I'm just a veterinarian! You've unlocked the Great Physician System!

"Grandpa! You went to Xiaokaixin?"

Li Xiang was taken aback.

Then, with wide eyes and a suffocating expression, she looked at her grandfather.

"Junior, what... what is this little bit of happiness?"

Yan Siqi moved closer to Song Wanqing and asked in a low voice.

Because what she was saying was already beyond her comprehension.

I don't understand what "little happiness" really means.

"Actually, I don't know either... but looking at their expressions and the comments from netizens, maybe it's that...?"

Song Wanqing was also a little confused when she heard this.

But she can read everyone's expressions.

The expressions on everyone's faces now held a meaningful quality.

"Wow, this old man is really still going strong!"

"Holy crap, so you were waiting here, Dr. Zhang. But I have to admit, if Xiao Kaixin really did win the bid, then what Dr. Zhang just said is absolutely right."

"Thinking about it carefully, it makes perfect sense. How can someone who is not in good health be happy, or even feel happy? Only someone who is in good health can be happy, and then feel happy."

……

These are comments posted by viewers in the live stream chat.

Even if you don't understand this.

Judging from the comments, you can probably guess the meaning of the combination of characters '小开心' (Little Happy).

"Huh? That's impossible!"

Yan Siqi took a serious look at Grandpa Li Dacheng.

I remember the other person was eighty-one years old.

The current average life expectancy is 79 years.

In other words, many people die around the age of seventy-nine.

The old man is 81 years old, which is above the average lifespan, and he seems to be in good health.

But to say that you can still do that, or even go out and do that, isn't that a bit of an exaggeration?

In an instant.

Almost everyone's eyes were on Grandpa Li Dacheng.

This includes some elderly women and men who have just arrived here, eating their lunch while watching videos.

"Brother Dacheng, no wonder you always say you can't save money even though you raise so many chickens. I really envy your health."

"I'm already lucky to be eighty years old and not in the ground anymore. I never thought Uncle Dacheng would still be able to have fun."

"Come on, Eighth Brother, even if you're eighty years old and no longer in the ground, you dare to go looking for fun? Your wife will eat you alive!"

"Exactly, even if his wife is dead, he wouldn't dare touch her picture hanging on the wall."

"you!!"

……

The villagers watching made fun of an old man in his sixties.

In the village, seniority matters; even people of the same age might be addressed differently, with some calling one "uncle" and others "brother."

"W-what little joy? Veterinarian Zhang, don't slander this old man! There has never been anything like it!"

Mr. Li was prepared for a cancer diagnosis, but to his utter surprise, the other party asked him about Xiao Kaixin instead.

Are you that kind of person?

Under the anxious gazes of Zhang Lingchuan, his eldest grandson, and the villagers, he directly stated that nothing of the sort had happened.

"Never before?"

Zhang Lingchuan frowned slightly.

"That's right. At my age, I have trouble even walking. How could I possibly go to some fun place?"

Grandpa Li Dacheng nodded very solemnly in confirmation.

"Veterinarian Zhang, is it possible that you've made a mistake? My grandfather is eighty-one years old this year. It's highly unlikely that he would go and do that kind of thing!"

Li Xiang looked at Zhang Lingchuan and he really felt that there was a mistake.

You said someone in their fifties or sixties might exist.

My grandfather is 81 years old.

To put it bluntly, with half his body already in the ground, it's really... hard to imagine him trying to have fun.

[Super Dads Group]

Jia Rong: Dude, when did Veterinarian Zhang miss his chance?

"Su Yonglang: Let's carefully review his livestream from the first day until now. No matter how outrageous things seemed, weren't they all ultimately true in the end?"

"Jiang Chaoping: It's probably just too outrageous, so Li Xiang doesn't want to believe it. If I were in his shoes, I'd also think it's unlikely! If anyone else dared to slander my grandfather like that, I'd probably give them a good whack! It's only Zhang the veterinarian who's capable!"

The "Super Dads" group is also Li Xiang's dormitory group.

As for your question about why this name was chosen...

Does it seem abstract?

Based on the current situation, one of the two people must be lying.

It's either Dr. Zhang or my roommate's grandfather.

But they felt it was more likely that their roommate's grandfather was lying.

