The Enhanced Doctor

(Thanks to Lu Hongzhang for the monthly ticket encouragement)

"Teacher Liu, when did you find out?"

After replenishing the patient's fluids, Huang Bo curiously asked.

"It was when we got to the small meeting room. Didn't I talk about the medical history? Suddenly, I just thought of the thyroid problem," Liu Banxia said with a smile.

"It's also a case of preconceived notions. The patient has back pain, so I naturally thought it was related to the kidneys, but there was nothing wrong with the patient's kidneys."

"This also reminds us that a patient's past medical history is really important. It's not enough to just habitually ask. Unless it's an appendectomy, surgeries on other organs should all be considered."

"But for this patient's situation, we still have to wait for the blood test results. If it's not spasmodic pain caused by low blood calcium, we'll have to keep investigating."

"Teacher Liu, but low blood calcium has other symptoms too. Why doesn't this patient have them?" Huang Bo curiously asked.

"All diseases manifest differently in each person. Do you remember that patient with severe hypokalemia we had last time? Did he look like it when he first came in?" Liu Banxia asked in return.

The people next to him nodded; it was indeed the case.

For these interns and residency trainees, this is the first time they've truly encountered many patients. They can really feel that the knowledge from textbooks doesn't provide much help in everyday work.

Because the knowledge in textbooks is foundational, and patients rarely present with single symptoms during consultations. If you strictly follow the textbooks, diagnosing the condition would be very laborious.

How to capture the key points from a patient's symptoms is a very critical issue.

Just like today's patient, the direction of diagnosis was in the past medical history. Combine it with the patient's symptoms, and there's no problem.

And in this case, everyone else overlooked it, but Teacher Liu could spot it.

Among these people, some were on stage with Liu Banxia today, and thinking about it now, they're even more filled with emotion.

No wonder the director praised him; he is indeed praiseworthy.

For these people, the knowledge learned today was quite a lot. It's not just about distinguishing symptoms, but also about what to do during a consultation.

Of course, they also know that even if they thought of it, they might not perform as well as Liu Banxia.

This requires a vast reserve of knowledge, and their current reserve is not enough.

Even Liu Yiqing's performance today was eye-opening; it's not the first time she's shown such performance.

Wasn't she the one who first suggested the direction for that pulmonary vascular malformation patient last time?

It doesn't matter whether she was guessing or if it was under Liu Banxia's hint. At least she could think of it, but for themselves? They couldn't think of it.

That's the difference.

"What's up? The blood test results aren't out yet, so why is everyone looking so down?" Liu Banxia called out.

"Teacher Liu, I think my gap is still too big," Cui Jia said with a bitter face.

Liu Banxia rolled his eyes, "What else did you expect? For you to handle each case perfectly? Then you can take over as the director."

"Everything has a process. You've only just truly entered the whole process of consultation. Your previous internships were just like watching the excitement."

"Don't rush, nobody should rush. Whether you're in a residency program or an internship, a postgraduate or an undergraduate, don't be proud, and don't feel inferior; this is your golden period for learning."

"Speaking of which, I'll nag a bit about our residency program. Is residency painful, is it tiring? If anyone dares to shake their head, I'll make them treat me to a meal."

"I also went through residency, and I'm much clearer on the situation than you are. After all, you've just started; I went through three years of it."

"Residents and interns do all the work, constantly face patients, with no stable time to eat or sleep."

"But there's one point you also need to see. Why can some people stand out during this time? Are they really stronger than others?"

"I won't talk about far-off examples, let's say the Six Smalls as you call them. Were their academic performances always top-notch in school?"

"As far as I know, among the six of them, apart from Su Wenhao who consistently received scholarships every year, the others didn't quite make it, right? Especially you, Miao Rui, what are you looking at? Didn't you get it even once?"

"Teacher Liu, you can't blame me for that; those people are beasts. Take Old Su, for example; I'm really impressed with him and nobody else," Miao Rui said with a bitter smile.

"So, right now, it's about testing how you can apply the knowledge learned from textbooks into practical consultations with patients," Liu Banxia said with a smile.

"Being good at learning doesn't necessarily mean being good at application, but if you don't have enough reserves of knowledge, you won't be able to use it effectively even if you're capable."

