82 Video consultation
Ji Xiang rode his bicycle through the city.
The address of the navigation is not far away, and it will be there quickly.
Throwing the bike aside, Ji Xiang found the patient's unit.
However, he didn't go in advance, but waited for Feng Yuqing.
I rashly went to a strange patient's home, and the patient was still a little girl, and I was afraid that I would not be beaten out by the patient's family.
Ji Xiang waited for a long time, and Feng Yuqing and Liu Hui came.
"Traffic jam." After Feng Yuqing said a word, her eyes stared at Cui Ke Butterfly, "Ji Xiang, you just threw this car outside?" ”
"Or else?"
"......" Feng Yuqing was speechless.
When I came to go on a blind date, although my family knew the result, I still had more or less expectations.
She also understands what to expect from her family.
But when she really saw the auspicious style, she felt the gap that was invisible to the naked eye.
The so-called financial freedom does not exist for 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 listening to Feng Yuqing's explanation of the Cui Ke butterfly, and the little neglect she had of Ji Xiang was gone.
Ringing the doorbell and entering the house, Liu Hui greeted the patient's parents.
After Ji Xiang entered the house, he looked around carefully, and looked at the details of the patient's home far more attentively than when he looked at Feng Yuqing on a blind date.
The system NPC said that many incurable diseases should pay attention to the details of the patient's life, although Ji Xiang did not understand, but remembered.
In the living room, there is a large photo of a girl wearing jeans and a cowboy hat on a horse.
In the background is an endless savannah.
A breath of youth and beauty greeted us.
This girl's appearance can indeed be beaten, and Ji Xiang also frequently bowed his head after seeing it.
It's no wonder that when you take the art exam, you can be favored by the girl group.
But the youthful vitality in the photo is associated with ulcers and necrosis of both lower limbs, which makes people sigh.
There was a question and answer sound in the room, and Ji Xiang felt like 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.
In the tablet, there is an old expert in a white suit, with several age spots on his face, and his gray hair is very well-groomed, with a professional and solemn face.
Ji Xiang glanced at the patient.
Her face was very unhealthy, but she still tried to show a polite smile when she saw Liu Hui and the others coming in.
Ji Xiang didn't speak, but quietly listened to the patient's medical history with the old expert opposite him in the video.
The old expert Liu Hui found was very professional, and the medical history was detailed and appropriate.
After asking about the medical history, the veteran specialist looks at the patient's actual condition.
Liu Hui's assistant held the tablet and looked at it according to the guidance of the old expert.
A maculopapular rash has fallen all over the calf, and the white skin is no longer visible.
There are also signs of atrophy in the calf muscles, and there are even two places covered with white gauze, and there is a faint oozing of yellow liquid.
Ji Xiang glanced at the girl's legs, had a general impression, and then began to recall the medical history in his mind.
This is also now, Ji Xiang can figure out where the key point is when he is heard and seen by the system NPC in the system space.
When he just arrived at the Second Affiliated Hospital, he must have looked confused.
The girl's narration was incomplete, and Ji Xiang saw a pile of photocopied inpatient medical records, outpatient medical records, and various films next to her.
He stepped aside from the tablet's perspective and began to look at the data.
But there is too much information, and it is obvious that it is different from Ji Xiang's previous judgment, the girl's family is not blindly believing in some miracle doctors, but she has no choice but to give it a try with the attitude of a dead horse as a live horse doctor.
Ji Xiang reads the information very slowly, the brain CPU is running at high speed, and the ATP high-energy phosphate bonds are crackling and breaking, providing a lot of energy.
After memorizing the information, Ji Xiang came to the system space.
Although the time flow rate is different, Ji Xiang is still a little anxious, not too polite, and hurries up to the system NPC to "report" the patient's situation.
"The hospital's diagnosis is cryoglobulinemia, infection-related membranous proliferative glomerulonephritis, infective endocarditis?"
"Yes, teacher." Ji Xiang said, "This is the latest examination result, I look at the image data...... By the way, can you see that? ”
"I can't." The system NPC said flatly, "The agreement that first asked you to sign has relevant clauses, and I can't perceive everything you perceive, except in the experience of empathy. ”
Ji Xiang has some regrets, but after the regret is relieved.
It seems that the system is more comprehensive and considers a lot of things.
"Then what should I do......" Ji Xiang was helpless, "I won't watch the film." ”
"Just retell the report, and you have the opportunity to learn the knowledge of imaging." System NPC Path.
Ji Xiang reported the report to the system NPC with the single five-one-ten.
The system NPC pondered for a long time and asked, "Does she have any hobbies?" ”
"Hobbies?" Ji Xiang didn't know why the system NPC asked him this, and what the meaning 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 there were no cats or dogs on the floor.
Besides, most people like cats and dogs, at most they will feed them, and there are too few people who really bring cats and dogs home.
"City people?" The system NPC asked again.
"Hmm." Ji Xiang nodded, "Living in a community not far from the central area, it seems that the family conditions are good." ”
System NPCs groan.
After a few minutes, he asked, "You'll ask about the patient's travel history." ”
"It's tourism, not tourism." Ji Xiang confirmed.
