Anthony not only wasn't angry, but instead laughed a few times:
"Lin, we are discussing a case now. You are here just in time, and neither side can convince each other. Oh, let me introduce it to you first.
This is Professor Philip, the deputy director of the Welsh Hospital, Mr. Huang Jinheng, the doctor in charge of the infectious department, and Mr. Ji Junhao, the deputy consultant doctor. ”
Professor Philip and Dr. Huang Jinheng were both very polite and shook hands with Lin Sanqi. As big bosses, they naturally had their demeanor:
"Welcome Lin Sheng."
"Director Lin, lucky to meet!"
When he arrived at Dr. Ji Junhao, the middle-aged doctor just smiled slightly and stretched out his hand as if the leader had received him:
"Doctor Lin can call me David."
OK, Lin Sanqi understands it. It turns out that he is a fake foreigner and doesn't even bother to admit his real name.
Lin Sanqi also reached out and smiled and held it: "Hello, Mr. Banana."
Foreign experts were confused, but many Xiangjiang doctors in the conference room burst out laughing, and then pretended to be serious. It was obvious that these people could hear the meme in Lin Sanqi's episode.
Ji Junhao is an absolute elite in his career, so he can graduate from a foreign medical department and work in the best hospital in Xiangjiang. How could he not hear the irony in Lin Sanqi's episode?
So he cursed back without being outdone:
"Mr. locust, if you only speak out quickly, I think you should go back to the north."
As soon as these words were said, the doctors on both sides of Xiangjiang and the mainland changed their faces. Locust means locust, which is a special noun for white people to curse Chinese people.
Lin Sanqi laughed: "OK, it seems that Mr. Banana is very humorous."
After saying that, Lin Sanqi turned around and looked at Professor Anthony and said:
"Anthony, kick him out of our clinical verification research team."
Professor Anthony was also speechless, thinking that Ji Junhao was really a thorn. If you want to discuss academic issues, why should you accompany personal attacks?
Others don’t know the energy of Lin Sanqi in front of him, he knows it clearly. He is already deeply saddened by this Xiangjiang doctor.
It probably won’t be as simple as kicking out of the research team in the end.
Dozens of dead souls on the seaside of Houhai Bay in the New Territories will definitely warn this ABC at this time, don’t say anything that is not conducive to unity. You must admit that you are a Chinese, otherwise you will become an underworld person.
Huang Jinheng is the head of the Infectious Disease Department. When Lin Sanqi arrived, the situation suddenly changed. Naturally, he needed to fight for his subordinates, otherwise how to lead the team:
"Director Lin, I believe there must be a misunderstanding here. We are discussing a medical case now, why don't you sit down and listen first."
Who knew that at this time Ji Junhao did not have any taboos on these mainland colleagues. Instead, he pointed to a slide on the wall and said:
"Mr. Lin, it doesn't matter whether I join your research team or not, because I have seen your medical level. From my professional perspective, your level is very lowlevel.
In front of the world's peers, you can take a look at the X-ray lung film above, which has diffuse miliary shadows in both lungs. What an obvious case of tuberculosis. You mainlanders may think that the diagnosis is difficult, but it is not complicated if you look closely.
However, your mainland doctor insisted that this was a case of lung cancer and refused to admit the patient. mygod, it turns out that this is how 94% of your cure tuberculosis? Only mild patients are admitted, and even serious patients are pretending not to be tuberculosis? ”
As soon as these words came out, doctors from all over the world watching were also talking.
Because from the perspective of evidence-based medicine, for fairness, doctors in the clinical verification group cannot choose patients. Regardless of the severity of the disease, they must be treated equally, so that the final data is the standard.
If only mild patients are admitted, the cure rate will increase, but the data will be inaccurate and will not be recognized by experts from various countries and the WHO.
Lin Sanqi knew that to slap people in the face, the best way was to defeat them, the other party valued the most.
So Lin Sanqi also faced the slides on the wall at this time, and then looked at Ji Junhao in confusion.
Because on the X-ray, the "trench-like" aerial images can be seen in the solid-transformed images, and it doesn't look like tuberculosis no matter how you look.
As a student who graduated from Huadu Medical University, Lin Sanqi quickly retrieved the content of his former classes and internships in his mind.
Then he was sure that there was an introduction to such a movie in the book.
