The Enhanced Doctor

Chapter 1198: Chapter 1198: Got the Order of Symptoms Wrong?

"Everyone, watch Huang Bo write, I’ll also give you a brief about the patient’s basic condition."

Dr. Liu said.

"The patient’s medical history: had a thyroidectomy four years ago, no diabetes, hypertension, or other basic diseases. The medications being taken are Six Flavor Rehmanni, plus some vitamins."

"However, I feel that the patient might have taken some kidney-strengthening drugs, but the patient hasn’t clearly expressed it, so Comrade Huang Bo should add a question mark after this item."

"Right-sided waist pain during the visit, Huang Bo’s initial examination shows a small amount of stones in the right kidney, initially judged as kidney stone-induced pain."

"Physical therapy was administered for adjustment, but then a new problem arose. The patient not only has right-side waist pain but also the left-side waist pain."

"To what degree of pain? It’s already causing muscle spasms. And during percussion with Huang Bo and me, the patient couldn’t bear the pain."

"Further examinations include CT scans and enhanced kidney CT, all negative. Let’s brainstorm and see what could be causing the patient’s pain."

"Additionally, at the moment, Doctor Wang and I have no idea how to proceed with the examination, so we’re seeking your help. Feel free to discuss here, or come up with ideas to help us clarify the patient’s symptoms."

The listeners were a bit stunned; how is this supposed to be handled when all examinations are negative?

Additionally, the patient’s pain has been progressive, eventually developing into complete waist pain, which can almost rule out conditions like nephritis.

"Teacher Liu, I’ll go out to check on the patient first." Huang Bo finished writing at this point.

Dr. Liu nodded, "Do well on comforting, just tell him we’re in consultation."

Huang Bo hurried out, not leaving the patient unattended outside.

"Get your brains working, even giving a directional suggestion is fine. Right now, we’re all at the same starting line. It’s New Year, or New Year’s Day, whoever helps diagnose the patient will hit a jackpot." Dr. Liu continued.

Upon hearing this, the group’s eyes lit up brightly.

"Teacher Liu, what are the patient’s blood test results?" Cui Jia asked.

"The blood test results haven’t come out yet, we need to wait a bit. But according to the patient’s description, urination is normal, and the urine color is also normal." Dr. Liu said.

Cui Jia frowned a bit, then began brainstorming.

"Others are also not too eager, currently Doctor Wang and I are also contemplating the patient’s condition." Dr. Liu said.

"Teacher Liu, could it be a drug sensitivity reaction due to medication?" Zhang Hongbo asked.

"This issue currently is a question mark. According to the patient’s description, no strange medications were taken, and as per his saying, if there was a reaction, it should have happened long ago." Dr. Liu said.

"So currently, we’ve marked a question mark on the back, if you’re interested, you can think about it further. Some kidney-strengthening drugs might take the warm tonic route, but if it’s a strong medicine for wolves and tigers, it couldn’t likely be causing muscle strain-induced pain, right?"

"Moreover, muscle strain generally involves bloating and soreness, not like this patient experiencing muscle spasms due to pain."

"That’s why I’m a bit anxious; you all know that only when pain reaches a certain level will muscle spasms occur."

The group also became serious; although this patient was not life-threatening, his pain was certainly urgent.

"It seems everyone’s understanding of surface symptoms is still somewhat vague, let’s go out and see the patient."

After waiting for a while, Dr. Liu said.

Upon hearing his words, everyone stood up together and walked outside.

Indeed, we need to see the patient’s actual condition for an intuitive feel. Maybe we can get inspired by some of the patient’s behaviors.

"Tell me honestly, have you already formed a tendency?" Wang Huan quietly asked.

"I can’t say I haven’t, but it’s a bit fuzzy." Dr. Liu said.

Walking ahead of them, Liu Yiqing suddenly stopped and turned to their side.

"Why are you running over? What I thought of is mine; you need to think for yourself." Dr. Liu said seriously.

"Additionally, I can say the patient’s situation reminded me of a case I handled sometime ago. Gosh, it was interesting."

"But I really can’t tell you. If I’m wrong, it’s too embarrassing, isn’t it? So I can’t tell, really can’t."

Liu Yiqing rolled her eyes, "I’ll tell the mistress back home that teaching students isn’t done properly."

Dr. Liu shrugged, "That’s true. We’re in a consultation together, think for yourself. Isn’t that how it is?"

Liu Yiqing had no more temper.

Looking at the current situation, Teacher Liu surely got the inspiration during the consultation.

Otherwise, according to his habit, if he had formed a tendency early, he would lead the group in on-site teaching consultation.

