The Enhanced Doctor-Chapter 803: Quickly Became a Habit

(Gratitude to Panda, Helpless Cloud, MotorCt, I Love Yangyang for their encouragement with votes)

Necrotizing fasciitis infection focus removal, this is a very valuable surgery, conducted as a teaching operation with the consent of the patient's family.

It is precisely because of experience in handling such symptoms that Liu Banxia now feels very tense.

Initially, when helping the patient who got a finger injury from seafood, it was like a newborn calf not fearing the tiger, more likely wanting to prove himself in front of Qi Wentai.

Later, encountering several other cases, many didn't even have the chance for resuscitation. Or even after resuscitation, lives were still taken by necrotizing fasciitis.

The current patient's indicators look okay, but is it really that easy to handle? How could it be?

"Necrotizing fasciitis is actually a case we often encounter in emergency admissions," Liu Banxia said solemnly after glancing toward the observation room.

"After a patient is diagnosed, there are not many cases that can truly be saved. The disease progresses too quickly, and many patients are sent only after shock occurs, basically breaking out throughout the body."

"Another situation is that mild cases can easily go undiagnosed at consultation, delaying the optimal treatment time and leading to irreversible consequences."

"You must have come across case introductions of this disease in your studies, the severity and high mortality rate don't need further elaboration from me."

"The cause of this patient's necrotizing fasciitis is septic pharyngitis. The disease progression generally is septic pharyngitis affecting the tonsils, causing acute suppurative tonsillitis, complicated by necrotizing fasciitis."

"Septic pharyngitis is also the most contagious and the hardest to treat type of pharyngitis. It's primarily caused by streptococci, many of which have certain antibiotic resistance, so taking some antibiotics at home may not be effective."

"The reason I provide this introduction is to remind you that if friends or family reach out to you via phone, WeChat, or other means asking about symptoms like dry itch in the throat, foreign body sensation, or pain, you must be vigilant."

"If you merely recommend some antibiotics, congratulations, you might ruin your latter half of life. No matter who it is, even if your own parents ask, you must carefully diagnose, at least look at images sent over of the affected area."

"Had this patient not been treated as a simple pharyngitis case and promptly consulted at the hospital, he wouldn't have developed necrotizing fasciitis."

"There will be many similar situations, and if a misdiagnosis occurs, the loss could be more than just your career, it could also be the life of the consultative patient."

Upon hearing Liu Banxia's words, the expressions of the interns observing in the observation room turned serious. They could sense the earnestness in Liu Banxia's tone and knew he wasn't joking.

In their daily life, indeed, people would inquire about symptoms and directly buy medication for treatment.

Because in the hearts of relatives and friends, you are the medical student; you're capable. If they can understand things by asking you, why spend big money on a hospital visit?

"In the treatment process of necrotizing fasciitis, besides isolating strains for drug sensitivity testing, what we must do is debridement," Liu Banxia continued.

"The current patient still affords us a chance. However, his infection is severe, having invaded the peritoneal cavity, even the chest wall is affected. There might be pericardial involvement too, so careful checking throughout our cleaning process."

"Actually, throughout the process, the two most crucial aspects are debridement and cleaning. The purpose of debridement is to remove necrotic tissue, while cleaning aims to eliminate possible anaerobes."

"For different lesion sites, especially areas with large necrotic tissues, we may need to consider skin grafting subsequently. This patient doesn't need it currently because it was discovered early; after debridement, regular gauze changes and drainage suffice."

"Alright, preparation is complete. The lead surgeon is Chen Xuehai, and I will assist. You only need to remember our debridement techniques, it's not that difficult."

"Let's go deeper with this cleaning this time, otherwise, I won't feel settled," Chen Xuehai said.

Liu Banxia nodded and began to operate.

It seems like an easy task, but is it really that easy?

Comprehensively cleaning the lesion area while preserving as much healthy tissue as possible allows for better post-operative recovery. It's no simple matter; otherwise, Chen Xuehai wouldn't have called Liu Banxia for assistance.

"Everyone take a good look, Teacher Liu has many successful cases in necrotizing fasciitis debridement," said Xu Yino, who stayed in the observation room.

"Actually, there are many similar debridement operations. One time, due to gangrene on a diabetic patient's foot, it was also Teacher Liu who helped with debridement and saved the foot."

