The Enhanced Doctor-Chapter 661 must be meticulous in diagnosis

(Thanks to book lovers 160819140947764, jkzy, book lovers 20200219144513500, and those who purchased monthly tickets for their encouragement)

Back at the Emergency Center's lobby, the patient's daughter was still waiting there, as expected.

"I just asked Dr. Chen. Based on the current situation, the only diagnosis we can provide is a pseudoaneurysm caused by blunt trauma leading to the displacement of the bypass vessels," Liu Banxia explained.

The patient's daughter furrowed her brows.

"However, we can't establish a clear causal relationship confirming that this car accident caused it. Since we don't know her previous condition, you can have the police take photos for evidence. A forensic analysis of the injuries should be able to determine the cause," Liu Banxia continued.

After pondering for a moment, the patient's daughter nodded. "Thank you, I understand. Dr. Liu, do you think my father should have the surgery? If he doesn't, does that mean he definitely has no chance?"

"I really can't give you a definitive answer on whether he should have the surgery. But if a pseudoaneurysm ruptures and isn't treated promptly, the mortality rate is quite high," Liu Banxia said.

"Actually, this is what we're all struggling with right now. Your father's blood vessels have likely become very fragile over so many years, so the risk of complications during surgery is quite high."

"If I were to give you advice, it would be to choose cautiously and strive to avoid future regrets. There's no right or wrong in such a decision because no one can turn back time to try the other option."

The patient's daughter nodded, wiped away a tear, and turned to leave.

"What's wrong? Another dispute? The patient with delayed bleeding—didn't they say there were no abnormalities after she woke up?" Wei Yuan came over and asked.

"It's not a dispute. The car accident patient who was brought in today has now been diagnosed with a pseudoaneurysm," Liu Banxia said, briefly recounting the situation.

"Tsk, tsk, that is rather troublesome," Wei Yuan sighed after hearing the details.

"So, we're waiting for the family to decide. It's really difficult to offer advice in this situation," Liu Banxia said.

"By the way, I'm planning to take a day off the day after tomorrow. You and Shi Lei will need to hold down the fort. Given my personal situation, I need to seek advice from someone more experienced about what to do."

"Alright, go ahead. Your situation is important too. We're all worried, though we can't do much to help. Do your best; everyone is supporting you."

Liu Banxia smiled and nodded. Indeed, everyone's support was a significant reason for his confidence in applying for the Deputy Director position. Even though the decision wasn't in their hands, the leadership would consider their opinions.

"Teacher Liu, could you come over here?" Li Hao called out from beside a patient's bed where he was conducting a consultation.

Liu Banxia hurried over.

"Teacher Liu, the patient is 63 years old. She cut her finger while cooking when she sneezed. She says she's had a cold for about ten days, with a cough and phlegm. She feels fatigued, and her temperature is 38.1 degrees Celsius," Li Hao reported.

"This doesn't sound like a common cold; a regular cold usually resolves within a week. Given her condition, we need to consider pneumonia or an upper respiratory tract infection. Did any family members come with her?" Liu Banxia asked.

"Hello, Doctor, I'm her daughter," the patient's daughter said, walking over after buying some water.

"Your mother's condition doesn't seem like a common cold, especially since it's been going on for a while. I suggest a complete blood count and a chest X-ray to check. Does she have any other symptoms?" Liu Banxia asked.

"No other symptoms, Doctor. It can't be pneumonia, can it? Don't people with pneumonia usually have a very high fever?" the patient asked from the examination bed.

"Everyone's situation is different. Generally, the symptoms of pneumonia in older adults aren't always severe," Liu Banxia said.

"But since your cold has lasted over ten days without improving, even after you've probably taken cold medicine and antibiotics at home, this likely isn't just a simple cold."

"Mom, let's do the check-up. We have to get your finger stitched anyway, and the results will be out while we wait," the patient's daughter suggested.

"Alright, let's do the tests. I just thought it would be a waste of money. And chest X-rays have radiation; it's harmful at my age," the patient said.

Liu Banxia nodded at Li Hao, indicating he should proceed as discussed.

Just as he walked away, he saw the daughter of the patient with the pseudoaneurysm again.

"Dr. Liu, I have to bother you again. Given my father's condition, how much time do you think we have to discuss our options?" the patient's daughter asked.

"Based on the current test results, as long as he doesn't become emotionally agitated, you should have about two days. Of course, this is a conservative estimate," Liu Banxia replied.

"The situation is complex, and many factors can influence it. So, while you should consider your options carefully, try not to delay your decision for too long."

