Chapter 1034: Chapter 1034: A Complicated Case Review (Part 2)

"Isn’t this topic a bit heavy? I feel like what I’m saying might not be appropriate. After all, this is a very sacred profession, where we’re involved in the work of treating illnesses and fighting against death," Liu Banxia said with a smile.

No one below responded, as they clearly understood the underlying message in his words.

"Actually, being a doctor is indeed a very unique profession," Liu Banxia continued.

"Some say the line between genius and madness is thin, or whether you step with your left foot or right foot first. To me, it feels the same way with us doctors."

"Many times, our choices affect the patient’s future life. Even if they survive, our mistakes could make their future life very difficult."

"Let me give you a simple example. Here’s a patient with stage two low rectal cancer coming for a consultation, and normally they would want to preserve their anus."

"But if you’re not confident in your skills and don’t want to let this patient go, since it relates to your income, you might end up using some persuasive words to mislead them."

"Truth is, it can’t really be preserved, and they’d have to undergo a second surgery, which costs more. In the end, all the negative impacts of preserving the anus are laid out, leading the patient to give up the authority over their anus and hand it over to you."

"After the successful surgery, both the patient and their family thank you. At that moment, you feel no burden, because even if you preserved the anus for someone with low rectal cancer, they might still suffer from functional disorders, and you’ve spared the patient that trouble."

"Your decision seems like it’s saving the patient money, but you’ve overlooked the costs of them living with a bag for the rest of their life, along with the inconvenience. Not to mention, you didn’t fully respect the patient’s right to choose."

"Another example, if a patient has stage three or four cancer, how should we communicate with their family? When we’re explaining the condition clearly to them, do we have any subjective biases?"

"I’ve seen similar cases where the surgical indicators were nonexistent. My choice was to give up, not recommend chemotherapy, preventing unnecessary expenses, suffering, and death."

"This is my personal judgment, limited to rapidly progressing late-stage cancers. Because by late stage three or four, their bodies have been ravaged by cancer cells and simply can’t handle chemotherapy drugs."

"I’m bringing up so many negative points just to remind the young ones that our profession is very unique."

"As I said before, one foot in the clinic, one foot in court. At the same time, we’re holding the patient’s life in our hands."

"Medical disputes are a well-known term, and from our medical staff’s perspective, we often call them medical troublemaking. But are all disputes simply medical troublemaking? Isn’t there any fault on our side?"

"That ties back to what I mentioned earlier, about choices on the surgical table. Even if a patient’s family copies the medical records and asks someone knowledgeable for help, they still can’t judge it."

"You see, we’re back to what I mentioned earlier. So, often the key is our true intentions at that moment."

"After the patient’s surgery, an incident occurred. A friend of the patient’s wife questioned me, thinking that sending the patient to the ICU was a way to let them wait for death and drain money. Though he didn’t say it directly, that was the implication."

"Do they really think I can’t understand good from bad? If it were my old temper, I’d have thrown a few punches. But I held back, and they couldn’t do anything to me."

"This also reminds us that life is full of traps. If I had retaliated forcefully, I would’ve been the one held accountable. Although the situation is still the same today, I might have been writing a self-critique."

"Sometimes it’s really infuriating, but you have to convince yourself not to get angry. People have such thoughts because similar situations have really happened in society."

"There’s no smoke without fire; flies won’t bite a seamless egg. We’re often misunderstood by patients or their families, doubting our judgment, doubting our recommended tests, doubting that we’re earning dirty money."

"But we have no choice. All we can do is explain. My principle is, as long as they don’t curse you, you don’t respond. As long as they don’t make a move, you don’t fight back."

"If there’s any patient or family member affecting the consultation, call security. If anyone tries to make trouble, your primary task is to protect your safety. Look for opportunities, catch them off guard, and subdue them."

"We choose to endure but can’t let others bully us. Our emergency center’s principle has always been like this: as long as you’re not wrong, and it’s the patient’s or family’s unreasonable trouble, I’ll support you to the end."

