Anthony was not angry when he heard this, but laughed out loud:
"Lin, we're discussing a case right now. Your arrival is perfect, as neither side can convince the other. Oh, let me introduce you first.
This is Professor Philip, Vice President of the Welsh Hospital, this is Mr. Huang Jinheng, Chief Physician of the Infectious Diseases Department, and this is Mr. Ji Junhao, Associate Consultant Physician."
Professor Philip and Dr. Huang Jinheng both politely shook hands with Lin Sanqi. As bigwigs, they naturally had their own demeanor.
"Welcome, Mr. Lin."
"Dean Lin, nice to meet you!"
When it came to Dr. Ji Junhao, the middle-aged doctor just smiled slightly and extended his hand, as if he was meeting a leader:
"Dr. Lin, you can call me David."
Well, Lin Sanqi understood. It turned out that he was a fake foreigner who didn't even bother to admit his real name.
Lin Sanqi also extended his hand and shook it with a smile: "Hello, Mr. Banana."
The foreign experts were all confused, but many Hong Kong doctors in the conference room burst out laughing, and then pretended to be serious. It was obvious that these people had heard the meaning of Lin Sanqi's words.
Ji Junhao was able to graduate from a medical school abroad and work in the best hospital in Hong Kong. He is an absolute elite in the workplace. How could he not hear the sarcasm in Lin Sanqi's words?
So he cursed back unwillingly:
"Mr. Locust, if all you have to do is talk, I think you should go back north."
As soon as these words were spoken, the faces of doctors from both Hong Kong and the mainland changed. Locust means locust, which is a special term used by white people to insult Chinese people.
Lin Sanqi laughed: "OK, it seems Mr. Banana is quite humorous."
After saying this, Lin Sanqi turned around and looked at Professor Anthony and said:
"Anthony, kick him out of our clinical validation research group."
Professor Anthony was also speechless. He felt that Ji Junhao was a real troublemaker. If you want to discuss academic issues, why do you have to include personal attacks?
Others may not know the power of Lin Sanqi in front of him, but he knows it very clearly. He already feels deeply sad for this Hong Kong doctor.
I guess in the end it won’t be as simple as being kicked out of the research group.
At this time, the dozens of ghosts on the beach of Deep Bay in the New Territories will definitely warn this ABC not to say anything that is not conducive to unity, and to admit that he is Chinese, otherwise he will become a person in the underworld.
Huang Jinheng is the head of the infectious disease department. Seeing Lin Sanqi's arrival, the situation suddenly changed. Naturally, he needed to fight for the interests of his subordinates, otherwise how could he lead the team?
"Dean Lin, I believe there must be a misunderstanding here. We are currently discussing a medical case. Why don't you sit down and listen first?"
Who would have thought that at this time Ji Junhao did not hesitate to confront his mainland colleagues. Instead, he pointed to a slide on the wall and said:
"Mr. Lin, I don't care whether I join your research group or not, because I have witnessed your medical level. From my professional perspective, your level is very low.
In front of colleagues from all over the world, you can look at the above X-ray lung film. The diffuse miliary shadows in both lungs are a clear case of tuberculosis. You people in the mainland may find it difficult to diagnose, but it is not complicated if you look carefully.
Yet, your mainland doctors insisted it was lung cancer and refused to treat the patient. "My God, is this how you achieved a 94% cure rate for tuberculosis? You only treat mild cases and pretend the serious ones don't have tuberculosis?"
As soon as these words were spoken, doctors from various countries who were watching on the scene began to talk about it.
Because from the perspective of evidence-based medicine, in order to be fair, doctors in the clinical verification group cannot select patients when admitting them. They must treat all patients equally regardless of the severity of the illness, so that the final data is standard.
If only patients with mild symptoms are admitted, the cure rate will be improved, but the data will be inaccurate and will not be recognized by experts from various countries and the World Health Organization.
Lin Sanqi knew that the best way to slap someone in the face was to defeat them in the field they valued most.
So Lin Sanqi also faced the slides on the wall at this time, and then looked at Ji Junhao with some confusion.
Because on the X-ray film, you can clearly see "tree-like" air-containing images within the consolidation shadow, which does not look like tuberculosis at all.
As a graduate of Huadu Medical University, Lin Sanqi quickly recalled his past classes and internships.
Then he made sure that there was an introduction to this kind of film in the book.