Many young students don't understand the history of travel and travel, and Ji Xiang is also afraid that he will hear it wrong, so he decided on a sentence.
The system NPC raised his hand and knocked on Ji Xiang's head, "Not to mention the age of the patient, this disease has nothing to do with the history of Ye You." ”
Ji Xiang remembered the photo he saw when he entered the door, and immediately described it to the system NPC.
Speaking of the heroic posture at that time, thinking of the helplessness of the patient lying on the bed, Ji Xiang was a little embarrassed.
"Oh?" The system NPC nodded, "Ask the time, if it is to coincide, I guess this disease has something to do with tourism." ”
"Teacher, why?" Ji Xiang was stunned.
"The foci of infection was basically determined, and considering that 13 years had passed since the patient's catheter surgery, the doctor empirically used vancomycin, gentamicin, and rifampicin for combined anti-infective therapy.
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 by your recounted medical history, the patient may have been 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 like solving a case, and the system NPC could get a preliminary diagnosis through a photo.
Ji Xiang was pretty sure that Bartonella infection was only a few lines in a textbook, and even if he could recite it in full, it wouldn't be able to be used in reality.
After consulting with the system NPCs, Ji Xiang slightly understood what Bartonella infection meant.
Normally, Bartonella infection is related to AIDS, but the system NPC told Ji Xiang that such diseases are actually more common in the adoption of stray cats, dogs and herders in China.
In professional terms, it means that there is a history of close contact with wild animals or a history of scratching by dogs and cats.
Bartonella infections are more common with cutaneous manifestations – maculopapular rashes, papules, subcutaneous nodules, and lymphadenopathy are the most common.
Febrile measles, purpura, urticaria, erythema nodosum, erythema multiforme, granuloma annula, etc., may also be associated with 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, it will be cured soon, which also makes Ji Xiang more relieved.
Compared with the sassy and heroic girl in the photo, Ji Xiang hopes that she can recover and return to her carefree days.
"That's pretty much it." After speaking, the system NPC smiled, "The diagnosis is difficult, it's hard to say whether there are similar testing measures in your provincial capital, if not, go to the imperial capital." ”
"Teacher, does this disease depend on rheumatism and immunity?" Ji Xiang asked.
In case of indecision, rheumatism immunity, Ji Xiang has heard of this.
But the system NPC shook his head, "Look at the infectious disease department, parasitic diseases are classified as infection." ”
"Which hospital to go to?"
"My time and space was called the First Infectious Disease Hospital of the Imperial Capital, and later it was renamed Ditan Hospital." The system NPC said, "You know the 84 disinfectant. ”
"Yes." Ji Xiang nodded.
"The patent of 84 disinfectant is in Ditan Hospital, which was originally developed to eliminate the hepatitis virus, and is now often used for disinfection of places."
"I got it, teacher."
Ji Xiang bowed and left the system space.
……
……
"The initial consideration is antiglomerulus-basement membrane nephritis."
The old expert gave a relatively accurate answer after reading the information.
The patient's family members had mixed expressions.
It's good to have a diagnosis, but is this weirdly named disease curable? What if the old expert says it can't be cured?
"Teacher, can this disease be cured?" The girl asked timidly.
"Come to the magic capital, hospitalization, whether it can be cured is not easy to say for the time being, if you are sensitive to drugs, it is estimated that it will be better in 1-3 months." The old expert said mildly.
But no amount of mildness in his attitude could hide a fact.
"Teacher, what if the treatment effect is not satisfactory?" The patient's moans were already shaking.
"Let's put it this way, if you don't like the effect, you need to ...... Kidney transplant. ”
“!!!”
The patient and the patient's family were stunned all of a sudden, kidney transplant?
"Teacher ......"
"Teacher."
Suddenly, two voices rang out together.
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 trainee." Ji Xiang introduced himself first.
"Gauge trainees." The old expert bowed his head.
It's just a regular trainee, and it's like it's transparent to his eyes.
"Teacher, is the diagnosis of antiglomerular basement membrane nephritis clear?" Ji Xiang asked.
"Huh?" The old expert in the video stared at Ji Xiang, and suddenly showed a smile, "It's been a few years since I was trained." ”
"Just train you, teacher." Ji Xiang replied.
It's so embarrassing, Feng Yuqing pulled Ji Xiang behind him.
She originally thought that Ji Xiang was different from the legendary son-in-law, with a gentle temper, but she didn't expect Ji Xiang to question the diagnosis of top experts when such a small standard trainee came up.
"Are you questioning my diagnosis? Young people, the knowledge learned in school still needs to be tempered clinically. The old expert waved his hand, "That's it, contact me after coming to the Demon Capital." ”
In the first half of the sentence, he was talking to Ji Xiang, and in the second half of the sentence, he was already explaining to the patient's family.
Talking to Ji Xiang for a long time, the old experts feel that it is too much.
"Teacher!"
The old expert ignored Ji Xiang and prepared to turn off the video.
Because he doesn't operate often, he is very rusty, and his movements are a little slow.
Ji Xiang was a little anxious, and he subconsciously clicked on the [Gaze of the Senior Doctor] to recharge.
Click~
There was a crisp sound from the nameless plane.
"What is the definition of antiglomerular basement membrane nephritis, you name it."