CHAPTER 176: 176 EMBARRASSING

"Doctor, can we go home now?" The little guy’s mother looked at Liu Banxia, who was still staring at the boy’s nostrils, and asked curiously.

"Look, this is the medical cotton I just used to clean Haohao’s nostrils. There are some fresh bloodstains on it. And if you’d look at Haohao’s nostrils again, there is still some blood oozing," Liu Banxia replied.

"Right now, the child’s bleeding time and coagulation time are a bit higher than the normal standards. I would recommend a routine blood test and coagulation test. What do you think?"

"Doctor, could it have been caused by Haohao’s constant movement on the way here? He can’t sit still and often touched the tissue paper with his hands," Haohao’s mother asked.

"That could be a factor, but I believe a blood test is still necessary. The nostrils are filled with tiny blood vessels, and a simple fall normally wouldn’t cause that much bleeding," Liu Banxia responded.

"This test isn’t very challenging; we just need to draw some blood. It can also help us determine if this was caused by a vitamin imbalance in the child’s body."

"Moreover, I’m thinking that when the child frequently picks his nose, it’s not necessarily because he wants to. There could be some unusual sensation inside his nasal cavity that prompts him to do so. Just consider, how much force would we normally use to pick our nose?"

Haohao’s mother took another close look at Haohao’s nostrils, then nodded in agreement.

Drawing blood from a child is a technique that requires finesse. As children are afraid of pain, your actions must be quick and accurate; otherwise, a second attempt will be more difficult.

Likewise, Liu Banxia didn’t delegate this task to anyone else but did it himself.

He could even locate bones accurately, so finding this kid’s blood vessels was no trouble. But they needed to distract the child, and their secret weapon was an authentic Russian chocolate from Qing Kewa’s bag.

The little guy enjoyed VIP treatment. How many people can claim to be pampered by Liang Xiaolin and Qing Kewa at the same time?

"Ah, Sister Li is here. Please arrange for someone to send the blood samples for routine blood and coagulation tests." Upon stepping outside, he ran into Zhou Li.

"Your life seems pretty cushy, huh?" Zhou Li teased with a wink.

"Cushy? Not at all, it’s all heartache and tears. Once I’m done with this patient, I’ll give you a detailed report," Liu Banxia responded with a bitter smile.

"I brought some marinated pork ribs. I wasn’t sure if a certain someone would still want them since they’ve been having so much fun with the ladies," Zhou Li teased again after handing the blood samples to a nurse.

"HEH HEH, I knew you wouldn’t come empty-handed. We haven’t even finished our meals yet," Liu Banxia responded, grinning from ear to ear.

"Sister Li, you can’t keep spoiling Banxia like this. We’re your real sisters!" Shen Lin chimed in, moving closer.

"Go on, get out of here! All of you are paired up, and our Banxia is still all alone. Are there any patients in the ward who need extra care?" Zhou Li asked.

"It’s still those two, bed 2 in room 204 and bed 1 in room 206. They’re both President Liu’s patients. Sister Li, if our emergency department really gets upgraded, do you think our salaries will increase?" Shen Lin asked, laughing.

"How would I know about such high-level matters? But from what I’ve heard, our finances will be calculated separately in the future, so there will definitely be some increase," Zhou Li nonchalantly responded.

Over here, Liu Banxia had already taken out the pork ribs. With so many people, he couldn’t divide them up individually. So, he, along with Qing Kewa, Liang Xiaolin, and little Haohao, all sat together munching on the ribs.

This situation might seem a bit unconventional, but when it came to Liu Banxia, it wasn’t a big deal. Haohao was particularly complimentary of the marinated pork ribs, even running out of the treatment room to thank Zhou Li personally.

Just then, Chen Jianxin and Wang Chao walked in. "Oh, you guys are here pretty early!" Liu Banxia greeted them enthusiastically.

"With President Liu around, we wouldn’t dare to be late," Wang Chao replied seriously.

"I’ve seen the notice. This batch has all formally become resident doctors. Perform well, because I’ll be writing your assessment," Liu Banxia responded in the same serious tone.

"You’re bullying me, abusing your power! So, should I go buy some grapes to celebrate, then?" Wang Chao said with a helpless expression.

"HA HA, Doctor Wang is very sensible. This is indeed something that should be celebrated," Zhou Li said, laughing.

"Haven’t had dinner yet? You should go eat quickly. Wang Chao and I can keep an eye on things here," Chen Jianxin suggested.

"Wait a little longer. I have a young patient whose bleeding and coagulation times are a bit prolonged. I’m waiting for the blood test results," Liu Banxia said.

"Did you do a physical examination?" Chen Jianxin asked, furrowing his brow.

Haohao’s mother might not have understood the implications of prolonged coagulation time, but upon hearing it, Chen Jianxin’s mind immediately raced through numerous potential conditions.

For example, severe liver disease, intestinal disorders leading to vitamin K deficiency, disseminated intravascular coagulation, congenital prothrombin deficiency, drug-induced causes...

Liu Banxia had mentioned it was a young patient, so now they truly had to be particularly cautious.

