The Enhanced Doctor
Chapter 1434: Misuse of Medication Is a Problem
Chapter 1434: Chapter 1434: Misuse of Medication Is a Problem
(Thanks to Yimeng Xiaocao, Qingniao Yu Qianxun, Cangfeng Zhi You Yi Jian, An Lin Xiaoxiao, DRDER for the encouragement via monthly votes)
The night shift passed uneventfully.
Although there were some emergency patients sent in, Qi Wentai and the team handled them well, so Liu Banxia didn’t need to worry about it.
He managed to sleep soundly through the night, now feeling very refreshed and eager for three tea eggs.
"It’s really nice now. In the past, during night shifts, I was always a bit anxious, unable to sleep peacefully," Liu Banxia said.
"That’s because of all the hard work we do. I got up three times last night," Wang Chao yawned.
"But yesterday was alright; the patients’ conditions weren’t very severe. By the way, Old Wu checked on that patient in the ward after surgery yesterday and said you handled it very well."
"According to him, if similar situations arise in the future, there’s no need to call them; you can handle it directly and it’s done."
"He’s taking it too easy. I have so much going on now, there’s hardly any time for rest. It’s either performing surgery or preparing for surgery, not knowing what the hospitals in Jinshui District and my hometown will arrange for me next," Liu Banxia complained.
"Hahaha, that’s what you call ’the capable do more work.’ For you, being this busy now seems quite good to me," Wang Chao said with a smile.
"I’m not mocking you; just imagine, in the future, you’ll definitely take on more important roles. Right now, you need to improve on many levels, so you can be more relaxed in leadership positions later."
"Sigh... You say that, but having so much work piled on, it’s not that easy," Liu Banxia sighed.
"The orthopedic expansion is far more difficult than splitting our general surgery. I’m just assisting, and Old Chen has even more work."
"Anyway, I already feel exhausted now; I’d rather be immersed in the operating room every day. That kind of exhaustion is just physical, while now it’s mentally exhausting."
"That’s the path you must take, there’s no other choice, you just have to tough it out," Wang Chao said with a smile.
Just then, Xu Guosheng arrived at the cafeteria, saw them, grabbed his food, and came over directly.
"How was the patient yesterday?" Liu Banxia asked.
"The deep vein thrombosis in the lower limb is manageable; thrombolysis can be effective," Xu Guosheng said.
"Can you guess what caused the patient’s lower limb deep vein thrombosis? Not from sitting too long or standing too long, nor from injuries, or previous surgeries."
"I’m really curious now; what exactly caused it?" Liu Banxia asked.
"So I’m asking you to guess. If you guess right, you get a prize: one tea egg," Xu Guosheng said with a smile.
"We’ve eliminated the possibilities; what’s left? Surely it can’t be a specific disease making her prone to blood clots, right?" Liu Banxia asked.
Xu Guosheng shook his head, "To prevent acne on her face, she often took contraceptive pills. This pursuit of beauty, at times, is truly perplexing."
Liu Banxia really didn’t know what to say; he had considered the patient’s condition yesterday, but always through legitimate avenues. Yet now? Turns out it’s this.
This is indeed a common occurrence.
Some females overproduce certain androgens, leading to acne. Taking contraceptive pills, which contain certain estrogen and progestin.
These hormones can inhibit the secretion of pituitary gonadotropin, suppressing ovulation, hence maintaining hormone balance in the body.
But even for those who take it, they do so occasionally and moderately. This patient’s situation must involve prolonged use.
One cause of lower limb deep vein thrombosis is the intake of contraceptive pills, though the probability is low since it’s a commonly used medication today.
However, the more you use anything, naturally it will have certain impacts.
Long-term use of contraceptive pills not only has this downside, but can also disrupt menstrual cycles, affect fertility, and may lead to melasma or cervical cancer.
"Any thoughts?" Xu Guosheng asked.
"Quite impactful. Don’t they have any basic knowledge? Even without medical knowledge, one should know the severe consequences of such usage," Liu Banxia said.
"The pursuit of beauty is universal, but one must choose the right methods. If it goes on like this, it’s truly dangerous. She had walked near the gates of hell; if not for your correct judgment, she might not have had a chance for rescue."
What he said wasn’t a joke; the mortality rate for pulmonary embolism is really high.
The key is which blood vessel the clot blocks after falling; rescuing is not an easy task.
