stated.

"Doctor, the physician who did our IVF said that such procedures easily lead to complications, is it true?" the patient’s husband came up to Liu Banxia’s side.

"Is this your first time?" Liu Banxia asked.

"It’s the fourth time, the first three weren’t successful," the patient’s husband replied.

Liu Banxia frowned, "Four times, huh, it is quite a lot. But I’m not an obstetrician, so let’s first see the ultrasound results and what the obstetrician says."

Four times, that’s really quite a lot.

He nearly got taken out last time due to a patient’s ovarian hyperstimulation syndrome. This patient’s situation isn’t looking too hopeful either.

"Xu Yino, is it a pregnant patient?" At this moment, Huang Ying also arrived.

"Teacher Huang, the patient had in vitro fertilization half a month ago. Today she’s showing symptoms of breathing difficulties and abdominal pain, lung moist rales, blood oxygen 93, and recovered with oxygen," Xu Yino said.

"The abdominal ultrasound just done shows some ovarian enlargement. Blood has already been drawn and sent for testing, is there any additional examination you recommend?"

"Did she have an in vitro fertilization? Which attempt is this?" Huang Ying asked directly.

This is the difference between a professional and a non-professional, Liu Banxia would have circled around, but Huang Ying asked directly.

"It’s the fourth time, this is the fourth time," the patient’s husband hurriedly replied.

Huang Ying looked closely at the ultrasound image again, then at Xu Yino, "Then let’s do a CT scan quickly to check the lung condition, put a rush on it."

"Okay, I’ll write up the order now," Xu Yino promptly responded.

"Doctor, did it succeed this time? Can the child be saved?" the patient asked eagerly.

"We’ll know once the blood test results are out. Right now, the most important thing is your lungs. Aren’t you struggling to breathe? Don’t worry for now," Huang Ying comforted.

"Sister Huang, what’s the likelihood of OHSS?" After the patient went for tests, Liu Banxia asked.

"Sigh... probably eight or nine out of ten. Currently, OHSS doesn’t worry me as much, but rather her lungs," Huang Ying sighed.

"In recent years, with the maturity of artificial insemination technology, more people are opting for it, and the incidence of OHSS has also increased significantly."

"It’s still her fourth attempt. Even though I understand their feelings, I doubt if their attending physician has thoroughly explained all the risks to them."

Liu Banxia frowned, "That’s really a tough issue to address. Facilities specializing in IVF often don’t explain things so clearly, I reckon. For many people, as long as there’s a chance, they’ll always want to try it."

"Actually, it was only after I had two little babies that I realized the significant bond between parents and their children. IVF isn’t cheap, and she’s already gone through it four times."

He was quite inclined to suspect OHSS as well, but the patient’s lung condition didn’t seem very good either.