(Thanks to Qinglian Sui Feng for inspiring with a moon ticket)
"Teacher Liu, the results are out. There's only one polyp, which was directly removed. No other masses were found."
Around five in the afternoon, Li Hao ca over with the patient and the colonoscopy report.
"Looks like we were worried for nothing. There's actually nothing wrong; it's your hemorrhoids causing trouble," Liu Banxia said with a smile after checking it.
"But it's good as well, the polyp was directly dealt with. Otherwise, over ti, the polyp could also potentially beco cancerous."
"Doctor, what's wrong with then? Why can't I eat lately, and always feel so tired like I just want to lie down?" the patient asked.
Not having colon cancer is indeed sothing worth celebrating. But there's surely sothing wrong with the body; normal people wouldn't be unable to eat and feel lazy all day long?
"How's your sleep quality usually?" Liu Banxia asked.
"Sleeping well, but what's wrong with ?" the patient countered.
"There are many possibilities that could lead to this situation, like stress from life or work. Anything troubling you lately?" Liu Banxia asked.
The patient shook his head, "Nothing troubling, life has been pretty good. Doctor, could I have cancer sowhere else, like stomach cancer?"
This amused Liu Banxia, "Why don't you think positively? Although there are direct thods for checking, do you really want to endure that pain?"
"Let's do this, I'll take so blood and do a routine blood test. This can also reflect many problems. Not overthinking things is better than anything else."
The patient nodded awkwardly.
Thinking randomly indeed didn't help.
To appease the patient's emotions, Li Hao took care of the blood collection. They've done the initial check, now it's ti to wait for the blood test results.
However, as soon as the patient got up from the examination bed, his legs weakened, and he sat back down on the floor.
"Geez, I've really drained myself," the patient said embarrassingly.
Liu Banxia frowned, "Try to see if you can get up."
The patient was stunned and struggled while holding onto the examination bed. Although he stood up, his legs were trembling.
"Sit back on the bed, I'll examine your legs," Liu Banxia said.
"Doctor, what's wrong with ? Why did my legs suddenly lose strength?" The sweat on the patient's forehead began to bead up.
"How did you feel when you ca back from the colonoscopy? Did your legs also feel weak?" Liu Banxia asked.
The patient nodded, "It's been a little like that recently."
This ti it stunned Liu Banxia, "Are you saying you've felt weakness in your legs for a while? Not just symptoms appearing after the colon check?"
The patient nodded, "My body feels exhausted, and naturally, my legs feel weak."
Liu Banxia frowned, choosing not to argue with the patient. It's partly his fault for not asking thoroughly. Body fatigue and leg weakness are entirely different symptoms.
He conducted a leg examination, and the patient showed signs of noticeable muscle weakness and slow reflexes. However, when examining the patient's arms, the strength seed normal.
He carefully checked the patient's eyelids and saw no signs of drooping, feeling slightly relieved.
"Doctor, what's wrong with ?" the patient asked worriedly.
"At present, your legs are showing symtrical muscle weakness, which I believe might be related to the nerves," said Liu Banxia.
"Lie on your stomach on the bed, and I'll check your spine. Have you experienced any back pain, injuries, or twists recently?"
The patient shook his head, "I run my own supermarket, and I don't need to move goods. The delivery people take care of everything."
"Let check your spine to see if there's anything causing nerve compression," Liu Banxia said.
Upon careful examination, the patient had so protrusion in the spinal area. But judging by his hand diagnosis, it wasn't severe and likely wouldn't compress the nerves.
"You have intervertebral disc protrusion between the fourth and fifth lumbar vertebra, let's get a CT scan to see if it affects the nerves," Liu Banxia said after finishing the examination.
"Although it's not very obvious, since you have lower limb muscle weakness symptoms, we still need to do so equipnt testing. Consider that your symptoms may be causing a fatigue illusion due to neurological issues," he said.
"Doctor, is it serious?" the patient asked worriedly.
"Don't overthink. Let's first check and see exactly what's going on; many diseases can cause muscle weakness symptoms," Liu Banxia said reassuringly.
"But looking at your current condition, it's not very serious, which ans it's just starting. It might also have sothing to do with the bowel preparation we did. Let's go ahead and do the check-up."
"If there's nothing wrong with the lumbar spine, we'll do an electromyography of the lower limbs. Don't worry, I don't think it's a big issue. Let's have a thorough check-up; we'll figure out what's going on. Don't scare yourself unnecessarily."
