Chapter 319: Chapter 312: Settling the Mind (Part 2)

“Dr. Li, what do you think about the follow-up treatment for this patient with Fusarium infection?”

Zhao Heng asked again. Li Yang actually has extensive experience in emergency medicine. As a senior attending physician in the emergency department, Li Yang has always been the mainstay in critical emergency care.

So, Zhao Heng was quite eager to hear Li Yang’s advice. After all, in clinical thinking and treatment, the greatest fear is overlooking potential blind spots.

Since they are blind spots, one would not be able to spot them on their own. Although Zhao Heng has now integrated the experience and skills of all the best doctors from Eastern Hospital, this doesn’t mean that the treatment plan he proposes is 100% correct and appropriate.

No one dares to claim 100% certainty in medicine.

“Actually, in the past, doctors generally believed that amoebas were unrelated to human disease. However, in 1965, amoebic meningitis was discovered abroad, and it had a very high mortality rate. In terms of routes of infection, when people swim in rivers, lakes, or ponds or wash their noses with contaminated water, amoebas can enter the nasal cavity, proliferate, then pass through the nasal mucosa and cribriform plate, ascend along the olfactory nerve to the brain, and invade the central nervous system.”

“Therefore, the greatest threat of amoeba infection to the human body is acute meningitis. The symptoms and biochemical changes in the body caused by amoebic acute meningitis are quite similar to meningococcal meningitis, and I believe the treatment methods for meningococcal meningitis can be used as a reference.”

Li Yang spoke eloquently. It was evident that after arriving at this ward and seeing the patient with Fusarium infection, he had gone back and done detailed homework the previous night.

This also showed that he was a thoughtful person. His time in the emergency department was indeed a bit of a waste of his talents.

He explained the pathogenic process of amoebas in great detail and also proposed a treatment plan, which was impeccable both in terms of experience and academic knowledge.

“Hmm, Dr. Li, what you said is very good, could you elaborate on this treatment plan?”

Hearing Li Yang’s explanation, Zhao Heng felt enlightened. As the saying goes, when an expert takes action, you can immediately see if they have the goods.

What Li Yang said was basically in line with what Zhao Heng had in mind. Now Zhao Heng was more interested in whether Li Yang could give a pleasant surprise in the specific treatment plan.

It must be known that when the experienced Zhao Heng, who has integrated almost all the expertise of the top doctors at Eastern Hospital, examines a patient and proposes a treatment plan, it’s essentially a grand consultation of all the department chiefs at Eastern Hospital.

And if Li Yang could align with Zhao Heng’s thinking in this regard, it proved that Li Yang’s level was also quite high.

“In terms of general treatment, for acute meningitis, it’s crucial to closely monitor, timely detect changes in the condition, ensure sufficient fluid and electrolyte levels, maintain care while keeping the skin clean to prevent petechiae from breaking and causing infection, while also maintaining airway patency and preventing complications.”

“However, for this patient, I believe the most important action now is to treat it according to the standards for explosive meningitis, not only controlling cerebral edema and preventing brain herniation but also preventing the occurrence of acidosis shock and DIC in the patient.”

Li Yang methodically laid out his treatment plan.

“Yes, Dr. Li, you have experience, how about this: for this patient, besides nanotherapy, I’ll leave the rest of the treatments to you, Dr. Li.”

After hearing Li Yang’s treatment plan, Zhao Heng nodded with satisfaction. What Li Yang proposed was generally very similar to his own thoughts.

Establishing such a treatment plan requires extremely rich experience and very accurate judgment.

Zhao Heng had already performed nanotherapy for the patient, solving the most difficult problem of Fusarium activity and proliferation. Therefore, the following symptomatic treatments could entirely be entrusted to a senior attending physician with rich experience like Li Yang.

This could also alleviate part of Zhao Heng’s workload. Zhao Heng is not a god; he is just a person, and he does not have omniscience or omnipotence. Even if his skills are high, he cannot be in multiple places at once, so his capabilities have a limit.

Therefore, Zhao Heng tackles the core and most challenging problems, while other parts are handled by experienced doctors who are capable of performing such tasks. That’s the most suitable arrangement.

Zhao Heng also feared that he would be overwhelmed with work; even with the system backing him, he wouldn’t be able to manage everything.

“Huh? Leave it to me?”

Li Yang was astonished, taken aback by Zhao Heng’s decisiveness and trust.

It’s well known that to be part of this patient’s treatment is a sought-after and coveted opportunity by all doctors at Eastern Hospital. The hospital director and department leaders are paying close attention to this patient; getting involved in their treatment could earn one a good reputation in front of the director and leaders.

Li Yang didn’t expect that after just arriving at the ward, Zhao Heng handed him such a significant opportunity.

It’s important to note that the most challenging and unresolved part, suppressing the activity of the Fusarium infection, had already been addressed by Zhao Heng through nanotherapy.

The subsequent treatment for this patient mainly involves symptomatic treatment for acute meningitis and cerebral edema, which physicians with some emergency experience could competently handle.

During his many years in emergency, Song Siming never gave him such an opportunity. Otherwise, had he showcased his skills earlier to the hospital leadership, Li Yang might already have become an associate director.

Thinking of this, Li Yang couldn’t help but feel touched.

As the saying goes, one dies for those who appreciate them. Li Yang began to feel this way towards Zhao Heng.

“Yes, I need to draft a treatment plan and follow-up on the nanotherapy, so I’m really stretched too thin. Dr. Li, you have abundant experience in acute and critical care. It’s only appropriate to entrust routine symptomatic treatment to you.”

Zhao Heng nodded as he spoke; his words were factual. Since Li Yang had come to the ward and indeed had the ability, and Zhao Heng was indeed too busy, entrusting it to him was the most appropriate choice.

“Dr. Zhao, I’ve just arrived. Is this appropriate?”

Li Yang asked hesitantly, still a bit cautious from his time in the emergency department.

“Dr. Li, you’re a ward doctor, responsible for the ward’s patients. There’s nothing inappropriate about it. But one should be mentally prepared for no rest in the next few days.”

Zhao Heng smiled and replied. He was aware of some of Li Yang’s concerns.

After suffering such a major setback in the emergency department and being there for so many years, it’s normal for him to feel some caution and uncertainty now.

“Hmm, thank you, Dr. Zhao.”

Li Yang felt a warm flow in his heart, sensing that Zhao Heng was helping him quickly integrate into the ward team.

This was a feeling Li Yang never experienced in the emergency department.

“We are a team now, Dr. Li. Frankly, working in this ward is not much easier than in the emergency department.”

Zhao Heng spoke earnestly. While he could assure that the work atmosphere in his team and ward was the best in the entire hospital, the workload and pressure were accordingly high. After all, in this special ward, they tackle difficult and elusive cases from all over, and treatment for each patient is no easy task.

“Dr. Zhao, I’m not afraid of hardships. I believe anyone who chooses to be a doctor should not fear hardships.”

Li Yang replied quickly.

“That’s good to hear, Dr. Li. I’m aware of some of what you went through in the emergency department. This ward now belongs to the Anesthesia and Perioperative Medicine Center, and as the center is currently in its initial stages, I believe your stay here will not be regretted.”

Zhao Heng candidly spoke his mind. He didn’t engage in mere promises; having been deceived once, one shouldn’t be deceived again, or else one would be genuinely foolish.

“Hmm, I also believe my choice is correct.”

Li Yang nodded. Listening to this, he felt even more certain that his choice was correct. Instantly, his previous dejection was swept away, and he was filled with vigor and determination to pursue his career!

Source: Webnovel.com, updated by NovelKeep