Healing Doctor

Chapter 82 Video Consultation

Ji Xiang rode his bicycle through the city.

The address shown on the navigation wasn't far, and we arrived there quickly.

After leaving the bicycle behind, Ji Xiang went to the patient's apartment building.

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

If I were to rashly go to the home of a patient I didn't know, especially since the patient was a young girl, I might be afraid of being beaten up by the patient's family.

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

"Traffic jam," Feng Yuqing said, then stared intently at Trek Butterfly. "Ji Xiang, you're just going to leave this car outside?"

"Or what?"

"..." Feng Yuqing was speechless.

Although her family knew the outcome when she went on the blind date, they still had some expectations.

She also understood her family's expectations.

But when she actually saw Jixiang's behavior, she felt the invisible chasm between them.

Financial freedom is not a concept for Feng Yuqing; people at a higher level simply don't know what money is.

Ji Xiang is that kind of person.

After hearing Feng Yuqing's explanation of the Trek butterfly, Liu Hui became even more cautious, and her slight neglect of Ji Xiang vanished completely.

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

After entering the house, Ji Xiang carefully looked around, paying much more attention to the details of the patient's living conditions than he had when he was looking at Feng Yuqing on their blind date.

The system NPC had said that for many difficult and complicated diseases, one should pay attention to the patient's daily life details. Although Ji Xiang did not understand, he remembered it.

A large photograph of a girl hangs in the living room. In the photo, the girl is wearing jeans and a cowboy hat, riding a horse, looking very dashing.

The background is an endless grassland.

A youthful and vibrant energy wafted towards me.

The girl's looks are indeed striking; Ji Xiang nodded repeatedly after seeing her.

No wonder she was spotted by a girl group when she took the entrance exam for arts colleges.

But the youthful vitality in the photo, coupled with the ulcers and necrosis on both lower limbs, evokes a sense of sorrow.

Inside the room, a question-and-answer exchange could be heard, and Ji Xiang felt as if he had entered a hospital.

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

On the tablet was an elderly expert dressed in white, with a few age spots on his face, his gray hair neatly styled, and a professional and solemn expression.

Ji Xiang glanced at the patient.

Her complexion was unhealthy, but she still managed a polite smile when she saw Liu Hui and the others come in.

Ji Xiang didn't speak, but listened quietly as the patient described his medical history to the senior expert on the other end of the video.

The senior specialist Liu Hui consulted was very professional, and the medical history inquiry was detailed and appropriate.

After taking the patient's medical history, the senior specialist will assess the patient's actual condition.

Liu Hui's assistant held a tablet and checked the information according to the expert's instructions.

A patch of papules covered my lower leg, obscuring my once fair skin.

There were signs of muscle atrophy in his calves, and two areas were even covered with white gauze with a faint yellow liquid seeping out.

Ji Xiang glanced at the girl's legs and got a general idea of ​​what she was going through. Then he began to recall her medical history in his mind.

This is why, now, Ji Xiang, through his interactions with the system NPCs in the system space, is able to clearly identify what is important.

If he had just arrived at the Second Affiliated Hospital, he would definitely have been completely bewildered.

The girl's account was incomplete, and Ji Xiang noticed a pile of photocopies of inpatient and outpatient medical records, as well as various films, next to her.

He turned the tablet away from his view and began to look at the documents.

However, there was too much information, which clearly differed from Ji Xiang's previous judgment. It was not that the girl's family blindly believed in some miracle doctors, but rather that they had no other choice but to try it out of desperation.

Ji Xiang reads the information very slowly, his brain's CPU is running at high speed, and the high-energy phosphate bonds of ATP are breaking rapidly, providing a large amount of energy.

After memorizing the information, Ji Xiang entered the system space.

Although the flow of time was different, Ji Xiang was still a little anxious and didn't stand on ceremony. He quickly "reported" the patient's condition to the system NPC.

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

"Yes, teacher," Ji Xiang said, "These are the results of the most recent examination. I'm looking at the imaging data... By the way, can you see it?"

"No," the system NPC said decisively. "The original agreement you signed contained the relevant clauses. I cannot perceive everything you perceive, except in the context of empathetic experiences."

Ji Xiang felt some regret, but after the regret came relief.

It seems the system has considered many things quite comprehensively.

"What should we do then..." Ji Xiang said helplessly, "I don't know how to watch movies."

"Just reiterate the report; you'll have the opportunity to learn about radiology," the system NPC said.

Ji Xiang reported the report to the system NPC in detail.

After a long pause, the system NPC asked, "What are her hobbies?"

"Hobbies?" Ji Xiang didn't know why the system NPC was asking him this, or what its purpose was.

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

Ji Xiang thought carefully, then shook his head.

The girl's house was very clean; I didn't see any cat or dog hair on the floor.

Besides, most people like cats and dogs, but at most they will feed them; very few people actually bring them home.

"City dweller?" the system NPC asked again.

"Hmm." Ji Xiang nodded. "They live in a neighborhood not far from the city center, so their family seems to be well-off."

The system NPC pondered.

A few minutes later, he asked, "Would you like to ask the patient about their travel history later?"

"It's tourism, not prostitution," Ji Xiang confirmed.

Many young students don't understand the history of pleasure tourism and travel history, so Ji Xiang was afraid he had misheard, so he made sure he heard it correctly.

