(Thanks to bunkerchina, Little Demon God's Tentacle, and those who kindly encouraged with monthly tickets)
"Doctor, the X-ray doctor said it's best to do an esophagoscopy. He ntioned there might be so issues with my esophagus."
The patient, holding the barium al X-ray, ca back with a sweaty forehead.
"Let take a look first, you sit down and catch your breath," Liu Banxia nodded, taking the X-ray from the patient.
From the X-ray, it could be seen that the folding of the patient's esophagus was sowhat disordered, with signs of disruption, and there was also so narrowing in one area.
"Have you experienced any difficulty swallowing when eating?" Liu Banxia asked after looking over it.
The patient thought for a mont and shook his head, "Everything goes down smoothly when I eat, but sotis at night I get acid reflux. Is this also related to my esophagus?"
"It's not caused by the esophagus, specifically, it's this acid reflux that's causing your esophagus issues," Liu Banxia explained.
"There definitely seems to be so condition right now, so let's do an esophagoscopy to check the details of your esophagus. Fortunately, you ca in ti; your symptoms of chest tightness and chest pain are caused by discomfort in the esophagus."
"Then why does my stomach hurt?" the patient asked.
"Sotis the pain is referred. On the barium al X-ray, your stomach looks fine. Let's do the esophagoscopy first, don't worry, we need the final diagnosis to know what's going on," Liu Banxia said.
"What are your eating habits like? Do you eat a lot of greasy food in every al? Do you often smoke and drink? Is it liquor or beer?"
"I smoke about a pack of cigarettes a day, not too much. With alcohol, I don't drink much liquor, I find it too spicy. I drink more beer, especially now that it's hot, I skip als and just drink beer and eat snacks."
"I eat a lot of fried food, and sotis I go out to eat with friends. I tend to crave more when eating; I can't eat without sothing tasty."
"Alright, I'll write you an order, and then I'll find a cardiologist to take a look at you because esophagus issues are not handled by general surgery. I'll get you a specialist,"
The patient nodded, his expression not very pleasant.
It's not that Liu Banxia was referring him to soone else, but he knew his esophagus wasn't in good shape. Even though Liu Banxia didn't say it directly, his expression and words gave him a rough idea.
After the patient left, Liu Banxia rubbed his face. The situation indeed wasn't optimistic.
The likelihood of benign tumors in the esophagus isn't high, and with frequent acid reflux, it might be malignant.
The only consolation is that the patient ca early, showing early symptoms. Surgical intervention will have a good effect; otherwise, like the last case, he could only advise the person to eat whatever he wants and smoke freely.
"Dr. Liu, finally found you."
Liu Banxia was still pondering when the young man who liked to take care of his girlfriend walked in.
"She didn't faint again, did she? Was she seriously hurt?" Liu Banxia hurriedly asked.
"No, she didn't faint. I asked Nana, and she admitted she did it on purpose to see if I care about her," the young man quickly added.
Ding! Task completed for the patient with unexplained dizziness
Gain 20 experience points
This task reward was within Liu Banxia's expectations. The biggest gain wasn't the reward but a judgnt about how system tasks are issued.
Previously, it seed that if a task was issued, the patient's condition would be complex. Now it's proven not to be the case. Even with a task, the case could be simple.
"And what about you, how are you considering things?" Liu Banxia asked.
"Ah... Dr. Liu, I'm a bit confused right now. I don't know who to talk to, so I ca to you. Should I make an appointnt?" the young man asked.
Liu Banxia smiled and waved his hand, "No need, we're just chatting. Since you're feeling confused and ca to , it proves that you have so concerns about this matter."
The young man nodded, "I keep thinking about what you said. I might have gone a bit overboard, which isn't right. But I've been like this since I was a kid, taking care of little animals and getting praised for it."
"Now I often go to so shelters to look after stray cats and dogs, it seems to have beco a habit. If I don't do sothing, I feel unwell physically and ntally."
"I've been with Nana for a long ti now, and I tend to take care of her more. Dr. Liu, if this... if it's really a problem, do I have a ntal illness?"
"It's not that easy to have a ntal illness, you're just too focused on doing good deeds," Liu Banxia replied with a smile.
Hearing his words, the expression on the young man's face relaxed a lot.
