Chapter 0005: Excessive Deceit

Standing by, Shi Lei furrowed his brows slightly, which Liu Banxia also noticed, and she responded to him with a radiant smile

Ah... I am sorry, Dr. Liu, I will definitely not forget next time Xu Dan was taken aback

"Showing off, huh? I thought you had forgotten about it," Shi Lei said irritably after Liu Liyou and his wife left.

"Where could I be? Who brought me out? It's the shining Stone Brother," Liu Banxia said with a smile, then turned to Xu Dan, "Dan Dan, in the future, when the doctor asks you to measure your blood pressure, make sure to inform the doctor promptly after it's done, so that the doctor can make a judgment."

It is still necessary to encourage Xu Dan a bit, as her uncle is in the neurosurgery department. However, he has not finished speaking yet, as the voice of the emergency department director, Qin Hai, came through.

Doctor, does that mean surgery is still necessary? Is it possible to perform a minimally invasive procedure?

Even if this patient did not provide themselves the opportunity for the primary surgical procedure, one must still do their utmost in the consultation. As a doctor, the foremost responsibility is to be accountable to the patient

Qin Hai's voice was not small, and the other doctors and patients in the clinic turned to look in the direction of the sound

Liu Banxia's eyes widened in surprise as she looked at the solitary and stubborn hair on Qin Hai's head, stretching from left to right, and she could hardly resist the urge to pull it down.

Abdominal puncture is not a particularly difficult task; however, if there is pericardial effusion, Liu Banxia would not dare to attempt it herself

After the ascitic fluid has been drained, you will need to stay in the hospital for observation for one day. Be sure not to move around excessively to prevent the ascitic fluid from leaking out of the puncture site, which could lead to other symptoms

Old Zhou, Liu Banxia is your resident doctor in General Surgery. She often comes to our emergency department to help, and I welcome that. The work in the emergency department is demanding, and not many are willing to come. However, you should also manage this well; to aspire to be a doctor, one must first possess virtue. Such individuals are not welcome here.

Sister Li, please assist the patient's family with the admission process. Liu Banxia then looked towards Zhou Li

At this moment, Liu Liyou's wife walked over together with Zhou Li

Dr. Liu, our old man is ready. When shall we go to draw the water for him

After all, Wang Mingxing's father still needs to be comforted; it would not look good if there were any disturbances. I do not avoid appointing talented individuals based on personal relationships; it is true that Wentao is my nephew, but among the current resident doctors, his medical skills are also competent and he is fully capable of performing the abdominal puncture for this patient. Wentao, please go upstairs and prepare.

"Stop joking around. I ask you, for the patient Wang Mingxing whom you just examined, what medical judgment led you to recommend an enhanced abdominal CT scan?" Qin Hai asked with a serious expression.

We do not need to go to the operating room; shortly we will handle the admission process, and we can perform the procedure in the ward. However, since this is your first time undergoing paracentesis, we will not extract too much fluid, and the process will be slower, as extracting too much at once could be detrimental to your health

"Dan Dan, what was the blood pressure measurement just now?" Liu Banxia asked Xu Dan.

If it were only Qin Hai, he wouldn't care at all. After all, he doesn't even like looking at himself, so what else can he do? But with the renowned surgeon Zhou Shuwen from the Department of General Surgery beside him, he has to put on a show.

Liu Banxia stood up and walked over to Liu Liyou's wife, lowering her voice, "When we get to the ward, let the uncle urinate more. This way, when we draw the ascitic fluid, it won't harm the bladder. Seeing that the uncle seems a bit nervous, I won't mention it to him, to avoid causing him worry"

Liu Banxia turned her head to take a look, and was startled. It was not just Qin Hai who had come over, but also her boss's boss, the deputy director of the Department of General Surgery, Zhou Shuwen, along with Qi Wentao, who was standing beside Qin Hai

Ding! You have gained 30 experience points, and your proficiency in diagnostic skills is now at 50 points

Do not be deceived by the doctor's youthful appearance; their thoughts are indeed quite thorough. My old partner is quite talkative, yet in reality, they are very timid.

