Chapter 1084: Chapter 1084: This Is Big Work
(Thanks to An Lin Xiao Xiao for encouraging with voting)
"Silly boy, this is the difference between studying medicine and not studying medicine. Often when dealing with symptoms, we can’t just look at the results; we need to see what the fundamental cause of these symptoms is. That’s effective treatment," Liu Banxia said with a smile.
"It’s like a traffic accident; dying on the spot and dying after being sent to the hospital without being rescued are two different causes of death. In this outcome, we also need to consider the variables of the driver and the pedestrian hit, and comprehensively assess the situation."
"That’s roughly what it means. Anyways, when admitting patients, we must get to the bottom of things and clarify all situations."
"I had planned to ask him more questions just then, but I couldn’t; his condition was too poor. The taste when defibrillating is also unpleasant and very painful."
"Director Liu, if we can’t find anything after investigating, should we just let his heart keep racing like this? If that’s the case, isn’t there a risk of sudden death at any moment?" the patient’s platoon leader asked.
"That’s why we’re now exploring the cause to see exactly where the problem lies. I’ve treated a patient whose case was slightly similar, but similar doesn’t mean exactly the same," Liu Banxia said.
"Ultimately, that patient had an implantable cardioverter-defibrillator, which monitored their heart rate issues in real-time. When things seemed off and reached the limit value, it would defibrillate the heart back to normal."
"Of course, this is just an example; there are different corresponding methods for different symptoms. If a problem exists within a myocardial fiber, radiofrequency ablation can be performed."
"However, a thorough examination of the entire heart falls under invasive exploration, which is very dangerous and should be undertaken cautiously. Yueyue is planning to study cardiac surgery, so cardiac issues will be his responsibility in the future."
"Sigh... It’s giving me a headache. Is this your instructor? Let him know the situation too," Qiu Mingyuan suggested.
The patient’s platoon leader nodded and went straight to him.
"Studying medicine is very difficult, so you should treat Yueyue well in the future. Whether one can become a good cardiac surgeon largely depends on the family as well," Liu Banxia said.
"Brother Liu, how else can I be good? Right now, I’m fully supportive with both hands and legs raised. My dad and aunt are the same, not letting me bother Yueyue to avoid disrupting his studies," Qiu Mingyuan said.
"That proves you’re still not quite there; you must proactively be good, not passively. Yours is passive goodness. Anyway, the instructor has arrived," Liu Banxia said, patting his shoulder with a smile.
"Director Liu, is Xue Gang’s condition very serious?" the instructor asked.
"We don’t have a definite diagnosis yet, so don’t worry just yet. Prepare the phone numbers of his family; I personally suspect it’s a cardiac issue," Liu Banxia said.
"Alright, thank you, Director Liu. I was just getting some money earlier; should I pay now?" the instructor asked.
"Yes, Qiu Mingyuan, you’re familiar here. Lead the way and take care of things, then come back to my office to wait for news. Don’t rush; we have to proceed with the checks step by step," Liu Banxia said.
It seems clear now that this instructor is quite responsible.
Back in the office, after organizing some files for a while, Xu Yino and Liu Yiqing rushed in.
"What’s up, so flustered?" Liu Banxia asked.
"Teacher Liu, I heard a student successfully rescued someone today?" Xu Yino asked.
"Temporarily successful; tests are still ongoing. Results should be out soon; Doctor Meng is conducting them personally," Liu Banxia said.
"Didn’t they say he was saved immediately? Why are more tests needed?" Liu Yiqing asked curiously.
"The heart rate is a bit high; it was normal upon admission, then atrial fibrillation occurred, staying at over 110," Liu Banxia said.
"Sigh... more treatment is needed. We were all shocked when we heard the news on site. Those students immediately changed their attitude and became very serious," Xu Yino said.
"Your news spreads fast; I thought you’d only know once you returned. It has somewhat advanced our small activity, which is the only good news."
"If we can diagnose this youngster’s symptoms, that’ll be the best. Heart-lung auscultation reveals normal sounds, making it difficult to check."
This counts as an effect; due to a sudden death case, we’ve implemented emergency knowledge teaching activities. Moreover, because of the recently admitted patient, students who were not paying much attention have become serious.
"Brother Liu, hey, the two sisters are back too. I just saw Brother Su; he’s saying normal heart movement, normal ECG. Just high heart rate, with medication not working well," Qiu Mingyuan walked in this moment.
"Teacher Liu, could it be similar to that previous child’s case of Adams-Stokes syndrome?" Xu Yino asked.
"Doesn’t feel like it; that child occasionally had tachycardia, but this one is constantly racing," Liu Banxia shook his head.
