The Enhanced Doctor-Chapter 805: Patient with Unexplained Dizziness

(Thanks to Fifty-Three Weeks, A Life Without Regret, baochong for the monthly ticket encouragement)

"Xu Yino, you guys go ahead and do the checkup."

Liu Banxia said.

Xu Yino nodded and then began the examination with her team.

"Teacher Liu, the cervical spine has no pain and can move freely. No signs of trauma were found on the head examination. Heart and lung auscultation is normal. There is a dull bruise on the right elbow, with redness and swelling."

After the examination, Xu Yino said.

"Nana, don't be afraid, I'm just outside."

Xu Yino had just finished speaking when the patient's boyfriend's voice came from behind the curtain.

"I'm not afraid, don't go away." The patient replied.

"Alright, the initial check is done, there shouldn't be any major problems. But since you lost consciousness, we need to do a CT scan of your head, and also an X-ray of your elbow." Liu Banxia said.

"Doctor, how about doing an MRI? Nana often experiences dizziness and then has to sit down and rest for a while to catch her breath. Could it be that she got dizzy and then fell this time?"

Just as Liu Banxia finished speaking, the young man behind the curtain chimed in.

"Do you often feel dizzy?" Liu Banxia asked the patient.

The patient nodded, "Occasionally, I feel dizzy, probably due to low blood sugar or something. Sometimes when I stand up too quickly, I feel dizzy."

"In that case, let's add an echocardiogram to check if there are issues with the heart's blood supply. We'll also do a blood test to check glycated hemoglobin." Liu Banxia said.

"I'll write up the orders now. Young man, you go ahead and pay the fees. No need to eavesdrop, you can accompany her for the checkups. There's no rush now; CT and MRI scans are pretty similar."

"Okay, I'll go right away." The young man said and ran to the payment counter.

"The young man is quite concerned about you. You can just lie on the examination bed, and we'll wheel it over later." Liu Banxia said.

"Doctor, I don't have a heart problem, do I? I just get dizzy occasionally." The patient said.

"I can't judge for sure at the moment, so a detailed checkup is needed. From the earlier physical examination, your blood pressure and temperature were normal. But in certain situations, there may be insufficient cardiac pumping function leading to hypoxic dizziness." Liu Banxia patiently explained.

"Dizziness can be a minor or major issue. This time it was just about three steps high, but what if it was five or six, or seven or eight steps? Falling from there wouldn't be like this."

"Chen Dongmei, go along with this patient for the checkup. Follow through with the examinations I just mentioned, one by one, and then come back."

"Okay."

Chen Hongmei responded and began preparing for the blood draw.

Although the patient was brought in for emergency care, her vital signs are stable now, so they can't expedite the tests and will have to wait in line.

"Sigh... I'm so envious, her boyfriend is so caring." Xu Yino said with a sigh after stepping out.

"Why not find a boyfriend too? If he doesn't behave, just keep him in line." Liu Banxia said.

Xu Yino rolled her eyes, thinking it was too brutal.

"Have you decided what car to buy?" Liu Banxia asked.

"Well... My mentor's wife said if I don't plan on changing cars in the future, I should get a BMW 3 Series. But if I plan to change cars later, I should get something cheaper for now." Xu Yino said.

"After thinking it over, I decided to go with the BMW, but I'll need to ask for some support from my family. My mentor's wife said there will be car shows and stuff, and booking a car then might be cheaper. Even if the price doesn't drop, the maintenance packages will be more plentiful."

"That works too. If you drive it less, the maintenance won't cost much." Liu Banxia said.

"Oh, is Nuonuo buying a car?" Liu Yiqing, who overheard, came over.

"Hehe, do you want to rent a place with me? I could give you a ride to work, and you just chip in for some gas money." Xu Yino said with a smile.

"That sounds feasible, I'll think about it." Liu Yiqing nodded.

"You two are looking to rent a place? Anyone diligent among you?" Liu Banxia curiously asked.

"Come on, Teacher Liu, don't underestimate us! Our Qingqing is excellent at housework and even knows how to cook." Xu Yino proudly said.

"No wonder you want to get a free maid." Liu Banxia seriously nodded.

"Hahaha, it's called mutual help." Xu Yino laughed.

"Alright, you two just help each other out. Don't forget to inform me once the patient's test results are out." Liu Banxia said.

Xu Yino nodded, then she and Liu Yiqing began whispering to each other.

Liu Banxia didn't mind such small bouts of laziness among them. Everyone's human, not a machine; even during work hours, there's a need to relax occasionally.

Otherwise, if we're constantly tense, we might not hold up when emergency patients come in.

"Your minds are terribly wicked; can't you just let me pass these two days easily?" Liu Banxia leaned in next to Qi Wentai.

