The Enhanced Doctor

Chapter 1289: The Pressure Brought by the Child

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Liu Banxia moved swiftly, completing the intubation and connecting the ventilator for the young patient in a very short time.

However, although there was some improvement in blood oxygen levels, the blood pressure was still not very high, maintaining at 80/50.

After all operations were completed, Liu Banxia wiped the fine beads of sweat off his forehead.

Ding! Task release: Young patient with sudden convulsions

Open Task: Patient admitted for burns, during physical examination found to have blood pressure lower than the normal level, sudden convulsions during wound cleaning threatening life, requiring host to diagnose quickly. Task reward: Issued based on diagnosis result.

Liu Banxia steadied his mind, picked up the stethoscope, and performed auscultation on the child again.

The heart and lung sounds were still normal, which was somewhat frustrating.

"Doctor, what’s wrong with my son?"

After Liu Banxia walked out, the child’s father asked anxiously.

"The preliminary judgment is somewhat related to his low blood pressure situation. I will now invite our pediatric and internal medicine doctors for a consultation," Liu Banxia said.

"Doctor, could it be an infection after the burn?" the child’s mother interjected.

Liu Banxia shook his head, "Even if it’s an infection, it wouldn’t act so fast. Besides, I just checked his temperature, and it is currently normal. Infections usually come with a fever."

"Now that I think about it, the child’s lethargy and low blood pressure in recent days may be related to a certain condition. I will now call doctors for a multidisciplinary consultation. Do you have any familial diseases?"

The couple shook their heads, and the child’s father spoke up, "Just my dad has some high blood pressure, but the others don’t. Even my dad’s high blood pressure isn’t that serious—it can be controlled with a small amount of medication."

"Alright, I’ve already treated the wound on the child’s feet; I’ll now call other doctors for a consultation," Liu Banxia said.

"Doctor, please make sure to cure him," the child’s mother urged.

"Rest assured, we will do our utmost to find out the cause," Liu Banxia said seriously.

He rarely makes any promises to patients. Although the previous statement wasn’t direct, it was essentially a promise. Because this situation with the young patient occurred during his consultation, he felt a responsibility.

He called, and Chen Hongyang, Chen Xuehai, and Wang Huan all gathered around.

Once everyone was assembled, Liu Banxia quickly explained the consultation process and the child’s current situation.

"Let’s brainstorm together. What could be the problem causing this?" Liu Banxia said after finishing.

"My dear Director Liu, this is quite difficult to diagnose," Chen Hongyang said.

"I’m not busy today, so I’ll follow the consult. I think we should now discuss what kind of tests to perform on the child. Should we go the conventional route or be more aggressive?"

"Let’s take a gentler approach. I’m afraid the child’s parents won’t be able to accept it. Moreover, we haven’t performed any examinations yet, so it’s better to proceed step-by-step," Liu Banxia suggested.

"Let’s start with routine blood and biochemical tests. Should we add any other tests? I also have some free time and can follow the consult," Chen Xuehai said.

"Let’s stay prudent; otherwise, it’s really easy to scare the child’s parents," Wang Huan said.

"There’s also a minor concern: did the child hit his head when he fell? Although we tend to lean towards internal conditions manifesting symptoms, what if the child hit his head?"

"After all, the child’s skull density isn’t as great as adults’, so if there’s a bump during a fall, delayed bleeding is possible."

"I did examine the head; there is no visible trauma. And the child’s parents didn’t mention anything, just that he fell while holding a teakettle and burned the surface of his foot and the side of his calf," Liu Banxia explained.

"Then there’s not much else to discuss; let’s proceed with our routine tests," Chen Hongyang concluded.

"This way, it aligns with the protocol and reassures the child’s parents. We can also monitor to see if there are changes in the child’s condition."

"Okay, then let’s start with routine blood tests and biochemistry," Liu Banxia said.

This was the consultation’s result; a very conservative exam measure.

Because the patient is a child, and particularly because of the child’s sudden and severe onset.

"Doctor, are there results?"

Just as Liu Banxia came out of the office, the child’s father rushed over.

"We decided to be conservative with the tests for the child. We’ll start with a routine blood test and biochemistry, and see how the results look. Then, we’ll proceed with further examinations based on the blood test results to avoid causing hassle for the child," Liu Banxia explained.

"Alright, alright, quick, get the tests done. We can’t afford to delay," the child’s father said.

