I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 223 Fitness Enthusiast, Foot Ulcers, Immunodeficiency Syndrome?! [Requesting Monthly Tickets]

"This……"

Zhang Lingchuan didn't know what to say.

When Aunt Zhu turned around, her eyes looked at her as if she were looking at some kind of enemy.

If you said you had delayed the other person by an hour, or even thirty minutes, he would accept it with just one look from her. But now it's only three minutes for a consultation.

I just offered a different opinion, why is she giving me that glare?

However, if the other party is allergic to contrast agents, they will definitely undergo coronary CTA.

After all, malignant high fever is a rare allergy, occurring in about one in a million people, and hospitals rarely conduct related tests.

Contrast agent allergies are extremely rare, occurring in approximately one in ten thousand cases, so the entire process is much more standardized.

The allergy prop card that I received as a reward for positive patient feedback is actually quite good. If I ever become a doctor, I can suggest testing patients who may have allergies, which could at least reduce medical disputes and save many patients' lives.

After all, tens of thousands of people die from allergies every year.

I wish there were more of these item cards in the future.

Alternatively, you could open a redemption channel directly, similar to how medical points can be redeemed for precise scans, which would also be a good option.

I just don't know if my promotion to physician will unlock the system.

Zhang Lingchuan was starting to feel a sense of anticipation.

It's already September 20th, and there are only one month and five days left until the announcement of the gold, silver, and bronze medal winners in the National Veterinary Daily Competition Finals.

Whether he can be promoted to resident physician this year depends on whether he wins the championship.

I have to say, time really flies.

Late July, late August, and soon it will be late September.

Zhang Lingchuan sighed inwardly.

"Xiaochuan, you see? This is a situation that we often face as doctors. Many times, you are giving advice to patients, but they are hostile to you."

Just then, Huang Xiangning's voice rang out.

She originally thought that at least the other party wouldn't see this until later, but she didn't expect Xiaochuan to encounter it today.

It has to be said that the other party is really lucky.

I encountered this kind of difficult patient on my very first day of seeing patients at the hospital.

In fact, such patients are not uncommon throughout a doctor's career.

On the contrary, it is rare to see someone who strictly follows medical advice.

"So, as your teacher's wife, I still think veterinarians are better. At least they have no objection to how to treat patients and have never heard a word of dissent."

Zhang Lingchuan shrugged.

Although many veterinarians aspire to be human doctors, the reality is that being a human doctor is much more demanding than treating animals.

No matter how you treat them, they won't say a word of dissent.

They certainly wouldn't glare at you with that kind of look.

"You just can't understand the word 'no,' can you?"

Huang Xiangning retorted irritably.

"Cough cough..."

Zhang Lingchuan tactically drank water.

"On the other hand, veterinary medicine is indeed a good field. Your teacher studied human medicine before studying veterinary medicine and is now considered a leading expert in veterinary medicine. However, human medicine is more challenging. I believe that with your level of expertise, Xiaochuan, you should have no problem balancing veterinary medicine and human medicine."

Huang Xiangning also took a sip of water from her thermos, then smiled and began to speak.

Time really flies.

They aged so quickly.

"Then I must thank my teacher's wife for her trust."

Zhang Lingchuan smiled upon hearing this.

Since I'm now bound to the Human Medicine System, I definitely need to learn Human Medicine.

He also confirmed today that treating human illnesses can trigger some rewards, but he hasn't encountered any rewards when treating animals.

Then you can earn high-difficulty rewards for treating animals and earn rewards like cashback for treating people.

But you definitely can't make human medicine your main job; it's okay to do it part-time occasionally.

If it really becomes my main profession, surgical procedures are fine.

After all, many of the techniques are truly in his hands.

But it's hard to say when you need to see a doctor, since they only offer two free scans a day, and you have to save up for accurate scans.

Using medical points to redeem is acceptable, but you can't get many medical points for that.

If dozens of patients come in a day, how will he manage?
Relying on the traffic lights overhead?
Every hospital visit is either a yellow or red light.

A green light is still a rarity.

"However, Xiaochuan, your analysis of Ms. Zhu just now made a lot of sense. Could you explain your logic to me?"

