Chapter 1455: Surprises from a Minor Surgery

Chapter 1455: Chapter 1455: Surprises from a Minor Surgery

"Teacher Liu, was my communication with the patient’s family today not up to standard?"

After a moment of hesitation, Su Wenhao asked.

"It’s not that it’s not up to standard. Patients or their families often have some distrust when facing a resident doctor," Liu Banxia said with a smile.

"But it’s better to use a more affirmative tone when communicating with them in the future. You need to take care of the patient’s emotions, but sometimes you also need to be more direct."

"Today’s situation was quite special, so don’t dwell on it. If I’m not mistaken, we will still perform a PTCD drainage."

"I feel the same. It seems the patient’s son has a friend who can contact a doctor. Now that he understands the situation, he should know what to do," Su Wenhao nodded.

"However, the patient’s tumor marker screening index is not high. Teacher Liu, could it be something other than cholangiocarcinoma? But then, what’s the cause of the mass?"

"Think hard about what possibilities there could be," Liu Banxia smiled and asked.

Upon hearing this, Su Wenhao began to think hard.

After about five or six minutes, Su Wenhao’s eyes lit up, "Teacher Liu, could it be just simple cholangitis, but due to severe inflammatory edema, it caused a bile duct obstruction?"

Liu Banxia nodded, "I was considering this as well, but it’s such a special case. Considering the patient’s family situation, let’s not mention it yet."

"We can’t give the patient false hope. If we say it and it turns out to be cholangiocarcinoma, there would be trouble."

Su Wenhao nodded, feeling quite enlightened by today’s experience.

Even without making a definitive statement, just describing it normally can lead to issues once the patient’s family relays the information.

If I suggest it’s just due to inflammatory edema and it turns out to be confirmed as cholangiocarcinoma, it might lead to a substantial complaint.

"Doctor, we’ll proceed with the percutaneous transhepatic cholangiography."

At this point, the patient’s son finished his phone call.

"Alright, Su Wenhao will arrange it, and I will perform the procedure," Liu Banxia nodded and then looked at the patient’s son, "You understand all the potential risks of the operation, right? If not, let Dr. Su explain it again."

"I understand, I’ll sign shortly," the patient’s son said.

"Alright, let’s prepare to start promptly," Liu Banxia said.

This was to confirm since, given the son’s personality, there might be other complications.

The possibility we just discussed, we didn’t mention to the patient’s son.

Even he thought this possibility was a bit far-fetched; while plausible in principle, it was too rare.

"Doctor, tell me the truth, my son is here; is this cancer?"

Once Liu Banxia entered the operating room, the patient, lying on the operating table, asked.

"I assure you I am telling you the truth. For now, we only see a significant bile accumulation in the duct, hence the minor procedure to drain some of it," Liu Banxia said.

"As for other situations, we’ll need to conduct further examinations once your symptoms alleviate. Understandable? Generally, we cannot perform surgery when there is inflammation."

"I just feel that this illness is serious, or else my son wouldn’t come, and you guys wouldn’t make me go through so many tests and this puncture," the patient said.

"Issues with the gallbladder and bile ducts are common. If bile flow is obstructed, problems arise," Liu Banxia continued.

"So what we’re doing is draining the excess bile. For us, it’s a very simple procedure."

"Do you see the equipment here? With this ultrasound monitor, we can pinpoint the exact location. Su Wenhao, explain the site selection process to him."

"Grandpa, no need to be nervous. We will do an imaging that will make everything clear," Su Wenhao said.

"Then, we will choose a high-quality bile duct for drainage. Though it sounds complicated, it is straightforward."

"Besides, you’re being operated on by Director Liu, my teacher. He is highly skilled and has been featured on TV and news," Su Wenhao said, which somewhat calmed the patient’s nerves as Liu Banxia began the procedure.

"Doctor, you mentioned some kind of endoscopic ultrasound; will I be anesthetized for that?" the patient asked again.

"There won’t be anesthesia for that, but it’s not scary," Liu Banxia said.

"We need you to drink water for the ultrasound, as it acts as a medium for the examination. If we anesthetize you, you would require tracheal intubation for general anesthesia."

"Otherwise, the water in your stomach could reflux into the airway, posing higher risks. Don’t worry, it’s simple and offers a clearer view."

"This preliminary examination provides an overview, while endoscopic ultrasound allows an in-depth analysis, much like looking at a house’s exterior and interior decoration initially."

"Endoscopic ultrasound is different; it examines the construction quality in detail. It’s quick, don’t worry. We’ve marked the position and will proceed with local anesthesia and direct puncture drainage."

The patient nodded, though his worry was palpable.

Liu Banxia understood; going through such experiences would make anyone skeptical.

"Teacher Liu, the local anesthesia is ready," Su Wenhao said.

"Now, hold your breath. Yes, just like that. Hold on, I’m almost done here. Good, the tube has been inserted into the bile duct; you can breathe normally now," Liu Banxia comforted the patient while proceeding.

"We’re not done yet; we need to insert a guide wire for adjustments, requiring further operation. You’ll feel a bit, but it won’t be severe."

"Doctor, by inserting the wire, could there be complications or side effects?" the patient asked anxiously.

"For the time being, nothing apparent. I wouldn’t claim perfection in my operation, but so far, everything is good," Liu Banxia said.

"As long as the bile is drained, your pain will ease, and your bilirubin levels will decrease. Our treatment for cholangitis will be more effective."

Su Wenhao gave Liu Banxia a slightly surprised glance, sensing undeniable joy in his tone.

Could Teacher Liu judge the bile duct’s condition through this drainage procedure?

In reality, Su Wenhao misunderstood.

Liu Banxia was happy because he appreciated the precision’s added benefits.

He had enhanced his agility for some time, but the precision aspect wasn’t as evident to him.

This drainage procedure needed guide wire insertion after bile outflow. He had done similar tasks before, but within blood vessels.

This time the task was guiding through the ducts, using a dilation tube post-guide wire to pass through obstructions or constrictions, ensuring the side holes are above or below the blocked or narrowed area.

It’s a delicate operation; even with ultrasound guidance, the manual feel is crucial.

Since he had performed similar surgeries and guide wire procedures before, he noticed a significant difference this time.

It was smoother; he seemed to perceive maneuvering more clearly, enhancing guide wire precision.

He suspected this was a result of his precision attribute; he had never experienced such sensation before.

Indeed, he appreciated this patient’s case. In his past perception, precision mainly helped in suturing or dissection.

In fact, it wasn’t limited to that, as it aided in other procedures too.

"Alright, it’s almost done. Su Wenhao can handle the rest," Liu Banxia said after finishing.

"Doctor, you’re leaving me?" the patient anxiously asked.

"Don’t worry, the remaining tasks are the simplest. Even our Dr. Su, or even a student, could manage," Liu Banxia reassured.

Bile duct drainage cases are uncommon outside the inpatient department.

So, he wanted Su Wenhao to have this rare opportunity, even if it wasn’t the core procedure; doing the task’s final part was participation.

Moreover, the rest was truly simple, not even an appetizer for Su Wenhao.

Ding! Surgery completed.

Gained 200 experience points, Glory Points +30.

The task was rated perfectly, earning 400 experience points, Glory Points 10+50, and a solid stone.

Upon surgery completion, the system surprisingly provided a rare perfect-level reward.

This surprised Liu Banxia, as ordinary minor surgeries usually didn’t yield experience points.

Even for NOSES surgery, the rewards weren’t significant.

Life indeed holds surprises; if not for this minor procedure, he wouldn’t have realized the precision boost.

For him, it was a delightful, rare surprise.