The Enhanced Doctor
Chapter 924: Let’s Observe First
"Teacher Liu, could this really be an HIV carrier?"
Xu Yino asked curiously, having overheard a bit.
"Anything is possible, maybe it is, maybe it isn’t," Liu Banxia said.
"But as doctors, once we have a suspicion, we must conduct the relevant screening. Otherwise, if it really is, we’re unknowingly exposing our medical staff to danger."
"If this was over a decade ago, the chance of this happening in a university campus might have been very small. But nowadays, do I even need to say more? There were statistics done a few years back, university campuses have become high-risk areas."
"The chances of transmission between heterosexuals and homosexuals are both very high. The transmission routes seem narrow, but if not careful, they’re actually quite broad. Haven’t they said that in university campuses, same-sex transmission is more likely than heterosexual transmission?"
"Conducting a test, though costing some examination fees, can give us peace of mind, and also him peace of mind. These kids really don’t have knowledge in this area at all, when they’re impulsive, they can do anything."
Xu Yino stuck out her tongue, surprised to have brought on such a long lecture from Liu Banxia.
"You better take it seriously, it’s been on a steady rise these past years," Wang Huan also spoke up.
"Especially some people, after finding out, have a sort of revenge mentality, spreading it wantonly, making prevention and control increasingly difficult."
"Otherwise, why do we have to report positive cases? It’s not that simple. Speaking of which, Banxia had a case before, right? It seems he even performed surgery?"
"That’s right, I’m not sure if I should thank that guy. It was through that incident that I got to know Qiaoqiao better, and it scared me quite a bit," Liu Banxia said.
"The banner hanging in our consultation hall now was organized because of that incident. Actually, as long as we do our protection well and follow the procedure, there won’t be any problems."
"The most feared thing is patients concealing information. In emergency consultations, all protective measures must be thoroughly prepared. Don’t think this is nagging; it also adds costs to the emergency center. It’s life-saving."
"I give them a reminder too. If I find anyone dressing improperly during consultations, wait for me to give them a hard time. Whoever makes a mistake can sit with me in the hall and sew intestines, next time double."
Xu Yino nodded compliantly, knowing she had to listen. The corresponding rules and regulations in the hospital, though a bit cumbersome, provide good protection.
Some people deliberately conceal, while others truly don’t know; such times can get really dangerous.
"Forget about all this for now, let’s focus on what’s really happening. What’s your inclination?" Wang Huan asked.
"I’d lean towards an upper respiratory infection. Although there’s no inflammation in the tonsils, maybe it’s because of his peculiar physical condition," Liu Banxia said.
"With fever, headache, and dry cough, the likelihood of upper respiratory infection is higher. If the HIV screening comes back negative, apart from reducing fever, I think just providing some cough suppressant would be enough."
"Looking at his condition, it doesn’t seem like bacterial infection; there’s no pus on the throat, phlegm, or nasal discharge. Stay conservative?"
Liu Banxia ended with a question.
If he were irresponsible, he could just prescribe antibiotics and call it a day. Regardless of whether it’s effective, giving medicine makes the patient feel at ease, and the hospital can make some money.
But that approach is somewhat irresponsible to the patient’s health, just satisfying the patient’s psychological comfort.
Avoid random use of antibiotics in daily life, and even more so in hospitals. If the patient shows no signs of bacterial infection, why prescribe antibiotics?
Otherwise, why do some people think that after catching a cold, simply resting at home for two days and drinking hot water will cure it? It’s quite effective because it’s not a bacterial infection causing the cold.
This young man’s situation is complex; he has frequent colds. Suspected upper respiratory infection, suspected pneumonia, yet only suspected, seemingly integrating two symptoms.
This is why Liu Banxia did not suggest conducting more tests, but rather opted for continued fever reduction and cough suppression observation.
Wang Huan nodded, "I’ve been tormented by some diseases recently, afraid of missed diagnoses. Maybe it’s an upper respiratory infection due to weak immunity, not a severe one."
"Let’s observe for a round first; otherwise rushing about only to find it’s an upper respiratory infection, we’d feel too embarrassed to face people. When will the equipment you applied for arrive? Has it been approved?"
"It’s already approved. It’s not too complicated equipment, with no cutting-edge technology. It’s just a matter of price comparison by the procurement department, probably these days," Liu Banxia said.
"Haha, it’s definitely arranged in the teaching surgery room, I’ll have to go take a look then," Wang Huan said.
"Why are you following to make a scene? Seriously," Liu Banxia said reluctantly.