Huang Xiangning asked Zhang Lingchuan questions with great interest.

She agreed with the diagnosis the other party had just made.

Although she is not a specialist in cardiothoracic surgery, as an expert in emergency medicine, she is a versatile person, so she knows a little about cardiothoracic surgery.

Based on Ms. Zhu's symptoms, her initial assessment was that it did not resemble coronary heart disease, but rather intercostal neuralgia.

Because it's on the left side, and it comes in waves, regardless of fatigue or even forming a strip-like shape, it's highly likely to be a characteristic of intercostal neuralgia.

Of course, although this was a preliminary diagnosis, it still required a certain level of knowledge in cardiothoracic surgery to make it.

But why did Ogawa directly say it was intercostal neuralgia? What was the basis for the other party's diagnosis?

If she had taken his pulse, that would be better, since she doesn't know much about traditional Chinese medicine.

But now, without taking a pulse or conducting any examinations, they just look at it the same way they see it and make the same judgment as themselves.

She could guarantee that even someone like Dr. Fang would never have made that deduction.

Many emergency room doctors fall into misconceptions about coronary heart disease.

"I mainly felt that this woman was too temperamental. If she really had coronary heart disease, her complexion wouldn't be like this if she got so emotional. Also, she said that her pain was irregular, and there are many reasons for chest pain. In addition, she seemed quite weak and even had some symptoms of diabetes. It's possible that she was overweight, weak, and suffering from intercostal neuralgia due to illness, fatigue, or a bad temper. Anyway, I feel that coronary heart disease is definitely the first thing to rule out."

Zhang Lingchuan said this at this moment.

The reasons certainly won't stump him.

But purely Western medical reasons are a bit difficult to justify.

This is just a mix of Chinese and Western reasons.

"So that's how you judged it. I have to say, your judgment is exactly the same as mine. Now let's see if this old lady is as I guessed."

Huang Xiangning was still somewhat looking forward to the lottery draw.

At the same time, he looked at Zhang Lingchuan with even greater appreciation.

Although the other party's approach is a combination of Chinese and Western methods.

But as long as the prediction is correct and the patient's illness is treated well, it doesn't matter what kind of combination therapy you use.

The most important thing is to cure the disease and save people.

"I feel like we can wait and see; it shouldn't be long before we find out."

Zhang Lingchuan smiled.

Contrast agents will definitely show signs of allergies.

If an allergy is detected, the elderly woman will not undergo a cardiac angiography.

In that case, the more convenient coronary CTA would definitely be the better choice.

If it cannot be detected.

They will inevitably look for the cause of the chest pain, and I believe that cardiologists will also speculate that it might be intercostal neuralgia or something similar.

"Alright, let's move on to the next one."

Huang Xiangning nodded and pressed a button.

"Please ask patient number 18, Liu Hongjiang, to go to clinic room number 8 for your consultation."

The loudspeaker blared.

Soon a man wearing a hat, with dark skin, who looked like a fitness enthusiast, was pushed in.

"Hello doctor, my husband sprained his ankle. Now he can't walk, he can't touch it, and his skin is even broken. Look at this yellowish stuff, I don't know what it is."

The speaker was a woman in her thirties, dressed simply, and she looked very anxious.

I originally wanted to see a specialist in orthopedics, but there were too many people there, so I could only see an emergency room specialist first to do some tests and determine the cause of my illness.

"Alright, alright, Mr. Liu Hongjiang, right? When did you sprain this?"

Huang Xiangning walked over and took a closer look, then frowned.

Zhang Lingchuan also looked puzzled.

Without a doubt, this person has a yellow tag above their head.

However, if someone comes to the emergency room and their condition doesn't start with a yellow warning sign, then something is definitely wrong.

It's normal for a sprained ankle to be red and swollen, but skin breakdown and even yellow discharge are very unusual.

[Host detected to be undergoing medical consultation; system-assisted scanning in progress...]

[Accurate detection... 5 tests remaining.]

[Regular testing... 1 test remaining for the day.]

[Initiating precision testing... Precision testing rejected...]

[Initiating standard detection, please wait...]

So when he squatted down to check, he also started a normal system scan.

