The Enhanced Doctor

Chapter 1134: Chapter 1134: Clues Emerged

(Thanks to LEO1211, Yezhidiandeng, Dastone91, and Youzhi Zeming for their encouragement with the monthly ticket)

"Teacher Liu, here’s the chest X-ray of my patient. It shows increased brightness in both lungs and a state of hyperinflation, along with inflammatory infiltrate shadows." Liu Yiqing arrived at Liu Banxia’s office.

"How’s the patient’s heart rate? It has risen to seventy now," Liu Yiqing said.

"Teacher Liu, why do I feel the patient’s heart rate is acting strange? Even if bronchial spasm is causing respiratory distress and overventilation, leading to some excitement, it shouldn’t rise this quickly, right?"

"This is indeed something we should pay attention to. But now the primary issue is to resolve the patient’s bronchial spasm. Use terbutaline aerosol to see if the heart rate will come down," Liu Banxia said.

"Alright, I’ll arrange it now." Liu Yiqing said and went out.

Liu Banxia took another careful look at the patient’s chest X-ray on the computer, furrowing his brows into a big knot.

First bradycardic and now tachycardic—if these are indeed symptoms, then this is troublesome. There surely is an undetected condition, or this flu infection has caused greater damage to the body, leading to new manifestations of the illness.

After thinking for a bit, he left the office.

He wanted to focus on the surgical patient’s materials, but now was not the time; both patients required special attention.

"Teacher Liu, the patient has been transferred to Teacher Peng in neurology. The cerebral edema is not severe and can be treated conservatively. The pulmonary effusion is also not much, and for now, there’s no need for aspiration."

Seeing him coming out, Su Wenhao greeted him.

"That’s good. Also, keep an eye on that patient. Currently, we have three critical patients in the emergency center, and the culture results have not yet come out," Liu Banxia nodded.

"Teacher Liu, are you referring to Liu Yiqing and Huang Bo’s two patients?" Su Wenhao asked.

Liu Banxia nodded, "Today’s cold patients are many, but these three showed the most severe symptoms. Although they haven’t reached the critical stage, they’ve had close calls, which require our attention."

"Alright, I’ll run to Teacher Peng’s area a couple more times," Su Wenhao nodded.

"How have you been lately? Any issues at work or home?" Liu Banxia asked.

"Teacher Liu, I’m pretty okay right now." Su Wenhao said with a smile.

"My family is very supportive of my decision to stay at our Second Hospital. Though I can’t take care of the family directly, I’ve been able to send more money home lately due to more time spent in surgery."

"You, I’m worried about you just keeping enough for yourself and sending the rest home," Liu Banxia said.

"Indeed, once working, it’s time to repay our families. But it should be within one’s means. Surgeons are exhausted, so it’s important to pay attention to nutritional intake."

"I’m with you often for work and hadn’t noticed, but your mentor’s wife did. She said you must be skimping on food money again, which is not okay."

"The meal standard has to be raised a bit; after today’s surgery, I felt kind of exhausted. What have I been eating every day? A lot, yet still feeling this way."

"Teacher Liu, I’ll raise my meal standard," Su Wenhao said with a smile and a heart full of gratitude.

Seeing Qiaoqiao visiting her little juniors in the VIP ward; she only went twice altogether, and both times were with the group.

Unexpectedly, the mentor’s wife noticed. It’s a sign of genuine care, otherwise, who would think much about food and drink?

In this aspect, he falls short—almost treating the emergency center as home, which naturally leads to substantial physical consumption.

Xu Yino and Liu Yiqing, on the other hand, constantly have snacks, reaching for something whenever there’s time. He can’t afford such luxury; he focuses more on meals.

That late-night meal? It’s instant noodles, just to get by.

Liu Banxia didn’t say much more, just a bit of concern is enough. He’s not Su Wenhao’s actual elder; he’s too grown to say too much, which would seem like nagging.

Walking up to Huang Bo’s patient, although the condition improved after medication, it’s not entirely resolved.

The current situation can still be maintained, with no need to push to ICU.

"Teacher Liu, they are the patient’s family." Huang Bo introduced.

"Doctor, just now, Doctor Huang also mentioned that currently, the exact cause is unknown. Can it be cured?" the patient’s wife asked worriedly.

"From the current test results, we’re diagnosing respiratory muscle paralysis due to hypokalemia," Liu Banxia said.

"Hypokalemia manifests differently in every patient. While his serum potassium level isn’t excessively low, combined with the impact of a cold, it may present more severely."

"Potassium replacement takes time, let’s wait a few more hours. If his potassium level increases and his condition doesn’t improve, then we’ll need to consider other factors."

