A doctor who travels through two eras

Bi Xinglong and Ma Zhongli were like two trembling little lambs, totally at a loss and panicked.

"Director Lin, we, we really haven't done anything bad. We have always worked honestly and never even sang English songs. We are 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 possibly 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 to 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 have something to confirm. How long have you two been Mr. Ramiz's attending physicians?
Bi Xinglong swallowed and nervously replied, "It started in 1955."

"So what illness did Mr. Ramiz have that made him come to you for treatment?"

Ma Zhongli remained calm and recalled:
"Mr. Ramiz has very serious respiratory diseases, such as tuberculosis and emphysema, and often has lung infections. In addition, he has underlying diseases, such as high blood pressure and diabetes."

"Is that all? Think about it again. Have any missed diagnoses or misdiagnoses occurred?"

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 find trouble just by seeing a doctor? Are foreigners so arrogant? If you want to see them, leave. 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, stop talking. Do you know who the patient is? He is the ambassador of the Nordic Snow Country. He suddenly coughed up blood and fell into a coma today. According to Doctor Guo's diagnosis, he has advanced lung cancer and there is no point in saving him."

"Advanced stage of lung cancer?"

Lin Sanqi thought, there is no chemotherapy or radiotherapy now, and if there is no indication for surgery in the late stage, then we are just waiting to die.

"But what does this have to do with Bi Xinglong and Ma Zhongli? If a patient has cancer, should the doctor be held responsible? This is totally unreasonable."

Dean Tu covered his mouth with one hand and explained softly:

"You know what? It really has something to do with Bi Xinglong and Ma Zhongli. This patient has been under the care of Bi Xinglong and Ma Zhongli for five years, but they didn't find 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 ideas, and then Ma Zhongli said:

"Leader, there is nothing wrong with our diagnosis. 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, 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 the process of being rescued and has fallen into a coma. Dr. Guo diagnosed him with respiratory failure caused by advanced lung cancer. However, your statements and medical history reports over the years did not mention lung cancer. Was there a misdiagnosis?"

"How can this be?"

Bi Xinglong and Ma Zhongli both exclaimed in surprise.

"Leader, we were transferred from Union Hospital to the Chinese Medicine Hospital a month ago, so we have a very 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 before this year, he definitely did not have lung cancer."

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 chest X-ray that was just taken. Please take a look."

Bi Xinglong and Ma Zhongli did not hesitate to take the film and began to read it in the light from the window.

"This is invasive 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 middle lobe of the upper lobe is larger than that of the lower lobe. The oblique fissure and horizontal fissure have moved downward. What is this piece?"

“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 became impatient: "So, do you have any objections?"

Ma Zhongli put down the film, and hesitated a little at this time, but still spoke:

"Leader, we don't think this is lung cancer. The most likely possibility is Klebsiella pneumonia, or fungal pneumonia, or tuberculosis can't be ruled out either."

"I remind you two that what we need is certainty, not ambiguity, or maybes."

Guo Jianqiao was in the corner. Since they had to confront each other face to face, of course he, the current director of the Department of Respiratory Medicine 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 and the academic authorities, and he could only be considered a mid-level doctor at best.

But now that Bi Xinglong and Ma Zhongli could not 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, thinking that it was no wonder they were dismissed from Union Hospital, it turned out that their skills were not good enough.

Bi Xinglong and Ma Zhongli both blushed, feeling like they had no way to defend themselves and didn't know how to explain themselves.

At this time, Lin Sanqi also took the X-ray film and started to look at it.

The problem is obvious at first glance. In fact, this is caused by bronchial dilatation bleeding that blocks the bronchus, and the bleeding 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 together, which makes it look like an irregular high-density shadow, which is very similar to lung cancer.

The main reason for this misunderstanding is that 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 and 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, it will leave a deep impression on you and you won’t make mistakes next time.

Lin Sanqi was still reading the film, but Leader Cheng was already getting unhappy:
“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 great losses to our country's diplomatic cause, and since you bear the serious responsibility that cannot be shirked, you should not return to the Chinese medicine hospital and wait for punishment."

Guo Jianqiao was delighted when he heard this, but he still looked serious on the surface: "Oh, 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 pulled Lin Sanqi's arm and said, "Xiao Lin, don't talk nonsense. This matter is very serious. Don't get yourself into trouble!"

Lin Sanqi had seen Guo Jianqiao a long time ago, and 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 even for the sake of the tuberculosis cause, he had to keep his two subordinates.

