Chapter 963: Chapter 963: Milking Liu Banxia for All He’s Worth

(Thanks to Coffee Bean Bendee, Feng Lan Qiyi, Nina Selina, Northern Old Night Wolf, Be Gentle When You Talk To Me, QinHanTangMingDi, a5022069, Pirate Flag Xino, I’m Crazy For Reading, Gentle Hooligan, Little Ghost Infinity, Straight-A Student’s Dad, baochong, Zhi Yi, silencelee23, Reading Till It Falls Apart, Don’t Understand Reading Big Meetup for the monthly ticket encouragement)

"The mood is a bit gloomy. Don’t you have anything you want to say?" Liu Banxia spoke up.

Su Wenhao glanced at him, looking like he wanted to say something but held back.

"Looks like Su Wenhao has something on his mind. Say a few words." Wei Yuan had noticed his expression and said with a smile.

"Actually, I feel like we’ve been misled by Teacher Liu again. Uh... basically led off track." Su Wenhao said a little awkwardly.

Xu Yino and the others were stunned. Off track again? How could this be off track? This is a real, concrete problem.

"Comrade Old Su has his own opinion, very good, keep going." Liu Banxia nodded with a smile.

"I think one core issue in our consultations is not whether we’re afraid of potential complaints from patients, nor whether we’re worried about having done overtreatment." Su Wenhao said.

"What we should care about are the patient’s clinical indications. As long as there are indications, any reasonable judgment we make is within the rules."

"If there are no reasonable indications, then even the smallest test we order is outside the rules, and very likely to attract complaints that we can’t justify."

"When Teacher Liu saw Wang Mingxing in the first place, he also noticed Wang Mingxing’s back pain and scleral jaundice, and that’s why he had further reasonable suspicion."

"It’s just that even though Teacher Liu talked about Wang Mingxing’s case just now, he didn’t spell these things out. Teacher Liu has said before that during consultations, we’ll be intentionally or unintentionally led by the patient’s narrative."

"Last time, that patient with vitamin B1 deficiency hid his drinking history. He described long-term drinking as occasional drinking, which made our diagnostic process much more difficult."

Listening to Su Wenhao, everyone suddenly felt things clear up. Right, the Big Demon King had dug a pit for everyone again.

He steered everyone’s focus onto the possibility of getting complained about. Once you start worrying about that, you don’t have time to think about anything else.

Teacher Liu is so bad; he just loves digging pits for us.

He started digging as soon as everyone walked in, digging pits all the way. Then everyone happily jumped right in and agonized over something that didn’t need agonizing.

Look at how smug he looks—really makes you want to smack him a few times.

Xu Yino glared angrily at Liu Banxia, and the others were pretty much the same. This lesson was really profound. Even though they clearly knew they’d been totally played by Liu Banxia, they had no way around it.

It’s just like diagnosing a disease—when patients come in and give you information, you have to sort out which parts are useful, which are useless, and which should be marked with a question mark for now.

"Why so angry? This is just a simple principle, and it’s also a gold standard for us when receiving patients." Liu Banxia said with a smile.

"Indications are extremely important. Whether we can perform an interventional procedure or surgery on a patient requires clear indications. We use those indications and the results of investigations to judge the risk."

"When we prescribe medication for a patient, we also have to refer to their physical parameters. These are also clear indications and our standard for judgment, so we don’t end up overdosing."

"Back to Liu Yiqing’s case: looking at the patient’s actual situation, her consultation process was flawless. Even if the patient came in this morning and only got a confirmed diagnosis by now, there’s nothing wrong with that at all."

"Chinese medicine or Western medicine, whichever it is, if we want to make a definitive diagnosis, we must have evidence and reasoning. I didn’t see Liu Yiqing’s consultation process, but I can picture it."

"When she saw the patient, she definitely asked the basic relevant questions. She’s quite meticulous, and when the blood test results came back she already started to worry, even if at that time she was only worried that the patient might be pregnant."

"But I still trust her; she definitely asked the patient further questions. She’s my student, and the baseline requirement for any student I train is to be detail-oriented."

"Putting all this together, though, Liu Yiqing is still a bit silly. Her ’silly’ part is that when she sees patients, she always gets overly emotionally invested in them."

"This time what she’s hung up on is that she didn’t provide the ’best possible’ diagnostic and treatment service for the patient, that she didn’t diagnose the brain tumor at the very first moment. But not just her—if Director Xiao had seen this patient, he wouldn’t have been able to diagnose it either."

"I haven’t seen the scans, but the patient’s motor coordination system clearly isn’t badly affected right now, which means the tumor is not that big."

Liu Yiqing nodded. "The tumor isn’t big, and the patient has already been transferred to neurosurgery."

"Teacher Liu, what if it were the second scenario? A woman of childbearing age is diagnosed as pregnant. Then she goes home, finds out she isn’t pregnant, and when she’s examined again they find it’s a tumor—what do we do then?" Xu Yino asked.

