The Enhanced Doctor-Chapter 575 Is this something a human would do?

"Teacher Liu, if we don’t do anything, how should we write the surgical record?" Xu Yino, who had come back to her senses, asked pitifully.

"Ah... I was so focused on the patient’s condition that I forgot to tell you," Liu Banxia then realized.

He had been so engrossed just now that he had forgotten there were other people around, his mind solely on the patient’s situation.

"Come, all of you, feel the patient’s lower jaw. Pay close attention," Liu Banxia continued.

The interns lined up by the patient’s head and took turns palpating the mandible.

This greatly intrigued the onlookers, as each intern, after finishing, would turn to glance at Liu Banxia. Could there be more problems beyond the initial examination?

"Have you all felt it? The salivary glands on both sides of the patient’s lower jaw are somewhat swollen," Liu Banxia stated.

"You don’t need to examine the patient’s pancreatic head; it’s clearly visible. Now, look at the common bile duct here. I’ll zoom in a bit. Do you see any signs of fibrotic scarring?"

"Okay, have you all finished looking? Now, take another look at the left edge of this liver lobe. Does it seem a bit swollen? It’s not very obvious; focus mainly on its margin."

"Come on, take another look at the patient’s spleen, paying attention to specific areas. To use a weather forecast analogy, it’s like scattered showers in localized areas; the swelling is similarly not very obvious."

"It’s actually like looking for flaws. In the swollen areas, the color will change slightly, and the shape will also be a little different."

"However, this patient’s case is somewhat unique. These ’scattered showers’ in localized areas are more like light drizzles, the kind that don’t last long."

"Swelling of the salivary glands, parts of the spleen and liver, the pancreatic head, and signs of sclerosing cholangitis. What conclusions can you draw from these findings? Xu Yino, you handle the suturing. The rest of you, think about it."

The interns thought hard. They had seen and heard everything; this was indeed a very unusual situation.

While they pondered, so did the observers in the viewing room and those watching on computer screens.

Zhou Shuwen, however, stopped thinking. He smiled, shook his head, and left the observation gallery.

"Damn, it might be an immune system disease causing multi-organ involvement!" Wang Huan, who was also watching, slapped his thigh and exclaimed.

His remark made the others around him think carefully, and it seemed plausible.

Many shared his suspicion, but they were more eager to hear Liu Banxia’s judgment.

"Well? Xu Yino has finished suturing. Do you have any answers?" Liu Banxia asked from the operating room.

"Um... Teacher Liu, could it be an immune system disorder?" Su Wenhao asked tentatively.

Liu Banxia gave a thumbs-up. "Correct! Xu Yino, you owe me pig’s feet for this. Actually, no, I should get this treat from the patient; she did say she’d treat me."

"Teacher Liu, then why did you decide to leave the patient’s gallstones?" Liu Yiqing asked.

"In my personal opinion, although the patient has gallstones in her gallbladder and bile duct, these stones are not the primary cause of the bile flow obstruction," Liu Banxia said after a moment’s thought.

"The swollen pancreatic head is exerting some pressure. Coupled with the possibility that the patient has an immune system disease, if we can identify and treat it, her pancreatic head and bile duct should normalize, allowing bile to flow freely again."

"Of course, gallstones *are* present, so the patient will need to be careful in her daily life; otherwise, her gallbladder will eventually have to be removed. But she wants to have a child, and preserving the gallbladder should be beneficial for her when she tries to conceive."

The listeners nodded in agreement; Liu Banxia had addressed their unspoken questions.

Indeed, good health is a crucial factor if one wants to conceive. The gallbladder is only removed when absolutely necessary. Apart from the appendix, any organ in the body, as long as it’s still functional, should ideally be kept.

Many people were deeply impressed. They had heard Liu Banxia was quick-witted and observant, but to achieve this level—was it humanly possible?

They had also seen the images on the monitor. Without the magnification, they would have struggled to notice the fibrotic scars and the swollen "localized areas" on the organs.

"Teacher Liu, don’t autoimmune diseases usually affect the lymph nodes? Why are this patient’s lymph nodes showing no abnormalities?" Su Wenhao asked while they waited for the patient to wake up.

"That’s why I say diseases are mysterious. It’s a good thing the lymph nodes are ’slacking off’ this time. Or perhaps some regional lymph nodes have proliferated, and we just didn’t spot them," Liu Banxia responded.

"If the peripancreatic lymph nodes had been swollen, I might have proceeded with the surgery directly. If I hadn’t seen the signs of sclerosing cholangitis, I wouldn’t have considered that these were all manifestations of a single underlying disease."

"Later, I’ll give you an assignment: each of you research autoimmune diseases and see which one matches this patient’s profile so we can conduct targeted tests."

"After you return, run an IgG4 test on the patient."

Just as Liu Banxia finished speaking, Zhou Shuwen’s voice resonated in the operating room.

