Chapter 7: Carved Flowers on the Legs

Wang Chuan reached out and touched Tie Long's forehead; it was scalding hot, definitely above 39 degrees.

"What are you doing?" two of Tie Long's subordinates blocked him.

"I am a medical student about to graduate. Can't you see your boss is sick? Let go of my sister and let her assist me in the diagnosis!"

Wang Chuan took out his student ID from Jiangcheng University School of Medicine.

Tie Long, enduring his abdominal pain, saw the words "Jiangcheng University School of Medicine"; this was a famous medical school in the entire province and even the nation. No one would specially forge a student ID in advance just to fool him.

This kid's age also looked like a student. It was just that his conduct and actions were not like those of a naive student.

Tie Long decided to give it a try; anyway, going to the hospital would still take time.

So he signaled his subordinates to let go of Xiao Yuchu. "I'll trust you once today."

Xiao Yuchu and Li Wei supported Tie Long, while Wang Chuan began a simple physical examination.

As a Reborn Person possessing his medical level from his previous life, he finished the examination quickly; it was indeed about the same as the label indicated.

Wang Chuan said to Tie Long, "Boss Tie, you currently have a high fever, chills, abdominal pain, and you are coughing, but without phlegm."

Tie Long was stunned; he frowned and touched his small mustache stubble. He knew judging his fever and chills was not difficult; his physical state was very obvious.

He hadn't even coughed in front of this kid. Moreover, he had no phlegm; how did he know?

Truly, a famous school produces famous doctors!

Li Wei, standing nearby, was now used to it; Tie Long was the third patient Wang Chuan had seen today.

Xiao Yuchu, a middle school student, had eyes full of astonishment. Is being a doctor this handsome? Why does it feel like a fortune teller? Should I study medicine in the future?

She said softly, "Studying medicine is really good!"

Wang Chuan smiled without speaking. Xiao Yuchu didn't know that more than ten years in the future, the time cost required to study medicine would become higher and higher; the circulating witty sayings "persuading someone to study medicine, may thunder strike them" and "persuading someone to study civil engineering, you won't keep your wife" were not quite the same.

His expression changed, revealing a serious look; based on these few signs, he also didn't know the cause of Tie Long's illness.

But having a handle, he could first bluff him: "Boss Tie, your illness might not be a minor one."

Wang Chuan pondered.

Fever of unknown origin is an extremely common symptom in clinical practice and also a problem that gives doctors headaches.

Causes of fever are divided into two major types: infectious fever and non-infectious fever.

Acute and chronic infections caused by viruses, bacteria, fungi, parasites, etc., can all present with fever;

Non-infectious fever includes autoimmune diseases, tumors, and blood diseases, among others.

Simply put, there are too many causes of fever; one must inquire well about the medical history, perform examinations, and use the method of elimination.

Wang Chuan opened his mouth: "Boss Tie, I need to ask about the illness..."

Suddenly, the voice was interrupted. "Stinky kid, finally caught up with you!" Driver Da Shun and two subordinates rushed down from the mountain.

A small patch of scalp on Da Shun's right side was wrapped in a strip of cloth, seeping fresh blood.

Tie Long stumbled to his feet and cursed loudly: "Da Shun, get out of the way and don't delay this. Doctor Wang, right? Help me with my illness."

"Doctor Wang, you ask."

"Regarding this abdominal pain of yours, before the fever, did you have any illness? Did you go to the hospital to see any illness?"

Tie Long looked at Wang Chuan's calm face, seeing him speak so convincingly. "Doctor Wang, I'll tell you then. If you make things up, don't blame me for being impolite!"

"Seven days ago, I had a fever. Besides coughing, there were no other symptoms, nor this abdominal pain and chills of today. After getting four days of IV fluids at the hospital, I didn't have a fever anymore. Today, in the evening, the fever started again."

"Doctor Wang, what can you infer?"

Wang Chuan glanced over and asked, "What were the results of the Blood Routine examination at the hospital?"

Tie Long fumbled in his clothes pocket and pulled out two Blood Routine test reports.