"Moreover, you need to continuously monitor his condition. Let me arrange for a patient monitor for you. That way, if there are any rapid changes in his condition, you'll be able to notice them immediately."

"But I should tell you in advance, there's a fee for this. Based on his current condition, it's not strictly necessary. However, since you need time to discuss and might not be able to monitor him constantly, it could be helpful."

The patient's daughter nodded. She naturally understood that using hospital equipment costs money. However, right now, they couldn't really focus entirely on their father's condition, so a monitor would provide some reassurance.

After thanking Liu Banxia, the patient's daughter quickly left. This decision was so difficult; even with a whole day, they could discuss it endlessly without resolution.

Liu Banxia was also troubled. Deep down, he still leaned towards surgery. Although the success rate wasn't very high, it wasn't in the single digits either. However, the risks during surgery were genuinely significant, and this had to be communicated honestly to the patient. An irresponsible doctor might just recommend surgery and downplay the risks.

After considering for a while, he picked up his phone and dialed Qiu Huaili.

"Banxia, what's up?" Qiu Huaili's enthusiastic voice came through.

"Brother Qiu, do you have some time the day after tomorrow? If so, I'd like to chat with you for a bit," Liu Banxia said.

"Sure, sounds like you've run into something. I'm available anytime. Can you get the day off? My wife can cook a couple of dishes. We can call Ming Yuan over in the evening, and we'll all have dinner together," Qiu Huaili said.

"That sounds quite formal. Shouldn't Ming Yuan be busy with his studies right now?" Liu Banxia asked.

"It's not too bad. Actually, I figure an hour or two won't make much difference to his studies," Qiu Huaili said with a laugh.

"Back in high school, all we wanted was for him to study hard and be diligent. Now that he's so serious, I actually feel a bit concerned for him. The college entrance exam isn't far off, and he should have a good grasp of what he needs to know by now."

"Anyway, that's for you to decide, Brother Qiu. We shouldn't let our gathering affect Ming Yuan's future studies," Liu Banxia said.

"Don't worry, it's not an order, just an invitation. To be honest, I miss him a bit too; he hasn't been home in a while," Qiu Huaili said.

"Alright, let's leave it at that for now. I'll confirm tomorrow night if I can get the day off, and then I'll let you know," Liu Banxia said.

"Okay, hanging up then," Qiu Huaili said before ending the call.

Liu Banxia's mood lifted slightly. Comrade Old Qiu was a good man.

Qiu Huaili was genuinely a very busy person. Being the boss didn't mean you could delegate everything. With so many employees, the monthly payroll was a substantial expense. He constantly needed to bring in revenue to cover costs and, hopefully, earn a bit more.

Actually, he felt Comrade Old Qiao would be a good person to ask for advice, but he was a bit far away. He planned to consult Qiu Huaili first, and then chat with his father-in-law.

"Teacher Liu, the patient has gone for her X-ray. The suturing is complete," Li Hao said, catching up to him.

Liu Banxia smiled and nodded. "Good. You observed carefully and genuinely cared for the patient. You didn't overlook other issues just because she came in for wound cleaning and suturing. That's excellent."

Li Hao grinned broadly; this was precisely the praise he had hoped for from Liu Banxia.

"Keep it up. The internship feedback for Xu Yino and Miao Rui has been very positive. Although they faced some minor issues, they handled them very well for their first true test, staying within acceptable bounds. Now it's down to you and Huang Bo. Use this opportunity to gain more experience and perform well," Liu Banxia continued.

"Teacher Liu, rest assured, I will definitely perform well," Li Hao said earnestly.

"It's not just about performing well now. When the new interns arrive, you'll also need to set a good example for them. We'll entrust you with teaching them the basics; we'll only lead some of the surgeries," Liu Banxia said.

"Teacher Liu, are you really letting us teach them? I thought you were joking. Can we actually do it?" Li Hao asked, a little unsure.

"Why not? You absolutely can," Liu Banxia said.

"Actually, you're already capable of handling independent consultations now, as long as you're meticulous during the process. If you have any doubts or find a diagnosis difficult, consult with us. I believe the misdiagnosis rate can then be kept very low."

"It's unrealistic to diagnose every issue during the initial consultation. Never mind you, even I don't have that ability."

"You need to have confidence, but also be cautious during consultations. After all, you're the first batch from the Emergency Center, and you will be our gold standard in the future."

Li Hao was a bit puzzled. He wondered what was up with the Great Demon King Liu, who usually loved to deflate egos, giving him such a pep talk today. Oh well, he decided not to dwell on it and just wait for the patient's X-rays and blood test reports.