Chapter 172 Completely different opinions!
Director Hao has the highest professional status among the three chief doctors of thoracic surgery, and it is natural for him to become the spokesperson.
Hearing this, he was silent for a moment, then gently pushed his glasses frame, shook his head and said:
"Secretary Bai, there is no way to achieve 100% success in many things in medicine. "
"Especially for pulmonary nodules, which only use CT images as a reference, and ultimately require doctors to make judgments based on clinical experience, and there will inevitably be some errors, so..."
< br>
"We can't guarantee 100% results."
"Oh."
A trace of disappointment flashed in Secretary Bai's eyes, but he also knew that this matter was indeed very difficult.
On the one hand, it is difficult to diagnose pulmonary nodules; on the other hand, there is a lot of pressure in drawing conclusions.
After a moment, his tone softened:
"Director Hao, how sure are you that this is a malignant nodule?"
"65%!"
"65%?"
Bai The secretary suddenly fell silent.
This probability obviously does not satisfy him.
Director Hao also noticed that the atmosphere suddenly became a little dull. He coughed lightly and explained again:
"Secretary Bai, to be honest, it is really difficult to judge this pulmonary nodule, even for me. There are also certain differences between Director Li and Director Qiao.”
“In terms of the shape of the nodule, it does not have obvious malignant characteristics, but it has actually grown since last year. It is close to 1mm, obviously active, and consistent with the growth rate of malignant tumors.”
“So, we also hope that you can understand the difficulty of judgment. We believe that the probability of this nodule is about 60 to 70%. A rapidly growing malignant tumor may be squamous cell carcinoma.”
“In addition, there is a 20-30% chance that it is an uncommon lung adenoma hyperplasia.”
"But all things considered, the probability of malignancy is higher, so we still recommend surgery."
Director Hao's rigorous explanation also made Secretary Bai realize the difficult decision of the three of them.
After a few seconds of silence, he took a deep breath. It seemed that this matter did involve some risks.
“Okay!”
The expression on Secretary Bai’s face returned to normal, and then he showed a look of gratitude:
"Then I am very grateful to the three professors for coming here for consultation so late tonight. I have written down all their diagnosis and treatment suggestions!"
"But everyone knows the identity of the patient, and the surgery is special. I can’t make the decision.”
“I have to communicate with the relevant leaders and Mr. Zhang himself to confirm it. If it is determined that surgery is necessary, we will have to trouble the three professors. "
"No trouble, no trouble, this is what we should do."
< br>After being polite, Director Hao and the others left the conference room. Secretary Bai had already prepared a special car at the entrance of the hospital to take the three of them back.
Secretary Bai was the only one left in the empty conference room. He rubbed his temples and began to think about how to report this matter.
To be honest, the probability of 65% is not too low. In addition, this is the unanimous recommendation from the three top thoracic surgeons in the country, and the probability can even reach over 80%.
But after all, this is used on elderly academicians of important national projects, so people have to be more careful.
“It’s hard to do. It would be nice if the three professors could be more confident. It’s really hard to make a choice now.”
Secretary Bai sighed with emotion,
At this moment, the door of the conference room was gently pushed open, and a middle-aged man walked in:
"Secretary Bai, what did Director Hao and the others say? Do you think it is a malignant nodule or a benign nodule? Surgery is required. "
The visitor is Director Ma Yaohua, the head of the Department of Thoracic Surgery at the Air Force General Hospital.
Director Ma is considered the royal doctor of the Aerospace Group, and he was the first to notice the abnormalities in Mr. Zhang’s CT images.
Due to the complexity of the situation, he suggested that Secretary Bai seek consultation with three top thoracic surgery experts, Director Hao, Director Li, and Director Qiao.
Secretary Bai shook his head slightly, and then informed Director Ma that Director Hao and the others were only 65% sure.
Director Ma was silent upon hearing this. He also realized that if even the top three Directors, Director Hao, were only 65% sure of the consultation, then this operation would indeed be somewhat risky.
After a moment of silence, he saw the confusion in Secretary Bai’s eyes and said:
“Secretary Bai, if you really have trouble making a choice, I suggest you find another person to look at. Look.”
“Oh?”
Secretary Bai looked startled and suddenly said in surprise:
“Who else can I talk to?”
