Chapter 1430: Choosing to Trust the Experts

Chapter 1430: Chapter 1430: Choosing to Trust the Experts

(Thanks to Yimeng Xiaocao, Xiao Yang, Chunjiang Kuangren, DEDER for the encouragement with the monthly ticket)

"What’s up?"

Seeing Liu Banxia coming over, Xu Guosheng asked curiously.

"I’m curious too. Isn’t it quite unusual for such a young girl to have a heart attack?" Liu Banxia asked in return.

"Well, nowadays it’s hard to say." Xu Guosheng replied.

"The youngest stent patient I’ve treated was 31 years old. That’s something I wouldn’t have imagined before, right? Anyway, I’ve never thought about it."

"Goodness, I heard Old Chen mention while chatting that when he was studying abroad, the ages of heart attack patients he encountered had noticeably decreased." Liu Banxia said.

"This might have something to do with their diet. After all, they often rely on fast food as their main meals. Some of our young people are following their path."

"Several patients I’ve treated before had diet-related issues. It seems like dietary causes are almost surpassing environmental factors now, isn’t it?"

"You can remove ’almost’; it has already surpassed." Xu Guosheng said.

"Nowadays, even if some bosses are heartless, things are done more or less right. But food is hard to manage; it depends on individual control."

Liu Banxia nodded, controlling oneself regarding eating habits is indeed tough.

Even as a doctor, knowing some foods aren’t good, their flavors are tempting and hard to resist.

As they spoke, the emergency vehicle arrived and stopped steadily.

"Patient, 26-year-old female. Experiencing respiratory distress, chest tightness, and chest pain. Oxygen administered in the emergency vehicle. Blood pressure 140/90, consciousness not very clear."

The paramedic pushing the patient off said.

"Rescue Room One, draw blood for quick myocardial infarction screening, electrocardiogram." Xu Guosheng instructed.

It’s a routine procedure. Now, the patient’s pale face, sweaty forehead, and clutching chest sure look like a heart attack.

However, her body type seems normal, so she might have another heart condition causing this.

But what follows doesn’t concern Liu Banxia; he can’t observe in the rescue room. He isn’t dealing with general surgery patients; joining the frenzy would be annoying.

"What are you wandering around for?"

Seeing Liu Banxia strolling, Shi Lei asked.

"Nothing, just looking around. Orthopedic patients seem quite many today?" Liu Banxia casually inquired.

"Quite so. They not only have longer hospitalization periods, but many also need regular check-ups. Treating one patient takes a long time." Shi Lei replied.

"Moreover, our emergency center is gaining reputation, attracting more patients. Shouldn’t orthopedics expand its wards?"

"Pretty much." Liu Banxia nodded.

"Previously, most orthopedic patients were emergency cases; with more active visits, we indeed need to expand the bed count."

Orthopedics is really a special department.

Some patients need simple adjustments, traction, or external gear for significant improvement.

But what happens to fracture patients? They can’t.

Their recovery is lengthy, typically taking one or two months for standard treatment. Some patients with unique conditions might take longer.

So, meeting admissions criteria means long stays. Increasing orthopedic beds is imperative.

Without increasing bed count, hallways would be packed.

"Why are you looking at me?" Liu Banxia asked puzzled.

"You’re the deputy director, I’ve informed you of the situation. You should bring it up with the director." Shi Lei said.

"Whatever, that’s Old Chen’s area, not mine. I’m just filling in; it’s not my concern." Liu Banxia said.

"It’s quite relevant. Anyway, I’ve said my part, whether you care or not." Shi Lei finished and swaggered away.

Liu Banxia felt troubled, figuring Wu Mingyu was stirring things up.

Currently, among department expansions, orthopedics ranks lower. But if such demand truly arises, attention is needed.

These folks are probably scheming, to mess things up for him, ruining his peace.

Before he finished pondering, Wu Mingyu emerged from orthopedics. Naturally, his target was Liu Banxia.

"What do you want?" Liu Banxia asked cautiously.

"What’s there to want? We’re short on room now. Find a solution. Should we use general surgery’s ward temporarily?" Wu Mingyu asked.

"Not bad, just borrowing some hospital rooms. I thought you’d take over the whole floor." Liu Banxia said.

"Oh? You figured it out, saves me a lot of explanation then. Doesn’t matter which floor, we’re not picky." After Wu Mingyu finished speaking, he jogged back to the orthopedics office.

