The Enhanced Doctor-Chapter 599 Successfully completed the task

"Aren’t you going to promote this on a show?" Shi Lei asked.

Liu Banxia hastily shook his head. "Don’t push me into that fire pit. I really don’t want to go on a show again; I don’t dare. It’s too exhausting—mentally exhausting."

"HEH HEH. HEH HEH HEH..." Shi Lei gave him a series of cold laughs.

"Damn, Boss, what do you mean? Is there a conspiracy?" Liu Banxia became uneasy.

"I just heard the director mention it. I think it’s to further promote our emergency center," Shi Lei said.

"You’re going to be the public face of our emergency center. Whether we can attract more interns to our hospital depends on you."

"But it seems to be the Chief Director’s intention. You can ask Dr. Chen or Liang Xiaolin later. Our emergency center is still very important; we must support it."

Liu Banxia gave him a helpless look. Is he plotting against me again?

While they were talking, Liu Banxia saw Liang Xiaolin finish explaining to the patient’s family and quickly beckoned her over.

"What is it?" Liang Xiaolin asked as she walked over.

"Reveal some insider information," Liu Banxia said seriously.

"Can’t you just ask directly? I know what you’re going to say." Liang Xiaolin sounded helpless.

"Chief Director Chen wants me to go on a show again? I’m a doctor," Liu Banxia said.

"Ask my brother. I haven’t been home or seen Grandpa for a few days. My brother had dinner with Grandpa yesterday; he should know," Liang Xiaolin said.

Liu Banxia nodded. "You rest for a while too. I’ll ask later."

Although he hadn’t confirmed it yet, It’s probably true.

Chen Xuehai had just lost a patient, so it was best not to disturb him at this time.

"President Liu, three car accident patients will be sent here soon! One of them is a traffic police officer who was dragged for more than 300 meters and has crushing injuries!" the dispatch nurse shouted.

"Boss, let’s take them," Liu Banxia said, looking at Shi Lei.

Shi Lei nodded.

"Linlin, call Old Chen. The crushing injury might have damaged the heart and lungs. Clean up the resuscitation room quickly, prepare an operating room, and have blood bags ready," Liu Banxia said.

Everyone sprang into action.

"The patient is 35 years old. Blood pressure 60/80 mmHg, heart rate 110. Unconscious, with crush injuries to the abdomen and head trauma. We administered blood and fluids in the ambulance and intubated him," the paramedic said, pushing the gurney.

"Resuscitation Room Four! Quick, transfuse blood after transfer!" Liu Banxia ordered urgently.

Liu Banxia felt a surge of anxiety. Blood was visible in the patient’s nostrils, and it wasn’t yet clear if it was upper respiratory tract bleeding or a cerebral hemorrhage.

As soon as the patient was transferred to the bed, everyone got to work without needing further instructions from Liu Banxia. They connected the monitor, established IV access, and continued the blood transfusion.

"Moist rales in the right lung, normal heart sounds. Apply couplant for an ultrasound," Liu Banxia said after auscultation.

"Teacher Liu, there’s a laceration about 3 centimeters on the right side of the head; bleeding has stopped. No cervical spine injury," Xu Yino, who was examining the head, reported.

"President Liu, how’s the situation? The other patient is undergoing chest tube drainage," Chen Xuehai said, walking in.

"Scrub in with me. The diaphragm is ruptured; the stomach and intestines have likely been pushed into the chest cavity. There’s also significant fluid in the abdomen," Liu Banxia said while performing the ultrasound.

Chen Xuehai frowned. He had also noticed the wide pressure mark on the patient’s abdomen. That was a severe crush.

"Doctor, how is Dazhuang?" The traffic police officers who had come out and were waiting nearby immediately surrounded them.

"The abdominal trauma is severe, the diaphragm is ruptured, and there’s internal bleeding. We need to operate immediately. Um... please notify the patient’s family. Does he have any underlying conditions? Diabetes, hypertension, anything like that?" Liu Banxia said.

"None. Doctor, please, just do everything you can to save him," one of the traffic police officers said.

Liu Banxia nodded. "I know Dazhuang; he’s handled a few accident scenes with us before. Don’t worry, Dr. Chen and I will operate together."

After saying that, Liu Banxia and the team immediately pushed the patient toward the operating room.

"Xu Yino, you’ll make the abdominal incision. Liang Xiaolin, assist with suction. I’ll manage hemostasis," Liu Banxia instructed.

"Is the intestine ruptured?" Chen Xuehai asked.

Liu Banxia nodded. "The abdominal view is unclear. What I’m most worried about is a splenic injury."

Chen Xuehai remained silent. That’s very likely. Given the situation, a tire probably rolled over his abdomen.

"Let’s just hope his head is okay; otherwise, all our efforts will be for nothing," Liu Banxia said.

"Teacher Liu, I overheard earlier—the driver was drunk. He also hit a car on the side; that driver isn’t too badly injured," Xu Yino said.

"Let’s do our best. Let’s use every skill we have," Liu Banxia said.

They scrubbed in. The operating room nurse had already completed the initial preparations.

"President Liu, the patient’s blood pressure has dropped further! We’ve started rapid transfusion; you need to be quick!" Wang Lei said urgently.

