The Enhanced Doctor

Chapter 1297: Chapter 1297: Misjudged Prediction

"Looks like you’re really going to rebel."

Liu Banxia wandered over to the group and said with a grin.

"Anyway, there aren’t many patients today, and there might be more once the holiday ends tomorrow. So, do you lean towards acromegaly?" Qi Wentai asked with a smile.

Liu Banxia shook his head.

Seeing him shake his head, Xu Yino and the others felt a bit tense inside.

Indeed, the demon king set up a trap again, and this bunch of fools just jumped right in.

"We’ll have to look at the test results. If his endocrine system is out of balance, he could have gained weight this quickly," Liu Banxia continued.

Everyone’s eyes looked a bit resentful, even though the room had heat, Liu Banxia still felt a bit cold.

"Why do you speak so mysteriously? Can’t you just admit you have no clue?" Wang Chao spoke up.

"So, you all lean towards acromegaly?" Liu Banxia asked with a smile.

"Let’s see the results," Xu Yino quickly responded.

"Not bad, you’re learning fast, that’s the spirit you need," Liu Banxia nodded in satisfaction.

"Teacher Wang, please manage Teacher Liu, we can’t tell which of his words are true or false," Liu Yiqing said.

"Kids, I’m also under the demon king’s rule, and I’ve been caught in his schemes more times than you have," Wang Chao said bitterly.

Everyone laughed.

They have all witnessed Liu Banxia ’bullying’ Wang Chao firsthand.

"Let’s get back to the topic, could this patient’s mental state be due to sleep or other illnesses, or is there really a chance it’s developing into depression?" Liu Banxia asked.

"It’s hard to say; depression can present itself in various ways," Wei Yuan replied.

"Some depression patients fear being alone and show no symptoms when with friends. But once home alone, they have all kinds of thoughts."

"The patient appears indifferent, dull, and unresponsive to their surroundings, which does match depressive symptoms."

"However, accounting for his current physical state, his symptoms seem overly singular, and depressive sleep disorders typically display early waking, after which they can’t fall back asleep."

"It’s like how some people think too much before sleeping, the more they ponder the more awake they become. Depression patients think a lot upon waking, their minds filled with thoughts."

"In this regard, the likelihood of this patient having depression isn’t very high. But all of this is just speculation; personally, I lean towards acromegaly."

"Indeed, add another point," Xu Yino said joyfully.

"But for some people, severe mental stress can indeed trigger depression," Liu Banxia said with a smile.

"Imagine your loved one misunderstood you. When you meet again, they’ve found happiness, while you’re still alone. Quite a trigger, huh?"

"Teacher Liu, do you lean towards depression?" Liu Yiqing asked further.

Liu Banxia shook his head decisively, "Currently no inclination; I’m just Liu Yiqing’s puppet, and I’ll diagnose as she advises."

Liu Yiqing felt disappointed; the demon king is too sly, unwilling to reveal his true thoughts.

"Isn’t that how diagnosis works? Currently, acromegaly is one direction, but outside of this, we have to consider other possible causes," Liu Banxia said with a smile.

"Conversely, if someone has depression, they’re not very concerned about other things. Even dietary habits aren’t up to standard, so will they necessarily lose weight?"

"Just like Dr. Wei said, depression manifests in various ways, and it’s uncertain which emotion might be acting up. Our only basis is various test results."

As soon as Liu Banxia finished speaking, Xu Yino’s phone chimed with a new message.

"Breaking news: thickening observed in the sellar region, no symptoms of base tilting, absorption, or damage," Xu Yino said after reading.

Liu Banxia frowned; typical acromegaly shows signs at the pituitary base area, but just thickening doesn’t indicate a problem.

"Tsk tsk, seems this exceeded the demon king’s expectations too. This condition is interesting; the patient’s situation seems to have gotten even more unclear," Wang Chao said.

"Teacher Liu, aren’t you honestly leaning towards acromegaly?" Huang Bo asked.

Liu Banxia helplessly nodded, "Had a chat with the young man who brought him, had that inclination at the time. But now it’s unclear, let’s wait for the CT results."

"After all, acromegaly often involves pituitary tumors, causing abnormal growth hormone secretion. This case indeed requires more thought."

"Not easy, the demon king finally spoke the truth; why do I feel warm inside?" Wang Chao remarked emotionally.

"So now our discussion should focus on other possibilities; one of our double assurances can’t aid our diagnosis anymore," Liu Banxia said.

