kingnovel Chapter 535 - 246: You Can’t Always Indulge—The Results Are In (Part 2)
Chapter 535 - 246: You Can’t Always Indulge—The Results Are In (Part 2)
This concerns the hospital’s regulations and admission criteria.
"Little one, have you had dinner?"
Li Jingsheng greeted the little girl gently.
"I ate a bit, but I threw it all up."
The girl’s mother replied from the side.
"If she can’t eat, the hospital should at least give her some glucose nutrient solution to support her! She’s so young, poor thing!"
Li Jingsheng said this both to the family and to Dr. Shao Bing.
Although Shao Bing was once a renowned doctor at Qiaobang Hospital, now he can’t even secure an inpatient qualification. It’s unclear whether he was unsuccessful before or his colleagues were just too indifferent and heartless.
"We’ve already given the child nutrient solution support! We’ve tried to rule out multiple causes for the illness, systemic lupus erythematosus, syphilis, fibromyalgia syndrome, and scrub typhus have all been basically ruled out. We’re still checking for tuberculosis, and the results should be out tomorrow."
Shao Bing said to Li Jingsheng.
It seems that the hospital hasn’t done nothing while the child is here.
But according to hospital regulations, there’s no way to admit her.
Mostly because no doctor dares to take the case lightly.
Getting a doctor’s position at Qiaobang Hospital is incredibly difficult, like fighting your way through a crowd. If they lost their job due to a moment of kindness, no doctor would want to suffer that consequence.
It’s understandable.
Li Jingsheng reached out to touch the little girl’s forehead.
"It’s a bit warm! Her temperature should indicate a fever, right?"
"Yes, hovering around 37.5 degrees."
Shao Bing nodded in confirmation.
"Can I check her lymph nodes?"
Li Jingsheng sought the mother’s permission.
The father seemed hostile and difficult to talk to, it’s better not to ask him.
The child’s mother turned to look at her husband.
After gaining his approval, she agreed.
"Alright. Please be careful, don’t hurt the child."
"I’ll be careful."
Li Jingsheng nodded, agreeing, and began checking the little girl’s lymph nodes.
Primarily her neck and armpits.
"Her lymph nodes are a bit swollen! The rigidity in her neck is quite severe too."
Li Jingsheng frowned slightly, also noticing a red spot on the back of the little girl’s neck. He remembered there being red spots on her face initially, but now they’re gone.
Considering the father’s cold gaze, he decided not to check the child’s chest and abdomen.
Li Jingsheng completed the examination and went to the service station, squeezing some disinfectant to clean his hands.
No one truly knows what illness the little girl has, though syphilis has been ruled out, it’s a habit for doctors to use disinfectant after examining patients.
"Who usually looks after the child?"
After completing the examination, Li Jingsheng had a few suspicions in mind.
He still viewed the red spots as the biggest diagnostic breakthrough direction.
"Usually it’s me and her father looking after her."
"Did the child’s abnormalities start a week ago?"
"Yes!"
"I mean, did anything unusual happen two weeks ago, or even one or two months ago?"
Li Jingsheng asked.
"Well... there wasn’t really anything unusual normally. Just once when we took her to visit her grandparents back home, stayed for like two days. After coming back, the child kept saying her body itched. When I checked, I found two small red bumps on her calf and neck, like mosquito bites. Her grandparents live in the mountains, so maybe there are more insects."
After thinking carefully, she provided a new clue.
Li Jingsheng nodded.
The father, upon hearing this, didn’t seem happy and said, "That was more than a month ago, what’s the deal with two mosquito bites? I was bitten all the time as a kid!"
"As doctors, we’re just asking about the medical history, it doesn’t mean it’s a major diagnostic basis, so no need to respond like this. Besides, I’m sure you want us to find the cause of the child’s illness soon and treat her, am I right?"
Li Jingsheng sensed that the father had a somewhat extremist and stubborn mindset.
Not to say if it’s good or bad, but such a mentality can easily lead to extremes.
"Dr. Shao, you heard just now, the child was bitten a month ago, and now she’s showing symptoms like fever, swollen lymph nodes, nausea, and vomiting. Should we check for scrub typhus?"
A disease popped into Li Jingsheng’s mind.
The child’s symptoms and history align significantly with scrub typhus.
This disease can have a short incubation period, five to six days, or longer, over twenty days.
"I thought of this too, and will immediately find a way to have the hospital check for it."
Shao Bing’s internal medicine skills should be quite solid.
Very experienced.
After listening to the mother’s description, he aligned with Li Jingsheng’s thoughts.
"Could my daughter’s illness really be related to her being bitten? What is scrub typhus?"
The father, hearing both doctors mention scrub typhus, couldn’t help but inquire.
It was clear he was genuinely concerned about his daughter’s condition.
"Scrub typhus isn’t caused by mosquito bites but by chigger larvae carried by mice and other animals. It’s an acute infectious disease. For slow incubation periods, it’s just about twenty days, close to a month’s time. So I think it’s important to check the possibility of this disease."
Li Jingsheng explained patiently to the patient.
"Seems like Shao Bing didn’t just randomly invite you over for help. You really do have some skills."