The Enhanced Doctor
Chapter 1339: Liu Yiqing Facing Danger Calmly
Chapter 1339: Chapter 1339: Liu Yiqing Facing Danger Calmly
"The patient’s enhanced CT was negative; it’s probably a parasitic cyst."
Zhang Xiao walked over.
"Going on stage tomorrow?" Liu Banxia asked.
"He wishes it could be done today, but there’s no need to rush. Tomorrow is better; we can complete the examinations today," Zhang Xiao replied.
"Ah... if only all patients had this attitude," Liu Banxia lamented.
"Director Liu, do you have some time? Come over here," Du Fancheng came out of the consultation room and called out aloud.
"I’m coming," Liu Banxia said.
Clearly, he is being called for a consultation. Usually, he calls Du Fancheng for consultations; it’s not common for others to call him.
"Doctor Du, what’s up?"
Upon arriving at Du Fancheng’s consultation room, Liu Banxia asked.
"This young man, his throat hurts, always feels like there’s something stuck in his throat. And his voice is affected too; he used to occasionally have hoarseness, now it affects normal speaking," Du Fancheng explained.
"Occasional difficulty swallowing, but it’s not very common. I’ve examined him myself; there’s nothing wrong with the throat, tonsils, or vocal cords."
Upon hearing Du Fancheng’s introduction, Liu Banxia felt a bit troubled.
Throat pain is a very common symptom; sometimes, congestion in the throat mucosa or tonsillitis can cause discomfort in the throat area.
But based on Du Fancheng’s examination just now, it’s clear there were no signs of lesions in the visible conditions of the throat. Also, the patient’s discomfort affecting speech seems somewhat abnormal.
"Could it be an issue with the glossopharyngeal nerve?" Liu Banxia asked.
He could only suggest this direction, because with nerve pain, you can’t see any external symptoms.
"He went to another hospital last year, but didn’t find any anomalies during examinations," Du Fancheng said.
"I also plan to check in this area, but I thought I should discuss with you first, just in case you have a more reliable idea."
Liu Banxia shook his head, "Judging by my medical knowledge, the likelihood is higher for neurological issues."
Upon hearing Liu Banxia’s words, the patient showed a visibly disappointed expression.
"Are you already having difficulty speaking?" Liu Banxia asked the patient.
The patient nodded, "Yes, it’s very difficult, it feels like the throat is blocked, but it doesn’t affect breathing."
The patient’s voice was very hoarse, and it indeed sounded like speaking was quite effortful, but the voice was not loud.
"By the way, is the pain affecting the entire throat or just one side?" Liu Banxia pursued further.
"Right side, the left side isn’t impacted. Based on current symptoms, it does really seem like glossopharyngeal neuralgia," Du Fancheng said.
"There’s really no other way; we can only start with routine checks. If those don’t work, should we try anesthesia to see the effects?" Liu Banxia asked.
"That’s my thought; start with routine checks, then try Lidocaine. If it doesn’t work, we might need to palpate to find the trigger point," Du Fancheng said.
"But according to him, he’s already had such checks at another hospital. He came to Binhai City upon hearing our emergency center is effective in diagnosing complex conditions."
Liu Banxia rubbed his face, realizing it’s another patient who came because of the center’s reputation, but now seems at a loss.
"Alright then, I’ll perform the examination first, and I’ll call you when the results come out," Du Fancheng said.
Liu Banxia could only nod, as he currently couldn’t think of any other methods.
Walking out of Du Fancheng’s consultation room, he also pondered the patient’s situation. But still, he was clueless, being not very skilled in this area.
"Teacher Liu, my patient’s brain CT was negative. The patient has awakened but can’t recall how the incident happened," Liu Yiqing approached him.
"That’s normal; after all, they went through a major accident. Did you talk to the orthopedics department?" Liu Banxia asked.
Liu Yiqing nodded, "Teacher Wu will be the chief surgeon, and I’ll assist with the debridement."
"Alright, go ahead," Liu Banxia nodded.
He was still preoccupied with thoughts about the patient with throat pain; it was a peculiar case.
Coming due to reputation, if they leave disappointed, there would be some regrets.
"What were you tattling to my dear earlier?"
While Liu Banxia was contemplating, Wang Chao sneaked up to him.
"What would I tattle about? I just told Officer Ma you think some things need speeding up," Liu Banxia said.
Wang Chao was dumbfounded; he predicted many possibilities, but never thought of this one.
He looked at Liu Banxia with a resentful gaze, pondering how to chat pleasantly next time they meet.
"Why are you looking at me like that? You should have sped things up all along. You’re all so busy. Without increasing speed, when will you get results?" Liu Banxia asked.
"It was quite sudden," Wang Chao said helplessly.
