Chapter 285: Chapter 285

(Thanks to good friends Zizi, Shepherd, Book Friends 160427220733746, Happy Luo Ba for their encouragement with monthly tickets)

"Teacher Liu, these are the family members of the patient who fell just now." As he was talking to Xu Hui, Huang Bo, who was in charge of triage, came over.

"Doctor, how’s the situation? I’m his wife," the patient’s wife said.

"We don’t have a clear idea of the situation just yet; he should be prepped for surgery now. However, during our initial examination, we found internal bleeding and multiple fractures. We had to insert a tube into his chest at the scene," explained Liu Banxia.

"You can wait here until we know about the results of the X-ray. Or you can wait by the entrance to the operating room; the lead surgeon will notify you as soon as we have any information."

Upon hearing Liu Banxia’s words, the patient’s wife immediately sat down on the floor, while the two older people who had come with her seemed calmer.

"Dr. Liu, the X-ray results are out," Xu Hui announced at this moment.

Liu Banxia quickly stepped towards the computer. After reading the results, he sighed and turned to the three family members gathered around. "It’s serious. You need to be mentally prepared."

"His left pelvis is fractured, there are three fractures in the cervical spine, the thoracic spine seems fine, but the left leg and left arm have long bone fractures. Now it depends on how severe the internal injuries are in surgery. Huang Bo, please take them to the operating room entrance to wait." ʀᴇᴀᴅ ʟᴀᴛᴇsᴛ ᴄʜᴀᴘᴛᴇʀs ᴀᴛ novel⚑fire.net

However, he did not mention his prediction. Given the severity of the fractures, the condition of the internal organs was probably not good. Even if there were no large vessels ruptured, there would certainly be lacerations on the organs.

But this was just his prediction; without a clear diagnosis, he could not tell the patient’s family. If it did turn out this way, they would definitely need to consult the family during the surgery.

And this was without checking the head first. The situation could be very different once they had dealt with the abdominal injuries and checked the head.

"Oh, Manager Qu, you’ve come. Whose leg is hurting? Let’s help you register first." Liu Banxia saw Manager Qu and a few others enter just after the patient’s family left.

"Dr. Liu, sorry for the trouble. Han’s leg has been uncomfortable these past couple of days, so I thought I should bring him to get it checked out," Manager Qu explained.

"Actually, it’s no big deal. I think it’s just due to driving for long periods recently. I’m just a little tired," said Han with a smile.

"Driving? Were you driving around for fun, or for work? I don’t seem to recall seeing you at our last dinner," asked Liu Banxia when they reached the internal medicine examination room.

"I’m a Didi Taxi driver. I used to spar with Brother Qu. Today, I had a passenger who was going to the gym, so I decided to drop by," Han explained.

"Which leg hurts? Let me take a look." Liu Banxia nodded.

Han rolled up his left pant leg, and after a brief examination, Liu Banxia lifted his right leg and rolled up that pant leg as well.

"You see, your left leg is now thicker than your right leg, and there’s tenderness on pressure. Do you feel a swelling pain in your left leg?" Liu Banxia asked.

Han nodded. "It’s strange. It wasn’t when I woke up this morning."

"Have you had a similar medical history before?" Liu Banxia asked.

Han shook his head. "This is the first time."

"Lie down and relax the muscles in your legs." As Liu Banxia spoke, he lifted Han’s left leg, holding the knee with his left hand and using his right hand to gently flex Han’s foot upward at the ankle.

"Ouch, ouch, it hurts too much!" Unable to bear it, Han cried out.

"Do you have a history of high blood pressure or diabetes? Do you drink alcohol often?" Liu Banxia asked, furrowing his brow.

"I only drink some after I finish driving for the day. Otherwise, I’m too tired, sometimes too tired to even sleep. As for high blood pressure or diabetes, I don’t think I have those conditions. I’ve been boxing for a few years now," Han replied.

"Anyway, let’s measure your blood pressure for now," said Liu Banxia.

"Dr. Liu, is Han’s condition serious?" asked Manager Qu.

"I suspect he has deep vein thrombosis in the calf. People who sit for long periods are prone to this. The test we just did is an indication. We need to do a duplex ultrasound next to check the veins in the lower limbs," said Liu Banxia.

"Oh my goodness, look at this! Your diastolic pressure is 90, and your systolic is 164. I’ll write the order now. First, go to the ultrasound room for an examination. If it’s confirmed, we’ll discuss how to proceed."

"Don’t worry too much. We’ll see if there’s a thrombosis and how long it is. If it’s not too long, we can completely dissolve the clot using thrombolytic drugs. Even if it’s long, we can surgically remove it."

"Dr. Liu, if I have to have surgery, will they have to cut my leg?" Han asked nervously.

"Not necessarily. Medical technology is very advanced now. We have minimally invasive procedures. Don’t worry, if you really need surgery, I’ll find an expert for you," Liu Banxia reassured him.

"Dongyang, Gangzi, you two accompany him for the examination. With his condition , he still didn’t want to get tested," Manager Qu chided.

"Actually, people who sit a lot are most prone to this disease. You should take the time to move your legs occasionally. The work of a Didi driver is similar to a long-distance driver; you need to take care of yourselves," said Liu Banxia.

