Chapter 82: Video Consultation

Ji Xiang rode his bicycle through the city.

The navigated address was not far, and he arrived quickly.

Throwing the bicycle to one side, Ji Xiang found the unit where the Patient lived.

However, he did not go in ahead of time, but instead waited for Feng Yuqing.

If he were to rashly go to a stranger's home, and the patient was a young girl, he feared he might be beaten out by the Family Member.

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

"Traffic jam," Feng Yuqing said, then stared fixedly at the Trek Butterfly, "Ji Xiang, you just left this bike outside?"

"Otherwise what?"

"..." Feng Yuqing was speechless.

When coming for a blind date, although her family knew the result, they still had some expectations to a greater or lesser degree.

She also understood her family's expectations.

But when she truly saw Ji Xiang's style of doing things, she felt that invisible chasm.

So-called financial freedom did not exist for Feng Yuqing; people at a higher level simply do not know what money is.

Ji Xiang was that kind of person.

After hearing Feng Yuqing's explanation of the Trek Butterfly, Liu Hui became even more cautious, and the slight disregard she had for Ji Xiang vanished completely.

Ringing the doorbell and entering the room, Liu Hui greeted the Patient's parents.

After entering, Ji Xiang looked around carefully, observing the living details of the Patient's home with far more focus than he had looked at Feng Yuqing during the blind date.

The System NPC had said that for many difficult and complicated cases, one must pay attention to the patient's life details; although Ji Xiang did not understand why, he remembered it.

A large photo of the girl hung in the living room; in the photo, the girl was wearing jeans and a cowboy hat, riding a horse, looking heroic and spirited.

The background was an endless prairie.

A breath of youthful beauty rushed toward him.

This girl's appearance was indeed impressive, and Ji Xiang nodded repeatedly after seeing it.

No wonder she could be scouted by a girl group when participating in the Art Examination.

But connecting the youthful vitality in the photo with the ulcers and necrosis on her lower limbs made one feel a sense of lament.

Sounds of questions and answers came from inside the room, and Ji Xiang felt a daze, as if he had arrived at a hospital.

Following Liu Hui into the room, a girl who looked not yet out of her childishness was speaking toward a tablet.

On the tablet was an old Expert wearing a White Uniform; there were several age spots on his face, his graying hair was groomed very neatly, and his expression was professional and solemn.

Ji Xiang took a look at the Patient.

Her complexion was very unhealthy, but seeing Liu Hui and the others enter, she still tried to show a polite smile.

Ji Xiang did not speak, but quietly listened to the Patient narrating her medical history to the old Expert on the video call.

The old Expert Liu Hui found was very professional, and the medical history inquiry was appropriately detailed.

After asking about the medical history, the old Expert wanted to see the Patient's actual condition.

Liu Hui's assistant held the tablet and checked according to the old Expert's guidance.

A patch of maculopapular rash covered her lower legs, 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 faintly seeping out.

Ji Xiang glanced at the girl's legs, formed a general impression, and then began to recall the medical history in his mind.

This was only because now, having been influenced by the System NPC in the System Space, Ji Xiang could distinguish what was important.

If it were him when he first arrived at the Second Affiliated Hospital, he would definitely be completely bewildered.

The girl's narration was incomplete; Ji Xiang saw the copied Medical Record for hospitalization, Outpatient Department records, and various scans piled to the side.

He moved away from the tablet's view and began to check the materials.

But there were too many materials, and it was clear that, contrary to Ji Xiang's previous judgment, the girl's family was not blindly believing in some miracle doctor, but rather, in utter desperation, were holding the attitude of treating a dead horse as a living one to give it a try.

Ji Xiang read the materials very slowly, his brain CPU running at high speed, ATP High-energy Phosphate Bonds snapping and crackling to provide a large amount of energy.

After memorizing the materials, Ji Xiang arrived at the System Space.

Although the flow of time was different, Ji Xiang was still a bit anxious; without too much politeness, he seized the time to "report" the Patient's situation to the System NPC.

"The hospital's diagnosis is Cold Globulinemia, infection-related membranoproliferative glomerulonephritis, and Infective Endocarditis?"

"Yes, Teacher," Ji Xiang said, "This is the most recent test result. I looked at the imaging data... oh right, can you see it?"

"No," the System NPC said decisively, "The agreement you signed earliest had relevant clauses; I cannot perceive everything you perceive, except during the experience of Empathy."

Ji Xiang felt a bit regretful, but after the regret came relief.

It seemed the system had considered many things quite comprehensively.

"Then what should I do..." Ji Xiang said helplessly, "I don't know how to read scans."

"Just repeat the report; you will have a chance to learn imaging knowledge," the System NPC said.

Ji Xiang reported the report sheets to the System NPC one by one.

The System NPC pondered for a long time and asked, "Does she have any hobbies?"

"Hobbies?" Ji Xiang did not know why the System NPC asked him this, or what the significance was.

"For example, is she willing to adopt stray cats or dogs?"

Ji Xiang recalled carefully and shook his head.

The girl's home was very clean; he did not 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 cats and dogs home.

"City person?" the System NPC asked again.

"Yes," Ji Xiang nodded, "Living in a residential area not far from the central district; it looks like the family's conditions are quite good."

The System NPC pondered.

After a few minutes, he asked, "Ask the Patient about their travel history in a moment."

"It's travel, not 'promiscuous travel', right?" Ji Xiang confirmed.

Many young students don't understand the difference between a history of promiscuous travel and a history of travel; Ji Xiang was also afraid of mishearing, so he confirmed it.