Of course, Li Xiang couldn't see these words before he turned on his phone.

"But if it wasn't Xiaokaixin, how could something resembling a chancre appear?"

Zhang Lingchuan countered with a question.

"Hard chancre?"

Li Xiangduo gave a puzzled look.

"Veterinarian Zhang, what is this chancre? Just tell me what disease I have! I can handle it!"

Li Dacheng sounded a little confused.

"really."

"Sigh... old man, sometimes being stubborn won't work."

"When we see patients, many of them don't tell us the truth. The disease is there, but they insist that they don't have it."

"This reminds me of a stomach surgery I had before. I told the patient not to eat or drink anything, and the patient didn't eat anything before the surgery. But when the chief surgeon opened the abdominal cavity and cut open the stomach, it was full of food. I was furious!"

As professional doctors, almost everyone knows what a hard chancre is.

It is a skin and mucous membrane lesion that appears about 2-4 weeks after infection with syphilis. It is a typical clinical manifestation of primary syphilis. It usually presents as a painless ulcer in the genital area with a clean surface, neat edges, and a cartilaginous hardness when touched. It can also occur in other areas such as the anus.

Painless ulcers appearing on the lips, tongue, gums, etc. in the mouth are usually characterized by clear borders, a hard base, and are often solitary without significant pain, making them easily mistaken for ordinary oral ulcers.

However, chancres in these areas are relatively rare.

Most of them are still in the private parts.

This condition is caused by infection with Treponema pallidum, and is mainly transmitted through sexual contact.

Why would an 81-year-old man get chancroid?

The other person lives in a rather isolated house where there are hardly any people around.

It's impossible that they came into contact with the belongings of other syphilis patients!
The possibility is extremely small.

The only explanation is that they went to places of romance and pleasure to have fun.

No wonder Veterinarian Zhang said this old man was in good health.

Everyone who sees it will praise it like that.

"This……"

Yan Siqi's lips twitched.

She didn't understand, so she was watching the comments with her junior.

There are quite a few experts in the comments section.

In one fell swoop, he revealed the cause of the old man's illness, which had not yet been revealed at the scene and who was even stubbornly denying it.

That's syphilis!
You're just an 81-year-old man, and you actually got this kind of disease? It's absolutely mind-blowing!
"Sir, I suspect you have syphilis."

Just as the two girls' eyes fell on Zhang Lingchuan, Zhang Lingchuan spoke up.

"Syphilis!!"

In an instant.

Grandpa Li Dacheng took two steps back.

It was as if my soul had been drained away at that moment.

Because he couldn't believe that he had contracted syphilis!
"That's impossible! My grandpa, Dr. Zhang, said he's never been to those kinds of shady places, and it's ridiculous that he got syphilis at such a young age!"

Li Xiang simply couldn't imagine it.

Moreover, he really couldn't accept the conclusion given by Veterinarian Zhang.

"Well, I also think it's unlikely, but if you really have doubts, you can take the elderly person to the hospital for a check-up. The results will tell you everything."

Zhang Lingchuan offered a suggestion.

The hospital is authoritative.

No matter how certain I am in what I say, it's still just a guess.

"Grandpa, you really didn't do anything like that, did you?"

Li Xiang looked at his grandfather intently.

"No, I really haven't been there! It definitely can't be syphilis, look at my hands, they're completely clean."

The old man pulled out his arm.

People with syphilis have plum blossom marks on their arms.

"There's another type of syphilis called latent syphilis, which doesn't leave a mark on the hand. There was an old man named Zhou Nongtian who appeared during Zhang the veterinarian's live stream, so the plum blossom mark doesn't mean anything, Grandpa!"

Seeing his grandfather's eagerness to prove himself, Li Xiang immediately spoke up.

He wasn't among the first to pay attention to Veterinarian Zhang.

But I've also watched Zhang the veterinarian's live broadcast clips.

I know an old man named Zhou Nongtian who loved to daydream; he was eventually diagnosed with late-stage syphilis that had spread to his brain.

At the time, no one believed he had late-stage syphilis.

As a result, after going to the hospital for examination, he was diagnosed with late-stage syphilis. Now, this week, the old man in the farmland has become Zhou Shangshan and has been buried.