"I guess it cos from you liking to be praised by others since you were a child. Initially, it was genuine, but later on, it beca a bit intentional." Liu Banxia continued.
"Over ti, it becos a habit, similar to people who smoke a cigarette after waking up or before going to bed. Just be mindful and appropriately restrain your thoughts in the future."
"Dr. Liu, what about Nana? Is she the sa as ?" the young man continued to ask.
"Well, it's hard for to say because I don't know what she was like before." Liu Banxia replied.
"But personally, I think she enjoys the feeling of being cared for and cherished by you. You ntioned earlier that she just wants to see how well you can treat her."
"There's nothing wrong with that, but from my perspective, it seems like your communication is lacking. You've never had a serious conversation, right? Whenever you talk, it's all about romantic monts together."
The young man nodded sowhat embarrassedly, which was true.
"When you go back, have a good talk with her. Caring and cherishing are essential responsibilities; she's your girlfriend, and letting others take care of her could lead to trouble." Liu Banxia said with a smile.
"However, you should avoid certain things, like her pretending to be sick and making everyone worried. No need to criticize, just discuss it calmly."
"I think she might be lacking so sense of security during her growth. Then she t you, and suddenly you filled all the gaps in her life."
"It's easy to go from frugality to luxury, difficult to go from luxury to frugality. Just communicate calmly, be mindful in the future, and remind each other. I think it's not really a big issue."
"If you have ti, visit a psychologist for so counseling. It's not only when you have psychological issues that you consult a psychologist, otherwise many psychologists would be out of jobs."
"Just a simple counseling session, in today's world, people at all levels face various pressures in life."
"Dr. Liu, can I co to you? I feel relieved chatting with you." the young man said.
Liu Banxia looked at him, torn between laughing and crying, "I'm not a psychiatrist; I'm a general surgeon. Co to when there's a physical discomfort in the future."
"Professional help should be sought from professionals. I'm just rambling. If I keep talking, I should be praising my own dog."
"Don't take it too seriously. Whenever you feel up to it, just have a stroll. I'm thinking of going myself; my wife's pregnant, and we're all tense. I'm feeling a bit lost on how to handle it myself."
"Anyway, you should hurry back. Keep a relaxed mindset, stay calm. It's not a big deal; lack of money is the real concern in society these days."
"Thank you, Dr. Liu. I feel much better after talking to you. I've been worried all morning, fearing that I might have an illness. People say ntal illnesses can be inherited, and if both Nana and I have ntal health issues, how could we even think about having kids?" the young man said.
"That's why you shouldn't ruminate too much. Thinking leads to problems even when there's none initially." Liu Banxia offered a reassurance.
"Once you identify the problem, find a way to resolve and adjust it, and it's no big deal. It's not as complex as it seems; everything is actually quite normal."
The young man nodded, stood up, bowed to Liu Banxia, and then dashed out of the consultation room.
Ding! Consultation task completed
Gained 300 experience points, Glory Points 3
This task rating is perfect, gained 500 experience points, Glory Points 10 3
The unexpected task reward stunned Liu Banxia. He casually played the role of a psychologist and received such a hefty reward. It seed a bit outrageous.
No wonder psychologists charge so much; he seed to have chosen the wrong field. Talking therapy is crucial, an effortless way to earn money.
In reality, it was just casual chatter, soothing and comforting soone. He adhered to the principle of never telling soone they truly have a ntal disorder, even if they do.
Saying such things directly would cause imnse stress to them, as they wouldn't care if you're a psychiatric specialist or not; as long as you're a doctor, claiming they have a condition causes trouble.
Whether by sheer luck or sothing else, it was quite successful.
"Teacher Liu, did that patient cause another incident?" Xu Yino rushed in.
"No, he just ca to chat with . His girlfriend rely wants to see how much he cares for her." Liu Banxia replied.
"Although it's a bit childish, most young people nowadays seem to be like that. Whatever cos to mind, they act upon it, rarely thinking things through comprehensively."
"So calm down; he was here apologizing too. As doctors, we really can't predict what kind of patient we'll encounter in the future."
Xu Yino nodded, "Thinking about it now, it's nothing. Patients co, so we have to treat them. Even if they're pretending, we must treat it as a real illness."
This is true; if you don't diagnose actively, any mistake carries a huge responsibility.
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