"What do we do? Cold salad*." Liu Banxia said. (*meaning: there’s nothing you can do.)

"The patient isn’t at fault, because she doesn’t have professional medical knowledge. And Liu Yiqing isn’t at fault either, because the only judgment she could make was based on the test results."

"Actually, there’s another key factor in this hypothetical case, which is the issue of the menstrual cycle. So even if it is misdiagnosed, the patient will soon realize something’s wrong, come back to the hospital in time for another check, and it won’t affect her treatment."

"Ah... I’m gonna lose it, I stepped on a landmine again." Xu Yino yelled dejectedly.

Everyone wanted to laugh, but they also felt the same way. Dealing with the Great Demon King Liu, you really never know when he’s dug a pit for you to fall in.

Because when the Great Demon King Liu set up this hypothetical, he said the patient was diagnosed with a brain tumor a few months later. Then everyone just naturally focused on the serious consequences of a misdiagnosis and ignored the basic conditions for getting pregnant.

That also served as a wake‑up call for the interns: they’ve got to pay attention to this in the future.

Even an "old hand" like Xu Yino still got unlucky and tripped up; as for these fresh, tender newbies, won’t they just get kneaded and squeezed at will by Liu Banxia?

"Alright, that’s it for today’s mini‑class. Whether you choose to be a fool, and what kind of fool you want to be—that’s something you’ll have to decide for yourselves." Liu Banxia said.

Liu Yiqing shot him a depressed look; he was still using her to crack jokes, and she couldn’t even refute it. Because this was the "truth"—she really shouldn’t have been hung up on it that way in the first place.

It’s just that once she had the final diagnosis, she inevitably started to substitute herself into the Demon King’s perspective: if it had been him, he probably would’ve diagnosed it from the very beginning. 𝒻𝑟𝘦𝘦𝘸ℯ𝒷𝑛𝘰𝓋ℯ𝘭.𝘤𝘰𝘮

"You’re really putting them through the wringer," Wei Yuan said after the group left.

"Haha, that’s the only way it’ll really stick in their minds." Liu Banxia said with a grin.

"In the course of seeing patients, there are always all kinds of hassles. Apart from some complicated and difficult cases, avoiding overtreatment is actually quite easy."

"Plus, under the current system, the medical judgments we give have to be based on test results—that’s our protection."

"Honestly, in our line of work, how could you possibly go through it without getting complaints? If you get so scared of complaints that you tiptoe around everything, then this job really is impossible to do."

"We’ve got to help them build the right values. And now we’ve also got more people. Those little meetings we used to organize a lot, we should revive them a bit—do some reviews of interesting cases, everyone can learn a ton from that."

Wei Yuan nodded. "No problem, that also counts as part of teaching and training. You can pick some cases, then pick a time—that’s great."

After saying that, Wei Yuan strolled out, leaving a dazed Liu Banxia standing there.

What the hell? Did I just get played?

It wasn’t like this before. Back then everyone pooled ideas; whenever we found an interesting case we’d bring it up, do a review together and discuss it.

Now look at this, how did it suddenly become part of the teaching workload, all dumped onto my plate?

Wei Yuan walked out in a very good mood; it’s not that easy to take advantage of Liu Banxia.

Today’s little class—never mind the interns, even for him it had some takeaways. A lot of the time, the line between misdiagnosis and correct diagnosis is razor‑thin; it’s really hard to get a perfect grasp of it.

And throughout the whole process of seeing patients, the odds of a misdiagnosis are actually quite high.

Because some conditions get masked by other conditions, the judgment a doctor can make is only based on the results currently in front of them.

So now they might as well let Liu Banxia worry about it a bit more: pick out some representative cases and have everyone discuss and analyze them together—this can help everyone find and patch their blind spots.

Even though he’s already an attending, and a senior attending at that, he still doesn’t dare thump his chest and swear that he’ll never misdiagnose or miss a diagnosis when seeing patients.

The road of practicing medicine is also a road of learning. Who dares say they’ve already learned everything? It’s just a matter of how much you’ve learned.

"Brother Wei, what were you guys fooling around with just now? I noticed when they came out, their energy was through the roof." Wang Chao sidled up next to Wei Yuan.

"Banxia just gave them another lesson—absolutely the real stuff you can’t learn in the classroom." Wei Yuan said with a smile.

"I also just told him to bring out some cases for discussion later. When you’ve got time, talk to him again and get him to pull some surgery videos for teaching."

"Sometimes just watching the operation doesn’t mean you can understand what the lead surgeon is really thinking. We’ve gotta egg him on a bit and make use of this stretch when he’s still relatively free."

"Once his patient volume really takes off in the future, we won’t even have a chance to fleece him. So we’ve gotta hustle and make sure we shear a few big loads of wool while we can."

Wang Chao nodded in agreement. "Exactly, you’ve got resources, you use them. We can’t go squeeze the director, but we can definitely give him a hard time."

So that was their tacit agreement: Liu Banxia would be their next wool‑shearing target, and they were going to shear him properly.