"So this is really just natural weight gain, along with the effects of depression?" Xu Yino asked.

"It’s still uncertain, even if we do a depression test, the effect won’t be significant." Wei Yuan replied.

"The enlarged heart symptoms, these are definitely complications added at a later stage. This type of rapid weight gain is often influenced by hormones."

"As of now, I still lean towards changes in the endocrine system as the cause. Should we continue to investigate this aspect?"

Liu Banxia nodded, "I also think so, but next we need to decide what to check. Blood routine and blood biochemistry?"

"Maybe not comprehensive enough?" Wang Chao chimed in.

"If it’s endocrine influences, we can only do specific corresponding tests; blood routine and blood biochemistry can only serve as auxiliary projects."

"If it weren’t for this, I wouldn’t believe you forgot to take a blood test for the patient. This kind of investigation is somewhat blind and increases the number of tests."

"I’ll wait until after the tests, then observe the patient carefully again." Liu Banxia said.

"During the consultation, the patient’s mother was the one talking beside them, which affected my observations to a certain extent. After we’re done, we’ll take a good look, anyway, we’re in the VIP ward."

Everyone nodded; currently, there seems to be no clear direction. The biggest possibility thought up seemed somewhat impossible, so a new path had to be considered.

It’s not easy to think about it; next, they can only re-observe the patient to see if any new discoveries can be made.

In diagnosing complex conditions, you either give the patient a bunch of tests, like betting, to see which can hit the mark. Or else, you have to observe, repeatedly inquire, to obtain the most comprehensive symptom presentation.

No wonder now many people complain about unnecessary expenses upon going to the hospital, also because there are too many test items. Often, a whole set is prescribed, and even if some patients really need them, it can still cause a certain level of disapproval.

At this moment, Zhou Li came over and gave Liu Banxia a look.

"Sister Li, what’s up?"

After Liu Banxia followed to the side, he asked.

"I just passed by the lab and overheard. Liu Yiqing’s sister-in-law, the pathological results indeed show metastasis. Do you think we should tell her?" Zhou Li said.

"Oh... I suspected it during the surgery that there might be metastasis, and indeed it is." Liu Banxia sighed.

"I’ll think it over. Anyway, they’ve been discharged, so telling Liu Yiqing might not be a big deal, but she might get anxious."

"Even though she says tough things, how could she not care? The cost of chemotherapy is also quite high, and the reimbursement ratio is just so-so, it mainly depends on the drugs used."

"I’m just responsible for informing you, how are your two little babies?" Zhou Li asked.

"They’re doing great now; whenever you’re free, feel free to visit my home." Liu Banxia said.

"Qiaoqiao is now at home every day playing with the little ones, she hardly pays attention to Jinbao. Are you and Old Wang working on it? I see Old Wang is quite keen."

Zhou Li playfully slapped his arm, "Mind your own business, just inform Liu Yiqing."

Liu Banxia nodded, indeed he needs to think about how to tell Liu Yiqing.

"Teacher Liu, what’s up?"

After Liu Banxia came back, Xu Yino asked.

"Nothing much, Liu Yiqing, come with me to the office." Liu Banxia said.

"For what? I can’t be a spy." Liu Yiqing said cautiously.

Many people rolled their eyes.

Obviously, Liu Banxia calling her meant something, and she thought of spying. This girl’s train of thought is somewhat single-threaded.

"Why do you think Banxia is looking for Qinqing?" Miao Rui asked.

"What else could it be, just two aspects. One is to introduce a boyfriend to Qinqing, the other is about her sister-in-law." Xu Yino said.

"Uh... it does seem like that’s the case." Miao Rui paused and said.

"I almost forgot about this, they just got discharged. Oh no, if Teacher Liu is speaking to Liu Yiqing alone, that means there’s metastasis, right?"

Xu Yino nodded with a pained expression, "Pretty much, this girl is in for more trouble. It’s really worrying, how did she end up with such a family?"

Everyone felt a bit heavy-hearted, even if it’s just speculation, it’s likely accurate.

At this moment, Xu Yino received a message from Li Hao, after reading it, her face fell, "CT negative, misjudgment, look for solutions from other symptoms."

"But OSAHS doesn’t lead to weight gain, does it? Currently, this can only be a secondary symptom brought by other conditions, which is quite clear, right?"

Everyone nodded, now they’ve completely given up on the notion of acromegaly,

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