Chapter 314: Lung Cancer Was Misdiagnosed



In the master bedroom on the second floor of the Nordic Snow Country Embassy, ​​bursts of violent coughing were emanating, attracting the attention of passing staff.

Ambassador Ramiz Alia woke up and sat on the edge of the bed, covering his mouth with a handkerchief and supporting his body with the other hand.

In the room, Mrs. Alia quickly took out the pills from the bedside table and said anxiously:

"Come, dear, take some medicine first."

Ramiz looked at the sulfa tablets in his wife's hand and shook his head:

"This medicine won't work. I have tuberculosis. I need to find a way to get treatment back home. I heard there's a new tuberculosis drug called streptomycin on the market. It might save my life."

Madam Alia smiled bitterly:

"It's a pity that you're not an ambassador to the US, UK, or other countries, so you won't get a chance to go to such a good place. Besides, your country won't allow you to return to Europe for treatment because you have a good relationship with the Chinese leaders. They think you're the only one who can maintain close relations between the two countries."

"The problem is that I feel like I can't hold on any longer, cough cough cough~~~~"

Ramiz took his wife's cup of water and pills, tilted his head back and swallowed them in one gulp.

Then suddenly he had another violent coughing fit, and as he coughed, he spat out a mouthful of blood.

Lady Alia jumped up in fright: "Oh no, blood, you vomited blood, what should I do? Honey, you, what's wrong with you?"

Ramiz leaned against his wife, feeling his consciousness sinking deeper and deeper, and his vision began to go dark.

"Honey, it's terrible. I feel like God is calling me..."

"No, no, no, honey, you have to hold on, I'm going to take you to the hospital right away!!!"

The boss fell, and the Nordic Snow Country Embassy fell into chaos in an instant. No one knew what those staff members were doing running in and out in a panic.

Woo woo woo woo~~~

The ambulance rushed the foreign ambassador to the best hospital in China - Union Hospital - as quickly as possible.

Ramiz Alia's status is special because in 1960, few countries had established diplomatic relations with us. Most countries not only did not establish diplomatic relations with us, but also imposed sanctions and embargoes on us.

Therefore, all those who can establish diplomatic relations with us are our close friends, brothers and sisters.

The Nordic Snow Country is the first country in Europe to recognize us. This has great symbolic significance, and our country attaches great importance to its diplomatic relations with them.

Especially Ambassador Ramiz, who has a very pro-China attitude and is very friendly to our country. He often visits various departments and has made many friends...

So as soon as the news of Ambassador Ramiz's illness was heard, the superiors immediately instructed to make every effort to rescue him and to use the national reserve of medicines if necessary.

Union Hospital has also organized the strongest medical team.

The ward was packed with people, and Union Hospital had even set up a rescue team. Dean Tu listened to the report from Guo Jianqiao, the attending physician and team leader:

If Lin Sanqi was at the scene, he would definitely know Guo Jianqiao. It was during the flu period when Lin Sanqi first went to Union Hospital to gather intelligence and met that irresponsible outpatient doctor.

"The patient had been coughing repeatedly for 10 years. He was diagnosed with pulmonary tuberculosis four years ago and received antibacterial treatment abroad at the time, though the specific medication used is unknown. This time, his cough suddenly intensified two days ago, accompanied by symptoms of hemoptysis. This morning, he began having difficulty breathing and became unconscious..."

Dean Tu looked at the medical records and asked:

"Doctor Guo, what is your preliminary assessment of the patient's condition?"

Guo Jianqiao scratched his head. He was just a jack of all trades. He got into Peking Union Medical College by relying on his family connections. He graduated from a medical college in China during the Republic of China era, so his level was just so-so.

But after the 10 best overseas doctors in the Respiratory Department of Peking Union Medical College were transferred away, monkeys like Guo Jianqiao began to call themselves kings.

"Hey, Dean Tu, I've already taken X-rays of the patient. It's best to wait until the results come out."

Dean Tu glanced at Guo Jianqiao and asked unhappily:

"The film will take over an hour to come out. The patient is already having difficulty breathing and is on the verge of shock. Why don't you take the initiative to save him?"

When Dr. Guo Jianqiao heard this, he broke out in a cold sweat and quickly said:

"Well, the patient doesn't have a fever, so I don't think it's caused by inflammation. Furthermore, considering the patient has a long history of coughing and hemoptysis, I suspect it's more likely that he has lung cancer."