The System NPC raised a hand and knocked on Ji Xiang's head, "Not to mention the Patient's age, this illness has nothing to do with a history of promiscuous travel."

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

Thinking of the heroic bearing back then, and thinking of the Patient lying helplessly on the bed, Ji Xiang felt a bit emotional.

"Oh?" The System NPC nodded, "Ask about the timing; if it matches, I suspect this illness has something to do with travel."

"Teacher, why?" Ji Xiang was startled.

"The infection site is basically determined. Considering the Patient's Catheter Surgery was 13 years ago, the Doctor used Vancomycin, Gentamicin, and Rifampicin for combined anti-infection treatment based on experience.

After two weeks of Antibiotic treatment, there was no effect, and the Patient's Kidney function still hasn't recovered."

Ji Xiang listened quietly.

"Judging from 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 diagnosis was like solving a crime; the System NPC could reach a preliminary diagnosis through a single photo.

Ji Xiang was certain that Bartonella Infection only had a few lines in the textbook; even if he could recite the whole thing, he wouldn't know how to use it in reality.

After consulting with the System NPC, Ji Xiang finally understood a little bit about what Bartonella Infection actually meant.

Normally, Bartonella Infection is related to AIDS, but the System NPC told Ji Xiang that this type of disease is actually more common domestically among those who adopt stray cats and dogs, as well as herdsmen.

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

Bartonella Infection more commonly presents with skin manifestations—among which maculopapular rash, papules, subcutaneous nodules, and lymphadenopathy are the most common.

At the same time, febrile measles, purpura, urticaria, erythema nodosum, erythema multiforme, and granuloma annulare may all be related to Bartonella Infection.

Although this type of disease is relatively rare and diagnosis is difficult, the treatment is relatively simple.

As long as the diagnosis can be confirmed, it can be cured quickly, which also made Ji Xiang feel somewhat relieved.

Comparing it to the heroic young girl in the photo, Ji Xiang really hoped she could recover and return to her carefree days.

"That's basically it." The System NPC smiled after finishing, "Diagnosis is very difficult. It's hard to say if your Provincial Hospital has similar testing measures; if not, go to the Imperial Capital."

"Teacher, does this illness require seeing Rheumatology and Immunology?" Ji Xiang asked.

When in doubt, go to Rheumatology and Immunology; Ji Xiang had heard this saying.

But the System NPC shook his head, "See the Infectious Diseases Department; parasitic diseases fall under infectious diseases."

"Which hospital should I go to?"

"In my space-time, it was called the Imperial Capital First Infectious Disease Hospital, later renamed Beijing Ditan Hospital." The System NPC said, "You know about 84 disinfectant, right?"

"I know." Ji Xiang nodded.

"The patent for 84 disinfectant is at Beijing Ditan Hospital; it was initially developed to eliminate the hepatitis virus, and now it is often used for disinfecting premises."

"I understand, Teacher."

Ji Xiang bowed and saluted, then left the System Space.

……

……

"The preliminary consideration is Anti-glomerular Basement Membrane Nephritis."

The old Expert gave a relatively accurate answer after looking at the data.

The Family Member's expression was a mix of joy and worry.

Having a diagnosis is a good thing, but is this disease with a strange name easy to treat? What if the old Expert says it can't be treated?

"Teacher, can this disease be treated?" The girl asked timidly.

"Come to Shanghai, stay in the hospital for treatment. It's hard to say for now if it can be cured, but if the response to medication is sensitive, I estimate it will be better in 1-3 months." The old Expert said gently.

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

"Teacher, what if the treatment effect is not satisfactory?" The Patient's voice was already trembling.

"Let's put it this way: if the effect is not satisfactory, it will require... Kidney Transplantation."

"!!!"

The Patient and the Family Member were stunned; Kidney Transplantation?

"Teacher..."

"Teacher."

Suddenly, two voices rang out together.

The old Expert heard a man's voice on the video, looked around, and then a young, handsome face appeared before him.

"Teacher, hello, my name is Ji Xiang, and I am a Standardized Training Student." Ji Xiang introduced himself first.

"A Standardized Training Student, huh." The old Expert nodded.

Just a Standardized Training Student; in his eyes, it was as if he were transparent.

"Teacher, is the diagnosis of Anti-glomerular Basement Membrane Nephritis certain?" Ji Xiang asked.

"Hmm?" The old Expert in the video stared at Ji Xiang and suddenly revealed a trace of a smile, "How many years have you been in Standardized Residency Training?"

"Just started, Teacher." Ji Xiang replied.

How awkward; Feng Yuqing tugged at Ji Xiang from behind.

She had originally thought Ji Xiang was different from that legendary live-in son-in-law, with a gentle temper, but she hadn't expected that a mere Standardized Training Student like Ji Xiang would question a top Expert's diagnosis right off the bat.

"Are you questioning my diagnosis? Young man, the knowledge learned in school still needs to be tempered in Clinical practice." The old Expert waved his hand, "That's all then, contact me after you come to Shanghai."

He was speaking to Ji Xiang in the first half of the sentence, while the second half was already directed at the Family Member.

The old Expert felt that even half a sentence more with Ji Xiang was too much.

"Teacher!"

The old Expert stopped paying attention to Ji Xiang and prepared to close the video call.

Because he did not operate it often, he was very unfamiliar with it, and his movements were slightly slow.

Ji Xiang was a bit anxious; he subconsciously clicked 【Gaze of the Superior Doctor】, charging it.

Click~

A crisp sound came from the nameless space-time.

"What is the definition of Anti-glomerular Basement Membrane Nephritis? Tell me."

(End of this chapter)