"Teacher Xu, we've heard of Teacher Liu's formidable skills in debridement and dressing change during our medical school days," said Chen Dongmei.

"It's not just formidable; it's superb. Otherwise, the director of proctology, Director Jiang, wouldn't always have Teacher Liu in mind. I suppose when Teacher Liu steps down as chief resident, he'll often be going over there," Xu Yino added.

"Although we are currently guiding you, we are only providing the most basic systematic training. Teaching you what to do in certain situations, many of the technical operations will still be taught by physicians like Teacher Liu."

"Actually, sometimes I think that just one year of internship is really too short. There's too much knowledge to grasp, and we've only learned just a little bit."

"You guys should work hard, having the opportunity to intern at the emergency center is a very rare chance. So you must seize it, being tired is expected, but don't let it be in vain."

"Alright, you all watch here, I have to get back to work. This surgery won't be short, watch carefully, now that opportunities to see Teacher Liu debride personally are rare."

The interns nodded in unison. Even though they were talking, their eyes kept following Liu Banxia's hands. 𝕗𝚛𝚎𝚎𝐰𝗲𝗯𝗻𝚘𝚟𝚎𝗹.𝕔𝐨𝕞

Chen Xuehai's skills are also excellent, and his operations are similarly far beyond those of his peers. However, to the interns, it always feels like his operations aren't as natural and smooth as Liu Banxia's.

In fact, for Liu Banxia and Chen Xuehai, their speed in debridement is about the same. This isn't about performing nerve or vascular sutures which require high-strength extreme operations.

Chen Xuehai is a cardiothoracic surgeon, many of his surgeries involve the heart and lungs, and there are many blood vessels involved during surgeries.

In terms of vascular suturing techniques, Liu Banxia might not necessarily be able to outmatch him. But in debridement, he has his own advantages.

Previously, there was a lot of training in the dream space, even though he isn't a cardiothoracic surgeon, he did a lot of anatomical training on thoracic tissues and organs.

It's not that he has to develop in cardiothoracic surgery, but rather he's afraid of encountering some emergency situations that require open-chest surgery. In the absence of a cardiothoracic doctor, it's necessary to act to save a patient's life.

"I can't do it anymore, I have to take a break first." After more than an hour of operation, Liu Banxia said.

"It's okay, I can still hold on," Chen Xuehai said.

"Aside from those marked on the CT, I found two more small ones, let your eyes rest a bit, continue the battle, you can definitely handle it."

"Cheering me on won't help, it really strains the eyes," Liu Banxia said.

"Then why don't you slow down your speed a bit," Chen Xuehai added.

"I also don't want to rush, but once the knife is in, as soon as I start dealing with it, the speed in my hands just can't stop. How should I put it, if I slow down, I feel uncomfortable." Liu Banxia said with a pained expression.

Chen Xuehai shook his neck and glanced at him.

He knew Liu Banxia wasn't showing off; it's actually similar to a type of OCD. As a surgeon, many actually have OCD.

For example, counting instruments after surgery is a task with dedicated personnel, but some lead surgeons still need to count them again. Otherwise, they keep having the illusion akin to suspecting they didn't lock their door after leaving home.

Everyone has some habits or the other during surgery. Over time, these habits become hard to change.

Liu Banxia is like that, his strength is his speed. Even if he intentionally slows down for teaching, it's not really slow.

Though the same operation time just passed, Liu Banxia feels tired because his speed is too fast. It's been high-intensity work all along, and his eyes couldn't keep up.

Having rested for a few minutes, Liu Banxia got back into action, with his speed still above standard.

A full four and a half hours of debridement was greatly consuming for both Liu Banxia and Chen Xuehai. Simple debridement was not inferior to a major surgery.

Ding! Surgery task completed

Earned 300 experience points, 300 points for suturing skill proficiency, 300 points for dressing skill proficiency, Glory Points +3

This task rated as Flawless, earned 500 experience points, 500 points for suturing skill proficiency, 500 points for dressing skill proficiency, Glory Points 2 points + 3 points

"Finally finished, my heavens, a person's about to collapse." Liu Banxia stretched lazily.

"It depends on his luck, or ours actually." Chen Xuehai said.

"Our luck is good enough, the hard efforts just now won't be in vain, though the wounds are quite large and recovery will take longer, life is saved after all."

"Why are the patients the past couple of days so difficult?" Liu Banxia complained.