The system NPC raised his hand and tapped Ji Xiang on the head, "Leaving aside the patient's age, this illness has nothing to do with a history of prostitution."

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

Speaking of his heroic demeanor at the time, and recalling the patient's helplessness lying in bed, Ji Xiang felt a pang of sadness.

"Oh?" The system NPC nodded. "Ask about the timing. If it matches, I estimate the illness is related to travel."

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

"The infection site has been basically identified. Considering that the patient's catheterization surgery was 13 years ago, the doctor used vancomycin, gentamicin and rifampin for combined anti-infection treatment based on experience."

Two weeks of antibiotic treatment had little effect, and the patient's kidney function had not recovered.

Ji Xiang listened quietly.

"Based on your description of the medical history, the patient may be infected with a rare pathogen."

"For example?"

Bartonella infection.

Bartonoid?

What the hell is that?!

For the first time, Ji Xiang felt that diagnosis was like solving a case; the system NPC could make a preliminary diagnosis just from a photo.

Ji Xiang was certain that Bartonella infection was only mentioned in a few lines in textbooks, and even if he could recite the entire text, he wouldn't be able to apply it in reality.

After consulting with the system NPC, Ji Xiang finally understood what Bartonella infection meant.

Normally, Bartonella infection is related to AIDS, but the system NPC tells Ji Xiang that this type of disease is actually more common in China among people who adopt stray cats and dogs and herders.

In professional terms, it means having a history of close contact with wild animals or being scratched by dogs or cats.

Bartonella infection is more commonly manifested as skin symptoms—ambogia, papules, subcutaneous nodules, and lymphadenopathy are the most common.

Meanwhile, febrile measles, purpura, urticaria, erythema nodosum, erythema multiforme, and granuloma annulare may all be associated with Bartonella infection.

Although this type of disease is relatively rare and difficult to diagnose, it is relatively easy to treat.

As long as the diagnosis can be confirmed, the patient can be cured quickly, which makes Ji Xiang feel quite relieved.

Compared to the spirited young woman in the photo, Ji Xiang sincerely hopes she can recover and return to her carefree days.

"That's basically it." The system NPC smiled after saying that. "Diagnosis is difficult. It's hard to say whether your provincial capital has similar testing measures. If all else fails, go to the capital."

"Teacher, should this illness be treated as a rheumatology and immunology specialist?" Ji Xiang asked.

When in doubt, consult a rheumatologist or immunology specialist—Ji Xiang had heard this saying before.

But the system NPC shook its head, "See the infectious disease department. Parasitic diseases belong to the infectious disease department."

Which hospital should we go to?

"In my timeline, it was called the First Infectious Disease Hospital of the Capital, which was later renamed Ditan Hospital," the system NPC said. "You know about 84 disinfectant, right?"

"I understand." Ji Xiang nodded.

"The patent for 84 disinfectant is held by Ditan Hospital. It was originally developed to eliminate hepatitis viruses, but now it is frequently used for disinfection of public places."

"I understand, teacher."

Ji Xiang bowed respectfully and left the system space.

……

……

"The initial consideration is to treat glomerular basement membrane nephritis."

After reviewing the data, the experienced expert gave a relatively accurate answer.

The patient's family members had mixed feelings of joy and worry.

Having a diagnosis is a good thing, but is this disease with such an odd name actually treatable? What if the senior specialist says it's incurable?

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

"Come to Shanghai for hospitalization. It's hard to say whether you can be cured yet. If you are sensitive to the medication, you should recover in 1-3 months," the senior expert said gently.

But no matter how gentle his attitude was, it couldn't hide one fact.

"Teacher, what if the treatment isn't effective?" The patient's groans were already trembling.

"To put it another way, if the results are not satisfactory, a kidney transplant will be necessary."

"!!!"

The patient and his family were completely stunned. A kidney transplant?

"teacher……"

"teacher."

Suddenly, two voices rang out at the same time.

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

"Hello, teacher. My name is Ji Xiang, and I am a resident trainee." Ji Xiang introduced himself first.

"A resident trainee, huh?" The senior expert nodded.

He was just a resident trainee; in his eyes, he was as transparent as a transparent person.

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

"Hmm?" The old expert in the video stared at Ji Xiang, then suddenly smiled. "How many years have you been doing your residency training?"

"Just started my residency training, teacher," Ji Xiang replied.

How embarrassing! Feng Yuqing tugged at Ji Xiang from behind.

She originally thought that Ji Xiang was different from the legendary son-in-law, with a gentle temperament, but she did not expect that Ji Xiang, a junior resident trainee, would question the diagnosis of the top experts right away.

"Are you questioning my diagnosis? Young man, the knowledge you learn in school still needs to be honed in clinical practice." The senior expert waved his hand. "Then that's settled. Contact me after you arrive in Shanghai."

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

Even the most experienced experts felt that saying even half a sentence more to Ji Xiang was too much.

"teacher!"

The old expert ignored Ji Xiang and prepared to turn off the video.

Because he doesn't use it often, he's quite unfamiliar with it, and his movements are a little slow.

Ji Xiang was a little anxious. He subconsciously clicked on "Superior Doctor's Gaze" to recharge.

Click~

A crisp sound echoed from the nameless space-time.

"What is the definition of anti-glomerular basement membrane nephritis? Please tell me."

(End of this chapter)