Bi Xinglong and Ma Zhongli were like two trembling little sheep, Liushenwuzhu was completely panicked.
"Director Lin, we, we really haven't done anything bad. We have always worked honestly. We never even sang English songs. We are careful enough."
Lin Sanqi thought to herself, it is only 60 years ago and the social atmosphere is quite good. It should not be the time for violent storms yet. What can happen?
Everyone had their own thoughts. Union Hospital soon arrived, and Lin Sanqi, Bi Xinglong and Ma Zhongli were quickly sent to the inpatient department.
At this time, there were many security personnel guarding the entrance to the inpatient department, and the atmosphere was very depressing.
Lin Sanqi breathed a sigh of relief, thinking that some important person must be sick, otherwise he should go directly to the police station instead of the hospital.
The three of them came to the office first. At this time, a large group of leaders were waiting, and it was like a three-chamber trial.
As soon as Lin Sanqi entered the door, he saw the butcher head waving at him, telling him to come over and stand aside and stop talking.
At this time, Leader Cheng, the highest-ranking leader on the scene, looked at Bi Xinglong and Ma Zhongli and asked:
"Comrade Bi Xinglong and Comrade Ma Zhongli, I called you here this time to confirm some things. How long have you two been Mr. Ramiz's attending physician?
Bi Xinglong swallowed his saliva and replied nervously: "It started in 1955."
"What disease did Mr. Ramiz have to treat you for?"
Ma Zhongli was still calm and recalled:
"Mr. Ramiz has very serious respiratory diseases, such as tuberculosis and emphysema, and often suffers from lung infections. In addition, he also has basic diseases, such as high blood pressure, diabetes, etc."
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"Is that all there is to it? Think about it again, are there any missed diagnoses or misdiagnoses?"
As soon as Leader Cheng said these words, the atmosphere in the room became even colder. Bi Xinglong and Ma Zhongli did not dare to be careless at all, gritting their teeth and trying to remember.
At this time, Lin Sanqi quietly asked the butcher next to him:
"Old Tu, what's going on? You see a doctor and you see trouble? Are foreigners so awesome? They like to look at you but don't want to see you. Why do we let our doctors serve them like slaves?"
The butcher's face turned black with fright, he gritted his teeth and cursed in a low voice:
"Little ancestor, please say a few words. Do you know who the patient is? He is the ambassador of the Nordic Snow Country. He suddenly coughed up blood and fell into a coma today. According to Dr. Guo's diagnosis, he is in the advanced stage of lung cancer and there is no need to save him."
"Lung cancer in the late stage?"
Lin Sanqi thought to herself that there is no chemotherapy or radiotherapy now. If there is no indication for surgery in the late stage, then it is just waiting to die.
"But what does this have to do with Bi Xinglong and Ma Zhongli? Does the patient have cancer and the doctor should be held responsible? Isn't this completely unreasonable?"
The head butcher covered his mouth with one hand and explained softly:
"Don't mention it, it really has something to do with Bi Xinglong and Ma Zhongli. This patient has been under the supervision of Bi Xinglong and Ma Zhongli for 5 years, but neither of them found lung cancer. This is not delaying the disease or missing the best time for treatment. Well.”
Lin Sanqi thought, if this is true, then Bi Xinglong and Ma Zhongli are indeed responsible.
Then he sighed in his heart. The right-hand man he finally found seems to be gone again. It is estimated that these two unlucky guys will be sent to Qinghai to dig sand.
At this time, after Bi Xinglong and Ma Zhongli communicated with each other, Ma Zhongli said:
"Leader, there is nothing wrong with our diagnosis. We don't know what is happening to Mr. Ramiz now, but it has nothing to do with us. We have never done anything to harm the patient."
After the tension, Ma Zhongli's scholarly temper also improved. When he spoke, he was neither humble nor overbearing, and deliberately straightened his back.
Leader Cheng was silent for a moment, and then said in a deep voice:
"Mr. Ramiz is currently being rescued and has fallen into a coma. Dr. Guo diagnosed respiratory failure caused by late-stage lung cancer. However, in your statements and medical history reports over the years, lung cancer was not mentioned. Is there a misdiagnosis? ”
"How is this possible?"
Bi Xinglong and Ma Zhongli both exclaimed.
"Leader, we were transferred from Union Medical College Hospital to the Hospital of Traditional Chinese Medicine a month ago, so we are particularly impressed by Mr. Ramiz's condition. There is no mistake. Mr. Ramiz has had X-ray examinations over the years. We can be sure that Just before this year, he had absolutely no lung cancer.”
