Super Doctor - Chapter 50

Seeing the old man’s labored coughing and shortness of breath, Xu Ze quickly deduced the likely illness. His confidence grew—if all twenty cases were this straightforward, it wouldn’t be too exhausting. At least he wouldn’t suffer another electric shock. The mere memory of that soul-scorching sensation made him shudder.

Diagnosis:
The patient had a decades-long smoking history. For the past five to six years, he’d suffered recurrent coughing with phlegm during winter and spring. Recently, shortness of breath had worsened.

Physical Exam:

• • Labored breathing, cyanotic lips (clear hypoxia).

• • Distended neck veins, barrel-shaped chest with widened intercostal spaces.

• • Diminished breath sounds with audible bubbling rales and wheezing—indicating bronchitis with infection and emphysema.

• • Cardiac percussion suggested an enlarged heart.

Xu Ze frowned. Though he hadn’t formally studied internal medicine yet, Xiao Dao’s recent teachings covered this exact scenario: Chronic bronchitis + emphysema + likely cor pulmonale (right heart failure due to lung disease).

To confirm, he activated X-ray vision (courtesy of Xiao Dao’s system). The lungs showed hyperinflation (dark gray fields with patchy shadows) and an enlarged heart.

Xu Ze (smugly): “Diagnosis: Chronic bronchitis with infection, obstructive emphysema, and cor pulmonale. Correct?”

Xiao Dao (smirking): “Almost.”

ZZZT!

A jolt of electricity sent Xu Ze’s hair standing upright—a free avant-garde perm courtesy of Xiao Dao.

Xu Ze (teeth chattering): “What the—?! I was RIGHT!”

Xiao Dao (tutting): “Correct but incomplete. A doctor’s job isn’t just guessing—it’s thoroughness. You skipped his blood pressure.” He flashed the readings: 180/120 mmHg. “Stage 3 hypertension (very high-risk). Missed that, didn’t you?”

Xu Ze (sheepish): “…Add ‘Hypertension Stage 3 (Very High-Risk Group).’ My bad.”

Xiao Dao (nodding): “Better. Now, treatment plan.”

Xu Ze (cautious now):

• • Low-flow oxygen therapy.

• • Antibiotics (cefoperazone + oxacillin).

• • Bronchodilators (aminophylline) + mucolytics (ambroxol).

• • Pulmonary vasodilators (dopamine + phentolamine).

• • Antihypertensives (felodipine).

Xiao Dao approved, materializing a holographic prescription pad. Xu Ze filled it out, relieved to avoid further electrocution.

…

Treatment Progress

Day 1:

• • Cyanosis resolved.

• • Lung rales decreased.

• • BP: 150/90 mmHg.
    Xu Ze: “Add nifedipine 10mg TID. Continue current regimen.”

Day 2:

• • Symptoms significantly improved.

• • BP stabilized at 130/70 mmHg.

Xiao Dao (pleased): “Next patient.”

The old man vanished, replaced by a pale young man complaining of:

• • Tarry stools (10+ days).

• • Fatigue + exertional dyspnea.

Xu Ze’s Exam:

• • Pallor (anemia).

• • Tachycardia.

• • Epigastric tenderness.

Diagnosis: Upper GI bleed. He ordered endoscopy and prescribed PPIs + blood transfusion, earning Xiao Dao’s rare nod of approval.

Four Hours Later…

Xu Ze had diagnosed all 20 virtual patients—though not without consequences. His hair now resembled Son Gohan’s post-lightning-spike from Dragon Ball Z, thanks to five electrocutions.

Xiao Dao (surprised): “Huh. Expected this to take days. You’ve improved.”

Xu Ze (touching his hair, traumatized): “Thank god this is virtual. If I walked out like this IRL, I’d jump off a bridge.”

Post-simulation, Xu Ze pieced together Xiao Dao’s harsh training: He needed to reach Level 1 Energy Circulation ASAP.

Xiao Dao’s Hint: “Your energy cycles hit 8 loops. Push to 9, and you’ll advance. No more… experiments.”

Translation: No more electric perms.

Xu Ze redoubled his efforts, cycling energy through his dantian (energy core). Breaking past Loop 9 was the key—his F-grade optimized physique and medical skills were ready. Only this barrier remained.

Xu Ze (gritting teeth): “Gotta succeed today. Or that sadistic AI will fry me again.”