Chapter 1451: No Regret Pills

Chapter 1451: Chapter 1451: No Regret Pills

Many times, things develop in the direction you least expect.

Both Liu Banxia and Miao Rui had warned this patient, but neither he nor his family took it seriously. And what happened? It headed straight for the worst outcome.

Miao Rui’s judgment was timely; blood transfusion and sending him to the operating room were the best measures.

By this time, no one bothered to think whether it was a surgery made up just for profit.

After scrubbing in, and confirming the patient, Liu Banxia nodded to Li Liwei.

"OK, anesthesia successful. After blood transfusion and fluid replacement, the blood pressure is fairly stable," Li Liwei said.

"Miao Rui, go ahead with the laparotomy. There’s no other choice," Liu Banxia said.

"I heard you also advised the patient to go for an exploratory surgery?" Li Liwei asked curiously.

"Sigh... it wasn’t enough persuasion. I talked to the patient and his family, Teacher Liu also went over to talk, but they all thought they were very fortunate, and nothing would happen," said Miao Rui while performing the laparotomy.

"There’s really nothing we can do, I just glanced at the CT scan, and it’s indeed hard to judge," Li Liwei said.

"Although it’s the patient’s own decision, we should really put in more effort on persuasion when we encounter similar patients in the future," Liu Banxia said.

"Sometimes I feel being a doctor is really tiring. The best kind of patients are the ones with clear indicators, no need for so much talking, just straight to the surgery,"

"My goodness, there’s a lot of blood in the abdominal cavity, it’s probably mesenteric bleeding. Miao Rui, you and Zhang Pengfei check properly, I suspect the intestines are necrotic."

Miao Rui nodded and got to work with Zhang Pengfei immediately.

"Exploratory exam shows mesenteric bleeding, part of the colon is gray, approximately fifteen centimeters in length, deemed ischemic necrosis, intestinal resection can be performed."

After performing an emergency hemostatic clamp on the patient, Miao Rui said.

"Let’s cut it, if the patient had come in three hours earlier, even two, this segment of the intestine could have been saved," Liu Banxia said.

"Can’t we think of a more reliable method in this aspect?" Li Liwei asked.

"It’s too hard, primarily because there are indeed many colleagues who perform unnecessary surgeries. Plus, the indicators for our patient weren’t very clear, otherwise I might have pushed harder," Liu Banxia said.

There was still some helplessness in his heart, the patient’s condition at the time was indeed a bit vague. But from another perspective, does it mean my medical skills are not proficient enough?

What if I had taken the scan to Zhou Shuwen at the time? Could a decision have been made then?

But these thoughts are just a mess in his mind, time cannot be turned back. The current result is that the patient’s intestinal tract is bleeding again, with a segment experiencing ischemic necrosis.

Although the surgery isn’t very difficult, it is quite invasive to the patient.

Compared to laparoscopic surgery, laparotomy is a big step up. No matter how good the suturing technique is, this kind of incision will leave scars.

This surgery, irrespective of Liu Banxia’s presence, isn’t very significant, especially since it’s just intestinal necrosis, a simple matter for Miao Rui.

However, since he’s already scrubbed in, he might as well watch the whole procedure.

Actually, the simpler these surgeries seem, the more they test the chief surgeon’s skills.

Today, it’s also an opportunity to evaluate Miao Rui’s anastomosis skills, as there’s a considerable difference between suturing the skin and intestines.

Moreover, among patients admitted to the emergency center, those needing intestinal surgeries comprise a considerable proportion.

"Not bad, handled very skillfully."

After watching for a while, Liu Banxia said.

"Teacher Liu, we are all working very hard now," Miao Rui said with a smile.

"Once I finish cutting the intestines, I’ll show it to the relatives, and then you can go eat. These remaining tasks are easy for us."

"I am looking forward to seeing your intestinal suturing skills. What, losing confidence?" Liu Banxia asked.

"Teacher Liu, I might lose confidence with the NOSES surgery, but if I lack confidence in intestinal suturing, I’d be embarrassed to walk into the operating room," Miao Rui said.

"Alright, if you are so confident, I won’t watch. Once the intestines are removed, I’ll take them out," Liu Banxia said.

"Rest assured, it’s a piece of cake for us," Miao Rui said confidently.

Hearing his words, Liu Banxia was very satisfied.

This is the kind of confidence that should be there, which isn’t arrogance but true confidence, two completely different concepts.

This is someone he brought up, they should indeed have such confidence.

After waiting a bit longer, Miao Rui placed the removed intestines onto the tray.

"It’s all yours now, be quick, we’ll wait for you to have lunch together at noon," Liu Banxia said, carrying the tray and walking out directly.

