Chapter 1461: Each Specialty Has Its Own Expertise

Chapter 1461: Chapter 1461: Each Specialty Has Its Own Expertise

"The diagnosis is confirmed, CD68 positive, it is indeed lipogranuloma."

Chen Hongyang walked gravely to Liu Banxia’s side.

Ding! Task completed for the critically worsening young patient

Gained 100 experience points, Glory Points +50

Task rating is Flawless, earned 150 experience points, Glory Points 3 points +50

"It’s difficult to decide whether to treat here or transfer to the Rheumatology and Immunology Department," Liu Banxia asked.

"I also came to discuss this matter with you. This child’s condition is quite rare," Chen Hongyang said.

"I communicated with the other side over the phone. Typically, older patients have a higher incidence rate. Cases like this with younger patients are very rare."

"Then there’s the treatment. Although Interferon-alpha is widely used, adjunctive therapy with other antagonist agents is needed based on the patient’s actual condition."

"We have very limited knowledge in this area; my personal opinion is to transfer to the Rheumatology and Immunology Department. It would be more prudent."

"Alright, let’s do that, it seems more prudent," Liu Banxia nodded.

Chen Hongyang left to discuss the matter with the child’s parents.

If it were a common illness or a slightly complex condition needing surgical intervention, the emergency center here could handle it all.

Even for systemic lupus erythematosus, which also belongs to the Rheumatology and Immunology Department, that patient is currently receiving treatment at the emergency center.

But for this case of lipogranuloma, abbreviated as ECD, both Chen Hongyang and Liu Banxia chose to be cautious.

Because this disease is really hard to treat, and the child developed it so early. Even slight delays in treatment could affect the child’s future.

Moreover, the prognosis varies greatly from current cases. Patients with involvement of the central nervous system and heart often have poor prognosis.

This is not about shirking responsibility.

This is a rare case that can accumulate a lot of experience and data through the young patient’s treatment.

But considering the future prognosis of the young patient, it’s better handled by professionals.

Even internationally, there is no definitive understanding of the cause of this disease. Further genetic diagnosis is needed for this young patient.

In most patients, BRAF gene mutations exist, other mutations in the mitogen-activated protein kinase signaling pathway have been reported.

These numerous variables can also influence drug combinations.

In this area, they truly cannot manage it.

There’s a bit of helplessness in transferring the patient seen by them to others. But this is the only right choice, it’s being responsible to the patient.

Regarding surgical patients, Liu Banxia would never give them away.

Even if some surgeries are not yet mastered skillfully, that’s okay, he can retreat and practice in the dream space.

For the child’s situation, there aren’t many choices. Taking the wrong step may ruin a lifetime.

"Hahaha, Teacher Liu, good news, good news, the systemic lupus erythematosus patient showed improvement with increased dosage."

At this moment, Xu Yino came running with glee.

"Did you visit ICU again?" Liu Banxia asked with a smile.

"No, I told my colleagues there to notify me if there’s any news," Xu Yino said.

"It’s really hard, this counts as escaping death’s door, right? Although the head edema is still severe, recovery might only start after medication stops,"

"Yes, she truly escaped death’s door. However, there’s still pain to be endured later, this illness is quite troublesome. It must be treated thoroughly; otherwise, residual neural pain may remain," Liu Banxia said.

"But anyway, the medication is effective now. Just now, I was pondering if it was irresponsible to keep her for treatment at the emergency center instead of transferring her to the Rheumatology and Immunology Department."

"ICU talked with the Rheumatology and Immunology Department too, considering this patient’s condition and her family’s circumstances, this is the only option," Xu Yino said.

"Teacher Liu, I’m puzzled. Why, not only in our hospital but in other hospitals too, have patients with rheumatology and immunology diseases increased significantly recently?"

"The diagnostic equipment and methods now are more advanced than before," Liu Banxia smiled and said.

"Don’t you see in recent years, cases of rare diseases have increased a lot too? These rare diseases are difficult to distinguish in late development."

"Additionally, genetic testing wasn’t as advanced before, and many diseases couldn’t be detected. Eventually, patients’ families gave up."

