Chapter 1474: Special Physique Patient

Chapter 1474: Chapter 1474: Special Physique Patient

(Thanks to book friends 120125163906459, Blood Dragon Breaking the Sky, Jiao Weixing, Big Eater 1128 for encouraging with votes)

"Director Liu, a special patient will be brought in soon, and we need you to take a look."

Liu Banxia was just preparing to clock out when Qi Wentai approached.

"What’s the situation? Is the injury severe?" Liu Banxia asked curiously.

"She fell and hit her head. You’ll find out when they bring her in," Qi Wentai replied.

Liu Banxia nodded. It must be something that needs his attention. Otherwise, Qi Wentai wouldn’t usually occupy his time just before leaving work.

Moreover, he’s genuinely curious. Someone dizzy from a fall usually just needs some imaging done. What else could they need him for?

When the emergency vehicle arrived and the patient was wheeled in, Liu Banxia finally understood why he was needed.

The patient was quite tall, roughly estimated to be over two meters. Transferring her required someone strong.

In the entire emergency department, his strength was the greatest, so it really had to be him.

Also, this patient was a female; it was the first time for Liu Banxia in his experience.

"There is a laceration on the right side of the head, but the patient’s vital signs are stable,"

Carefully moving the patient from the emergency vehicle, the medic reported.

"Let’s get her onto the examination bed. Does anything else feel uncomfortable?" Liu Banxia asked.

"Not really, just a bit of dizziness," the patient said.

"That might be a normal reaction. The wound is quite large, so I’ll get someone from plastic surgery to properly treat it," Liu Banxia said.

"Do you have any other discomforts, medication history, allergy history, or any underlying conditions? We need to know these as well."

"No, I don’t have any other illnesses. Don’t be fooled by my height; I’m very healthy," the patient said.

Liu Banxia chuckled and nodded, "You really are tall; you’d be perfect for basketball. Have you ever considered training or anything?"

"I don’t have great motor skills, just height," the patient replied.

"Alright, your awareness is clear, and response is good. Once we’ve sutured this, we’ll do a CT," Liu Banxia said.

"Next, we’ll transfer you because of your physique; we’ll need several people to move you."

"Doctor, let me get down and walk... Ow... Doctor, my lower back hurts a bit," the patient said before quickly laying back down.

"I was just about to mention that. Falling can put a lot of strain on your body, possibly injuring the bones," Liu Banxia said.

"Don’t move yet until we’ve transferred you and examined you. We need to take you to the ER for bedside X-rays, which can be done quickly. Is that okay?"

The patient nodded, eager to find out what was wrong with her back.

"Come on, everyone, focus and use some strength. I’ll hold her shoulders from the head’s side. Ready, one, two, three, transfer."

With Liu Banxia’s direction, they managed to transfer the patient.

Since Liu Banxia took most of the weight, it wasn’t easy to move her.

"Li Hao, go call Doctor Xu from plastic surgery to assist with checking the wound," Liu Banxia said.

"Everyone, step back a bit. We’ll do a spinal X-ray first, then other exams. Front and side views for clarity."

After speaking, Liu Banxia led everyone to step aside.

The patient was currently conscious, with stable vital signs, but exhibited back pain, likely from a bone injury from the fall.

Due to the patient’s size, the fall itself might have been a significant burden.

"Indeed, there seems to be some vertebrae fractures. Look here, at the thoracic vertebra position. Though it doesn’t look serious, considering your physical condition, I’ll need to call in an orthopedic consult."

Liu Banxia pointed at the X-ray.

"Additionally, we need a CT scan of the head and spine shortly. Can you think back and tell how you fell? Did you feel anything unusual while falling?"

"I don’t remember clearly. I think I just lost my footing and fell. Doctor, isn’t it just a small laceration? Can’t I just let it heal and avoid the CT scan? My head isn’t dizzy anymore," the patient said.

"Your problem might be serious," Liu Banxia said.

Upon hearing this, Xu Yino looked at him with surprise.

She could hear in Liu Banxia’s tone a genuine concern for the patient, indicating there might be other complications.

With this thought in mind, she began to observe carefully.

"Doctor, I’m not dizzy at all now." The patient said.

