The Enhanced Doctor

Chapter 1300: Chapter 1300: Hypothyroidism, No Doubt About It

Actually, for Wang Chao, he is quite willing to team up with Liu Banxia.

His personality is also somewhat lively, which fits well in the second department. Besides, generally speaking, he is quite close to the Six Little Ones, whereas it’s not as good with Qi Wentai.

Teaming up, Wang Chao and the Six Little Ones are now chatting quite happily.

Even though there are still a few months left, Wang Chao doesn’t see himself as an outsider.

The result of the imaging examination came out quickly. Li Hao reported the latest news before lunchtime. The ultrasound showed compensatory rich blood flow in the thyroid.

"Can it be basically confirmed now?" Shi Lei asked.

Liu Banxia nodded, "It’s pretty much confirmed, but we still need to wait for the results of the thyroid function test to see the values and then determine the dosage."

"I’ll go upstairs to explain to the family and then come back for lunch. The family must be very concerned now, so let’s reassure them a bit."

"Alright, you can have the second meal," Shi Lei said.

Liu Banxia went straight to the VIP ward upstairs. Now that the thyroid problem has been found, the patient’s family’s emotions have stabilized a lot more.

At least it’s better than depression, which is truly hard to treat and can lead to suicidal tendencies if severe.

"Director Liu, is this a thyroid disease?" The patient’s father asked.

Liu Banxia nodded, "It’s basically a done deal. But the specific medication still needs to wait for the test results to come out to deliberate on the dosage."

"It’s also to reassure you all, so I’m telling you in advance about our upcoming treatment plan. This condition is mutually influencing."

"Thyroid deficiency is common in middle-aged women, and it’s somewhat special for him to have it. In his future recuperation, he’ll also need enough sleep to enhance his physique, which is something we commonly refer to as immune capability."

The patient’s father nodded in understanding.

"So his current situation is that it’s mutually affecting. The thyroid deficiency causes his body to worsen and a certain degree of sleep apnea." Liu Banxia continued.

"Poor sleep at night, and the body deteriorates, which makes the thyroid deficiency more severe. If we had intervened earlier at the first signs, it might not have been this severe."

"But it’s fine, we can adjust. We have to tackle both the thyroid deficiency and sleep apnea together; otherwise, focusing solely on one won’t be effective."

"Regarding sleep, he’ll have to endure some discomfort. Our idea is to intubate him onto a ventilator, blow oxygen directly, ensuring his oxygen needs, so he can have restful sleep."

"But intubation is very uncomfortable, yet there’s no other way. To ensure quality sleep, it’s the only method. Sleep guarantee is crucial for his physical and mental recovery."

"Okay, Director Liu, we’ll follow your instructions on treatment," the patient’s father said with a smile.

"Let’s discuss the thyroid deficiency details again, you’ll need mentally prepare that it’ll nearly require lifelong medication. This disease can’t be cured, only controlled and regulated," Liu Banxia continued.

"What? Lifelong medication? Won’t he become a medicine jar?" The patient’s mother was somewhat agitated.

"It’s not like that. Our medication situation needs to be judged based on his thyroid function test results. As he recovers, we’ll gradually reduce dosage and frequency, eventually just maintaining," Liu Banxia said with a smile.

"Basically, it doesn’t greatly impact normal life. But for now, more attention needs to be paid. If you have a pen or recording device, jot it down."

Upon hearing this, several people took out phones, opened the recording function, and placed them beside Liu Banxia, like reporters conducting interviews.

"Primarily, it’s about eating and sleeping, we’ve covered sleep before. What needs attention is his mood. Keeping him in good spirits will aid overall physical improvement," Liu Banxia said.

"Also, eating is crucial. When indicators are low, avoid foods that cause thyroid enlargement like cabbage, broccoli, rape, cassava, walnuts, and so on."

"What? Isn’t cabbage considered a longevity food? Ming Zhe’s favorite is stewed cabbage," the patient’s mother said.