"Xu Yino, open him up," Liu Banxia instructed, nodding.

As the scalpel sliced into the abdomen, fresh blood and feces gushed out, and the monitor alarms blared.

"Don’t panic. Suction, and find the bleeder!" Liu Banxia said, already working.

The abdominal cavity was a disaster—filled with blood, clots, and feces. Critically, a large part of the intestines and stomach had been forced into the thoracic cavity.

Liu Banxia quickly examined the intestines and clamped the damaged sections. There was no time for hesitation; the priority was hemostasis.

Even after clamping, the patient’s blood pressure didn’t rise.

"President Liu, this section of intestine is also ruptured. It needs to be resected—about 40 cm," Chen Xuehai reported while continuing to assess the damage.

"Blood pressure is up slightly, but not stable yet," Wang Lei reported.

"The spleen is shattered. I’m removing it," Liu Banxia declared.

After clamping the splenic vessels, he immediately began the splenectomy.

"Speed up! We need to open the chest; his oxygen saturation is dropping fast!" Chen Xuehai said, frowning.

"Increase the O2 supply. Can you wait until I finish the splenectomy?" Liu Banxia asked.

"Barely," Chen Xuehai replied.

"Okay, let’s minimize simultaneous procedures. I’m afraid he won’t make it otherwise," Liu Banxia said.

"Not good! Call neurosurgery! Pupils are dilated—early signs of brain herniation! I’ve already given Mannitol!" Wang Lei exclaimed.

The circulating nurse hurried to make the call.

"Okay, spleen’s out. You can start the thoracotomy. Xu Yino and I will lavage the abdomen and deal with the intestines," Liu Banxia said after a moment.

Chen Xuehai immediately began the thoracotomy without hesitation.

"It’s not too bad; the damage isn’t severe. The vascular tear isn’t large; it can be sutured directly. There’s a large pulmonary bulla that needs resection," Chen Xuehai reported after opening the chest.

"Linlin, you handle the bulla. I’ll suture the vessel. Doctor Wang, help us stabilize his vitals and buy us some time," Chen Xuehai directed.

"Right," Wang Lei replied.

"President Liu, what’s the status? Is the brain herniation severe?" Zhang Xiao asked, having just scrubbed in and now waiting for gloves.

"It looks stable for now. We’ll likely need a craniotomy for drainage. Pre-op prep is done; you can start," Liu Banxia said.

"Alright. You all focus on hemostasis," Zhang Xiao agreed.

"No active bleeding in the abdomen now. Old Chen, how’s it going on your end?" Liu Banxia asked while working on the intestines.

"Almost done. Okay. How’s his blood pressure?" Chen Xuehai asked.

"Blood pressure’s coming up, but the herniation is getting serious. Dr. Zhang, you need to hurry!" Wang Lei urged.

Zhang Xiao, now gloved, quickly began the craniotomy.

There was no time to lose. What was there to hesitate about now?

Prolonged brain herniation could cause irreversible damage.

So far, the resuscitation was successful. However, the final outcome largely depended on Zhang Xiao’s work.

"Subdural hematoma. We need to drain it first. Can’t predict the prognosis now; it’ll depend on luck," Zhang Xiao said after opening the skull.

"We’re almost done with the abdomen. Old Chen, how about you?" Liu Banxia asked.

"Almost done. The damage isn’t too severe," Chen Xuehai replied.

Only then did everyone’s tension ease slightly. At the very least, using their collective skills, they had managed to save the patient’s life.

The subdural hematoma would very likely cause some degree of brain injury—an unavoidable consequence. Given the patient’s critical condition upon arrival, there had been no opportunity for a CT scan of the brain.

DING! Emergency surgery completed.

Received 500 experience points, Diagnosis skill +100 points, Suturing skill +300 points, Dressing Change skill +300 points, Splenectomy skill +400 points, Intestinal Surgery skill +500 points.

Task rating: Flawless. Received 800 experience points, Diagnosis skill +100 points, Suturing skill +300 points, Dressing Change skill +300 points, Splenectomy skill +400 points, Intestinal Surgery skill +500 points, Glory Points +5.

"PHEW... Okay, send him to the ICU. Should we try to wake him tomorrow morning to assess his condition?" Liu Banxia asked.

Zhang Xiao nodded. "Inform the ICU. Let them monitor and decide. The intracranial bleeding was significant."

Outside, the waiting traffic police officers immediately crowded around.

"We did everything we could, and the operation was successful. Due to the severity of his injuries, he’ll be transferred to the ICU first. We resected about 40 cm of his intestine, removed his spleen, and performed a craniotomy for drainage," Liu Banxia informed the officers.

"Whether there’s any brain damage will depend on tests after he regains consciousness. You can see him briefly when he’s wheeled out. We believe his prognosis will be good."

"Thank you, Doctor. Thank you all for your hard work," one of the officers said.

After he spoke, the other officers saluted them in unison.

"Ah, I know Dazhuang well. We even had dumplings together during the New Year. He’ll pull through," Liu Banxia said, offering what reassurance he could.

Still, I feel uneasy, Liu Banxia thought. The only small comfort is that we didn’t delay his treatment today.