The Enhanced Doctor

Chapter 1164: Chapter 1164: Everyone Is Curious

Director Zhao, who manages the lab, looked at the big crowd gathering around, feeling somewhat helpless.

"Honestly, you all are doctors, right? Why are you so curious?" Zhao Tieping said helplessly.

"Director Zhao, we are concerned about the patient’s symptoms," Liu Banxia said.

"You’re the deputy director, aren’t you? There are so many things that need your attention, yet you’re leading them in this commotion," Zhao Tieping said.

"We’re screening for allergens, just in case it’s really the cause," Liu Banxia replied earnestly.

Xu Yino and the others looked rather relaxed, as they were indeed very curious.

"Teacher Liu, if the diagnosis is confirmed, will there be times when there’s no allergy? Might it improve with better immunity and then become a non-issue?" Liu Yiqing asked.

"It’s hard to say; it still depends on her immune condition," Liu Banxia responded.

"The simplest example is hives—many allergens are active during an outbreak. Once immunity improves, things go back to normal."

"Even for those with a sensitive constitution, it doesn’t always manifest; often, it’s seasonal sensitivity to certain substances."

"There are many who are allergic to ultraviolet rays, especially in our northern regions. It occurs most easily in the hot, dry summer weather, while in the south, despite more sunlight, it’s often fine due to the humid climate."

"So there’s still a challenge here; if undiagnosed, how do we screen allergens? While hopeful, we must also think carefully."

"Teacher Liu, I think we have no other option but to visit the patient’s home, like last time," Xu Yino suggested.

"Maybe it’s due to decreased immunity, where normally harmless substances at home become allergens. Let’s check the bed; even ordinary substances could be culprits."

Liu Banxia nodded, "Although Xu Yino seems eager for an outing, her approach is indeed a plausible solution."

"Teacher Liu, can you compliment me more sincerely?" Xu Yino said helplessly.

Zhao Tieping laughed along, as this lively group seemed always filled with joy.

"The results are out, and the test is negative," the lab technician, Chu Hongmei, remarked.

"Well, wasn’t that an empty celebration?" Liu Banxia shrugged.

"Teacher Liu, did you anticipate it being negative?" Liu Yiqing asked.

"What are you thinking? I’m not a seer who can calculate things like that. I thought Qiaoqiao might get lucky and be happy if it turned out positive," Liu Banxia replied.

"Brother Xu, do you have any guiding opinions? The culprit is hidden again, how do we uncover it?"

"Don’t ask me, I’m at a loss. Maybe let Xu Yino make a home visit, like the pottery couple last time; they found the issue at home," Xu Hui said.

"Teacher Liu, car keys," Xu Yino extended her hand.

"Don’t you have your own car?" Liu Banxia asked.

"No money for gas," Xu Yino replied bluntly.

What more could Liu Banxia say?

For now, he felt there was really no other option. External substances, including her boyfriend, had been ruled out, so the allergen must be in that room.

"By the way, how were the stool test results?" Liu Banxia asked.

"Negative, it’s really hard to pin down this cyst situation," Liu Yiqing replied.

Liu Banxia nodded, "Before going, thoroughly ask the patient what they were exposed to during that period. If necessary, bring all the bedding back to test one by one."

"Liu Yiqing should stay at home to prevent being called for other female patients; it’s better to leave someone here. Anyone else can go if interested, but no pressure."

The glimmer of hope that once appeared faded back into darkness. This particularly allergic patient was really challenging for Liu Banxia.

Typically, such severe allergic reactions in patients are caused by food or fine particles. Other materials contacting the body might only cause localized skin reactions.

Therefore, he thought even if Xu Yino and the others went over, they might not necessarily find anything.

But still, there was a chance they might notice something if anything had been overlooked.

It may not be intentional concealment but perhaps just a neglect of common knowledge.

The situation was complex at the time; even if they tried to recall now, they might not remember the full sequence of events.

This is life, not art; there’s no script.

Yet, in his mind, something still felt off, as this patient’s condition seemed oddly familiar.

Not the person, but the way the symptoms presented.

Maybe it’s because I’ve been dealing with quite a few allergy patients, and many of them show severe symptoms, that I feel this way.

