Bi Xinglong and Ma Zhongli were like two trembling little lambs, completely at a loss and panicked.
"Director Lin, we, we really haven't done anything bad. We've always worked honestly and never even sang English songs. We're very careful."
Lin Sanqi thought, it’s only been 60 years now, the social atmosphere is pretty good, it shouldn’t be the time for a storm yet, what could happen?
Everyone had their own thoughts, and soon they arrived at Union Hospital. Lin Sanqi, Bi Xinglong and Ma Zhongli were quickly sent to the inpatient department.
At this time, there were already many security personnel guarding the entrance of the inpatient department, and the atmosphere was very depressing.
Lin Sanqi breathed a sigh of relief, thinking that some important person must be sick, otherwise he would have gone directly to the police station instead of coming to the hospital.
The three of them first came to the office, where a large group of leaders were already waiting, and it was like a three-court trial.
As soon as Lin Sanqi entered the room, he saw Dean Tu waving at him, motioning him to stand aside and not speak.
At this time, the highest-ranking leader on the scene, Cheng, looked at Bi Xinglong and Ma Zhongli and asked:
"Comrade Bi Xinglong, Comrade Ma Zhongli, I called you here this time because I need to confirm something. How long have you two been Mr. Ramiz's attending physicians?
Bi Xinglong swallowed and nervously replied, "It started in 1955."
"So, what illness has Mr. Ramiz had that he's been seeing you for?"
Ma Zhongli remained calm and recalled:
"Mr. Ramiz has very serious respiratory diseases, such as tuberculosis and emphysema, and he often suffers from lung infections. In addition, he has underlying diseases such as hypertension and diabetes."
"Is that all? Think about it again. Have there been any missed diagnoses or misdiagnoses?"
As soon as Leader Cheng said this, the atmosphere in the room became even colder. Bi Xinglong and Ma Zhongli did not dare to be careless at all. They gritted their teeth and tried hard to recall.
At this time, Lin Sanqi quietly asked Dean Tu beside him:
"Old Butcher, what's going on? Can you cause trouble just by seeing a doctor? Are foreigners so arrogant? They can see if they want, or leave if they don't. Why should our doctors serve them like slaves?"
Dean Tu was so frightened that his face turned black, and he cursed in a low voice while gritting his teeth:
"Little ancestor, please stop talking. Do you know who that patient is? He's the ambassador from the Nordic Snow Country. He suddenly started coughing up blood and fell into a coma today. Doctor Guo diagnosed him with advanced lung cancer, and there's no point in saving him."
"Advanced lung cancer?"
Lin Sanqi thought, there is no chemotherapy or radiotherapy now, if there is no indication for surgery in the late stage, then he is just waiting to die.
"But what does this have to do with Bi Xinglong and Ma Zhongli? If a patient gets cancer, should the doctor be held responsible? That's completely unreasonable."
Dean Tu covered his mouth with one hand and explained softly:
"You know what? It really is related to Bi Xinglong and Ma Zhongli. This patient has been under the care of Bi Xinglong and Ma Zhongli for the past five years, but neither of them discovered the lung cancer. This delayed the disease and missed the best time for treatment."
Lin Sanqi thought, if this is true, then Bi Xinglong and Ma Zhongli are indeed responsible.
Then he sighed in his heart. It seemed that the capable assistant he had found with great difficulty was going to be gone again. He guessed that these two unlucky guys would be sent to Qinghai to dig sand.
At this time, Bi Xinglong and Ma Zhongli exchanged some words, and then Ma Zhongli said:
"Boss, our diagnosis is correct. We don't know what happened to Mr. Ramiz now, but it has nothing to do with us. We have never done anything to endanger patients."
After the tension subsided, Ma Zhongli's scholarly temper came out. He spoke neither humbly nor arrogantly, and deliberately straightened his back.
Leader Cheng was silent for a moment, then said in a deep voice:
"Mr. Ramiz is currently in a coma, undergoing emergency treatment. Dr. Guo diagnosed him with respiratory failure caused by advanced lung cancer. However, neither of your statements nor your medical records over the years mentioned lung cancer. Is this a misdiagnosis?"
"How is this possible?"
Bi Xinglong and Ma Zhongli both exclaimed in surprise.
"Boss, we were transferred from Union Hospital to the Traditional Chinese Medicine Hospital a month ago, so we have a particularly deep impression of Mr. Ramiz's condition. There is no mistake. Mr. Ramiz has had X-rays over the years, and we are sure that he did not have lung cancer before this year."
