The Enhanced Doctor

Chapter 1240: Chapter 1240: Diagnosis Must Be Thorough

(Thanks to Feng Wuming for the encouragement with the vote.)

When it came to that couple of patients, Liu Banxia was actually feeling very torn inside as well.

All the issues Xu Yino and the others could think of, he had naturally thought of too. He had even started feeling uneasy last night after he looked up the related reports.

But there was nothing he could do, he could only pray that patient might be a bit luckier.

"Director Liu, we’re here again."

He had just walked downstairs when he saw Shanshan and his parents.

"Here for another adjustment today?" Liu Banxia asked with a smile.

"Yeah, next time will be after the New Year. By then it should be tuned to the best state, and things will be easier for Shanshan." Shanshan’s dad said.

"Little guy, you’ve got to have confidence, you’ll be able to talk smoothly in the future." Liu Banxia squatted down in front of Shanshan.

"Tha... thank..."

Shanshan spoke very slowly, and his pronunciation was a bit odd, but you could still make it out.

"Wow... Shanshan’s already this awesome? That’s incredible." Liu Banxia didn’t hold back on the praise.

Being praised like that made Shanshan a little shy, and he hid right behind his dad.

"You still need to be careful with your wrist, it’s not healed yet." Liu Banxia reminded him.

"Director Liu, now Shanshan can call his family members, and then there’s eat, sleep, and thank you. We practiced for an hour last night, just so he could tell you himself." Shanshan’s mom said.

"Sigh... Shanshan is really too sensible. For him, everything he’s gone through has been an ordeal. But as long as he gets through it, his mentality is going to be on another level compared to most people." Liu Banxia said with emotion.

"I’ve seen quite a lot of little patients, and anyway, for the kids I’ve come into contact with so far, their mentality is all excellent. They’re bound to achieve something remarkable in the future."

Hearing Liu Banxia say that made Shanshan’s parents smile happily. Right now they were also hoping to get Liu Banxia’s affirmation, because in their eyes he genuinely had Shanshan’s best interests at heart.

"Alright, hurry up and go find Doctor Du, the technician for the adjustment is probably on his way too, and you’ll need to show him as well." Liu Banxia said.

"Director Liu, then we’ll head over first, you get back to your work." Shanshan’s dad said.

Liu Banxia nodded with a smile and gave Shanshan a big thumbs-up.

Kids need encouragement too; you really can’t be stingy with it.

"My dear Director Liu, hurry up and get to the director’s office, someone’s here again. Don’t tell me you’ve stirred up trouble again?"

After saying that, Wang Chao ran over.

"Am I that kind of person? I’ve been sticking to the rules the whole time. It’s one of my patients, might have a potential infectious disease." Liu Banxia said casually.

"Why do I get the feeling you’re just pulling my leg?" Wang Chao asked, frowning.

"I don’t have time to chat with you, this is really important."

Liu Banxia tossed out the line and walked straight into Zhou Shuwen’s office.

What surprised him a bit was that the person who’d come this time was still Director Yang, whom he’d met once before.

"Director Liu, finished arranging your work?" Director Yang said with a smile.

"Just wrapped up. What brings you over?" Liu Banxia asked curiously.

"Wasn’t it Director Yang who came last time too? This is counterpart work. In a bit we’ll draw the patient’s blood, and Director Yang will take it back to the CDC, they can run the tests there." Zhou Shuwen said.

"Director Liu, how likely do you think it is?" Director Yang asked.

"Based on my current assessment, the probability is very high for the male patient." Liu Banxia said.

"As for the female patient, I’m still not very sure, I’m planning to wait for a confirmed diagnosis before asking more. After all, it involves the baby in her belly, it’s a bit of a headache."

Director Yang nodded. "If they really are confirmed, this will be the first case in our country. What are their clinical manifestations like now? Any signs of severe disease?"

Liu Banxia shook his head. "Aside from the female patient having had an episode of tonic seizure yesterday, they mostly just share low-grade fever and headache."

"And from yesterday to now, the female patient’s condition has improved a lot; her headache is gone, and the male patient hasn’t worsened. We also did a physical exam and didn’t find any rash, and they’re not showing joint pain either."

"Honestly, I hesitated about this, I was worried it’d turn into another situation like last time when we turned chlorine poisoning into an infectious disease scare. But he does have a travel history in India, and his wife is pregnant, I can’t afford not to be cautious."

"That’s exactly right, as soon as we notice dangerous signs, we need to respond in time." Director Yang said with a smile.

"But this disease doesn’t affect adults that much; the main impact is on the fetus. If it really is confirmed, it’ll be a very hard choice for them."

"After the diagnosis is confirmed, let’s do an amniocentesis and check the fetus as well. The probability of infection is still quite high, otherwise it wouldn’t be getting this much attention."

"You go ahead and talk with Director Zhou first, I’ll arrange for someone to draw their blood right away. We can get the results this afternoon, right?" Liu Banxia asked.