Then he naturally glanced at Liu Yiqing and Xu Yino, seemed like the acne on their faces wasn’t noticeable.
"Teacher Liu, we wouldn’t take medication casually. Even when I catch a cold, I only drink hot water," Xu Yino said.
"Impressive, that’s really good. Actually, as long as you eat properly, you can manage this aspect as well," Liu Banxia nodded.
"But you can’t let the stress get to you, with our work being so exhausting here. I’ve used so many face masks, it’s still there, it’s really troubling." Liu Yiqing muttered.
"Acne really bothers so many people. Back in high school, my face was covered in it, it made me quite worried." Wang Chao remarked.
Beauty isn’t exclusive to women; men care about it too.
Moreover, due to excessive secretion of male hormones, acne development in men can be quite terrifying at times.
Even when just casually chatting, the topic struck a genuine chord with everyone.
After finishing their meal, they headed back to the emergency center lobby.
Seeing Liu Banxia return, Chen Xuehai quickly walked over.
"Did you talk to Wu Mingyu yesterday?" Chen Xuehai asked.
"Where was the time? They finished the surgery very late; I even helped them with a traction procedure." Liu Banxia replied.
"But I have a surgery today, so you need to take charge. Being the deputy director in charge of business, you need to focus more on this matter."
"We can only rush through it, given our limited funds, our options are restricted." Chen Xuehai said.
"I’ll ask again later, hiring two more attending physicians should suffice. Then we can gradually train the others; you can’t gain weight in one bite."
"As for nurses, I’ll discuss with Sister Li later to see how many are appropriate. Orthopedics differ from our departments, so I think we don’t need too many nurses."
"Alright, you decide. Anyway, it’s fine by me whatever you think." Liu Banxia said with a smile.
Chen Xuehai gave him a slightly annoyed glance, knowing he was trying to shirk responsibility and find convenience.
But this matter is so important, it’s not something anyone can just slack off on. However, there’s no choice now; surgery takes precedence, everything else must wait.
"Who’s taking charge of today’s surgery?" Liu Banxia asked with a smile once back in the office.
Su Wenhao timidly raised his hand.
"Don’t be nervous, everyone needs to go through it. I’ve selected routine surgeries for you; even if I’m bold, I wouldn’t just start you on high-difficulty ones." Liu Banxia encouraged.
"I won’t elaborate much on the surgery essentials since you must already know them. My only advice is to be meticulous, meticulous, and more meticulous."
"Teacher Liu, don’t worry." Su Wenhao said earnestly.
"Alright, go make the final preparations for the patient, and I’ll join once you’re ready." Liu Banxia nodded.
Once they left, Liu Banxia stretched lazily.
Although today marked just a beginning, the patient with pulmonary embolism yesterday affected him profoundly.
It’s not an isolated case; amid the broader environment, illnesses caused by medication misuse are numerous.
Despite some national policies on drug regulation, their impact remains limited.
Solving this issue isn’t easy; similar cases have occurred and will continue in the past, present, and future.
Drug production yields high profits, and many medications are freely sold without restrictions. Otherwise, why are there so many pharmacies lining the streets?
The proliferation of chain pharmacies provides easy access to medicines while posing significant safety risks to people.
Particularly some individuals, based on limited knowledge, buy drugs interpreting their symptoms incorrectly, leading to potential problems.
Yesterday’s patient thought she had the flu, likely took plenty of flu meds and antibiotics. But her actual condition? A pulmonary embolism.
Had she visited the hospital for early examination, the condition could have been detected early. Instead, it was only when her body couldn’t take it anymore that emergency services were called to rush her to the hospital.
She was lucky to meet Xu Guosheng, who was experienced. What if she met someone like me? Her fate might have ended in my hands.
Even if I later identified the pulmonary embolism, would there really have been a chance to rescue her?
As he often says, early detection, early treatment. Regardless of the ailment, a hospital check-up might cost more, but with vague symptoms, visiting the hospital is advisable.
The common cold is prevalent, but many severe conditions also mimic its symptoms.
Myocarditis, endocarditis, etc., resemble colds. If severe may trigger life-threatening situations, leaving no time for rescue.
After contemplating a while, Liu Banxia shook his head, feeling slightly like he’s worrying unnecessarily. Surely, someone more competent is aware of this issue.
What capacity do I have, how sturdy are my shoulders? This isn’t something my concern and effort alone can resolve.
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