Chapter 1327: Trauma Emergency Care Is a Learned Skill

Chapter 1327: Chapter 1327: Trauma Emergency Care Is a Learned Skill

"How’s the preparation going?"

asked Zhou Shuwen with a smile.

"Very thorough. I’ve been pondering over it whenever I have the time these days," said Liu Banxia.

"Teacher, if you don’t have anything planned tomorrow, could you take a look as well? Even though it’s slightly easier than autologous transplantation, it’s still not that easy."

"No worries, as long as you’ve prepared thoroughly, there shouldn’t be any problem," Zhou Shuwen waved his hand.

"I watched several of your surgery videos yesterday, and I think they are quite good. You are well aware of the relevant key points, so I feel there’s no need for you to stick by my side."

"Just after the new year, I’m quite busy. These years, there’s been an increasing trend in liver disease patients, largely related to people’s lifestyle habits."

"Although living standards have improved, lives have become irregular. Even if overall life expectancy has risen, the incidence rate among young and middle-aged people has increased significantly."

"Mainly in terms of diet and sleep schedule," Liu Banxia said.

"We’re quite similar actually; we endure a lot every day. Currently, our second department is manageable; although there are some patients, it’s not that busy."

"However, given the current situation, time is still quite tight for resident doctors and interns. Especially many interns, they are now past their initial stage of confusion and are eager to learn as much as possible."

"There’s not much time left, just a few months. Now for some surgeries, I also suggest letting Xu Yino take precedence, which can increase their experience and give interns and training doctors more opportunities to participate."

"The upcoming cooperation with Jinshui District Hospital and my home hospital is the same. Apart from NOSES surgery, if they can handle other surgeries, we plan to let them perform them."

Zhou Shuwen nodded, "The idea is indeed good, but it will also make their time even tighter and more tiring, so it needs to be balanced."

"At that time, I will let them manage on their own; initially, I will spend more time. I’ve already discussed it with Qiaoqiao, and she will join me on the trips," Liu Banxia said.

"Anyway, both hospitals will cooperate with me, so the operating rooms can be prepared more adequately. If I move faster, I can complete the tasks within half a day."

Zhou Shuwen laughed.

If it were someone else saying this, it would definitely sound like bragging. But if Liu Banxia were to go crazy performing surgeries, it’s actually quite feasible.

Moreover, from his current understanding, if Liu Banxia doesn’t need to explain TaTME surgery in detail, his average surgery time is about one and a half hours.

This standard is already quite good domestically.

And this is when Liu Banxia hasn’t fully exerted himself; otherwise, the time might be even shorter.

Actually, regarding his disciple, Zhou Shuwen currently finds it hard to evaluate.

Compared to his senior brothers, Liu Banxia’s achievements might not be the highest at the moment, but his growth potential is definitely the greatest.

Even now, it’s hard to tell how much more potential he still has to be tapped.

The two didn’t chat for too long, mainly to boost Liu Banxia’s morale. Such a significant surgery, no matter how strong one’s mind is, the first attempt will always be somewhat affected.

Zhou Shuwen’s task is to help Liu Banxia minimize this impact as much as possible.

"Teacher Liu, take a look at these two ultrasound images,"

Liu Banxia had just stepped out when Huang Bo approached.

Liu Banxia took a look and frowned, "The gallbladder is enlarged with localized calcification, and there are so many stones inside. What are the patient’s symptoms?"

"The patient already has jaundice symptoms. I’ve scheduled a CT scan; do you think it might be gallbladder cancer?" asked Huang Bo.

"There’s a high probability. If it were entirely calcified, it would actually be better, but I’m worried about this localized calcified enlargement," Liu Banxia said.

"It’s clear to see there are quite a few stones, and they’ve already invaded the common bile duct. The CT can provide a clearer view."

"If it really is gallbladder cancer at this stage, we must consider the possibility of metastasis. The patient might have been an old gallbladder inflammation case, taking it lightly, but now the issue could be very serious."

"Looking at this color Doppler ultrasound image, the signal from the high-speed arterial blood flow is particularly strong, which isn’t a good sign. How old is the patient?"

"Only forty-six," Huang Bo said.

"Once the CT results are out, take a good look; one way or another, the gallbladder can’t be preserved. If possible, you can perform this surgery, and I will guide you," Liu Banxia said.

Huang Bo nodded.

