Doctor of Healing

Chapter 82 Video Consultation
Ji Xiang rode a bicycle through the city.

The address of the navigation is not far away, and it will arrive soon.

Throwing the bicycle aside, Ji Xiang found the patient's unit.

But he didn't go in early, but waited for Feng Yuqing.

I rashly went to a strange patient's house, the patient was still a little girl, and I was afraid that the patient's family would call her out.

Ji Xiang waited for a long time before Feng Yuqing and Liu Hui came.

"Traffic jam." After Feng Yuqing said something, she stared at Cui Kedie, "Ji Xiang, you just throw this car outside?"

"Or else?"

"..." Feng Yuqing was speechless.

Although the family knew the result when they came on a blind date, they still had expectations more or less.

She also understands the expectations at home.

But when she really saw the auspicious demeanor, she felt the invisible gap.

The so-called financial freedom does not exist to Feng Yuqing, and people of a higher level do not know what money is at all.

Ji Xiang is such a person.

Liu Hui became more cautious after hearing Feng Yuqing's explanation of Cui Kedie, and her little neglect of Ji Xiang disappeared.

After ringing the doorbell and entering the room, Liu Hui greeted the patient's parents.

After entering the house, Jixiang looked around carefully, and was far more attentive to the details of the patient's home than to Feng Yuqing during the blind date.

The NPC of the system said that many difficult and miscellaneous diseases require attention to the details of the patient's life. Although Ji Xiang doesn't understand it, he remembers it.

Hanging in the living room is a large photo of a girl in jeans and a cowboy hat riding a horse, looking heroic.

The background is the endless prairie.

A youthful and beautiful breath came oncoming.

The girl's looks are indeed good, and Ji Xiang nodded frequently after seeing it.

No wonder she was picked up by the girl group when she took the art test.

However, the youthful vigor in the photos is associated with ulcers and necrosis of both lower extremities, which makes people feel sad.

The sound of question and answer came from the room, and Ji Xiang felt as if he had come to the hospital in a trance.

As Liu Hui entered the room, a girl who looked childish was talking to the tablet.

Inside the tablet is an old expert in white clothes, with a few age spots on his face, his gray hair well-groomed, and a professional and solemn expression.

Ji Xiang took a look at the patient.

Her face was very unhealthy, but she still tried to show a polite smile when she saw Liu Hui and others coming in.

Ji Xiang didn't speak, but quietly listened to the patient's medical history with the old expert opposite in the video.

The veteran expert Liu Hui found was very professional, and the medical history was detailed and appropriate.

After asking the medical history, the old experts will look at the actual situation of the patient.

Liu Hui's assistant took the tablet and checked it according to the old expert's guidance.

A patch of maculopapular rash covered the calf, and the fair skin could no longer be seen.

The calf muscles also showed signs of atrophy, and there were even two places covered with white gauze, with yellow liquid oozing faintly.

Ji Xiang glanced at the girl's legs, got a general impression, and then began to recall the medical history just now in his mind.

This is now, Jixiang is able to figure out what is the key point after being heard and seen by the system NPC in the system space.

If it were him who had just arrived at the Second Affiliated Hospital, he must have looked dazed.

The girl's narration was incomplete, and Ji Xiang saw photocopied inpatient medical records, outpatient medical records, and various films piled up next to her.

He moved away from the perspective of the tablet and began to check the information.

But there is too much information, and it is obviously different from Ji Xiang's previous judgment. The girl's family does not blindly believe in some miracle doctors, but has no choice but to try it with the attitude of a dead horse as a living horse doctor.

Jixiang reads the information very slowly, the CPU of the brain runs at high speed, and the ATP high-energy phosphate bonds crackle, providing a lot of energy.

After memorizing the information, Jixiang came to the system space.

Although the flow rate of time is different, Jixiang is still a little anxious, not too polite, and seizes the time to "report" the patient's situation with the system NPC.

"The hospital's diagnosis is cryoglobulinemia, infection-associated membranoproliferative glomerulonephritis, and infective endocarditis?"

"Yes, teacher." Ji Xiang said, "This is the result of the latest inspection. I looked at the video data...by the way, can you see it?"

"No." The NPC of the system said decisively, "There are relevant clauses in the agreement you signed the first time. I can't perceive everything you perceive, except in the experience of empathy."

Jixiang felt a little regretful, but he was relieved after the regret.

It seems that the system has considered many things comprehensively.

"Then what should I do..." Ji Xiang was helpless, "I don't know how to watch movies."

"It's enough to repeat the report. There is a chance to learn the knowledge of imaging." The system NPC said.

Jixiang reported the report sheet to the system NPC.

The system NPC pondered for a long time and asked, "Does she usually have any hobbies?"

"Hobbies?" Ji Xiang didn't know why the system NPC asked himself this, and what was the meaning.

"For example, willing to adopt stray cats and dogs."

Ji Xiang recalled carefully and shook his head.

The girl's house is very clean, and there is no cat or dog hair falling on the floor.

Besides, most people like cats and dogs, at most they can feed them, but there are too few people who really bring cats and dogs home.

"City people?" the system NPC asked again.

"Well." Ji Xiang nodded, "I live in a community not far from the central area, and it seems that the family conditions are good."

The system NPC pondered.

After a few minutes, he asked, "You will ask about the patient's travel history later."

"It's tourism, not Yeyou." Ji Xiang made sure.

Many young students do not understand the history of metallurgical travel and travel history. Ji Xiang was also afraid that he had heard it wrong, so he made sure of it.

The system NPC raised his hand and knocked on Ji Xiang's head, "Not to mention the patient's age, this disease has nothing to do with Ye Youshi."

