(Thanks to Jiu Tou SKY for the reward, and to Wu Zhu’s Cloud, Xiao Guo xxxxx, An Lin Xiao Xiao’s Moon Ticket for encouragement)

"President Qi, it’s almost time to get off work. Let me gather the six interns and have a meeting. You guys hang in there."

Liu Banxia walked over to Qi Wentai’s side.

Qi Wentai nodded, "Alright, there aren’t many patients coming in on their own at this time. If we really get busy, I’ll call you guys over."

Liu Banxia waved, and the group scattered in the lobby followed him to the small conference room.

It wasn’t just the surgical interns who followed, but also those from internal medicine.

"It’s a bit crowded, find a spot for yourselves, it won’t take long, and it won’t delay your dinner," Liu Banxia said with a smile.

"Su Wenhao, Huang Bo, the lab results for your two patients should be out by now, right? Give us a report so everyone can hear."

"My patient has been confirmed with Type B Encephalitis and has been sent to the ICU," Su Wenhao said.

"My patient has been diagnosed with a humoral immune deficiency, Common Variable Immunodeficiency (CVID). Currently receiving symptomatic treatment and immunoglobulin therapy in the ward," Huang Bo stated.

"Since the patient also has PCP pneumonia, we need to monitor and adjust constantly. If it affects the respiratory system, we’ll need to intubate and transfer to ICU at any time."

Ding! Task of the strange pneumonia patient completed

Gained 200 experience points, Glory Points +2

This task was rated as perfect, gaining 300 experience points, Glory Points +5 +3

Liu Banxia nodded, "The reason I gathered you all here today is because today’s reception situation is somewhat representative."

"We also saw some emergency trauma patients, but their issues weren’t significant. Whether it’s debridement or surgery, there’s no life-threatening risk."

"It’s these two patients, one referred from emergency and one self-admitted, who were really severe and tricky, even dangerous."

"Here, I have to commend Su Wenhao and Huang Bo verbally. Consider it a mental encouragement, and celebrate with a better dinner on your own."

The interns and resident doctors laughed; it was rare. It was the first time they saw Liu Banxia commend someone so directly since they arrived.

In the past? A nod would suffice, none of that unnecessary business.

"As I just said, these two patients have a certain representativeness. It’s not just about their conditions; one has passed the peak period and contracted Type B Encephalitis. The other is a rare disease," Liu Banxia continued.

"Actually, these two cases, aside from the conditions themselves, indeed have some representativeness. Does anyone want to guess what I’m going to say next?"

"Teacher Liu, is it about standardizing the reception process?" Cui Jia asked.

"Can’t you be more confident? Remove the ’Is it?’," Liu Banxia said with a smile, nodding.

"That’s exactly it, because these two cases are significantly representative. Now, guess why Su Wenhao’s patient is worth discussing."

"Teacher Liu, I think it should take into account instrumental checks in the diagnostic process," Zhang Pengfei stated.

"I was involved throughout the whole reception process. Dr. Su considered the possibility of encephalitis when receiving the patient. But since there was no clear headache indication, no brain CT or lumbar puncture was done."

"Once new symptoms appeared, a lumbar puncture was directly performed for confirmation. It means we need to conduct diagnostic checks according to the correct procedures and standards."

Liu Banxia nodded again, "That’s indeed one aspect. Due to the complex doctor-patient relationship, we need to be cautious with invasive checks, although non-invasive ones are fine."

"Furthermore, aside from some routine instrumental checks, other checks need clear indications. It’s not just about what we think; patients or their families also need to understand. Anyone else want to add something about this patient’s situation?"

The small conference room fell silent, as nobody could think of what else to add. Those with experience guessed it might be a trap Liu Banxia set, waiting for them to fall in.

"Liu Yiqing, how about you give it a try?" Liu Banxia started calling out names.

"There are many aspects to note," Liu Yiqing said calmly. 𝗳𝗿𝐞𝕖𝘄𝗲𝕓𝗻𝚘𝚟𝕖𝐥.𝚌𝕠𝕞

"The child’s father is emotionally agitated, so we need to maintain good communication. Also, since Type B Encephalitis is an infectious disease, we need to pay extra attention and at least try our best to explore the infection source."

"This patient was likely transmitted by mosquitoes. Although it’s not peak season now, the weather is warm, and there are quite a few mosquitoes. The patient has a history of mosquito bites, so it’s pretty reliable."

