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When the Doctor Uses A Hack-Chapter 737: Mother-in-law’s Plastic Surgery Story (Part 1)
Upon hearing the woman's occupation, Chen Cang actually had quite a few ideas already!
A fever of unknown origins is the last thing doctors want to deal with.
It wasn't until the development of infectious disease studies that this gap in the field of febrile illnesses was filled.
If it was an insect bite, having a fever for two consecutive days would definitely require an examination and investigation.
Even so, Chen Cang still felt he shouldn't commit the error of relying solely on experience.
Chen Cang stood up, took a closer look, and then put on a pair of disposable plastic gloves. These gloves were much thinner than rubber gloves, which made the feel of temperature, texture, and hardness much more direct and noticeable.
Chen Cang had previously spent some time in the breast surgery department, where his daily job was to assist the chief physician in breast drainage. Because of his unique technique and skilled hands, he was often invited by family members to perform home services, and would usually receive a tip of one to two hundred yuan for his trouble.
Upon reflection, that might have been Chen Cang's first instance of "throwing a swift blade," right?
When he returned from his internship and graduated, Chen Cang told his roommates about it and was envied by everyone. They said he had achieved the life of a winner ahead of time. As for this, Chen Cang was puzzled for quite a while, not really understanding why he was considered a life winner.
However, at this moment, Chen Cang touched the lesion at the creased area, which was devoid of symptoms such as redness, heat, or pain, and the wound had only a pimple-like black dot the size of a pinhead.
Taking into account the patient's gardening work experience, Chen Cang said, "Lift your arm."
As he spoke, Chen Cang checked the patient's right axillary lymph nodes with a gentle touch.
Suddenly, he felt the swollen lymph node under his touch.
Generally speaking, the axillary lymph nodes are abundant, making this kind of detection quite obvious.
After the examination, Chen Cang said to the woman, "I now suspect scrub typhus. Go to the emergency department and get a Weil-Felix test to confirm the diagnosis."
The outpatient clinic had already closed for the day, and the laboratory no longer accepted tests. Only the emergency department provided services 24 hours a day.
In fact, scrub typhus may seem like just a bug bite, but it is actually a rather serious disease.
It has a sudden onset, and symptoms such as fever and chills appear quickly, accompanied by swollen lymph nodes, and possibly enlarged liver and spleen. By the second week, the condition could worsen and lead to coma.
Although the woman said she had a fever for only two days, they... couldn't relax just yet.
They needed to diagnose it as soon as possible, as treatment would be relatively convenient.
Chen Cang directly had Cheng Xin accompany her to the emergency department.
Around eight o'clock, the results came back: positive Weil-Felix test. Judging by the proportion of the test results, it was undoubtedly scrub typhus.
Once the diagnosis was clear, the treatment was simple. Chloramphenicol is highly effective against scrub typhus and typically resolves the issue within a few days, but the medication should not be stopped too soon to prevent relapse.
The afternoon clinic was extremely beneficial for Jiang Tao and Cheng Xin.
Chen Cang's mnemonic methods for memorization were also eye-opening.
Tomorrow is Saturday, and I can get a good night's sleep. On the way home, Chen Cang opened his experience log to check, and his face immediately lit up with joy.
How rewarding!
In one afternoon, seeing more than 40 patients, he had gone up half a level, amounting to nearly 50,000 experience points.
It seems that the complexity of a disease is directly proportional to the experience gained.
The last case of scrub typhus alone yielded him 3,000 experience points.
Back home, Chen Cang tidied up.
The New Year was approaching, and this year, Chen Cang probably wouldn't have to be on duty, since he had filled in for the last two years. He planned to go home and stay for a while.
In the blink of an eye, three years had passed since graduation. It had been so long since he had lived like this.
Lying in bed with nothing else to do, Chen Cang directly called his younger brother Chen Luo to ask when he would be coming home.
After the call connected, Chen Luo laughed, "Bro, do you have some time today?"
Chen Cang smiled, "When will you be coming home?"
Chen Luo fell silent for a moment, "Bro, I might not come home this year."
Hearing Chen Luo's words, Chen Cang was momentarily stunned, "Oh? Do you have some plans?"
Chen Luo hummed in acknowledgment, "Mhm, I recently got in touch with the gang leader from before, I'm planning to go and get some experience, I feel like I've made quite a lot of progress in the past six months."
Chen Cang hesitated for a moment but didn't say much.
After all, Chen Cang couldn't have too much control over Chen Luo's life, everyone has their own development and future.
As a brother, what Chen Cang could do was to help as much as possible when he truly needed it.
Tomorrow would still be a busy day, some of the surgeries for those rich ladies from last time were not yet done, and Chen Cang decided to finish the operations tomorrow.
Also to take this opportunity to earn a substantial amount of money.
At noon, when he heard Qin Yue say that Old Qin was planning to buy a house in the capital, Chen Cang was actually quite touched.
Old Qin earned money, not to mention anything else, just the registration fee for his outpatient clinic was 5,000 yuan a day, and that didn't include bonuses.
Chen Cang estimated that although Old Qin seemed unassuming, he was actually a hidden tycoon; not to mention anything else, he definitely had one or two million, after all, he'd been the hospital director for so many years, it wasn't a joke.
If a typical administrative director indeed didn't have much money, but Old Qin was a professional, in charge of six tumor departments, and the chief of the tumor division, all of which came with a percentage of shared profits, he earned a lot over the year.
One could only say that Old Qin was modest, driving the same car worth a little over two hundred thousand for so many years, and never changing it.
In the evening, Chen Cang called Qin Yue to report on his work.
He went through his daily schedule and the patients he saw that day.
Qin Yue used to make calls to Chen Cang secretly, huddled on the balcony of the bedroom, with the stars for company.
Now it was different; ever since Chen Cang had come over once, she could now freely lie on the sofa, resting on Ji Ruyun's thighs and chat with Chen Cang.
In Qin Yue's words, she was now acting on orders.
The next phase's target was...
To get married because of a child!
Thinking about cohabitating in the capital for the coming year, both of them were excited, clamoring about how they would live their life.
Who would cook, who would wash the dishes.
Perhaps that's what dating was like, where even a fart could turn into an hour-long varied conversation.
All of a sudden, Ji Ruyun spoke up, "I think I'm off next week, oh right, Yueyue, ask Chen Cang when he's free recently, I want to get a facial procedure."
"I want to get the wrinkle removal done before the holidays, so when visiting relatives during the New Year, I can look fantastic!"
Ji Ruyun lay on the sofa with a facial mask, saying aloud.
At her age, with no real burdens, she's come to value her face more and more.
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Fortunately, Chen Cang had given her plenty of facial masks to indulge in.
When Old Qin and Xiao Qin heard this, they instantly became excited, exchanging glances full of interest.
Both of them were eager to witness Chen Cang's cosmetic surgeries.
After all, the entire hospital now knew Chen Cang was the most expensive doctor in An Yang City!
This made Old Qin unconvinced!
A million for one surgery.
Why don't you just ascend to heaven?
Qin Yue, on the other hand, was purely intensely curious about Chen Cang's breast augmentation procedures.