Free Web NovelChapter 1074: Chapter 1074: Truly Becoming Famous
(Thanks to bonjovi99 for the reward, and thanks to Little Devil’s Tentacle for the monthly ticket encouragement)
Liu Yiqing’s misdiagnosis was just a small episode for the emergency center. Moreover, Liu Yiqing has a good reputation there, and since it didn’t cause any negative impact, the matter is considered resolved.
Liu Banxia also noticed that he seemed encouraged during their discussion, so the situation was handled easily without leaving Liu Yiqing much psychological shadow.
This is great, or else why would I say today’s surgery is worth it?
The significance of this surgery isn’t just in the removal of the Merkel’s diverticulum, but in preparing psychologically for similar situations.
Liu Banxia felt relieved, and just when he was about to find the patient recommended by Qi Wentai for a digital rectal examination to check the anal condition, Su Wenhao came over.
"Teacher Liu, there’s a patient with low rectal cancer, registered under your name, wants to see if he can preserve the anus," Su Wenhao said.
"Came straight to me, huh? Let’s take a look first, then we’ll go to the ward," Liu Banxia nodded.
The patient is 46 years old and brought a report from another hospital.
"The scan is quite new, done three days ago. From the current situation, there’s still a possibility to preserve the anus," Liu Banxia said.
"However, whether the anus can be successfully preserved still depends on the subsequent pathology results. Your condition is quite severe, and it’s only two centimeters from the anus, which is quite risky."
"Director Liu, can it really be preserved?" the patient asked.
"Don’t get too excited, didn’t I just say, during your check-up elsewhere, they should have told you this too," Liu Banxia said.
"Whether the anus can be successfully preserved largely depends on the tumor’s progression. From your current examination, although the mass isn’t very large, the base is."
"Moreover, the shape is very irregular. What I can guarantee you now is that we can remove the tumor while preserving the anus. However, being so close, even if successful, it may still affect the anal function to some extent."
"Ultimately, we still have to look at the pathology, that’s the gold standard. If it shows that cancer cells have already spread to the anus, there’s nothing more we can do."
"I see you have hemorrhoids too, did you usually think the bleeding was from them? Luckily you came in time, the chances are high."
"Ah... I didn’t pay attention before. I’m a driver, always sitting. Director Liu, can I have the surgery done here with you?" the patient asked.
"Sure, the day after tomorrow," Liu Banxia said with a smile and nodded.
"Although your check-up is fresh, we still have to rely on the latest examination results. Prepare for a day tomorrow, and the day after, maybe around ten or the afternoon."
"There’s another patient before you, it’ll at least take more than two hours. If there’s any change, it might take longer, so just be prepared."
"Thank you, Director Liu, if I can keep my anus, I can still continue my job. Otherwise, my family would truly be finished," the patient thanked sincerely.
"I went to the provincial city yesterday trying to register with Director Liang from the Provincial People’s Hospital, couldn’t even get in line. No offense, I only heard this morning about your expertise."
Liu Banxia laughed, "That’s normal, I don’t mind. But I’m curious, how did you find out I could do this? It hasn’t been long since I started."
"I heard from someone in our neighborhood, their relative had the surgery done here, said it was like nothing happened, fully recovered, and about to be discharged," the patient hurriedly explained.
"Got it, I checked on him this morning, it’s true," Liu Banxia said.
"Under normal circumstances, it’s around five or six days before discharge. Su Wenhao, get the examination arranged later and explain the TaTME surgery process, including whether to use the stapler."
"Okay, Teacher Liu," Su Wenhao nodded.
"Director Liu, thank you. Saving my anus is saving my family’s life," the patient thanked again.
"No need for that, I’m not doing it for free, I earn too. But I see you have a good mindset, recovery after surgery will be faster," Liu Banxia said.
"Even if the discharge is fast, it’s based on your physical condition. There will be a recovery period post-surgery. Discuss with your workplace and try to adjust a bit or take some sick leave."
"Okay, I’ll go get admitted first, to avoid others getting ahead of me," the patient said.
Finding out he had rectal cancer was painful, they said even the anus might have to be removed. Now, seeing hope at Liu Banxia, being able to preserve the anus, is a reason to be happy.
Leaving the office, Liu Banxia called Huang Bo to check the patient recommended by Qi Wentai for a digital rectal examination and the anal condition.
The previous patient had good indicators; the one in the ward might be a different story.