"Are there still unprinted syphilis cases?"

Li Dacheng's eyes were filled with disbelief.

"Grandpa, I'll take you for a checkup later. You really haven't been messing around outside, have you?"

Li Xiang asked again.

"I really didn't go out! I'm too old for that! How could I go out and mess around!"

Li Dacheng spoke very seriously and earnestly.

"That old man is really stubborn."

"You've already developed a chancre, and you're saying you haven't been messing around!"

"Alright then, we'll wait for the results."

The castration of the rooster is complete.

The consultation is complete.

Li Xiang took his grandfather, Li Dacheng, to the hospital for a checkup.

"Goodbye, Dr. Zhang. I'll let you know the results."

The car set off.

System scan complete.

Patient Name: Li Dacheng.

[Patient's gender: Male.]

[Patient's age: 81 years old.]

[Patient's condition: Painless oral ulcers, painful necrosis of the gums.]

[Patient Diagnosis: Primary syphilis, gingival necrosis. Currently labeled in yellow.]

[System notification: The current patient is in the primary stage of syphilis. If left untreated, syphilis may progress to the secondary stage, potentially causing oral mucosal patches, which appear as grayish-white or red erosions, mostly distributed on the buccal mucosa, sides of the tongue, or pharynx. Some patients may also experience systemic symptoms such as rash and swollen lymph nodes! Please advise the patient to seek medical attention immediately for testing. After diagnosis, standardized treatment such as penicillin injections is necessary, and the health status of the sexual partner should be monitored.]

[A successful patient visit will earn 500 professional reputation points and 1 common treasure chest.]

These are the symptoms that Zhang Lingchuan just detected.

Primary syphilis.

The poisoning occurred relatively early.

Moreover, it was discovered relatively quickly.

It took exactly a few weeks.

In fact, this kind of chancre will heal.

In other words, over time, the old man's mouth ulcer 'healed'.

But it's only superficially better; the syphilis virus is still inside.

It will then slowly develop into secondary syphilis, until it enters the brain like Grandpa Zhou Nongtian did, leading to death.

Speaking of today's rewards, they can only be received if the patient receives treatment and recovers or successfully completes a medical consultation.

Zhang Lingchuan was speechless.

It turns out that the person who was just poisoned also needs to be successfully treated to receive a rating and then a reward. Soon they began lunch.

We ate at the farmer's house as before.

Because Yan Siqi is a lesbian, there was no drinking segment for anyone else.

Everyone was just chatting happily.

And introduce some local specialties to our online audience.

Of course, there was no sour soup noodles.

At this moment, at Jiu'an City People's Hospital.

Several of the most seriously ill patients were sent to their hospital.

Because compared to Wanxian People's Hospital, this is a Class II Grade A hospital.

Their Jiu'an City People's Hospital is a tertiary hospital.

Their overall level is higher than that of the second-tier universities, and the distance is about the same.

So the leaders of Wanxian People's Hospital discussed it with them and decided to treat some of the mild cases there, while sending the more severe cases to their hospital.

The Li family lives here.

This includes Li Zhengfeng and Li Zhengqian.

These two men in their forties are a little better off.

At least his health is still okay.

But Uncle Li was not so good; he felt nauseous, vomited, and weak, as if he had lost most of his life.

"Doctor! Doctor! What's wrong with my husband? He just started vomiting, but he's still feeling terrible! Please help him!"

Fourth Aunt was very excited.

She was terrified just looking at that feeling of a person's soul ascending to heaven.

"Hello, family member. I am Hong Ran, the director of the emergency department and the vice president of the hospital. Suantangzi poisoning is not something that can be cured by vomiting. Even if vomiting is induced in time, the patient is still in critical condition. This is a typical and one of the most dangerous situations of Suantangzi poisoning."

Hong Ran originally thought there would be no critical situation.

As a result, three critically ill patients were brought in.

The most serious case is this Uncle Li.

Many people have misconceptions.

They believe that vomiting up what they've eaten will alleviate the symptoms considerably.

The deadly toxin in Suantangzi poisoning is not the stuff that hasn't been vomited out yet, but rather 'bonklein,' which has been rapidly absorbed, entered cells, and caused irreversible damage.

