The Enhanced Doctor

Chapter 1145: Chapter 1145: Rules Must Be Followed

(Thanks to the smart bookworm and kenny75 for encouraging with the monthly ticket)

"Indeed, our patient is quite fortunate. Except for the rupture of the spleen, no other abdominal organs are damaged."

After completing the surgery, Liu Banxia thoroughly checked it again.

"Huang Bo’s operation today was very good. Very steady, really well done." Director Chen complimented.

"Thank you, Director Chen." Huang Bo quickly said.

"Okay, now it’s our turn. Prepare to open the extracorporeal circulation." Director Chen said.

The interns from the cardiology department began to operate.

"You all carry on. We’ll step outside for a while. I’m quite concerned about that patient’s test results and need to inquire." Liu Banxia said.

"Huang Bo, stay and clean and suture the patient’s laceration. If you have time, learn some techniques from Director Chen; don’t waste the opportunity."

"Go ahead, there should be no issues." Director Chen casually remarked.

It’s understandable, and indeed, there’s nothing more for Liu Banxia to do here.

It’s like traffic officers each managing their section. Leaving Huang Bo for follow-up is sufficient.

"Director Liu, how is the patient’s condition?"

As soon as he stepped out, the waiting police officer quickly asked.

"Currently, the bleeding in the abdominal cavity is under control, and the spleen has been removed, but the patient has other conditions." Liu Banxia replied.

"Director Chen is performing a valve replacement; the patient’s endocarditis infection is quite severe and will require a lengthy treatment and recovery afterward."

"No wonder when he was on his electric bike, he swerved into the motor lane and was hit by a following car. Could it be related to his endocarditis?" the officer asked.

Liu Banxia nodded, "He has subacute endocarditis, and the infection has likely been present for a while. It’s unclear why he didn’t take time off and insisted on working."

"Recently, their delivery volume is huge. His colleague mentioned he wanted to take leave but it wasn’t approved." the officer said.

"His health was already uncomfortable, yet he couldn’t take leave. Every day, work ended late, earning money is really tough."

"His family is likely arriving soon. Please inform them of the situation. The valve replacement just started and will take a long time to complete." Liu Banxia requested.

"Sure, you focus on your work, leave these matters to me." the officer said.

Liu Banxia nodded and headed straight to the hall on the first floor.

Need to find Wang Chao to inquire about the actual situation; others may be unclear, but Wang Chao surely knows well.

"Has the patient’s testing been completed?" Liu Banxia approached Wang Chao.

Wang Chao nodded, "The situation isn’t very promising. There’s some impact on thinking, and current responses are slow; it’s unclear if this is temporary or permanent."

"Hmm..., there’s another possibility, which is faking. Anyway, brain wave patterns are normal, and the higher-ups have made a record."

"But this time it was handled quickly, and a written response was given to the patient’s family. Your actions during the rescue were compliant, also made as a special case."

Liu Banxia nodded, "Ah..., these messy matters."

Now it’s one result with two possibilities.

The result affirms him and swiftly provides an outcome, which supports him. As for the possibilities, either the patient indeed has sequelae, or they’re faking.

This cannot be truly diagnosed. Even monitoring brain waves is futile.

But neither possibility is what he wants to see; he hopes the patient is honest and free from sequelae.

However, this matter doesn’t require his involvement any longer; the medical department will naturally step in. Even if the patient sues or requests validation of the process, it won’t concern him.

"Xu Yino, how’s your patient’s condition?" Liu Banxia asked.

"Two news, one good and one bad." Xu Yino replied.

"The good news is that by measuring the HCG index, we can confirm the patient is indeed pregnant. However, there’s a situation of thick blood; the blood’s too viscous, aligning with OHSS."

"The patient’s lung CT shows a saddle pulmonary embolism, not very severe currently, it’s under anticoagulation treatment. But close monitoring remains necessary, as both OHSS and her current blood condition are hazardous."

"Additionally, Teacher Huang and Meng from cardiology mentioned that due to estrogen imbalance after pregnancy, her chance of embolism significantly increases."

Liu Banxia frowned, "Have the cardiology physicians been notified to be ready at all times?"

Xu Yino nodded, "Director Chen and Teacher Wu are in surgery, then they called Linlin back. If there’s indeed a situation, Linlin can hold it until Director Chen or Teacher Wu arrives."

"Actually, given the current location of the blood clot, surgical intervention is required to be on the safer side. However, the patient believes that if surgery is done, the child she struggled to conceive might not survive."

