Free Web NovelChapter 1042: Chapter 1042: An Oversight
(Thanks to chunyi, kuang feng wu, hong ri san zhang, drifting person is not a dream, 00wei, hao yue chang ge for the monthly ticket encouragement)
"Teacher Liu, should I microwave the food? How’s that patient doing?"
Seeing Liu Banxia walk back, Liu Yiqing asked.
"Yeah, microwave it. It’s possibly a pulmonary embolism, sent for a CT scan. We’ll wait for the results. Has Captain Shen gone back?" Liu Banxia asked.
"Yeah, he said to call him if there’s any situation." Liu Yiqing replied.
"Alright, I’ll heat the food myself, you go ahead with your work." Liu Banxia nodded.
"Director Liu, you’re quite something, your video is still going viral." Wang Chao joked.
"Ah, it’s giving me a big headache. Hasn’t Brother Hui eaten yet?" Liu Banxia asked.
Wang Chao nodded, "He’s attending to a patient, seems like he knows him. Need something from him?"
"Just the acute pancreatitis patient Xu Yino admitted, now experiencing respiratory distress. I plan to discuss it with him. Great, he’s out now, I’ll go check." Liu Banxia said as he walked over.
"Brother Hui, can I bother you for a few minutes, help me consult a patient. Acute pancreatitis, currently showing signs of respiratory distress, suspected pulmonary embolism, sent for a CT scan."
"If it really is a pulmonary embolism, should we send him to the ICU? Can we manage with our ward care? The patient might be financially constrained."
"My dear Director Liu, you know it yourself and still come to me for psychological comfort, huh?" Xu Hui said helplessly.
"Respiratory distress is already very dangerous, should be sent directly to the ICU. Check the indicators, in all likelihood blood purification is needed, pancreatitis is troublesome, not easy to handle."
"When he first came, his condition didn’t seem that severe, I thought maybe we could adjust quickly with medication." Liu Banxia said.
Xu Hui laughed, "Do you think that’s possible? Pancreatic cancer is tricky, pancreatitis isn’t easy either. By the way, what tube did you insert for them?"
Hearing Xu Hui’s question, Liu Banxia slapped his forehead.
"Tut-tut, it’s hard to find a flaw in Director Liu, truly rare. We should add a dish for lunch, shall we? Hand over the meal card." Xu Hui said with a smiling face.
Liu Banxia was helpless, and could only take out his meal card.
"I thought we could adjust quickly, so I used a nasogastric tube. Who would’ve thought the condition would progress so fast, I’ll switch to a nasojejunal tube after the CT scan." Liu Banxia muttered.
Xu Hui didn’t care about his mumblings at all, instead happily swung the meal card in his hand, changed clothes, and went cheerfully to eat.
It was indeed a slip-up by Liu Banxia; a nasogastric tube suffices for short-term treatment. Nutrients can be given intravenously to sustain the patient’s consumption.
But now, considering the situation, it seems the patient might have to stay in the hospital for a while. For such a long duration, a nasojejunal tube is a must. freewёbnoνel.com
The tube is directly inserted to the small intestine, allowing the intestines to absorb nutrients directly without staying in the stomach and duodenum, sparing the pancreas from arduous digestion duties.
This issue was also mentioned when communicating with the patient’s family, but there were oversights too, hence he had to obediently hand over the meal card.
"Director Liu, tough times, eh? I’m going to grab food with Brother Hui." Wang Chao said with a laugh as he saw him return.
"Go ahead, eat whatever you like." Liu Banxia said helplessly.
This is again embarrassing material for himself. Can’t mess with Wang Chao these days, or he’ll dig it up against me.
It’s really "A single slip leads to a lasting regret". It seems my knowledge on this aspect is still lacking, not rigorous enough.
Knowing well the complexities of acute pancreatitis, I still only considered the positive outcome.
"Laugh if you want. Have you picked a house?" Liu Banxia asked.
"We found two more optional ones, all quite similar. Anyway, we don’t have to consider school district issues, so there are quite a few choices." Liu Yiqing replied.
"But only one is ready to be moved in, the remaining two will be available next year. Let’s see how our luck fares, if we’re lucky, we’ll get one."
"They’re basically the same, but you both want to live opposite each other. We’ll see. Tonight Old Qiu and the others will be at my place for a gathering, I’ll mention it to him then." Liu Banxia nodded.
"I never thought of buying a house before, but after today’s patient, I realize how necessary it is." Liu Yiqing said.
"I won’t be anyone’s appendage, I’m just myself. I don’t have to look at anyone’s face to live, I have a place of my own."
"Impressive, such deep feelings? But don’t forget, no matter what, involving feelings makes things challenging." Liu Banxia laughed.
