The Enhanced Doctor

Chapter 1212: Chapter 1212: The Careless Girl

(Thanks to Maple Leaf Yellow Spring, kenny75, DRDER for the moon ticket encouragement)

"What did you have for lunch?" Liu Yiqing asked seriously.

"Uh... I had hot pot," the patient said with some concern.

The expressions of Liu Banxia and Liu Yiqing already indicated there was a problem. It seemed like the black stool wasn’t an ordinary situation.

After hearing her words, Liu Yiqing felt a little relieved, "Did you eat any blood products like duck blood?"

The patient shook her head, "I’m afraid to eat blood."

This made Liu Yiqing and Liu Banxia worried again. Oh no, it could be upper gastrointestinal bleeding.

"Then think carefully, have you eaten any dark-colored foods recently?" Liu Yiqing asked.

The patient shook her head again, "No, actually my diet is usually quite light. Doctor, is something wrong?"

"Your situation is a bit troublesome; you need to have a gastrointestinal endoscopy," Liu Yiqing said.

"Black stool often suggests bleeding in the upper gastrointestinal tract. Coupled with your abdominal pain symptoms, there’s a high tendency for that. This is very dangerous, and you must have a gastrointestinal endoscopy examination."

The young couple was terribly frightened by Liu Yiqing’s words. Regardless of what kind of bleeding it might be, the problem would certainly be serious.

"Lie down on the examination bed, and if you feel the urge to defecate later, you must save a sample for examination." Liu Yiqing said.

The patient hurriedly lay down on the examination bed, her face filled with anxiety, as if she had now forgotten about the stomach pain.

Liu Banxia frowned. Just now, he wasn’t sure if he was seeing things, but when the girl lay down, there seemed to be red spots on the outside of her ankle.

"Doctor, should we go for the examination now?" the patient’s boyfriend asked.

"Wait a moment, let me see your legs," Liu Banxia hurriedly said.

Currently, for this patient, any manifestation of symptoms cannot be ignored.

Upper gastrointestinal bleeding can be a minor or a major condition. If it develops into a massive hemorrhage, there may not even be time to treat it.

The young couple was taken aback by his words.

Why look at her legs? Especially the patient, who even pulled her legs closer to the examination bed.

Liu Banxia didn’t care about that and directly rolled her pant legs up a bit.

On the outer side of her calf, there was a small patch of red spots.

Liu Banxia pressed his finger on the red spots, the red marks remained vivid.

He pulled over the girl’s other leg, and after rolling up her pant leg, there was also a cluster of red spots on the outside of her calf.

"Do you know when these appeared?" Liu Banxia asked.

The patient shook her head, "They occasionally appear, and usually go away after a few days. Maybe my skin isn’t very good."

As she spoke, she hastily pulled her pant legs down.

"You, I don’t even know what to say to you now," Liu Banxia said helplessly.

"Actually, sometimes I really don’t like you young people wearing ankle-baring pants in the winter because when you get older, some health issues will come knocking."

"But today, these ankle-baring pants let me see the rash. You’re just a careless girl. Dr. Liu, please give a diagnosis."

Beside him, Liu Yiqing nodded with a smile, "You know, if you had mentioned this earlier, we wouldn’t have wasted so much time."

The young couple was a bit dumbfounded again.

It’s not that they didn’t understand, but the world changes so quickly. Weren’t these two doctors so tense just now? What happened now?

Did they laugh?

If they’re laughing, does it mean it’s nothing serious?

"This is called purpura. Based on your symptoms, it seems you have allergic purpura," Liu Yiqing continued.

"It means you’re probably allergic to something, causing your current symptoms. It might not even be something you ate for lunch today. It’s best to do an allergen screening."

"Teacher Liu said you’re dazed because you’ve had multiple allergic reactions and yet you treated it as ordinary rashes without going to the hospital for a checkup."

"How much have you suffered yourself? I’ll prescribe you some medicine later, and there’s no need for the gastrointestinal endoscopy right now. Typically, the bleeding is not significant, and the medication should relieve it immediately."

"However, your body’s also a bit weak. Usually, this occurs in adolescents, and you’re older, so your self-immunity is probably not very good."

"You should strengthen your exercise, maintain a healthy diet, and adjust your routine. In general, allergic reactions will decrease. Remember, if such a rash appears again, it’s another allergy."

"Doctor, isn’t an allergy supposed to affect the whole body?" the patient asked curiously.

"It depends on the situation. If it develops to that extent, you would probably be in anaphylactic shock by now," Liu Yiqing said.

"You have to be careful in the future. If you don’t take allergic reactions seriously, they will likely get worse each time. Joint pain might occur next, and even worse, your kidneys could be affected."

