Chapter 37: Peak Season from April to October Every Year

【Clinical Medical Insight】: Body temperature 37.8°C, insect bite on the head, further exploration required.

Wang Chuan shivered all over; this was not ordinary fever.

In memories of his past life, once Wang Chuan and Xiao Yuchu had taken Xiao Rongyue's daughter hiking in the wild. Reading novels daily, full library, ttk. tws extremely reliable.

On the way back to Shanghai, Xiao Yuchu discovered a black mole on her seven-year-old niece's scalp; brought to Children's Hospital, it was a bug biting into the scalp.

Wang Chuan hurriedly parted the little girl's hair, leaned his nose close, and observed carefully.

Shen Mianshuang looked puzzled, "What's wrong with Wang Chuan?"

"Doctor Shen, I suspect it's a tick." Wang Chuan quickly wrote those two characters.

"Tick?"

Every year from April to October is the peak season for tick bites.

These small insects live in forests, shrublands, grasslands, and other wild environments; they exist in China's Northeast Forest Region, Central Mountainous Area, and Southern Hills.

Some ticks transmit multiple diseases: fever with thrombocytopenia syndrome, Forest Encephalitis, Spotted Fever, Lyme Disease, and others.

Among these, fever with thrombocytopenia syndrome is very dangerous, caused by a New Bunyavirus (SFTS).

It was officially defined only in 2010; initial mortality rate was 30%, now dropped to 8%.

Before fever with thrombocytopenia syndrome caused by New Bunyavirus was formally confirmed.

In 2007, some provinces reported patients with unexplained fever accompanied by generalized body aches, decreased total white blood cell count and platelets, and multi-organ damage; some patients had a history of tick bites; initially suspected to be Epidemic Hemorrhagic Fever.

Shen Mianshuang naturally did not know this at the time; she examined again carefully with a magnifying glass; indeed it was not a black mole, nor a scab from scratching the scalp.

In the Pediatrics examination room, after disinfection and preparation, Shen Mianshuang picked up the forceps, ready to act.

Wang Chuan spoke up to stop her: "Doctor Shen, do not pull directly with forceps."

Nearby, Shang Yan found it strange that Wang Chuan entered the examination room; now he even spoke up to stop Doctor Shen; handsome, so what?

She said in a questioning tone: "Which department are you from? This is Pediatrics; naturally we listen to Doctor Shen."

"Wang Chuan, Intern. Please trust me, Doctor Shen."

As soon as the words fell, Shang Yan was stunned: "You are Wang Chuan? The Intern Wang Chuan expelled from the Emergency Department?"

Shen Mianshuang stopped Shang Yan from continuing, "Do not speak; Wang Chuan, tell us what to do."

"Too much hair, poor visibility." Wang Chuan said to Doctor Shen: "This insect has hooks in its mouth; forcing removal may cause the mouthparts to break and remain, increasing infection risk."

Then to Shang Yan he said: "Cut some hair away to expose the field, then give me smaller forceps..."

Shang Yan prepared these things, glanced at Wang Chuan.

Could this Wang Chuan, besides being handsome, also have such strong hands-on ability? Why did the Emergency Department expel someone like this?

Not entirely reassured, she asked again: "Doctor Shen, Wang Chuan is an Intern; really let him do it?"

Shen Mianshuang looked at Wang Chuan's determined eyes and nodded.

Wang Chuan dipped a cotton swab in alcohol and applied it to the tick's head, then began waiting: "Doctor Shen, wait five minutes; the tick will loosen its mouth on its own."

Shang Yan immediately said, "I'll time it."

After five minutes passed, Wang Chuan used pointed forceps close to the skin, vertically clamped the tick's head, pulled upward at a steady vertical speed, and slowly removed it.

Lidocaine local anesthesia, then a blade made a small incision, picked out all the barbs, then stitched one suture.

Iodophor cotton swab cleaned the wound; sterile dressing applied.

"Send this insect for testing."

Based on past-life memories, if Shen Mianshuang had not sought him, the Case Record should have been encountered by her; she probably would have ignored it like Doctor Xu; however, later, no one heard that this little girl developed Intensive Care Unit-level illness.

