The Enhanced Doctor-Chapter 529 Smoke disease is not caused by smoking

No patients had come in for consultations at this time today, so Liu Banxia and the rest sat around chatting.

After a while, Zhou Shuwen and Qiao Xuezhi walked out of the office. Both of them looked pleased; it seemed they had a fruitful conversation.

"Banxia, has the diagnosis for Old Lin’s son been determined?" Qiao Xuezhi asked.

"We are still awaiting the final test. Shouldn’t be long, maybe ten more minutes," Liu Banxia replied.

"Sure, I’ll wait for the results before I leave," Qiao Xuezhi nodded.

"You didn’t drive here yourself, did you? Maybe you should call a designated driver. The trip back home is quite a distance," Liu Banxia quickly suggested.

"That’s not a problem; there is hardly any traffic on the road," Qiao Xuezhi said with a smile.

Once their conversation wound down, Liu Banxia introduced Shi Lei and Wang Chao, who had just walked over.

"Teacher Liu, we have finished explaining to the patient. But the patient doesn’t want to have surgery and wants to observe for a while to see," Liu Yiqing came over and said.

"Well, that’s that. But it must be clearly stated in the medical record. We were complimenting him just now, but now we must lower his rating a bit," Liu Banxia said.

"What’s going on? Why would someone with an illness refuse treatment?" Qiao Xuezhi asked curiously.

"Congenital megacolon, which is an abnormal function of the distal bowel. It means passage is obstructed, which easily leads to fecal retention," Liu Banxia explained.

"Some patients can manage it with a strict diet and a relaxed state of mind, but most eventually require surgical intervention to remove the affected section of the intestine."

"But it’s a common habit for people to think that since it has only flared up once in a long time, they’ll be fine if they’re more careful in the future. However, the next time it could be complicated by enterocolitis, and that’s when it becomes truly troublesome."

"Anyway, just remember this: if you feel unwell anywhere in your body, go to the hospital for a check-up. No matter the illness, early detection allows for effective intervention. If it’s discovered late, it’s a different story."

"People eat all sorts of grains; it’s impossible to be completely free of ailments. Even for those who are very careful about their health, nothing is guaranteed in these matters."

"Absolutely. Qiaoqiao has stressed that point to me several times," Qiao Xuezhi said, nodding with a laugh.

Regarding the patient with congenital megacolon, no strict demands could be made. After all, conservative treatment options were still available, and not undergoing surgery now wouldn’t endanger his life.

However, the future was hard to predict. Are living habits so easily changed? That’s not really how it works.

Just then, Liu Banxia’s phone rang. It was a call from Su Wenhao.

"So, can we confirm the diagnosis?" Liu Banxia asked as soon as the call connected.

"Yes, the angiography showed an abnormal vascular network at the base of the skull, similar to smoke. It can be diagnosed as Moyamoya disease," Su Wenhao said.

DING! Task completion: Strange running paralysis patient. Awarded 100 experience points, 100 points in diagnosis skill proficiency, 5 Glory Points.

"Okay, have the patient admitted to the ward directly, and then complete the hospitalization procedures. Call a neurosurgeon and have them make the diagnosis directly," Liu Banxia replied.

"Banxia, is this a disease caused by smoking?" Qiao Xuezhi asked, curious about what he had overheard.

"It’s a metaphorical description. There’s a portion of vessels at the base of his skull that look like swirling smoke. These vessels are prone to blockages or insufficient blood supply, which can cause cerebral hypoxia and minor strokes," Liu Banxia explained.

"However, it doesn’t seem very severe right now, so we can try conservative treatment. If conservative treatment isn’t very effective, we’ll have to consider surgical intervention then."

"However, this type of disease isn’t easy to manage. Moreover, long-term use of anticoagulants could have a significant impact in case of injuries or if other urgent surgeries are needed."

"No one can guarantee they won’t have an accident. It’s for them to decide; each option has its pros and cons."

"Then why hadn’t he shown symptoms before? According to what you’re saying, he should have had frequent episodes, right?" Qiao Xuezhi asked.

"We can’t say he hasn’t had episodes; his headaches are a manifestation of the condition," Liu Banxia said after a moment’s thought.

"His stress levels were high recently due to the New Year, and that, combined with today’s run, worsened the progression of his condition. Stress, physical exertion, emotional agitation, and other such changes can all trigger abnormal blood supply."

"Alright, there’s nothing else here, so I’ll head home. I’m not very good at comforting people; I wouldn’t even know what to say," Qiao Xuezhi nodded.

"Uncle, please take care on your way home. Maybe you should still consider calling a designated driver," Shi Lei suggested.

"Never mind, you guys go about your business. I just came to join in the fun today," Qiao Xuezhi said, waving his hand with a smile.

Liu Banxia had no choice but to see him out, watching as he departed.

When he returned to the main hall, the Lin couple had also rushed over, thanking Liu Banxia profusely.

He had heard Su Wenhao explain that although the disease could be diagnosed with a contrast-enhanced brain CT scan, it wasn’t that simple. After all, contrast agents pose some danger to the body and shouldn’t be used unless necessary.