"These three are doctors from pediatrics, cardiology, and internal medicine; this is also the result of our joint discussion. Try to think carefully if the child has shown any unusual signs recently," Liu Banxia advised.

This isn’t to shirk responsibility; rather it’s to show the father the hospital’s concern for the child.

The four went back to the treatment room to observe the child’s physical indicators. Just as when Liu Banxia left, it was relatively stable.

"What’s the matter? Feeling a bit unsure?" Chen Hongyang asked.

Liu Banxia nodded honestly, "Indeed, it’s a bit like that. Although I’ve experienced sudden onset situations, it’s never been with such a young child."

"How do you guys handle it when seeing children with more serious conditions in your usual consultations? It really isn’t easy."

"How to handle? Just tough it out. Back then, I didn’t know how many rounds I almost gave up on, exhausted and burnt out," Chen Hongyang replied with a bitter smile.

"Ordinary conditions are relatively manageable; congenital diseases are more heart-wrenching. Most are little babies, the oldest just two years old, having yet to truly experience the world."

"It’s the same for me; I’ve handled a few congenital heart disease cases in children. Some can be resolved quickly, while others require two to three procedures," Chen Xuehai chimed in.

"However, the more procedures on the heart, the more scar tissue, affecting cardiac quality and function, and potentially posing a significant risk to the child’s future life."

"Working in this field comes with things we don’t want to face. How to cope? Grit your teeth and push through, there’s no other way."

"Sigh... Your words are making me somewhat afraid of pediatric surgery again. Initially, I planned to focus more on this area after finishing a liver transplant," Liu Banxia confessed.

"That won’t do; I’m counting on you to focus on this area and bring Xu Yino and the others along. It’ll be great. Our pediatrics department won’t worry in the future," Chen Hongyang eagerly added.

Liu Banxia glanced helplessly at him; the person most keen on pediatric surgery research was him. But right now, Liu Banxia was genuinely experiencing fearful apprehension, feeling the pressure of consulting pediatric patients.

"Are there any head problems? Current treatment involves fluid expansion, but it’s uncertain if it’ll be effective," Liu Banxia continued.

"Everything depends on the blood test results; it might be hypoglycemia. Low blood pressure and convulsions are associated with numerous conditions, and blood tests can reflect some issues to a certain extent," Chen Hongyang stated.

"And the current situation’s relatively stable, which is at least good news, indicating the condition hasn’t progressed. Being a child, pain and fright from burns might affect nerves."

"Stop guessing now and wait for results. We’re all here; unless it’s an exceptionally odd condition, we should be able to diagnose it."

Liu Banxia nodded, knowing he was too anxious.

This stress is from the young patient’s situation, despite strengthening various attributes and gaining hidden attribute rewards, he wasn’t entirely panicked.

Otherwise, if it was his former self, he might’ve already lost the ability to think.

Yet, it’s worth considering; if it were his former self, he wouldn’t have had such consultation opportunities.

"Tsk tsk, not easy to see the great demon king a bit flustered for the first time," Xu Yino remarked from nearby, glancing at Liu Banxia and the others.

"It’s indeed difficult; similar situations were encountered before we joined the second hospital," Li Hao replied.

"Although the demon king didn’t invite us to the consultation, we’re aware of the situation. Shall we study it?" Liu Yiqing asked.

"My dear Qingqing, we’re clueless with the current information. Like the demon king, we have to wait for blood test results," Xu Yino said.

"Let’s monitor closely and head to the laboratory later, conduct our consultation and treat it as a drill. In a few months, we’ll have to work independently, can’t always rely on the demon king."

"Nuno, your words make me a bit nervous. What if we can’t diagnose the condition when the time comes?" Liu Yiqing asked anxiously.

"Silly Qingqing, haven’t you noticed the demon king’s been less proactive during our consultations recently? Work hard for a few more months, it’ll be fine," Xu Yino said sternly.

Uneasiness wasn’t exclusive to Liu Yiqing; she felt it too.

Not just her; Li Hao and the others shared this sentiment.

Medicine and technique are difficult to measure. Surgical skills can be evaluated, but diagnostics? Are they that easily assessed?

Take today’s child; even the demon king is flustered over this. If it were them, who knows what the situation might be.

Despite such feelings, they still want to strive, just in case they can diagnose before the demon king and team do.