The patient has severe ascites and mild cirrhosis. The ascites has now compressed the lungs, causing difficulty in breathing, Shi Lei said in a firm voice

In fact, this is not a big deal. Although Liu Banxia's reasoning just now may sound somewhat forced, it is still a legitimate reason. The key issue is the impact this matter has on Liu Banxia; he may not be able to successfully complete his residency training at the Second Hospital.

Uncle, have you noticed the small mole on your neck? It has some radiating features around it. This is called a spider nevus, and it is a symptom often seen in patients with liver cirrhosis

This statement was somewhat harsh, causing Zhou Shuwen's expression to darken. At the same time, he felt a bit curious as to why Qin Hai, the head of the emergency department, was being so particular with a resident physician

"Uncle, it's a bit chilly," Liu Banxia said as she pulled aside Liu Liyou's clothing and applied some coupling agent.

This issue is quite serious and has always been a matter of great concern for our hospital. If I had not rushed over in time to reassure the patient's family, it is uncertain how much trouble could have arisen

Ah, the blood pressure just now was 130/80," Xu Dan hurriedly said

Doctor, thank you very much. Liu Liyou's wife was very happy

Isn't this a bit too much bullying? Now even a simple abdominal puncture has to be fought over? Or is it an outright robbery?

Liu Banxia looked at Liu Liyou's wife and said, "Rest assured, we will be able to drain the ascites shortly. Although this is considered a surgery, it is a minor procedure, quite similar to a regular suturing."

It is entirely possible to wait for the blood test results to come out before proceeding with the next step of the diagnosis. Otherwise, what will our hospital become? If a sprained ankle leads to an abdominal enhanced CT scan, does that mean an injured hand requires a head MRI?

Liu Banxia, please come here for a moment

Director Qin, I have made this judgment based on the patient's slight jaundice, recent weight loss, and the fact that the patient's mother passed away from breast cancer two years ago. I suspect that there may be some issues with the patient's liver and gallbladder

Qin Hai glanced at Shi Lei, then turned to Zhou Shuwen, "Old Zhou, I believe that given the current situation, it is not appropriate to allow Liu Banxia to treat the patients in our emergency department"

The accumulation of fluid in your abdomen is indeed quite significant, and it has now begun to exert pressure on your lungs, which is why you are experiencing some difficulty in breathing. However, this is not a concern; we will drain it out shortly.

Alright, Sister Li, let's go. In a moment, I will head up, and Dan Dan will assist me then

This also signifies that he has wasted the three years at the Second Hospital. You come for training, yet you cannot obtain the training certificate; what are you even doing

No one is a fool, Qin Hai's hasty conclusion is too obvious, the intention is to shift the blame. If this matter is not handled properly, then the responsibility will fall on the general surgery department.

There is no need to be polite, you have already helped me so much, just remember that. As long as ... ...

Although you are a resident physician, you also represent the image of our Second Hospital. Do you know what the patients' families are saying? They claim that because the child spoke without discretion during the consultation and offended you, you resorted to excessive medical treatment

Sister, just a moment, I still have some matters to attend to here

"Why did the two leaders come in person? If you had sent me a message, I would have appeared before them in an instant," Liu Banxia hurriedly ran over with a smiling face and said

Director Qin, Liu Banxia is under my supervision. The arrangement for the patient to undergo an enhanced abdominal CT was also made after obtaining the consent of the patient's family. I believe he bears no responsibility

"What water are you drawing?" Qin Hai furrowed his brows and asked again

"Xiao Shi, whether there is responsibility or not still depends on the outcome" Qin Hai glanced at Shi Lei lightly

Zhou Shuwen can be considered a true direct descendant of the Second Hospital. After graduating from the graduate program at Binhai Medical College, he went to Hopkins to obtain a doctor's degree. His medical skills are truly remarkable, and he quickly became the deputy director of general surgery. If it were not for the prestige of the old director, he would have likely already become the chief director.

"Is it really based on these? How can you be so capable?" Qin Hai glanced at him.