Leaders are all smart people. When they see the expressions of Bi Xinglong and Ma Zhongli, they know that these two people do not seem to be lying.
I wondered if these two doctors were really wronged, so I looked at the secretary.
The secretary took out a freshly taken X-ray film from the side and placed it on the table. "Doctors, this is a fresh chest X-ray. Please take a look."
Bi Xinglong and Ma Zhongli were not polite and took the film and began to read it in the bright light from the window.
"This is infiltrative pulmonary tuberculosis."
"These dense dots are tuberculosis, not the dense flakes of lobar pneumonia."
"The volume of the middle and upper lobes of the right lung has increased. The volume of the upper and middle lobes is now larger than that of the lower lobe. The oblique and horizontal fissures have shifted downward. What is this area?"
"It wasn't there last year, was it?"
"Yes, it wasn't there last year. I remember it clearly. The dense nodules were not distributed according to the normal lung lobe segments. It looked like lung cancer."
"No, this spherical shadow is irregular, as if something is blocking it."
The two discussed for a long time, and Cheng was getting impatient. "Well, do you have any objections?"
Ma Zhongli put down the film, hesitant for a moment, but still spoke:
"Boss, we don't think this is lung cancer. The most likely possibility is Klebsiella pneumonia, or fungal pneumonia, or tuberculosis, which cannot be ruled out."
"I remind you two, what we need is certainty, not ambiguity. We don't want words like 'probably', 'maybe', or 'perhaps'."
Guo Jianqiao was in the corner. Since they had to confront each other face to face, he, the current director of the respiratory department and head of the rescue team, had to be present.
Originally, he felt a little guilty when he saw Bi Xinglong and Ma Zhongli. After all, they were the backbone of the respiratory department of Peking Union Medical College Hospital and the academic authorities. He could only be considered a mid-level doctor at best.
But since Bi Xinglong and Ma Zhongli couldn't accurately tell the cause of the disease, he started to tremble again:
"Doctor Bi, Doctor Ma, both the clinical symptoms and the X-rays show that this is lung cancer. You two are too careless. How could you treat the life of a foreign guest as a joke? You have put our Union Hospital in a passive position now."
Everyone in the foreign affairs department looked at Bi Xinglong and Ma Zhongli with contempt in their eyes. They thought that it was no wonder they were dismissed from Union Hospital because their skills were not good enough.
Bi Xinglong and Ma Zhongli's faces flushed red, and they felt like they had no idea how to explain themselves.
At this time, Lin Sanqi also took the X-ray film and looked at it.
The problem is obvious at first glance. In fact, this is caused by bronchiectasis bleeding that blocks the bronchus, and the blood flows back into the lungs, forming a bulging blood bag.
In addition, there is a tuberculosis nodule at this location, and the shadows of the blood bag and the tuberculosis nodule overlap, which makes it look like an irregular high-density shadow, which is very similar to lung cancer.
This misunderstanding arises mainly because the X-ray machine at Union Hospital is an outdated 400 mAh machine with insufficient clarity and lack of three-dimensional effect.
If you take a CT scan, you can clearly distinguish them.
The reason why Lin Sanqi could see this was that he had solid basic skills. The level of undergraduate medical students from prestigious universities was definitely not worse than that of graduate students from ordinary schools.
The second one was a similar case he had encountered during his internship. The patient was diagnosed with lung cancer after an X-ray at a township hospital. The family was unwilling to accept the situation and sent the patient to the provincial capital, where it was later confirmed to be a false alarm.
As for empirical medicine, once you see it, you will be impressed and won’t make mistakes next time.
Lin Sanqi was still reading the film, but Leader Cheng was already starting to get upset:
"Comrade Bi Xinglong, Comrade Ma Zhongli, if you cannot provide further evidence, then we can only assume that you have misdiagnosed.
Because your mistake caused a foreign guest to be on the verge of death, and caused significant damage to our country's diplomatic cause, and since you bear an unshirkable and serious responsibility, you should not return to the Chinese Medicine Hospital and await disciplinary action."
Guo Jianqiao was delighted when he heard this, but he still looked serious on the surface:
"Alas, I am deeply saddened. As the head of the department, I am ashamed."
"You should be ashamed of yourself for not being able to figure out such a simple question!"
Lin Sanqi's sudden voice startled everyone in the office and they all turned around.
Dean Tu immediately tugged at Lin Sanqi's arm and said, "Xiao Lin, stop talking nonsense. This is a very serious matter. Don't get yourself into trouble!"