"Hello doctor, I am Liu Hongjiang. I am a fitness enthusiast and spend most of my time at the gym. I often twist my ankle, but normally the pain will subside after exercising. However, I did not expect my ankle to suddenly become very painful these past two days. Today I couldn't even get out of bed, so my wife pushed me to the emergency room to find out what caused it. I was exercising normally, so why did the sprain become like this? I have never encountered this situation before."

Liu Hongjiang, sitting in a wheelchair, is indeed a fitness enthusiast.

He was telling Huang Xiangning about his situation. As a fitness enthusiast, foot pain was a common occurrence during exercise.

But once you start running, especially after warming up, the pain usually disappears; this has been the case for the past year or two.

Unexpectedly, this time the pain was so severe that I couldn't even walk, and along with the swelling and pain, a yellow fluid appeared.

At first I thought it was because the shoes were rubbing my feet, but now it seems that's not the case at all.

After all, he had blistered his feet before.

"So you mean the foot pain has been ongoing? Mr. Liu, do you have gout or any similar condition?"

After observing for a while, Huang Xiangning inquired about her past medical history.

Gout can also cause redness and swelling in the ankle.

Furthermore, many fitness enthusiasts consume protein powder.

That stuff can actually cause gout.

Therefore, some people often develop a muscular physique, feel that they are very healthy, and will no longer be troubled by illnesses, only to develop gout.

"No, no, I don't eat protein powder or anything like that. Besides, I've had tests done before, and my metabolism is fine. I've never had gout."

Liu Hongjiang shook his head.

My body is still very healthy.

Moreover, his muscles are the result of real training.

I never take protein powder.

"That's it..."

Huang Xiangning nodded.

He looked like he understood.

"Has Dr. Xiaochuan, the top student of the renowned orthopedic master, come to any conclusions after observing for so long?"

Then, she turned her head and looked at Zhang Lingchuan with a smile, her expression carrying a hint of teasing.

Although she knew that the other party had not learned any medical skills from the old man, but most likely had read some of his books.

However, many people online are calling her that now, so she's just joining in the fun.

Anyway, we're all family.

It's okay to make a joke.

"A top student of a master of traditional Chinese medicine??"

Huang Xiangning's words immediately drew the attention of Liu Hongjiang and his wife.

The young doctor looked very young, and they assumed he was an intern, so they didn't pay much attention. But then he said "a disciple of a master of traditional Chinese medicine," which completely stunned them.

It should be noted that there is only one national master of orthopedics in the entire country, namely Mr. Shen Xuanqin from Northeast China.

But this old gentleman has long been retired, and I've never heard of him taking on such a young student.

The person speaking is the vice president of the provincial hospital and the director of the emergency department. He can't possibly be making things up; his words must have some truth to them.

They simply registered the patient based on whether he was a vice dean or a director.

"Teacher Huang, please don't belittle me. I've only read some books about Mr. Shen and know a little bit of kung fu, so what kind of master is he?"

Zhang Lingchuan was speechless when the diagnosis was retracted.

When she gets unserious, she really can be quite unserious.

If this continues, I'll really become Mr. Shen's internet disciple; it's just making things worse.

Traditional Chinese medicine takes the inheritance and discipleship system very seriously.

Don't turn back and anger your master, or he'll get beaten up again.

"Come on, let's get started and give your diagnostic opinion."

Huang Xiangning had originally planned to bring the other person along for the consultation.

It now seems that Xiaochuan didn't need to bring it at all.

From his eyes, Huang Xiangning felt that he must have seen through something.

"From what you just said, it seems that Mr. Liu does not have gout, does not eat protein powder, often twists his ankle and treats it as an occupational disease without paying attention to it. And this time, the foot pain lasted for a long time and then suddenly became more serious one day, right?"

Zhang Lingchuan looked at the patient.

Although he was checking the system, he did not actually disconnect.

"Uh-huh."

Liu Hongjiang and his wife nodded at the same time.

I'm also curious to see what conclusion this young doctor can draw.

"Actually, if you twist your ankle frequently, your body is already used to it. It's almost impossible for it to get this serious if the amount of exercise is the same as usual. So I don't think it's necessarily a sprain. Normal injuries don't cause this kind of ulceration and yellowing. See? This red to blackish-red appearance further rules out injury. Yours is more like an internal problem, such as a viral invasion."

