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"Teacher Liu, Teacher Liu, I want to learn bone setting."

After following Liu Banxia out, Xu Yino said pitifully.

"No one's stopping you from learning, right? As long as you're willing to put in the effort, you can start by getting familiar with these joints, then you can study them well." Liu Banxia said.

"But I'm afraid my hands aren't as sensitive as yours." Xu Yino said.

"Sensitivity in the hands is actually just one aspect. More importantly, it's about understanding the skeletal and tissue structure." Liu Banxia thought for a moment and said.

"Currently, I can only use some manual techniques for repositioning with patients of normal build. For those who are slightly overweight, without referencing X-rays, I can't manage it either."

"But I can guarantee, Director Xu's hands are definitely not as sensitive as mine. Yet his bone-setting techniques are absolutely more sophisticated than mine."

"Basically, what we're aiming for is to construct an image of the joint situation in our minds when we touch a joint. For example, with a dislocated joint, you follow the force and slide the joint head into the joint cavity."

"Of course, this can also impact the joint capsule to some extent. It comes down to technique; if done incorrectly, it can bruise the joint. The patient suffers more, and it may lead to recurrent dislocation, which you'd have to be responsible for."

"Don't be discouraged, start researching bones. Once you've thoroughly studied them, and just by feeling it you know what joint you're dealing with, then you'll be ready to give it a try."

"Teacher Liu, do you think I can learn it?" Xu Yino asked anxiously.

"The question is not whether you can learn it, but when you can learn it." Liu Banxia said with a smile.

"It will take a lot of your time, but if you really master bone setting, the future will be promising. Let's not talk about anything else, just this skill can make you very successful."

"Keep at it, you're not a silly girl. But you need to prioritize, you can only research this in your free time. I won't interfere with your learning of other skills, but don't neglect the work of our department."

"I'm still thinking about third and fourth-level orthopedic surgeries and pediatric surgeries, but I can only postpone them for now. We need to prioritize, otherwise, we won't understand anything in the end."

"I've told you before, general surgery is what you need to comprehensively master. Anyway, you're still young, take your time, don't rush."

Xu Yino nodded, realizing she was indeed too anxious in this regard.

But she couldn't help it; with someone like Liu Banxia as a mentor, she couldn't ignore his other skills. Especially after witnessing today's magical bone-setting technique, she was even more intrigued.

Returning to the lobby downstairs, the number of patients coming for consultations had increased.

"Teacher Liu, Teacher Liu, the serum test results are out, positive. We can diagnose it as Q fever now." At this time, Huang Bo came running over happily.

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"You were just waiting by the side, right? Did you tell Doctor Wang?" Liu Banxia asked with a smile.

Huang Bo nodded a bit embarrassedly, "I already told Teacher Wang. Teacher Wang prescribed doxycycline combined with rifampicin."

"Teacher Liu, I heard from Teacher Liu that this disease is very troublesome, and might require medication for several years. Is this Q fever really so aggressive?"

"Isn't it just so aggressive, and it has a very long incubation period." Liu Banxia said.

"Sometimes it's spread through secretion, sometimes through ticks. Even now, we can't ascertain exactly which contact with sheep caused the infection."

"Many Q fever patients only become symptomatic after many years of infection, but often their symptoms are obvious, such as clubbing fingers, which provides a clear indication."

"Our patient is somewhat special, perhaps his decreased immune function recently played a role. The interval between infectious endocarditis was too short, and with Xu Yino's curiosity, it was diagnosed in one go."

"Hehe, just average." Xu Yino said in a mock humble manner.

"At least it's one thing off the mind, this disease was really not easy to diagnose." Liu Banxia said emotionally.

"Because of its long incubation period, when humans are the hosts, the transmission possibility is very low, otherwise, it might have infected many people."

"Many times, if this type of bacteria is explosive and quick-spreading, it's actually not that scary, because we can trace it. It's the ones that lie dormant for a long time, and you never know when they'll start acting up, that's when diagnosis becomes really tricky."

Huang Bo nodded, "I read in the materials that some carriers can take up to twenty years to develop endocarditis."

"This also serves as a reminder for us. In the future, when we encounter patients like this, we should prioritize placing them in isolated rooms," Liu Banxia said.