"Not yet. I didn’t want to cause the child’s mother any unnecessary anxiety. Let’s see the blood test results first. Even if we need to do further examinations, we need to be able to explain why clearly," Liu Banxia said.

"Ah, Brother Xu, you’re on duty tonight too! That’s perfect. We can consult directly in a bit; I have a child patient with a somewhat prolonged bleeding time, currently waiting for blood test results."

"Alright, I’ll go change my clothes first," Xu Hui nodded with a smile.

After waiting for a while longer, the blood test results came out, surprising everyone. Even Liu Banxia was taken aback. What is going on? How can they be normal?

Well, it couldn’t be said to be entirely normal. The platelet count was slightly low, and the white blood cell count was a little high. However, these slight abnormalities were still considered within the normal range for the human body.

"This is a bit of a screw-up. Am I going to lose face today?" Liu Banxia asked with a wry smile after reading the test report.

"Tell me the details, and then we’ll go in and talk to the child’s mother," Xu Hui said.

Liu Banxia explained the actual process of how he had handled the case today, emphasizing the child’s history of nosebleeds. Although the amount of bleeding this time was not large, it had lasted for a long time.

"Considering this situation, running a blood test and coagulation test wasn’t unwarranted. But have you carefully examined the child’s nasal cavity? What were the findings inside?" Xu Hui asked.

"There were signs of blood infiltration. Plus, with the bleeding lasting this long, my first reaction was actually leukemia," Liu Banxia replied with a bitter smile.

"While holding the child’s head, I also felt that his body temperature was a bit high, but I didn’t observe anything particularly abnormal inside his nasal cavity."

"I reckon it might not be related to other parts of the body. It could be due to the nasal mucosa being too thin, but it’s best to have an otolaryngologist take a look," Xu Hui said.

Liu Banxia slapped his forehead. That’s right! I’ve considered so many possibilities; how could I have overlooked a simple nose issue?

He quickly pulled out his phone and dialed Du Fancheng.

"Banxia, what’s up? Is there an update on that patient?" Du Fancheng asked as soon as the call connected.

"Brother Du, it’s not about that patient; it’s a new one. Have you finished your shift? We need your assistance urgently," Liu Banxia quickly replied.

"I just got to the parking lot. Emergency case, right? I’ll be right over," Du Fancheng chuckled.

"Perfect, we’re waiting for you." Liu Banxia felt somewhat relieved.

In less than five minutes, Du Fancheng arrived with his bag.

"Brother Du, there’s an 8-year-old boy here with a nosebleed. The bleeding has been going on for a while. These are the results of the blood test I did. I misdiagnosed; I thought it was leukemia or some other malignant disease," Liu Banxia quickly handed over the lab report.

"Let’s examine the nasal cavity first. I’ll take a look, and if it’s not clear, we’ll have to perform a nasal endoscopy," Du Fancheng said.

Liu Banxia nodded and quickly led Du Fancheng to the treatment room.

"This is Doctor Du from the Otorhinolaryngology Department of our Second Hospital. I asked him to come and help take a look at Haohao’s nasal cavity," Liu Banxia explained.

"Doctor, how are the test results? Is there anything wrong?" Haohao’s mother asked anxiously.

"The blood test results currently show slightly low platelets and slightly high white blood cells. We can’t make an accurate diagnosis based on this, so we invited Doctor Du," Liu Banxia said, bracing himself.

Haohao’s mother didn’t overthink it; instead, she felt that Liu Banxia was being very conscientious and responsible.

"Has the child ever had symptoms such as frequent nasal congestion or a runny nose?" Du Fancheng asked after observing carefully for a while.

"He has had a runny nose, but not much. Sometimes he gets a bit of a runny nose when he runs and gets hot," Haohao’s mother said after thinking for a moment.

"Based on the current appearance of his nasal cavity, I suggest doing a nasal endoscopy. The child may have sinusitis. If it weren’t for the fact that the child has a history of nosebleeds, I wouldn’t recommend it," Du Fancheng advised.

"This is the most direct and simplest examination method, allowing us to see the inside of the nasal cavity directly. Other examinations, even if they show some findings, can only serve as auxiliary diagnostic information."

"For this nasal endoscopy, do you have to insert a tube into his nostril? Haohao is so young; won’t it hurt him or cause damage?" Haohao’s mother asked worriedly.

"As long as Haohao can stay still, I will finish the check-up as quickly as possible," Du Fancheng assured.

"We sometimes encounter situations where children stick small things into their nasal cavities. We always use an endoscope to extract them. We’re very experienced in this area."

"Well... okay then." Although somewhat hesitant, Haohao’s mother agreed.

That’s how parents are. If it were themselves, they might not care much, but when it comes to their children, they often become exceptionally concerned.

"Ugh... I really lost a lot of face today," Liu Banxia said with a bitter laugh.

"What’s wrong? You want me to comfort you? Doctor Liang, I’m leaving Banxia to you. Make sure to provide proper psychological counseling," Chen Jianxin teased.

Even though Liang Xiaolin had matured a lot, she still blushed a little at Chen Jianxin’s teasing words.

However, Qing Kewa didn’t care about these things. She was hungry too. Seeing so many doctors around, she dragged Liu Banxia directly towards the cafeteria.