Lin Sanqi had seen Guo Jianqiao a long time ago, and also thought of his irresponsible behavior in the Changping clinic.
Now it seems that when his colleague was facing punishment, Dr. Guo not only did not speak well of his former colleague, but instead added insult to injury. Lin Sanqi could not bear it any longer.
Besides, he was well aware of the medical skills of Bi Xinglong and Ma Zhongli, and he had to keep his two subordinates even for the sake of the tuberculosis cause.
Guo Jianqiao became anxious when he heard this. He had already forgotten about Lin Sanqi, his former patient, but someone disrespected him in public and even denied his diagnosis. How could he tolerate this?
Don’t forget that Peking Union Medical College Hospital is the best hospital in this country. No one can be more powerful than Peking Union Medical College Hospital. Guo Jianqiao is confident about this.
"Who are you? What makes you say this isn't lung cancer?"
At this time, Leader Cheng also looked at the young doctor who suddenly appeared. He did not mind Lin Sanqi's offense. Instead, he felt that it was a good thing that someone refuted him. This showed that there was still hope for a turnaround and the Chinese side did not have to take the blame.
"My name is Lin Sanqi. I'm the director of the Tuberculosis Department at Capital Hospital of Traditional Chinese Medicine. I'm currently working on conquering tuberculosis. Oh, and by the way, the recent flu outbreak in Changping was also eradicated under my leadership."
Guo Jianqiao said disdainfully:
"I thought it was someone else, but it turns out to be a Chinese medicine doctor. Since when have Chinese medicine doctors been able to comment on Western medicine and even read X-rays? Don't you believe in pulse diagnosis?"
Lin Sanqi picked up the film and said with a smile, "Today, I, a Chinese medicine doctor, will teach you how to read the film and how to make a good diagnosis based on clinical experience.
An elderly man has had recurrent coughing attacks for over 10 years, indicating a long course of illness. He was previously diagnosed with pulmonary tuberculosis and has been receiving irregular, intermittent treatment. Looking at this film again, does this look like a tuberculosis nodule?
An acute cough attack lasting 2 days, hemoptysis and difficulty breathing suggest that blood vessels in the lungs and bronchi are ruptured, at least pleural lesions are not the main factor.
The pale complexion suggests that the patient may have lost a lot of blood. The patient fell into a coma shortly after being admitted to the hospital, which may be due to the large amount of blood loss.
From the above points, it can be seen that bronchiectasis has the chance of leading to secondary lung infection and pulmonary embolism, but it is not like lung cancer.
So I think the cause of the disease is hemoptysis and blood clot obstruction. With this explanation, the culprit of the shadow in the right lung seems to have been revealed.
He had recurrent coughing attacks for many years and repeated lung infections. There were abundant lymph nodes around the middle lobe of the right lung, and the drainage was poor, which caused bronchiectasis. Bronchiectasis is often accompanied by pulmonary consolidation, and this attack was an acute one.
As for the shadows on this film, they are completely caused by hemoptysis, which leads to pulmonary embolism and subsequent pulmonary infarction, manifesting as pulmonary hemorrhage, edema, round or unevenly dense patchy infiltration foci, fibrous cords, and discoid atelectasis in the lungs.
When Dean Tu and Vice Dean Ye heard this, they thought about it and suddenly their eyes lit up. They thought that what Lin Sanqi said made a lot of sense.
At this moment, Bi Xinglong and Ma Zhongli suddenly woke up as if a bolt of enlightenment had occurred to them. They nodded repeatedly and were extremely impressed by Lin Sanqi's medical skills.
Of course, this is also related to the fact that they grabbed a life-saving straw in the most difficult times, otherwise it would not be so easy to tame them.
Leader Cheng and a group of lay cadres all frowned, because Lin Sanqi talked for a long time, but they didn't understand a word. They only knew one thing: Lin Sanqi denied the possibility of lung cancer.
Guo Jianqiao was as anxious as if his tail had been stepped on:
"This is all your subjective speculation. What evidence do you have to deny my diagnosis of lung cancer?"
Everyone thought so too. If the patient had died, the cause of the disease could have been determined through an autopsy. But now the patient was in a coma and even a basic puncture biopsy could not be performed, so it was indeed difficult to confirm the diagnosis.
At this time, the situation becomes awkward where each party thinks they are right.
Since Lin Sanqi already knew the cause of the disease and how to treat it, he naturally had a good idea in his mind, so he said confidently:
"Since the Union Hospital can't cure the patient, just send him to our Chinese Medicine Hospital. I guarantee that the patient will recover within a week."