Its main characteristics are high fat solubility and very rapid absorption in the gastrointestinal tract. It can enter the bloodstream within 10–30 minutes after ingestion and quickly reach the liver, kidneys, myocardium, and brain cells.

The essence of this thing is to inhibit the ADP/ATP transporter in cellular mitochondria.

Simply put, it means preventing cells from producing ATP; you can think of it like rice or air.

Even with normal blood oxygen levels, cells can still starve or suffocate to death.

Even the fastest possible oxygenation, fluid resuscitation, and induced vomiting cannot reverse the damage to the cells.

Therefore, in clinical practice, we may see patients vomiting completely, but their condition still deteriorates rapidly.

But this is also related to physical constitution.

Some people aren't that quick.

Because Dr. Zhang induced vomiting very promptly, getting everyone to vomit within fifteen minutes, which, in principle, falls within the medically safe window.

Who would have thought... there was an old man outside the window.

"Dean! What should we do about my dad? What's the next step in his treatment?"

The child works in Jiu'an City.

Upon hearing that his father had been poisoned by eating sour soup noodles, he immediately dropped what he was doing and came over.

On the way, I heard that Veterinarian Zhang had arrived at my home.

They even induced vomiting in her father.

I thought I would feel a little more at ease, but who would have thought that my father's condition was still so dangerous.

"There is no specific antidote for the 'bunkleic acid' formed from 'suantangzi' (a type of fermented corn noodle). We have already had our stomachs pumped, and we are currently using activated charcoal and blood purification. The next step is to transfer them to the ICU."

Hong Ran's words were like a storm.

It severely impacted Li Si's wife and daughter.

"So you, as family members, also need to be mentally prepared that the patient might not survive."

The liver is the first and most severely damaged organ by benzoyl peroxide, which can lead to acute liver failure.

The subsequent pathway of toxic action is usually: first, liver failure; second, metabolic disorder; and third, kidney failure.

This is followed by myocardial damage, leading to arrhythmia and eventually ventricular fibrillation.

If ventricular fibrillation is controlled, subsequent complications may include cerebral edema, hepatic encephalopathy, coma, shock, and death.

"How...how could this be? Dean Hong, Veterinarian Zhang clearly did save him. Didn't he say that as long as he was there, he wouldn't die? Everyone online says he's Seventh and Eighth Master's mortal enemy!"

Li Si's daughter is named Li Qiangqiang.

I was completely devastated.

After all, my father was fine yesterday, but today at the hospital they say he might not make it. Anyone would feel hopeless in that situation.

“Ms. Li, is it possible that your father wouldn’t have had a chance to be saved if Dr. Xiaochuan hadn’t induced vomiting? Look, many people who were brought here and induced vomiting in time are recovering very well now, including your mother.”

Hong Ran countered with a question.

This patient is in such poor health that if we don't induce vomiting immediately, there might really be no chance of saving him.

"Well... Dean Hong, please do everything you can to save him! Thank you!"

Li Qiangqiang was stunned for a moment.

Then I realized it made a lot of sense.

There was nothing more to say; all he could do was hope that the hospital director would do his best to save his father.

"Don't worry, our hospital is definitely the one that wants the patient to live the most, besides you family members."

After saying this, Hong Ran left first.

"Dean, you've been busy from yesterday to today, why don't you go and take a rest?"

"That's what Li Ai, deputy director of the emergency department, said."

The dean has really been laying bricks since yesterday.

He hasn't stopped working since Dr. Ogawa arrived.

"Director Li Ai, I'll leave this to you. I really should go and rest. By the way, how's Professor Xiao Chuan's live stream going?"

Hong Ran planned to go and rest.

I didn't even feel like eating lunch.

Because I was so tired, I didn't want to eat and couldn't eat anything.

But before going to rest, I still asked about Zhang Lingchuan's situation.

I want to know how his live streams are going now.

There shouldn't be any new critically ill patients being sent over.

"Currently, we are having lunch at a farmer's house in the countryside. There aren't as many people as before. The only exception is an old man with a chancre who might come to check if he has syphilis."

Director Li Ai replied.

People also like to sneak a moment from their busy schedules to watch Dr. Zhang's live streams.

"A hard chancre? You're not hallucinating, are you!?"

Hong Ran was taken aback.