"Currently, all test results are not very evident, especially concerning the heart. But we’ve prepared completely and can intervene at the first sign of trouble."

"Try to recall, during this period, did he mention any other discomfort in his body? Even a simple complaint would help."

"He just caught a cold, but he wouldn’t listen. He insisted on drinking, saying it would make him feel better. The day before yesterday, he went out for barbecue with friends, drank who knows how much, and came home saying he felt terrible, but he didn’t take any cefalexin." the patient’s wife said.

Liu Banxia frowned as if a flash of light passed through his mind but he couldn’t grasp it.

"Anything else? Did he ever mention any heart pain or feeling of chest tightness?" Liu Banxia continued to ask.

"Nothing like that. The annual physical exams at the company are thorough, and he’s always been healthy." the patient’s wife said.

"Alright, let’s keep observing for now. Currently, his heart rate is still at a relatively high level. Has he ever experienced palpitations or accelerated heartbeat before?" Liu Banxia asked.

The patient’s wife shook her head, "No, nothing like that. He’s usually very healthy. After work, he often plays basketball and soccer with friends. This time when he caught a cold, everyone said maybe he hasn’t been exercising enough normally."

Liu Banxia frowned and took a careful look at the patient’s monitor again.

Currently, the patient’s blood pressure and heart rate are somewhat high, which are impacts of the symptoms. Otherwise, someone who loves sports would usually have lower blood pressure and heart rate.

"By the way, does he smoke? Drink frequently?" Liu Banxia asked further.

"He smokes a little, a pack every two days. As for drinking, he drinks more in the summer. Now that it’s cold, and at home being watched, he doesn’t drink much either, only during gatherings with friends." the patient’s wife thought for a moment and said.

"Alright, Huang Bo, keep observing. Notify me if there’s any situation." Liu Banxia nodded.

The common cold is an upper respiratory infection, and it’s best not to smoke or drink with any infection symptoms. Especially since some components in cold medicine can react with alcohol.

Even if some reactions aren’t fatal, they can affect the efficacy of the medicine. Not only will it not work, but it might even worsen the illness.

"How’s the situation after medication?" Liu Banxia came to Liu Yiqing’s patient’s bedside.

"Breathing has improved a lot, and blood oxygen has come up. But there’s a symptom of diarrhea, the family just cleaned it up." Liu Yiqing said.

"Stool? Was it an urgency or incontinence?" Liu Banxia frowned and asked.

"The patient said it was an urgency." Liu Yiqing said.

Liu Banxia nodded, but his eyes staring at the monitor showed a trace of worry.

Medication has been administered, alleviating the patient’s bronchospasm, but there’s no sign of the patient’s heart rate decreasing. To be precise, it’s risen a bit more now.

"Keep a close watch on this patient’s heart rate, there must be something we haven’t discovered, it could be nerve-related." Liu Banxia said.

"Take another blood sample later, to check the electrolytes’ condition." Liu Banxia said.

He actually wanted to ask the patient some more questions, but considering the recent incident, it’s indeed inappropriate to ask now.

A grown man, unable to hold it in front of so many people, is not a pretty sight.

Moreover, the patient’s current situation is still within a controllable range, possibly due to a worsening upper respiratory infection causing a rise in heart rate.

Xu Yino nodded.

Liu Banxia glanced over and strolled to Wang Huan’s side, "Have you understood the situation of our two patients? Any thoughts?"

Wang Hua shook his head, "I’ve also been considering the situation of these two patients during consultation breaks, do you lean towards it being a severe flu virus? Not just a common upper respiratory infection?"

"It’s hard to determine right now, the symptoms appear common, yet there’s something strange about it." Liu Banxia said.

"I just checked on these two patients again, their condition has improved, but it’s more of a stabilization. That makes it tricky, not easy to handle."

"No results from the laboratory yet?" Wang Huan asked.

"They should be coming soon, but this is just my worry." Liu Banxia said with a wry smile.

"Teacher Liu, Teacher Wang, I just came back from Teacher Peng from the neurology department, and the patient with brain edema has had another seizure." At this time, Su Wenhao walked in.

"Intracranial pressure reduction was ineffective?" Liu Banxia frowned and asked.

"It worked, but the seizure still happened. Teacher Peng suspects his central nervous system was affected causing the coma, not the coma caused by increased intracranial pressure due to brain edema." Su Wenhao said.

"Central nervous system? Damn..."

Liu Banxia dropped a line and ran out.

Su Wenhao didn’t hesitate, directly following, there’s a lead now.