The Enhanced Doctor-Chapter 559 Specializing In One’s Profession
The patient’s husband was more or less persuaded by Liu Banxia to agree. Even though Liu Banxia had a silver tongue, the husband didn’t understand. But for him now, he could only choose to believe.
"Honestly, I’m still a bit skeptical, but currently, the patient’s husband highly trusts you. You should think about what examination to do next after the nasal cavity check," Zhang Xiao whispered on the way to the Otorhinolaryngology Department.
"What’s wrong? Brother Zhang, are you skeptical too? You don’t believe there could be an issue with the nasal cavity?" Liu Banxia asked with a smile.
"Actually, I don’t really believe it either. Personally, I still think it’s a neurological issue," Peng Bo chimed in quietly. "Like phantom limb pain, even if there’s a likelihood of a lesion in the nasal cavity, with such a long medical history, the pain should have intensified, but the patient’s reported symptoms have been consistent."
"Anyway, the two of us are betting on you," Zhang Xiao continued. "We really don’t want to see a news report someday about a patient committing suicide because they couldn’t bear the pain."
Xu Yino, walking ahead of them, wrinkled her nose but didn’t say anything.
"Xu Yino, do you have any suggestions?" Zhang Xiao asked, noticing her expression.
"Teacher Zhang, I don’t have any particular suggestions. It’s just that, well, we spend more time with Teacher Liu. Look at his... expression right now. Actually, a lot of times, he’s pretty much spot on," Xu Yino replied euphemistically.
Liu Banxia gave her a helpless glare. This girl is too mischievous. It would be better to say it directly. Being vague like this makes me seem smug. But I have to say, this girl observes things quite keenly. It seems I’ll have to be more serious if I want to trick them in the future.
"President Liu, do you really think it’s a problem with the nasal cavity?" Zhang Xiao asked incredulously.
"Actually, I’m just trying anything at this point, like treating a dead horse as if it were alive. What if it *is* because of the nasal cavity? Right?" Liu Banxia responded with a counter-question.
Zhang Xiao fell silent. Now that he thought about it carefully, Liu Banxia’s expression did seem a bit smug. Could this guy indeed have figured something out?
As for Liu Banxia, he did have a certain suspicion, but he didn’t dare voice it. It was truly because this patient had been tormented by her illness for too long. He was also afraid of making a misjudgment. If that happened, the patient’s hopes would be dashed, and it might even worsen her depression. When treating patients with depression, one must be especially careful during diagnosis and treatment. A careless remark might trigger the patient.
"My goodness, is this patient such a big deal?" Du Fancheng exclaimed, startled to see such a large group arriving together.
"It’s not that the patient has a significant background, but her illness does," Liu Banxia said. "She has been in pain for several years. She used to be a very cheerful person, but now she also has depression. So, it’s up to you next. If you can pull it off, this matter will be resolved."
Du Fancheng was at a loss whether to laugh or cry. What did he mean by "pull it off"? He could only "pull it off" if there was actually a lesion in the nasal cavity.
Without further delay, they proceeded directly with the nasal endoscopic examination.
Everyone stared intently at Du Fancheng. It was a good thing he was focused on the patient’s nasal cavity; if he weren’t, he would definitely feel immense pressure. Although Liu Banxia and the others were also proper doctors, every profession has its specialty. Their knowledge of the nasal cavity was only basic. Even though the screen now displayed the internal condition of the patient’s nasal cavity, they couldn’t understand it.
Once the examination was done, Du Fancheng turned to look at them.
"How is it?" Liu Banxia asked anxiously.
"I need to do an experiment," Du Fancheng replied.
Hearing this, Zhang Xiao and Peng Bo glanced at Liu Banxia in surprise. Du Fancheng hadn’t given a definitive diagnosis yet, but since he said this, it meant there was indeed something going on in the nasal cavity. Otherwise, why would he need to do an experiment?
At this moment, Du Fancheng took out a pair of fine forceps from a nearby drawer and inserted them into the patient’s nostril.
"AAAH..."
When the tip of the forceps pressed on the patient’s middle nasal concha, the patient cried out loudly. "It hurts! It’s so painful! This is where it hurts! Can it be treated? Can it be treated?"
After the forceps were withdrawn, the patient wiped the sweat from her forehead and spoke several more sentences than before.
Du Fancheng smiled and nodded. "The hypertrophied middle nasal concha is compressing the anterior ethmoidal nerve, which is why it’s causing pain. A partial resection surgery will fix it."
DING! Severe Headache Patient Mission completed.
Received 300 experience points, 100 diagnostic skill proficiency points, 5 Glory Points.
"Is it really a nasal condition?" Zhang Xiao asked in disbelief.
"It’s very obvious. There should have been some degree of damage or inflammation here. It’s just that it wasn’t properly treated at the time, which led to the hyperplasia," Du Fancheng said. "This surgery is very easy to do. I’ll add it in this afternoon. She’s been in pain for so many years; her nasal cavity should have been thoroughly examined back then."
