(Thank you to Kong Xujimo Leng 671112 for the monthly ticket encouragement)

"Teacher Liu, we just connected to the monitor. Blood oxygen is at 92. Do we need to intubate?"

When Liu Banxia arrived, Liu Yiqing hurriedly asked.

"Intubate."

Liu Banxia nodded firmly.

Liu Yiqing didn't hesitate and started the procedure directly.

Liu Banxia's brow furrowed as he listened to the patient's chest and tried to assess the patient's current condition.

The patient's blood pressure hadn't changed significantly, but the heart rate had increased. The heart and lung sounds matched this, caused by respiratory distress.

But what was causing the respiratory distress? Could it be a side effect of an overdose of stimulants? The corners of the mouth were slightly crooked but not obvious. Could it be a stroke?

This was his primary suspicion, and routine blood tests and blood chemistry could confirm it. Elevated transaminase levels indicated some extent of liver damage.

It might not just be due to drinking, but could also be related to medications the patient had taken. After all, for an ordinary person to endure for so long, it would be very difficult.

Although the changes in the eyelid and mouth corners weren't particularly noticeable, they still needed consideration.

"Teacher Liu, the blood oxygen levels have risen." Liu Yiqing glanced at the monitor after completing the intubation and said.

Liu Banxia nodded and then looked at the patient, "Your condition has changed somewhat. Now you need to honestly tell me what medications you've been taking recently."

"We also need to contact your family because your condition is deteriorating, which could make things worse."

He spoke candidly, considering the patient's current state, the only option was to run instrument checks.

The patient was not doing well. Even though their hands were a bit unsteady, they persisted in using their phone to tell Liu Banxia that they hadn't taken any medication recently.

"Liu Yiqing, let's do a brain CT scan, an ECG, and an echocardiogram. Wait, let me check his limbs again." Liu Banxia said with a furrowed brow.

"Push my hand hard," Liu Banxia said after grabbing the patient's hand.

Even though the patient exerted effort, the force feedback to Liu Banxia was weak. He then grabbed the patient's leg, signaling for the patient to kick his hand with effort, but the leg strength was also weak.

After these two tests, Liu Banxia lifted the hospital gown the patient had been wearing since arriving. He examined the skin on the chest and thigh carefully, finding no abnormalities.

"Liu Yiqing, help me turn the patient over. I need to examine his back," Liu Banxia said.

"Teacher Liu, do you suspect muscle weakness?" Liu Yiqing asked.

"It's still uncertain, but the drooping eyelid, respiratory difficulty, and weak arm and leg feedback align," Liu Banxia said.

At this time, the patient was turned over, showing some old and fresh scratch marks on the back. It was clear the patient had previously been quite active.

And on the right scapula below, there was a relatively small rash, with a certain degree of infection currently.

That was the most evident; upon further inspection, there were some acne-like marks on the patient's back. Some were scratched open, resulting in small rashes.

"On top of the previous checks, let's run a lupus test and biopsy on muscle tissue to see if it's a muscle or nerve issue," Liu Banxia concluded after the examination.

He thought to himself with a sigh of relief, realizing that assuming the symptoms were side effects from drug overuse had initially misled him, as it was more indicative of muscle weakness.

Otherwise, he might have mistaken it for a stroke, but that still hasn't been completely ruled out, so tests are necessary.

"What's the situation?" Shi Lei asked when Liu Banxia returned.

"Almost misdiagnosed, thinking the symptoms stemmed from the patient's lifestyle and drug misuse. Now, considering the external symptoms indicate severe muscle weakness, though not reaching a myasthenia crisis," Liu Banxia explained.

"The patient also has rashes and acne marks on their body, but there are many scratch marks on the back making it difficult to ascertain. Let's proceed with lupus and muscle biopsy tests to determine the underlying causes."

"Anemia also needs thorough investigation. Initially thought the patient's recent lifestyle of overindulgence caused these symptoms."

"While examining his body, his muscles seemed relatively toned. The patient mentioned regular workouts, meaning nutritional supplements were likely timely, thus requiring further investigation."

Ding! Task issued: Unknown cause of severe muscle weakness

Open task: The patient has symptoms of severe muscle weakness, requiring the host to further investigate and identify the cause. Task rewards depend on the diagnostic outcome.

As soon as Liu Banxia finished speaking, the system issued a task.

This is the "fairness" of the system; if you don't ponder on it, it can just ignore you.

So, if you want to gain more tasks and more rewards, Liu Banxia needs to be more careful when diagnosing patients and not overlook any situation.