Feeling quite emotional internally, does this mean I’ve gained some fame now? Reputation is spreading, and with a few more cases, the surgeries might be lined up.
"Teacher Liu, you’re quite happy, aren’t you?" Huang Bo curiously asked.
"Nonsense, I’m now a famous surgeon, so I must be happy." Liu Banxia said earnestly.
"You all need to put in more effort. I’ve already told Liu Yiqing and Xu Yino, and they’ve passed it on to you, right? There won’t be easy times ahead; you must work hard."
Huang Bo nodded seriously, "Teacher Liu, rest assured. The hospital has planned everything well for us; if we don’t make an effort, we might as well hit ourselves with a block of tofu."
"That’s the right attitude." Liu Banxia said.
"NOSES surgeries require selecting patients. Although you don’t have experience in operations yet, you have some understanding in theory."
"So from now on, you need to handle these examinations. The more cases you encounter, the more you’ll feel when you actually begin hands-on operations in the future."
"I’m exploring myself right now, let’s learn together. When the day comes that you can truly operate independently, it’ll be quite impressive."
"Teacher Liu, don’t make the future sound so wonderful; it’s making me a bit excited." Huang Bo said, slightly embarrassed.
"Hahaha, you need something to look forward to in life. Without any hope, what’s the point of living? Just don’t hope to be on Mars; that’s a bit too far." Liu Banxia joked.
Even though it’s just casual conversation, it reflects Liu Banxia’s really good mood.
Patients go to others first and then come to him, and he doesn’t mind at all.
As he said, it’s all quite normal. Those who are not short on money will certainly seek out the best around, and the best is usually defined by reputation or word of mouth.
After thoroughly examining the patient, Liu Banxia hesitated.
The situation isn’t particularly ideal; what needs attention is ensuring absolute protection when taking specimens.
"Doctor, can it be done?" Seeing Liu Banxia’s expression, the patient’s family asked nervously.
"There is a certain level of difficulty; the tumor is somewhat large, and taking specimens will surely involve some degree of pressure." Liu Banxia said.
"We will use a long pouch to take specimens to prevent the tumor from rupturing and liquid from entering the abdominal cavity, which would waste all our efforts."
"We’ll have to see during the surgery. If the anal dilation isn’t ideal, I’ll consider laparoscopic assistance. If that still doesn’t work, we’ll have to make an incision on the abdominal wall to retrieve the specimen."
"Director Liu, however it’s done, can the anus be preserved?" The patient spoke up.
"Doctor Qi should have mentioned to you that the surgical procedure can preserve the anus. At worst, we’ll do an internal resection and external lifting, but success will ultimately depend on the pathological results." Liu Banxia said.
"Alright, let’s go with that. Can it happen tomorrow?" The patient decided.
"Tomorrow won’t work; you need to prepare for surgery. The day after tomorrow, early morning, you’ll be the first surgery. Okay?" Liu Banxia asked with a smile.
"Okay, darling, go and thank Doctor Qi later for recommending a great doctor for us." The patient said gratefully.
"Alright, for now, Huang Bo, you’ll manage the bed." Liu Banxia said.
"Okay." Huang Bo replied with a smile.
The elderly gentleman had a great personality; Huang Bo really liked him.
"Teacher Liu, I’ve finished explaining to the patient." Upon returning to the hall, Su Wenhao was waiting there.
"The other patient’s situation is indeed quite complex; your bed management might take until the afternoon. We’ll figure it out then and aim to complete everything." Liu Banxia said.
"Teacher Liu, I’m quite curious, why does it seem like preserving the anus is more important than rectal cancer for patients?" Su Wenhao asked.
"Isn’t it just a rather helpless thought? Rectal cancer has occurred already; it’s not a choice. The choice is whether the anus can be preserved." Liu Banxia said.
"Additionally, this patient should be a driver for their leader at work. If they have to wear a bag, can they still drive?"
"What it is with drivers? Their salaries might not be very high, but being around the leader, there are definite benefits. This person might actually be the primary economic provider at home; otherwise, they wouldn’t have said such things."
"Thank you, Teacher Liu. I understand now; I hadn’t thought of that." Su Wenhao said with a smile.
"I was only thinking that even if the anus is removed, one can still drive; I simply forgot to consider the inconvenience of wearing a bag, and that there would be occasional gas sounds."
He truly admired Liu Banxia, even for seemingly insignificant details, he could make judgment calls.
If it were him, without the technology to preserve the anus, he’d have the patient undergo removal.
