Chapter 178 Mr. Zhang, we are convinced!
"Mr. Zhang, this is Zhang Yang, the boss of Qingshan Pharmaceutical. It was they who developed this 'nano-nodule developer'."
"Mr. Zhang, this is Mr. Zhang, He is the most important academician of our aerospace group and one of the important leaders of the current national manned moon landing project. ”
< br>"After Mr. Zhang heard that you had developed this 'nodule developer', he immediately expressed his willingness to give it a try and be your first clinical subject."
Secretary Bai's He acted very quickly. After Mr. Zhang decided to go to Chengdu to take a CT scan and try the "nodule developer", he immediately arranged the trip.
At ten o'clock the next morning, Mr. Zhang and his party arrived at the Third People's Hospital of Chengdu on time and met Zhang Yang.
“Zhang Yang, this old man like me came here uninvited and caused trouble for you...”
Zhang Yang smiled and said:
“It’s not troublesome, it’s okay. Thank you, Mr. Zhang, for your support of our clinical trial work!”
“Okay, Mr. Zhang, please take a break while we prepare for you and give you a CT examination on time at two o’clock in the afternoon. What do you think? How is it?”
"Okay! Everything is at your discretion!"
After a few simple polite words, Zhang Yang finalized today's arrangements.
Lao Zhang and his party were immediately settled. After a while, Director Hao and Director Qiao, who had come all the way from the capital, also arrived at the Third People's Hospital of Chengdu.
In the office, Dean Zhou warmly welcomed the two directors.
"Director Hao, Director Qiao, two rare guests... please come in, please come in!"
"Let me introduce you to you, this is Mr. Zhang Yang of Qingshan Pharmaceutical..."
Dean Zhou was very enthusiastic.
You know, Director Hao and Director Qiao are both top experts in thoracic surgery in China, and they are usually unable to invite them.
This uninvited visit is an excellent opportunity for communication.
But just as Dean Zhou was introducing Zhang Yang, suddenly, another tall and thin figure walked in from the office door.
Taking a closer look, it was Director Dai Jigang of Shancheng Xinqiao Hospital.
Dean Zhou couldn't help but be stunned for a moment, and the smile on his face instantly became a little embarrassed.
Everyone knows that Director Hao, Director Qiao and Director Dai are all the top thoracic surgeons in the country, but they have completely different judgments on the matter of Mr. Zhang's pulmonary nodules.
Perhaps the three of them had no other ideas when they made the judgment, but as Zhang Lao's matter has developed to the present, it is inevitable that everyone will have some "showdowns" when they gather together. , the idea of "seeing who is better".
This is human nature.
The atmosphere in the office suddenly felt awkward, but Dean Zhou reacted immediately!
He smiled and said:
"Director Dai, you are here just in time. Director Hao and Director Qiao have just arrived!"
"Stop standing at the door. Come in, come in!"
Dean Zhou greeted him equally enthusiastically, while Zhang Yang took the opportunity to quietly look at Director Dai in front of him.
To be honest, he is quite interested in Director Dai!
He knew very well that Director Dai made the diagnosis only after Director Hao and Director Qiao judged the nodule to be malignant.
Other doctors may have been equivocal for a long time, but Director Dai dared to insist that it was a benign tumor even after the three most authoritative doctors in the country determined it was malignant!
If nothing else, just this little confidence is enough to think that Director Dai has something!
With Dean Zhou's warm greetings and Director Dai also smiling and greeting everyone, the atmosphere was not so awkward.
Gradually, everyone’s topic fell on Qingshan Pharmaceutical’s “Nano Nodule Developer”.
Zhang Yang was also very happy to introduce his own "Nano Nodule Developer" to the three of them.
The three directors in front of me are all the most authoritative doctors in thoracic surgery in China, and in China, the promotion of a drug is often top-down.
To put it simply, after being used in the best hospitals, it will gradually be spread to slightly worse hospitals through various lectures, learning exchanges, further training, etc.
If we can get the approval of the three directors in front of us, it will definitely be a good thing for the promotion and sales of "Nano Nodule Developer".
Unknowingly, several people had been communicating for nearly an hour, and the three directors' understanding of "nodule developer" has also improved!
Seeing that it was time for lunch, Zhang Yang stood up with a smile and interrupted:
"Three directors, it's almost time, let's have a meal together first."
< br>"In the afternoon we will see the first real application of the 'nano-nodule developer'!"
Everyone also stood up:
"Okay, let's wait and see."
Time passed quickly, and soon it was one o'clock in the afternoon.
Since it takes 60 minutes for the "nano-nodule developer" to reach the lung tissue to complete the fluorescence reaction,
so at one o'clock in the afternoon, Mr. Zhang came to the CT room. "Nano nodule developer" was injected in advance.
As the colorless and transparent liquid was injected into the vein, Zhang Yang also appeared in the CT room.
"Mr. Zhang, how are you feeling? Is there anything abnormal?"