"It’s been months since we last saw each other. His wife just had a baby boy, so he’s been working relentlessly to make money," Manager Qu sighed.

"It should be fine. This is not major surgery, and it’s minimally invasive nowadays, so the recovery is fast. Luckily you guys brought him here early. If he had waited for another two days, I’m not sure what would have happened to his leg," said Liu Banxia.

"You all should be cautious too. It may be thrilling to box, but it doesn’t come without damage of various degrees. Remember to get regular check-ups; boxing injuries can get serious sometimes."

"Ah...that’s how I messed up my arm," Manager Qu sighed.

"As long as it doesn’t affect your normal life, it just means you can’t box anymore. Let’s go outside and chat so Doctor Xu can continue with his appointments," Liu Banxia said with a smile.

As soon as they stepped out, he was stunned. Wei Yuan and the others who had gone to perform the emergency surgery had returned, and none of them looked pleased.

"Didn’t make it?" Liu Banxia asked.

"There was massive blood loss from the liver and pelvic area, and his intestines were damaged. We had to resect the damaged sections of the intestine, suture the mesenteric artery, and then fill the abdominal cavity with surgical packing," Wei Yuan explained.

"He’s being taken for a head CT scan now and then will be immediately transferred to the ICU. We’ll wait for his condition to stabilize before deciding whether to perform further surgery. His injuries are severe. It doesn’t look promising."

Liu Banxia inwardly sighed; it was just as he had predicted. However, despite his predictions being proven right, this was not the outcome he had hoped for.

Currently, they were just trying to sustain the patient’s life. It would be tough for the patient to recover normal vital signs, much like the condition he and Shi Lei had dealt with late at night recently.

Moreover, they were still uncertain about the condition of the patient’s head. If there was head damage, the patient’s prognosis would be even worse. It would end up costing a lot of money, and yet the chances of saving him might still be slim.

"Dr. Liu, does your hospital deal with cases like these often?" Manager Qu asked.

"Not often, but still, it happens frequently enough. The patient we were just treating was a worker who was enclosing balconies; he fell from an upper floor. Most of the cases are usually car accident victims, with some sustaining severe injuries," Liu Banxia replied.

"By the way, about Zhou Yang, you should also be cautious of him. He was embarrassed at our place last time, and knowing his personality, I doubt he will just let that slide," Manager Qu advised.

This was quite a gesture from Manager Qu, considering his relationship with Zhou Yang was likely closer. Even though he’d also eaten and drunk with Qiaoqiao, that was an entirely different matter.

Remember, giving someone a heads-up is a favor; saying nothing is simply doing one’s part.

After some idle chatter, Han, who had gone for the ultrasound, returned with Dongyang and Gangzi.

"Dr. Liu, the diagnosis has been confirmed; it’s a venous thrombosis, just as you suspected. However, the doctor who did the ultrasound said it’s not too serious, and thrombolytic medication should be sufficient," Han reported.

"Let me take a look," Liu Banxia said, taking the medical report.

The condition wasn’t severe; the clot was only about six centimeters long. Sometimes, if a deep vein thrombosis in the lower limb is discovered late, clots of ten or more centimeters are quite routine.

However, at this point, he was a bit hesitant.

"Dr. Liu, what’s wrong?" Manager Qu asked.

"I need to ask a few more things. Han, how long have you been boxing?" Liu Banxia asked.

"About seven or eight years, I suppose? But it’s just a hobby. I practice with my friends occasionally and get on stage for an undercard match now and then," Han replied.

"In that case, we really can’t use thrombolytic medication right now," Liu Banxia said, frowning.

"You’ve been boxing for quite some time. During this period, it’s certain that your head has suffered some blows. These thrombolytic drugs are blood thinners."

"If you’ve injured your head in the past while boxing, it might not affect your daily life, but after taking blood thinners, there’s a high risk of bleeding, which could lead to a stroke."

"So, it’s necessary to do a brain CT scan first to assess your current brain condition. Otherwise, something that might not have been an issue could turn into a huge problem."

"There shouldn’t be any problem, right? I feel just fine normally," Han said hesitantly.

He wasn’t worried about the cost of a brain CT scan; rather, he was concerned because Liu Banxia made it sound serious. Conditions like bleeding and stroke seemed dangerous to him, often requiring family care.

"This is just a precautionary measure, but I honestly am a bit worried. No matter how well you guys get along, once on stage, you go all-out," Liu Banxia said.

"Even with boxing gloves, it does hurt. Had I not participated in a match last time and been hit a few times, I might not have even considered this today."

"Just listen to Dr. Liu; safety first," Manager Qu said.

"That’s right! When we were getting the ultrasound just now, the doctor was praising Dr. Liu. Just listen to him. Dr. Liu, please write the order; I’ll go pay the fee right away, and then we’ll get it done," Gangzi suggested.

"Okay, I’ll write it up now. Brother Qu is right, safety first," Liu Banxia agreed with a smile.

"Alright then, I’ll listen to everyone," Han nodded and responded with a smile.

However, immediately after he said that, his facial expression changed. He clutched his chest and started gasping for air.

"Connect the monitor, secure the airway, give him oxygen!" Liu Banxia shouted.

He had not expected such a sudden turn of events.