"The prescription is ready, take it and use it directly once you get back. If it’s an allergic reaction, the medication will be effective, and you won’t need a gastroscopy."

Liu Banxia glanced over the prescription: methylprednisolone, vitamin C, troxerutin. These medicines are fine; they’re anti-allergy and reduce capillary leakage, all symptomatic treatments.

"Doctor, am I in serious danger?"

After her boyfriend went to get the medicine, the patient asked worriedly.

"You’ll need to be more cautious in your daily life from now on, or you can do an allergy test if you want." Liu Yiqing said.

"At least in the near future, you’ll need to be careful in your life and avoid allergens. Only when your immune system improves will you be able to have contact without worries."

"Actually, your condition is quite straightforward. When patients come to see the doctor, they usually show the purpura first. Then, based on the abdominal pain, a general judgement could be made."

"You’re lucky Teacher Liu noticed it; otherwise, you’d have to go through a lot before getting diagnosed. In the future, no matter whether your symptoms seem significant or not, you should inform the doctor once you’re in the hospital."

"Let the doctor determine whether it’s useful or not; don’t try to decide yourself. Also, always pay attention to safety. You all still look like university students, avoid causing any fatalities."

The patient nodded in embarrassment, "Then I should get an allergy test; I need to know what’s causing the problem."

Liu Yiqing laughed and promptly wrote up the order.

Liu Banxia was very satisfied. This is Liu Yiqing’s meticulousness and what makes her easily accepted by patients.

Considering the patient, instead of rushing into a CT scan, she observes first. Allergy testing is also left for the patient to decide whether to proceed.

Why do some people have such an aversion to hospitals? It’s because those doctors are too busy to even take a moment to think; they only focus on test results.

Of course, this doesn’t rule out the possibility of this leading to economic gains through frequent use of diagnostic equipment.

Liu Banxia doesn’t reject the use of diagnostic tools; he even somewhat relies on them. But one cannot abuse them just because of that, ordering tests for anything that seems roughly similar.

The patient’s appendix and her allergic reaction-related CT scan and allergy test, based on the current situation, are both optional.

So leave the choice to the patient; don’t decide for them.

It’s often these seemingly insignificant things that can make the doctor-patient relationship tense.

Rome wasn’t built in a day; when patients with similar experiences get together and talk, the hospital’s "reputation" really gets aired.

There’s nothing much happening here anymore, Liu Banxia wandered off to supervise the interns’ operations since there’s not much else to do today.

"Not much going on today, we can finally clock off on time." Liu Banxia said.

"There’s still about an hour left." Wang Chao said.

"Wrong, I should say there’s less than an hour left, feels more comforting that way." Liu Banxia said seriously.

"I really admire you. What’s good for dinner tonight?" Wang Chao asked.

"I honestly haven’t paid much attention; it’s always ’eat whatever’s there.’" Liu Banxia replied.

"Isn’t Qing Kewa staying at our place recently? This girl is a true food lover. She keeps thinking about new dish ideas every day, and before she heads back, her days will revolve around food."

"Well... no choice, our work is exhausting; her job is like a vacation." Wang Chao sighed.

Indeed, Qing Kewa is somewhat enviable, living her life according to her own desires. Regular folks can’t reach that standard, always busy for a living.

"Don’t just get caught up with hospital work and neglect Officer Ma. You’ve got Xu Yino and the others; you can appropriately let them share some burden." Liu Banxia suggested.

Wang Chao nodded, "When your department’s patient volume increases, it would be impossible to find time to rest. I should seize the opportunity to adjust now, maybe try to catch up when you’re on duty."

"You just like taking advantage of me." Liu Banxia said helplessly.

"Who’s taking advantage of whom? Is it easy for me? I have to work for you for free." Wang Chao said with a bitter face.

Liu Banxia couldn’t help but laugh; sometimes teasing Wang Chao is quite fun.

Since it was almost time to clock off, Liu Banxia decided to chat with Wang Chao.

As they were chatting, Liu Yiqing wandered over, "Teacher Liu, the diagnosis can be confirmed now; it’s allergic purpura, and the patient’s abdominal symptoms have significantly alleviated."

Ding! Consultation task completed

Earned 100 experience points, Glory Points +2

"That’s great, once the allergy test results are out, they can be discharged." Liu Banxia nodded.

"Alright."

Liu Yiqing replied with a smile.

"You guys researched this illness for half a day?" Wang Chao asked curiously.

"Well... the patient didn’t inform us about the rash on her legs when she came in; we discovered it unintentionally." Liu Banxia said with a wry smile.

Wang Chao understood and nodded; under such circumstances, it is indeed difficult to get a diagnosis. Allergic purpura, the purpura is the best indicator, after all.

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