Dean Tu is a surgeon and is not very proficient in internal medicine, but judging from Ambassador Ramiz's current symptoms, it does seem like lung cancer.

If it is lung cancer, there seems to be no particularly good treatment option.

So, in addition to breathing oxygen and hanging saline solution, everyone was waiting for the X-ray and blood results.

An hour later, a staff member rushed in and said, "The X-ray film is out."

Dean Tu took it and took a look. Seeing a small white spot on the right lung, he immediately thought of the three uniform shadows of size, density and distribution that Lin Sanqi had talked about in his teaching class in Changping.

"This seems to be a manifestation of miliary tuberculosis. The volume of the middle and upper lobes of the right lung is enlarged. The lung markings in the lower lung field are dense and curved downward. Is there any external pressure?"

Vice President Ye took the film and observed it carefully:

"Consolidation in the right upper lobe. Considering the dense miliary-like increased density, I think it's alveolar microlithiasis..."

The X-ray film was handed to Dr. Guo Jianqiao. He first glanced at the two directors who were in deep thought, and his mind started working quickly.

I thought that although the film looked like tuberculosis, the clinical symptoms showed that it was very severe and did not seem like mild tuberculosis.

So Guo Jianqiao decided to express his different opinions in front of the two presidents, so that everyone could see that after the more than 10 overseas doctors left, he, Guo Jianqiao, could support the respiratory department of Peking Union Medical College Hospital.

"President Tu, Vice President Ye, consider this: the patient had an acute cough for two days, and was admitted to the emergency hospital with hemoptysis, dyspnea, and paleness for one day. If it were lobar pneumonia, it might have entered the consolidation stage, with patchy increased density, generally uniform.

This film shows dense nodular shadows that are not distributed according to normal lung segments. The patient's history does not contain any obvious fever or chills. Therefore, I think it is unlikely to be lobar pneumonia. Having ruled out the possibility of infection, there is only one possible truth.

Sure enough, everyone in the ward's attention was drawn to this:

"What is it?"

Guo Jianqiao held up the chest X-ray and said confidently to everyone:

"The dense granular appearance in the lungs, especially the high-density shadow in the right lung, makes me think it's lung cancer, excluding tuberculosis and lobar pneumonia. This is consistent with my previous diagnosis."

As soon as Guo Jianqiao finished speaking, everyone's eyes were focused on the patient's X-ray film again.

The clarity of 400mAh X-ray film is actually not that ideal, just like 720P video, it can be seen clearly, but the details are not that clear.

In addition, Dean Tu and Vice Dean Ye are both surgeons, so their internal medicine skills are just average.

Although some doctors in the ward had doubts about Guo Jianqiao's words, because Guo Jianqiao was the current director of the respiratory department and the big boss who controlled the fate of ordinary doctors in the department, naturally no one dared to raise any objections.

Then the ward fell into silence.

Dean Tu still felt that this area looked like a shadow of hemoperfusion pulmonary edema, but he was not sure. So he looked at the patient who had fallen into a coma and asked helplessly:

"Doctor Guo, what do you think should be done now?"

Guo Jianqiao shook his head helplessly:

"There's nothing we can do. This is the late stage of lung cancer. It's very difficult for patients to recover after going into shock. There aren't many treatments we can take. At most, we can use some antibiotics and some energy fluids.

I was worried that if the treatment went on for too long and the patient didn't improve, it would cause dissatisfaction among the foreign guests. So, instead of over-treating the patient and causing him pain, it would be better to discuss with the family and let the patient pass away in his sleep, which would save us some trouble.

Many people believe that doctors like to serve the upper class the most, thinking that by being close to them, they can gain favor.

In fact, it is just the opposite. What doctors hate most is serving special patients or "noble patients". It is like living with a tiger.

If you cure the disease, people will think you have done a good job and may reward you with some benefits.

But if you can't cure the disease, you may offend the noble families of these patients. To use a plot from a movie or TV drama, you have to drag these quack doctors out and beat them to death.

Therefore, from ancient times to the present, imperial physicians have always used the mildest treatment plan when treating noble patients. As long as the patients don’t die at their hands, they don’t seek to achieve anything, but only to avoid making mistakes.