The little girl encountered a tick; perhaps it carried no virus or bacteria.

Indeed, the little girl's Blood Routine, urine routine, and biochemistry tests showed no abnormalities.

As a precaution, Shen Mianshuang wrote Medical Advice, telling that old grandmother: besides changing the little granddaughter's dressing daily, if fever, fatigue, muscle aches, or other symptoms appear in the following weeks, return to the Hospital immediately for treatment.

When this Case Record was fully completed, it was nearly Midnight.

In the Office, Doctor Shen Mianshuang had Shang Yan buy several watermelons.

A group of Nurses, plus Wang Chuan, ate with great relish.

Shang Yan was infatuated with Wang Chuan; her gaze at him was different from usual; she plopped down beside Wang Chuan and smiled: "Wang Chuan, your hands-on ability is good; why did you leave the Emergency Department?"

Wang Chuan said: "My Mentor Teacher is Teacher Zhang Yang; he comes out from the Digestive Department tomorrow; today I had some private matters, so I was not in the Emergency Department."

"Private matters?" Shang Yan raised her eyebrows and asked, "What, did you go meet your girlfriend?"

Wang Chuan nearly spat out the watermelon in his mouth at this remark; I just told Shen Mianshuang I was sleeping in the Dormitory; should I use this answer to reply to Shang Yan?

"Oh, you are so handsome; today you happen to be free; why not go meet your girlfriend?"

"I have no girlfriend." Wang Chuan said calmly.

Shen Mianshuang glanced at Wang Chuan; the news she received from Teacher Shu was that Wang Chuan's girlfriend was Pei Nanli.

Doctor Sun of the Emergency Department certainly did not know; if he had known, he certainly would not have expelled Wang Chuan; after all, Pei Nanli, Wang Chuan's girlfriend, is the daughter of a leader in the Mingzhou Health System.

But why did Wang Chuan lie?

Wang Chuan saw Shen Mianshuang's strange expression; he did not know what happened, but needed to change the subject: "Shang Yan, where is my classmate Li Weiren?"

"I don't know; he said he went to urinate." Shang Yan waved her hand; this matter had nothing to do with her.

A small Nurse added: "Li Wei went to urinate and even asked us to come watch."

Wang Chuan heard this and smiled: "Looks like he is very confident. Wait, I arrived around eight; now it's nearly Midnight. Fell into the Toilet? I'll go check the Toilet."

As a result, he discovered that in the Pediatrics Toilet, there was no trace of Li Wei at all; his Mobile Phone connected but he never answered; Wang Chuan quickly left a message.

In his past life, Li Wei had no accidents during Hospital Internship; damn, could the Butterfly Effect have changed things?

He hurried back to the Office and told Shen Mianshuang; he needed to go out to find Li Wei.

After Wang Chuan left, Shang Yan pulled Head Nurse Wang to the fire escape stairwell and said: "Tell Brother-in-law to transfer Wang Chuan to Pediatrics."

"I can take Brother-in-law to visit Vice Dean Yang."

It turned out that Li Wei had not found Wang Chuan in the dormitory, nor could he reach him on his mobile phone; after waiting for him there for over an hour with no return, he grew anxious.

Later, he went to the street beside the hospital, bought late-night snacks for the nurse at the Emergency Department triage desk, and only then learned that Wang Chuan had not been absent on his first day but had been driven away.

Li Wei, burning with anxiety, searched through every department without result, then returned to the Emergency Department to ask again: "When Wang Chuan was driven away today, what was his mood like?"

"Wang Chuan, you wouldn't have acted rashly, run out of the hospital, and accidentally gotten hit by a car, would you? No, if there had been a car accident, he would naturally have been brought here to the Emergency Department."

But that nurse said, "Nothing unusual; he showed no signs of depression or dejection."

Suddenly, Wei Tuo walked out, spotted Li Wei, and shouted, "Li Wei, come help out in the Orthopedics Department of the Emergency; we still need someone with great strength."