Chapter 961: Chapter 961: Diagnosis at the Dinner Table

(Thanks to Yangzhong and Existence for the popcorn monthly ticket encouragement)

Liu Banxia was feeling quite pleased with himself as he sat in the cafeteria having a meal. He hadn’t been wrong when he said it; once you get into this line of work, you really become addicted to emergency rescue.

It’s like an occupational disease, much like many soccer players. Although some are just in it for the salary, there are still many who strive for that moment of scoring a goal.

To celebrate a little, he ordered quite a bit for himself today, and it really looks like a large platter.

"Hey... watching Teacher Liu eat is mouthwatering," said Xu Yino, carrying a tray over.

"It’s not enough, I still need to keep working hard," Liu Banxia said seriously.

Xu Yino chose to ignore his words. Just last night at the small gathering, Liu Banxia was undoubtedly the number one. Even Tiggie and Tang Dou didn’t eat as much or enjoy it as he did.

"Keep your wrist steady, don’t rush," Liu Banxia said.

"Teacher Liu, it’s easy for you to say, but I’m starving," Xu Yino said glumly.

Everyone else sympathized because using these little chopsticks is indeed a bit inconvenient.

"Be aware, anytime in the next week, there might be a little test. It will assess your skills, focusing on the basic procedures," Liu Banxia said.

"Oh my god, Teacher Liu, can’t you stop torturing us like this? A whole week, it’s killing softly, it hurts," Xu Yino complained.

"Teacher Liu, what will be assessed?" Xu Zhenkai asked curiously.

"You might as well forget about it, I won’t tell you," Xu Yino said.

"Even if I told you, it would only make you more anxious. Because whether you’ll be tested on that or not, it’s uncertain. This is our lesson; you have to be strong."

Xu Zhenkai and the others were dumbfounded. What kind of game is this? What’s the point in telling us? It just keeps you guessing. No wonder Xu Yino said it’s like cutting flesh with a slow knife; it hurts a lot.

"Also, don’t think that Teacher Liu wandering around occasionally is just him goofing off. Actually, if you’re performing a procedure, he’s secretly evaluating it," Xu Yino continued.

"It’s like... he might not remember those who give him gifts, but he definitely knows who didn’t. That’s about the gist of it. If your operation isn’t up to standard, he’s sure to notice."

"What nonsense are you talking about? Am I that idle?" Liu Banxia said seriously.

"Yes, you are," Li Hao, who just arrived, interjected.

"Teacher Liu, I’ve been really curious, do you evaluate the patient’s condition right from the start every time you take in a case?"

"Not that skilled, it’s just that sometimes I notice certain situations and think more about them. More often than not, I think too much and it’s unnecessary. Only rarely does a certain thought prove useful."

"In this line of work, frankly, it’s about patching lapses. Wherever the patient has a shortcoming, we fill it. Wherever it’s excessive, we cut it down."

"I’m not talking about you guys, you all have plenty of surprises. But Xu Zhenkai and your group need to pay attention, the skills required for diagnosis are numerous."

"How to master these skills isn’t about performing a successful intubation once or twice. It’s about being able to intubate successfully even under extreme conditions, to buy time."

"It’s like Doctor Xu assessing burn patients, trying to perform as many effective intubations as possible. Previously, I overlooked this aspect, often rushing to protect the airway by intubating prematurely, just in case."

"However, such judgments require more extensive experience, especially during fire emergency rescues, where it’s better to be overcautious. If you truly fail to protect the airway, and the patient’s..."

"Teacher Liu, let’s stop chatting now, help me with something,"

Liu Banxia was about to continue speaking when Liu Yiqing interrupted him, holding a tray.

"What’s up? The urine test is also positive?" Liu Banxia asked. 𝐟𝚛𝕖𝚎𝕨𝗲𝐛𝚗𝐨𝐯𝐞𝕝.𝐜𝗼𝗺

"Yes, the results just came out. The patient and her mother went out to eat," Liu Yiqing said.

"But I secretly spoke with the patient, and she assured me it must be a mistake. She knows her body well and has never stayed out."

"Well, in that case, this is interesting," Liu Banxia said.

"Teacher Liu, do you know what the illness is?" Liu Yiqing asked, her eyes shining.

Liu Banxia gave her a helpless look, "I haven’t even seen the patient, how would I know what disease it is? But given your situation, there are only two possibilities."