"And this period is a process for us to absorb various knowledge and try to apply it. If you fall behind now, you'll really fall behind and never catch up."

"Since we've chosen this field, wouldn't we regret it if we don't give it our all? Not to mention how much we might earn in the future, at least there's a sense of inner satisfaction."

"I won't deny that, on a large scale, our educational training base is to cultivate talents for the future. In actuality, it's also to fill staff for the hospital, and this consideration undeniably exists."

"You can't just focus on the negative side of things. Just like being in a relationship, everyone has their strengths and weaknesses."

"Anyway, just do your best. If you don't understand something in your studies, ask—whether it's a teacher or a classmate, I think it's all fine."

"There should be competition among you, but this competition should remain within the scope of healthy competition. You should learn well from the 'six small ones'; they have strong competition among themselves."

"Don't be fooled by how they giggle together; they're actually driven inside. I'm afraid to praise anyone now because those not praised would feel bad and need to eat an extra half portion at meals."

"Of course, today Yiqing deserves some praise. You might think she seems a bit dopey usually, and truthfully, she is a bit silly."

Hearing this, Liu Yiqing rolled her eyes. Was this a compliment?

"That might be her shortcoming, but what's her strength? Whatever she decides to do, she persists with formidable drive," Liu Banxia continued.

"Her determination to learn, let's say, even Su Wenhao would give her a thumbs up. Su Wenhao, come here, I have something to ask you."

Upon hearing the call, Su Wenhao quickly ran over.

"Su Wenhao, regarding the drive to study, who do you think is stronger between you and Liu Yiqing?" Liu Banxia asked.

Su Wenhao was stunned for a moment and shook his head, "Teacher Liu, it depends on what we're studying and what standards are used for evaluation. If I speak broadly, I'm not as good as her."

"Please give an example." Liu Banxia said with a smile.

"She keeps practicing suturing and knotting non-stop; in this aspect, I can't compete. When work gets tiring, I actually just want to find a place to take a nap if I have time," Su Wenhao said.

"Don't just believe what Su Wenhao says. He's being modest; all six of them are practicing non-stop," Liu Banxia said.

"But in terms of perseverance in practice, they're a bit behind compared to Liu Yiqing. She probably sets goals for herself, like how many hours to practice knotting and suturing each day."

"Eh? Teacher Liu, did Xu Yino tell you that?" Liu Yiqing asked curiously.

"Do I need her to tell me? You're all Qiaoqiao's little spies. Am I supposed to turn you into double agents or something?" Liu Banxia said helplessly.

"Just think about it; analyze it based on your personality. This is your perseverance. I hope each of you holds on to your own perseverance so you can go further on the path of medicine."

"Our hospital isn't that famous, but it's pretty good compared to some prestigious hospitals. So just keep it up; if you all can become colleagues someday, that would be even better."

"Teacher Liu, this is the lab report for that patient just now." At this moment, Zhou Qian came over with the lab report.

"Sister Qian, how's the blood calcium level?" Liu Yiqing asked anxiously.

"1.9 mmol/L," Zhou Qian said with a sweet smile.

Ding! Task completed for the patient with back pain

Received 300 experience points, Glory Points +2

This task is rated Flawless, earning 300 experience points, Glory Points 5 + 2

"Great, it really is hypocalcemia," Liu Yiqing shouted joyfully.

Everyone else burst into laughter too.

The blood calcium level is indeed low. The normal range for the human body is 2.25-2.75. At the current level, the patient could have symptoms of spasms or arrhythmia.

"There's no problem; keep it up," Liu Banxia said with a smile.

It could be considered a small lesson using the 'six small ones' as a case study; the effect was quite good.

But this patient will probably need to prepare for long-term calcium supplementation. However, this is not an issue for the General Surgery Department; it's for the Internal Medicine Department.

Whether it's by intramuscular injection or orally, calcium must be supplemented.

This is also a common complication of thyroidectomy, though it may not manifest as obviously as in this patient.

It's not that surgeons just love to operate, cutting away regardless of the situation. It depends on the patient's surgical indications, and you can't just cut recklessly.

Especially when it comes to organs related to the endocrine system, caution is even more necessary.

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