The Enhanced Doctor

Chapter 1165: Chapter 1165: A Compromise Solution

Xu Yino’s actions were quite thorough, and when she returned, she had almost emptied the patient’s room.

"You’ve done a pretty good job," Liu Banxia said with a smile.

"See for yourself," Xu Yino replied with a hint of pride.

"Not only did I bring all these over, but I was also worried about missing something, so I took photos and videos of the room. If we still can’t find the allergen, I’ll go insane."

"I estimate you’re going to continue to be insane," Liu Banxia said.

Xu Yino was stunned for a moment, "Teacher Liu, did you find it?"

Liu Banxia shook his head, "After thinking it over carefully, for the patient to have such a severe allergic reaction, it’s probably something inhaled."

"So, either they ate something or inhaled something. All these seem harmless. Plug in the humidifier and let it run for a while."

"Anyway, it’s the most suspicious among these. If it’s not that, then I have a very immature idea, but I can’t say it now."

The humidifier is a common household appliance, but for many people, it can also be a breeding ground for mold.

Many people just use it without cleaning it. Over time, mold can grow in the water reservoir of the humidifier. This mold can be released with the mist, affecting health.

According to Liu Banxia’s theory, this could be something that causes an inhaled allergic reaction.

"Teacher Liu, what method?"

Xu Yino asked foolishly, her interest shifting away from the humidifier.

"Recreate the scenario," Liu Banxia said lightly, shuffling to one side.

"Recreate the scenario... oh my God."

Xu Yino muttered something, her reaction was almost the same as Xu Hui’s.

Not only was Xu Yino dumbfounded, but the people around were also a bit stunned. Especially the patient’s boyfriend, who was not just confused but also dumbstruck now.

His mouth was half-open, staring at Liu Banxia together with others without moving.

After bringing his girlfriend over today, he felt that this examination was somewhat abnormal.

They were asking about things they shouldn’t be asking and doing tests they shouldn’t be doing. His heart would have collapsed if it weren’t so strong.

Actually, Liu Banxia was also quite perplexed; he couldn’t think of any other methods. He was wondering whether the allergic reaction was induced by the endocrine system under those specific circumstances.

But this isn’t something easy to recreate, and it might even lead to conflict.

However, as a baseline check, there was at least an alternative plan.

Currently, the patient intake at the emergency center had increased significantly.

This was expected; both happiness and unhappiness could lead to excessive drinking. After drinking too much, one might become emotional and prone to fighting.

These are the two main groups visiting today: patients with alcohol intoxication and trauma patients.

There’s also a smaller group of patients with foreign objects. Although less frequent, they’ve already admitted three, which exceeds the usual number for this period, marking it as a "holiday complication."

In fact, even today’s allergy case might have something to do with her romantic involvement with her boyfriend, according to Liu Banxia. But it’s just a direction of speculation, with no clear evidence yet.

"Teacher Liu, we tried the humidifier too; there was no reaction." Xu Yino walked back in dejectedly.

Liu Banxia nodded, "As expected, see if Xu Hui is busy. If not, call him over."

"Teacher Liu, are you thinking about investigating the scenario recreation? It’s hard to recreate, isn’t it? Plus, the patient’s parents are here too," Xu Yino whispered.

"Oh well, we’re just discussing whether the theory holds true. We can’t actually recreate it," Liu Banxia said helplessly.

"Oh, I’ll go have a look then," Xu Yino said and ran out.

It was somewhat reassuring to know the audacious big devil hadn’t gone completely nuts to try anything. There’s a chance they might get a complaint, and this kind of complaint is not easily explained away.

"Seriously, why did you call me? Can’t you let me peacefully finish my work for today?" Xu Hui grumbled as he walked in.

"There’s no reaction from the humidifier, so we’re going to study whether my seemingly absurd theory could hold any possibility," Liu Banxia said.

"My theory is that during intimate moments, the body’s endocrine system, especially the gonadal system, goes into overdrive. Could it be the reaction was triggered by a spike in estrogen or another hormone?"

"Anyway, I think the best bet is to look for causes within the patient’s body. Although it seems unlikely, it’s the only possibility for now, right?"

"Teacher Liu, what about that cyst? Could it be related? Parasites don’t always show up in tests either," Xu Yino said.

"I was really considering it just now, unless it’s echinococcosis, but our CT clearly shows it’s solitary," Liu Banxia said.

"We have also treated a case of echinococcosis before. At that time, the patient showed unexplained weight loss. However, echinococcus larvae are usually multiple and like to parasitize in the liver and lungs."