"Teacher Liu, any rewards for us?" Miao Rui tentatively asked.

"Can it be done in twenty minutes?" Liu Banxia asked with a smile.

"I’ll give it my all."

Miao Rui said, sounding quite heroic.

Usually, with his normal speed, this task would be impossible to complete. But today, he can challenge himself. What if? What if he succeeds?

"Okay then, finish in twenty minutes, and I’ll add some dishes at noon. Doctor Li, you be the judge, I’m heading out first," Liu Banxia said.

"Absolutely, leave it to me," Li Liwei replied with a smile.

It’s quite amusing; it seems like whenever he teams up with Liu Banxia, whether Liu is the chief surgeon or not, things feel relaxed.

"Have a look, this is the portion of the intestine we removed, ischemic necrosis, we had to excise it," Liu Banxia explained after stepping outside.

"Doctor, is there any life-threatening risk?" the patient’s wife asked.

"From our current observations, his vital signs seem stable. We acted quickly and discovered it promptly. There is no concurrent peritonitis; we just removed this segment of the intestine," Liu Banxia reassured.

"However, because the onset was sudden, we made a longer incision when operating. Normally, intestinal removal surgeries don’t require such a long incision. Doctor Miao has mentioned this to you, so I won’t elaborate," he continued.

"Ah... If only we had listened to your advice back then, we wouldn’t have suffered like this," the patient’s mother sighed.

"No point in dwelling on it now, anyone would hesitate in such a situation," Liu Banxia comforted.

"The removal of this intestinal segment won’t affect his future life, though the recovery time will be longer than with a laparoscopic surgery."

Given the circumstances, all he can do is offer comfort.

For this family, the outcome indicates their decision was wrong. But if the patient didn’t have ischemic necrosis and managed to let his body metabolically resolve the internal bleeding?

That’s quite possible; the human body has some pretty strong functional capabilities.

No need to belittle the patient by flaunting medical knowledge; there’s no cure for regret in this world, and this family has already faced enough. No point in making it harder for them.

After some final instructions, Liu Banxia returned to the emergency center.

"Oh? Done already?"

Seeing Liu Banxia come out, Wang Chao asked in surprise.

"Intestinal ischemic necrosis, Miao Rui is the chief surgeon, he’s in the middle of suturing now. You guys enjoy the first round; I’ll wait for them here," Liu Banxia replied.

"Hehe, I’ll wait too, seems like there will be tasty treats," Wang Chao said with a playful smile.

"I don’t get it, why do I always end up adding dishes for you guys?" Liu Banxia asked.

"Teacher Liu’s dishes are delicious," chimed in Liu Yiqing from the side.

"Really, I think I need to criticize Manager Zhou a bit—can’t judge based on who’s inviting. Even if Liu Yiqing is treating everyone, he should make the food with heart," Liu Banxia said solemnly.

"Teacher Liu, that’s not fair," Liu Yiqing replied helplessly.

"Although the monthly mortgage isn’t much right now, it still stings. Really can’t tell when it’ll be fully paid off; life as a homeowner isn’t easy."

"I pay even more than you do. No way, I’ll have to join in for lunch," Xu Yino chimed in eagerly.

"Oh come on, don’t be all doom and gloom. The houses you bought have already appreciated significantly. Why don’t you consider that?" Liu Banxia said, exasperated.

"It’s not the same, we’re not property speculators; having a place to live is enough. Price rise or fall of the house doesn’t really concern us," Xu Yino remarked.

"You know, saying that kind of makes sense," Liu Banxia nodded.

"Still, you should strive to improve your living conditions. Don’t mind outside news, we’re not investing in real estate, we just want a place to live."

"Whether prices go up or down, improving the living area or switching to a bigger space isn’t a bad idea. Despite the complaints of these two girls, they’re secretly quite pleased with their homes," he commented.

"Teacher Liu, but we do feel the pressure. I’m not like Qingqing. After I pay off the mortgage each month, I’m left with a tiny bit of money," Xu Yino expressed.

"That’s why I’ve decided—I’m initiating a lunch-stealing mode. Just stick to the main dish, one bite from each person’s side dish, and I could last a year," she joked.

Everyone chuckled, despite it being a joke, it was evident the loan repayment is a real stressor.

But this is a reality many face, buying a house is often a significant life goal.

And despite the perception that doctors earn well, it depends on the type of doctor.

For Xu Yino and Liu Yiqing at present, their income is definitely not categorized as high. They need to keep pushing forward until they can rise to attending physician status, get more surgeries under their belts—then there’ll be better prospects.

The joke of meal-stealing isn’t the truth, but Liu Banxia’s promise of adding dishes for Miao Rui—now that’s genuine.