"Mr. Nanxiang, this is our outpatient area. We now have 16 clinics open. We strictly follow the infectious disease prevention and control requirements, and each patient is assigned a clinic..."
Lin Sanqi introduced the Japanese guests as they walked.
In fact, not only Lin Sanqi felt strange, but even several senior leaders felt strange. They thought that even if you Japanese guests wanted to visit, you should go to famous places such as the Forbidden City and the Great Wall, right?
If you really don't want to travel, you should at least go to large enterprises like the Peking No. 1 State-owned Cotton Mill and the Red Star Steel Plant, right?
Why do you want to visit the hospital?
Or is it an infectious disease hospital? The kind of hospital that rich people avoid, right?
However, at this moment, starting from the other party's generous offer of 10 ambulances, Lin Sanqi had already tasted the meaning, and thought that there must be something that he needed help from during these days.
The most likely possibility is that the person himself has tuberculosis, or the other person's close relative has tuberculosis.
Since you need my help, Lin Sanqi feels more confident and starts sharpening his knife, ready to make a few more cuts when the chance arises.
Mr. Nanxiang smiled and nodded, and asked casually:
"Mr. Lin, I heard there are American doctors working at your infectious disease hospital? Why don't I see any?"
Lin Sanqi's eyes lit up, thinking, "Here they come! They're well prepared indeed. Now I'm not afraid of you having demands, I'm just afraid of you having no desires, humph."
"Oh, you mean the medical team from Harvard Medical School in the United States? Indeed, they do. Professor Anthony is in the outpatient clinic today, but he's not in this row, but over there."
Nanxiang Saburo's interest piqued when he heard this: "Then please, Mr. Lin, take me to have a look."
By this time, the senior leaders behind him also tasted the flavor.
He was an old fox and immediately realized that Lin Sanqi's request for 10 ambulances was not something that was detrimental to the national dignity, but rather a "reward".
Professor Anthony's clinic is located in a conference room converted from the main hall of Dongyue Temple.
At this time, the outside was already full of patients waiting in line. Professor Anthony was holding an X-ray and observing it. The translator next to him was someone he brought from the United States.
What the Americans require is that they be able to accept patients independently throughout the process, even hiring their own translators, and that the Chinese are not allowed to interfere at all.
On the other side, more than 50 college students who had just graduated and joined the Infectious Disease Hospital were sitting quietly by, notebooks in their hands, following the foreign professor as interns.
Lin Sanqi led the Japanese closer to the clinic, then pointed at the white man inside through the glass and said:
"Mr. Nanxiang, this is Professor Anthony from the United States. He heard that our Infectious Disease Hospital has invented a special anti-tuberculosis drug, so he brought a team here to learn.
Oh, the attending physician in the inpatient department is Professor Theodore, also a professor at Harvard Medical School. Also, the people operating the X-ray machine, doing blood tests, and sputum cultures in the laboratory are all Harvard doctoral students.
After gaining an in-depth understanding of our research and inventions, these American experts cried and begged to work as ordinary doctors in our hospital. We couldn't stop them, which really put us in a difficult position.
Later, our Ministry of Health granted them temporary medical qualifications, and in order to stay in our hospital, they also donated $5 million in funding and insisted on joining our research team. It was really embarrassing.
Leader Cheng, Leader Jing, and Minister Li all twitched their lips after hearing this.
But a group of Japanese including Nanxiang Saburo and Xiaokusu Yukiki had their eyes shining. Japanese people admire the strong, so they did not think that Lin Sanqi's words were offensive, but instead thought that the other party was confident.
After all, Nango Saburo was the head of a chaebol, and at this time he signaled Dr. Xiaonan with his eyes.
Doctor Xiaonan leaned over to take a look at the glass, then whispered in Nanxiang Saburo's ear:
"Mr. President, I'm sure the doctor here is Professor Anthony. He's the vice president of the International Union Against Tuberculosis and Lung Disease. We often meet him at academic conferences."
Nanxiang Saburo felt relieved when he heard this, thinking that this Chinese doctor was not bragging.
"Five million... Five million dollars just to become a doctor? How much should I pay..."
When I really visited the infectious disease hospital, there was actually not much to see. After all, I was an outsider and I just had a quick look.
In order to "cry poor", Lin Sanqi did not allow these Japanese to go to the laboratory.