A hard chancre is a typical sign of syphilis.

If it's just wishful thinking, then it basically means syphilis has entered the brain and is going to kill you.

As for your question about whether it's possible that it's not syphilis, it could certainly be caused by non-syphilitic granulomatosis, tuberculosis, tumors, or other reasons.

Therefore, screening is necessary.

"I didn't see any hallucinations. He seems quite normal. It's just that he had something in his mouth that was almost mistaken for an ulcer. I don't know if he'll go to Wanxian People's Hospital for a checkup or come to our Jiu'an City People's Hospital."

Li Ai said.

Meanwhile, on the other side, in a car.

"Child, which hospital are we going to?"

Li Dacheng also inquired about his grandson.

"Grandpa, let's go to Jiu'an City People's Hospital. It's better than our county hospital, and the diagnosis results are more accurate."

Li Xiang plans to take his grandfather to a better hospital.

Jiu'an is, after all, a city.

Moreover, it's close to Chunshi, only about an hour away, so overall it's of a higher standard.

People would rather live in Jiu'an City than go to Wanxian.

After all, it would take almost an hour to get from Jiu'an City to the scene in Wanxian.

Lizicun is located precisely at the midpoint between these two places, slightly closer to Jiu'an City.

That's why ambulances from both places came together at the beginning.

"Jiuan Hospital, Jiuan Hospital is fine too."

Li Dacheng sat in the car and nodded.

"Grandpa, I checked, and this thing might not necessarily be syphilis. There are other possibilities, such as chancroid, herpes, or wounds! Seriously, if Veterinarian Zhang misdiagnoses it this time, we'll be incredibly awesome. We could do a live stream and buy a house and a car without any problem!"

Li Xiang's eyes, however, were filled with restlessness.

I can't wait for the test results to come out.

"It's not that exaggerated."

Li Dacheng looked out the window, appearing lost in thought.

"That's an absolute exaggeration. You have no idea how many people on the internet are waiting for Zhang the veterinarian to be exposed, but the key is that he hasn't been exposed yet. Grandpa, are you sure you haven't gone looking for that kind of thing?"

Li Xiang looked at his grandfather.

They're getting a little excited.

"What nonsense are you talking about? I'm so old, why would I go looking for those things! Are you joining outsiders to slander your grandfather?"

Li Daqing continued his resolute cursing.

It's as if it's talking about you, this unfilial descendant.

"No, no, Grandpa, I just wanted to find out. I think we're in the bag this time. This kind of chancre only appears about a month after syphilis infection. It's an early symptom. I don't believe you went to a brothel a month ago!"

The car was speeding along.

We arrived at Jiu'an People's Hospital shortly afterward.

Meanwhile, Zhang Lingchuan finished his meal and continued seeing patients.

First, I went to get the dog stitched up.

Then they performed surgery on the sheep.

I fixed a hoof.

Time flew by and it was already three or four in the afternoon.

"Ah, poisoning, okay, okay, let me ask Veterinarian Zhang!"

Yan Siqi received a call from a clever cattle farmer who said that all three of his cows had been poisoned.

"What happened? I'll go take a look!"

In the blink of an eye, Zhang Lingchuan and Yan Siqi finished their work and rushed over.

After all, poisoning is a serious matter.

There's no way to save the cattle; even selling meat will be difficult.

After all, it's a poisonous cow!

They soon arrived at the cattle farmer's home.

The cattle farmers are in a state of extreme anxiety.

Meanwhile, at Jiu'an People's Hospital on the other side, people were also extremely anxious.

Are Li Dacheng's family members here?

A nurse was holding a report and shouting.

"Yes, yes, yes! Doctor, are the results in yet?!"

Li Xiang immediately stood up.

Then he asked happily.

"You're out! Come to the office!"

The nurse nodded.

[Super Dads Group]

Li Xiang: Brothers, the results are in! My grandpa said he absolutely never went to a place like that. Get ready to be slapped in the face!

Li Xiang got up and excitedly sent a message to the lively group chat.

They were arguing about this in the group chat just now!

"Okay! Let's wait!"

"Witness a miracle!!"

"I'll say it again: people can lie, but symptoms don't. Since you believe in miracles, let's wait and see!"

...(End of chapter)