Free Web NovelChapter 1085: Chapter 1085: Pooling Wisdom and Strength
No one is a fool. Even though Xu Yino and the others haven’t been doctors for long, their understanding of things in the medical community is no less than Liu Banxia’s.
In fact, Xu Yino, Miao Rui, and Li Hao have some connections to the medical system, and they understand its intricacies even more thoroughly.
Although they have to help Liu Banxia with a lot of work, the benefits they stand to gain in the future are unlimited.
NOSES is a large system, and the amount of knowledge involved in this system is immense. Picking out any random part of it can lead to significant insights.
Although they have to work, they will receive guidance on the points they choose to focus on.
Currently, there are many people researching NOSES surgery, but not many have achieved tangible results. This is because promoting this surgery is very difficult; it’s highly challenging with few mature experiences to learn from.
But for them? It’s like taking a ride because the person in charge of this project is Liu Banxia, someone who frequently creates small miracles.
Previously, he hadn’t mentioned researching NOSES surgery, then suddenly became obsessed with it, and now he’s completed several more procedures.
This morning’s procedure, even for those who frequently perform TaTME surgeries, would require careful consideration to determine if it could be done.
The difficulty in researching and promoting this project lies in the complexity of the procedure and the limited availability of skilled people.
Now, with Liu Banxia as their support, they won’t need to worry about future patients. Although more patients mean more complex data collection, it also means more opportunities for practice.
Xu Yino seems to say they can only follow to gnaw bones and drink broth, but there is still meat on those bones, and the broth is still meat broth.
This is a major project and a significant matter. But if they truly succeed, not only will they gain a deeper understanding of NOSES surgery and learn more surgical techniques, they will also become the first NOSES surgery promoters at the second hospital.
In many cases, being first has positive effects, which suggests what their future status at the second hospital will be.
They can even think further ahead about their status in Binhai City.
"Wow... if you’re not in the medical field, you really can’t understand what you guys are thinking all the time." After carefully observing the expressions on these people’s faces, Qiu Mingyuan gave up.
It’s no use guessing. He couldn’t figure it out anyway. He’ll ask his sweetheart later who can certainly explain it thoroughly.
This meal was full of twists and turns; Liu Banxia was calm and collected. It was mainly the ideas in the minds of the six kids that were plentiful.
Just as they were heading to the emergency center, Meng Qingfan’s phone call came through.
"Doctor Meng, has there been a new change with the patient?" asked Liu Banxia after answering.
"Another episode of ventricular fibrillation occurred. Director Chen hasn’t left yet; if you’ve finished eating, let’s have a consultation," Meng Qingfan said.
"Okay, I’ll be right there," Liu Banxia said.
He was somewhat worried; this case was truly troublesome.
"Teacher Liu, what’s going on?" Su Wenhao asked.
"The patient just had another episode of ventricular fibrillation, luckily someone was constantly watching him, otherwise it could have been dangerous," Liu Banxia said.
"Director Liu, should we contact Xue Gang’s parents?" the counselor asked.
"Let’s wait until we have a consultation result," Liu Banxia said.
"The situation is still unclear; we only know that he is in a period of symptom outbreak. Once we have the next steps for treatment, you can contact his parents."
The counselor paused for a moment, nodding.
Earlier, they said they would wait for a diagnosis before notifying accurately, now they’re notifying once they have a diagnosis direction. This can only mean Xue Gang’s illness is very serious, possibly life-threatening.
"How’s the situation now?" Liu Banxia asked after returning to the office.
"We’re completely clueless. Currently, Director Chen and I are discussing whether the nosebleeds are correlated symptoms, and what causes his frequent ventricular fibrillation," Meng Qingfan said.
"Based on the current situation, if there’s a problem, it’s likely internal cardiac issues. But the investigation risks are extremely high; we must be cautious."
"If our judgment is incorrect, not only will we fail to identify the cause, but it might worsen his condition, possibly leading to death during the examination.
Chen Xuehai also nodded, "This is what we’re tangled up with right now, but based on his heart’s shape and functionality, everything seems fine."
"And after successfully resuscitating him this time, his heart rate returned to normal very quickly, unlike the prolonged duration of the first incident."
"Another concern I have is whether the frequent episodes of ventricular fibrillation will exacerbate the disease and increase the frequency of episodes?"