"Great, great, Liu Yiqing, you can reward yourself with a chicken leg tonight," Liu Banxia said with a smile.

"Thank you, Teacher Liu, I’ll come find you for the meal card later," Liu Yiqing replied with a grin.

"Pfft"

Li Hao couldn’t hold back. It’s the first time he realized Liu Yiqing’s response was so quick, coming up with this idea.

The others also had a bit of a smirk but dared not laugh out loud. If Xu Yino did it, it would be understandable, but this is Liu Yiqing, lacking Xu Yino’s mischief.

Liu Banxia gave her a helpless look, fumbled in his pocket, and slid the meal card over.

"One slip, a thousand regrets; a chicken leg extorted away," Liu Banxia sighed.

"Back to the patient, what Liu Yiqing mentioned earlier is the key point. It’s about how we handle patients with potential contagious threats."

"The hospital has relevant regulations, but I feel many of you hardly ever read them thoroughly. It’s better to gather you all together for a group discussion."

"High fever patients usually also have severe infections. Some of these infections only affect the body itself, while others are contagious."

"Especially some viral infections; some spread through blood, some through secretions, and some through the air."

"Therefore, when seeing patients, we must do a good job of relevant protective measures, to protect ourselves to the maximum. For you never know the condition of the patient you’re diagnosing."

"If the patient shows symptoms with a trend of infectious diseases, then decisive handling is needed. But it’s not about isolating the entire emergency center, that’s too broad; a limited isolation will do."

"Alert the surrounding medical staff. If instrument checks have been done, communicate promptly and ensure good disinfection. Our emergency center has admitted several infectious disease patients, the most memorable being a foreign measles patient."

"It was Wang Chao who admitted this patient, and it raised quite a stir. Luckily, it was resolved smoothly in the end, since it involved a foreign friend."

"This situation is very important; it’s about preventing hospital infection as much as possible. If hospital infection outbreaks, many minor conditions can become major symptoms."

"This is something we need to be particularly aware of in our future patient admissions. Let me emphasize again, patients with high fever, acute abdominal pain, or chest and back pain need extra attention."

"Moving to the next topic, what kind of representativeness does the patient received by Huang Bo have? Any volunteers to speak up? I know some of you are playing along with him, you need to strive."

"Teacher Liu, is it about the importance of reasonable suspicion during the first diagnosis?" Chen Dongmei asked.

"If Doctor Huang hadn’t made an initial judgment of PCP-type pneumonia right away, the subsequent diagnosis could have been delayed, wasting more time."

Liu Banxia nodded, "What you explained isn’t far off. There is indeed this consideration. However, you haven’t quite peeled back the phenomena to reveal the essence; this case’s essence is the diagnosis of a composite symptom patient."

"Many patients we admit show symptoms after hospitalization that may not be from a single disease. Take this patient for example, the main exhibited symptom is PCP-type pneumonia, which is dangerous."

"But its level of danger doesn’t surpass the fundamental disease that gives rise to it, which this is a special example. And many patients might have various composite symptoms."

"So the first step in admitting patients is to ask if they have a history of basic illnesses like hypertension, diabetes, heart disease. Some people may have two, three, or even more composite symptoms during admission."

"These symptoms may potentially interact, affecting our judgment. What we can do is exhibit enough patience to sort out these symptoms."

"Nowadays, transportation is very convenient, and people are highly mobile. Many regional diseases may now break out nationwide. By flipping through our emergency center’s medical records, you’ll see we’ve admitted many such patients."

"Diagnosing these types of patients is very difficult. Not just for us; even very experienced old doctors can be deceived by some superficial symptoms."

"As for today’s patient, they have a history of diarrhea. Whether PCP-type pneumonia or CVID, both can cause patient diarrhea, hence it’s quite confusing."

"Ultimately, in one sentence, in diagnosing, attention to detail is crucial. One must consider all symptoms comprehensively, and have the ability to classify some symptoms."

"It’s a test of our understanding of various symptoms, and cannot be entirely based on textbook teachings. Because many patients will exhibit unique traits, making symptoms play hide and seek with us."

"Alright, today’s summary meeting is over. Even if there are uncertainties, that’s how it is. Ask Xu Yino and the others; I need to go home to see my wife."

After finishing, Liu Banxia strolled out. It did indeed take some of his time to get home and see his wife, must hurry.