The leaders are all good people. Seeing the expressions of Bi Xinglong and Ma Zhongli, you can tell that these two people are not lying.
I thought to myself, could it be that these two doctors were really wronged? Then he looked at the secretary.
The secretary took out a fresh X-ray film from the side and put it on the table. "Doctors, this is a chest X-ray that was just taken. Take a look at it."
Bi Xinglong and Ma Zhongli were not polite. They took the film and started reading it in the light of the window.
"This is invasive tuberculosis."
"These dense spots are tuberculosis, not the dense sheets of lobar pneumonia."
"The volume of the middle and upper lobes of the right lung has increased. The volume of the middle lobe of the upper lobe has been larger than that of the lower lobe. The oblique and horizontal fissures have moved downward. What is this piece?"
“It wasn’t available last year, right?”
"Yes, it didn't happen last year. I remember clearly that the dense nodules were not distributed according to the normal lung lobe segments and looked like lung cancer."
"No, this spherical shadow is irregular, as if something is blocking it."
The two discussed it for a long time, and Leader Cheng became a little impatient: "How about it? Do you have any other objections?"
Ma Zhongli put down the film, hesitating a little at this time, but still spoke:
"Leader, we don't think this is lung cancer. The most likely possibility is Kleborg pneumonia, fungal pneumonia, or tuberculosis."
"I remind you two that what we need is certainty, not ambiguity, no generalizations, possibilities, or maybes."
Guo Jianqiao was in the corner. Since he was going to be confronted face to face, of course he, the current director of the Department of Respiratory Medicine and head of the rescue team, had to attend.
Originally, he felt guilty when he saw Bi Xinglong and Ma Zhongli. After all, they were the backbone of the Xiehe Respiratory Department and had academic authority. He could only be regarded as a mid-level doctor at best.
But since Bi Xinglong and Ma Zhongli could not accurately tell the cause of the disease, he started to tremble again:
"Dr. Bi, Dr. Ma, both clinical symptoms and X-rays show that this is lung cancer. You two are too careless. How can you treat the lives of foreign guests as trivial, causing our Union Hospital to fall into a passive position now. ”
Everyone in the foreign affairs department looked at Bi Xinglong and Ma Zhongli with contempt in their eyes, thinking that no wonder they were kicked out of the Union Medical College Hospital. It turned out that they were not good enough.
Bi Xinglong and Ma Zhongli blushed, feeling at a loss for words and didn't know how to explain it.
At this time, Lin Sanqi also took the X-ray film and started reading it.
The problem is immediately obvious at first glance. In fact, this is because bronchiectasis and bleeding block the bronchus, and the bleeding pours back into the lungs, forming a bulging blood bag.
In addition, there is a tuberculosis ball at this position, and then the shadow of the blood bag and the tuberculosis ball overlap, and it looks like an irregular high-density shadow, very much like lung cancer.
This misunderstanding arises mainly because the X-ray machine in Union Hospital is a 400 mAh backward machine with insufficient definition and no three-dimensional sense.
If you take a CT scan, you can clearly distinguish them.
One of the reasons why Lin Sanqi could tell was that he had solid basic skills. The level of medical undergraduates from prestigious schools was definitely no worse than that of graduate students from ordinary schools.
The second one was a similar case he encountered during his internship. At that time, the patient was diagnosed with lung cancer after an X-ray was taken at a township hospital. The family was unwilling to send him to the provincial capital, and it was later confirmed that it was a false alarm.
As for empirical medicine, once you see it, you will be impressed and you won’t make a mistake next time.
Lin Sanqi is still reading the film, but Leader Cheng is already unhappy:
"Comrade Bi Xinglong, Comrade Ma Zhongli, if you cannot provide further evidence, then we can only think that you have misdiagnosed.
Because of your mistakes, a foreign guest was near death and caused heavy losses to our country's diplomacy. In view of the serious responsibility you bear that cannot be shied away from, you should not go back to the Traditional Chinese Medicine Hospital and wait for punishment. ”
When Guo Jianqiao heard this, he felt happy, but he still looked serious on the surface: "Oh, I am heartbroken. As the head of the department, I feel ashamed."
"You should feel ashamed that you can't even figure out such a simple problem!"
Lin Sanqi's sudden voice shocked everyone in the office and turned around.
Dean Tu immediately pulled Lin Sanqi's arm: "Xiao Lin, don't talk nonsense. This matter is of a very serious nature. Don't fall into it yourself!"
