Chapter 1160: A Pancreatic Enlargement Patient with Allergies
"Teacher Liu, that elderly lady was just looking for you."
After Liu Banxia returned, Xu Yino said.
"Did she mention anything?" Liu Banxia asked.
"She’s still worried about the patient’s condition." Xu Yino replied.
Liu Banxia nodded in understanding, then walked over to the patient.
"Doctor Liu, now that you’re done, you have to tell me what’s really wrong with Guoliang. You tell me, don’t let Guoliang say it." The elderly lady said as he approached.
"Mom, I’ve already said..."
"You shut up, I believe the doctor, not you." The elderly lady glared at him.
The patient could only look at Liu Banxia helplessly.
"It’s nothing serious, just a problem with the body’s metabolism." Liu Banxia said with a smile.
"Our bodies need all sorts of nutrients, like calcium, iron, and zinc. He’s got a nutrient surplus. So we need to control his diet so that he can metabolize the excess nutrients."
"How can there be a surplus? Our family only has average means, we only eat well during holidays and festivals." The elderly lady said puzzled.
"He absorbs well, so we’ll have to control what he eats. I’ll have someone write down what he can’t eat, and you’ll have to keep an eye on him to prevent him from getting tempted."
"Alright then, starting now he won’t eat as much." The elderly lady said seriously.
"It’s not just about eating less; some foods are off-limits, like spinach and eggplant." Liu Banxia said with a smile.
"Oh my, those are good foods, full of vitamins. Guoliang loves to have old vinegar peanuts with spinach as a side to his drinks." The elderly lady was taken aback.
"He’ll need to be controlled on alcohol too, he shouldn’t drink. For better health, he should avoid both smoking and drinking. I’ll get our cafeteria’s menu and they can deliver meals to you, so you don’t need to buy them outside." Liu Banxia said.
"It’ll be good to research what to eat in the future, for his health, you’ll have to watch over him, no one else can manage him like you can."
"I’ll definitely take care of him. If I crave spinach, I’ll sneak some without him seeing, so he doesn’t get tempted." The elderly lady said.
"Alright, that’s settled. Xu Yino, bring over the menu, let’s see what dishes we can order, and have Manager Zhou send the dinner directly over, today’s sautéed chicken slices are quite nice." Liu Banxia said casually.
Xu Yino quickly nodded.
However, she was quite curious inside. According to Teacher Wang, the Great Demon King should have arrangements. But this is just simply ordering takeout, recommending sautéed chicken slices doesn’t count as an arrangement, does it?
Liu Banxia was quite hintful. The patient, thinking they can eat chicken, decided on the sautéed chicken slices. Then they also chose braised hairtail, which the elderly lady loved.
Xu Yino noticed that they’re all foods the patient can eat, and eating fish is good for him, so they settled on that.
"Manager Zhou, I have a mother and son here who ordered meals. Xu Yino will send you the order. Charge normally for the food, but make the portion slightly larger."
Just as Xu Yino reached the door of Liu Banxia’s office, she heard him on the phone.
"Haha, it just feels like this mother and son have it rough. No need for a free meal, no need for us to show special kindness. They’re getting by well enough, just make the portions a bit larger since the patient hasn’t eaten well today."
"Alright, thanks, but don’t expect me to reimburse you, that’s your act of kindness. Let’s leave it at that. What am I eating tonight? We’ll see, I’m a bit busy today."
"Alright, that’s it."
"Oh my gosh, what are you doing?"
Liu Banxia was startled when he saw Xu Yino peering around the door with a fierce look after he hung up the phone.
"Nothing, but I insist you treat me to dinner tonight. I was stimulated, I want sautéed fish slices, and Liu Yiqing wants braised hairtail." Xu Yino said.
Liu Banxia gave her an exasperated look, "You’re going crazy again, take some time to visit Shanshan, the whole family is looking forward to the surgery."
"Oh... got it." Xu Yino responded, slumping as she walked out.
Her emotions were indeed a mix; the Great Demon King did have it planned out.
This arrangement was spot on, with larger portions in lunchboxes so as not to stand out. It cared for the patient without hurting his dignity.
They weren’t so poor they couldn’t eat, just needed a more careful approach in the future.
Liu Banxia found himself with nothing left to handle. Dealing with these two patients today turned out to be more exhausting than surgery.
Performing surgery is physically straining, but attending to these two patients was mentally exhausting.
Especially the patient with Wilson’s disease, who not only needed chelation therapy to help metabolize copper, but also needed liver protection medications.
And this is a lifelong condition, genetically deficient hereditary disease.
Thankfully, there was a car accident today. Otherwise, if things got worse, a trip to the hospital due to liver failure might have happened.
Although there’s still no definitive diagnosis, he is leaning more towards Wilson’s disease. At least the MRI showed some indications, even if not very clear.