"Let’s keep this as a backup consideration, and later check the patient’s cyst with an ultrasound. If there are signs of shrinkage, it indicates it’s an inflammatory pseudocyst."

Xu Yino nodded, agreeing with this assessment.

"Banxia, have you ever heard of such a case before?" Xu Hui asked.

"If there were really such a case, I’m afraid it would have been reported many times. This would be a very special topic with many people researching it."

"So now I’m somewhat uncertain, unsure from which aspect to consider it. If we are to investigate, how should we proceed?" Liu Banxia said with a bitter smile.

"If this were abroad, you might actually accomplish something by reproducing the scenario. But here, don’t even think about it; it’s simply impossible."

Hearing his words, Xu Hui felt somewhat resigned.

It seemed Liu Banxia’s thoughts were still on this issue, but how could such a thing be easy to handle? He didn’t even dare to think about it.

"Well, I’ll go do an ultrasound on the patient first and see what’s up with the cyst," Xu Yino said.

"Go ahead. We’ll think of something else. For now, the patient’s condition is still quite good, with no recurrence of allergic reactions," Liu Banxia nodded.

Doing a biopsy on the cyst is too risky. So using ultrasound as complementary evidence is quite a good approach.

Of course, there may not be such a quick change; you still have to see if the patient’s cyst is an inflammatory pseudocyst. Typically, a cyst of this size can be absorbed.

"Did you actually consider echinococcosis?" Xu Hui asked curiously.

Liu Banxia nodded, "At the time, there was just a feeling of déjà vu, but none of the expected symptoms presented. The abdominal cavity was so clean, and there was just one cyst on the pancreas, which very likely is still an inflammatory pseudocyst."

"True, often when an echinococcus cyst ruptures, there’s an allergic reaction. If she truly had echinococcosis, we could also see it on the CT."

"That mass of the cyst is still quite apparent; the possibility of it being an inflammatory pseudocyst is quite high. However, we can’t rule out the possibility of it being primary, right?"

"My principle regarding this cyst is to observe first. If signs of regression appear, we will treat conservatively. If it does not change or increases, we will have to surgically remove it," Liu Banxia said.

"The significance of biopsy is not great; after all, the cyst will be removed, so why suffer through it? True cysts are even easier to handle; just peel them off."

"Since you’re the surgeon, you decide. If you can avoid surgery, don’t do it. The invasiveness of surgery is too great; especially this is the pancreas, and the postoperative complications are too many."

Currently, the discussion regarding this patient has once again reached a stalemate.

Actually, in Liu Banxia’s heart, he hopes it is echinococcosis. This way, he could try antiparasitic medication first. If taken for a few days, perhaps the larvae could be eliminated.

However, all current indicators do not align with echinococcosis. Even if there was another cyst on the pancreas or cysts on the liver or lungs, he felt he could try medication first.

Still feeling a bit unsettled, as he walked out of the office, he happened to see Xu Yino walking over.

"Finished?" Liu Banxia asked.

"The cyst hasn’t changed. The ultrasound teacher also carefully scanned the liver and lungs, spleen, and kidneys, but didn’t find other cysts," Xu Yino said.

"Let’s not focus on this for now, as there are more patients today, and observation remains the priority for her," Liu Banxia said.

"Her current condition is still decent, with no further allergic reactions. In such circumstances, until we have figured out a new examination method, let’s not disclose too much to them."

"Sigh... Teacher Liu, I’m really at a loss now. We’ve done all the necessary exams, so what’s the underlying reason?" Xu Yino said with a strained expression.

"Are we really going to try it? If so, you’ll need to be the one to explain it to the patient, Teacher Liu. Others definitely can’t handle it."

She now sees Liu Banxia’s "scene reenactment" as highly constructive, but her instincts tell her it’s too far-fetched.

"Eh? Teacher Liu, what’s up?"

After saying this, Xu Yino sneaked a glance at Liu Banxia, only to find his brows furrowed in deep thought, which startled her, fearing she might be accused of ’inciting’.

"I just thought of a compromise; I really have the brain of a pig," Liu Banxia said.

"It’s hard to detect endocrine issues; could there be an organic lesion? Tell the patient to have a gynecological ultrasound for a detailed check."

"Uh... Teacher Liu, is that possible?" Xu Yino hesitantly asked.

"What else can we do? This is the only method I can think of. Otherwise, we’ll have to remove the cyst to see if it’s a teratoma," Liu Banxia said.

Xu Yino thought for a moment and nodded.

Although the examination seemed a bit far-fetched, given the patient’s current situation, it indeed seems rather appropriate.

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