"Also, keep an eye on Teacher Wang, don’t let him be too lively. When there’s time, get more familiar with the technical points of non-invasive and invasive intubation; this is a key area and it’s also tested."
The last words were directed at the internal medicine interns, saying that in the emergency center internship, these emergency procedures are a must. He definitely doesn’t want them to overstep their authority during an emergency to perform procedures they aren’t qualified for, getting the qualification beforehand is the true path.
This group of interns nodded in unison, naturally aware that Liu Banxia usually has strict requirements; both Wang Huan and Xu Hui had also warned them beforehand.
This is the rule at the emergency center, set by Zhou Shuwen, and it must be enforced resolutely.
After waiting for a while, the HIV rapid test came back negative, which allowed everyone to breathe a sigh of relief.
"Let’s admit you for observation first, and give you some antipyretic and antitussive treatment," Wang Huan said.
"Just like our Director Liu mentioned earlier, let’s observe first, and then see what needs to be cleared up. The related autoimmune tests are quite complicated. Through observation, we can also make a general judgment."
The patient nodded. Having a fever is truly uncomfortable, and being able to not have a fever would be nice.
Anyway, taking medication at home wasn’t very effective anymore, otherwise, they wouldn’t have come to the hospital. Just the examination cost alone could buy a lot of medication.
"How’s the previously mentioned emergency patient?" Liu Banxia asked upon returning.
"There’s bleeding in the abdominal and chest cavities, several ribs are broken, and both arms and leg bones are fractured. Luckily he was wearing a helmet, otherwise he might not have made it," Su Wenhao said.
"So, let’s not think about riding motorcycles. Although it’s very cool and handsome, it’s too dangerous," Liu Banxia said.
"The road conditions are so poor right now that even if you’re following all the rules, someone might crash into you. Being in a car is somewhat more stable; there’s no need to risk your life playing."
"Teacher Liu, have you ever thought about playing with motorcycles before?" Xu Yino asked curiously.
"It wasn’t just a thought—I actually did play with them. I used to be young too. But that was in the past, with the motorcycle at home, it was faster than a bicycle," Liu Banxia said with a smile.
"Back then my family was fairly well-off, riding a motorcycle was indeed quite stylish. Let’s put it this way, it was just as well that my youthful heart hadn’t yet begun to yearn, otherwise, who knows if you would have your current mentor’s wife now."
"Hehe, I’ll tell the mentor’s wife about this," Xu Yino said with a sly smile, finally finding some dirt.
The intention was clear, to hold it over Liu Banxia for sure, at least to earn some snacks.
However, Liu Banxia just looked at her nonchalantly, "You think Qiaoqiao doesn’t know about this? My mom told her a long time ago."
"If I hadn’t stopped her, she probably would have bought one. Just during the last New Year, I saw her checking online, something about Ducati, not too sure."
"Full of tricks, it’s all about stuffing dog food down our throats, right? Qingqing, you’ve got to work hard," Xu Yino said with a serious tone.
"What am I working hard for? I can’t fool Teacher Liu," Liu Yiqing replied honestly.
Xu Yino rolled her eyes, "I’m saying you should hurry up and find a husband, you’re so naive, you’d be easy to coax." 𝒇𝙧𝙚𝓮𝙬𝙚𝓫𝒏𝓸𝓿𝓮𝒍.𝓬𝙤𝓶
"Didn’t you mention someone from the city hospital contacted you?" Liu Yiqing retorted.
Xu Yino was almost driven mad by her; is this something that can be discussed here? That’s something to be whispered about at home.
Amused, Liu Banxia couldn’t help it. The usually straightforward Liu Yiqing also had a darkly humorous side.
"Alright, enough chatting, let’s continue guiding the interns. You’re in a supportive teaching position, so do this job well," Liu Banxia said.
"Anyway, if you end up being surpassed by these interns in basic projects, I wouldn’t feel embarrassed, but some people might start to worry."
Xu Yino glanced at him helplessly, "Revenge, blatant revenge. He’s obviously talking about me. ’Some people’ it is then."
The group left to guide the interns, and Liu Banxia started mulling over the earlier patient again.
Wang Huan was afraid of missing a diagnosis, so he had called him over. Yet, the patient’s symptoms were slightly strange, giving a somewhat ambiguous feeling.
However, nothing too abnormal was found in the blood routine. Other instrument checks and physical examinations also revealed no issues.
If it wasn’t a cold due to weakened immunity, then it’s likely some chronic disease. The patient self-reported a long history of susceptibility to colds, which also needs consideration.
Back in the day, he would’ve released a task for a series of checks.
But now he dares not do that, as task release is not a standard for complexity but something he does only when there’s doubt in his mind.