"Let’s see how Doctor Meng diagnoses next; our grasp of cardiac examinations isn’t too deep; we only know the basics."
In medicine, if you speak broadly, all doctors are good, and can express things in detail. But if you truly want to understand these sub-disciplines, it’s not so easy.
Anyway, Liu Banxia feels this way now; the more he studies, the more questions arise. Unlike before when he dared to rush into anything, just short of holding a sign shouting, "I can do it."
A newborn calf is not afraid of a tiger, and the newly born Liu Banxia who just got the system indeed fears nothing.
"By the way, let’s talk about something when we eat later, something quite important," Liu Banxia said.
"Both of us or everyone?" Xu Yino asked.
"All six of you, there’s a very important task. You’ll regret it for life if you don’t join. If you do join, you might regret it for two lifetimes," Liu Banxia replied with a smile.
The two girls were stunned, what does that mean?
But the big boss won’t tell you clearly now, leaving everyone itching with curiosity.
Qiu Mingyuan, who was watching the fun, couldn’t help laughing. Happiness is always built on the pain of others, which sure sounds promising.
After waiting for a while, Su Wenhao came in.
"Teacher Liu, the patient’s heart rate has finally dropped. But currently still feeling very uncomfortable, and a new symptom, nose bleeding, has been added," Su Wenhao said.
"But according to the patient, he’s had this problem since childhood. When he’s too tired or stressed, he gets nosebleeds. He’s been fighting for a scholarship recently, so he’s been studying longer and has had a few nosebleeds already."
"Yes, he indeed has this problem. During freshman year, he nearly scared us to death, but now we’re used to it. It seems his ability to handle stress is quite poor," the patient’s class monitor said.
Liu Banxia frowned, "What did Doctor Meng say?"
"Mr. Meng said to have a chest MRI and then observe. He also arranged for someone from cardiology to watch over the patient," Su Wenhao replied.
"Mainly because the cardiac ultrasound is very normal right now. Whether it’s the shape and size of the heart or the arteries, everything looks normal. Repeatedly listening to the heart sound is also normal, so we can only examine it slowly."
Liu Banxia nodded, "Okay, let’s eat first then. Doctor Meng also said, he’ll notify me if there’s any progress, and we’ll study it when the time comes."
The cause of the nosebleed is also many; whether it’s related to the patient’s arrhythmia symptoms cannot be determined yet.
Fortunately, the patient’s heart rate has now decreased, and vital signs have stabilized, so it seems that the medication is working.
Still, it’s Meng Qingfan’s patient now, so he just needs to follow the report. If not for consultation, don’t get involved, helping out doesn’t necessarily mean you’re truly helping.
At the canteen, Liu Banxia naturally paid the bill.
"Pay attention you guys, start eating first, and I’ll speak," Liu Banxia said after getting the food.
"The director said we need to accumulate experience with NOSES surgery for future promotion. So, every piece of patient data will become very valuable."
"I don’t have that much time, so the task of data collection and summarization is left to you guys. Understand what this means? Will you regret it?"
The six of them at the table suddenly had somewhat ’dazed’ expressions, their faces changing, leaving Qiu Mingyuan who was trying to eat dumbfounded.
"Brother Liu, what kind of magic are you guys pulling?" Qiu Mingyuan asked.
"Ah... little Comrade Qiu, our painful life is about to begin. But in the future, we will reap abundant fruits," Xu Yino said.
"In simple terms, this is a big project, led by Teacher Liu, and we’ll assist. By then, Teacher Liu will eat meat, and we’ll gnaw on bones with some soup."
"Isn’t that great? Brother Liu is so capable, I think these things should be very easy," Qiu Mingyuan said indifferently.
"It’s different. The key is data collection. Not only during hospitalization, but we also have to do regular follow-ups and tracking," Xu Yino said.
"Also, we need to categorize the patients by age, symptoms, gender, whether they have underlying conditions, etc. Collect all the information without missing anything; that’s how the data can be rigorous."
"At the same time, we need to find more data of those patients who meet the criteria but didn’t undergo NOSES surgery to make comparisons."
"Currently, not many of Teacher Liu’s patients undergo this type of surgery, but his reputation has already been established. You can imagine what kind of days lie ahead."
"How many patients there will be, how much data, how many people to track; turn sorrow into appetite, just finish eating. The meals Teacher Liu treats us to are just delicious."
Xu Yino’s words made Liu Banxia laugh, "This is a big job, which can produce many papers, and you can give full play to it when the time comes."
"The director doesn’t have specific requirements, nor do I. You decide what exactly needs to be done, and each person should figure out their share of the work. Kids, go for it."
He feels quite relaxed now; torturing one at a time.