"But if there’s a significant error in your consultation process, whether intentional or not, I’ll have to deal with it. After all, I oversee our emergency center’s discipline; it’s my duty to manage."

"Using yesterday’s patient situation to discuss a lot of unrelated matters today is because that patient was too unique. We see so many patients every day, and his situation isn’t generally representative."

"However, his case regarding organ repair or removal does hold some reference value, so I called you all to share."

"I have only one request for you: strive to improve your medical skills and operational abilities, and when consulting patients or leading surgeries, do it within your means and stay true to your heart. Alright, let’s all get back to work."

*Clap clap clap clap...*

Huang Bo and the interns applauded in unison.

Although what Liu Banxia talked about today wasn’t related to cases or medical teaching knowledge, these issues are always present during patient consultations.

What Liu Banxia discussed were common occurrences that everyone faces during consultations.

Just like deciding whether to repair or remove injured organs, doctors must consider both the patient’s prognosis and their own skills. No one wants to be a doctor who only cares about money and ignores the patient’s well-being.

Every doctor also enjoys the sense of accomplishment when they relieve patients from the torment of illnesses.

But often, while the body is their own, doctors can misjudge their own abilities. Every decision in medicine must be made with caution.

"Oh, my Director Liu, what have you been doing now? Hyping them up again? They all look a bit confused, as if they’re on a high," Wang Chao curiously asked as they came out.

"Nothing much, just reminded them of a few things. After all, our profession is unique and we need to learn how to protect ourselves," Liu Banxia replied with a smile.

"How’s your promotion plan coming along? It’s been so long; with your capability, it’s impossible to have nothing. Go ahead, tell me," Liu Banxia said.

Wang Chao rubbed his temples, "Ah, my whole life is a mess because of you."

"Don’t say that, Officer Ma would go all out against me," Liu Banxia replied.

"Oh, don’t change the subject. I’ve been thinking, just us going to contact universities is too difficult," Wang Chao said.

"So I think we could get in touch with the city’s Youth League and seek their opinion. If they think it’s a good idea, we can collaborate and finalize our action plan," he continued.

Liu Banxia nodded, "That’s a good approach. If they hold a meeting, everything can be settled. University league committees can help with promoting emergency knowledge, enhancing the influence of our emergency center."

"But there’s one thing, we can’t get the cart before the horse, focusing only on appearances. Our true mission is educational, you understand?"

"Don’t worry, I was a university student too, I know what it’s like inside," Wang Chao smiled and said.

"See, I knew you were the right person for this. Get it done, set the tone within half a month, and I can help," Liu Banxia said.

"Wait, are you just going to start it and leave the rest? Your name still holds quite a bit of weight," Wang Chao became anxious.

"It’s not that I don’t want to, but by then I’ll be really busy. Qiaoqiao is due in a month; do you think I’ll have time for anything else then?" Liu Banxia replied.

"So hurry and make the plan, try to roll it out before their exam period, and then after their winter break, do another round."

"We can’t let this learning interfere with their finals. Many students cram just days before exams, and we’d be blamed."

Wang Chao nodded, "Alright, I really should hurry. There are so many schools, even a single session takes a long time. After all, we can’t disperse our team completely or it would affect our consultations."

"Sounds good, let’s settle it then. I’ll tidy up and get ready to leave," Liu Banxia stretched and said.

"You just have to rub it in, being so carefree," Wang Chao muttered.

But his muttering had no impact, as Liu Banxia wasn’t concerned.

Liu Banxia was quite at ease, not having to worry about this matter. He wouldn’t have thought of seeking external help to accomplish it.

Wang Chao was different, having exposure to such matters from a young age, he could find more efficient ways to handle them.

That’s all; he’s truly at ease, with a buddy to help.

Indeed, he shared too much with the interns today, reflecting his own feelings.

During last night’s consultation, he wasn’t professional enough.

Preoccupied with system issues, he was somewhat distracted. Luckily he pulled through, but he couldn’t share those thoughts with anyone.