The Enhanced Doctor-Chapter 397 Doctor’s intuition?

Liu Banxia initially thought his two-day leave would be quite ample, quite sufficient. However, he only realized how fast it had gone by when it was time to return to work; it vanished in a flash.

Liu Banxia had initially wanted to just hail a taxi and go to work, but Qiaoqiao insisted on escorting him. Now that he was a patient, he naturally had to comply with Dr. Qiao.

As soon as he entered the emergency center’s main doors, the medical staff once again applauded Liu Banxia.

In these two days, the talk about him had fermented and become quite extraordinary. Now, Liu Banxia was the true celebrity of the emergency center, his fame even threatening to eclipse Zhou Shuwen’s.

"Alright, alright, don’t make a fuss. Two of you, go to Qiaoqiao’s car and get the fruit she brought. There’s plenty for everyone to refresh themselves when they’re tired from work," Liu Banxia said with a laugh.

"Dr. Liu, while you get to be all sweet and lovey-dovey with Qiaoqiao at home, we have to keep working hard here," Qing Kewa chimed in.

"Who taught you these weird sayings? You’re so gullible; you just repeat whatever you hear," Liu Banxia replied helplessly.

Qing Kewa frowned, not quite understanding. Where did I seem gullible? I think I’m very smart.

"Now that you’re here, I can finally take it easy. I’m heading home for today," Shi Lei said as he walked over.

"Okay, are there any patients I need to pay special attention to?" Liu Banxia asked.

Shi Lei shook his head. "They’re all routine cases. There are four surgeries today, but none for you. The director said you’re not to go into surgery until your stitches are removed."

"Sigh... I’m going to be so bored these next few days. I might as well have stayed at home," Liu Banxia sighed.

He had anticipated this situation. After all, he had a wound, and typically, doctors with injuries were exempted from surgical duties. He had thought about finding a loophole, but Zhou Shuwen had preemptively blocked that possibility.

"What’s the hurry? If you have nothing to do, just hang out with us internists," Wang Huan interjected.

"You sure know how to seize an opportunity. I’m off," Shi Lei said and went to change his clothes.

"It’s been tough these past few days. I guess getting everyone together for a good drinking session is out of the question. We’ll have to find chances to drink separately," Liu Banxia said, looking at Wang Huan. 𝑓𝑟ℯ𝘦𝓌𝘦𝘣𝑛𝑜𝓋𝑒𝓁.𝑐ℴ𝓂

"Don’t count on the drinking. Just help me brainstorm when we encounter difficult cases," Wang Huan replied.

"Over the past few days, I’ve been reviewing old patient records. It’s quite interesting; with your involvement, the time to diagnosis has shortened considerably."

"More and more patients are coming to our emergency center. Nowadays, people don’t really care if they need emergency care or not; they basically go wherever the queue is shorter."

"And now you’re famous, which has really exhausted us these past couple of days. Listening to the director and the others chat, it would normally take our emergency center at least a year to build up this kind of reputation. Because of you, that timeline has also been shortened."

"Brother Wang, can I allow myself a few proud laughs?" Liu Banxia asked plaintively.

"Haha, I know you want to keep a low profile, but there’s no way. You’ve become so famous, how can you possibly stay low-profile?" Wang Huan retorted.

Liu Banxia felt helpless; this wasn’t something he could control. He could decline new interview requests, but he couldn’t stop the hospital from promoting him.

As they were chatting, paramedics wheeled a gurney in from outside. Liu Banxia went over to take a look.

"The patient lost consciousness after breakfast this morning. We administered IV fluids and oxygen en route. His blood pressure is a bit high. A rapid blood glucose test showed a value of 42," a paramedic reported.

"Move him to an examination bed. With such high blood sugar, it could very well be diabetic ketoacidosis," said Wang Chao, the attending physician for this case.

"Perform a physical examination and connect him to an ECG monitor. Order a complete blood count, blood biochemistry panel, venous blood glucose, hemoglobin, glycated hemoglobin, capillary blood glucose, troponin, and an ECG. Prepare to administer insulin."

Liu Banxia nodded; he would have done the same. Given the patient’s obesity and high blood sugar and blood pressure, all these factors needed consideration.

"My stomach hurts a bit," the patient suddenly said.

"I’m going to examine your abdomen now. Just let me know if you feel pain when I press somewhere," Wang Chao said. The patient nodded.

"Respiratory tract clear, lung auscultation normal, heart sounds normal," Su Wenhao reported after his initial check.

Wang Chao nodded and began to percuss the patient’s abdomen.

"Yes, right there! That spot really hurts!" the patient exclaimed when Wang Chao pressed on his epigastric region.

"Bring the ultrasound machine over," Wang Chao ordered.

When he saw the image on the ultrasound screen, Wang Chao couldn’t help but grimace.

"Has the patient’s family arrived?" Wang Chao asked.

"They’re on their way, haven’t arrived yet," Su Wenhao replied.