"You’re still young, wait till you find someone you truly like, then we’ll talk. But if you do encounter someone who dares to be violent, don’t tolerate it."
"It’s not just about violence; some people play the cold-shoulder game, can’t tolerate that either. At any time, be it to get along or part ways, if it doesn’t work, just end it."
"Don’t accommodate anyone to the point of sacrificing your own well-being. That often leads to greater harm. Didn’t you hear from Captain Shen earlier? The proportion of divorces initiated by women has increased significantly these days."
"That’s the way it should be," Liu Yiqing said happily.
"Then let’s keep working, work happily, and in a few days, we’ll look at houses," Liu Banxia laughed.
This could be considered one of Liu Yiqing’s strengths. The situation influenced by that patient has greatly improved, and she’s able to conduct normal consultations now.
Otherwise, he would worry that some male patients might fall victim to her "poisonous hands," which is something that can’t be ruled out.
As Liu Banxia expected, the group at the emergency center never misses any of his black marks. In this regard, everyone is very united, even Shi Lei, who rushed back after his class this morning, is part of it.
After waiting a bit longer, Xu Yino called.
"The results are out?" Liu Banxia asked after answering the call.
"Teacher Liu, it really is a pulmonary embolism. The left pulmonary artery is about 30%, and the right pulmonary artery is over 50%," Xu Yino quickly said.
"Oh... just send him to the ICU; I’m heading up now. Explain the situation well to the patient’s family too; we can’t keep him in our ward," Liu Banxia sighed.
"By the way, before sending him to the ICU, do an ultrasound on the lower limb veins to see if it’s caused by the detachment of a lower limb venous thrombosis. Make sure to stabilize the patient’s family’s emotions, don’t let them break down completely."
"Got it," Xu Yino replied and hung up the phone.
After giving instructions to the people who had returned, Liu Banxia headed straight for the ICU.
"What’s up? Another patient being sent over?" Dr. Su asked casually upon seeing him.
"A patient with severe acute pancreatitis. Initially, I wanted to try managing it in the ward, but it seems that’s not possible," Liu Banxia said.
"There is a certain degree of embolism in both pulmonary arteries, but they’re not completely blocked. The blood oxygen level is around 94 after connecting to the ventilator. What treatment plan will you guys provide here?"
"Standard pancreatitis treatment, and maybe some blood purification. For the patient’s pulmonary embolism, don’t go for thrombolysis; it’s too risky. The embolism isn’t too severe, so let’s try anticoagulants first," Dr. Su replied.
"How about it? Can it be controlled without using extracorporeal membrane oxygenation?" Liu Banxia asked.
"That’s really hard to say. Although it’s presenting as a pulmonary embolism, during treatment, it might complicate into other pulmonary diseases," Dr. Su said.
"We also try not to use it unless we really have to, trying to save lives. So, do you know this patient?"
Liu Banxia shook his head, "The family’s economic conditions don’t seem particularly good; their clothing is quite ordinary. The cost of this treatment won’t be low, and there’s a good chance they might be here for ten days to half a month."
"Have you determined what caused the pancreatitis?" Dr. Su asked.
"Still unclear. The patient has no history of binge eating or excessive drinking, and their blood lipids are normal," Liu Banxia said.
"Treat first, find out later. Sometimes, the triggers for some diseases are many. Maybe they bumped themselves once without noticing," Dr. Su said.
After chatting for a bit, Xu Yino arrived, pushing the patient over.
"How’s the lower limb veins?" Liu Banxia asked.
"There are some residual clots, but it’s not very severe," Xu Yino said.
"That’s a piece of good news, leave it to Dr. Su. Now, it’s up to them," Liu Banxia said.
Ding! Diagnosis task completed
Experience points gained: 30
Liu Banxia felt like curling his lips. So this is the reward for diagnosing a pulmonary embolism? Such a serious illness, and only this much experience? Really?
But he didn’t have the mind to complain; he truly felt happy for the patient inside.
At least they’ve found the cause of the pulmonary embolism, which is the detachment of a thrombosis from the lower limb veins. No need to worry about other diseases that might cause thrombosis.
Investigating would be cumbersome and might not yield answers.
He also explained to the patient’s family, focusing on comfort. Reviewing the treatment plan was all Liu Banxia could do.
"Alright, you guys should go eat too, you’ve been busy all this time," Liu Banxia said as they were going downstairs.
"Teacher Liu, the patient should be able to hang on, right?" Xu Yino asked.
"Pretty much. Our ICU is quite strong and will provide blood purification," Liu Banxia said.
"Our consultation with the patient has been quite successful. Avoiding the ICU with severe pancreatitis is really hard. From my chat with Xu Hui, he said there’s basically no chance."
Xu Yino nodded, deciding not to think about it for now; it was time to go eat first.