“It’s a junior brother of mine. He is currently in Shancheng City Xinqiao Hospital, which is also the Army University. The Second Affiliated Hospital”
“Because it is in the southwest. In this region, medical resources are not very developed, so the influence of thoracic surgery in the country is not as great as that of Director Hao and Director Qiao.”
“But I know that my junior brother has very strong professional ability, especially in judging lung nodules. The festival is even more unique.”
"In recent years, he has insisted on providing free pulmonary nodule diagnosis to patients on the Internet. Not only is he very down-to-earth, but the accuracy of the diagnosis of each pulmonary nodule is indeed high!"
"As his fame gradually spread, Many patients even come from the northeast and coastal areas to register at Xinqiao Hospital just to have him look at their lung nodules!”
Hearing this, Secretary Bai’s eyes gradually brightened.
"What's his name?"
"Director of the Thoracic Surgery Department of Xinqiao Hospital, Director Dai Jigangdai."
"He also has an exclusive Tieba on Baidu Tieba, which is very popular. Netizens on Tieba call him 'Dai Shen'. You can also go to Tieba to have a look."
"'Dai Shen'?! ”
“This is not a low title!”
Secretary Bai was originally ready to report to the leader, but after hearing Director Ma’s strong introduction, his mind immediately became active again.
He immediately checked Dai Jigang's professional resume on the Internet, and then went to Baidu Tieba to read many posts. In just twenty minutes, he decided to meet Director Dai in person.
Although Dai Jigang is slightly less famous than the previous Directors Hao and Li, he is by no means an unknown person. He is a chief physician, a professor, and a doctor of medicine. He is also ranked within the top 50 in the national thoracic surgery department. His professional ability is beyond words!
The most important thing is,
It is really known as the "Dai Shen" on the Internet, and it is a unique skill to see lung nodules!
Early the next morning, Secretary Bai flew to the mountain city. During his lunch break, he met Dai Jigang.
Director Dai wears a pair of glasses. He is very young, about forty years old.
"Director Dai, the specific situation is probably like this. Please take a look at the film to see if it is a malignant nodule or a benign one."
"Okay, I will try my best."
Without unnecessary nonsense, Secretary Bai quickly explained his purpose.
After learning the identity of the patient, Director Dai also realized that the matter was serious, and immediately put down his work and started to check it carefully.
The office became quiet. About twenty minutes later, Director Dai, who was immersed in the CT images, suddenly raised his head.
"Secretary Bai, I have finished reading." Secretary Bai looked shocked and looked forward to it:
"How is it? Benign or malignant?"
"I'll start with Let’s start with the left lung.”
Director Dai slowly turned the laptop in the direction of Secretary Bai.
"The first one in the left lung is a solid nodule. There was none last year, but it is new this year. Although the shape is a bit abnormal, I think it is not a big problem and we can continue to observe it."
"And there are another one or two in the right lung. I think all three ground glass nodules are benign and there is no problem!”
“Only the last one cost me a lot of time. After reviewing the images taken in the past two years, I believe that this is most likely a benign and uncommon lung adenoma hyperplasia.”
“Although it has grown larger this year than last year, it is just a hyperplasia and is not a malignant tumor. Keep watching and see!”
“In other words, I don’t think there is any need for surgery at the moment!”
Not a malignant tumor? !
No need for surgery? !
After the words fell, Secretary Bai was stunned.
To avoid interference, he did not tell Director Dai the conclusions of Director Hao and the others in advance, but he did not expect that Director Dai would come to a completely different conclusion on the most critical nodule as soon as he opened his mouth. !
Benign nodules? !
After thinking for a moment, he suppressed his surprise and decided to inform the judgments of three other top thoracic surgeons.
"Director Dai, to be honest, I also looked at several other top thoracic surgeons before you."
"Including Director Hao from the 301 Hospital and Xie Hehe Director Qiao, they all think that the last nodule in the right lung is most likely a malignant nodule. Do you want to take a closer look?"
Director Dai was slightly surprised, but then he shook his head and his eyes changed. Become more determined.
"Secretary Bai, there is no need to read it. I have read it many times. I am very sure of my judgment - this is a benign and uncommon lung adenoma hyperplasia!"
"There is absolutely no need for thoracotomy at the moment!"
Director Dai's firm tone was really encouraging, and Secretary Bai couldn't help but get excited.
If there is no need for surgery as Director Dai said, then Mr. Zhang will not need to be stabbed, and the aerospace project he is responsible for will not have to worry about delaying the progress!