"Sigh... Let’s send him for an MRI first. The ultrasound isn’t very clear, but it looks like there are quite a few gallstones, mainly concentrated in the pancreatobiliary duct area," Wang Chao said. Su Wenhao nodded and began to seek the patient’s consent.

"Not bad, you’re getting quite proficient," Liu Banxia complimented Su Wenhao.

"We’ve been swamped these past two days. President Liu, I have a laparoscopic appendectomy later. Could you keep an eye on this patient for me?" Wang Chao asked.

Liu Banxia nodded. "Go ahead, leave him to me. I was getting bored anyway."

As a proper doctor, he indeed needed something to keep him occupied after being idle for so long.

Just then, another gurney was wheeled in, and Wei Yuan went to receive the patient.

Liu Banxia felt that, despite being away for only a little over two days, the emergency center seemed much busier than before.

Just moments ago, Wang Huan had been able to chat with him, but now there were already seven or eight patients sitting on the chairs outside the internal medicine consultation room, waiting to be seen.

"Teacher Liu, the patient has been sent for the MRI scan," Su Wenhao reported as he walked over.

"Give me your preliminary assessment of the patient’s condition," Liu Banxia instructed.

"I also looked at the patient’s ultrasound images just now. With that many stones, a cholecystectomy seems to be the only option. However, we still need to monitor his blood sugar in real-time to see how much it will eventually drop," Su Wenhao said.

"There’s a lot of grease around the corners of the patient’s mouth. Combined with his physical condition, he probably enjoys fried and greasy food, which has likely led to his current state."

"If possible, I think we should also perform a cardiac ultrasound. The patient is very overweight. Although his cardiac auscultation is normal, there could still be underlying heart issues."

Liu Banxia nodded. "Good, this patient is yours. Follow that line of thinking. You’ve done very well. You’re my lifesaver; I’ll treat you to a meal when we get a break."

"Teacher Liu, please don’t be so polite. Anyone in my position would have done the same," Su Wenhao said hurriedly.

"Haha, but you were the one in that position, weren’t you? So I have to thank you," Liu Banxia said.

"President Liu, come over here for a moment," Wang Huan called out, stepping out of the internal medicine consultation room.

"If any issues arise with that previous patient that you can’t handle, contact me directly. From now on, you all need to practice handling consultations independently," Liu Banxia said before rushing into the internal medicine room.

"The patient is 34 years old and came in complaining of a cold. His medical history indicates he’s taken some cold medicine, but a high fever has persisted for nearly a week," Wang Huan reported.

"His temperature just now was 38.4 degrees Celsius, his breathing is rapid, and there are crackles in his lungs. I recommend running relevant tests and admitting him for observation first."

"What are your thoughts?" Liu Banxia asked the patient.

"I just have a cold, and I’ve been really busy with work lately, so I haven’t had a chance to rest. Can’t you just put me on an IV drip?" the patient asked.

"Here’s the thing: even if we were to put you on an IV drip, we would still need to run some tests. There are many types of colds, and we can’t just randomly prescribe medication for you; that could actually do more harm than good," Liu Banxia explained.

"Moreover, your lungs likely already have inflammation. Considering your current temperature and how long your symptoms have lasted, I don’t think this is a common cold. You’ve probably considered this possibility as well."

"We have our own rules and regulations at this hospital. And given your current condition, if we were to carelessly put you on an IV drip, it might delay treatment for the actual illness."

"So, do I just need the tests? Do I really have to be hospitalized?" the patient asked.

"Admission for observation is necessary in your case. Your condition is quite complex, and I’m fairly certain it’s not just a cold," Wang Huan interjected quickly.

"By observing you in the hospital for a day, we can monitor your condition continuously and get a better understanding of your illness."

"Perhaps I didn’t explain clearly earlier. This type of in-hospital observation isn’t a formal long-term admission. It just means you’ll need to stay in the hospital a bit longer so we can monitor you."

The patient frowned, thought for a moment, then nodded. "Alright then. I actually still have a lot of work I haven’t finished. The company is really busy right now. If I’m out for one day, I’ll have to spend many more days catching up."

"Okay, let’s start with a blood test, a urine test, and then a chest X-ray," Wang Huan said.

After the patient left for the tests, Liu Banxia didn’t leave immediately. "Brother Wang, do you suspect something?"

"I have a strong feeling this patient’s condition might be serious; it’s definitely not as simple as it currently appears," Wang Huan said with a wry smile.

"To put it nicely, it’s a doctor’s instinct. To be blunt, I’m also just speculating. This patient gives me a really bad feeling. Given the long-term fatigue and high fever, even if it started as just a cold, it likely would have progressed by now."

"I was wondering earlier why you called me over," Liu Banxia nodded.

"This patient’s external appearance is indeed a bit off. He’s pale and looks exhausted; we really need to pay close attention. You continue with him; I’ll keep an eye on the situation."

Wang Huan’s words weren’t nonsense. Sometimes, a hunch like this really did come true. It was always better to be cautious because if overlooked, the smallest misstep could become a serious issue.