The Enhanced Doctor-Chapter 576: How to avoid ? Only by being serious!

The unusual surgery and peculiar case once again pushed Liu Banxia into the limelight.

As the saying goes, results are often the final judge.

In this surgery, Liu Banxia did not follow the plan discussed before the operation, which was within the defined limits. After all, through careful observation, he truly discovered the patient’s subtle symptoms.

This was a success and well-deserving of praise.

Of course, if the patient had truly had cancer of the pancreatic head, and he had still observed for so long, wasting so much surgical time, then it couldn’t have been explained away as "caution."

Pancreaticoduodenectomy is a major operation. The longer the patient is under anesthesia, the higher the risk of complications. His artificial delay, wasting so much surgical time, would certainly be a point of discussion.

Even if no administrative penalty was given, some people would still say some rather unpleasant things behind his back.

But now, this problem no longer existed. The result was good, and Zhou Shuwen had given his affirmation. What else could others say?

And now, Liu Banxia was leading his interns in a discussion about this case. It was also a way to steal a moment of leisure from their busyness. Since it had just concluded, they could still recall it well.

"Alright, I’ll say this first: our current meeting is a case discussion, not a self-criticism session. As for a certain colleague who’s been relentlessly self-critical, we can consider adding a chicken drumstick or a pig’s trotter for him after the meeting," Liu Banxia said with a smile.

Everyone looked at Wang Huan with amusement. He was the one who had started with self-criticism right from the beginning.

Wang Huan looked at Liu Banxia helplessly. "All right, pig’s trotters, pig’s trotters."

"Hehe, that’s more like it. You see, I even participated in the consultation, but I won’t admit to any mistakes," Liu Banxia cheerfully picked up the conversation.

"This patient’s condition was extremely unique. Based on the initial examination findings, it perfectly matched the criteria for cancer of the pancreatic head. It was highly misleading, and what misled us was this IgG4-related autoimmune disease."

"In the past, autoimmune diseases didn’t receive much attention, largely because medical research in this area wasn’t thorough enough. This is because these diseases often don’t present with regular symptoms or high prevalence; they are quite particular."

"However, what we cannot ignore is that with the current increase in detection methods and the development of medicine, ’new’ diseases are becoming more and more numerous."

"Are these new diseases really new? I believe that apart from some epidemic viruses, which undergo strain mutation and evolution, many diseases are not new."

"Take this patient, for instance. If this were a few years ago, after admission, we probably wouldn’t have even thought of a puncture biopsy; we would have gone straight to the operating table and started cutting."

"Years later, this patient would be considered a pancreatic cancer patient with a good prognosis. Or, alternatively, this patient would fit the prognosis for cancer of the pancreatic head and not have survived."

"Because chemotherapy follows. For cancer patients, using chemotherapy—fighting poison with poison—is a last resort. If a healthy person undergoes chemotherapy, it’s like not managing to kill the enemy but engaging in self-mutilation instead."

"But I still want to say, throughout the diagnosis process of this patient, whether it was me or Wang Huan, there were no problems with our medical procedures; they can withstand scrutiny."

"As for IgG4-related chronic pancreatitis, if the director hadn’t mentioned it, I estimate I would have had to search through books for a long time. Previously, let alone encountering it, I had never even heard of it."

"I’ve called everyone, including the interns, here today hoping we can brainstorm. Can we develop an operational procedure to potentially avoid misdiagnosing similar diseases?"

Everyone nodded unconsciously. How to prevent misdiagnosis—this was the crucial issue. Just as Liu Banxia said, the admission procedure from yesterday was completely compliant with regulations.

"Let me say a few words," Chen Xuehai said.

"In our cardiac surgery department, we basically rarely encounter such situations. What gives us the most headaches are related pulmonary diseases; sometimes they are very tricky to handle."

"But for us, even if it’s very risky sometimes, we still need to make certain decisions. Actually, I think that most of the time, as long as we can face our own conscience, that’s enough."

"Patients come for consultation, and we apply all our learning to provide diagnosis and related treatment. This is already doing very well. After all, such specific diseases are not common. As long as we are serious in our work and don’t overlook any abnormality, this can play a certain preventive role."

"In this case, both President Liu and Wang Huan did very well. I’m not a general surgeon, but if I had seen those CT scans, my judgment would also have been cancer of the pancreatic head."

"After all, in our usual admissions, CT scans help diagnose pancreatic cancer in over eighty percent, even more than ninety percent of cases."

"Then they noticed the abnormality in the tumor marker test results. This patient started to get lucky from that moment on."

"If I were to judge this case, I might not have observed every organ as meticulously as President Liu did. Instead, I would have followed the plan discussed before surgery."

"While it’s true that a pancreatic puncture could very likely cause a pancreatic fistula, when we face unfamiliar diseases, the only things we can do are use conventional methods."