"No need to wait till the afternoon. I’ll arrange it as soon as I get back, I’ll let you know before noon," Director Yang said.

"That’s really a big help." Liu Banxia said with a smile.

This could be considered support for their side; otherwise it definitely wouldn’t be this fast. After all, even if it really is Zika virus, its transmissibility is limited.

Once outside, Liu Banxia called out to them and went to draw blood from the couple. For medication, she went with paracetamol; it works fine for lowering fever and is also the recommended drug for Zika virus.

Even though it hasn’t been confirmed yet, being cautious like this is no problem.

"Hey... Teacher Liu, do you think maybe we’re over‑interpreting this?" Liu Yiqing leaned in close to Liu Banxia.

"How did your questioning go?" Liu Banxia asked.

"He hasn’t been to Rajasthan, but he really has gone to find prostitutes, and more than once or twice," Liu Yiqing said.

"Men, huh, always letting their lower half make decisions for their brain. His wife’s at home with a big belly, and he’s out there living it up. I’m dying to beat him up."

"Can you not grit your teeth like that? They’re not all like this; people like him are still the minority." Liu Banxia said helplessly.

"But the baby is innocent, what’s it got to do with the baby? Just thinking about it makes me mad. Teacher Liu, can’t we just let someone else handle them?" Liu Yiqing said.

Liu Banxia shook her head. "Definitely not. We’re doctors. No matter what a patient has done before, once we take them on, their identity is ’patient.’"

"Remember that guy who raped the little girl? The one the girl’s father beat up and then he came to the hospital for treatment? We all knew he was a scumbag, but we still had to treat him. Those are two different domains."

"In the future, we’ll see all kinds of patients, every type of person imaginable. While protecting ourselves, we still have to do our job in receiving and treating them. Got it?"

Liu Yiqing nodded. She knew that’s how it was, but she really couldn’t accept this particular case.

Liu Banxia also knew this girl sometimes overflowed with a sense of justice; maybe it had something to do with how she grew up.

"Oh, right, Teacher Liu, I talked to my brother last night. I told him if he keeps bothering me, I’ll put him on the expensive meds that can’t be reimbursed," Liu Yiqing continued.

Liu Banxia chuckled. "So how did he react?"

"He didn’t say anything, just left. Anyway, I don’t care about anything else now; I’m not going to let them bully me all the time," Liu Yiqing said.

"Good, that’s exactly what you should do." Liu Banxia said with a smile.

"Teacher Liu, won’t that make me look cold‑blooded? I told Nuonuo too, and she said I should’ve done this ages ago," Liu Yiqing asked, a bit guilty.

"With this kind of thing, whichever way you choose is ’right,’" Liu Banxia thought for a moment and said.

"If you choose to help them, maybe you’ll feel more at peace, but that’s about all. And I feel like when you’re in trouble later, they might not help you anyway."

"If you don’t help them, like you’re doing now, that’s actually very normal too. As a younger sister, you’ve already gone above and beyond; what more can you do?"

"It’s just that your personality is too soft. If it were Xu Yino, imagine the outcome—she’d probably be chasing them out of the hospital with a broom."

"They’re taking advantage precisely because they’ve figured you out. With someone else, they wouldn’t dare push this far. So you should toughen up a bit, otherwise you’ll have trouble even dealing with patients in the future."

Liu Yiqing nodded. "Thanks, Teacher Liu. I’m going to get back to work."

She knew this was everyone being good to her and worrying about her. But sometimes, she really couldn’t control herself.

Liu Banxia was relieved too. At least this girl had finally straightened things out in her head regarding her brother. She’d really been worried that Liu Yiqing would keep letting her brother bully her while she herself couldn’t help much.

Even as a supervising teacher, she was still just that—a supervising teacher. After all, this was Liu Yiqing’s family business; giving a few nudges from the sidelines was already pretty good.

"Teacher Liu, the patient’s blood test is back; thyroid function is normal." At this moment, Xu Yino came trotting over.

Ding! Task "Patient with Hypertension and Hypokalemia" completed

Gained 400 experience points, Glory Points +20

This task has been rated Perfect, gaining 500 experience points, Glory Points +10, +30, and 1 Solidification Stone

"Nice, then we’ll go with the meds we discussed. Explain things properly to the patient: from now on they need continuous monitoring, regular follow‑up, and dose adjustments," Liu Banxia nodded.

She was quite emotional inside. A diagnostic task that didn’t even require going into the OR was giving rewards on par with a major surgery, which just showed how common missed diagnoses are for this condition.

Disease presentations are all over the place, with many conditions differentiated only by one or two key indicators. Slip up just a little, and you might miss or misdiagnose it, and pay dearly later.

Those two patients of Liu Yiqing’s were no exception.

If they hadn’t noticed that the husband also had symptoms, they’d probably have watched them overnight, seen nothing wrong, and sent them home.

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