Actually, this is normal. The more patients you see, the more similar cases you encounter, so sometimes you get this illusion.

"I have no more incantations left; the rest is observation. We’ll monitor her subsequent reactions. If there’s no recurrence of allergic reactions, let’s proceed to treat her pancreatitis and pancreatic cyst," Xu Hui walked into Liu Banxia’s office.

Liu Banxia nodded, "I just thought it over for a while and reached the same conclusion. We’re left with observation as our primary option. Let’s discuss the patient’s pancreatitis now."

"Looking at the patient’s lifestyle habits, we’ve ruled out alcoholism, overeating, and biliary system diseases as causes; it’s quite complex."

"The patient also doesn’t have a history of surgery, so it can’t be caused by pressure on the pancreas during an operation. Other possibilities might be infection or injury?"

"That’s about right, with primary causes being more likely. While contusions could also cause such a condition, the chances are very low," Xu Hui said.

"Could it be caused by the cyst? However, it might be a primary tumor or teratoma, but then again, the blood test results don’t show anything obvious."

Liu Banxia had considered these issues, but the current test results didn’t support any of them.

This left him feeling quite overwhelmed.

"It seems that the crux of the problem might still be the cyst? What if the pancreatitis was initially caused by a past biliary condition?" Liu Banxia asked.

"The biliary condition has resolved, so we haven’t found anything on the ultrasound and CT. It’s just that the patient has an allergic disposition, weaker immunity, and a unique pancreas, which is why it hasn’t healed?"

"Is the patient’s current state a result of the interaction and mutual influence between an allergic disposition and pancreatitis? Can we consider it from this perspective?"

Xu Hui frowned and nodded slowly, "This scenario is worth considering, although the probability is low. But the human body is complex, and even low probabilities are possible."

"Are you considering a direct biopsy of the patient’s cyst? I feel that if you perform the procedure, the chance of complications will be lower."

"Sigh... I’ve always had an inexplicable fear of the pancreas," Liu Banxia said with a wry smile.

"Don’t be fooled by the fact that I’ve participated in pancreaticoduodenectomy and total pancreatectomy surgeries, but the pancreas is truly a peculiar organ."

Xu Hui glanced at him and nodded with understanding.

The pancreas is in a unique location, deep in the abdomen, surrounded by many organs and blood vessels. It’s easy to accidentally injure them during a puncture.

Plus, the patient’s pancreas is inflamed, making pancreatic leakage highly possible after a puncture, which would make things even more troublesome.

For organs like the stomach, spleen, or liver, biopsies aren’t much of an issue.

Though there’s a chance of complications, the procedure is simpler, and complication chances are lower.

Therefore, offering the current patient symptomatic treatment with observation as the main approach is a very appropriate treatment strategy.

At that moment, Liu Banxia’s phone rang.

"Have you arrived?" Liu Banxia asked after answering the phone.

"Teacher Liu, they’re just ordinary items. We’re packing the beddings and nightstand. We’ll take everything back in a bit," Xu Yino said.

"Moreover, her boyfriend just received a call; the patient’s parents have arrived in Binhai City and are currently heading to our emergency center."

"Alright, once they arrive, I’ll have Liu Yiqing receive them," Liu Banxia said before hanging up the phone.

"No findings?" Xu Hui asked.

Liu Banxia shook his head, "Actually, I was just thinking, could it be the patient’s physiology causing the allergy?"

"A safe living environment, a non-allergic boyfriend. What do you think if we recreate the scenario? Isn’t it a bit far-fetched?"

Xu Hui rolled his eyes, thinking that Director Liu’s imagination was too wild. How would you recreate such a private scenario in a hospital setting?

This isn’t about making something where you can start over again; it’s a private matter in a clinical setting.

"Haha, I’m just out of options here, so that thought popped up. I’m not doing it because I’m playful," Liu Banxia said with a smile.

"Just focus on solving this patient’s issue, so you can get a good night’s sleep," Xu Hui said.

Liu Banxia nodded helplessly.

Indeed, until then, it’s hard to get a good night’s sleep with this on his mind.

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