The Enhanced Doctor-Chapter 822: Illness Can’t Be Dragged Out

(Thanks to Lunhui Shangqing and Piaofu Bansheng for the encouragement with monthly tickets) 𝕗𝕣𝐞𝐞𝘄𝐞𝚋𝚗𝗼𝘃𝗲𝗹.𝚌𝕠𝚖

Sleeping at home is quite comfortable; even though both places involve sleeping, the environment makes the quality different.

Even if Liu Banxia was still dozing in the morning, Tang Dou snuggled over and woke him up, he still had a nice sleep.

"Tang Dou, I can't take you for a walk today, I have to go to work. How about tomorrow morning? I'll get up earlier and take you for a stroll," Liu Banxia said, giving Tang Dou's head a good rub.

Tang Dou, holding the leash in his mouth, was a bit puzzled. What's the deal? This isn't the usual routine. Haven't I waited the whole morning for nothing?

Qiaoqiao was quite amused, "You waited for nothing, didn't you? He has to go to work soon, better head back to your spot and watch over the kids. He'll take you for a walk later."

Tang Dou glanced at Liu Banxia again, then turned around and walked away. But his energy wasn't great; he really preferred strolling around with Liu Banxia.

"Looks like I'll have to wake up twenty minutes earlier tomorrow, at least to take Tang Dou for a stroll," Liu Banxia said.

"What do you want for dinner tonight? Should I make you a pot of sweet and sour ribs?" Qiaoqiao asked.

"That's up to you. If you feel like getting some exercise, then make it. But don't overwork yourself; I'd be upset if you tire yourself out," Liu Banxia replied.

"And don't just take medicine randomly. Vitamins and such can be supplemented if needed. However, I think you eat quite a lot of vegetables and fruits usually, and you're quite healthy, shouldn't need much else."

"Oh fine, I know, I didn't say I was going to eat any," Qiaoqiao said, pinching him playfully.

Liu Banxia didn't mind. After finishing his morning routine, the breakfast was ready on the table. Although there wasn't millet porridge or tea eggs like at the cafeteria, the breakfast was still very rich, combining both Chinese and Western elements.

Everyone knows he has a good appetite. For him, breakfast is as significant as a main meal; he needs to eat his fill.

Even though this was not Liu Banxia's first time having breakfast at home before heading to work, this time it felt different.

It's a completely fresh experience, having the feeling of returning home every day, truly feels different.

"Hey... Teacher Liu not having breakfast at the cafeteria; can't even get a tea egg."

Upon seeing Liu Banxia walk in, Xu Yino murmured.

"You talk as if you always have breakfast on time. Should I clear out the snacks in your drawer then?" Liu Banxia asked.

"Haha, better not, snacks replenish energy," Xu Yino hurriedly replied.

"By the way, Teacher Liu, there are three people booked for your consultation today. Should I tag along and observe how to handle consultations properly?"

"Why not, feel free to watch if you want to. I'll change clothes and then start calling for consultations," Liu Banxia said nonchalantly.

He really didn't mind, and having someone to assist was rather nice. Of course, if it's busy outside, Xu Yino would need to help out.

After changing, he sat in the consultation room, and the first patient came in.

"Doctor, I have three lumps on my arm," the patient said.

"Expose your arm, let me feel it. How long has it been?" Liu Banxia asked.

"It's been several months. Initially, there was just one, didn't pay it much mind, thought it was a sebaceous cyst? Only during the past two days while bathing did I notice two more," the patient replied, revealing his left arm.

Liu Banxia felt it. "You should have lipoma, not a sebaceous cyst. Actually, sebaceous cyst is an epidermoid cyst. Mainly it's due to blockage of the sebaceous gland ducts, if it progresses, there could be pain and pus."

"Your lipoma is often without any sensation and not very deep. Surgery can remove the lipoma inside, and it's not much trouble."

"Doctor, it's lipoma? Can only be treated through surgery?" the patient asked.

Liu Banxia nodded. "Lipoma can only be treated surgically, and the operation won't take much time; it's a very simple minor surgery."

"So if I ignore it, it's not a big deal?" the patient further asked.

"Lipomas are generally benign, with very low risk of turning cancerous. If you notice it's not growing bigger anymore, ignoring it is fine, it's no big deal," Liu Banxia replied.

"Okay, then I'll consider it. Estimating the excision might affect work," the patient said.

Liu Banxia wasn't pushy, since lipoma is something that could be ignored or treated. Besides, small hospitals could handle it. Patients were likely looking to save procedure fees or just being genuinely busy.