"The first possibility is that the patient lied. Maybe during one activity, she thought she’d be fine, but she wasn’t. The second possibility is that the patient might have other conditions, possibly related to the brain or endocrine system."

"It’s because of such conditions that the blood and urine HCG levels increased, showing a false positive during the test. I think, if it’s pregnancy, it’s not too bad. The other case, tumors are more common."

"There is only one truth. To confirm, further tests are necessary. Otherwise, with just the current blood and urine test results, any hospital would give the same diagnosis."

"If it’s really the latter, it’s better to confirm it early. Especially if it’s a brain tumor, don’t delay even for a moment. Given she’s a senior in high school, early treatment might not affect her college entrance exams."

"Teacher Liu, could you help take a look after lunch?" Liu Yiqing said, pitifully.

Liu Banxia shook his head like a rattle, "It’s your patient, why should I get involved? Anyway, you need to pay attention. With the blood and urine test results like this, you should recommend the next instrument tests properly."

"I figure you probably haven’t communicated with the patient’s mother yet. But if you want to conduct new tests, you need an excuse. Otherwise, keep testing like this—blood test, then urine test—people will be amused."

The interns were dumbfounded, what does he mean? Why is Teacher Liu talking to Liu Yiqing like this, isn’t he just making it harder for her?

"You’ll get used to it. When you can handle consultations on your own in the future, you’ll face similar situations," Xu Yino calmly said.

"Many challenges must be faced independently. Recalling our training days is basically a tale of blood and tears. Every day, it’s either being tormented or on the way to being tormented. Life is just that tormenting."

"Looks like you’re quite moved. Then tell me, with Liu Yiqing’s patient, what would you do if it were your turn? We’re consulting right now," said Liu Banxia.

"Teacher Liu is wise and powerful; Liu Yiqing must find a way herself. She’s grown up, can’t she handle such a minor issue?" Xu Yino decisively sided with Liu Banxia.

Liu Yiqing gave her a helpless look, her position was too unsteady.

"Teacher Liu, in cases like this, isn’t there any other judgment we can use as a reference?" Li Tianyang asked.

Liu Banxia didn’t reply, instead, he looked at Liu Yiqing with a smile.

"A re-examination is needed, and this time the inquiry must be as detailed as possible. You need to pick out any symptoms the patient may have missed, then you can make a rough judgment," Liu Yiqing said helplessly.

"For instance, if there is an issue with the appendix, there could be a dragging pain in the lower abdomen. If it’s in the abdominal cavity, there may be abdominal or back pain. If in the head, there could be dizziness... uh... the patient has dizziness and nausea."

"Ah, congratulations, Dr. Liu, for discovering a potentially hidden condition, ten extra points. Here’s a rib as a reward," Liu Banxia said, raising Xu Yino’s tray and using the back of a chopstick to serve Liu Yiqing a rib.

The interns were truly "convinced and happy," realizing rewards could be given this way. But their eyes were still focused on Liu Yiqing, curious to see if her judgment was accurate.

"It’s my fault for being biased. After the blood test, I thought the dizziness and nausea might be caused by pregnancy," Liu Yiqing said helplessly.

"Teacher Liu, when I asked you the first time, did you already suspect there might be a tumor in the brain? And yet you let me foolishly do the urine test?"

"No, no, I didn’t. You’re not foolish at all," Liu Banxia said earnestly.

"Why are you all looking at me like that? With just a blood test report showing elevated HCG levels, anyone would think it’s pregnancy. Dizziness and nausea also match pregnancy symptoms; after all, some people’s reactions are stronger."

"Diagnosing is about rethinking things constantly. Once we have a blood test, we should follow its guidance. Otherwise, what’s the point of the blood test?"

"With other indicators for support, we can start ruling things out. But even then, we can’t be sure it’s definitively a brain issue."

"Human bodies are incredible, many symptoms influence each other and can be significantly or insignificantly related."

"Even with many indicators, we can only say they are main symptoms. Some are specific but rarely occur. Right, Dr. Liu?"

"Hmph, I knew it, you must have seen it earlier on. I’ll tell Teacher’s wife later that you don’t teach us properly," Liu Yiqing muttered.

This amused the interns to no end. Deep down, they too leaned towards Liu Yiqing’s judgment.

Because the little consultation over lunch was all due to Liu Banxia’s guidance, as Liu Yiqing self-questioned and self-answered to reach her conclusion.

Even though they knew they’d face their own trials soon, their spirits were high.

Under such a guidance, they’d learn much more, and if getting tormented is part of it, so be it.