kingnovel Chapter 536 - 246: You Can’t Always Indulge Them, and Now the Consequences Are Here (Part 3)
Chapter 536 - 246: You Can’t Always Indulge Them, and Now the Consequences Are Here (Part 3)
The man looked at Li Jingsheng with newfound respect.
However, his tone still carried some arrogance and pride.
An ordinary person shouldn’t speak to a doctor in such a manner.
To become qualified as a regular doctor requires at least five years of rigorous study in medicine.
Many people study for seven or eight years, or even longer.
Then they have to undergo secondary training in hospitals, typically for around three years in major hospitals.
Only by passing numerous exams and assessments can they obtain medical licenses, training completion certificates, diplomas, and other qualification credentials.
The little girl’s father is completely an outsider in the medical field.
To use such a tone to criticize a professional doctor directly is quite impolite.
Li Jingsheng ignored him and continued pondering the doubts within.
Firstly, the fever from scrub typhus usually erupts suddenly, with body temperature rapidly rising, often exceeding 39 degrees to high fever.
The little girl had a moderate fever and a relatively slow onset.
This is not consistent with scrub typhus.
Secondly, scrub typhus usually presents with an eschar, which has not been observed on the little girl.
Thirdly, scrub typhus can occasionally cause red spots, but they do not migrate.
When Dr. Shao sent a video to Li Jingsheng, red spots were seen on the girl’s face, but they are not visible now.
Instead, they are noticed on the back of her neck.
This is still a major doubt.
Shao Bing is already making calls to acquaintances to help with scrub typhus screening for the girl.
"Can I examine her upper body and lower legs?"
Li Jingsheng asked the girl’s mother.
"Sure, please do your best."
The mother did not seek her husband’s opinion this time and agreed directly.
She proactively lifted the child’s shirt to assist Li Jingsheng with the examination.
It seems Li Jingsheng’s recent display of competency has given new hope amidst desperation, causing the family to place significant trust in him.
The girl’s father is holding a phone, seemingly searching for something.
He’s probably using online resources to educate himself about scrub typhus.
After Li Jingsheng examined the girl, he did not find any eschar but instead found several red spots.
Seems like scrub typhus is less likely!
If it’s not scrub typhus, then what illness could it be?
Rabies has been screened and generally ruled out.
The testing at a hospital like Qiaobang is quite authoritative, and the chance of error is extremely low.
The probability of oversight is there, but very low.
Moreover, rabies manifests with hydrophobia, shouting symptoms, which the girl has not shown.
Therefore, rabies can be dismissed.
The initial symptoms resemble a cold, but on the third day after treatment, it turned into nerve disorder, characterized by madness, which is a very rare condition.
"Dr. Shao, has CSF been tested for the child?"
CSF biochemical exam refers to cerebrospinal fluid testing, which requires a puncture.
"The family hasn’t agreed yet."
Shao Bing answered somewhat dejectedly.
If the family doesn’t agree to such a risky test, there’s nothing that can be done.
"Why won’t the family consent to a cerebrospinal fluid biochemical test?"
Li Jingsheng looked at the child’s father who was engrossed in learning about scrub typhus.
"I checked online and found that this test involves lumbar puncture, and it could result in paralysis. Some people have died directly from this test, so I didn’t agree."
The father argued confidently.
"Well, some people choke to death on dates! Yet everyone still eats dates."
"I’m just worried about danger and dare not trust you doctors easily anymore."
The father has his own set of ideas.
"I believe it’s very necessary to test CSF because, from the child’s current symptoms and physical exam, scrub typhus is less likely. It could be a rare disease, and the sooner it’s detected, the better for the child. If delayed for too long, even if the cause is found later, severe brain and nerve attacks or irreversible changes could result in serious aftereffects.
The child’s life would be ruined."
Li Jingsheng employed some persuasive language techniques to convince the family to consent to the test.
"If my child is ruined, I’ll have that incompetent doctor pay with his life! I’ll ruin him."
The father’s emotions spiraled out of control and turned extremely violent upon hearing this.
Dr. Shao Bing, frightened, retreated.
He looked pleadingly at Li Jingsheng, hoping he wouldn’t use more provocative language to stir such easily frustrated families.
"This result could have been avoided! Now if you listen to me and consent to the child undergoing this test, I won’t say it will surely uncover the cause, but at least it will lead to greater breakthroughs. I personally think there’s a high chance of directly uncovering the cause. Based on the child’s current symptoms, the disease course seems to have reached a critical phase, and finding the cause quickly is crucial to curb progression."
Li Jingsheng wasn’t fazed by the family’s threats.
In reality, the family couldn’t do anything to him.
"What happens if it can’t be stopped?"
The child’s mother inquired.
"The prognosis might be poor."
Li Jingsheng truthfully replied.
"Does prognosis mean aftereffects?"
"Almost! It refers to the patient’s condition after recovery."
Upon hearing, the woman glanced at her husband.
"Honey, let’s agree to the test! Our daughter’s condition is worsening daily, and it pains me greatly. I think this Dr. Li speaks directly; he wouldn’t need to deceive us."