"Doctor, is it just a minor surgery? Just do it and it’s done? It won’t be because you pressed it and made it hurt, right?" the patient’s husband asked, suddenly hesitant.
"I just touched it lightly. If I had pressed hard, she would have fainted from the pain," Du Fancheng said with a smile. "The medical history is quite long. If it had been treated earlier, the hyperplasia wouldn’t have become so severe. Don’t worry, it’ll be completely fine. We’ll do the preoperative checks in a bit. I should have time around four o’clock."
"Doctor Du, they had examined her nasal cavity before. Why wasn’t it discovered then?" Peng Bo asked with a frown. "And if it was constantly growing and compressing, shouldn’t the patient’s pain reaction be more intense? But her perception of it has been the same."
"Well, the hyperplasia occurs slowly. Perhaps it wasn’t visible when they examined it early on," Du Fancheng said after thinking for a moment. "Most patients we see here are diagnosed within two or three months of pain. This case might be somewhat special, possibly due to the effects of inflammation. As for why she feels the pain has always been the same, I can’t explain that. I haven’t encountered a patient with such a long medical history."
"Ask President Liu. He’s been smiling over here; he must have his own understanding. Otherwise, he wouldn’t have brought her to me, right?"
Everyone turned their heads to look at Liu Banxia, including the patient and her husband.
"Actually, this is also a case of hindsight," Liu Banxia said. "Humans are actually very strong. If we are in a certain degree of pain for a long time, our tolerance will increase a lot. This is the case with the patient. It was very painful at the beginning. Although it became more painful later, her tolerance increased. For her now, it’s probably at least one level higher than ours. As for why it took so long to diagnose, it’s also because the location of this pain became somewhat confusing later on. She couldn’t give a precise location for the pain; it was a kind of pain diffusion."
"It’s because the medical history was too long that the patient’s perception deviated. So, no matter where she went for an examination, they would directly examine the cranium and nerves. It’s also somewhat special. Often, concha hyperplasia or hypertrophy will have some manifestations of rhinitis, but the patient didn’t have any, so the nasal cavity was overlooked in every examination. However, I just felt that all the necessary examinations had been done. The only ones not done were the ear canal and the nasal cavity. Compared to the ear canal, I was more inclined to believe there might be a lesion in the nasal cavity."
"It was Xu Yino who reminded me. After all, the nasal cavity is too close to the cranium. But I didn’t expect it to be middle concha hypertrophy; I thought it was some other condition. How about it? Move over to our emergency center this afternoon? Anyway, you’ll have to move over soon enough, so this can be considered familiarizing yourselves with the place in advance."
"How did you know... Uh... forget it. Vice Director Zhou must have told you," Du Fancheng said, shaking his head helplessly. "By the way, how do you usually address Vice Director Zhou in the emergency center? I haven’t had much contact with him before, lest I address him incorrectly."
"Just call him Director. Actually, the old man doesn’t really care about these things," Liu Banxia said. "Alright, let’s go back too, to our emergency center for the examination. Then we’ll wait for Doctor Du to finish his work, and he can perform our surgery. After the examination, I can also prescribe some painkillers to alleviate the pain. We were worried about addiction before, but now it’s fine. After the surgery, there will be no problems at all."
"Thank you, doctor, thank you, doctor. We didn’t come in vain," the patient’s husband said, wiping his tears. 𝙛𝓻𝒆𝒆𝒘𝙚𝓫𝙣𝙤𝒗𝙚𝓵.𝙘𝙤𝙢
"No need to be so polite, and you don’t need to be so unhappy anymore. In less than four hours, the pain will be all gone. Then you can go square dancing if you want to, or do whatever you want. Nothing will be delayed," Liu Banxia said, looking at the patient.
The patient nodded vigorously, the expression on her face becoming much brighter.
"Why aren’t you three running off yet? Don’t you need to prepare in the operating room in advance?" Liu Banxia shouted on the way back.
Only then did Xu Yino and the other two remember they had surgery in the afternoon. WHOOSH, WHOOSH, WHOOSH, they ran off without looking back.
"President Liu, you’re truly amazing. It seems the patient’s mood has improved a lot. Her depression should be fine now," Peng Bo said with emotion.
"The cause of her illness was the pain. Now that this biggest annoyance is about to be resolved, she will definitely be very happy and joyful," Liu Banxia said with a smile.
"Then how did you think of this, about the pain tolerance issue?" Zhang Xiao asked.
"A patient I consulted before also showed some signs of depression. But hers wasn’t depression; it was because her pain tolerance was inherently very strong," Liu Banxia said. "So I thought about it and guessed, and unexpectedly, I guessed right. This counts as luck. However, I need to tell the director that obstetrics can be pushed back a bit, but ENT must be brought over quickly. Every profession has its specialty. Even if the three of us worked ourselves to death, we wouldn’t be as efficient as Du Fancheng in five minutes. If we had asked him for a consultation, maybe he would have thought of this situation long ago."
Zhang Xiao and Peng Bo nodded in unison. That was indeed the case. When they first received the patient, they were very convinced it was neuralgia.







