Chapter 991: Chapter 991: Patient Admission Must Follow Protocols
(Thank you Xiao Gu xxxxx and DRDER for the monthly ticket encouragement)
When it was lunchtime, Liu Banxia took a glance and didn’t see Chu Wanting bringing her father over, probably because the checks on that side were still not finished.
Under a normal medical examination process, it should be done in a morning. But her father got delayed somewhere in between, some tests need to queue again.
Slow at the start, slow all the way, but it’s no big deal, anyway, once they come over he’s directly admitted.
"Hey, why are you eating so early today?"
Just arriving at the cafeteria, Jiang Tao waved his hand.
"Eat early so we can switch shifts, let them rest well. It looks like the morning surgeries went smoothly, are there more in the afternoon?" Liu Banxia asked.
"There are two more in the afternoon, this morning was complex anal fistula and perianal abscess." Jiang Tao said.
"Your emergency center has been doing pretty well lately, seems to be getting more impressive. What’s the next development plan? Share a bit."
"Not much, anyway business matters aren’t much related to me, I’m mainly inclined towards education and training. Director Jiang, there should be another round of assessments soon right?" Liu Banxia asked.
"Alright, anyway when the time comes I’ll just say you requested it. If the interns and resident doctors have any complaints, they’ll come to you then." Jiang Tao joked.
"I’m just destined to take the blame." Liu Banxia said seriously.
"Then talking seriously, what do you plan to assess? We evaluate within the department at any time. Basic operations maybe?" Jiang Tao asked.
"Yes, the content varies by surgical department, but there’s one fundamental aspect, debridement." Liu Banxia said.
"Generally speaking, these kids can meet qualifying standards. Traditionally, once qualified, that was it."
"But I think, this time we’ll come together, do debridement and suturing altogether. Whoever falls behind can figure it out themselves. Anyway, as long as they come to our emergency center, it doesn’t take too long to finish assessment."
"Great, then bring these kids together. Achieving standards versus aiming for good grades, the thoughts and effort are definitely different." Jiang Tao said with a smile.
"Though this matter is pretty big, needs someone to manage. Can you coordinate then? Have enough people watching?"
"I’ll let my six assistants go on stage, they are doing quite well in debridement and suturing. Over this more than a year, besides assisting me on stage, just doing this job." Liu Banxia said.
"Hmm..., speaking now, they, besides preliminary diagnosis of emergency patients, also lead these interns and resident doctors in debridement."
"My thought is to let them train one more year, then leave it to the resident doctors to handle. Especially since our emergency center is pretty new, batches of resident personnel come over, easy to allocate."
"Even said no ideas, mind is wide open." Jiang Tao sighed, suddenly feeling the food is not so tasty.
"I’m just thinking broadly." Liu Banxia said helplessly.
"We don’t dare use resident doctors like this, early time is very tiring, worried they can’t hold up." Jiang Tao said.
"But you over there? At your emergency center, this seems to become quite commonplace. You use them harshly, not afraid of scaring the kids away?"
"Haha, it depends. Unit personnel slightly less, social personnel a bit more. But even unit personnel, starting at second tier." Liu Banxia laughed.
"It’s also due to the specialty of our emergency center, we’re open twenty hours non-stop. The daily patient volume is huge, needing debridement patients quite a few."
"This counts as our unique advantage, if after a year at the emergency center can’t handle such minor matters, how much training value do you think there still is?"
Jiang Tao took a bite, nodded, "You’re making a good point, but you guys need to master many surgical skills, you’ll have to control well, don’t exhaust the kids."
Liu Banxia nodded, "I’ll also have the six little ones keep an eye, let them divide who to focus on. Resident doctors have a long period, three years, for rotation."
"Interns need more attention, after all, they only have one year left for internship, and their early internship experience is quite a lot."
"So their arrangement focuses on surgical observation. But wanting them to perform as outstanding as the six little ones, quite difficult."
"Firstly, they don’t have as many observation opportunities, nor operation opportunities. Secondly, their level compares poorly to when the six little ones first arrived."
"It’s all fortune, we started with few people little power, had to bring them up together. Then the Director brought a lot of patients over, more observation opportunities."
