The Enhanced Doctor
Chapter 1324: Narrowly Avoided Disaster
Chapter 1324: Chapter 1324: Narrowly Avoided Disaster
Don’t be fooled because this also counts as Liu Banxia’s connection, but you still have to queue for endoscopy.
Rules are rules, and Liu Banxia will not lead by breaking them. If he bends the rules, others will follow suit. Unless the situation meets the urgency criteria, you can’t play this way.
Moreover, during the morning consultations, there were quite a few patients who made appointments for endoscopy, so Old Xu also had to wait. ℯℯ𝘭.
"Teacher Liu, the blood test results are out; the situation is not good." Xu Yino ran over holding the blood test report.
Liu Banxia glanced at it and frowned, "Draw some more blood for cross-matching, and also contact the blood bank. Notify the endoscopy side for urgent processing."
"Okay, I’ll go right away." Xu Yino said hurriedly.
"Director Liu, is the examination not good?" Grandpa Cao asked worriedly.
"Look at this value, it’s the hemoglobin count. His count is too low, only 73. I suspect he is not just anemic; there might be internal bleeding." Liu Banxia said.
"And it might be related to the condition of his throat. We cannot be complacent now; we must quickly inspect his esophagus."
The current blood test result doesn’t allow Liu Banxia to examine Old Xu slowly anymore. The hemoglobin index being so low indicates that internal bleeding is already quite severe.
But perhaps the bleeding is from the esophagus, so the old man didn’t notice during bowel movements.
Thinking for a moment, he called Chen Xuehai. Fortunately, Chen Xuehai didn’t have surgery today and hurried over.
"Director Liu, what exactly is the situation?" Chen Xuehai asked.
"A patient has progressive swallowing difficulties, and the hemoglobin index is 73. I’ve arranged an urgent endoscopy, and his family is able to come quickly; it’ll be another few minutes." Liu Banxia said.
"This could indeed be esophageal bleeding; progressive swallowing difficulty is no small matter. How old is he?" Chen Xuehai asked.
"67 years old." Liu Banxia said.
"Tsk, tsk, this makes it even harder to manage. Let’s do a cross-match for the blood. Also, let’s head to the endoscopy room, and if there’s an aneurysm or anything, handle it immediately if possible." Chen Xuehai said.
"Director Liu, is this really dangerous?" Grandpa Cao, listening from the side, was getting more anxious.
"Currently, we are just taking some preventive measures. Contact his children again, so that if we indeed discover problems, we can handle them promptly." Liu Banxia said.
Grandpa Cao quickly nodded and took out his phone to make a call on the side.
Even before he dialed, Old Xu’s son walked in from the hall entrance, and Grandpa Cao quickly waved.
Liu Banxia gave a brief explanation and then hurried to the endoscopy room.
"Teacher Liu, take a look." Xu Yino said hurriedly.
Liu Banxia glanced at the screen and felt his heart skip a beat.
The screen clearly showed a mass on the lower segment of Old Xu’s esophagus, and beneath the mass were some blood stains.
However, it was impossible to see the full extent of the mass now because it was large enough that the endoscope couldn’t pass through.
"How’s the upper esophagus?" Chen Xuehai asked.
"No abnormalities, then it got stuck here." Chen Qian said.
"Stop for now, carefully withdraw the endoscope."
After finishing his sentence, Chen Xuehai gave Liu Banxia a look, and they went outside together.
"What do you think this looks like?" Liu Banxia asked.
"Hard to say, but it needs to be addressed. It doesn’t seem like a tumor; tumors shouldn’t bleed this severely, and there’s no sign of side spread." Chen Xuehai frowned and said.
"But looking at the amount of bleeding, the situation here is quite complex too. Let’s quickly schedule surgery; the endoscopy stimulants are affecting his esophagus somewhat."
"If there’s a severe esophageal contraction, it might make the bleeding worse. You’re the patient’s son, right? Come with me, I’ll explain the situation to you."
The patient’s son had already turned pale while they were discussing. Hearing Chen Xuehai’s words now, he was really terrified.
Meanwhile, Liu Banxia didn’t waste time and directly called to arrange the operating room. Concerned about unexpected events, if there were indeed major bleeding here, endoscopic hemostasis might be impossible.
Just as Chen Xuehai said, without endoscopy, it might be slow bleeding. But with the endoscopy’s stimulation, there’s a possibility of major bleeding.
After contacting the operating room, Liu Banxia quickly called the blood bank again to bring over blood supplies. Otherwise, if major bleeding truly occurs, they might not make it in time to save him.
Better to be prepared; otherwise, when something truly happens, where do you go to save him?
At this time, Old Xu was also being pushed out, accompanied by Xu Yino, not allowing him to walk by himself but pushing out on a diagnostic bed.