At that moment, Zhang Lingchuan began to analyze the situation with great seriousness.

After all, the answer has already been given.

"An internal problem? A viral infection!"

The couple exchanged a puzzled look.

Huang Xiangning also frowned slightly.

Clearly, she had also noticed the phenomenon that Zhang Lingchuan mentioned.

She's a little confused now, though. If it really is that kind of illness, why isn't the patient coughing?

This is unreasonable.

"Yes, if left untreated, Mr. Liu, your skin in this area will likely ulcerate, and in the later stages, amputation may be necessary."

Zhang Lingchuan nodded.

He then pointed to the festering area on the other person's body.

"Doctor, what's wrong with my husband? He works out regularly, how could he get such a strange illness? He was perfectly healthy before!"

The woman looked puzzled, and at the same time, found it unbelievable.

After all, her husband is in really good health.

"Oh my god! Doctor! The virus you're talking about isn't HIV, is it?! He has immunodeficiency syndrome?!"

The next instant, the woman bit her hand hard.

They made a judgment they were very unwilling to make.

Some of her sisters had warned her before.

The gym community is very chaotic; she should be careful about her husband.

Furthermore, the little green book also says that men often say one thing to your face and another behind your back, and might even be cheating on you behind your back!
There was a news story about a wife who was washing dishes at home one day when she received a phone call saying her husband had been arrested for soliciting prostitution, leaving her completely bewildered.

My husband was just taking the kids to school when he suddenly got arrested for soliciting prostitution. I thought it was a scam call.

She later discovered that this was actually her husband, who had taken advantage of the time while dropping the children off at school to solicit a prostitute!
"Honey, how could that be? I like working out and I don't like being with women. I don't even have many female contacts on WeChat, you know that!"

Hearing his wife say such things, Liu Hongjiang was speechless.

It's too ridiculous.

They've been a couple since college.

It's been twelve years!!
"But honey, isn't this even more dangerous..."

The woman's name was Liao Yi, and she blinked wisely.

"Pfft—"Xiaoyi, promise me you'll uninstall the little green book when you get back. They have such a huge misunderstanding about the fitness community."

Upon hearing this, Liu Hongjiang almost spat out a mouthful of blood. He remembered that before his wife became addicted to the little green book, she was a perfectly normal person.

After becoming addicted to the little green book, look at what's happened to your brain.

"Uh uh uh……"

Zhang Lingchuan and Huang Xiangning exchanged a glance.

It must be said that this woman's thinking is indeed somewhat unconventional.

It's amazing that they could even think of the HIV virus.

If it were just ulceration, there would still be a tiny possibility, but with the added limiting conditions, it's clear that this isn't referring to HIV.

"Excuse me, doctors, please continue. I just suddenly remembered something from the little green book and said it offhand."

Ms. Liao Yi seemed to realize what was happening and said with a somewhat embarrassed expression.

"Xiao Chuan, you can continue. What kind of virus do you suspect has invaded?"

Huang Xiangning spoke to Zhang Lingchuan.

She's becoming increasingly curious about Zhang Lingchuan's analysis.

It's truly remarkable that a graduate student from a veterinary background could achieve this.

I feel like I was born with a knack for healing.

"How about this, I recommend that Mr. Liu get tested for tuberculosis virus."

Zhang Lingchuan spoke first.

"tuberculosis!!"

The couple looked at Zhang Lingchuan in disbelief upon hearing this.

"Doctor, are you sure you're not mistaken? My husband doesn't have tuberculosis. Besides, shouldn't people with normal tuberculosis be coughing and listless? My husband goes to the gym regularly and is in very good health!"

Then Liao Yi excitedly spoke to Zhang Lingchuan.

Tuberculosis is the same as consumption. On TV, people with this disease are all skin and bones, looking sickly!
They had premarital checkups!
My husband definitely doesn't have that!!
"hiss--"

Huang Xiangning's body also jolted suddenly.

As expected of a young person, Ogawa's conclusion is truly bold.

……

(End of this chapter)