"The only solace is that the patient’s OHSS is in the mild early stage. Teacher Huang’s judgment is that it can be gradually adjusted. The most dangerous issue now is her lung condition, which is quite worrisome."

"Worrisome as it is, there’s nothing we can do; all these symptoms are interconnected," Liu Banxia said.

"If there hadn’t been artificial insemination, there wouldn’t be OHSS. Without OHSS, the blood wouldn’t be so thick now, and naturally, there wouldn’t be embolism."

"But on the other hand, the patient’s expectations are quite simple. At her age, she just wants a child, yet such a situation has occurred."

"We have to do our utmost to safeguard her. Although that little life has just been conceived, we hope it can see the outside world."

"Teacher Liu, why do you seem a bit pensive and sentimental?" Xu Yino curiously asked.

"Why? Having become a father myself, I naturally know what place a child holds in a parent’s heart," Liu Banxia said.

"Our second baby can be quite a handful, but the family dotes on them endlessly. Fortunately, with Qing Kewa and Tang Dou, Qiaoqiao is much at ease."

"By the way, Teacher Liu, did you know the test results?" Xu Yino asked.

Liu Banxia nodded, "I asked Wang Chao about it. Let’s not get involved and wait for the relevant departments to handle it."

Xu Yino said nothing, understanding that Liu Banxia didn’t want to discuss the issue further. Seeing him not overly affected was reassuring to her.

Anyway, she felt this was an ungrounded disaster, and her view on the test results leaned towards the patient possibly faking it to gain some leverage.

But pretending is useless. As long as Liu Banxia is absolved of responsibility, no amount of pretending will suffice. At most, it might drag on longer, but not even a lawsuit in court is daunting.

Meanwhile, Liu Banxia returned to his office, pulling out the information for tomorrow’s surgery patients.

Having done the consultation and performed the operation, he now understood the results better, allowing him to genuinely put aside these distractions and focus on preparing for the surgery.

The patients have similar conditions, so he can group them together for explanations. Basic information can be discussed collectively, whereas specific procedures can be addressed separately.

This is also a rule, and now he values these two words even more.

He always followed protocol during surgeries, from pre-surgery discussions and planning to verification, ensuring everything was done thoroughly. Now he feels that no matter how thorough, it’s not enough and can only be more rigorous.

It’s not just about himself; others need to take heed of these as well.

The establishment of these rules is meant to protect both patients and medical staff. Although some provisions aren’t strictly set, exceptions occur in only very rare circumstances.

"Teacher Liu, the director is calling for you," Li Hao ran over at this moment.

"Just got off the stage too? I’ll head over now." Liu Banxia responded.

He didn’t dare delay and headed straight to Zhou Shuwen’s office. The old man was much busier than himself; his work wasn’t that busy in comparison.

"You know the results by now, right?" As soon as he entered, Zhou Shuwen asked.

"Wang Chao told me. Rest assured, I wasn’t affected. On the contrary, I believe that adhering to these rules is truly important."

"Tell me, why do you think so?" Zhou Shuwen became interested.

"Still because frontline workers like us face significant risks. Under the protection of these rules, we may appear rigid and dogmatic, but it provides the best safeguard for us," Liu Banxia said.

"I was just thinking that, in the future, everyone should engrain the related rules in their minds. In case of emergencies, appropriate flexibility can be applied, but for non-emergencies, the rules must be followed."

"We face many patients every day, and not every patient can mutually understand us. Just like my situation, no matter which starting point they consider, if I were petty, the impact would be significant."

"I’ll post the pertinent rules in each department, as we must heal the sick and save lives while also protecting ourselves; otherwise, future work will be harder to carry out."

"Good. I was planning to use your case to ring a bell for everyone," Zhou Shuwen said with a smile.

"Some people feel that these rules and procedures are hindrances in patient rescue. But without so many rules and procedures, the error rates would increase significantly."

"Then these mistakes will fall on the patients. Even if punitive actions are taken against the responsible medical personnel, so what? Many injuries are irreversible."

"There’s not enough time to hold a big meeting, but when there’s time, talk to each department to spread the word. With you around, I feel confident that both positive and negative examples won’t be lacking."

"Teacher, you’re not praising me, are you?" Liu Banxia said, half-laughing, half-crying.

"Haha, it’s a form of praise. Don’t worry about the outstanding youth award; this complaint won’t have an impact," Zhou Shuwen said.

"Thank you, teacher. I’ll go prepare for tomorrow’s surgery," Liu Banxia said.

"Don’t rush off. There’s something else I need to discuss with you," Zhou Shuwen interjected.

Liu Banxia was startled, not knowing what else there could be.