Chapter 1400: Wang Chao’s Empty Joy

Chapter 1400: Chapter 1400: Wang Chao’s Empty Joy

The reason Liu Banxia and his team have such speculation is actually due to the patient’s jaundice, coupled with the painless lymph nodes.

Previously, for Qiaoqiao’s employee, it was merely cat scratch disease, which also caused Liu Banxia to be very concerned at first due to the painless lymph nodes.

Sometimes it’s better if the lymph nodes are somewhat painful; if they aren’t, it could become quite serious.

Additionally, the patient has symptoms of high fever but no abdominal pain; having these symptoms together can lead to significant issues.

The manifestation of jaundice indicates problems with the liver and gallbladder. The patient doesn’t have abdominal pain, so it probably needs to be addressed from the liver.

Otherwise, Liu Banxia wouldn’t find it so coincidental; he was just discussing it with Wang Chao today, and now there’s a corresponding patient.

Wang Chao rubbed his hands slightly excitedly, "If we really need to operate, you have to back me up."

"Absolutely, no matter how busy I am, I’ll make time. Brother Wang, call us when the test results are out," Liu Banxia said.

Wang Huan nodded with a smile.

This is also a contrast with the surgical department; there’s usually not as much work pressure. Surgeons constantly have to learn various procedures, and mastering them all is truly difficult.

For Liu Banxia, whether it’s a liver cyst or a liver tumor, he can handle it with ease, but Wang Chao can’t.

While waiting, he kept glancing at the internal medicine clinic to see if the patient has returned, waiting for Wang Huan’s signal.

Just as Liu Banxia was pondering tomorrow’s hiatal hernia repair surgery, Wang Chao came over, "The patient returned; just finished the ultrasound. Doctor Wang is calling us over."

"Are you going like that?" Liu Banxia asked with a smile.

"Uh... well, we can’t invite Brother Wang to dinner," Wang Chao paused.

Liu Banxia said nothing, just put on his mask.

Wang Chao looked at him helplessly; can’t he just remind him properly? He is just too anxious, otherwise, he wouldn’t forget.

During consultations, wearing a mask is a protective measure. Especially when consulting patients with liver diseases, what if it’s infectious hepatitis?

Regardless, one must be properly prepared.

Upon arriving at the internal medicine office, they saw a young couple waiting there. Without asking, they knew the patient was this young lady, with her face showing obvious signs of jaundice.

"Blood tests show liver function damage. This is the ultrasound result, enlargement of the liver and spleen, but no mass seen," Wang Huan said.

"By the way, here’s an introduction. This is Director Liu from our emergency center, invited over to help. He’s also very skilled in liver diseases."

"Without a mass, we need to consider other causes. How long have these symptoms been present? What were the precursor symptoms?" Liu Banxia asked.

"A bit over a week?" the patient said.

"Initially, there was some sore throat and fever. I thought it was a cold and took Compound Paracetamol and Amantadine Hydrochloride Tablets and Cefalexin. It had some effect, but not much; my throat still hurts, and drinking hot water makes it feel a bit better."

"During the consultation, the oral cavity was also checked, the tonsils are somewhat enlarged. Auscultation revealed some moist rales in the lungs, suggesting a certain degree of infection," Wang Huan added.

"If it were upper respiratory or simple pneumonia, it wouldn’t affect the liver this way. Let me check you by hand, how long has the lymph node under the jaw been there?" Liu Banxia asked.

"I found out about it this morning, but I’m not sure how long it’s been there," the patient said as she lay on the exam bed.

Liu Banxia pressed the areas near the liver and spleen; the patient had no tenderness or rebound pain. He also checked the patient’s jaw and indeed could distinctly feel the lymph node.

"Open your mouth, let me look at your throat," Liu Banxia said.

The patient opened her mouth, and Liu Banxia used a tongue depressor to carefully observe.

The patient’s throat and tonsils indeed showed signs of redness and swelling. Her high fever might be related to tonsillitis. Moreover, there were some white exudates in the recess areas.

Liu Banxia furrowed his brows and looked at Wang Chao; his luck wasn’t great.

"Brother Wang, have you considered kissing disease?" Liu Banxia turned and asked.

"Kissing disease? Let me take a look," Wang Huan hurriedly said.

Wang Chao was a bit stunned upon hearing; if it is kissing disease, then it really has nothing to do with him.

However, compared to the three of them, the two patients were even more shocked.

"Doctor, what is kissing disease? Is it a disease from kissing too much?" the patient’s boyfriend curiously asked.

