Healing Doctor

Chapter 728 History of Exposure to the Tropical Jungle

"This is an old woman from the countryside sitting on a kang (heated brick bed) sewing shoe soles," Meng Qingfei said helplessly.

Suddenly, the two of them, having pressed for answers, found themselves in a dead end.

The patient's behavior was strange; he started embroidering and sewing shoe soles—it would be a miracle if you could find these actions online.

Even Meng Qingfei didn't even consider picking up his phone.

Searching online also requires keywords.

While smartphones aren't that advanced in terms of intelligence right now, if a phone could provide answers simply by recording a video, the profession of doctor would cease to exist.

Meng Qingfei and Ji Xiang remained silent for a long time until a patient returned with a lab report.

After treating the patient, Meng Qingfei crumpled the paper into a ball and threw it into the wastebasket. He stood up, put his hands behind his back, and kept wiping the dark area.

Seeing Meng Qingfei pacing back and forth like an ant on a hot pan, Ji Xiang also began to rack his brains.

Ji Xiang can also consult a doctor online.

On a sudden inspiration, Ji Xiang realized that since embroidery and counting money couldn't be searched, the patient's persistent high fever should be a breakthrough.

He picked up his phone and found the entry for "persistent high fever".

However, Ji Xiang did not start from the beginning, but instead skipped directly to the differential diagnosis section.

The first condition is sepsis.

This can be ruled out because the patient does not show any maculopapular rash, nor any external manifestations such as rashes or petechiae.

Moreover, sepsis is roughly equivalent to remittent fever, which is different from the patient's symptoms.

Next, tuberculosis.

This makes differential diagnosis easier; a chest CT scan has already been performed, and no tuberculous lesions were seen. Although tuberculosis in other rare organs cannot be ruled out, such as tuberculous meningitis, tuberculous pleurisy, peritoneal tuberculosis, lymph node tuberculosis, renal tuberculosis, etc., the patient does not show any systemic toxic reactions.

Ji Xiang held his phone and searched for results one by one.

"Xiao Ji, you're searching for persistent high fever, right? Where are you?" Although Meng Qingfei hadn't looked at Ji Xiang's phone, he guessed what he was doing.

"I saw typhoid fever," Ji Xiang said.

"Although atypical typhoid fever cases have occasionally appeared in recent years—I've encountered two myself—these patients all had roseola and a listless expression. Did you see the expression on his face when he was embroidering?"

Meng Qingfei asked.

"Uh, I didn't pay much attention."

"It looks just like a young girl in the throes of first love making clothes for her sweetheart."

Ji Xiang got goosebumps when he heard Meng Qingfei say that.

But that chilling sense of terror was instantly dispelled by the image of Shen Lang in Ji Xiang's mind.

Shen Lang

Lang Ge

Ji Xiang smiled.

"I haven't done the ferrous sulfate experiment yet. Write it down. If I really have no ideas, I'll give it a try," Meng Qingfei said while thinking.

At this moment, he was like a nationally renowned senior expert, exuding an air of sophistication with every gesture.

Ji Xiang knew that Teacher Meng had entered a "state," which was similar to the "gaze of a senior doctor," but not as simple and direct as a system skill.

He honestly wrote down the words "Fidal test" on the paper, followed by "typhoid fever" and a question mark.

"What's next?" Meng Qingfei asked.

"Epidemic hemorrhagic fever".

"Bloodshot face and eyes?!" Meng Qingfei suddenly exclaimed.

Ji Xiang frowned and pondered carefully.

The patient's eyes were completely red, as if he had conjunctivitis.

Ji Xiang sensed something was wrong. As Meng Qingfei mentioned that patients with epidemic hemorrhagic fever might have facial and eye congestion, his heart skipped a beat.

Could it be epidemic hemorrhagic fever?

"No, the patient's whole body is flushed, but not the upper chest. I didn't see any under the armpits, but I'll check them in a bit to see if there are any bleeding points," Meng Qingfei said. "Xiao Ji, make a note of this."

"it is good."

Ji Xiang wrote "epidemic hemorrhagic fever" on a piece of paper, added a question mark, and also noted down Meng Qingfei's words about subcutaneous bleeding points.

"Next."

"malaria."

After Ji Xiang finished speaking, Meng Qingfei suddenly froze.

"Teacher Meng?"

"Wait a minute." Meng Qingfei was very distressed. He put his hands behind his back and vigorously rubbed his white clothes.

"I forgot..."

After a few minutes, Meng Qingfei said with distress.

"Forgot what?" Ji Xiang recalled the system NPC's words and suddenly felt... something was wrong.

It's even rarer than a heart tumor, but malaria is very familiar to him, so Ji Xiang subconsciously ruled out this diagnosis.

"I have never met a malaria patient. In 21, the WHO declared that malaria had been eliminated in the country."

Meng Qingfei's words were simple, but the meaning was very clear.

This……

Ji Xiang was taken aback; Meng Qingfei's words were somewhat similar to those of the system NPC.

He then picked up his phone.

Ji Xiang also began searching for information about malaria.

Incubation period, chills period, fever period...

Some patients experience delirium, convulsions, or even convulsions or unconsciousness...

When Ji Xiang saw this line of text, he asked, "Teacher Meng, what is 'choukong'?"

Meng Qingfei didn't know either, but the symptoms he saw basically matched up.

The two then began searching for empty slots.

Ji Xiang found this way of seeing a doctor particularly strange; it didn't seem like two experienced doctors, but rather like a patient's family member who knew nothing.

Meng Qingfei found a description of the empty line and immediately matched the patient's symptoms.

However, he did not show any joy, but instead glanced at the time.

Picking up his phone, Meng Qingfei hesitated for a moment before finally dialing.

"Teacher Shen, I'm sorry to bother you so late," Meng Qingfei said politely.

"Xiao Meng, what's wrong? Are you having diagnostic difficulties calling me so late?" the person on the other end of the phone asked gently.

"Well, Professor Shen, I've encountered a strange patient, and I suspect he has malaria. But I've never seen a malaria patient before, so I'm calling to consult you."

Meng Qingfei held the phone in his hand, but it was as if he were facing Teacher Shen, whose whereabouts were unknown. He kept bowing, his expression humble to the point of being dusty, and he looked guilty.

"Oh? Malaria? The patient has a history of exposure to tropical jungles?"

Upon hearing this, Ji Xiang suddenly recalled the patient's family's account.

Even Ji Xiang himself started to complain inwardly. Medicine is really convoluted. Drinking too much in Southeast Asia and lying dead in the forest is, in medical terms, a history of exposure to the tropical jungle.

"Yes, there are!" Meng Qingfei replied immediately, and then described the patient's symptoms.

"Oh, 'thread manipulation' is a term from traditional Chinese medicine texts, used to describe something like embroidery, which was prevalent during the malaria epidemic. You're referring to 'thread manipulation sign,' which looks like embroidery."

"That……"

"Your hospital... probably can't test for malaria parasites. You should ask your local infectious disease hospital if they can. In the last twenty years, the number of patients infected with malaria has been decreasing, and most hospitals have stopped this test."

"Okay, Teacher Shen, what else can I do?"

"Chloroquine can be used for diagnostic treatment."

(End of this chapter)