"The fact that you’re not dizzy now doesn’t mean that there aren’t other issues with your body. Let’s do a CT scan, so both you and I can have peace of mind," Liu Banxia said.

The patient hesitated a bit, even though she saw the fracture in her thoracic vertebra, she felt it was no problem. Moreover, her current impression was that Liu Banxia just wanted to earn a bit more money.

All she did was bump her head; once the wound is stitched up, it’s done.

"Xu Yino, explain to her why we are doing a head and spine CT," Liu Banxia said abruptly.

"First of all, it’s definitely because of the head bump and the fracture in the thoracic vertebra," Xu Yino hurriedly said, her mind racing.

"The head laceration is quite large, which could potentially cause other issues. The thoracic vertebra is in a rather special location, and the precision of a CT scan is higher."

"Also, there’s... there’s the matter of what? You know your own body, it’s growing rather aggressively. Such abnormal growth might be the result of abnormal secretion of growth hormones."

"You should carefully recall; were you feeling dizzy or losing control of your body just before you fell?"

Listening to Xu Yino’s words, Liu Banxia nodded in satisfaction.

This was his concern, worrying there might be something wrong inside the patient’s head.

Whatever the case, excessive action is always unwarranted.

For this patient, in his judgment, her growth seemed rather excessive.

If it were natural growth, with her physical condition, not playing basketball would be a real pity.

But according to her, she had trained before, it’s just that she’s somewhat "clumsy," meaning she doesn’t have the athletic instincts.

Such situations do exist; after all, not everyone is nimble. But when all these things pile up together, he had to think a bit more.

What if the patient has a pituitary tumor?

It could affect the patient’s growth and make the patient grow rapidly. Despite the rapid growth, the patient looks fine externally, but it would be a burden on the body.

He had noticed Xu Yino observing earlier, which prompted the question. Xu Yino didn’t disappoint him and answered the question well.

No one can be certain if it exists or not. The only confirmation comes from a medical examination.

And after hearing Xu Yino’s explanation, the patient herself became somewhat fearful. This CT scan really had to be done.

"Teacher Liu, do you really think the patient might have a pituitary tumor?" Cui Jia asked curiously.

"It’s quite possible, especially since her fall—she might not remember clearly, but I have a feeling it could be due to dizziness or blurred vision," Liu Banxia said.

"In fact, this is one of the difficult aspects for us as doctors. Considering only the head injury might not necessitate a CT scan."

"Because the patient’s consciousness is clear, thinking is coherent, and vital signs are stable, it largely suggests that the brain tissue wasn’t damaged."

"But when we’re inclined towards a specific symptom, we must explain everything clearly to the patient and recommend instrument examinations."

"Our judgment could be wrong, wasting the patient’s time and money, but such recommendations must still be made."

Cui Jia and the others nodded, as Liu Banxia often mentioned instrument examinations. Overdiagnosis is strictly prohibited in the emergency center.

The reputation of many hospitals has actually been ruined by overdiagnosis.

"Looks like calling you was the right call," Qi Wentai said.

"Actually, I hope I’m wrong about this. If the patient’s situation is indeed a pituitary tumor, it’s likely quite large," Liu Banxia said.

"Moreover, it might already be affecting the patient’s body right now. If that’s the case, it could be very troublesome. And considering the patient’s fracture, we have to check if it’s really severe and whether surgical intervention is required."

Qi Wentai nodded; this was indeed something that needed consideration.

Judging by the current situation, the patient’s body is under significant strain. So young, yet after a fall, it resulted in a fractured thoracic vertebra.

"Let’s keep observing and see what the situation is. If she doesn’t have a pituitary tumor and her height and weight result from natural growth, then it’s truly remarkable," Liu Banxia continued.

"Overall, your judgments are rarely off the mark. And girls with such height and weight are indeed uncommon," Qi Wentai said.

This is a very tangled issue, hoping your judgment is correct yet not wishing for the patient’s issues to be severe.

This is quite contradictory because only when certain indications are present do we direct the patient to undergo instrument examination. Judging correctly often means issues exist.

At this moment, Liu Banxia’s phone chimed with a message alert; it was from Xu Yino who went ahead: "Pituitary tumor."

It’s been confirmed now.