"Times are improving. In the future, many more diseases can be diagnosed and treated, though we don’t have much capability in this field, we can just watch others busy and enjoy the results."

"Teacher Liu, you really don’t plan on researching this aspect?" Xu Yino asked curiously.

"I can’t do it. I don’t have the brain for it," Liu Banxia shook his head.

"Just like how we transferred today’s little patient to the Rheumatology and Immunology Department, each field has its specialization. Although it seems connected to us, there’s a huge gap."

"If we want to figure these out, we won’t have a chance without spending lots of effort. We don’t have that much energy either; every day is busy to the point of exhaustion."

Xu Yino thought about it and realized that’s indeed the case.

For them now, although they’re not as tired from studying as before, is it really that relaxed?

Of course not.

They are serious bedside doctors now, needing to manage their own patients, and they manage them very seriously.

These patients already consume a large part of their energy, plus the new ones being admitted? Even their personal lives don’t have much time left, where’s the time for researching so many advanced things?

As long as Liu Banxia can reveal a significant portion of his skills, that’s enough.

No one expects to tap into everything, can’t even imagine it. Because even now, Liu Banxia is still learning.

At least in future orthopedics and pediatric surgery, Liu Banxia is solid. They couldn’t do it, really don’t have the capability to explore that much.

Just then, Qi Wentai in front waved to Xu Yino, "Several car accident patients are coming over soon; the problems don’t seem very serious."

"Got it, we’ll split them ourselves," Xu Yino replied.

For them, this isn’t a big deal. Even with the "issues aren’t very serious" indication, they can still handle it all even if it were severe.

Liu Banxia is very confident about this; the current six members have improved a lot compared to before. Otherwise, why does he always hope they can become competent quickly? It would make things easier then.

Just then, his phone rang; it was Wang Xiaoyan calling.

"What’s the matter? Is it another patient recommended to me?" Liu Banxia asked upon answering.

"Are you wishing for my yoga studio to have issues or what?" Wang Xiaoyan replied helplessly.

"It’s still my girlfriend from last time; recently she’s had enough of lying in bed and wants to know if she can directly get injections. Is it cheaper now?"

"More or less, it’s not as expensive as imagined," Liu Banxia said.

"It’s a matter of self-control. If you have strong self-control, you can wait longer; it will definitely get cheaper. If not, just get an injection; anyway, it’s much cheaper now than before."

"Comparing to before, I wouldn’t recommend it. But really, she has to decide herself; it’s still some time until real bargain pricing."

"Alright, I’ll tell her again. That feeling is unbearable, and can’t be cured. Can’t you guys work harder and just fix it?" Wang Xiaoyan said.

"Yanzi, it’s not that we aren’t working hard, but it really isn’t possible," Liu Banxia said with a bitter smile.

"Just like diabetes and high blood pressure nowadays, they’re common diseases. No matter the doctor’s status, no one dares to promise a cure, only maintenance and control."

"Alright... busy with your work, I have to tell her too," Wang Xiaoyan said.

"Judging from her, she’s probably planning to get the injection even if it’s pricier. This disease really tortures people. I feel incredibly lucky now, as I’m healthy."

After speaking, Wang Xiaoyan hung up, leaving Liu Banxia feeling helpless.

He wanted to conveniently get some good food, but Wang Xiaoyan hung up too quickly.

Just then, several patients and family members entered the lobby; they likely are car accident patients. No wonder Qi Wentai said the problems aren’t major; probably here to check for head injuries.

There was a lady holding a four or five-year-old child who was crying constantly, perhaps seriously injured.

Normally, children this age should use child seats while in cars.

However, the boundaries seem blurred domestically, so kids sitting directly on seats while traveling are more common.

He then saw Chen Hongyang accompanying today’s diagnosed little patient and his parents through the passage, feeling somewhat emotional.

Apparently, the little boy’s future depends on luck. Suffering from the central nervous system, the prognosis often is poor.

But that’s often the case; some patients are outside the scope of big data.

"Teacher Liu, can you help me consult on that little boy?"

In his daydream, Huang Bo called out.

Liu Banxia looked up and nodded.

It was just the little boy brought in, who seemed to be in trouble.