Whether they admit it or not, the Japanese are very smart and good at appearing weak. What if they see some machines and get inspired, so they invent them ahead of time?
On the contrary, Americans look down on you in their hearts, but they will show arrogance on the surface, so this is nothing to worry about.
The tour ended hastily in less than half an hour. Beijing was still very hot in July. When the group was invited into the conference room, there were only two electric fans blowing, and some cut watermelons were placed on the table.
The cadres on the Chinese side all wore white shirts and long trousers, but they couldn't stand the heat.
In order to maintain etiquette, the Japanese guests wore suits for men and professional suits for women. They were all sweating profusely from the heat, and even Nango Saburo had to ask his secretary to fan them.
Leader Cheng was embarrassed when he saw it, and quickly suggested:
"Mr. Nanxiang, the tour is over. If you feel it's too hot, I suggest we go back to the State Guest House, where there is air conditioning."
Yes, it’s not that there is no air conditioning in China, but that air conditioning is only available in a few places and by a few people. One reason is that it is too expensive, and the other is that the electricity supply is insufficient.
Lin Sanqi thought, at least the State Guesthouse has air conditioning, and the infectious disease hospital only has laboratories that require air conditioning because of the special equipment, and other departments such as the inpatient department and outpatient department do not have standard electric fans.
(The 12 national treasures were provided with air conditioning by Lin Sanqi, who also paid for the electricity out of his own pocket)
We can use the stove to keep warm in winter, but in summer we really just have to endure it.
In particular, the hospital converted from the Dongyue Temple is almost entirely made up of bungalows. After a day of scorching sun, the houses were like steamers.
Some Americans are quite cunning. They hide in the laboratory after get off work every day and refuse to come out. They also sleep on the floor in the laboratory at night. On the contrary, the Chinese doctors are too embarrassed to use the air conditioning.
Nanxiang Saburo sat in his seat, wiping his sweat with his handkerchief, and said with a smile:
"No, no, I'm still discussing tuberculosis treatment with your Chinese doctors and American experts. I happen to have a case file and would like to have a consultation with experts from both countries."
When Leader Cheng heard the other party's request, he understood the other party's purpose in coming to the infectious disease hospital, so he looked at Lin Sanqi:
"Comrade Sanqi, could you please invite a few American doctors to come for a consultation?"
Lin Sanqi nodded and asked Bi Xinglong to make the arrangements.
Soon, Professor Anthony and Professor Theodore rushed to the conference room, cursing:
"Lin, it's too hot! You Chinese are really heat-resistant. You don't even use electric fans on such a hot day. Lin, we've decided to pay for it ourselves. Can you help install a few air conditioners in our office? Oh, and in the dormitory, too."
On July 17, 1902, American engineer Willis Carrier invented the first air conditioner.
The first air conditioner was sold in department stores in 1924. By the 1950s, 90 percent of government offices and hospitals in the United States had installed air conditioners. By the end of the 1950s, air conditioners had become common in households.
At that time, electric fans were not yet popular in China, and air conditioners were a rare gadget that most people had never heard of.
Modern people can understand this best. When they were young, they lived like this without air conditioning. But if there were no air conditioning in the summer now, many people would probably die of heat in the summer.
This is why it is easy to go from simplicity to luxury, but difficult to go from luxury to simplicity.
Lin Sanqi did not feel embarrassed about the constant complaints from the American doctors. After all, they came of their own accord and he did not invite them.
"Professors, there's an old Chinese saying: 'Calm your mind and you'll naturally feel calmer.' You should be more composed."
Professor Theodore wiped off his sweat, picked up a piece of watermelon from the table and started to eat it:
"What's the point of being calm? How can we treat patients and conduct scientific research in such a harsh environment? You Chinese are honest. If it were in the United States, we would have smashed the dean's office long ago. Uh, no, you are the dean."
Lin Sanqi shrugged: "Don't mention that you want air conditioning. I want it too, but my financial situation doesn't allow it."
Suddenly, Nanxiang Saburo, who was fanning himself, said:
"Mr. Lin, I'll provide the air conditioners. We have an air conditioning factory under the Nichimen Industry Co., Ltd., and I can provide you with 100 air conditioners free of charge."
Lin Sanqi almost burst out laughing, thinking that this big fish was hooked so easily again?
