The Enhanced Doctor-Chapter 411: President Liu, how come you are so amazing?

Liu Banxia’s patient had just suffered an epileptic seizure, so they could take the expedited route. The results came back very quickly. Seeing them on the display, Wang Chao gave a thumbs-up.

Liu Banxia’s prediction was spot on; the patient’s brain showed symptoms of edema. Although more detailed tests hadn’t been conducted, it could be confirmed that it was a urea cycle disorder.

DING! Consultation complete.

Gained 200 experience points, 100 proficiency points in Diagnostics, and 100 proficiency points in Orthopedic Technique.

The rewards were somewhat lacking; even Glory Points weren’t given. Perhaps it was because this disease is very easy to diagnose once hyperammonemia appears.

"Doctor, what’s wrong with me? I heard the doctors over there say this might be a genetic disease? How could that be possible?" The patient, who had been wheeled back in, had regained some of her composure but was very confused about her condition.

"Yours is indeed a genetic disease. We can confirm it with more precise tests later. Its scientific name is ’urea cycle disorder,’ which means a certain enzyme in your body is defective, rendering it unable to convert ammonia into urea to be excreted from your body," Liu Banxia explained.

"You fainted while running today because hyperammonemia affected your brain; this also caused the seizure you just had."

"Impossible! If it’s a genetic disease, how come I’ve never had any problems before?" the patient retorted.

"Meimei, how are you? Is it serious?" At this moment, the patient’s boyfriend rushed over.

"I’m fine, but the doctor said I have a genetic disease. How is that possible? We’ve known each other for more than a year, right? I’ve always been healthy," the patient said.

"It’s likely related to your recent diet. The condition can be triggered by excessive protein intake," Liu Banxia stated.

"In the future, you’ll need to avoid protein as much as possible. As long as you manage it, it shouldn’t significantly impact your life."

"No way! Absolutely not! I’m dieting right now. I eat healthy meals every day. I don’t eat meat at all, and no soy products either," the patient said adamantly.

The patient’s firm attitude stunned Liu Banxia. If it wasn’t due to excessive protein intake, then there must be another underlying cause.

"Alright, let’s first do a test to see exactly which enzyme in your body is problematic," Liu Banxia said.

"If it’s not an issue caused by protein intake, there might be other hidden problems in your body. We might need to run more tests; otherwise, you could fall ill at any time in the future."

The patient frowned. "Doctor, you must find out what’s wrong. We’re planning to get married on May 1st."

Liu Banxia nodded and then looked at the patient’s boyfriend. "I’ll have a nurse take your girlfriend to get in line for the tests first. You can wait here while I write up the payment slip."

"Okay, go ahead," the patient’s boyfriend hastily agreed.

Wang Chao blinked. He had been about to leave, but now he planted his feet firmly.

Normally, the patient’s family would take them for tests. The emergency center is so busy right now; how can they spare a nurse for an escort?

"Has her weight-loss process been very difficult? Is she trying hard to lose weight for your wedding?" Liu Banxia asked. 𝙛𝒓𝓮𝙚𝔀𝒆𝒃𝓷𝒐𝓿𝙚𝓵.𝙘𝒐𝒎

"Well, yes and no. Actually, she wanted to slim down herself. I never thought she was fat," the patient’s boyfriend said hesitantly.

Liu Banxia frowned. "The machine’s test results don’t lie, and the trigger for this disease is the consumption of large amounts of protein. If there’s anything you know, please tell me. It would be helpful for the subsequent diagnosis and treatment."

"Her symptoms aren’t very severe right now, but this type of illness tends to get worse with each episode. The next time it happens, she might need hemodialysis to remove the ammonia from her blood."

"If we can’t pinpoint the cause, we can’t give accurate medical advice on how to manage it, and the patient won’t be able to avoid such risks in her daily life."

The patient’s boyfriend scratched his scalp in frustration. "Actually... actually, I’ve been mixing protein powder into her food. Her diet has been really tough on her."

"And everyone says that if an overweight person loses weight too quickly, their health will suffer later due to nutrient loss. I... I never disliked her being chubby. Isn’t she perfectly fine being a bit plump? Why does she need to lose weight?"

"It’s all my fault, all my fault..."

As he spoke, the patient’s boyfriend squatted down and began to cry.

Liu Banxia sighed inwardly and patted his shoulder. "You need to explain these things clearly to her. She might feel that she can only be worthy of your love if she successfully loses weight."

"What I’m saying might sound a bit awkward. Even I find it a bit cringey; it’s not like we’re shooting a movie. But it’s really like that. I’m in a relationship now too, so I know it’s not just a one-sided thing."

"Some things need to be talked through and clarified between two people for the relationship to go smoothly. Otherwise, what you or she thinks is good might just be a one-sided assumption that the other person may not accept."

"My girlfriend is very wealthy, and everyone says I’m a kept man. We’ve talked about this. I told her she can buy me whatever she wants, not to worry so much, just not too many high-end luxury items."