"Don't blame me, it's everyone's idea. It's kind of a summary of your role as a resident," Qi Wentai said with a smile.

"Moreover, future emergency patients will prioritize us handling them. Just focus on your main duties, just need to consult patients and that's it."

"Oh, this isn't easy, why are you being so kind?" Liu Banxia asked curiously.

"Surgery, everyone thinks just keeping an eye on the director isn't enough. The director is too busy, and there are many watching him. So now we can focus on you, I think it makes sense," Qi Wentai said.

"That's fine, anyway, I'm bold enough to dare anything. If you don't mind, just follow along and watch by then. Oh my, Chao, haven't adjusted yet?" Liu Banxia was startled looking at Wang Chao coming over.

"The revolution hasn't succeeded yet; we still need to work hard," Wang Chao said with a bitter face.

"Just went around the ward, that Crohn's disease patient has had a bit of a setback again. So troubling, can't just get it all sorted at once."

"What about the patient with auto-brewery syndrome?" Liu Banxia asked.

"Seems there's some effect for now. But we have to see the following transplant, still experimenting. What were you chatting about just now?" Wang Chao said.

"Just chatting to pass the time; you take care of your health too. Never saw you like this during night shifts before, didn't seem like there was any issue," Liu Banxia said with a smile.

"It's different now with the pressure following. Even if I sleep, it's not peaceful sleep," Wang Chao shook his head.

"So I admire you all; if it were me, I'd turn it into a mess like this. Sigh... don't know if I can hold out for a year." 𝗳𝚛𝗲𝕖𝕨𝕖𝗯𝚗𝚘𝕧𝕖𝗹.𝗰𝗼𝕞

"Nothing you can't hold on to; you're just giving yourself too much pressure. There are so many people in the emergency center; no one will just watch the chaos," Qi Wentai comforted.

"The most important thing is to adjust your mindset well. That's what I do. Large accident emergency triage is so stressful, but when it happens, I still have to go in, considering President Liu and Shi Lei are backing us up."

Wang Chao nodded, "Actually, I can figure these things out, but at night, I start getting nervous myself. Used to be able to sleep when there's time, now it's hard to sleep even with time."

"Just try to relieve some pressure; don't keep winding yourself up so tight. When I first became a resident, was tense as hell too, just have to slowly adapt," Liu Banxia said.

Could only provide such comfort, as everyone's capacity to handle stress differs, and right now Wang Chao seems to fall a bit short in this regard. But it's a path everyone has to take, even if family's conditions are firm, this path must be trodden once.

"How did you handle that necrotizing fasciitis patient today?" Wang Chao asked.

"Seems okay for now, give it a few hours to see. If no new lesions appear, should be okay," Liu Banxia said.

"Pay more attention to the interns on a regular basis; don't dump everything on me, I can hardly find the time. Used to be confident balancing business and managing, now it's just nonsense in my mind."

"Nothing can be done; capable people get more work. However, for the teaching and training work in the inpatient department, you just need to grasp the situation anytime and then transfer it to the director, right?" Qi Wentai asked.

Liu Banxia nodded, "That's what is said, but still need to look occasionally. And then the time every day is estimated to be consumed like this; also need to go to the colorectal department as a trial point."

Qi Wentai and Wang Chao both looked at him sympathetically for a moment; the future Liu Banxia would indeed become busier.

The current Liu Banxia is still focused on being busy in the emergency center. In the future, it'll be being busy throughout the entire hospital. So many interns and standardized training doctors, even just understanding the situation, consumes quite a bit of energy.

After chatting idly for a while, Xu Yino came over.

"Done with the check-up? That fast?" Liu Banxia asked curiously.

Xu Yino revealed a bitter smile, "The patient's boyfriend cares too much about the patient, so made requests to those at the front, making the check-up faster."

"Right arm X-ray normal, echocardiogram normal, blood test result and CT haven't come out yet. Teacher Liu, do you think it could be neurological?" Xu Yino asked.

"This still can't be said well, but almost can determine there's some condition with the head," Liu Banxia said.

"But the patient doesn't have headache symptoms, almost can rule out the possibility of organic lesion. However, let's wait for the CT results to come out, then say, anyway once done, also need to call for a consultation from neuro."

The echocardiogram ruled out reasons from the heart's blood supply system, now the primary suspect target is the head.

He also had encounters with similar patients before, diagnosing would become very troublesome.

After waiting a while, both the CT scan results and blood test results came out, all negative.

Ping! Task released: Dizziness with unknown cause patient

Open task: patient self-reports frequent dizziness, initial examination found no abnormalities, requires host to further diagnose. Task rewards issued based on diagnosis results

Liu Banxia grimaced, really what you fear comes true, might as well let neuro handle it.