The Enhanced Doctor-Chapter 607 Covered Pale Yellow Spot

(Thanks to Tiexiuluo, chunyi, Jiutianxiangying, Xianrenaxianren, XiuxiandeXiong, Longwangcun, and 819570573 for their monthly vote encouragement)

"Come here, all of you."

Liu Banxia beckoned to the interns.

"Teacher Liu, do we have a new task? You’re not going to make us work for Teacher Wang, are you?" Xu Yino asked as she approached.

"That won’t be necessary. It’ll be entirely voluntary, depending on how much you all care about Wang Chao," Liu Banxia said.

"The issue I want to address next is our patient intake process here. We can’t all be aiming for small incisions and then only go after patients with acute abdominal pain."

"This sort of thing still depends on luck. Have you all thought about it? If the acute abdominal pain is severe, the appendix will definitely have effusion or suppuration. If you were the chief surgeon for a small incision procedure, could you handle it?"

"Another thing: whether it’s daytime or nighttime patient intakes, they all require extra attention and proactiveness."

"I heard, and this is just a rumor, that some leaders from the college will be making unannounced visits to various internship sites. Anyway, I’ve already graduated and just go back to teach a few classes now and then. But it’s not the same for you."

"Teacher Liu, are you pulling our leg?" Xu Yino asked cautiously.

"Do I look like the kind of person who would trick people?" Liu Banxia countered.

The others remained silent, merely nodding in agreement with Xu Yino.

Liu Banxia rolled his eyes. "This is just what I heard; I don’t know for sure if it’s true. I don’t plan on spreading it widely. It’s just that you few spend a lot of time with me, and you’re all a bit... unreliable."

This time it was the interns’ turn to roll their eyes. So the old man actually knew about this?

"Oh well, just make sure you’re all diligent," Liu Banxia said.

"Teacher Liu, I have a question," Huang Bo said, raising his hand.

"Just say it. It’s not like we’re in a classroom; no need to raise your hand," Liu Banxia said.

"Teacher Liu, we are always diligent during patient intakes," Huang Bo said.

Liu Banxia paused for a moment, then nodded. 𝐟𝕣𝕖𝐞𝐰𝕖𝚋𝐧𝗼𝚟𝐞𝕝.𝗰𝐨𝐦

This was undeniably true; there were absolutely no problems with their work ethic. His emphasis on this aspect seemed a bit superfluous.

"Okay, dismissed. Go get to work," Liu Banxia said, waving his hand.

The interns all looked at him with amusement. There were no issues at all, yet he still insisted on emphasizing it. That just shows his own insecurity. It’s truly rare to see this side of Demon King Liu. What a find!

"This bunch is really a handful. Don’t I have any dignity?" Liu Banxia muttered before looking at Wei Yuan, who was approaching. "Brother Wei, from the look on your face, I’m afraid it’s not good news."

"Negative," Wei Yuan replied.

"Ah, this is troublesome. Let’s talk to the patient again. Hmm... Xu Yino, come here," Liu Banxia said.

"What now?" Xu Yino asked cautiously as she came over.

"I’m taking you to a consultation. Aren’t I spoiling you? I don’t even take anyone else," Liu Banxia said casually.

Xu Yino rolled her eyes. "You want me to help with a physical examination again, right? Is it the female patient with splenomegaly?"

"Is that right?" Wei Yuan asked curiously.

Liu Banxia nodded reluctantly.

Xu Yino raised her head proudly.

Wei Yuan gave a thumbs-up. "Impressive, truly impressive."

This is what you call rapport. He hadn’t guessed what Liu Banxia wanted to do, but Xu Yino had figured it out. Even though he had partnered with Liu Banxia many times, he still didn’t understand him as well as these interns did.

"Actually, I was thinking that our current preliminary examinations have been quite thorough. The only thing we haven’t checked is the patient’s body surface, and that’s not appropriate for us male doctors to do," Liu Banxia said.

"I believe that even if this patient truly has an illness, it must be in the very early stages of development, which is why the symptoms aren’t so obvious."

"Often, illnesses will also manifest externally on the body. However, it wouldn’t be appropriate to call someone from gynecology for this, so we’ll have to trouble our excellent intern, Xu Yino."

"During her internship, Xu Yino has been diligent and hardworking, skillfully mastering the techniques she has learned. She is also very conscientious and responsible during patient intakes and is good at managing the details."

"She has independently completed nine appendectomies and cholecystectomies, assisted in eight Level-Three surgeries, and five Level-Four surgeries. In those assists, she has served as first assistant and participated in many critical operative steps."

"Wow, Teacher Liu, you remember all of this?" Xu Yino exclaimed in surprise.

"Of course, I do," Liu Banxia replied, feigning seriousness.

Wei Yuan couldn’t help but shake his head. That’s Liu Banxia for you. No other attending doctor would deliberately remember these details.