"I won’t mention this to the patient. You should be more careful in the future; this was a case of good intentions leading to bad results. Alright, go pay the bill. The tests can’t be done without payment. If you’re careful from now on, it won’t affect her health."

The patient’s boyfriend wiped away his tears, a smile appearing on his face. Even though he knew his girlfriend’s condition wasn’t too serious, Liu Banxia’s words had amused him.

This was the first time he’d heard a doctor comfort someone like this, but the words sounded very sincere and went straight to the heart.

"Sigh... this is true love, no doubt about it. They just lack a bit of communication. When will I ever meet someone like this?" Wang Chao remarked with emotion.

"Who else can you blame if you don’t put in the effort yourself?" Liu Banxia said.

"As if you’ve put in much effort! I’m not that far behind, am I? Isn’t it just that my professional skills are a bit worse than yours, and my looks are a bit inferior?" Wang Chao grumbled.

This was the pecking order in action. Liu Banxia, now a taken man, having left the grand family of single dogs, could happily look down on him.

"Did things completely end with that girl from the bank?" Liu Banxia asked curiously.

Wang Chao nodded. "My mom is still hard at work searching for her future daughter-in-law. I have three rounds of blind dates lined up for my next day off. President Liu, can I apply for continued overtime? We’ve been incredibly busy here lately."

Liu Banxia chuckled. "That won’t do. You have to rest after working a certain amount of time. It’s the same for these interns, isn’t it? No one can endure long hours of high-intensity work; their bodies wouldn’t be able to take it."

"I hate you. So, how are you going to treat this patient of yours? I’m too lazy to look it up in a book; I’ll just learn directly from you," Wang Chao said.

"Intravenous glucose and insulin. For the cerebral edema, we can add some mannitol for dehydration therapy," Liu Banxia said casually.

"Although the patient is in the acute phase, her condition isn’t too severe. Her blood ammonia level is high, true, but it hasn’t reached the point where dialysis is needed."

"I just don’t get it. You have to manage the emergency center, see patients, and date. Where do you find the time to study? President Liu, how are you so amazing?" Wang Chao asked.

"I’m also studying hard, you know!" Wang Chao continued. "I figure, even if I can’t surpass you, I can’t let you leave me too far behind. Otherwise, in the future, when you ascend to greatness, maybe you can take a little sparrow like me along with you?"

Liu Banxia was exasperated. "What nonsense are you spouting? It’s just about reading books. For many diseases, I only glance at them once. How could I possibly remember so many conditions?"

"What about the celiac artery compression syndrome before and this urea cycle disorder today?" Wang Chao pressed.

"For the previous one, I noticed that the onset of his illness coincided with the days his father put him through rigorous training. Training of that intensity would definitely put a huge strain on the body," Liu Banxia said.

"You saw this one yourself. Is there any other explanation for hyperammonemia? The fundamental treatment is symptomatic, right? We need to stop protein breakdown in her body, don’t we? If blood ammonia is too high, the way to remove it is dialysis, isn’t it?"

"For a patient with cerebral edema, using mannitol is standard, right? To reduce intracranial pressure and promote dehydration. These are all very routine treatment methods. If you’d just used your brain a little, would you still be so surprised?"

Wang Chao felt even more dejected. A moment ago, he genuinely thought Liu Banxia was quite amazing, able to suggest the corresponding treatment off the cuff. But now, hearing Liu Banxia’s in-depth analysis, it seemed it really was that straightforward.

Liu Banxia let out a silent sigh of relief; he had managed to bluff his way through.

Of course, I don’t have that much time. Isn’t that what the Dream Space is for? Besides, as my Diagnostics skill improves, my ability to ’associate’ things has indeed become much richer.

It complements my practical experience. After all, the time I spend in the Dream Space isn’t for nothing.

At this moment, Wang Chao’s patient, having finished her CT scan, was wheeled back. Wang Chao picked up the films and looked at them; there were no problems.

"We’re quite lucky; there’s no brain injury. Now, let’s treat the wound on his back, and then you can go home," Wang Chao said with a smile.

"You have underfloor heating at home, right? Try to move around as little as possible, and it’s best if you don’t sweat. Otherwise, it might affect the wound’s healing. It’s not a very serious injury; it should heal in two or three days."

"Thank you, Doctor. So, why was my dad dizzy for a moment before he fell?" the patient’s son asked.

"That could be due to several reasons. Blood pressure is one factor. Your father’s blood pressure is a little high, and coupled with the fact that rooms are often very warm these days, it can lead to a feeling of dizziness and lightheadedness," Wang Chao said while debriding the wound on the patient’s back.

Liu Banxia, standing nearby, glanced over and frowned. He moved closer to Wang Chao and gently tapped his foot. "Doctor Wang, this wound is rather strange. The area of broken skin isn’t large, but there are many bruises on his back."

DING! Mission Issued: Strange Wound

Open-ended Mission: The host has observed that the patient’s wound appears unusual and suspects an underlying condition. Further examination is required. Task rewards will be issued based on the diagnostic results.