The Enhanced Doctor
Chapter 467 is really Hashimoto
CHAPTER 467: 467 IS REALLY HASHIMOTO
"Don’t look at me like that. Let’s just say I guessed right. There’s a clear thread to follow, you know. For all we know, her condition may indeed have something to do with her thyroid." Liu Banxia sat up from the couch.
"Let’s adjust the medication directly. Such a rapid change should also be related to our medication for hyperthyroidism. Now that the situation has changed, the principle for medication will be small doses for symptomatic treatment."
"Moreover, her situation is a bit special; her symptoms are very erratic. It should be primary Hashimoto’s thyroiditis. First, use a gastric tube to decompress her stomach and intestines. Let’s not do any other tests tonight and see how she presents tomorrow and the day after in the morning."
"President Liu, is it really due to the thyroid? But there’s no direct pathological link, right?" Xu Hui frowned and said.
Liu Banxia nodded. "That’s what I think. Although there is no explicit pathological link, the human body is a miraculous thing."
"Her enuresis isn’t caused by an organic lesion. She’s fine during the day, so it shouldn’t be neurological either. Ultimately, it still comes down to endocrine issues, but all the tests we’ve done show that her hormones are normal."
"The thyroid is also an endocrine organ. Her thyroid first became hyperactive and then hypoactive, so it should currently be in a dysfunctional phase. It might be because her activity level decreases when she sleeps at night, exacerbating this dysfunction."
"It’s because this dysfunction releases false signals, tricking the brain. It’s like the bucket theory; originally, all parts should coordinate. If this one plank is sometimes high and sometimes low, the water level in the bucket naturally changes accordingly."
"But the one controlling the water release can’t tell when it’s high or when it’s low, which is why water continues to be released even when the plank is low."
"Moreover, her status as a celebrity led us to overlook her thyroid condition. I also have to thank my darling wife; if she hadn’t changed her pajamas, we might not have discovered the thyroid issue."
Hearing his praise, Qiaoqiao glanced at him, feeling delighted. There could be more of this kind of praise; I really don’t mind more.
"Hashimoto’s thyroiditis can be difficult to diagnose," Liu Banxia continued. "It develops slowly. Once it produces a true hypothyroid impact, it requires a more complex treatment plan and is very difficult to cure."
"The reason we say we were misled by her celebrity status is that we all overlooked that she was actually quite thin."
"If it were an ordinary person, we might have noticed it during admission. But she’s an actress, a very disciplined one, who manages her diet very well."
"If she hadn’t taken on a new script and, while trying to get into character, consumed large amounts of stimulating drinks like coffee and tea, her Hashimoto’s thyroiditis would have progressed slowly."
"It was precisely these stimulants that accelerated her condition. Coupled with our initial assumption of simple hyperthyroidism, the medication we administered also hastened this process."
"Actually, I think it’s quite a good thing. Most cases of primary Hashimoto’s thyroiditis have a family history. However, without an environmental trigger, it usually doesn’t manifest. By the time it’s discovered and needs treatment, it becomes difficult."
"So, should we thank the bedwetting then?" Qiaoqiao asked curiously.
Liu Banxia nodded seriously. "Absolutely. She also has to thank herself for not avoiding doctors due to such an embarrassing symptom."
"I’ve always said, getting sick isn’t scary; early detection and early treatment mean nothing will happen. If you delay, it’s over; it will definitely drag on and worsen. Now, it’s only just started, entering the development phase. If we provide timely treatment and proper conditioning, this illness won’t be a big deal."
"Oh, I remember now!" Tang Feifei suddenly exclaimed. "A relative on my mother’s side did seem to have a thyroid problem before and had surgery for it."
"But that was a long time ago. Should I have my mother get checked too? She wouldn’t also have this illness, would she?"
"A check-up is fine, but usually, if you pay attention to your diet, there’s nothing to worry about," Liu Banxia said with a smile.
"Moreover, the typical age of onset for Hashimoto’s thyroiditis is 40 to 50 years old, and it’s more common in women than men. The fact that you developed it so early also proves that your body is currently quite overdrawn."
"If it’s my personal advice, recuperate for a year. Without a healthy body, how can you have a good career? If you recuperate well this year, you can trade this one year for countless years in the future."
Tang Feifei smiled and nodded. "I’ll listen to you. I’ll arrange things when I get back and take good care of my body this year."
"Basically, that’s your situation," Liu Banxia said. "We’ll do a tissue biopsy tomorrow. Actually, it’s fine even if we don’t do it; we can basically confirm the diagnosis. Doing it is just for more peace of mind."
"Then, symptoms like enuresis won’t improve so quickly. You’ll have to wait until your thyroid’s dysfunctional period passes. Endure it for a few more days, and then we’ll see if there’s any improvement."
Tang Feifei nodded; her mood was truly excellent now.
"Alright, comrades, let’s withdraw." Liu Banxia stood up and waved his hand.
