The Enhanced Doctor
Chapter 44 - 044 Liu Banxia’s Decision

Chapter 44: 044 Liu Banxia’s Decision

"Doctor Liu, what are you looking at?"

After leading a patient with a dislocation to get an X-ray, Xu Dan noticed that Liu Banxia kept glancing at her arm. She couldn’t hold back her curiosity; Doctor Liu’s behavior seemed abnormal, and she began to worry.

"Dandan, are you tired? Do you want me to give you a shoulder massage or something?" Liu Banxia asked with a smile.

His question startled Xu Dan, and she instinctively moved closer to Zhou Li.

Liu Banxia didn’t seem to think his words were inappropriate. He appeared lost in his own world, then sat down on the side and began to massage his own elbow and shoulder.

Director Xu’s words had also reminded him. He wasn’t the same person he used to be. In the past, he couldn’t grasp ordinary bonesetting techniques, but now it shouldn’t be a problem, right?

His hands, with their added agility, had much better tactile sensitivity and stability. If he familiarized himself with the condition of joints, could he also master the art of bonesetting?

Since others wouldn’t let him practice on them, he could only feel his own joints. It was still somewhat lacking, after all, as the area being touched would have nerve reflexes.

"Sister Li, what’s going on with Doctor Liu?" Xu Dan asked curiously as she watched Liu Banxia feeling his own joints.

"Who knows what he’s thinking? He’s always like this, having these sudden whims. Don’t bother trying to keep up with him." Zhou Li glanced at him and shook her head.

Xu Dan let out a sigh of relief, glad that Doctor Liu wasn’t going to try anything on her. She had been genuinely startled earlier.

"All you care about is slacking off. Go and make sure the patient gets their X-ray; let Dandan rest for a while." Zhou Li walked over to Liu Banxia and gave him a pat.

Snapping back to reality, Liu Banxia grinned and jogged over to his patient.

"It’s time for your X-ray. Are you still thirsty?" Liu Banxia asked. _{\n(o)v.e\l.com}

"Not thirsty, but my legs are aching... both of them," the patient replied.

"Let me check... Sister Li, call Dr. Zhang! We need a consultation with a nephrologist. This might be acute renal failure!" As soon as he lifted the patient’s blanket, revealing the patient’s calves, which were clearly a whole size larger, Liu Banxia raised the alarm.

Ding! Received 100 experience points, 100 proficiency points in Diagnostics.

His shout was quite loud, and Zhang Yun, hearing his shout, quickly ran over.

"Doctor, what’s wrong with me?" The patient was now visibly terrified.

"It’s likely rhabdomyolysis due to excessive exercise, which can sometimes lead to organ failure. The kidneys are usually the first to be affected. Doctor Zhang, what should we do? Can we call orthopedics?" Liu Banxia explained, then asked.

Frowning, Zhang Yun shook his head. "Suit up, disinfect, and get a scalpel. Who will assist me? We need to perform a fasciotomy to relieve the pressure immediately, or we risk losing both legs."

Qi Wentai and Sun Fengjiao, who had come over, were stunned for a moment. They knew Zhang Yun was talking about a fasciotomy. This was actually a minor orthopedic surgery, but neither of them had any experience with it.

"I’ll do it." Seeing the others hesitate, Liu Banxia began to gown up.

After putting on his gloves, he quickly flexed his fingers. He had never performed such a surgery before either; all he could do was replicate Zhang Yun’s actions as closely as possible. This was necessary to accurately incise the fascia and release the pressure without causing further damage to the patient’s nerves.

"What are you doing?" Spotting their scalpels, the patient became frantic.

"Bear with it, or your legs will be ruined. The rest of you, immobilize the patient, hold down his legs! Liu Banxia, listen to my commands," Zhang Yun directed hastily.

"Two-incision decompression. First incision: enter at the midline between the fibula and the tibial crest to release pressure in the anterior and lateral compartments," Zhang Yun said, also preparing to make the incision.

Liu Banxia nodded, mimicking Zhang Yun’s actions, and also placed his scalpel in the corresponding position.

"Twenty centimeters in length. Cut," Zhang Yun instructed again. Then, his scalpel slowly cut open the skin.

Liu Banxia did the same. As the scalpel passed, streams of fresh blood gushed out, accompanied by the patient’s anguished screams.

The pain the patient was suffering now was far worse than when Liu Banxia had cut open the false healing for the anal fistula patient. It was only because the people beside them were holding him down firmly that they could even make the incisions steadily.

"Second incision. Watch how I do it. Cut."

Liu Banxia’s mind was now highly focused, his hand very steady. This was the medial incision, equal in length to the previous lateral incision and parallel to the long axis of the tibia.

Ding! Received 300 experience points, 150 proficiency points in Diagnostics, and 500 proficiency points in Fasciotomy.

"Phew... Good job. The rest can be handled in the operating room by orthopedics and nephrology." Zhang Yun let out a long breath after putting down his scalpel.

"Dr. Zhang, will the patient be alright? He seems to have passed out," Liu Banxia asked.

Zhang Yun shook his head. "He should be fine for now. The pain probably made him faint. We’ll have to wait for the examination results to confirm if he’s suffering from renal failure. It’s almost certain, I’d say nine times out of ten, and that’s the tricky part to deal with."

"You did well, young man. Your hands are steady. Our efforts just now might have saved the patient’s two legs. You two need to be braver. Not every surgery will give you enough time to prepare."

"Dr. Zhang, I’ll remember this. I was truly scared just now," Sun Fengjiao quickly nodded.

Qi Wentai was much worse than her. Even if it wasn’t that he didn’t dare to do it just now, but rather that he was afraid of taking responsibility if he messed up, he didn’t want to admit it.

"Sigh... When I was treating his dislocation, I didn’t even consider this issue. If we had intervened earlier, wouldn’t it have been less dangerous?" Liu Banxia said regretfully.

"But that doesn’t seem right. He’s someone who exercises regularly, his physique is very good, he’s even stronger than me. Why did he get rhabdomyolysis this time, and in both legs?"

"There’s nothing strange about it. He must have been training too hard recently. We’ve seen many similar cases over the years, and moreover, there are rarely any warning signs before the onset," Zhang Yun said.

"We are doctors, not immortals. The judgments we can make are only after the symptoms manifest. Alright, let’s not discuss it further. Clean this place up. Zhou Li, tell the lab to hurry up with the patient’s test results."

Zhou Li nodded and then ran off directly.

Just as Zhang Yun had said, the main concern for this patient now was not his legs, but his kidneys. There are many cases of acute renal failure caused by rhabdomyolysis, and the mortality rate is very high.

If Liu Banxia felt that orthopedic bonesetting techniques were amazing before, then after experiencing this fasciotomy, he made an important decision. I can’t just focus on general surgery; I need to master minor surgical procedures from all surgical fields.

Not all conditions can wait. If it wasn’t almost time for the patient’s X-ray, or if there had been more patients waiting for X-rays today, this patient’s two legs might really have been lost.

Even if they could be saved, the prognosis would be much worse; forget about sports, even normal walking might be difficult.

I don’t seek to achieve the skill level of an attending physician in orthopedics, but at the very least, I must master simple emergency surgical procedures. The surgical difficulty isn’t high, but they can play a crucial role at critical moments.

What’s affected is the patient’s entire life.