"What are you up to?" Shi Lei walked in at this moment.
"Not much, just taking a short break, waiting to eat. How’s your class going?" Liu Banxia asked.
"I’ve just started to get the hang of it, better than before. I have to admit, your trick really works." Shi Lei replied with a smile.
"During class, I have my wife sit at the back, and I just look at her, then I don’t get nervous. I also practice a bit at home when I’m resting."
"See, I told you it would work, but you didn’t believe me at first." Liu Banxia laughed along.
"It’s actually just about diverting your attention a little. Otherwise, your focus would be too intense and you’d feel tense. Even without your wife, you’d get used to it halfway through the semester."
"But this is my credit, so you owe me an extra dish at dinner. Let’s not be too formal, we’re all friends, right?"
Shi Lei glanced at him with mock annoyance, this guy seems to enjoy making others add dishes as his greatest joy.
"Once you’re in charge of a department, it’ll be easy for you, with everything ready-made. I have a ton of things on my side, and if it gets too busy, I’ll need someone to come over and help." Liu Banxia said.
"Whether you say it or not, I’ll have to help anyway. How are we going to divide the interns and resident doctors?" Shi Lei asked.
"Let them rotate as well. I think we can give them a bit more freedom. If there’s a patient they’re interested in, they can follow along and observe more." Liu Banxia replied.
"It’s just a formal division of departments, the actual work content doesn’t change. We’ll do things as before. Next year, we can take in more interns and resident doctors, Xu Yino and the others can train them directly."
"Like Wang Chao, during the remaining time of his residency, he has to help us too. Otherwise, with just the seven of us, it’s too much to handle."
"Xu Yino and the others have improved their surgical skills, but their ability to handle emergencies while managing patients is still a bit lacking. We can use this half-year to train them well in this area."
Shi Lei nodded, "Alright, when there’s someone free, they can go over to your side and have a look. I heard the ward is already set up?"
"That’s pretty straightforward; the room is ready, just unused. Who knows when we’ll fill up that whole floor with patients, it’s a bit stressful for the current nurses." Liu Banxia said with a smile.
"We didn’t plan to do it this fast initially, so we didn’t hire many nurses then. But it’s also good news for them; this year we’ll have many more spots available for staying in the hospital."
Everything has its pros and cons. For this year’s intern nurses, it will definitely be more tiring than interning elsewhere, but their chances of staying at the emergency center have also increased significantly.
In hospitals, it’s not just difficult for doctors to secure a permanent position, it’s the same for nurses.
Not everyone has connections; staying in the hospital relies heavily on luck.
Shi Lei and Liu Banxia were just chatting idly, discussing the future cooperation and division of work between their two departments.
"Teacher Liu, Teacher Shi, we just admitted a patient with acute abdominal pain. A female patient, with back pain, the paramedic stated that she previously had an allergic reaction." Miao Rui came running over.
"Alright, let’s take a look. Is Xu Yino or Liu Yiqing examining her?" Liu Banxia asked.
"Both of them are there, in the second resuscitation room." Miao Rui replied.
Liu Banxia nodded.
"What’s the situation? I’ll wait outside, report to me after the examination is done."
As Liu Banxia walked into the resuscitation room and got a clear view of the patient’s condition, he walked back out.
The patient was wearing a bathrobe, which made it inconvenient for the male staff to stay inside. It’s not like a trauma emergency where such consideration could be ignored.
"Teacher Liu, the patient came in with acute abdominal pain and has back pain. She has a sensitive constitution, allergic to many substances. Before being brought in, she had an allergic reaction at home causing respiratory distress."
After waiting for five or six minutes, Xu Yino came out of the resuscitation room.
"We just did an abdominal ultrasound. It looks like the pancreas is slightly enlarged, but because there’s gas in the intestines, it’s not very clear. We’ve already arranged a blood test and suspect pancreatitis, planning to do a CT immediately."
Liu Banxia nodded, "Alright, just proceed as planned. She didn’t come here alone, did she?"
"Her boyfriend is outside, there are no other relatives, and it’s difficult to talk with family." Xu Yino replied.
"Give her some pain relief medications, otherwise, we won’t even be able to do the CT." Liu Banxia frowned and said.
"Teacher Liu, is there anything you’re concerned about?" Xu Yino asked curiously.
"I’m thinking about her allergy. I assumed it happened in a hotel. If she was at home, she should have been able to avoid whatever causes her allergy, so why did she have a reaction?" Liu Banxia questioned back.
Ding! Task issued: Allergic pancreatitis patient
Open task: Patient presents with acute abdominal pain, ultrasound shows pancreatic enlargement. The patient’s allergic symptoms have caught the host’s attention, requiring further investigation to diagnose the condition. Task rewards: Given based on diagnosis results
Looking at the task prompt, Liu Banxia grimaced slightly.