Leaders Cheng and Jing were hesitant to speak after hearing this. On the one hand, because of national dignity, they did not really want these air-conditioned ambulances, as it would make their country look very poor and want everything.
But on the other hand, it was donated to the infectious disease hospital by foreign friends with good intentions, and the hospital director has not refused it yet. How can leaders like them interfere?
Now we are in a dilemma.
Only Minister Li was thinking in his mind, with so many air conditioners, should he bring a few to the ministry?
Lin Sanqi doesn't care about face or not. Southerners care about the substance the most. If there is any benefit, they will put it in their pocket first.
"Ah, thank you so much, Mr. Nanxiang. Air conditioners are indeed what we desperately need. Look how hot these American experts are, they've lost all interest in seeing a doctor. Haha, I wonder when these air conditioners will arrive?"
A tycoon like Nango Saburo, who is worth tens of billions of dollars, doesn't care about a few air conditioners or ambulances. These are just a drizzle to him.
He is now trying to please Chinese doctors and American doctors, just to get them to pay more attention and care when they treat his wife.
"Mr. Lin, I'll arrange for a plane to fly the air conditioner over immediately and install it for you as quickly as possible. Also, as a token of my friendship, I've already shipped a batch of advanced medical equipment from Japan. You can easily assemble a complete intensive care unit."
Doctor Xiaonan then added:
"I'm very sorry that these devices are second-hand because we came here in a hurry and didn't have time to buy new equipment, but I can assure you that these devices are state-of-the-art and there is nothing better than this."
Lin Sanqi couldn't stop laughing at this time.
Previously, Professor Anthony and his team were questioning why the infectious disease hospital had no intensive care unit and lacked rescue equipment, but now someone brought them a pillow just because they were feeling sleepy.
"I'm so embarrassed to have you spend so much money, haha~~~"
Leader Cheng and Leader Jing rolled their eyes at the same time, thinking that even you, Lin Sanqi, are asking when the goods will arrive, so what is there to be embarrassed about?
"It's free, it's free, Lin-san, and Professor Anthony and Professor Theodore, I have a medical record here. Could you please help me with the consultation, Xiao Nan-jun?"
Xiao Nan Xingshu immediately took out a thick medical record and a thick X-ray film from his backpack.
Professor Anthony blinked and looked at Lin Sanqi. He was actually not very willing to take action, after all, his cards were there.
As the best doctor and professor in the United States, and also the vice president of an international medical association, his consultation fees are very expensive.
Others are worried about the Japanese, but they, the Americans, are the fathers of the Japanese and don’t need to care about their feelings at all.
Lin Sanqi coughed lightly. He had received so many benefits, so he had to keep his word. It was just a consultation.
"Professor Anthony, Professor Theodore, our duty as doctors is to save lives and heal the wounded. Even if it's out of friendship that Mr. Nanxiang specially gifted you an air conditioner, we should still have a thorough consultation, right?"
Nanxiang Saburo nodded repeatedly: "Yes, yes, yes, Lin-san is right. This medical record belongs to my wife, the love of my life, so I'm sorry to bother you doctors."
The old man stood up and bowed in the standard Japanese style.
Professor Anthony saw Lin Sanqi's attitude and nodded expressionlessly, "OK, give me the medical records and films."
Doctor Xiaonan handed over the medical records with both hands and said politely:
"Hello, President Anthony. I haven't seen you for half a year. I miss you so much."
"It's Professor Xiaonan. Hello, hello. Long time no see. How about this? Please report the medical history while we review the film."
"Hi, Professor, and Dean Lin, the patient is a 68-year-old female. She had a lung mass detected on X-rays over a year ago when she coughed. A month ago, she developed a cough and sputum again, with small amounts of white, sticky sputum and shortness of breath.
This is an X-ray we've taken every month for over a year. The most recent one shows a nodule in the right upper lobe of the lung, with visible lobulation and spiculation, bronchial obstruction on the hilar side, and obstructive pneumonia changes on the pleural side of the nodule, with pleural indentation.
After looking at the X-ray, Professor Anthony immediately came to a conclusion and handed the film to Lin Sanqi:
"The lesion runs along the bronchus, with obvious enhancement and pleural indentation. Professor Xiaonan, isn't this clearly lung cancer? How can you not even diagnose this?"
Doctor Xiaoshu was a little embarrassed:
"Well, Professor, we had our suspicions before, but..."