As soon as Lin Sanqi said this, Leader Cheng frowned. It was obvious that he did not quite trust Lin Sanqi's boast.
When Guo Jianqiao heard this, he was delighted and thought to himself, Lin Sanqi, you are asking for death yourself, so don't blame me.
It just so happened that he didn't want to take on this hot potato. He originally wanted the family to take the person back to wait for death, but his superiors and the family did not accept this proposal. Now that someone has taken over, how can he miss it?
"Okay, Comrade Lin Sanqi, let's see what your Chinese medicine skills are. Transfer to another hospital, now!"
Dean Tu also frowned upon hearing this, thinking that Lin Sanqi was getting a bit too cocky and ignorant.
"Xiao Lin, I know there's some rift between your Chinese Medicine Hospital and our Union Hospital, but the foreign guest here today is of a special status, so you can't joke around. If anything goes wrong, no one can protect you."
Even Bi Xinglong and Ma Zhongli trembled and advised:
"Director Lin, even if the patient doesn't have lung cancer, he's now in a coma, in shock, and experiencing respiratory failure. I'm afraid he won't last much longer. We at the Traditional Chinese Medicine Hospital will take over patients like him..."
No one was optimistic and thought Lin Sanqi was fooling around.
Lin Sanqi thought, this is exactly the effect I want. The more pessimistic you are, the harder the slap in the face will be. Wouldn't it better demonstrate the superb medical skills of Lin Sanqi?
In Western medicine, just like in traditional Chinese medicine, reputation is very important.
Especially the tuberculosis project that Lin Sanqi is going to work on. This is unprecedented. How to gain the trust of patients is crucial. Only when patients trust you can they cooperate with you and the treatment will be good.
If the patient doesn't believe you, loses patience after two months of treatment and doesn't get better, and calls you a liar everywhere, do you still want your reputation?
Unfortunately, the treatment process for tuberculosis takes at least 6 months, which is difficult for most people to accept and cooperate with.
But if Lin Sanqi becomes the best doctor in the capital, able to cure other incurable diseases, and his reputation becomes known, which patient would dare to get angry in front of him in the future?
So Lin Sanqi suddenly stepped out today to meddle in other people's business and wanted to accept this foreign patient. It was definitely not because he was too kind-hearted, but because he had his own interests in mind.
Leader Cheng sat behind his desk. Seeing that he couldn't persuade Lin Sanqi, he spoke out of respect for his talent.
"Xiao Lin, you can't just treat Mr. Ramiz or transfer him to another hospital whenever you want. If you don't give me sufficient reasons, I won't agree."
Is this something you can use for a bet? Diplomacy is no small matter, okay?
Lin Sanqi's eyes turned and he thought of the best reason, so he said firmly:
"Leader, our hospital has 12 national treasure-level Chinese medicine practitioners, including Shi Jinmo, Xiao Longyou, and Han Bangxu. If Western medicine has given up, can we try Chinese medicine? What if it works wonders?"
When the people at Union Hospital heard this, they all curled their lips. They didn't believe in traditional Chinese medicine.
Leader Cheng was different. He nodded slightly after listening to it. After all, among the top health care teams, there were several masters whose level was indeed superb. He had seen it too, so he was not against traditional Chinese medicine in his heart.
"In addition, President Tu and Vice President Ye both know that our Chinese Medicine Hospital has the most advanced 750 mAh X-ray machine in China and the most advanced blood test equipment in the world. We also have 20 of the most outstanding doctors and 30 nurses from Union Hospital and Digital Hospital.
Take Dr. Guo for example. He was originally just a junior doctor in the respiratory department of Peking Union Medical College Hospital. He only got his position after Bi Xinglong and Ma Zhongli, the real experts, stepped down. His medical skills are…"
Guo Jianqiao was so angry that he almost had a cerebral hemorrhage. If beating people was not against the law, he would have wanted to beat Lin Sanqi to death.
"Lin Sanqi, you can look down on me, but what qualifications do you, a Chinese medicine wizard, have to look down on the level of our Union Hospital? Mr. Ramiz is the one we consulted with the entire hospital. If you deny our final diagnosis, you are denying our entire Union Hospital!"
As soon as Guo Jianqiao said this, the staff at Union Hospital looked at Lin Sanqi with some hostility.
A young Chinese medicine doctor dares to deny the diagnosis of Peking Union Medical College? Are you dreaming of heaven? (End of this chapter)
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