"Oh, can’t you just be quiet for a while? If Director Liu says not to eat them, then don’t. It’s not gonna starve him," the patient’s father glared at her.

"This restriction is mainly for the initial phase. As recovery progresses, a normal diet can resume. There isn’t such strict necessity, cabbage contains many other nutrients beneficial to the body," Liu Banxia consoled.

"Also, avoid high-cholesterol foods like animal organs, brains. High-fat foods like sesame paste, ham, and pork belly too."

"That’s about what’s needed for now. Don’t worry during hospitalization. Our cafeteria can prepare meals based on the thyroid deficiency condition,"

"Good, that’s a relief. Director Liu, anything else to note? Does this illness affect having children in the future?" the patient’s father asked.

"Hmm... this depends on perspective. Uncontrolled condition severely affects fertility, but properly adjusted it can recover," Liu Banxia said.

"But concerning children, there’s a genetic aspect. During pregnancy, prenatal checkups must be particularly attentive,"

"As thyroid system diseases are somewhat genetic, I’m unsure if there’s any family medical history, so I can’t say for sure."

"Some newborns may suffer from congenital hypothyroidism, leading to lifelong intellectual disability or short stature. Early detection and intervention can provide improvement."

The patient’s mother nudged the father at this moment.

"What are you up to now?" The patient’s father impatiently asked.

"Didn’t you say Ming Zhe’s third aunt had something similar when she was a child?" The patient’s mother probed.

"Oh, it did sound a bit like what Director Liu described. But we didn’t think along those lines, thought it was just weak constitution back then," the patient’s father said.

"That pretty much aligns. If you recalled this during my consultation, it would have made the process easier today," Liu Banxia said with a smile.

"But it doesn’t matter, we’ve now found the right direction. Thyroid disease is rather common nowadays."

"There are multiple primary and secondary causes. Stress, infections, overwork, trauma, etc., can all cause it."

"That’s basically it. I’ll have a nurse instruct you on bedside care for defecation shortly. We’ll proceed with intubation in the afternoon, he should sleep well after."

"Thank you, Director Liu, really grateful," the patient’s father said.

"Uncle Hu, wasn’t I right? Consulting Director Liu was the best choice," the young man said cheerfully.

"Alright, that’s settled for now. I need to get back to work downstairs. If any issues arise, inform the nurses here and they’ll reach out to the doctors," Liu Banxia said before heading back downstairs.

Regarding the patient’s habitual concealment of family medical history, there wasn’t much point in commenting further.

Many regard such matters as "family disgrace" or sad memories, reluctant to elaborate. People aren’t doctors and don’t realize how such information aids diagnosis.

"Teacher Liu, finished with work? Time to eat?" Liu Yiqing asked.

"Let’s go. That patient’s condition is mostly settled, seems to be genetically inherited primary thyroid deficiency," Liu Banxia said.

"Had a chat with them, someone in the family had congenital hypothyroidism. Although long ago, I believe it’s likely related,"

"Goodness, why didn’t they mention it earlier?" Liu Yiqing was slightly frustrated.

"We can’t hold patients to our standards; they lack professional knowledge. I asked as soon as I saw them, and they clearly denied any history," Liu Banxia said.

"To them, it doesn’t fall under hereditary disease category. After all, the patient’s father is fine, no issues. And previously, people didn’t consider this,"

Liu Yiqing nodded, chose not to dwell further on this.

She’s quite straightforward, mentions something if she learns it. Once said, she just focuses on upcoming critical matters.

The priority now is eating; it’s a small victory so a nice meal is in order.

Upon gathering with everyone at the cafeteria, hearing about this situation, everyone felt quite emotional.

There were so many family members present, surely someone could have known about it. Even a single mention could have redirected efforts to thyroid much sooner.

With this little episode, everyone felt relieved.

Pressure was redirected towards the family’s delay in "informing."

No matter the cause now, there’s no effect anymore. The subsequent treatment will suffice.

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