"Is there any drug that could cause this situation? After all, the patient's private life is indeed a bit wild. Those drugs often affect the endocrine system, should we consider checking this as well?" Shi Lei asked.

"That's my next plan, at least I should take a look at his prostate." Liu Banxia said.

"Actually, I still think his current condition might be caused by drug overdose, but the patient just won't admit it no matter what. And since it's come to this, I feel he shouldn't choose to hide it anymore."

"If we consider it from another direction, if anemia is the main cause, then muscle weakness might be a manifestation of this condition. If that's the case, it should be some acute anemia-related disease."

"Let's take it step by step; currently, there are too many possibilities. We can only rule them out one by one, at least we can eliminate the issue of diabetes."

Shi Lei nodded; that's all they could do for now.

The interns on the side listened with great interest; don't be fooled by Liu Banxia and Shi Lei's simple conversation. This is actually a consultation.

It included some potential situations of the patient, next, they need to inspect and eliminate possibilities.

This is how diagnoses work; it's not like you can instantly determine the cause when a patient comes in. The process involves eliminating impossible conditions through questioning and instrumental examination to find possibly related diseases.

It's always this process; muscle weakness, anemia, skin rash exhibited by the patient are external manifestations shared by many conditions. But which is the dominant factor and which is the auxiliary one needs to be studied slowly.

After waiting for a while, Liu Yiqing led a middle-aged couple over with a slightly strange expression. Surprisingly, Bao Chunlai was accompanying them.

"Teacher Liu, this patient's parents are Chairman Bao's friends." Liu Yiqing said.

"Banxia, is the situation serious?" Bao Chunlai asked with concern.

"We haven't found a clear cause yet; tests are being conducted. The manifested symptom is muscle weakness, and it is still developing." Liu Banxia said.

"Let me ask, do you have a family history of hereditary diseases? Many autoimmune diseases also show symptoms of severe muscle weakness and rash. Has your child ever shown symptoms of anemia before?"

"No, he has always been good; even when he returns home for the holidays, he hangs out with friends." The patient's father replied.

"Doctor, how is he doing now?" The patient's mother asked urgently.

"We are sending him for examination now; there are many causes for muscle weakness and anemia, we need detailed testing." Liu Banxia said.

"Rest assured, Banxia's medical skills are excellent. Not only do I trust him, but he's also a brother to President Qiu." Bao Chunlai added.

"Liu Yiqing, please accompany them and follow up on the diagnosis for safety and attention." Liu Banxia said.

"Dr. Liu, we're troubling you here. We've been friends with their family for years, treating their child Bei, and we've had help taking care of Rou upstairs. Without you, Rou wouldn't even bother to eat fruit." Bao Chunlai said.

"Chairman Bao, don't worry, I'll go over once I'm done." Liu Yiqing replied.

The patient's parents nodded to Liu Banxia and then followed Liu Yiqing to see their child.

"Chairman Bao, this couple has quite the presence." Liu Banxia remarked.

"Dr. Liu, don't mind them, they are just overly concerned about Bei." Bao Chunlai said with a smile.

"This is a true case of the single heir passing down four generations. They do spoil Bei a bit. Now hearing that their child has an issue, how could they not be anxious? Can you give me the lowdown, what's really going on?"

"Chairman Bao, under normal circumstances, I shouldn't tell you. But since you've asked, you must have some understanding." Liu Banxia said with a bitter smile.

"This Bei's private life is a bit chaotic, and when he was brought in, he looked terribly disheveled. We still can't truly confirm whether it's due to internal disease or due to an overdose reaction from taking certain drugs."

Now he understands why the young man's life can be so carefree; would it be possible without a certain degree of family strength?

Being friends with Bao Chunlai, that family's strength is certainly remarkable. Moreover, they seem to be in the jade business; judging by their bracelets, rings, and the pendant around their necks, they are all exceptional items.

"Sigh... that's why I sent Rou away back then. If she stayed at home, although she could get better care, it would be easy to go downhill." Bao Chunlai sighed.

"Chairman Bao, let me say this, the key lies in the family and the child itself. I think Rou would be fine even at home, your family upbringing is there." Liu Banxia said.

"Just like Old Qiu's brat, usually fooling around like he's got no sense. Yet, that kid handles things better than me, you guys are the real close friends, birds of a feather flock together."

Hearing Liu Banxia's words, Bao Chunlai was very pleased.

He cares quite a lot about how outsiders view him, and Liu Banxia was flattering him.