Otherwise, why else would these interns be so devoted to Liu Banxia? None of them were originally assigned to him when they arrived, but he managed to poach them all.

After Liu Banxia’s brief summary, Xu Yino, who had seemed a bit unenthusiastic just moments ago, was now fired up, as if she’d had a shot of adrenaline.

"Dr. Liu, are the test results out?" the patient asked, sounding somewhat anxious as they approached.

"The results are negative, so I must congratulate you. At least for now, you don’t have to worry about tumors. That’s good news," Liu Banxia said with a straight face.

"Haha, Dr. Liu, you’re so amusing. The way you put it, I’m happy even though I’m the one spending the money," the patient laughed.

"Alright, let’s add one small item to the list," Liu Banxia said with a smile.

"This is our Doctor Xu. In a moment, she’ll take you to the treatment room for a surface examination of your skin. We’ll look for any signs like papules, as we’re currently out of leads."

The patient nodded. "I don’t feel itchy anywhere, but I don’t mind another examination. It’s not like I can sleep right now anyway."

"Doctor Xu, please take her," Liu Banxia said.

Xu Yino nodded and then cheerfully led the patient toward the treatment room.

"Let’s hope she finds something. Otherwise, all that’s left is a puncture, and then we’ll have to refer her to Neurology," Wei Yuan said.

"Yeah. I also observed the patient’s gait just now. It’s completely normal, no problems at all," Liu Banxia said with a wry smile.

His favorite advice to patients or their families was always to seek treatment early. With early treatment, the success rate is very high, and many diseases are benign, preventing them from developing into malignancies.

This patient today certainly sought treatment early.

Although there was no clear diagnosis yet, Liu Banxia predicted that either there was no illness at all, or if there was, it was in its very early stages.

This highlighted a frustrating aspect of current medicine: in the very early stages of a disease, without clear symptoms or markers, diagnosis is challenging.

Nor can you subject the patient to a full battery of tests using all available equipment. Even the most patient individual would lose their temper.

The current diagnostic procedures were all within an acceptable range. The additional skin surface examination Liu Banxia had added was really just a shot in the dark.

"How many surgeries do you have tomorrow?" Liu Banxia asked Wei Yuan.

"Four. One liver abscess incision and drainage, two laparoscopic inguinal hernia repairs, and one intestinal stoma closure," Wei Yuan replied.

"Aren’t you usually sharp with numbers? How did you forget the surgery schedule? This isn’t like you. Slacking off?"

Liu Banxia nodded. "I’m just stressed about future responsibilities. No kidding, I really don’t want to deal with it. I just want to be a happy surgeon. I don’t mind being tired at all."

Wei Yuan was amused. He believed Liu Banxia; he knew this was how he genuinely felt. However, given Liu Banxia’s position, his personal preferences were largely irrelevant.

Who could blame him for performing so exceptionally, both in medical school and now in his career? For the Second Hospital’s emergency center to make its mark, they had to push him to the forefront.

Of course, if Liu Banxia had graduated from Binhai Medical College directly, it wouldn’t seem so sudden. As it was, he had taken a bit of a detour before getting back on the main path.

After they chatted for a while, Xu Yino returned with the patient, both of them laughing.

"Well? Any findings?" Liu Banxia asked.

Xu Yino shook her head. "I didn’t find any abnormal papules on her skin. Hmm... the only thing I noticed was an ichthyosis-like change on both her lower legs."

"But this lady bathes every day. Could it be residue from her bath products that isn’t rinsed off completely, accumulating on her lower legs and making her skin dry?"

Liu Banxia frowned. "Have her sit on the examination bed and pull the curtain. Let me take a look."

The patient didn’t object. After sitting down, she directly pulled up her pants and thermal leggings.

Liu Banxia examined her legs carefully. It was just as Xu Yino had described. Although there were ichthyosis-like changes, they weren’t severe.

Actually, many people can experience this. When the skin is overly dry, it can show such mild signs. If it becomes severe, then medical attention for a possible skin condition would be needed.

"It’s not that I don’t bathe; I told Doctor Xu, I bathe every day. If anything, perhaps I bathe too often. My arms have a little bit too, just a tiny bit," the patient explained earnestly.

Liu Banxia nodded with a smile. "Let me see your arms then, if you don’t mind."

"Of course, not inconvenient at all. Hold on."

After speaking, the patient rolled up her sleeves, revealing similar patches just below her elbows.

Liu Banxia examined them carefully. He was about to speak when his gaze unintentionally swept over the patient’s temple. He frowned, took out his penlight, and shone it closely on her temple area.

He then checked other areas of her face and found three pea-sized, faint, light-yellow patches.

"These light yellow patches on your temple and here on the side – were they there from birth, or did they appear later?" Liu Banxia asked.

"Uh... these appeared later. Actually, I have two more on my face, but I covered them with makeup," the patient said, a bit embarrassed.

Liu Banxia’s brows furrowed deeper. Could these concealed, light-yellow patches also be a sign of her condition?