Although he still didn’t know what was happening, judging by the current stance, he probably knew it wasn’t great.
"Director Liu, what illness do I have?" Seeing Liu Banxia, Old Xu asked.
"A small surgery might be needed, there’s an inflammation on your esophagus, which is why you’re having trouble swallowing," Liu Banxia said with a smile.
"Don’t worry, if surgery is needed, we’ll find another director from our emergency center. Their skills are top-notch."
"Do I really need surgery? Can’t I just take some anti-inflammatory medication?" Old Xu asked.
"If Director Liu says surgery is needed, then it is necessary," Grandpa Cao commented.
"No worries, the two of us old buddies will stay here with you. Honestly speaking, the food here is quite good, just wish I could eat freely."
"You only think about eating, without knowing what’s going on inside me," Old Xu muttered somewhat skeptically.
"What could it be? Just have the surgery and it’ll be fine. Xiaofeng is also here now, hurry up and get ready. It’s because Director Liu is on good terms with us, otherwise, you’d have to queue forever; everything is expedited for you," Grandpa Cao replied.
Ironically, Grandpa Cao’s words actually reassured Old Xu a lot.
He was just worried about this, and now it’s clear that it’s because of the relationship with Director Liu, otherwise, surgery couldn’t be arranged so promptly.
Sometimes, a little white lie is necessary. The truth is, his condition is already quite serious. But we can’t tell him that; panic could lead to big problems.
"Alright, come with me, there’s nothing to worry about. Once you sleep, the surgery will be over. Let’s hang up the blood bag and saline first, so we don’t have to do it right before surgery," said Chen Xuehai as he walked back.
"He’s also our emergency center’s deputy director and has studied abroad for several years," Liu Banxia introduced.
"Thank you, thank you so much," Old Xu said.
His son stood beside him, forcing a smile.
"Ah... finally managed to fool him. Director Liu, tell me honestly, can Old Xu get through this?"
After wheeling Old Xu away, Grandpa Cao asked.
"To tell the truth, he was in a life-threatening situation just a moment ago," Liu Banxia stated.
"There’s a large lump in the lower part of his esophagus, leaving only a tiny space open. Additionally, the lower end of the lump is bleeding, which is why he’s anemic."
"That’s why we’re doing the urgent surgery, and it’s quite a difficult operation. Given his age, there’s always the risk of major bleeding, which is also a challenge."
"So, is this cancer?" Old Wu asked from the side.
"We still can’t say for sure, we’ll have to wait and see once it’s removed," Liu Banxia said.
"Considering his situation, we’ll do an intraoperative examination after removing the lump. If it’s benign, we can relax a bit, but if it’s malignant, we’ll need to take samples from surrounding tissues."
"Ah..."
Grandpa Cao sighed.
A person who was once so energetic and healthy, how could there be a tumor in the esophagus? Who could’ve seen this coming?
"You two shouldn’t just stand here, the surgery will take a while, and he’ll need to be sent to the ICU afterward," Liu Banxia commented.
"This surgery is inherently challenging, given his advanced age, we need to be extra cautious. But as long as we can proceed smoothly, with Director Chen’s skills, it should be done well."
"Why don’t you let the patient’s son know, do you want to go home and wait for news, or would you like to rest here while waiting? Just don’t stand the entire time."
"We have to wait, however long the surgery takes, we’ll be here," Grandpa Cao replied.
"Yeah, the three of us are always together. We’re old and don’t have many companions, so we’ve agreed to stay in touch every day, otherwise, who knows if someone might pass away at home without anyone knowing."
"Alright, I’ll arrange a rest room for you, that’s within my power," Liu Banxia nodded.
That’s Liu Banxia’s way of looking out for them, but still, the two old men weren’t exactly thrilled. Given how serious their old friend’s condition had become, how could they be in a good mood?
"Teacher Liu, what do you think that lump is?" Xu Yino asked.
"It’s really hard to guess. Old Chen said it doesn’t quite look like a tumor, but if it were a cyst, it shouldn’t be bleeding, it would be pus instead," Liu Banxia replied.
Just then, his phone rang. Seeing it was the operating room’s number, he quickly answered, "This is Liu Banxia, how’s it going?"
"Director Liu, I’m passing a message from Director Chen. He wants to thank you for having the blood bags prepared in advance; as soon as we moved the bed, the patient started vomiting blood," the circulating nurse explained.
"Did you manage to stop the bleeding?" Liu Banxia asked hurriedly.
"We just managed to stop it, so Director Chen asked me to make this call," the circulating nurse said.
"Okay, tell Old Chen to keep pushing," Liu Banxia said before hanging up.
Internally, his relief was mixed with fear; it was a close call.
The very fact that Chen Xuehai asked the nurse to inform him meant the amount of bleeding was indeed substantial.
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