Ding! Consultation complete

20 experience points gained

The second patient came in, and looking at the films in his hand, Liu Banxia sighed in his heart.

"Doctor, I was checked in our county and they said it's rectal cancer, quite close to the anus." The patient said after placing the films on the table.

"How long ago was the examination?" Liu Banxia casually opened the films and placed them on the viewing lamp.

"It's been a week. I consulted someone else in the county, and they said there's no way to save my anus. If surgery is performed, could it recur?" the patient asked.

"Judging from the films you took earlier, the shape isn't very good. And indeed, the tumor is quite low, close to the anus, so whether it can be preserved is uncertain." Liu Banxia replied.

"But let me first talk about your current situation. Even though there's some distance between the tumor and the anus, we don't know if there's any spread. So, during resection, we'd remove a bit more."

"In an ideal situation where the tumor hasn't metastasized or spread, we'll do a clean resection, allowing us to connect the remaining rectum to the anus in the future."

"However, even in such an ideal case, there's a significant possibility of affecting the nerves around your anus, which might mean you won't be able to effectively control it in the future."

"Now, that's in the best-case scenario. Another possibility is that after we sample and do pathology, we'll find that the tumor has already spread to some extent, necessitating a second surgery to remove the surrounding tissue."

"Doctor, does that mean there's still a chance to save my anus?" the patient asked.

Liu Banxia nodded, "According to the films you took last week, there's still a chance. But don't overlook the potential issue of causing anal incontinence."

"Because your tumor is positioned very low, other doctors weren't wrong in their assessments. To be honest, I also recommend directly removing the surrounding tissue to eliminate the risk of recurrence."

"Even if we preserve the anus, it's so it can function normally. If it can't function normally, you would still have to endure the pain of a second surgery."

"Moreover, this is based on the films you took earlier. We still need to check the current situation with new imaging."

"Doctor, in that case, could you arrange an examination for me? I'll have a scan done." The patient said.

Liu Banxia nodded, this request can be accommodated. Including the patient's desire to preserve the anus, this can be fulfilled.

However, as mentioned, it will definitely affect the function of the anus to some extent and increase the chance of rectal cancer recurrence, which he personally doesn't recommend.

But the customer is king; if "the king" wants to preserve the anus to the greatest extent, then it must be preserved. Whether it will work well in the future is a problem for the future. As long as it's clearly explained to the patient, that's fine.

The consultation times for both patients were quite short, and Liu Banxia didn't arrange any additional tests. Both patients' conditions were simple and straightforward without too much complexity.

The third patient came in, with a slightly more complex situation, an eyelid tumor.

"How long has this tumor been here?" Liu Banxia asked.

"About twenty years, it wasn't this big before, but now it's pressing on the eye a bit." The patient replied.

Liu Banxia put on gloves and gently touched the tumor, which was somewhat hard, about 2X4 centimeters, with its base on the upper rim of the orbit and eyelid.

"In your case, we need to do a blood panel and a head CT to check the situation." After the examination, Liu Banxia said.

"The tumor is relatively large. We need to check if it has affected the cranial cavity. From my observation, it has already affected the eyelid. We need to see how deeply this tumor has infiltrated. How long have you noticed it growing?"

"About three months." The patient thought for a while and replied.

"It was also not small before, but not as hard and bulging as now. They said if it didn't grow, it wouldn't matter, but if it did, it might be malignant."

"We can't determine that now, and guessing won't help. But whether it's benign or malignant, the tumor needs to be removed as it's likely already affecting your retina." Liu Banxia said.

"We'll first do a blood panel and a CT, the most basic tests. Then we'll see the situation based on the results and develop a better surgical approach."

"Also, from the current situation, it might involve plastic surgery intervention. Some degree of reconstructive work would be necessary due to the tumor's large base area."

The patient nodded and left.

"Teacher Liu, there's no one else behind. Was this last patient a malignant tumor?" After the patient left, Xu Yino asked.

"There's a high probability. Benign ones usually don't grow this fast. Now, we need to see if there's any spread to the cranial cavity or bones." Liu Banxia said.

"Orbital tumors generally have a higher malignant potential, and they tend to occur more in adolescents. I wonder why he didn't come to the hospital earlier, some time was lost."

"Eh? Teacher Liu, how come there are suddenly six more patients registered to see you? Wow, they're all women? Teacher Liu, spill it." Xu Yino asked excitedly, looking at the computer screen.

Liu Banxia rolled his eyes, "What should I say? I don't know any of them, just bring them in one by one."

He was also quite curious in his heart. Is this to enrich his consultation experience, or what? Even coming in a group?