Before he could finish his words, Professor Theodore interrupted him impatiently:
"There's a mass in the right lung, pleural traction, and a truncated bronchus. Plus, the film from six months ago is roughly the same as the most recent film. The first consideration is lung adenocarcinoma. Isn't that obvious?"
Nanxiang Saburo also understood English, and he felt discouraged when he heard the two American professors' decisive diagnosis.
Lin Sanqi had been looking at the X-ray film for half a day at this time.
Then, he looked at the two American professors with some suspicion. He really didn't understand whether they were playing dumb or were they really stupid? As the world's top pulmonologists, could they even misread such a simple X-ray?
"Professor Anthony, Professor Theodore, I suggest you take a closer look at this X-ray."
Even a fool would know what this meant. Professor Anthony was stunned and unsure. He took the film and started watching it again.
However, Professor Theodore, who had a somewhat irritable personality, became unhappy and started to roar.
Americans have always been very arrogant. When they think they are doing something right, they will never indulge others, no matter if the other party is the dean or the president.
"Lin, you're insulting our intelligence. Look at this tumor in the film, and here. It's irregular in shape, with burrs on the edges and circular necrosis inside. There are necrotic foci on the edges. If this isn't lung cancer, what is it?"
Lin Sanqi rubbed his ears:
"Theodore, you're almost deafening me. I have my reasons for saying this. I suggest you take a closer look at the X-ray."
Professor Theodore got angry and slumped back into his chair: "I won't see you anymore. My diagnosis is clear!"
Professor Anthony was more patient. He carefully reviewed several X-rays over and over again, but his mind was also full of questions:
"Lin, we need to look not only at the films, but also at the patient's clinical symptoms. The medical record clearly states that the patient became increasingly emaciated and listless after becoming ill, and also had coughing and hemoptysis. These are consistent clinical manifestations of lung cancer."
In fact, Dr. Xiaonan also agrees with this point of view in his heart.
But every time he said it was lung cancer, Nanxiang Saburo couldn't accept it, so he gave another possible diagnosis: tuberculosis.
Family members often have an evasive mentality and hope that the doctor's diagnosis is a misdiagnosis, but if top doctors from the United States and Japan unanimously agree that it is lung cancer, then it is almost certain.
Yukiki Konan is also the best pulmonologist in Japan, so he is confident about this.
Lin Sanqi took the film and pointed at the white spots next to the suspected tumor and said:
"Look at these spots. There are small spots and nodules scattered around the lungs. These are clearly satellite lesions. It's a pity that the X-ray wasn't examined carefully. A CT scan would have clearly shown them."
"Satellite stove? What is a satellite stove?"
Professor Anthony, Professor Theodore, and Dr. Xiaonan were all a little confused because they had never heard of this medical concept.
Lin Sanqi continued blinking and asked weakly, "Have you never learned about satellite stoves?"
The three foreign doctors all shook their heads: "Never heard of it."
Lin Sanqi slapped the table lightly and said to Bi Xinglong beside him, "Good boy, we have another paper."
No wonder these three top international doctors seriously misjudged the X-rays. It turns out that the concept of "satellite lesions" did not exist in that era.
As someone who has received modern medical education since 2014, Lin Sanqi can make a very clear diagnosis based on this detail. Of course, it would be even more obvious if there were enhanced CT scans.
Professor Theodore asked anxiously, "Lin, what do you mean by satellite range?"
Lin Sanqi pointed to several places on the X-ray film and explained:
"Look at these spots, which appear smaller, with lower density, blurred edges, and slightly patchy shadows on the film. This is actually caused by the spread of Mycobacterium tuberculosis to other parts of the body through the blood circulation and other pathways.
Mycobacterium tuberculosis continues to multiply in the body, slowly forming tiny lesions. Generally, when we see satellite lesions, we are likely to think that this is a sign of active tuberculosis.
If left untreated, these satellite lesions may develop into larger tuberculosis lesions.”
After Lin Sanqi finished speaking, he took out a film from six months ago and compared it with the most recent film:
"You see, over the past six months, these satellite lesions have grown larger, while what you thought was the tumor hasn't grown much."
Nanxiang Saburo asked excitedly, like a drowning man who had found a lifeline:
"Lin Sang, you're saying my wife doesn't have lung cancer, is that what you mean?" (End of this chapter)
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