Ji Xiang remembered the photo he saw when he entered the door, and immediately described it to the system NPC.

Speaking of the heroic demeanor at that time, and thinking of the helplessness of the patient lying on the bed, Ji Xiang sighed a little.

"Oh?" The system NPC nodded, "Ask about the time, if it matches, I guess the disease has something to do with travel."

"Teacher, why?" Ji Xiang was taken aback.

"The infection focus is basically confirmed. Considering that 13 years have passed since the patient's catheter operation, the doctor used vancomycin, gentamicin and rifampicin for combined anti-infection treatment based on experience.

After two weeks of antibiotic treatment, there was no effect, and the patient's kidney function still did not recover. "

Ji Xiang listened quietly.

"Judging from the medical history you described, the patient may have been infected with a rare pathogen."

"Like what?"

"Bartonella infection."

Bartonella?

What the hell is that!

For the first time, Ji Xiang felt that the diagnosis was like solving a case, and the system NPC could get a preliminary diagnosis through a single photo.

Ji Xiang is sure that there are only a few lines of Bartonella infection in the textbook, and even if he can recite the whole text, he cannot use it in reality.

After consulting with the system NPC, Ji Xiang finally understood what the meaning of Bartonella infection was.

Normally, Bartonella infection is related to AIDS, but the system NPC told Ji Xiang that such diseases are actually more common in domestic adoption of stray cats and dogs and herdsmen.

In professional terms, there is a history of close contact with wild animals or a history of scratching by dogs and cats.

Bartonella infection is more commonly a cutaneous manifestation—with maculopapular rashes, papules, subcutaneous nodules, and lymphadenopathy being the most common.

At the same time, febrile measles, purpura, urticaria, erythema nodosum, erythema multiforme, and granuloma annulare may all be related to Bartonella infection.

Although these disorders are rare and difficult to diagnose, they are relatively simple to treat.

As long as the diagnosis can be confirmed, Jixiang can be cured soon, which also makes Jixiang more gratified.

Compared with the valiant and heroic girl in the photo, Ji Xiang hopes that she can recover and return to a carefree life.

"It's basically like this." The system NPC smiled after finishing speaking, "Diagnosis is difficult. It's hard to say whether your provincial capital has similar inspection measures. If not, go to the imperial capital."

"Teacher, does this disease depend on rheumatism immunity?" Ji Xiang asked.

Undecided when things happen, immune to rheumatism, Ji Xiang has heard of this.

But the system NPC shook his head, "Look at the Department of Infectious Diseases. Parasitic diseases are considered infectious."

"Which hospital are you going to?"

"In my time and space, it was called the No. 84 Infectious Disease Hospital of the Imperial Capital, and later it was called the Ditan Hospital." The system NPC said, "You know the [-] disinfectant, right?"

"I know." Ji Xiang nodded.

"The patent of 84 disinfectant is in Ditan Hospital. It was originally developed to eliminate hepatitis virus, and now it is often used for disinfection of places."

"I know the teacher."

Ji Xiang bowed and saluted, and left the system space.

……

……

"Initial consideration is anti-glomerular basement membrane nephritis."

The old expert gave a relatively accurate answer after reading the information.

The family members of the patients had mixed expressions of joy and sorrow.

It is good to have a diagnosis, but is this disease with a strange name curable?What to do if the old experts say that it cannot be cured.

"Teacher, can this disease be cured?" The girl asked timidly.

"Come to Shanghai, hospitalization, whether it can be cured is hard to say, if you are sensitive to drugs, it will be cured in 1-3 months." The old expert said gently.

But no matter how gentle his attitude is, it can't hide a fact.

"Teacher, what if the treatment effect is unsatisfactory?" The moan of the patient was already trembling.

"Let's put it this way, if the effect is unsatisfactory, you need...a kidney transplant."

"!!!"

The patient and the patient's family were stunned. Kidney transplantation?

"teacher……"

"teacher."

Suddenly, two voices sounded together.

The old expert heard a man's voice in the video, looked around, and immediately a young and handsome face appeared in front of him.

"Teacher, hello, my name is Ji Xiang, and I am a regular trainee." Ji Xiang first introduced himself.

"Gu Peisheng." The old expert nodded.

It's just a Gui Peisheng, and it's like being transparent in his eyes.

"Teacher, is the diagnosis of anti-GBM nephritis clear?" Ji Xiang asked.

"Huh?" The old expert in the video stared at Ji Xiang, and suddenly smiled, "I have been training for several years."

"Gangguipei, teacher." Jixiang replied.

It was so embarrassing, Feng Yuqing pulled Ji Xiang behind her.

She originally thought that Ji Xiang was different from the legendary son-in-law, with a gentle temper, but she didn't expect such a small-scale trainee like Ji Xiang to question the diagnosis of top experts.

"Are you questioning my diagnosis? Young man, the knowledge learned in school still needs to be tempered clinically." The old expert waved his hand, "That's it, contact me when you come to Shanghai."

He was talking to Ji Xiang in the first half of the sentence, and he was already explaining to the patient's family in the second half of the sentence.

Old experts feel that it is too much to talk to Ji Xiang for a while.

"teacher!"

The old expert ignored Ji Xiang and was about to close the video.

Because he doesn't operate often, he is very unfamiliar, and his movements are a little slow.

Ji Xiang was a little anxious, he subconsciously clicked [Superior Doctor's Gaze] to recharge.

click~
There was a crisp sound in the nameless time and space.

"What is the definition of anti-glomerular basement membrane nephritis, please tell me."

(End of this chapter)