Everyone walked out cheerfully, their hands not empty, having taken quite a bit of Tang Feifei’s fruit.
This wasn’t just about taking a small advantage; it was also to show happiness for Tang Feifei, a way of celebrating for her.
Even though her enuresis hadn’t improved yet, everyone had great trust in Liu Banxia. Besides, his current theory was sufficient to support his claims.
The human body is just that complex. The absence of a relevant theoretical basis before doesn’t mean there won’t be one in the future. Let’s wait and see; anyway, it’s only a matter of a few days.
"Damn, it’s really confirmed?"
Seeing them come down jubilantly, Wang Chao couldn’t help but shout.
"The biopsy hasn’t been done yet, and we still need to observe the symptoms for a few more days. Have the people from your patient’s embassy arrived?" Liu Banxia said with a smile.
"They’ve arrived. They said hello, and the people from the hospital administration office are handling them. I don’t have that much free time. Hmm... Comrade Liu, help popularize your Demon King Liu’s theory," Wang Chao said.
"How did I become a demon king?" Liu Banxia asked, dejected.
The interns remained expressionless, pretending they hadn’t heard.
Liu Banxia shook his head helplessly, letting them amuse themselves. This was indeed a rare piece of good news today.
After staying there for a while, he saw a group of people coming out of the elevator. To Liu Banxia’s surprise, Hospital Assistant Sun Changhe was also in the group.
However, he didn’t go up to greet them; there were quite a few people, and it seemed some were from the city. Otherwise, Sun Changhe wouldn’t need to accompany them.
"President Liu, this is really great! The city authorities praised us after learning about this situation. The Chief Director wanted to come, but he really couldn’t get away." After seeing the visitors off, Sun Changhe turned back.
"Assistant Sun, with your status, why are you teasing me? I just guessed there were people from the city, and it turns out there really were?" Liu Banxia asked curiously.
"Didn’t Wang Chao tell you?" Sun Changhe also seemed surprised.
"That guy just told me people came, and the hospital would handle the arrangements," Liu Banxia said.
"A leader from the Municipal Propaganda Department came personally. He’s not an outsider. It’s better to let Wang Chao tell you. By the way, I heard you’re adding dishes for Spring Festival. Get me a plate of stir-fried fatty intestines; I’ll come over to your place to scrounge meals during my Spring Festival shift." Sun Changhe said, then strolled away.
Liu Banxia, with his hands behind his back, walked over to Wang Chao’s side and just looked at him without speaking.
"My heavens, what on earth are you trying to do?" Wang Chao said helplessly.
"Spill it. Assistant Sun already told me, but I’d rather hear your confession," Liu Banxia said seriously.
"Sigh, the one leading the people over was my mom. I just didn’t want to go near them," Wang Chao said dejectedly.
"I was wondering why you were so quiet today. And you, too, didn’t even introduce me!" Liu Banxia said.
"Even if I invite you to my place for dinner, who knows when that’ll happen? What’s the use of an introduction? Can you make it after the New Year?" Wang Chao asked.
Liu Banxia scratched his scalp. "Theoretically, it’s feasible. But in actual practice, I can’t say for sure. We’ll definitely be able to eat, just not sure which day."
Wang Chao nodded. He also knew what the actual situation at the emergency center was like. Even he was currently required to be on standby at the hospital. They were afraid of being short-handed if any sudden incidents occurred during the Spring Festival period with insufficient staff to handle them.
Don’t assume that just because it’s the New Year and everyone’s on holiday, nothing will happen. Every Spring Festival is also when problems are most likely to occur.
Basically, around this time, whether it’s the police, fire department, or hospitals, everyone tenses up.
"By the way, I asked around for you," Wang Chao continued. "The amount of fluid drained from that child’s chest cavity isn’t high, and he’s recovering very well."
"It can be considered lucky," Liu Banxia said. "The tear was on the upper part of the stomach. If it had torn on the lower part, I don’t know what the chances of a successful rescue would have been."
"The most worrying one now is the patient with liver cirrhosis; it’s hard to find a donor. Keep an eye on things for me for a bit; I’ll contact Sister Fang to see if we can widen the search."
Wang Chao nodded.
He also knew this patient was currently the most critical. If a liver couldn’t be found, the patient was already on a countdown to the end of their life.
"Sister Fang, this is the patient’s situation. He was previously treated at the Municipal Hospital." After finding organ coordinator Liu Fang, Liu Banxia carefully explained the situation.
Liu Fang pinched the bridge of her nose. "I’ll pay attention within our hospital. If there’s a suitable match, I’ll try to coordinate. Look at this list; these are all patients needing transplants."
"Thank you for your hard work, Sister Fang. We’re really out of options," Liu Banxia said quickly.
The coordinator’s job is the most difficult. It’s not just about relaying information and you’re done.
Many organs come from on-the-spot donations after a patient’s death. This is what Liu Banxia was currently hoping for, but these matters required Liu Fang to handle them.