"Do you kiss frequently?" Liu Banxia asked with a smile.

The patient’s boyfriend felt somewhat embarrassed by the straightforward question.

"In that case, you’ll have to get checked too." Liu Banxia said, then looked at Wang Huan, "Doctor Wang, how about it? Any indications?"

"I must say, it could really be kissing disease. Such obvious Pentad symptoms, how did I not think of it?" Wang Huan said regretfully.

"If I hadn’t been to the children’s hospital for my internship, I wouldn’t have noticed either." Liu Banxia said honestly.

"A few days ago, they had a few kids with the kissing disease. It was seeing her tonsils and crypts’ condition that reminded me. However, her symptoms developed a bit differently, as there was no membrane formation."

"Doctor, what’s wrong with me?" the patient asked.

"To be precise, it’s called infectious mononucleosis, caused by an EB virus infection," Wang Huan explained.

"The primary symptoms of this disease’s triad are fever, lymphadenopathy, and pharyngitis. Some patients may also experience liver and spleen enlargement, hence Director Liu mentioned Pentad."

"Don’t worry too much, it’s a self-limiting disease. The prognosis is very good, but since you have liver and spleen enlargement, hospitalization and isolation for treatment are needed."

"This disease is usually contracted by children. The main transmission way is close oral contact, like kissing children or chewing food for them..."

"Doctor, then how did she get infected?"

Before Wang Huan could finish, the patient’s boyfriend became anxious.

This situation feels off. If it really requires such close contact to spread, what’s the implication here? Adding a splash of color to life?

"What are you anxious about? Let the doctor finish." Liu Banxia glared at him.

Whether that’s possible or not, let’s put it aside for now. You can’t be this impatient.

"Young man, don’t be so anxious. It can also spread through droplets. And what is droplet transmission? When someone sneezes or spits, it carries droplets, understand?" Wang Huan said.

"What? You were suspecting me just now? Get lost. I haven’t even mentioned the thing about you and your colleague Dandan. Why does she always want to ride in your car?" the patient couldn’t stay calm either.

Just now, the fever made her sluggish in processing. But now she understands clearly.

"Okay, you two can slowly sort this out. For now, let’s focus on your condition," Liu Banxia interjected. 𝑓𝑟ℯℴ𝓂

"First of all, your situation requires hospitalization. Your liver function is affected and needs adjustment. Also, since it’s an infectious disease, you need to be in an isolation ward."

"And as for you, young man, since you two are in a relationship, you should sit here and get your blood tested to check the situation."

"Also, inform your family members who you’ve recently had contact with. If they have time, they should come to the hospital for an EB virus test. It’s even more necessary if there’s a history of contact with young children."

"Though this disease is self-limiting, it somewhat relates to one’s physical condition. Those with robust immunity have mild symptoms and recover quickly."

"Children generally have lower immunity, making them more susceptible to illness. Wang Chao, call someone in to draw blood. Inform the ultrasound room to do a disinfection as well."

"Doctor, is this disease that serious?" the patient’s boyfriend asked.

"Haven’t you noticed it’s already impacted her spleen and kidneys? It could also affect the heart. Moreover, inflamed tonsils can cause infections, potentially leading to other diseases," Wang Huan explained.

"But this mostly relates to immunity. Her immunity is relatively low at the moment. Since there’s already an impact, hospitalization is needed now."

"There’s no other place to go, who knows how many people could get infected outside. Think about it, isn’t that the case? An isolation ward is necessary."

The young man nodded, looking a bit sheepish at his girlfriend.

But the patient was still upset and in no mood to acknowledge him.

This was an internal medicine patient, unrelated to Liu Banxia’s surgery unit.

After exiting the internal medicine clinic, Wang Chao was slightly frustrated.

"Don’t worry, there will be more patients in time." Liu Banxia comforted.

"I’m puzzled. I was quite worried initially, but now I’m even a bit hopeful?" Wang Chao asked.

"It’s the same for everyone." Liu Banxia replied with a smile, finding it quite amusing.

Compared to others, the emergency center sees Wang Chao as the least ambitious. Given his family background, he has many choices for future development.

But regardless of how Wang Chao chooses later, whether he focuses on hospital administration or not, he still has to improve as a resident now.

This way, even if he eventually focuses on administration, he’ll have more confidence.

For a doctor trained in surgery not to do many surgeries would be quite embarrassing.

He thought of the couple just now, somewhat entertained by the gossip. Apparently, there are many matters between them, but it shouldn’t affect their relationship significantly.

After all, it’s uncertain exactly how the disease was contracted from a transmission standpoint.