Lin Sanqi had seen Guo Jianqiao a long time ago, and thought of his irresponsible behavior at the Changping Clinic.
Now it seems that when his colleagues were facing punishment, Dr. Guo not only did not say good things to his former colleagues, but instead added insult to injury. Then Lin Sanqi couldn't help it.
Besides, he knew the medical skills of Bi Xinglong and Ma Zhongli, and he had to keep his two men even for the cause of tuberculosis.
Guo Jianqiao became anxious when he heard this. He had already forgotten Lin Sanqi, a former patient, but someone refused to give him face in public and even denied his diagnosis. How could he bear this?
Don’t forget that Union Medical College is the best hospital in the country. No one can beat Union Medical College. Guo Jianqiao is confident in this.
"Who are you? Why do you say this is not lung cancer?"
At this time, Leader Cheng also looked at the sudden young doctor. He didn't mind Lin Sanqi's offense, but felt that it was a good thing for someone to refute, which meant that things could turn around and there was no need for China to take the blame.
"My name is Lin Sanqi, and I am the director of the Tuberculosis Department of the Capital Hospital of Traditional Chinese Medicine. I am currently fighting tuberculosis. Oh, by the way, the Changping influenza epidemic some time ago was also eliminated under my leadership."
Guo Jianqiao said disdainfully:
"Who did I think it was? It turned out to be a doctor of traditional Chinese medicine. When will traditional Chinese medicine be able to comment on our Western medicine and read X-rays? Don't you pay attention to pulse diagnosis with silk threads?"
Lin Sanqi picked up the film at this time and said with a smile: "Today, I, a doctor of traditional Chinese medicine, will teach you how to read the film and how to make a prepared diagnosis based on clinical practice:
An elderly man with recurring cough attacks for more than 10 years indicates a long course of the disease. I was diagnosed with tuberculosis and was treated irregularly and intermittently. Now when I look at this video, does it look like a tuberculosis ball?
An acute attack of cough occurred for 2 days, with hemoptysis and dyspnea, which suggested that the blood vessels in the lungs and bronchus were ruptured. At least pleural lesions were not the main factor.
The complexion was pale, which suggested that there might be a large amount of blood loss. The patient fell unconscious soon after being admitted to the hospital, which might be caused by the large amount of blood loss.
From the above points, it shows that there are opportunities for lung infection and pulmonary embolism secondary to bronchiectasis, but it does not look like lung cancer.
So I think the cause of the disease is hemoptysis and blood clot obstruction. With this explanation, there seems to be some clues as to the culprit of the shadow in the right lung.
He has had repeated coughing episodes for many years, and has had repeated lung infections. The lymph nodes around the middle lobe of the right lung are abundant and the drainage is poor, causing bronchiectasis. Bronchiectasis is often accompanied by lung consolidation, and this is an acute attack.
As for the shadow on the film this time, it is completely blocked by a hemoptysis clot, causing pulmonary embolism, and then pulmonary infarction. It manifests as pulmonary hemorrhage, edema, round or unevenly dense flaky infiltrates, fibrous cord shadows, and disks in the lungs. Atelectasis. ”
When Dean Tu and Vice Dean Ye heard this, their eyes suddenly lit up after thinking about it, thinking that what Lin Sanqi said was very reasonable.
Bi Xinglong and Ma Zhongli seemed to have a sudden enlightenment at this time. They suddenly came to their senses and nodded repeatedly. They were already in admiration for Lin Sanqi's medical skills.
Of course, this is also related to the fact that they grasp a life-saving straw in the most difficult time, otherwise it will not be so easy for them to tame.
Leader Cheng and a group of lay cadres all frowned, because after Lin Sanqi had been talking for a long time, they didn't understand a word of it. They only knew one thing: Lin Sanqi denied the possibility of lung cancer.
Guo Jianqiao was as anxious as if his tail had been stepped on:
"This is all your subjective guess. What evidence do you have to deny my diagnosis of lung cancer?"
Everyone thought the same thing. If the patient died, the cause of the disease might be determined through autopsy. Now the patient is in a coma and cannot even do a basic biopsy. It is indeed difficult to confirm the diagnosis.
At this time, we fell into an embarrassing situation where the public said the public was right and the mother-in-law said the mother-in-law was right.
Now that Lin Sanqi knew the cause of the disease and how to treat it, she naturally felt confident, so she said confidently:
"Since the patients who cannot be cured by Union Medical College Hospital can be treated by our traditional Chinese medicine hospital and sent to our hospital, I guarantee that the patient will recover within a week."