"It should be pretty quiet tonight. Chao, you take the interns tomorrow," Liu Banxia said, stretching languidly.

Wang Chao nodded. "Did I act too recklessly today?"

"A little. Just be more mindful in the future. But since the director supports you so much, you should aim to stay on the front line in the future," Liu Banxia advised.

"Sigh... I don’t know what came over me then; I just had a rush of blood to the head, and that idea popped out," Wang Chao said with a bitter smile.

"Don’t overthink it. Everyone has to go through such a process; it’s just a matter of sooner or later," Shi Lei chimed in.

"Take Banxia’s Moyamoya disease patient from today; that was quite lucky, wasn’t it? If it had been a typically busy day with many patients, his leg might have regained sensation before he even got to the CT scan."

"If he’d been more laid-back, he might have just left on his own. If the admitting doctor had been a bit careless and dismissed it as overexertion, he might have been sent home, and who knows, he could have been readmitted later with a cerebral hemorrhage."

"Among adult patients with Moyamoya disease, cerebral hemorrhage is quite common, right? I glanced at some information about it before but didn’t look too closely. I wonder if conservative treatment can be effective."

"It’s hard to say. He should be fine at work, especially since his family’s financial situation is quite comfortable. But his personal life has some vexing aspects, and stress could flare up at any time," Liu Banxia said.

"And what about when he gets older? How can it be prevented then? It’s just that my father-in-law is here, so I couldn’t say too much. I estimate the neurosurgery department will definitely recommend surgical intervention."

"Speaking of which, President Liu, your father-in-law isn’t someone to be trifled with. Didn’t you see I didn’t dare say much just now? I was afraid I’d say something wrong and be called out," Wang Chao commented.

"You see now, right? Imagine how scared I was when I met him for the first time," Liu Banxia said wryly.

"But he’s usually only like that with people he’s meeting for the first time or those he specifically notices. Once you get to know him, he’s actually quite pleasant to be around."

"Why didn’t I get that impression? I thought he was quite nice. He even cares about you enough to come all the way to the hospital," Shi Lei said.

"My earnest friend, do you really think he came to see me? He came to observe our work environment here; consider it a kind of inspection," Liu Banxia said resignedly.

"You should let Chao explain it to you. He’s well-versed and has probably encountered many people like that. Anyway, I find it a bit hard to articulate, but I can sense what’s going on."

"Let’s put it this way: the old gentleman is the very shrewd type. President Liu, please don’t take offense," Wang Chao took over the conversation.

"Don’t be fooled by his consistently amiable attitude and the way he smiles at you into thinking everything’s fine. That’s what you call maintaining a poker face. People in official circles, especially those in high and powerful positions, are often like this."

"If he were to truly get angry, it might not even be a bad thing; it could mean he genuinely cares about you and wants what’s best for you. In any case, the old gentleman has a truly extraordinary presence. He must be very successful in business too."

Liu Banxia nodded. "That’s pretty much it. Qiaoqiao’s temperament, in many ways, actually takes after him. Though perhaps she’s the younger version; otherwise, she wouldn’t have been able to build up such a large enterprise."

"You’ve all met Qiu Huaili, right? They are two completely different types of people. At home, it seems only Qiaoqiao can manage him; no one else can."

Shi Lei shook his head helplessly. "Why make things so complicated? Wouldn’t it be simpler?"

"You’re such an honest fellow. If you ever end up with a father-in-law like that, I’d genuinely worry for you," Wang Chao sighed.

"How does that saying go? Yuxiang Rousi has no fish, Moyamoya disease isn’t caused by smoking, and his smile towards you isn’t necessarily a genuine one. When the time comes, you’ll struggle to even figure out how you managed to make your father-in-law angry."

"Anyway, I won’t overthink it; I’ll just go with the flow," Shi Lei laughed.

"Seriously, don’t just leave it to fate. I asked Qiaoqiao, and that girl is quite interested. But you need to clean yourself up a bit. Either ask Qiaoqiao, or wait for Xu Yinuo or Liu Yiqing’s day off to help you get spruced up," Liu Banxia said.

"If you keep waiting for fate, will fate wait for you? You have to seize opportunities when they arise. I’ve seen the girl’s photo, mind you, but I won’t tell you about her, nor will I show it to you."

"Hey, President Liu, can I have a peek?" Wang Chao asked, grinning from ear to ear.

"Get lost, this is reserved for Shi Lei. Besides, would your family approve of someone who’s self-employed? That’d be a long shot, wouldn’t it?" Liu Banxia inquired.

"They don’t interfere much anymore. Actually, as long as I can get married, that’s all that matters to them. You could say it’s the fruit of my hard-fought struggle. It’s just that now, I’m the one getting a bit anxious," Wang Chao confessed.

Liu Banxia and Shi Lei both laughed. This was the normal Chao.

Today’s patient had a significant impact on Wang Chao, not just because his face got punched, but more importantly, because of the psychological effect.

Otherwise, at this time, Liu Banxia would much rather be taking a nap than wasting his breath chatting here.