The Enhanced Doctor-Chapter 591 patients with cold suffering from sudden breathing difficulties

Chapter 591: 591 patients with cold suffering from sudden breathing difficulties

"President Liu, you can’t just focus on your own enjoyment. What about my matter? How’s it progressing?"

When Liu Banxia returned to the Emergency Center, Wang Chao hurried over eagerly.

"Well now, my dear President Wang, we’d have to wait until you’re fully awake for that, wouldn’t we?" Liu Banxia said with a smile.

"Don’t worry, the director has already made the arrangements. Otherwise, do you think it would be effective for me, a mere chief resident, to go? Who even knows me there?"

"We’ll go out tomorrow, but you’ll have to arrange for an assistant yourself. See who you can sweet-talk into it; it’ll be up to your own abilities then."

Wang Chao nodded gleefully, then eagerly hurried over to the interns to start his cajoling.

In this matter, even as their supervising doctor, he couldn’t issue a mandatory order. After all, this job wasn’t that easy to handle, and the tasks involved were somewhat complex.

"How’s that patient of yours? He should have recovered quite a bit by now, right?" Liu Banxia sidled up to Xu Hui again.

Xu Hui nodded. "He’s much better. Although he still has some symptoms of muscle weakness, at least he won’t experience acute respiratory distress again."

"I went to see them this afternoon. The father and daughter were discussing what kind of pet to get. The daughter’s idea is to get a husky, which would require more care. The patient, however, wants to get a small cat."

"Well, that should work out. It should at least help lift the patient’s spirits a bit," Liu Banxia said.

"Illness from pent-up emotions—we used to just hear about it. I never expected mood to have such a significant impact on physical health. It would be great if our hospital could have some psychiatrists or psychologists. Wouldn’t they be incredibly skilled?"

"What are you daydreaming about? Those with real skills have mostly opened their own clinics. We probably wouldn’t even consider those without, and hiring them would be a complete waste," Xu Hui said with a smile.

"For us, right now, we should just focus on treating every patient well. Then, like you, employ some divergent thinking to help diagnose patients quickly. That’s better than anything."

"I’ve noticed that some illnesses nowadays are truly exhausting to diagnose and treat. Conditions have become more complex and are no longer as easy to diagnose as they used to be."

"It’s also because current living conditions are different from the past; there are too many hidden factors. Often, a very common illness can be masked by many layers, sometimes even interacting with each other."

"Plus, with the indiscriminate use of many medications these days... sigh... How are the arrangements for the fecal transplant for Wang Chao’s Clostridium difficile patient coming along?"

"Tomorrow, we’ll go to the local military garrison to seek help. The director has already contacted them. This isn’t an easy task; selecting a suitable donor is difficult," Liu Banxia said.

"Even if a suitable donor is selected, there are no clear indicators for the separation and transplantation process. Honestly, I think it still comes down to luck."

Xu Hui nodded. What Liu Banxia said might sound irresponsible, but it was the truth. Fecal transplantation is an experimental therapy, and there are no clear indicators to measure its effectiveness.

"I’m also still worried about that burn patient I admitted today," Liu Banxia continued. "With Director Xie here, I haven’t even dared to go see the patient’s family."

"It’s too painful to watch them suffer. We’ll have to see how the recovery period goes, right? Will they remain in critical condition throughout?" Xu Hui asked.

Liu Banxia nodded. "That’s the case. But from what I gather from Director Xie, the prognosis might not be very good. The burns are just too severe."

"Teacher Liu, could you come over here for a moment?" Xu Yino called out just then.

"Brother Hui, I’ll go check on her first," Liu Banxia said.

Xu Hui nodded. Proper work was more important.

"What’s the situation?" Liu Banxia asked when he reached Xu Yino.

"Teacher Liu, the patient is a 53-year-old man with a history of diabetes. For the past week, he’s had a cough and runny nose. Yesterday, he started experiencing abdominal pain, and his temperature is 38.2 degrees Celsius," Xu Yino explained.

"Auscultation revealed moist rales in his left lung, and his heart sounds are normal. I plan to order a complete blood count and a chest X-ray. My initial diagnosis is an upper respiratory infection. By the way, the patient takes his medication regularly, and his blood sugar is normal."

Liu Banxia looked at the patient. He appeared somewhat lethargic; the fever and cough over the past few days had likely worn him out. Based on the patient’s current description, it seemed like a common cold.

"What happened to your finger?" Liu Banxia asked the patient.

"I accidentally scraped it. Since I have diabetes, it doesn’t heal very quickly. I’ve been applying povidone-iodine at home and being careful with it," the patient said.

"So, as this doctor said, after the blood draw and X-ray, I can get an IV drip? These past few days, I’ve been feeling terribly dizzy and out of it."

"What about the abdominal pain? Is it a cramping pain or a dull ache?" Liu Banxia asked.

"A dull ache, I suppose. It’s not particularly severe," the patient said. "It might also be because I haven’t had much of an appetite recently and haven’t eaten much, so perhaps it’s a bit of a stomachache."

"Alright, let’s start with a complete blood count and an X-ray," Liu Banxia instructed Xu Yino, then signed the form. "If the cough is severe, it could already be pneumonia. You also need to be careful with the wound on your finger; try to keep it from getting wet as much as possible."