As soon as Lin Sanqi said these words, Leader Cheng frowned. It was obvious that he didn't quite trust Lin Sanqi's boast about Haikou.
When Guo Jianqiao heard this, he felt happy and thought that you, Lin Sanqi, were seeking death yourself, so don't blame me.
It just so happened that he didn't want to accept this hot potato. He originally wanted the family to take the person back to die, but his superiors and family members did not accept this proposal. Now someone has taken over, how can he miss it?
"Okay, Comrade Lin Sanqi, let us see what your traditional Chinese medicine doctors are capable of. Transfer to another hospital. Transfer to another hospital now!"
Dean Tu also frowned when he heard this. He felt that Lin Sanqi was really a little distracted and didn’t know how high the world was:
"Xiao Lin, I know that your Traditional Chinese Medicine Hospital has some conflicts with our Union Medical College Hospital, but today's foreign guest has a special status, so we can't joke about it. No one can protect you if something happens."
Even Bi Xinglong and Ma Zhongli trembled and persuaded:
"Director Lin, even if the patient does not have lung cancer, but is now in coma, shock, and respiratory failure, he may not be able to survive for long. Our Traditional Chinese Medicine Hospital will take over such patients..."
Everyone was not optimistic and thought Lin Sanqi was a bit fooling around.
Lin Sanqi thought to himself, this is the kind of effect I want. The less optimistic you are, the more severe the slap in the face will be. Wouldn't it better reflect Lin Sanqi's superb medical skills?
Western medicine, like Chinese medicine, is very important in terms of reputation.
Especially the tuberculosis topic that Lin Sanqi is going to work on is unprecedented. How to gain the trust of patients is very important. Only when patients trust you can they cooperate with you and achieve good medical follow-up.
If the patient doesn't believe you, loses patience after two months of treatment and calls you a liar, do you want your reputation to be lost?
However, the treatment process for tuberculosis takes at least 6 months, which is difficult for ordinary people to accept and cooperate with.
But if Lin Sanqi becomes the number one doctor in the capital and can cure diseases that cannot be cured by others, and his reputation is established, which patient will dare to stab him in the future?
So today Lin Sanqi suddenly stood up and wanted to admit this foreign patient. It was definitely not because of his mother's heart, but because he had his own interests in mind.
Leader Cheng was sitting behind his desk. Seeing that Lin Sanqi could not be persuaded, he spoke out of appreciation for his talents:
"Xiao Lin, you can't treat Mr. Ramiz if you want, or transfer him to another hospital if you want. If you don't have enough reasons to explain to me, I won't agree."
Is this something you can use for betting? There is no small matter in diplomacy, okay?
Lin Sanqi rolled her eyes and thought of the best reason, so she said firmly:
"Leader, our traditional Chinese medicine hospital has 12 national treasure-level traditional Chinese medicine doctors, including Shi Jinmo, Xiao Longyou, and Han Bangxu. If Western medicine has been given up, can we try traditional Chinese medicine? What if there is a miraculous effect?"
People here at Union Hospital curled their lips when they heard this. They don't believe in Chinese medicine.
Leader Cheng was different. He nodded slightly after hearing this. After all, in the top health care group, there were several great national players who were indeed superb. He had also seen it, so he was not against Chinese medicine in his heart.
"In addition, Vice-President Ye of the Tuyuan Hospital knows that our traditional Chinese medicine hospital has the most advanced 750 mA The 20 most outstanding doctors and 30 nurses in digital hospitals
Take the Dr. Guo in front of you as an example. It turns out that he is just a junior doctor at the Peking Union Medical College Respiratory Department. He only came to this position after real experts such as Bi Xinglong and Ma Zhongli quit. His medical skills are amazing..."
Guo Jianqiao was so angry that he almost had a brain hemorrhage. If it was not illegal to hit someone, he now wanted to beat Lin Sanqi to death.
"Lin Sanqi, you can look down on me, but what qualifications do you, a traditional Chinese medicine wizard, have to look down on the level of our Union Medical College Hospital? Mr. Ramiz is the consultant of our entire hospital. If you deny our final diagnosis, you are denying our entire Union Medical College Hospital." Hospital!”
As soon as Guo Jianqiao said this, the staff at Union Hospital looked at Lin Sanqi with a somewhat unkind look.
How dare a young Chinese medicine practitioner deny Union Medical College’s diagnosis? Do you want to go to heaven? (End of chapter)