This is what Guo Jianqiao is thinking now. He wants to quickly drive this foreigner out of his ward. After all, an ambassador has died and a new one will come tomorrow. What does it have to do with his personal interests?

The translator simultaneously conveyed the doctor's treatment results in the ward to Mrs. Alia and other embassy staff outside the door, and then crying broke out.

Lady Alia pleaded with tears in her eyes:

"No, no, no, he should still be able to be saved. My husband was still talking to me this morning. How could he die like this?"

The leaders of the relevant departments also conveyed the top-level message to Dean Tu and Vice Dean Ye at this time:

"Ambassador Ramiz is our old friend. He is ill in our country. We have the responsibility and obligation to cure him. We hope that our colleagues at Concord will do everything they can to treat him."

After Cheng Suian, the head of the Foreign Affairs Department, finished conveying the message, he asked in a low voice:

"Doctor Guo, is this really lung cancer? Is there really no cure?"

Guo Jianqiao shook his head regretfully:

"The best way to handle this now is to bring the patient back to the embassy. He might still be alive. Sending the ambassador home is better than dying in a foreign land, right?"

When Leader Cheng heard this, he agreed. He thought that if he had to die, it would be better to die in his hometown. He sighed heavily.

He knew that he was an outsider and had to listen to the doctor. If the doctor said that he could go home without treatment, it would be a death sentence.

After the translator explained, Lady Alia suddenly burst into tears:

"A blank piece of paper cut diagonally~~The old King of Hell brought a letter~~Three days without food from the living world~~Four days walking to the underworld~~The little ghost came to urge my husband to go~~We can't neglect it for a moment~~The three souls left the world of the living~~The seven spirits went to the underworld~~~"

The staff at the Nordic Snow Country Embassy were instantly in chaos and began to discuss preparing to call a Taoist priest, buy funeral clothes, filial piety sticks, etc.

Suddenly, a young secretary expressed a different opinion:

"That's not right. Why aren't Dr. Bi Xinglong and Dr. Ma Zhongli, who used to treat Mr. Ramiz, here? They've always been his primary doctors and know his condition best.

The key is that these two doctors never warned Mr. Ramiz that he had lung cancer, so is there some misunderstanding? Mr. Dean, could you please ask Doctors Bi Xinglong and Ma Zhongli to come over?"

When Lady Alia heard this, she also stopped crying:

"Yes, we need these two attending doctors to explain to us why such obvious lung cancer was not diagnosed. Otherwise, we can return home for surgery as soon as possible. Isn't this delaying our treatment?"

After hearing this, the staff of the Nordic Snow Country also expressed strong dissatisfaction.

Seeing the commotion at the scene, Leader Cheng was also troubled. At the same time, he also felt that what the family members said made sense, so he looked at Dean Tu:

"Dean Tu, since Mr. Ramiz has a treatment team, Dr. Bi and Dr. Ma, right? Please have them come here quickly."

Dean Tu was a little embarrassed and said in a low voice:

"Bi Xinglong and Ma Zhongli are no longer in the hospital. They were put on the dismissal list and left the Union Hospital."

When Leader Cheng heard this, he became anxious:

"Where did he go? Send someone to retrieve him immediately. If it's really a misdiagnosis, we must punish him severely. Are they playing with the lives of foreign friends? If it's a misunderstanding, we must resolve it immediately, otherwise it will affect the relationship between the two countries."

There is no trivial matter in diplomacy. This is a catchphrase often used by foreign affairs departments, which shows how difficult this job is.

Vice President Ye knew the seriousness of the matter, so he quickly made amends:

"Leader Cheng, it's not a big deal. After being laid off from Union Hospital, Comrades Bi Xinglong and Ma Zhongli joined the Changping branch of Capital Hospital of Traditional Chinese Medicine. They're now working in the tuberculosis department. It'll only take a few hours to go back and forth."

Leader Cheng breathed a sigh of relief and asked curiously:

"The Changping branch of the Traditional Chinese Medicine Hospital? Is it the hospital that successfully eradicated the flu epidemic last time and is now proposing to eradicate tuberculosis? I remember the person in charge was Comrade Lin Sanqi?"

Dean Tu wondered if Lin Sanqi was already so famous? Even the leaders of the foreign affairs department had heard of it?

"Yes, it's this branch hospital. Doctors Bi Xinglong and Ma Zhongli are currently working in Lin Sanqi's department."