Guo Jianqiao became anxious when he heard this. He had already forgotten about Lin Sanqi, his former patient. But someone did not give him face in public and even denied his diagnosis. How could he tolerate this?
Don’t forget that Peking Union Medical College is the best hospital in the country. No one can be more powerful than Peking Union Medical College. Guo Jianqiao is confident about this.

"Who are you? Why do you say this is not 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 am the director of the Tuberculosis Department of the Capital Hospital of Traditional Chinese Medicine. I am currently working on conquering tuberculosis. Oh, and by the way, the flu epidemic in Changping some time ago was also eradicated under my leadership."

Guo Jianqiao said disdainfully:

"I thought it was someone else, it turns out to be a Chinese medicine doctor. Since when did Chinese medicine doctors comment on Western medicine and read X-rays? Don't you believe in pulse diagnosis?"

Lin Sanqi picked up the film and said with a smile: "Today, I, the Chinese medicine doctor, will teach you how to read the film and how to make a good diagnosis based on clinical experience:

An elderly male has had recurrent coughing attacks for more than 10 years, indicating a long course of illness. He was 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 dyspnea indicate rupture of blood vessels in the lungs and bronchi, at least pleural lesions are not the main factor.

The pale complexion suggests that there may be a large amount of blood loss. The patient fell into a coma shortly after being admitted to the hospital, which may be due to the large amount of blood loss.

The above points indicate that bronchiectasis may lead to secondary lung infection and pulmonary embolism, but it is not likely to be lung cancer.

So I think the cause of the disease is hemoptysis and blood clot obstruction. With this explanation, it seems that we have some clues about the culprit of the shadow in the right lung.

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 the film this time, they were completely caused by hemoptysis, which caused pulmonary embolism and then pulmonary infarction, manifested as pulmonary hemorrhage, edema, round or uneven density flake 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, thinking that what Lin Sanqi said made a lot of sense.

At this moment, Bi Xinglong and Ma Zhongli suddenly came to their senses 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 when they were 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 someone had been stepped on the tail:

"This is all your subjective speculation. What evidence do you have to deny my diagnosis of lung cancer?"

Everyone thought so. 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 the husband thinks he is right and the wife thinks she is 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 cannot cure the patient, just send him to our Chinese Medicine Hospital for treatment. If you send him to our hospital, I guarantee that he 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, you, Lin Sanqi, 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 and 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 could he miss it?

"Okay, Comrade Lin Sanqi, let's see what your Chinese medicine is capable of. Transfer to another hospital, now!"

Dean Tu also frowned when he heard this, thinking that Lin Sanqi was really a little too arrogant and didn't know how high the heaven was or how deep the earth was:

"Xiao Lin, I know there is some dispute between your Chinese Medicine Hospital and our Union Hospital, but the foreign guest today has a special status, so you can't joke around. If something 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 is now in a coma, in shock, and suffering from respiratory failure. I'm afraid he won't last long. We at the Chinese Medicine Hospital will take over such patients..."

No one was optimistic and thought Lin Sanqi was being ridiculous.

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 reflect the excellence of Lin Sanqi's medical skills?

In Western medicine, as 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 fails to 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 he, Lin Sanqi, becomes the best doctor in the capital, able to cure other incurable diseases, and his reputation spreads, which patient would dare to get angry in front of him in the future?

So it was definitely not because Lin Sanqi was being too meddlesome today and wanted to accept this foreign patient, but because he had his own interests in mind.

Leader Cheng was sitting behind his desk. Seeing that he could not 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."

Can you guys make a bet on this? There is no such thing as a trivial matter in diplomacy.

Lin Sanqi thought of the best reason immediately, and said firmly:

"Leader, our hospital has 12 national treasure-level Chinese medicine doctors, including Shi Jinmo, Xiao Longyou, and Han Bangxu. If Western medicine has been abandoned, can we try Chinese medicine? What if it has miraculous effects?"

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. After all, among the top health care teams, there were several great masters whose levels were indeed superb. He had seen that too, so he was not against traditional Chinese medicine in his heart.

“In addition, President Tu and Vice President Ye all know that our Chinese Medicine Hospital has the most advanced 750 mA X-ray machine in the country, and we also have the most advanced set of blood test equipment in the world. At the same time, we also have the 20 most outstanding doctors and 30 nurses from Union Hospital and Digital Hospital.

Take Dr. Guo in front of us for example. He was originally just a small doctor in the respiratory department of Union Hospital. He was promoted to this position only after Bi Xinglong and Ma Zhongli, the real experts, withdrew. His medical skills are so high…"

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)