He then added, "If it’s pneumonia, proceed with standard treatment. If there are any significant abnormalities in the complete blood count, call me again. When administering medication, use normal saline solution, and don’t forget about his diabetes."

Diabetes as an underlying condition is indeed troublesome. It’s usually unassuming, but whenever it decides to act up, it can really give you a hard time. The patient has diabetes, so using a glucose solution would be asking for trouble. Although it might seem a bit like nagging, a reminder is necessary.

He glanced around and saw that the other interns were also attending to patients, mostly handling simple debridement and suturing. With Shi Lei and the others supervising, Liu Banxia didn’t need to worry too much.

It seems that recruiting interns really requires careful consideration; otherwise, I’ll be the one exhausted in the future.

Glancing around, he saw Miao Rui currently had no patients, so he beckoned him over.

"Teacher Liu, is there something you need?" Miao Rui asked.

"Are you familiar with the junior students, the ones in the year below you?" Liu Banxia asked.

"Reasonably so, I know a few of them. What is it?" Miao Rui asked curiously.

"We need to scout for promising candidates in advance. Mobilize your network and prepare for this year’s intern recruitment," Liu Banxia said seriously.

"Teacher Liu, I don’t think that should be too difficult, right? With your reputation, students will surely flock to apply," Miao Rui said with a smile.

"Be serious. I’m talking about something important; this is a crucial task," Liu Banxia said.

"Teacher Liu, I am being serious. You’re very popular at the medical college. Even though you didn’t graduate from Binhai Medical College, it doesn’t diminish your brilliant image."

"Really? You’re not pulling my leg?" Liu Banxia asked, stroking his chin.

"Do you think I’d have the guts to deceive you? I’d be asking for endless trouble! I wouldn’t dare," Miao Rui said.

"And you call yourself a doctor, acting so unprofessionally. I’ll forgive you this time. Start spreading the word early: our Second Hospital will be investing heavily in training interns again this year," Liu Banxia said, feigning seriousness.

Miao Rui nodded with a smile, though inwardly he was grumbling. Who did I learn this from? Wasn’t it from you? I wasn’t like this before; I used to be a very serious person.

Liu Banxia had temporarily assigned this task. As for whether any useful information could be gathered, that would depend on Miao Rui’s efficiency.

He sighed inwardly. This was just like his own situation back then, wasn’t it? Hospitals always want to select the best prospects. He himself had been considered an unsuitable candidate at the time; no wonder they hadn’t thought much of him.

"Banxia, keep an eye on things. I’m heading off now," Zhou Shuwen said, emerging with his bag.

"Alright, everyone’s here. You can rest assured," Liu Banxia replied.

"Shi Lei, have you been slacking off a bit lately? Your number of surgeries has dropped. You’d better reflect on that," Zhou Shuwen called out again before leaving with his bag.

This made Liu Banxia immensely amused; he almost skipped over to Shi Lei’s side.

"Sigh... This is so frustrating. It’s not like I’ve done few surgeries. Why is he picking on me?" Shi Lei said with a wry smile.

"Chief, it has indeed been a bit less than usual," Liu Banxia said. "But that’s understandable. Get some extra sleep tonight. You have that blind date tomorrow; you absolutely can’t mess it up."

"So, um, do you have any experience I could learn from?" Shi Lei asked, a bit embarrassed.

Liu Banxia started, "Let me tell you, there’s a lot to it..."

"Oh, please! What experience do you have?" Wang Chao interjected, pulling Liu Banxia aside. "Chief Shi, don’t listen to his nonsense. I’m experienced in this."

"You two, keep it down. Lower your voices," Shi Lei said, glancing around nervously.

"Oh, don’t worry. Everyone knows you’re going on a blind date tomorrow," Liu Banxia said nonchalantly.

"Chief Shi, just go confidently tomorrow," Wang Chao chimed in again. "With President Liu and Qiaoqiao having laid the groundwork, the fact that the young lady is still willing to meet you means you’re already more than halfway to success."

"For the rest, just be yourself. But there’s one thing to watch out for: don’t be *too* much yourself. You can’t insist on dragging the young lady to see patients; that won’t do."

"Get lost! Am I that stupid?" Shi Lei glared at him.

"This calls for my expertise," Wei Yuan chimed in, drawing closer. "When the time comes, just find topics to chat about. Just don’t make it sound like an interrogation."

Shi Lei didn’t know whether to laugh or cry. What on earth were they doing? It seemed everyone really did know, and even the interns looked eager to offer their input.

Then Shi Lei was surrounded. Doctors and nurses alike came over to offer advice. Regarding him, their "chronic bachelor" case, everyone genuinely wanted to see him successfully "married off" as soon as possible.

"Teacher Liu, come quickly! The patient is suddenly having difficulty breathing!"

Just as everyone was engrossed in the discussion, Xu Yino’s urgent cry came through. It startled Liu Banxia, and he immediately rushed over.

It was indeed the patient with the cold whom Xu Yino had been attending to. He was now gasping for breath, while Xu Yino was performing auscultation.