Doctor of Healing

The images showed that the space occupied by Mo Chenggui's lower right lung was undoubtedly lung cancer.

The biggest feature of tumor tissue is that it can be supported by the whole body. It is self-evident that the abnormally proliferated blood vessel represents something in the eyes of doctors.

"Old Liu, that's about it."

The director of the CT department, who completed the reconstruction as quickly as possible, sighed, "It is suspected to be a malignant tumor, do you want to do a PETCT or a biopsy?"

"I don't think it's necessary." Director Liu said, "I'll contact Modu Pulmonary Hospital and find experts to perform the operation."

The director of the CT room nodded.

There is no need for any puncture pathological tissue biopsy. Enhanced CT is almost sure to be a malignant tumor. It is the best way to directly cut it off and then enlarge the pathology.

There is a certain probability of metastasis in biopsy. Although the probability is not high, there is no objection to Mo Chenggui's situation.

And PETCT is meaningless.

"Okay, hurry up on your side, just call me for whatever you need, it's all my family, so you're welcome." The director of the CT room said.

"Director, why don't I think it's a malignant tumor?"

Just when the two directors were finalizing, Ji Xiang said suddenly.

Chapter 661 Mo Chenggui's Tattered Down Jacket

Director Liu's expression was gloomy, he sighed in his heart, and turned his head to look at Ji Xiang intently.

Old Mo probably has cancer, or hemoptysis, and it may not be possible to live for a few years.

Now this matter is the biggest hurdle Ji Xiang has encountered.

Whether he can pass or not depends on Jixiang himself.

Now that he has spoken, the difficulty for Ji Xiang to cross this hurdle suddenly increases, and he is probably about to stumble.

Ji Xiang had a serious expression, his eyebrows seemed to be shining, and he was staring intently at the reconstructed images of the 64-slice enhanced CT.

This child is still not reconciled, Director Liu thought.

As a doctor, be objective.But doctors are human beings, and it is absolutely impossible to be objective all the time.

Especially when it comes to your relatives and friends, you always think of what-ifs, assumptions, ifs, and so on.

Ji Xiang has committed a big taboo now!

"Xiao Ji, what did I tell you just now? No matter what you see, don't talk." Director Liu said softly.

He was also worried that if Ji Xiang had a stubborn temper, he might knock himself to the ground in front of others.

If you can't get off the stage, you can't do anything to Ji Xiang, it will be so embarrassing.

"Director, but I really don't think it's cancer." Ji Xiang bent down and explained gently with a very low posture.

Director Liu was a little satisfied.

At least Jixiang has not lost his mind, and keeps a humble attitude towards himself.

"I also don't think it's cancer. I suggest doing PET-CT."

Just when Director Liu was a little satisfied, he was taken aback by Lin Jiuze.

But Director Liu's heart immediately had infinite doubts.

If it is said that Jixiang is not fair and objective, it is understandable. After all, Jixiang was brought by Mo Chenggui and Senior Colonel Wang personally when he first came to the Second Affiliated Hospital. They have a very good relationship and harmony.

The teacher has cancer, and it may be very serious. Jixiang's loss of objectivity is understandable.

But Lin Jiuze and Mo Chenggui didn't know each other at all, they were nodding acquaintances at most, so how could they say such a thing!

"What nonsense are you talking about?" The director of the CT room said seriously, pointing to the film on the computer. "Now there is a 99% possibility that it is a malignant tumor. Any doctor who knows a little bit about imaging will come to this conclusion."

"If it's not a malignant tumor, is it tuberculosis? Pneumonia? Inflammatory pseudotumor?"

"Bullshit."

The director of the CT room talked, and finally said in a reprimanding tone.

He squinted at Lin Jiuze, and suddenly became dizzy, and his eyes became cross-eyed at some point.

"Tumor markers are not 100% elevated. The tumor markers of many cancer patients are normal. Lung cancer cannot be ruled out just because the tumor markers are normal."

"The white blood cell count is also high in the blood routine. It may be pneumonia, lung abscess, etc., but this is not the case with a typical lung abscess. A typical lung abscess will have high fever, high white blood cell count, and the patient will cough a lot. Phlegm and so on."

Lin Jiu spoke bit by bit, making a differential diagnosis in front of everyone.

But every bit he said brought a definitive diagnosis closer to malignancy.

Everyone has some doubts.

"The most common symptom of typical pulmonary tuberculosis is hemoptysis, as well as fever, fatigue, night sweats, etc. The patient had a low-grade fever in the past few days after being hospitalized, and the possibility of pulmonary tuberculosis cannot be easily ruled out. However, the chest CT does not look like pulmonary tuberculosis. Nothing can be ruled out.”