"Haha, don’t worry, you are too familiar with each other, so it’s hard to say some things. It’s no problem for me; I am skilled at passing messages and won’t pass them wrong," Liu Banxia said earnestly.
"As the introducer, my job is just that. Don’t overthink things; just perform naturally. Also, prepare and think about what you should do on your next day off."
"Makes sense, I’ll think it over," Wang Chao replied, then cheerfully ran off to the side to whisper with Xu Yino.
He needed to find an advisor, and this advisor definitely shouldn’t be Liu Banxia. This guy is too blunt, and that won’t work.
Liu Banxia walked to the side of the entrance and glanced outside.
The sky had become gloomy now, whether it was haze or fog, visibility wasn’t good at all.
It really worried him; daytime was fine, but the weather shouldn’t change like this after work. The quickest time is always when he gets home after work to see his babies.
But this wasn’t something he could control; it was a matter for the heavens. He checked the weather forecast on his phone; the smog index was high, so it looked like he couldn’t escape it.
After some scattered thoughts, Liu Banxia started thinking about the patient with the sore throat. After pondering for a long time, he couldn’t think of anything other than glossopharyngeal neuralgia.
In the operating room, Wu Mingyu and Liu Yiqing, who were performing a little finger amputation on a patient, were also discussing him.
"Dr. Liu, you don’t need to call me for such surgeries in the future, just get your big boss," Wu Mingyu said.
"That won’t work; the big boss can’t come. He’s focused on orthopedics now and seems not to be involved in anything other than alignment," Liu Yiqing replied.
"I heard him mention once that he wants to focus all his efforts on general surgery now, so he won’t spread himself too thin and can master it thoroughly."
"How about you guys? How’s your mastery of NOSES surgery going?" Wu Mingyu asked.
"It’s okay, I guess. We’ve watched Teacher Liu perform it many times. However, it’s still a lot more strenuous than laparoscopic surgery," Liu Yiqing said.
"Don’t worry; you’re in your prime, and there’s plenty of time to master it smoothly," anesthesiologist Xue Ying said.
"Earlier, I was in another hospital, and I never heard of any hospital’s resident doctors performing such high-level surgery."
"Haha, it’s because Teacher Liu manages things strictly. We somehow muddled through and mastered these techniques, but we’re still in the learning phase and haven’t truly understood them," Liu Yiqing said with a smile.
"It’s really remarkable. The big boss keeps breaking records with you. I wonder how many more records you’ll shatter," Wu Mingyu said.
"Beep beep... beep beep..."
As Wu Mingyu finished speaking, the monitor beside him started beeping crazily.
"Bad, the patient’s blood pressure dropped sharply; there should be bleeding. Quickly hang a blood bag and do rapid fluid replacement," Xue Ying shouted.
"Bring the ultrasound over," Liu Yiqing hurriedly said.
The circulating nurse quickly brought the ultrasound over.
With just a quick scan of the abdomen, a large amount of free fluid had accumulated in the abdominal cavity.
Liu Yiqing recalled her initial ultrasound examination of the patient carefully, her brows furrowing tighter.
"Teacher Wu, the patient’s aortic dissection might have ruptured. During the initial examination, the abdominal organs were fine, and the abdomen was soft," Liu Yiqing said.
"So now do we perform open abdominal surgery to stop bleeding? Are you taking charge?" Wu Mingyu asked.
"No, the current amount of bleeding is too much; opening the abdomen will release pressure and increase bleeding," Liu Yiqing said.
"We’ll need to use Teacher Liu’s method; I’ll prepare for a left thoracotomy to block the descending aorta, and then you, Teacher Wu, perform a midline abdominal incision, clamp the ruptured vessel, and call Teacher Liu."
After saying that, Liu Yiqing moved to the patient’s left side and began the thoracotomy without waiting for Wu Mingyu’s response.
Although Liu Yiqing was only a resident doctor, her emergency experience was much greater than Wu Mingyu’s. Normally, she wouldn’t get to speak up, but now no one paid attention to such things.
After completing the thoracotomy, Liu Yiqing gritted her teeth and reached her hand inside.
When Liu Banxia did it last time, he had explained the operation steps to them. Even so, it’s not easy to touch the vessels; who else has his keen sense of touch?
"80/40, blood oxygen 78,"
The nurse beside them reminded.
"Quickly, quickly... how is it now?" Liu Yiqing asked after feeling for a while.
"Wait a second, let me check," Xue Ying said.
"Dr. Liu, awesome, the blood pressure’s rising," Wu Mingyu said this time.
"Teacher Wu, we need to open the abdomen. I can’t press with my finger for such a long time. Hurry, or it will affect the patient’s circulation," Liu Yiqing said urgently.
"Alright, alright."
Following the doctor’s orders, Wu Mingyu made an incision in the patient’s abdomen.
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