"Everything is normal, Zhang Yang, don't worry, I completely trust you!"
"Okay!"
At two o'clock in the afternoon, Mr. Zhang was ready and lying on the CT machine.
In the operation room of the CT room, Secretary Bai, Director Hao, Director Qiao, Director Dai, Zhang Yang and a CT machine operator are also ready. Everyone is waiting for the double check from Elephant Medical. The source CT machine starts the first CT scan of pulmonary nodules.
Zhang Yang glanced at the time, stopped talking, patted the CT operator on the shoulder, and said:
"It's almost time, let's start!"
"Okay, Mr. Zhang !”
With a command, as the operator pressed the scan start button of the dual-source CT machine, the unique current sound of the CT machine sounded.
The operator patiently guided Mr. Zhang to exhale and inhale. After about a minute, the entire CT scanning process ended.
The door of the CT room opened, and Mr. Zhang's children began to help Mr. Zhang sit up. However, the atmosphere in the operating room became extremely tense. Everyone held their breath and all their eyes fell on the computer screen.
The same is true for Zhang Yang. He is also looking forward to seeing the final result!
Dual-source CT imaging is very fast and can be completed in about one minute. As for the fact that it takes up to four or five hours to get the results in the hospital, that is because you still need to wait for the radiologist after imaging. Make a diagnosis.
Obviously there is no need for a radiologist to make a judgment in the operating room in front of me, but one minute is still a bit long.
At this moment, Zhang Yang suddenly said:
"Director Hao, Director Qiao and Director Dai, if I remember correctly, Mr. Zhang's previous CT seemed to show a new solid nodule in the left lung and four ground glass nodules in the right lung, a total of five "The solid nodule in the left lung and the first three nodules in the right lung are all considered to be no problem. The biggest disagreement is the fourth ground glass nodule originating from the right lung. festival, right? "
"Director Hao and Director Qiao, you think it is a malignant nodule, while Director Dai, you think it is a benign hyperplasia..."
Zhang Yang's words made the three of them even more nervous. Director Dai couldn't help but push up his glasses frame, and whispered while looking at the computer screen:
"Yes, it is indeed like this."
"Well, yes!"
"Okay, the CT images are coming out soon, and we will know the results soon!"
After the words fell, everyone stared at the screen intently. , gradually, the outline of Zhang Lao's lungs appeared, and then the image of his right lung became clear.
The first ground glass nodule appeared.
The second ground glass nodule appeared. The third one, the fourth one...
No one has reacted yet. Due to the special effect of the "nodule developer", if the nodule is benign, it will not produce a fluorescent reaction, and the image displayed on the computer screen will be the same as a normal CT image. It's off-white.
While everyone was looking at the gray-white image, Zhang Yang already knew about the result of the fourth nodule. Director Dai of Shancheng Xinqiao Hospital should have made the right decision!
There is no fluorescence reaction, which means that the fourth nodule in the right lung is a "benign hyperplasia"!
Director Dai really has something, beating two of the most authoritative thoracic surgery authorities in the country!
Thinking of this, Zhang Yang showed a smile on his face and looked at Director Dai:
"Director Dai, congratulations, there is no fluorescence reaction on the CT image, which means that this is a benign nodule. !”
“Your judgment is correct!”
“Ah?”
Director Dai also reacted and smiled instantly. It appeared on the face.
Zhang Yang's words obviously fell on the ears of Director Hao and Director Qiao. They were shocked and couldn't react when they saw the image results that were no different from traditional CT images.
"Mr. Zhang, is there any error in the result?"
"I didn't see any fluorescence reaction!"
Zhang Yang shook his head , he is obviously very confident in the "nodule developer" provided by the system.
However, Director Hao and Director Qiao’s doubts were somewhat reasonable. They were about to explain in detail, but at this moment, a bright red dot suddenly appeared on the computer screen!
He looked hurriedly and was suddenly stunned!
Left lung!
The position of the red dot, isn’t this the position of the solid nodule in Mr. Zhang’s left lung? !
Others also immediately noticed the sudden appearance of red spots on the CT images and were equally surprised!
The next second, without Zhang Yang’s explanation, everyone realized that this should be the fluorescence reaction that Zhang Yang mentioned!
That is to say!
There is nothing wrong with the nodule that Director Hao and Director Dai had disagreements about before!
On the contrary, it is the left lung that three top doctors in the country have not noticed!
Is the solid nodule in the left lung a real malignant nodule? !
This is impossible!
The results of the CT images shocked everyone. At this moment, Director Dai, who was still smiling, suddenly took a step forward and squeezed directly in front of the computer screen.
He looked solemn and asked the CT operator beside him anxiously:
"Teacher, could you please hide this red fluorescence reaction temporarily? I want to see the original CT image. Can the layer be used? ”
“Of course!”
The CT operator hurriedly turned off the fluorescence reaction function on the software, and the image on the computer screen returned to the most traditional CT image!