But a movie cannot represent anything, Lin Sanqi looked at his subordinates again:
"Old Jia, you are the team leader of the diagnosis and treatment team. Come and introduce this case to me."
Jia Xuezhen stood up and had no medical records. She directly introduced it to the slide:
"Director Lin, this patient is a male, 58 years old this year. He was admitted to the hospital for interrupted cough, sputum and asthma for more than 5 months." "The patient developed cough and sputum after catching a cold five months ago, which was white foamy sputum, and was tolerated after activity. It was accompanied by nasal congestion and runny nose, occasional night sweats, no fever, no hemoptysis or difficulty breathing, no chest tightness and chest pain.
This is an X-ray taken by him in the outpatient clinic. From the film, you can see that the flocculent and ground-glass-like lobes of both lungs are changed, with blurred edges and worse than the upper lobe of the left lung. Dr. Ji diagnosed it as secondary tuberculosis.
Since the onset of the disease, the patient's mental, diet, and sleep have been good, his urine and defecation have been normal, his physical strength has decreased, and his weight has decreased by 5 kg. ”
Lin Sanqi silently remembered that the weight had dropped by 5 kg.
"Physical examination: The breathing sound of the left lung is low, no obvious wet rales or wheezing sounds, and no other abnormalities are seen. The outpatient PPD test was performed, and the result was negative; a sputum tuberculosis bacteria smear was also performed, and all three consecutive times were negative.
So according to the results of our group's discussion, the patient was consistent with the diagnosis of left lung malignant tumors, not tuberculosis. So we refused to admit this patient. But Dr. Ji insisted that this was a case of tuberculosis. ”
Lin Sanqi turned his head and looked at the banana doctor and asked:
"Tell me your reasons."
Ji Junhao stood up casually with his eyes and customized work clothes:
"You can watch this film. First of all, I consider infectious lesions. Although laboratory examinations do not support it, we doctors should trust our eyes and judgments more, so tuberculosis cannot be excluded.
Let’s look at it again. The left lung lesion seems to support malignant lung tumors, but don’t forget this and here, the presence of diffuse millet-like shadows in the patients’ lungs. I believe that those who have been to college and read textbooks can know what disease is, right? ”
Lin Sanqi didn't understand:
"You just rely on a diffuse millet-like shadow of both lungs. There is such a distinction point in the textbook. Do you firmly believe that this is tuberculosis? Have you not seen that there is a very obvious 'trenchymal' aerial image at this location?"
Ji Junhao was stunned for a moment and pointed to the direction Lin Sanqi pointed:
"What, what branch-like aerated images?"
Whether it was Professor Anthony, Professor Theodore, or Vice President Philip of the Welsh Hospital, Dr. Huang Jinheng, were confused.
It can be imagined what the "trench-like" looks like, but this image is obviously not seen on this X-side.
Ji Junhao sneered: "Is that true? Dr. Lin, I didn't see any branches."
Lin Sanqi patted his forehead and knew what the problem was.
In 1962, Xiangjiang Hospital only had X-rays and no CT machines, so their thinking was limited to the regular images of the lungs.
In 2014, Lin Sanqi was in the city, CT films were popularized in health centers, which is the most common diagnosis method.
When Lin Sanqi was still an intern, the teacher talked about classic cases. When talking about the lesson of imaging diagnosis, he would compare the X-rays and CT scans of the same patient to the students.
So Lin Sanqi knew what the "trench-like" air-containing shadows looked like on CT films, and also knew what the manifestations on X-rays.
When he saw this case, he could immediately see what kind of shadow it was through the details and then infer what disease it was. This is based on rigorous scientific basis.
But neither American doctors, Xiangjiang doctors, nor experts from all over the world watching behind them understand.
Medicine is what it captures "characteristics".
Just like what Dr. Ji Junhao caught the characteristic of "diffuse miliary shadows in both lungs", and then firmly believed that this was a manifestation of tuberculosis.
Lin Sanqi, on the other hand, was focusing on the points of "airway lesions in dead branches" to complete his own judgment.
Both parties have no problem with their diagnostic ideas, and the problem lies in the fact that Lin Sanqi has prescient knowledge that is more than 50 years ahead of this era.
So if Dean Wang of Huadu Medical University is asked to judge who is right and who is wrong, it will be clear at a glance.
But if you ask experts from all over the world to judge, no one can be sure of it, because they don’t understand, and the referees don’t understand, how can they tell the right or wrong? (This chapter ends)