Everyone turned towards the observation gallery, where Zhou Shuwen was standing.

"The commonly affected organs in this disease are the lacrimal glands, pancreas, and salivary glands, and the involvement of these organs mostly manifests as diffuse swelling," Zhou Shuwen continued.

"Given this patient’s current condition, it’s highly probable she’s clinically manifesting autoimmune pancreatitis and chronic sclerosing sialadenitis."

"Because chronic sclerosing sialadenitis typically presents as painless, unilaterally or bilaterally symmetrical swelling, it’s difficult for patients to notice, even if the disease has already begun."

"As the disease progresses, it involves other organs. The pancreas is a primary site, leading to autoimmune pancreatitis, which in turn affects the liver, gallbladder, and spleen to some degree."

"Your performance was excellent. Today’s pig’s feet are on me. One for everyone in the operating room. Avoiding unnecessary harm to the patient is the most appropriate treatment approach."

After speaking, Zhou Shuwen turned off the microphone and strolled away, hands clasped behind his back.

This left Liu Banxia feeling rather sheepish; he’d never received such direct, open praise before.

"Banxia, the patient has woken up," Li Liwei interjected.

"Haha, she’s awake! I have good news for you. Although there was an issue with your gallbladder, we didn’t remove it. You might have a different condition, and we’ll do specific tests for it shortly," Liu Banxia said.

"It’s okay, don’t worry about that for now; you’re still feeling the effects of the anesthesia. Let’s get you out of here, and we’ll tell your husband too. Oh, and don’t forget, you still owe me those pig’s feet!"

Although still groggy from the anesthesia, the patient managed a smile.

She wasn’t sure what had happened. Had she merely taken a nap? She didn’t even know how long she’d been unconscious. But she could understand Liu Banxia’s words; it seemed something remarkable had occurred.

"We’ll draw blood in the ward later for that IgG4 test. It’s quite a mouthful; I’ve never paid much attention to that one before," Liu Banxia said.

"Mmm-hmm," Xu Yino responded happily.

Although they hadn’t participated in the much-anticipated pancreaticoduodenectomy, the interns were equally thrilled with how things had turned out.

Even just observing from the sidelines, they had learned so much.

Such cases are certainly not common, and being able to witness the entire diagnostic process firsthand was an invaluable experience for them.

Even though the tests hadn’t been run yet, Zhou Shuwen had sounded so certain. He was probably right. Besides, his description matched the patient’s actual condition perfectly; the chances of him being mistaken were incredibly low.

The patient’s husband, waiting outside the operating room, was astonished to see them emerge so quickly. 𝘧𝘳𝘦ℯ𝓌𝘦𝒷𝘯𝑜𝑣𝘦𝓁.𝒸𝘰𝓂

Liu Banxia gave Xu Yino a meaningful look; it was good news, and he was letting her deliver it.

Upon hearing the news, the patient’s husband collapsed onto the ground, completely overcome with relief. Then, oblivious to the onlookers, he began to cry, his sobs interspersed with laughter.

He had been shouldering immense pressure but couldn’t show it, needing to be a source of strength for his wife. If he had crumbled, it would have been even harder for her.

He never imagined such a positive turn of events; things were truly heading in the best possible direction.

"Alright, you’ve had your moment of joy. Get up now; we still need to do the final confirmatory tests," Liu Banxia said with a smile.

"And a reminder for you: if this diagnosis is confirmed, it’s a lifelong condition. She’ll need to take hormone-based medications long-term and have regular check-ups."

"It’s okay, it’s okay! As long as it’s not pancreatic cancer, that’s all that matters!" said the patient’s husband happily.

Liu Banxia patted his shoulder. "Let’s go back to the ward first. We’ll instruct you on her care there. It’s quite simple, as it was just a laparoscopic exploration."

"We’ll observe her for a while. If her gallbladder continues to cause problems after her condition stabilizes, we’ll address it then. For now, she should just focus on resting and recovering."

The patient’s husband nodded vigorously, then ignored Liu Banxia, tightly gripping his wife’s hand, unwilling to let go.

Back in the Emergency Center, Liu Banxia was surrounded by his colleagues, all praising his brilliant diagnosis. Then, everyone waited anxiously for the lab report.

Finally, the much-anticipated results arrived: the patient’s serum IgG4 concentration was 1.98g/L. This was significantly above the normal range, confirming the diagnosis.

DING! Task: Tumor or Inflammation? Completed.

Reward: 500 Experience Points, 200 Diagnostic Skill Points.

Task Rating: Perfect. Bonus Reward: 1,000 Experience Points, 200 Diagnostic Skill Points, 10 Glory Points.

Congratulations, Host has leveled up to Level 54! EXP: 152,005/158,130. Reward: 1 Attribute Point, 5 Glory Points.

Liu Banxia was elated. It had been a long time since he’d received such a generous reward.