"The key is the procedure; the procedure is very important. If the tumor marker test hadn’t been done, there would be no celebration now. We’d all be holding our heads and crying."

Everyone’s smiles faded. What he said was reasonable.

The procedure is important, details are also important, so when admitting patients, one must be serious, not careless or let one’s attention wander.

"Haha, to sum it up, attitude decides everything," Liu Banxia said with a smile.

"Do you all remember the patient with the ectopic pregnancy from upstairs? The situation is very clear now; they are currently discussing compensation with their county hospital."

"It’s said that the explanation our colleague gave was that during the ultrasound, when scanning, the intestinal tract happened to block the view for a moment, so they didn’t see clearly and assumed it was fine."

"I won’t comment on what the actual situation was at that time, but I think if one could be a bit more careful, even if the view was blocked by the intestinal tract, it’s still possible to continue observing."

"We’ve encountered similar minor situations when admitting patients in our hospital. One of our young colleagues was even scolded by me until she cried. But I believe that in the future, when this young colleague performs bedside ultrasounds for emergency patients, she will absolutely not forget the recesses and pouches."

Xu Yino glanced at him helplessly. He’s talking about me, isn’t he? He might as well just say my name; everyone knows.

"Procedure is important, details are important, attitude is important; every step we take during the admission process is very important. If we always keep these in mind, our subsequent admissions will be much more accurate."

"Frankly speaking, this is also about mitigating risks for ourselves. Sometimes, you encounter patients who are difficult to deal with. Even if you’re not at fault, they’ll try to find fault with you. If there’s even the slightest oversight, and their lawyer catches it, it will be infinitely magnified."

"This job of being a doctor is becoming increasingly difficult. While we are treating illnesses and saving lives, we must also protect ourselves. Otherwise, how can we save others in the future? We’d be waiting for others to save us."

The interns chuckled, then glanced at Wang Chao, who looked very helpless.

"Next is the second matter. Liu Yiqing and Su Wenhao are about to go to pediatrics and the ICU for their internships. They should have gone much earlier, but because of the New Year holiday, there were fewer patients, so it was pushed back," Liu Banxia continued.

"Now is a very good time. There are only a few empty beds left in the ICU, and the children’s kindergartens are about to reopen. There will be another wave of new influenza-like illnesses, so it’s precisely when people are needed."

"Regarding these two comrades going there for their internships, if anyone has good suggestions, you can share them. At the very least, they are the first batch to go, and there’s a lot they don’t understand."

"Get ready to be exhausted; nutrition must keep up. That’s a high-load job of a different intensity. Don’t let your body collapse," Shi Lei said.

"You need to replenish electrolytes and trace elements. The work intensity and pressure there are high, so you can only pay attention to it yourselves," Wei Yuan added.

"Hey, don’t just discourage them. You should also give some rewards, more or less," Liu Banxia hurriedly said.

"The rewards should still come from President Liu; after all, President Liu is the leader. When they finish their internship, President Liu can treat them to a meal or something. I think that’s good," Wang Chao said with a straight face.

Liu Banxia rolled his eyes. "So I’m the only fool, huh? Meeting adjourned, meeting adjourned! All of you, go do your work obediently."

"What proper meeting? It was just a small group huddled together here," Xu Yino muttered.

"Teacher Liu, are you really not giving us any additional rewards?" Liu Yiqing asked with a grin. 𝕗𝐫𝚎𝗲𝘄𝐞𝕓𝐧𝕠𝘃𝕖𝐥.𝐜𝚘𝚖

"Give? Why wouldn’t I? Letting you rest for an extra day, isn’t that enough? Two consecutive days off, how satisfying is that!" Liu Banxia said with a straight face.

"Stingy. We’ll go hang out with your wife then," Liu Yiqing said.

"Even a landlord’s family doesn’t have surplus grain! You can’t keep taking advantage of the two of us, can you? You should know how to repay kindness and bravely take on heavy responsibilities after finishing your internship. Hey... don’t go, I haven’t finished speaking yet," Liu Banxia rambled on.

But none of the interns paid him any mind. They knew he was starting to sweet-talk them again. We can’t listen, or who knows what we’ll be coaxed into.

Even when they knew they were being coaxed by Great Demon Lord Liu and were very vigilant, they would still fall into his trap.

Take this rotation in the ICU and pediatrics, for example. Originally, they were very resistant, but after all his talk, they had all become somewhat expectant.

They saw it as a new journey on their path as doctors, a way to enhance their own abilities.

No one knew when they had developed such thoughts, including Su Wenhao. Anyway, now when they gathered, the most discussed topic was the rotation, and they were all full of enthusiasm.

This was the effect of being subtly influenced and coaxed by Great Demon Lord Liu. Every day was lived with both pain and joy. He could truly torture people, but they could also learn genuine skills.