Wang Chuan looked at the test reports and shouted, "Damn, your white blood cells, neutrophils, and eosinophils are all elevated. Why didn't you continue seeing a doctor at the hospital?"

Tie Long was stunned; this time he was truly convinced.

He felt that after four days of IV fluids, since he wasn't feverish, he didn't want to continue going to the hospital for IV fluids.

But the hospital doctor told him that the inflammatory indicators in the Blood Routine were worsening and suggested switching to a different Antibiotics to continue treatment.

However, he refused.

After listening to Tie Long's words, Wang Chuan glanced and saw a piece of raw fish still stuck to Tie Long's upper chest.

From the memories of practicing medicine in his previous life, he recalled a Case Record.

"Boss Tie, do you eat raw fish every day? Or?"

Tie Long answered, "No, I ate it about a month ago. Today is the second time."

Wang Chuan stood up. "My personal opinion. I highly suspect you have liver flukes in your body."

"In the future, when eating raw fish, scald it for a few more seconds before eating to kill the liver fluke metacercariae. Metacercariae are the larval form of liver flukes. These liver fluke metacercariae can survive for several hours in vinegar and soy sauce."

Liver fluke disease, also called Clonorchiasis, is a major food-borne parasitic disease in the country.

The hosts of liver fluke metacercariae include freshwater fish; after the metacercariae enter the human body, they develop into adult worms, which takes about a month.

Eggs can be detected through stool examination.

Wang Chuan urged, "Hurry up. Have your subordinates take you to the hospital. Tell the doctor my inference; the doctor will give you a detailed examination."

"By the way, Boss Tie, I still need to rush back to Xinzhou tonight. What do you think..."

Wang Chuan knew Tie Long was a lawbreaker; arresting and trying him was a matter for the judicial system. First, handle the most urgent goal: leave the black shop and reach Xinzhou.

Tie Long thought to himself that he indeed hadn't scalded the raw fish for even one second, so it really could be this disease.

Wang Chuan added another sentence: "This is also one of the main factors inducing bile duct cancer."

Cancer. Tie Long's face showed great shock. He hurriedly instructed driver Da Shun: "You hurry and drive the bus, responsible for sending this young brother. What 2000 yuan medical fee? It's all nonsense. Doctor Wang, take this money back."

"By the way, first heat up three boxed meals for the three of them, and add a chicken leg."

"Doctor Wang, I'll go to the hospital first."

"Stick out your leg."

In the restaurant hall, Wang Chuan took a mini first-aid kit from his backpack, opened it, and removed an iodophor cotton pad.

Xiao Yuchu was wearing hot pants; her pale calves and thighs were exposed, and during the trek through the bamboo forest and the descent, they had acquired many bloodstains.

"What are you doing!" Xiao Yuchu asked, though she knew the answer, having already seen the disinfectant pad.

"To disinfect your wounds. See if you might get tetanus; tetanus would be serious."

Wang Chuan used bottled water to repeatedly rinse the wounds, clearing out debris, then carefully spiraled outward from the wound edges with the iodophor cotton pad to disinfect.

Li Wei, standing nearby, teased, "Chuanzi, so careful with the disinfection? Someone who doesn't know might think you're carving flowers on your sister's leg."

Wang Chuan and Xiao Yuchu both shot a glare at Li Wei.

The disinfection skill was a piece of cake for Wang Chuan, who possessed his past life's doctor skills. He had originally intended for Li Wei to do it, since it was such a simple skill.

Later, he thought, She is Xiao Yuchu. Forget it, I'll do it myself.

After a while, the disinfection ended. "They're all minor injuries; no need for gauze. Let them heal naturally."

With a clang, the hall door was thrown open.

The driver, Da Shun, brought out three steaming hot boxed meals and said in a very pleasant tone, "You three eat first. I'll wait outside for you. Once you're done, our bus will depart."

Wang Chuan wrapped sterile gauze around the driver Da Shun's head.

Da Shun, very grateful, returned the one thousand yuan that had fallen onto the gravel road to Wang Chuan.