"If that’s truly the case, even if we identify the cause, it will be challenging to intervene. Even if we succeed in intervention, the heart’s functionality may be affected."
"How about the blood test results?" Liu Banxia asked.
"The blood test shows some anemia, but everything else is normal. The anemia might be related to his nosebleeds," Meng Qingfan replied.
"Next, we plan to do a nasal endoscopy to examine the nasal cavity. You’ve seen more medical records; can you connect these symptoms? Can you determine if a nosebleed is a correlated symptom?"
Faced with Meng Qingfan’s query, Liu Banxia shook his head, "It’s difficult to determine at the moment, but I think we can consider both simultaneously."
"By the way, how’s the patient’s condition now? Can he talk? If it’s congenital heart disease, he should have had similar symptoms before, right?"
"Alas, it’s the third resuscitation this time. The kid is terrified, and the electric shock is painful," Meng Qingfan sighed.
"We did inquiry, though the situation isn’t ideal. The nosebleeds have been present since childhood till now. He’s always focused on studying, so his physical condition is poor."
"Today he joined the fun and wanted to relax, then went to play soccer with his classmates, which led to this incident."
"I can’t determine whether the ball hit triggered these symptoms or if the hit exacerbated them. Do you have similar doubts?"
Liu Banxia nodded, "Judging by the current situation, I suspect he originally had a certain disease, and the ball hit merely accelerated the disease’s progression."
"The impact force is considerable, but at most it would cause arrhythmia, right? Onsite resuscitation was timely, and the heart quickly resumed beating."
"These two episodes of ventricular fibrillation are significantly more severe than on the field. Both happened when he was lying calmly on the hospital bed; what do you think?"
"That’s pretty much it; what’s the next step for examination?" Chen Xuehai asked.
"As you mentioned, let’s start with nasal endoscopy to examine the nasal cavity. This will at least clarify the cause of the nosebleeds, whether it’s due to long-term chronic lesions in the nasal cavity," Liu Banxia said.
"Regarding cardiological disease diagnosis, I’m just joining in for the fun of it. Later I’ll list on the board, categorizing into correlated and unrelated symptoms, then we’ll compare potential diseases."
"Alright, let’s proceed, but it might delay Director Chen’s departure," Meng Qingfan said.
"That’s no problem; I’ll grab a bite first. Also communicate with the patient’s parents; although we haven’t figured it all out yet, it’s already risky," Chen Xuehai said.
"Alright, I’ll arrange it," Meng Qingfan nodded.
The matter, to some extent, has reached a conclusion as the patient is in cardiology, and related matters fall under his responsibility.
The situation has become complex, and the patient is highly precarious; it’s a difficult situation to handle.
While Chen Xuehai went for dinner and Meng Qingfan arranged communication with the parents, Liu Banxia began writing on the whiteboard.
"Attention everyone, I’ve compiled the related information of the patient here. The basics are the same; the difference is whether nosebleed symptoms are correlated," Liu Banxia said, gathering everyone around.
"We need a collective effort—I’ll update the examination results timely. If you have ideas, feel free to communicate with me, Director Chen, or Doctor Meng."
"Even if you feel the idea is farfetched, it doesn’t matter. As long as you can justify it, we can proceed to verify. We anticipate the patient may have further ventricular fibrillation episodes."
"You know the implications without me having to say it. We can’t stand by with a defibrillator constantly; we must diagnose him."
Upon hearing his words, the atmosphere instantly became tense.
Never before had an event been orchestrated like today—if not for the urgency and the patient’s high risk, such an unconventional consultation wouldn’t be happening.
There have been critically ill patients and complex diagnoses previously, but they either presented diverse symptoms or waited for culture results.
However, today’s patient is unique; the symptoms aren’t particularly pressing, yet in the minds of Liu Banxia and others, they’ve deemed it critical.
Liu Banxia stood aside, letting them clearly see what’s written on the whiteboard.
His mind continued to explore the potential diseases in these two directions.
The others were similarly engaged in deep thought.
Even with Liu Banxia encouraging open expression, one cannot simply speak impulsively. Any potential diseases must align with the patient’s current condition.
Careless words would merely waste Liu Banxia and the team’s time.
Spectating from afar, Qiu Mingyuan felt quite moved—this is the attitude doctors should hold. After pondering, he took out his phone and captured the scene.