He also judged that the probability of gallbladder cancer was higher, but he wasn’t too happy about the opportunity for this surgery.

Because Liu Banxia mentioned the possibility of metastasis, and what organs are nearby?

"How is the condition of the patient with the head injury?" Liu Banxia asked Qi Wentai.

"She’s already in surgery. There’s a subdural hemorrhage in the right frontal lobe, and the intracranial pressure is a bit high. Anyway, according to Zhang Xiao’s assessment, the situation isn’t that good," said Qi Wentai.

"Sigh... such a young girl. What about that young man?" Liu Banxia continued to ask.

"The young man is fine, just some scrapes on his arm. But he’s quite something, he even paid the fifty thousand yuan for the girl’s hospitalization," Qi Wentai replied.

"That’s not easy, it seems like they truly love each other," Liu Banxia remarked with a sigh.

What the young man did really exceeded his expectations. If the girl can truly recover, this young man is someone worthy of entrusting one’s life to.

He didn’t know what the young man’s family situation was like, but right now, the fifty thousand yuan was probably the young man’s maximum capacity.

"They were riding an electric bike, and it seemed like they were talking while turning a corner, so they got a bit distracted and accidentally fell," Qi Wentai added.

"The young man just now was full of guilt, but Sister Li advised him, preventing him from doing anything extreme. How’s the brain condition of that hypothermia patient of yours? Has it eased?"

Liu Banxia shook his head, "Still needs some time for rehabilitation to see. It’s really hard to determine currently whether it’s a permanent injury. Their family situation is also quite complicated."

"By the way, for tomorrow’s admissions, please bear with it a bit. These two surgeries are consecutive. I’ll have to bring them in batches, and they need to see it too."

"No problem, tomorrow the whole emergency center will be assisting with your liver transplant surgery," Qi Wentai nodded with a smile.

"Liver transplantation is a milestone in liver surgery. It doesn’t matter if people outside know or not, just that we know its value is enough."

"Gosh, the pressure from everyone else is much greater than the pressure from the surgery itself," Liu Banxia said with a wry smile.

"Let’s not talk about my stuff. After stepping down as the head resident, what are your plans? What will you focus on developing?"

"I plan to spend more time on trauma emergency care," Qi Wentai replied.

"Having worked here for so long, providing timely and appropriate emergency measures to some bedridden patients is very beneficial for patient rescue."

"That’s a very good idea and researching this won’t delay surgical improvement. I think it’s really good, but it comes with a lot of pressure," Liu Banxia said.

"Without pressure, where’s the motivation?" Qi Wentai said with a smile.

"Got to think hard about progress. Maybe it’s also related to me being the head resident recently. So, I’ve become very interested in it. I really want to put some effort into this area."

"Isn’t that great? In that case, we’ll be at ease. I find it very good," Liu Banxia said.

This wasn’t a perfunctory response; it was genuine.

Trauma emergency is also a subject, not just because you’re a surgeon, you can do trauma emergency well.

As far as he’s concerned, he’s doing okay in this area and knows that when admitting some severe trauma patients, every second counts.

As Qi Wentai said, providing appropriate and timely treatment can be life-saving.

Not to mention farther away, just take Old Xu today as an example. It was an instinctive reaction accumulated from admission experiences to prepare blood bags in advance.

If it were before, he would never have thought of such a thing, only following procedures one step at a time.

Experience is really accumulated from repeated practical engagements. Just reading books doesn’t work; only practical experience is the most effective.

Actually, tomorrow’s surgery also brings some pressure to Liu Banxia, which is why he’s chatting with someone now, to pass the time.

Near the end of the workday, Zhang Xiao walked out of the elevator.

"How’s the situation?" Liu Banxia quickly asked.

"Sigh... the bleeding is quite severe and there’s also edema in the brain tissue. Temporarily, the skull can’t be reattached, so the cranium can’t be closed," Zhang Xiao sighed.

"She’s in ICU now, let’s see what kind of luck she has. Her family hasn’t arrived yet? It’s been so long already."

"Not yet, the distance is quite far, at the earliest they might arrive around midnight," Qi Wentai said.

This situation has become more serious, something no one wants to see happen.

But real life is like this, it’s not about what you want or don’t want, what should happen will happen.

"President Qi, it’ll be tough on you tonight, remember to comfort the patient’s parents well," Zhang Xiao said.

Qi Wentai nodded, knowing that this task would fall on his shoulders.