Director Dai looked extremely serious and began to carefully examine the latest CT images. At the same time, he also took out Zhang Lao's last CT image for comparison.
At this moment,
not only him, Director Hao and Director Qiao, who were still immersed in disbelief and unwilling to accept, also reacted, quickly crowded in front of the computer screen, and started Let’s carefully review the latest CT images together!
At this moment, the two of them could no longer care about the ground glass nodule in their right lung.
If the ground glass nodule in the right lung can be regarded as the "battle between high and low" between the three of them, then the "solid nodule in the left lung" that none of the three people noticed in front of them is obviously the "battle between people". The battle with drugs! ”
They didn’t believe that all three of them were wrong!
Director Hao, Director Qiao, and Director Dai looked at it more carefully than ever before. Gradually, the three of them started to discuss heatedly while looking at it.
Various professional terms and assumptions echoed in the small operation room. Zhang Yang, the operator and Secretary Bai also consciously took a step back, leaving all the space in front of the screen to the three of them.
Zhang Yang was also very touched. No one could have imagined that the three people who originally had some intention of "competing over each other" would start a discussion without any interruption at this moment!
After ten minutes, the discussion between the three people gradually became quieter. Director Dai stood up first and turned around, looking at Zhang Yang in shock:
"Mr. Zhang, we have very carefully compared the CT image just now with Mr. Zhang's CT image three months ago!"
"I have to admit that compared with the CT image taken three months ago, this time, Although this solid nodule has not grown significantly, it is still 5mm, but there are indeed some malignant burrs inside. , branching characteristics!”
“So, we also think it is possible that this solid nodule is malignant!”
“Your contrast agent judgment should be correct!”
Zhang Yang nodded, and at this moment, Director Hao on the side also turned around and said:
“This time I agree with Dai Jigang’s judgment!”
“To be honest, the 5mm nodule is too small. If it weren’t for the fluorescence reaction on the CT image, maybe we might not be able to do it this time. Notice the change in this solid nodule!”
“Of course, if we wait for it to grow a little longer, we will definitely find that it is a malignant nodule;
But to be honest, the malignancy of solid nodules is very high. Once it truly enters the period of rapid development, if we find it again a year later, the risk of spread and the risk of surgery will definitely be higher than now! ”
“I have to say, Mr. Zhang, the clinical application effect of your medicine is many times better than I imagined. It’s great!”
Zhang Yang also didn't expect that Director Dai and Director Hao would suddenly give such a high evaluation to "Nano Nodule Developer".
He smiled, but it was not time to open the champagne at halftime.
"Director Hao and Director Dai, we have to see the pathology results in the end to be sure."
"Well, let's tell Mr. Zhang now. If nothing else, this solid Sexual nodules should be operated on immediately!”
Soon, a group of people walked out of the operating room, and Mr. Zhang and his children had been waiting in the corridor for a while.
Seeing Zhang Yang and others coming out, Zhang Lao stood up and asked personally:
"Zhang Yang, what was the result? Is it benign or malignant?"
Zhang Yang exhaled softly:
"Mr. Zhang, there is good news and bad news. . ”
“The good news is that our ‘Nano Nodule Developer’ test results showed that the fourth ground glass nodule on your right lung had no fluorescence reaction, that is to say, it was not detected. Any cancer cell marker, it’s a benign growth! ”
"Ah? What about the bad news?"
"The bad news is that the new solid nodule on your right lung is a malignant nodule. Considering that solid nodules are the most malignant, so , it is recommended that you have surgery immediately!”
“Of course, a minimally invasive surgery on the left lung will be enough, within a week. You will be fully recovered within a few days! You don’t have to worry about delaying your work!”
“Do you think you are willing to do the surgery now? Director Hao, Director Qiao and Director Dai are all here. If everything goes well, we can do it tonight.” The surgery can be arranged.”
No one could have imagined that the final result would be like this.
But this time Mr. Zhang did not let Zhang Yang wait too long. After just one minute, he nodded:
"Zhang Yang, I believe you, let's do the surgery here!"
Night At 7 o'clock, after five hours of preparation, three top thoracic surgery experts, Director Hao, Director Qiao, and Director Dai, completed a minimally invasive surgery.
Of course, in addition to removing the solid nodule on Mr. Zhang's left lung, this time with Mr. Zhang's consent, Director Hao personally located the fourth ground-glass nodule on his right lung and performed " Sample biopsy."
At 8 o'clock in the evening, the intraoperative pathology came out.
Intraoperative pathology of ground glass nodules in the right lung: normal tissue, benign hyperplasia.
The intraoperative pathology of the left lung solid nodule was: lung adenocarcinoma, micro-invasive (stage 1).
At 9 o'clock in the evening, Director Hao, Director Qiao, and Director Dai walked out of the operating room. The first words they said after seeing Zhang Yang were:
"Mr. Zhang, we are convinced."
“The left lung is indeed lung adenocarcinoma, and the right lung is indeed benign hyperplasia, there is no mistake!”
(End of this chapter)