Leader Cheng nodded and said, "Alright, then send someone to get Bi Xinglong and Ma Zhongli right away. Hurry!"

A few minutes later, a small jeep drove out of Union Hospital and sped north, and appeared at Changping Farm two hours later.

In the Tuberculosis Department, Lin Sanqi was discussing a case of tuberculosis with Bi Xinglong, Ma Zhongli, Yang Guang and others.

After one month of clinical work and seeing the rapid recovery of tuberculosis patients with their own eyes, these overseas doctors have begun to admire Lin Sanqi more and more.

So now Lin Sanqi has also begun to prepare these overseas doctors to design research topics and prepare papers.

When they have free time, the doctors who study abroad are willing to sit down with Lin Sanqi to learn about the principles of tuberculosis treatment, and they get along more and more harmoniously with each other.

At this moment, several staff members wearing Mao suits and with sullen faces suddenly rushed into the Tuberculosis Department and asked in a stern voice:

"Who among you is Bi Xinglong and Ma Zhongli from Union Hospital?"

These days, the staff of special departments are all from the battlefield. The murderous aura on them is very obvious, and coupled with their majestic expressions, you can tell at a glance that something big has happened, and it is definitely not a good thing.

Bi Xinglong and Ma Zhongli's heartbeats suddenly started to accelerate and their legs began to tremble, thinking they were about to be brought in for interrogation.

Although the two men couldn't figure out what they had done wrong, they knew that if they followed these people, they would probably never come back. This kind of thing was very common these days.

Everyone could see that the person had bad intentions, and Lin Sanqi certainly saw it too.

If it were someone else, they would have been trembling with fear at this time, and would have run away early for fear of being implicated. If they hadn't seen Vice President Ji standing outside the door, they would never have dared to come in and get involved.

But Lin Sanqi was different. He was a time traveler and lacked awe for this era, so he frowned and stood up resolutely:

"Which department are you from? What do you want from Bi Xinglong and Ma Zhongli?"

One of the staff looked at Lin Sanqi like an idiot. "What is it you think you can find out? Bi Xinglong and Ma Zhongli, stand up and follow us immediately."

"Ah, who are you looking down on?"

Now it was Lin Sanqi's turn to be upset. He pushed away the person who was trying to dissuade him and pulled out a red book from his backpack:

"Look carefully, who am I? You want to take my people away. Of course I can ask what the matter is. Who knows if you are some enemy agents impersonating you?"

"you!"

The other men in Zhongshan suits were about to explode when they were stopped by the leading staff member. They took Lin Sanqi's work ID and saw two bars and one star on it. So they forced a smile on their faces.

"Major Lin, hello. We're just following orders. I can't say anything else, except that we're asking Doctors Bi Xinglong and Ma Zhongli to return to Union Hospital to confront some issues."

Seeing that the other party's attitude had softened, Lin Sanqi also put away his stubborn face:

"Confront something? Go back to Union Hospital? Go save the patient?"

The man in Zhongshan suit shook his head, indicating that he couldn't say anything more.

Lin Sanqi knew that these staff members had confidentiality regulations, so he continued to ask:

"Comrade, I won't make things difficult for you. If you are rescuing a patient, perhaps I can be of some help. Firstly, I am the superior of Comrades Bi Xinglong and Ma Zhongli, and I need to know what happened.

Secondly, I'm the director of the Tuberculosis Department, a national medical authority, and I'm quite confident in my medical skills. If there's anything that needs to be done, I can help out. Otherwise, why don't you call your superiors and ask?"

The Tuberculosis Department of the Traditional Chinese Medicine Hospital has a telephone, a black hand-cranked phone.

The staff member in the Zhongshan suit looked at the phone, then looked at the red work ID card on the table, hesitated for a moment, and finally dialed the number.

Five minutes later, Lin Sanqi drove the jeep himself and followed the car in front to Union Hospital, with the anxious Bi Xinglong and Ma Zhongli sitting in the back.

Lin Sanqi was actually a little nervous. He was afraid that the capable assistant he had hired with great difficulty would be gone.

"Doctor Bi, Doctor Ma, think about it, the fact that you were called to Union Hospital means that the incident must have occurred during your time at Union Hospital. Have you said anything you shouldn't have said, or come into contact with anyone you shouldn't have come into contact with?" (End of this chapter)

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