The Enhanced Doctor

Chapter 1076: Chapter 1076: Dizzy Patient

The situation with the "culprit" was somewhat unexpected, especially for Liu Banxia, who felt like he had punched the air with what he thought was a powerful punch.

He was quite full of momentum, planning to fight someone. The opponent was too weak, making him embarrassed to use heavy blows.

What he was striving to fight for was also well-known among the people in the emergency center. As for the current outcome, thanks to Liu Yiqing and Xu Yino’s promotion, everyone was aware of it.

Everyone found it amusing as well; how long had it been since the patient’s family realized it just now?

However, it must be said that Liu Banxia had it tough; last time he got stabbed by someone, and this time it was an entire group scandal.

"Laugh, just keep laughing. Anyway, I told the six boys to fill in for President Qi’s shifts whenever they have time," Liu Banxia said.

"You can’t blame me; who knew this situation would turn out to be so amusing?" Wang Chao said with a laugh.

"But don’t you think you should consider changing your style? If you keep going like this, it might not harm you, but it can be pretty annoying, right?"

"Is it my fault? This time, I was just shielding the two girls," Liu Banxia said helplessly.

"At least it worked out without too much fuss. There are two TaTME surgeries to be done, and they caused quite a stir in the hospital," Wang Chao said.

"I estimate there will be quite a few observers tomorrow since you’re the only one messing with this in the hospital. I’ve heard the patient that President Qi transferred to you has a relatively high difficulty level?"

"Let’s see, if TaTME doesn’t work out, then we’ll have to assist with laparoscopy. We’ll still have to see if we can successfully remove it through the anus after excising it."

"Is it time to send out the second wave of emergency knowledge promoters tomorrow? I just glanced over it. Is it still in the afternoon? Can you adjust the timing for the remaining three?"

"Depends on how fast your surgery goes. If it’s quick, then the afternoon should be fine," Wang Chao said.

"Isn’t the second one supposed to be routine? Finish up quickly, have a meal, and get on the stage; I think you can squeeze in the time, you absolutely can."

"Goodness, you’re even more confident than I am. Well... let’s strive hard. Every surgery is valuable. Watching on-site leaves a more profound memory compared to watching recordings," Liu Banxia said.

"I saw an active patient coming in, seems a bit urgent. You should go check it out, see what’s happening. It’ll also give you something to do, alleviating that stifled mood of yours," Wang Chao said with a smile.

Liu Banxia looked up and saw Li Hao was attending to a male patient in his forties, who was slightly overweight.

It’s the same situation; when feeling frustrated, attending to patients helps forget about trivial matters, so it’s good to go check it out.

"I just feel dizzy and heavy-headed. Today, when I turned around too fast, everything was spinning, and I don’t know how long I was lying on the ground before I could recover," the patient said.

"Do you have any conditions like hypertension or diabetes?" Li Hao asked.

"Blood pressure is slightly high, but I don’t have diabetes," the patient said.

"Doctor, our neighbor said this might be vertigo. Is it?" the patient’s wife asked.

"We still need to check. Apart from dizziness, heavy-headedness, and spinning, are there any other discomforts?" Li Hao asked.

"No, that’s about it. When I feel dizzy, everything spins, and it takes a while to snap out of it," the patient said.

"How’s your rest usually? Does this kind of dizziness happen frequently? Do you feel like vomiting when dizzy?" Li Hao asked again.

"Yes, yes, I feel like vomiting, but nothing comes out. It’s not very frequent, and I can’t say when it might just happen randomly," the patient said.

"It wasn’t this bad before, although I felt dizzy sometimes, it didn’t last that long. It’s been over half a month now, and the dizzy spells are lasting longer."

"There are many possible causes of vertigo, but given your severe symptoms, we can basically rule out BPPV. The dizziness of BPPV is very brief, and once you’re lying flat, it should subside," Li Hao said.

"Other possible causes might be cervical spine issues, cardiogenic vertigo, cerebrovascular reasons, or it might be somewhat related to your hypertension."

"Cervical spine disease means there’s something wrong with the cervical spine compressing the blood vessels or nerves. Naturally, this impacts the head, causing vertigo."

"Cardiogenic means there’s an issue with blood supply from the heart, failing to pump blood to the brain, causing this vertiginous feeling due to insufficient cerebral blood flow."

"Cerebrovascular reasons are easy to understand, too, involving some conditions in the brain’s blood vessels that prevent adequate blood circulation, causing insufficient blood supply."