"Compared to when the six little ones came, now these people are living heavenly days. Back then Xu Yino and Liu Yiqing often secretly cried a lot, then woke up and continued the grind."
"Usually can make a ruckus, but seeing they endure so much, just let them be. Newcomers wanting to endure like that won’t have the chance."
Jiang Tao nodded, feeling very emotional.
The past year has been a crucial one for the emergency center, for Liu Banxia, and for everyone else at the center.
They have suffered and been exhausted, but they have also received many opportunities. It is precisely because of this that Liu Banxia has had so many outstanding performances, laying the foundation for his present.
The six juniors are the same; people envy their current achievements, but don’t see how many surgeries they have participated in.
At that time, Liu Banxia was always going full throttle, and for them, it was not a question of keeping up, but rather not being left too far behind by Liu Banxia.
When Liu Banxia independently completed a liver surgery operation, everyone was amazed. Now the six juniors, aren’t they the same?
Even though they may not perform as well as Liu Banxia did back then, it was completed under Zhou Shuwen’s guidance, but for many newly graduated medical students, that’s an insurmountable gap.
A year isn’t very short, but it isn’t very long either. The six juniors have undergone transformational changes, which is the result of their hard work, Liu Banxia’s guidance, and their luck.
"I’ll go around each department later and then set the time," Liu Banxia continued.
"Regarding the internal medicine department, I also think they should go through a thorough evaluation. Otherwise, just assessing within the department can’t quantify performance, and even if they’re lacking, they act indifferent."
"It’s quite a project, especially in internal medicine. You should coordinate with the inpatient department at that time," Jiang Tao reminded.
"Take your time eating. I see Huang Bo coming over without getting his meal, probably looking for you. Call me if you have news, or come over and hang out for a while."
"Hello, Director Jiang." Huang Bo hurriedly greeted as he arrived.
"Hello there, I’m done eating, you can accompany Banxia for lunch," Jiang Tao smiled and nodded.
"Has the patient’s HIV result come out? Negative?" Liu Banxia asked.
"Uh... Teacher Liu, how did you know?" Huang Bo asked in surprise.
"If it were positive, you would have called me directly," Liu Banxia replied with a smile.
"It’s not an HIV carrier, so it’s relatively relaxed for now. How about the patient? Are they eating or doing something else? If they’re eating, you can have your meal first, and we’ll find the cause together later."
"He’s scared and resting now. He can’t eat, drank a bottle of beverage, I’m off to get lunch first," Huang Bo said and ran to the cafeteria.
Liu Banxia wasn’t in a hurry, contemplating what might be going wrong with the patient.
"Such a small portion? There’s still a long time to go," Liu Banxia shook his head seeing the food Huang Bo brought.
"There are some snacks in the office, can fill up if hungry," Huang Bo said.
"Teacher Liu, what should we diagnose next? I came here because I’m worried the patient will ask me about it, and I’m a bit overwhelmed."
Liu Banxia chuckled, "That’s normal, so let me ask you a question. What is your assessment of this patient?"
"My assessment? I suspect it’s PCP pneumonia," Huang Bo replied.
"Then it’s very simple, you suspect a condition, so focus on diagnosing based on that condition. If the test results don’t match, it gets ruled out," Liu Banxia replied.
"Actually, you overlooked a point. We are only suspecting now, not diagnosing the patient. So you’re anxious because you’ve already determined internally that the patient has PCP pneumonia."
"Coupled with this pneumonia situation, after ruling out HIV carrier, you’re quite convinced that the patient has a malignant tumor."
"This is preconceived notions. This helps sometimes when diagnosing a patient but can lead us astray too."
"The most suitable reception process is to follow procedure. From the data we have, the patient’s immune system definitely has issues, no doubt about it. So, what should we do first?"
"Determine whether the patient has PCP pneumonia," Huang Bo said.
"Exactly," Liu Banxia smiled.
"The order of diagnosis is just like that. Our hypothesis is that the patient has PCP pneumonia, leading to subsequent conclusions. If our hypothesis doesn’t hold, the conclusions are useless."
"Thank you, Teacher Liu, I understand now," Huang Bo said, smiling brightly.
Although a result hasn’t been diagnosed for the patient today, he has learned a lot.
The process is very important, and diagnosing must follow rules.