For so patients, you have to make the issue sound a bit serious. Otherwise, they won't take it seriously and won't cooperate with the instrunt check-ups.
But for so patients, you need to minimize the influence of the symptoms as much as possible.
Just like this patient, he hasn't even been thoroughly examined yet, and he's already suspecting he has rectal cancer. After ruling out bowel cancer, he then suspects he has stomach cancer.
Now his legs are weak, showing symptoms of muscle weakness.
Although he hasn't declared what cancer he might have, the tense expression on his face reflects his inner world, and right now, he's really not calm.
Normally, it's a good idea for the patient to call their family over for so support. But Liu Banxia didn't dare to say that. If he ntioned needing family, the patient's mind might run to thoughts of terminal illness.
Although Liu Banxia has tried to handle it as gently as possible, the patient's mood is still not relaxed. Coupled with so existing muscle weakness in the lower limbs, Li Hao had to push him for the next check-up.
"Teacher Liu, what do you think is actually going on? Could it really be a tumor from another place causing this? Should we do a thymus scan?" Liu Yiqing asked.
"Let's wait first, until the blood tests and lumbar spine results are out. This patient is sowhat timid. Although he can cooperate with the examinations, if we haven't diagnosed the issue by then, he'll scare himself out completely," Liu Banxia said.
"For patients like this, we also have to be cautious. You could say they're the complete opposite of those who resist examinations; the main thing is that he easily scares himself."
"Moreover, there are many causes of muscle weakness, and we'll need to rule them out one by one. Try to keep your expressions relaxed; this guy has a lower psychological tolerance."
Liu Yiqing nodded; she had just seen the whole process.
"Teacher Liu, when will you eat?" Liu Yiqing asked.
"In a while. Let others eat first. I'm waiting for the patient's examination results," Liu Banxia said.
"We also need to think it over thoroughly, but it's like casting a wide net, which is a bit troubling. Tomorrow is a rest day, and the day after, we'll go to the Marathon site. You guys behave in the hospital, okay?"
"Teacher Liu, a serious protest. We've always been well-behaved, haven't we?" Liu Yiqing said.
"Just a reminder for you guys. Recently, our ergency center has been quite peaceful, and I'm really worried you'll stir things up when you're happy," Liu Banxia said.
Liu Yiqing was very helpless. Who is the most troubleso? Don't you have any idea yourself?
"Why is that patient having muscle weakness?" Qi Wentai asked curiously as he saw Liu Banxia co out of the consulting room.
"I'm not sure yet. So far, the manual diagnosis suggests a lumbar disc herniation. I told him to get a CT scan. If it's not a lumbar spine problem, we can look into other areas," Liu Banxia said.
"It's fortunate he ca to see us. Even though it's not an intestinal tumor, the symptoms of muscle weakness should be handled with care," Qi Wentai said.
"Isn't that the truth? Wang Chao, you guys go ahead and eat. Qi and I will stay here and wait for my patient's exam results," Liu Banxia said.
"Alright, let scout ahead for you and see what's on the nu tonight," Wang Chao said.
"It's no use. Even if Zhou Qiang racks his brains, it's basically the sa dishes rotated," Liu Banxia said.
"Still, it's nice to have so expectations. You won't reward with a cold dish or sothing?" Wang Chao asked pitifully.
"Really, all you do is bully , huh? For the sake of the new equipnt today, I'll reward you with one," Liu Banxia said helplessly.
Wang Chao and Xu Yino held out their hands in unison, making their aning clear: no card, no deal.
Liu Banxia glanced at them warily, took out the al card, and put it in Liu Yiqing's hand, "It's a big responsibility; we can't let them spend excessively."
"Teacher Liu, why don't you give the al card to ?" Xu Yino asked, frustrated.
"Give it to you? Wouldn't that be like a at bun getting eaten? There wouldn't be anything left," Liu Banxia said, pursing his lips.
Xu Yino was very frustrated, feeling that he was small-minded. It's not like she didn't occasionally add a dish or sothing.
"Ah, it seems I can only sneak a taste of the cold dish," Wang Chao sighed.
"Teacher Wang, it's okay. I can also order a dish myself. Let's see what you feel like eating," Liu Yiqing said.
She spoke very candidly, offering up her own benefits.
Otherwise, why would Liu Banxia hand the al card to her? It's because this girl was genuinely honest, unlike Xu Yino, who was so sly.
It's not really about the money for one or two dishes. It's just that this is more fun.
It's a little scenario for them to interact; otherwise, work every day would be aningless, so why not play a little ga?
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