But within three seconds of excitement, Secretary Bai suddenly found himself falling into a deeper level of difficulty.
Originally, he had thought about it. If even Director Dai, known as "Dai Shen", believed that this was a malignant nodule, then even if there was only a 65% probability, he would try his best to convince Mr. Zhang as soon as possible Get the surgery!
After all, the top thoracic surgeons in the country all agree that the risk is worth it!
Available now!
Three top experts headed by Director Hao and Director Dai, a so-called "Dai Shen" who is also a top expert, have completely different opinions. What should we do?
Who do you listen to now? !
……
Secretary Bai didn't expect that things would become more difficult after seeing a few more experts.
While he was thinking about how to report this matter to his leader, Zhang Yang was rarely leisurely.
Since Dean Zhou readily agreed to provide a CT machine for modification, he contacted the manufacturer of the CT machine - Siemens (China) Headquarters the next day. In the past few days, he has been waiting for Siemens from the Magic City. Technical personnel from the headquarters came to negotiate.
And the other side.
Zhang Yang also provided relevant information about the "nano-nodule developer" obtained in the simulator to Wei Tian, allowing him to start animal experiments in the R&D center and prepare to apply for clinical trials.
Something must be said here.
Although nodule imaging agent is not a therapeutic drug, it still needs to be injected into the human body, so animal experiments must still be done.
While Zhang Yang was happily advancing the progress of the "Nano Nodule Developer", Dean Zhou, who had not been in contact for a week, suddenly called.
Zhang Yang was suddenly excited. Someone from the Siemens manufacturer must have arrived.
"Zhou Yuan, what's wrong? Are technicians from Siemens here?"
To Zhang Yang's expectation, Dean Zhou's voice on the other end of the phone was a little low:
"Zhang Yang, it is indeed someone from the Siemens manufacturer who is here, but... things are a bit troublesome. Are you free now?"
After hearing this, Zhang Yang's bright smile gradually faded, he frowned slightly, and his voice lowered.
"Zhou Yuan, I'm free now. I'll come over right away. Is it in your office or the CT room?"
"Office!"
"Okay!"
After hanging up the phone, Zhang Yang drove quickly towards the Third People's Hospital of Chengdu.
Thirty minutes later, Zhang Yang arrived at Dean Zhou's office. As soon as he entered the door, he saw two unfamiliar faces sitting on the sofa.
"Zhang Yang, these two are technicians sent by Siemens; we contacted them a week ago and said that we need to modify the supporting functions of a CT, but there seems to be a communication problem."
Zhou After the dean finished speaking, the two people on the sofa stood up.
One of the tall and lanky staff members was the first to say:
“This boss is always like this. When your hospital contacted us, our sales staff thought they were going to add some functions to the CT machine, so we agreed. Come down!
But here we are at Houzhou Yard. It’s just that you provide the technology and we help with the transformation.”
“If this is the case, it is impossible for us to accept such a plan, and we will not use our instruments to assist third parties in any transformation.”
Zhang Yang understood the reason instantly.
To put it simply, Siemens only recognizes its own supporting solutions and is not willing to accept improvements from third parties.
This is understandable.
After thinking for a moment, Zhang Yang said in a deep voice:
“It’s our problem, we didn’t make it clear before.”
“That’s right, we are now engaged in a For a drug trial, the supporting CT machine needs to be improved. If this project is successful, we can also cooperate with your company in the future. ”
"By the way, I am the boss of Tsingshan Pharmaceutical. This project is also our Tsingshan Pharmaceutical project. You can call and ask your senior management if you can talk to us."
Qingshan Pharmaceutical !
After the words fell, Zhang Yang clearly felt the sudden change in the eyes of the two Siemens employees, and there was obvious shock in the expressions looking at him.
After a moment, the tall and thin staff member suddenly showed a bright and polite smile and said:
"Are you Mr. Zhang from Qingshan Pharmaceutical? I have heard of your name! ”
"You just said that your company is conducting a drug trial and needs to improve the supporting CT machine?
Logically speaking, we have never cooperated with a third party, but you are the boss of Qingshan Pharmaceutical, I will immediately I’ll call you and ask the headquarters, can you wait a moment?”
Zhang Yang didn’t expect the other party to be so enthusiastic, so he smiled and nodded.
“Of course!”
(End of this chapter)