Liu Banxia felt a headache coming on. Why did he have to say something like that?

Couldn’t he just pretend not to know anything?

Now look, got tricked by Wu Mingyu, didn’t I?

"Old Chen, looking for you..."

Just as he saw Chen Xuehai coming out, Liu Banxia waved, but then found Chen Xuehai strolling back into the heart clinic.

Liu Banxia scratched his head. What’s going on here?

Could it be... they’ve already coordinated?

Logically, this is a very legitimate request, but for today’s emergency center, it’s somewhat like trying to cook a meal without rice.

The emergency center’s ability to receive patients has improved recently. Although there seem to be many patients, the profitability is still lacking a bit.

Now they want to place pediatric surgery in front, expanding orthopedics naturally becomes a bit more difficult.

Because this requires a large sum of money, it’s not enough just to clear out rooms.

Staff, equipment, these are huge financial burdens.

The emergency center currently relies on the support of another hospital for expansion opportunities, but with the current financial constraints, this is a tough nut to crack.

However, in his heart, he also feels that the expansion of orthopedics is something that cannot be delayed.

Previously, orthopedics was somewhat overlooked, even though the related surgeries are not just simple carpentry. He never really considered the recovery period of orthopedic patients.

So now it’s a very real problem, with already tight funding, adding orthopedics would make it even more stretched.

It’s somewhat related to the pediatric surgery he’s currently involved in, so it’s understandable that these people have set a little trap for him.

"Hey, Doctor Xu, what’s happening?"

Seeing Xu Guosheng coming out without arranging for the patient to head to the catheterization room, Liu Banxia became even more curious.

"The echocardiogram seems to show pulmonary embolism rather than a heart attack." Xu Guosheng said.

"I need your help to assess this. The patient’s condition still seems a bit like myocarditis, with a history of more than a week’s cold symptoms."

"Could it be viral myocarditis?" Liu Banxia asked casually.

"It’s becoming urgent now, the patient’s respiratory condition has worsened significantly. I’m considering whether to perform a chest CAT or go directly to thrombolytic therapy." Xu Guosheng said.

Liu Banxia’s expression became serious too, as a wrong judgment might pose a danger to the patient.

Following Xu Guosheng to the rescue room, the patient had already been intubated, and even so, the oxygen saturation was just barely at 90.

"Doctor Xu, what are you inclined to think? Just looking at it, I’m also a bit unsure." Liu Banxia said.

"I’m inclined towards a pulmonary embolism. However, because the patient’s chest movement is large and with significant wheezing, it’s not very clear both audibly and in the echocardiogram." Xu Guosheng said.

"Doctor Xu, I think you should just follow your instincts." After considering for a few seconds, Liu Banxia said.

Xu Guosheng paused for a moment, then nodded seriously.

"Start thrombolysis first, then urgently contact the family to do a CAT." Xu Guosheng concluded.

This was Liu Banxia showing respect to him because he is the attending cardiologist. Whether the patient has a heart attack, pulmonary embolism, or myocarditis, it should all be his domain.

It’s also a habit, when he encounters slightly complex symptoms, he considers a consultation. Seeing Liu Banxia outside, he hoped to ease his mind.

But that’s not going to work. If it’s always like this, the department’s work will be very taxing in the future.

Having someone from another department help in diagnosing your department’s patients shows a lack of professional ability on your part. How else are you going to help patients diagnose in the future?

This patient may have a complex case, but currently, the symptoms suggest heart and lung issues, which fall within his primary responsibilities.

Actually, just now, Liu Banxia was also a bit anxious, but he couldn’t provide an accurate judgment.

The patient’s condition and medical history did align with myocarditis symptoms. But the patient’s current presentation, after ruling out a heart attack, also fit with a pulmonary embolism.

He wasn’t the one who initially took on the patient; he only knew that the patient’s condition had worsened a lot since he last saw them. He decided to trust the professional judgment.

After all, Xu Guosheng is a bona fide attending cardiologist, with extensive experience in this area. His judgment should be prioritized.

He isn’t omnipotent, and there’s not enough time to thoroughly examine the patient. The immediate need is for the patient to receive treatment promptly, as the oxygen levels are still declining.

Now everyone is focused on the patient’s thrombolysis treatment. If Xu Guosheng’s judgment is wrong, and the patient actually has myocarditis, the subsequent steps could become very complicated.