"That way, we can be prepared, especially with the current state of widespread transportation and larger population movements. Our medical staff must also be prepared for such admissions, even if it's somewhat cumbersome, it needs to be done properly."

"Our emergency center hasn't been around for very long, yet we've already treated several patients with infectious diseases, right?"

"Any slight negligence could result in a hospital-acquired infection, and dealing with that would be truly troublesome. We must stay vigilant and ensure our admission procedures are standardized to protect ourselves."

Both of them nodded in agreement; this was serious business. Today they witnessed bacteria that had lain dormant for so long, it was truly impressive.

"Glad it's finally dealt with, otherwise I couldn't rest easy."

The two were just getting into the rhythm of patient admission when Wang Chao came over.

"Isn't that right, I'm feeling a bit sleepy myself," Liu Banxia said with a smile.

"No wonder people say it's easy to switch from frugality to luxury. I used to be here keeping an eye on things with no problems. Now after getting used to sleeping peacefully at home, I can't handle night shifts anymore."

"Being a doctor is like this, what can you do?" Wang Chao said.

"The patients transferred to regular wards are doing pretty well. Now that they've been moved, the ICU and CCU are a lot more spacious. It seems like the majority of patients in the ICU came through you and the director, right?"

"Not that many, really. The director contributes more. He doesn't have small surgeries; after big ones, he doesn't dare just place them in regular wards," Liu Banxia said.

"Besides, it just so happened to work out that way. The patients I have scheduled for surgery tomorrow don't need ICU; they're all simple procedures, so regular wards are sufficient, and it saves money."

"I was chatting with my father-in-law over dinner yesterday, saying how nowadays any surgery means going straight to the ICU; many people think it's just the hospital trying to make money."

"For many small hospitals, that's indeed the case, but for us, there's really no need for such strategies. Some patients at the borderline, we observe first instead of sending to ICU."

"And you can't blame people for thinking that way; many hospitals do operate like that, not even explaining the patient's actual condition to the family, giving false hope, and pushing for surgery, which naturally leads to ICU."

"No matter what, it takes two to tango. In every industry, there are always bad apples. That's just how it is nowadays; give it some time and with more patients accumulating, the ICU and CCU will be full again."

"Some patients who aren't short on money would rather stay in the ICU, and we have to persuade them out of it. Isn't the ICU in the inpatient department like this every day?"

"What exactly are you trying to say, after saying so much?" Wang Chao asked curiously.

"Just something that came to mind, we need to pay attention to admission procedures and discipline," Liu Banxia said with a wry smile.

"Over-treatment really isn't advisable. Some people aren't trying to earn extra commission, but just a casual word or two can mislead patients and their families."

"Now when I admit patients, I'm very cautious with tests. I never used to think it mattered because I thought it was for the patient's benefit."

"Take the young man with Q fever today, for instance. I wanted to do a lumbar puncture to check his cerebrospinal fluid, but there weren't any clear indicators, just a bit of personal concern."

"It's not easy to strike this balance. Are you planning to set a standard on this?" Wang Chao asked worriedly.

Liu Banxia shook his head, "Of course not, I'm just mentioning possible scenarios. Everybody knows this well, I'm not crazy."

"It's just that because I'm being given new surgical permissions, I'm feeling pressure after the excitement. What if my judgment isn't accurate enough and I force a patient into surgery? What do I do then?"

"In the past, I always had the director's review, a safety net. Now that's not the case, and I'm carrying more responsibility. Deep down, all I want is to help patients with their issues, but the outcomes of some surgical interventions can be uncertain."

"Haha, isn't this just 'with great power comes great responsibility'?" Wang Chao laughed.

"If it were me, who knows when I'd be able to increase my privileges. Even if I become an attending next year, it would be thanks to the emergency center's convenience in getting the contract, my skills still fall short."

"As long as you don't give us grief like you did a while ago. The job is already stressful, and you just added to it."

Liu Banxia gave him a look and said, "It won't happen again, I'll just focus on working diligently. Thinking about all this, I remind myself regularly."

This was his heartfelt sentiment; complaining so much was because he truly felt the weight of responsibility. It was fundamentally different from the kind of pressure he was needlessly worrying about a few days ago.