82 Video Consultation(1/2)
Ji Xiang rides a bicycle through the city.
The navigation address is not far away and we will arrive soon.
Throwing the bicycle aside, Ji Xiang found the patient's unit.
However, he did not go in early, but waited for Feng Yuqing.
I rashly went to a strange patient's home. The patient was still a little girl, and I was afraid that the patient's family would beat him up.
Ji Xiang waited for a long time before Feng Yuqing and Liu Hui came.
"Traffic jam." Feng Yuqing said this and then stared at Trek Butterfly, "Jixiang, you just left this car outside?"
"What else?"
"..." Feng Yuqing was speechless.
Although my family knew the outcome when I came for the blind date, they still had expectations more or less.
She also understands the expectations of her family.
But when she actually saw Ji Xiang's actions, she felt the invisible gap.
The so-called financial freedom does not exist for Feng Yuqing. People at a higher level have no idea what money is.
Ji Xiang is this kind of person.
Liu Hui became more cautious after listening to Feng Yuqing's explanation of Cui Ke Butterfly, and her slight neglect of Ji Xiang disappeared.
After ringing the doorbell and entering the house, Liu Hui greeted the patient's parents.
Ji Xiang looked around carefully after entering the house, looking at the living details of the patient's home far more attentively than he did with Feng Yuqing during the blind date.
The system NPC said that many difficult and complicated diseases require attention to the details of the patient's life. Although Ji Xiang didn't understand it, he remembered it.
There is a large photo of a girl hanging in the living room. In the photo, the girl is wearing jeans and a cowboy hat, riding a horse, looking heroic.
The background is an endless prairie.
A youthful and beautiful breath comes to you.
This girl's looks are indeed impressive. Ji Xiang nodded frequently after seeing her.
No wonder he was picked up by the girl group when he took the art exam.
But the combination of the youthful vitality in the photo with the ulcers and necrosis of both lower limbs makes people feel sad.
Voices of questions and answers came from the room, and Ji Xiang suddenly felt like he was in a hospital.
As Liu Hui entered the room, a childish-looking girl was talking to a tablet.
On the tablet is an old expert wearing white clothes. He has a few age spots on his face, his gray hair is neatly styled, and his face is professional and solemn.
Ji Xiang took a look at the patient.
Her face looked very unhealthy, but when she saw Liu Hui and others coming in, she still tried to show a polite smile.
Ji Xiang did not speak, but quietly listened to the patient describing his medical history to the veteran expert opposite him on the video.
The experienced expert Liu Hui found was very professional and the medical history was taken in detail and appropriately.
After asking about the medical history, the expert will look at the actual condition of the patient.
Liu Hui's assistant took the tablet and checked it according to the guidance of the veteran expert.
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 out.
Ji Xiang took a look at the girl's legs, got a general impression, and then began to recall the medical history in his mind.
This is now, Ji Xiang is able to figure out the key points after being heard and seen by the system NPC in the system space.
If he had just arrived at the Second Affiliated Hospital, he would definitely be confused.
The girl's account was incomplete, and Ji Xiang saw copied inpatient medical records, outpatient medical records, and various films piled next to her.
He turned away from the tablet and began to view the information.
But there was too much information, and it was obvious that unlike Ji Xiang's previous judgment, the girl's family did not blindly believe in some miracle doctor, but had no choice but to give it a try with the attitude of treating a dead horse as a live doctor.
Ji Xiang read the information very slowly. The CPU in his brain was running at high speed, and the high-energy phosphate bonds of ATP were crackling, providing a large amount of energy.
After memorizing the information, Ji Xiang came to the system space.
Although the flow rate of time was different, Ji Xiang was still a little anxious and was not too polite. He took the time to "report" the patient's condition to the system NPC.
"The hospital's diagnosis is cryoglobulinemia, infection-related membranoproliferative glomerulonephritis, infective endocarditis?"
"Yes, teacher." Ji Xiang said, "This is the result of the latest examination. I'm looking at the image data... By the way, can you see it?"
"No." The system NPC said flatly, "The agreement you were asked to sign at the very beginning contained relevant clauses. I cannot perceive everything you perceive, except through the experience of empathizing with me."
Ji Xiang was 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 can't watch movies."
"Just retell the report. There is a chance to learn the knowledge of imaging." The system NPC said.
Ji Xiang reported the report to the system NPC in a single form.
The system NPC pondered for a long time and asked, "Does she usually have any hobbies?"
"Hobby?" Ji Xiang didn't know why the system NPC asked him this and what the significance was.
"For example, I am willing to adopt stray cats and dogs."
Ji Xiang recalled carefully and shook his head.
The girl's house was very clean, and no cat or dog hair was seen on the floor.
Besides, most people like cats and dogs, and at most they know how to feed them. There are too few people who actually take cats and dogs home.
"City people?" the system NPC asked again.
"Yes." Ji Xiang nodded, "I live in a community not far from the central area. It seems that my family is in good condition."
The system NPC pondered.
After a few minutes, he asked, "Will you ask the patient about his travel history later?"
"It's a tour, not a tour." Ji Xiang confirmed.
Many young students don't understand Ye You Shi and Travel History. Ji Xiang was also afraid that he heard wrongly, so he made sure.
The system NPC raised his hand and knocked on Ji Xiang's head, "Regardless of the age of the patient, 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 his heroic appearance at that time, Ji Xiang felt a little sad when he thought of the patient's helplessness lying on the bed.
"Oh?" The system NPC nodded, "Ask the time. If it matches, I guess this disease is related to travel."
"Teacher, why?" Ji Xiang was startled.
"The infection focus was basically determined. Considering that 13 years had passed since the patient's catheter surgery, the doctor used vancomycin, gentamicin and rifampin for combined anti-infective treatment based on experience.
Two weeks of antibiotic treatment had no effect, and the patient’s kidney function still had not recovered.”
Ji Xiang listened quietly.
"Based on the medical history you described, the patient may be infected with a rare pathogen."
"For example?"
"Bartonella infection."
Bartonella?
What the hell is that!
For the first time, Ji Xiang felt that the diagnosis was a mess. The system NPC could give a preliminary diagnosis through a photo.
Ji Xiang was certain that Bartonella infection only contained a few lines in textbooks, and even if he could recite the entire text, there was no way it could be used 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 told Ji Xiang that this type of disease is actually more common in China among adopted stray cats and dogs and among herders.
In professional terms, it means a history of close contact with wild animals or a history of scratching by dogs or cats.
Bartonella infection is more common with skin manifestations - maculopapular rash, papules, subcutaneous nodules, and lymphadenopathy are the most common.
At the same time, febrile measles, purpura, urticaria, erythema nodosum, erythema multiforme, annular granuloma, etc. may be related to Bartonella infection.
Although these diseases are rare and difficult to diagnose, they are relatively easy to treat.
As long as the diagnosis can be confirmed, the disease can be cured quickly, which makes Ji Xiang happy.
Compared with the sassy and heroic girl in the photo, Ji Xiang really hoped that she could recover and return to her carefree days.
"That's basically it." The system NPC said and smiled, "Diagnosis is difficult. It's hard to say whether your provincial capital has similar testing measures. If it doesn't work, just go to the imperial capital."
To be continued...