Because that saves time and helps alleviate the patient’s pain promptly.

A few people heard their conversation and were now quickly brainstorming.

This could be a hint from Dr. Liu, whether or not it’s related to the patient’s symptoms, it can be considered, since they currently have no concept.

Outside, Huang Bo was talking with the patient.

"Doctor, could I have some pain relief medication?"

When Liu Banxia approached, the patients didn’t question why a group of people had arrived.

"For now, it’s really not possible. Bringing them over is to conduct a comprehensive consultation for you. Can I examine you again?" Liu Banxia asked.

"Doctor, no matter how you examine me, it’s fine, as long as you can make the pain go away. I feel like groaning, and I want to cry; it truly hurts," the patient said with a pained expression.

"I’ll give you a massage; perhaps it can alleviate some of the pain," Liu Banxia said.

"It won’t hurt more with the massage, will it?" the patient asked.

"Let’s give it a try. Your condition hasn’t been diagnosed yet. If I give you pain medication, it might mask your symptoms," Liu Banxia said.

The patient nodded after thinking for a moment and obediently lay down on the examination bed.

Liu Banxia rubbed his hands and began to press slowly downward from the patient’s back.

It’s actually quite similar to the technique used by a therapist in a spa.

It left many people puzzled, thinking even if the massage helps relieve pain, wasn’t this approach a bit excessive?

However, Liu Yiqing frowned at this moment.

She knew the "Great Demon King" too well and didn’t think he was doing something useless. Whatever he was doing now definitely had his purpose.

"Pain... pain... hiss..."

As soon as Liu Banxia pressed down on the patient’s lower back, it became too much for the patient.

"Wow... you’re really in a lot of pain. Your muscles are too tense; the whole back is quite similar," Liu Banxia sighed.

"Ah... I understand,"

Liu Yiqing shouted.

After realizing she’d shouted abruptly, she quickly lowered her head.

Does lowering your head help? Everyone now focused on her, shooting eye daggers.

"Liu Yiqing, state your reasoning." Liu Banxia said.

Liu Yiqing bit her lip, "I feel my judgment might be a bit absurd but should I go ahead and share it?"

Wang Huan chuckled, thinking about how the students of Teacher Liu behaved just like Liu Banxia.

"So, um, I think we might have mistaken the order of symptoms for the patient," Liu Yiqing said.

"In our understanding, the pain was causing the muscle spasms. But what if it’s reversed? What if muscle spasms are causing the pain?"

After finishing her sentence, Liu Yiqing lowered her head, ready for any fallout. This was currently the conclusion she had reached.

Upon hearing her, others started contemplating.

Liu Yiqing’s statement seemed plausible. If muscle spasms were causing the pain, it was indeed possible.

It’s like when you get cramps, your legs hurt, right? Cramps are also a representation of muscle spasms.

But what caused these muscle spasms? And to this extent?

"Liu Yiqing, provide the reasons for your judgment."

While everyone was pondering, Liu Banxia spoke up again.

Liu Yiqing looked at him with annoyance, "It’s according to your guidance. It’s similar to the situation of a patient we had recently, and I saw your massage just now."

"Some time ago, we treated a patient who had a history of hyperthyroidism. We didn’t think of it as a historical symptom, so it wasn’t communicated with us. It was eventually identified as hypokalemia, which required emergency intervention."

"This patient underwent thyroidectomy, which also involved removing the parathyroid gland, likely affecting their endocrine system."

"Another judgment is from just now when you massaged, starting from the whole back downward, you mentioned ’the whole back is similar,’ indicating symptoms are present across the whole back’s muscle groups."

"So, your diagnostic conclusion, medication?"

Liu Banxia asked further.

"The conclusion might be that hypocalcemia is causing muscle spasm and pain. For medication, should we use calcium gluconate? We could try it and see if the pain abates," Liu Yiqing said.

Liu Banxia turned to Huang Bo, "You’re the attending physician; you decide."

"Supplement,"

Huang Bo didn’t hesitate for a moment and then looked at the patient:

"Although the blood test results aren’t out yet, Dr. Liu’s judgment is quite indicative. We’ll give you an injection of calcium gluconate. It won’t take an hour to determine the effect."

"Alright, whatever you say is fine, as long as you can relieve my pain," the patient nodded.

After going through so many tests, what’s the fear in getting a shot?

Huang Bo immediately prescribed medication for the patient.

It would take some time for the effect, but even he found himself increasingly convinced that they had indeed mistaken the symptom sequence.

Visit and read more novel to help us update chapter quickly. Thank you so much!