"Think carefully and recall if there’s any blackout sensation when you’re dizzy. Or when experiencing dizziness, was there any loss of consciousness or convulsing reaction?"

Listening to Li Hao’s examination, Liu Banxia felt very satisfied.

This is very standard; differentiating vertigo symptoms well is crucial. Otherwise, one might end up walking down the wrong path, going in circles before diagnosing accurately.

"Let me think... I don’t think I’ve ever been in this situation before. When I’m dizzy, it’s like the world is spinning. If I don’t move, it stops after a while. But if I move too much, it gets worse, and the dizziness lasts longer," the patient said.

"Then we can probably rule out cardiac dizziness. I think it might actually be a cervical spine issue. Do you sometimes feel pain or pressure when moving your neck?" Li Hao nodded.

"Yeah, sometimes it feels a bit stiff," the patient said.

"Let’s start by taking your blood pressure and checking your cervical spine," Li Hao said.

"This is Director Liu from our emergency center. He’ll check your cervical spine shortly to give us a rough assessment and see whether you need an X-ray or some other examination."

Liu Banxia shot a small glare at Li Hao; he sure knows how to fully utilize available resources, even himself.

"Just sit up straight, and I’ll take a look. Don’t be nervous. You run a business at home, right?" Liu Banxia asked while checking.

"Yes, we have a supermarket in the community and also a parcel delivery station," the patient said.

"It’s profitable, but it’s really exhausting. Receiving, sending, and stocking shelves every single day is tiring. I don’t even know if all this work caused my condition," the patient said.

"It’s been worth it, right? Our old supermarket barely made any money in a month. The station might be more work, but Dong helps with deliveries after he gets off work," the patient’s wife chimed in.

"Stations are indeed convenient, at least you don’t have to worry about losing your packages," Liu Banxia said with a smile.

"Alright, let’s take your blood pressure. Your cervical spine does have some issues, slightly protruding, but it doesn’t seem to affect your movement too much."

He said this for Li Hao; now he’s just acting as a tool. Li Hao asked him to help assess the cervical spine issue severity.

Li Hao got the hint, "Next, let’s perform an MRI of the cervical spine and head to get a good look. According to Director Liu’s diagnosis, the cervical spine has some protrusions, so we need to see how severe it is."

"Doctor, is it cervical spondylosis or a cerebrovascular problem?" the patient’s wife asked.

"We’re still examining. Let’s take the blood pressure and then we’ll queue up," Li Hao said.

"Okay, let’s do the tests. I’m so dizzy every day that I just can’t go on living," the patient said.

Li Hao directly issued the examination slip.

The blood pressure was measured on site, a bit high but not alarmingly so. It seems that dizziness from high blood pressure can be ruled out, although even a minor cause can’t be ignored.

"Teacher Liu, do you think it’s more likely due to insufficient blood supply from cerebrovascular issues?" After the patient left, Li Hao asked.

"Possibly, but we’re just judging by the current situation," Liu Banxia said.

"There are some cervical spine issues, but they are not severe. They might be related to his usual work and lifestyle habits. Many people have some cervical spine problems to some extent."

"Cervical spine problems often come with symptoms like pain or limb numbness, which the patient hasn’t mentioned. But ordering an MRI of the cervical spine isn’t a bad idea; you need a hard drive image to observe."

"It could also be narrow spinal canal causing it, today’s diagnostic process went well. It’s worth praising that not only did you explain the possible causes of dizziness to the patient, but you also eliminated some possibilities."

"Thank you, Teacher Liu," Li Hao said joyfully.

"But I can’t be a tool for nothing; you better treat me to an extra dish at lunch," Liu Banxia continued.

"Teacher Liu, aren’t you the one adding dishes for lunch?" Li Hao asked humorously, albeit confused.

"I add mine, but if you treat me, it tastes better, doesn’t it?" Liu Banxia asked rhetorically, before wandering away with his hands behind his back.

It’s a trick, a full-on trick.

Praising from Teacher Liu doesn’t come for free; you always have to pay the price.

Why did I use that little wit? What was I thinking making the big demon king a tool?

But it doesn’t matter now; I can’t rebel anyway.

Although the diagnosis just now seemed really good, at least the big demon king’s praise was sincere. He wouldn’t just praise someone for a dish.

After this patient’s diagnosis, Liu Banxia felt better and moved on to observe other interns and resident doctors’ procedures.

Since the major assessment began, they too need to be evaluated. If anyone scores too low, they will need additional training.

After leaving the emergency center, their skill in wound cleaning remains their core competency, with no distinction between different departments.