But a piece of paper doesn't mean anything. Lin Sanqi looked at his subordinates again:
"Lao Jia, you are the team leader of the diagnosis and treatment team. Please introduce this case to me."
Jia Xuezhen stood up and without even looking at the medical records, he began to introduce the case directly from the slides:
"Director Lin, this patient is a 58-year-old male who has been admitted to the hospital with intermittent coughing, sputum production, and asthma for over five months."
"The patient developed a cough and sputum with white foam after catching a cold five months ago, accompanied by shortness of breath after exertion, which was tolerable. He also had nasal congestion and runny nose, and occasional night sweats, but no fever, hemoptysis, or dyspnea, nor chest tightness or pain.
This is an X-ray he took in the outpatient clinic. From the film, we can see flocculent and ground-glass changes in each lobes of both lungs, with blurred edges, especially in the upper lobe of the left lung. Dr. Ji diagnosed it with secondary pulmonary tuberculosis.
Since the onset of the disease, the patient's spirit, diet, and sleep have been normal, and his urination and defecation have been normal, but his physical strength has decreased and his weight has dropped by 5 kilograms.
Lin Sanqi silently remembered this and lost 5 kilograms.
"Physical examination: Left lung breath sounds were low, with no noticeable moist rales or wheezing, and no other abnormalities were noted. A PPD test was performed in the outpatient clinic, and the result was negative. A sputum tuberculosis smear test was also performed, and all three results were negative.
Our team's discussion determined that the patient was diagnosed with a left lung malignancy, not tuberculosis. Therefore, we declined to admit the patient. However, Dr. Ji insisted that this was a case of tuberculosis.
Lin Sanqi turned his head and looked at Doctor Banana and asked:
"Tell me your reasons."
Ji Junhao, wearing glasses and custom-made work clothes, stood up in a dashing manner:
"You can see this film. First, I consider infectious lesions. Although laboratory tests do not support it, we doctors should trust our own eyes and judgment, so tuberculosis cannot be ruled out.
Look again, the lesions on the left lung seem to support a malignant lung tumor, but don't forget this side, and here, the patient has diffuse miliary shadows in both lungs. I believe that anyone who has been to college and read textbooks knows what this disease is, right?
Lin Sanqi was a little confused:
"You're so convinced it's tuberculosis based on diffuse miliary shadows in both lungs, a diagnostic point in textbooks? Didn't you see the very obvious 'dendritic' air-filled shadows in that location?"
Ji Junhao was stunned for a moment, then pointed in the direction Lin Sanqi pointed.
"What? What kind of tree-like gas-filled image?"
Professor Anthony, Professor Theodore, as well as Vice President Philip of the Welsh Hospital and Dr. Huang Jinheng were all confused at the scene.
We can imagine what "branching" looks like, but this image is clearly not seen on this X-ray.
Ji Junhao sneered: "Really? Doctor Lin, I don't see any tree-like structures."
Lin Sanqi slapped his forehead and knew where the problem lay.
In 1962, Xiangjiang Hospital only had X-rays and no CT machines, so their thinking was limited to the frontal image of the lungs.
In 2014, when Lin Sanqi lived, CT scans had become popular in health centers and were the most common diagnostic method.
When Lin Sanqi was still an intern, his teacher would explain classic cases and, when it came to imaging diagnosis, he would compare the X-rays and CT scans of the same patient to the students.
So Lin Sanqi knew what the "branch-like" air-containing shadows looked like on CT scans, and also knew what they looked like on X-rays.
When he saw this case, he could immediately see what the shadow was like through subtle details and then infer what disease it was. This has rigorous scientific basis.
But neither the American doctors, the Hong Kong doctors, nor the experts from all over the world who were watching from behind understood.
Medicine is all about "characteristics".
Just like Dr. Ji Junhao noticed the feature of "diffuse miliary shadows in both lungs" and firmly believed that this was a manifestation of pulmonary tuberculosis.
Lin Sanqi focused on the "dead tree branch airway lesions" to complete his judgment.
There is nothing wrong with the diagnostic ideas of both parties. The problem lies in the fact that Lin Sanqi has foresight knowledge that is more than 50 years ahead of this era.
So if we let Dean Wang of Huadu Medical University judge who is right and who is wrong, it will be clear at a glance.
But if you ask today's experts from various countries to judge, no one can be sure, because they don't understand either, and the referees don't understand either. How can they tell right from wrong? (End of this chapter)
Continue read on readnovelmtl.com