"Doctor Lin." Director Liu said despite bouts of dizziness, "What exactly do you want to say?"

"I have a high probability that the patient is not lung cancer, but the specific diagnosis is not yet clear."

"..."

"..."

Everyone was speechless.

What is Lin Jiu doing!

"I think everyone's attention may be on the tumor. The patient reported that he had a low-grade fever recently. He didn't measure his body temperature before being hospitalized. His body temperature was 37.5 degrees Celsius when he was hospitalized."

"Hypothetical, I say hypothetical, because the patient has not taken the temperature before. Assuming that the patient has a long-term fever, there are probably several reasons-infection, tumor, AIDS."

"!!!"

"HIV negative." Director Liu said very unhappy.

If he didn't feel dizzy just looking at Lin Jiuze, Director Liu would definitely stare at him to express his anger.

People who come back from the United States are unscrupulous.

"The remaining high probability is caused by infection and tumor, and there is a very small probability that it will be some rare disease of rheumatic immunity. We will not consider it for the time being."

"The rest, we have to continue..."

Lin Jiu talked about his differential diagnosis and cognition of Mo Chenggui's disease, but before he could speak, a voice came.

"The down jacket worn by Teacher Mo."

"..."

"..."

Everyone including Lin Jiuze was stunned.

What does it mean that Teacher Mo wears a down jacket?

Director Liu looked at Ji Xiang full of worry, he raised his hand and patted Ji Xiang, "Xiao Ji, I know you are very sad, so please take a rest first, I'm here, don't worry."

After finishing speaking, Director Liu still felt that it was not enough, so he continued, "I attach great importance to your and Dr. Lin's opinions, so please invite Director Lu to come for consultation first, and check the diseases in the Rheumatology and Immunology Department."

"Well, it's okay, head office, you go to rest first."

"Director, that's not what I meant." Ji Xiang said softly, "I saw a down jacket in Teacher Mo's ward, and it was worn out."

Director Liu's heart tightened suddenly as if being grabbed by an invisible hand.

Xiaoji is very sad, he just hasn't shown it yet, and has been hiding it deeply in his heart.

Others pay attention to malignant tumors, but Xiaoji has already begun to pay attention to the down jacket worn by Lao Mo.

Ugh……

In fact, Lao Mo earns a lot, he is just stingy.

Director Liu thought in his heart, feeling slightly sad.

Ji Xiang's words caught Lin Jiuze's attention, and his thoughts moved slightly, "Down jacket? Allergic to birds?"

Without waiting for others to ask, Lin Jiu said self-consciously, "Bird allergy is mainly manifested as skin itching, and sometimes eczema-like changes such as erythema and papules.

Skin allergy belongs to a type of allergic reaction. After the allergen enters the body, it prompts the body to produce corresponding antibodies and triggers an antigen-antibody reaction, manifested as erythema, papules, and wheals, accompanied by tingling, burning, and acupuncture. Sensation, tension etc. "

"In rare cases bird allergy can lead to interstitial pneumonia."

"But the patient's enhanced CT did not show interstitial pneumonia."

His series of words made everyone dumbfounded. Only Ji Xiang said, "There are exceptions to everything. I think it's better to do PET-CT or biopsy first."

Director Liu listened stupidly.

Bird allergy, a diagnosis he had never heard of.

But Lin Jiuze's theoretical knowledge is infinitely richer than his own. As soon as Ji Xiang said it, he "talked to himself" a lot of things, explaining bird allergy clearly.

like……

seem……

possible……

Is that true?

There was a slight change in his firm heart, and Director Liu re-read the film suspiciously.

Chapter 662 Jixiang Standing on the Fifth Floor

Director Liu and the director of the CT department were greatly shocked, but Lin Jiuze was the most surprised.

He never thought that the space-occupying lesion in the right lower lung would be bird allergy.

Similar diagnoses and similar patients are extremely rare, and lung imaging is dominated by interstitial pneumonia.

But by connecting the cause and effect, and thinking about it carefully, I feel more and more that what Ji Xiang said makes sense.

Ji Xiang is not talking nonsense, he must have his own diagnosis basis.

Lin Jiu, a related patient, saw a case of severe interstitial pneumonia at Massachusetts General Hospital.However, after the diagnosis was confirmed, he was treated with hormone shock therapy and soon improved.

As for Mo Chenggui...

The more he thought about it, the more surprised he became, staring at Ji Xiang from the corner of his eyes.

Before Ji Xiang spoke, everything was under Lin Jiuze's control.He determined that Mo Chenggui was not a malignant tumor, but he did not give a definite diagnosis.

Talking about the differential diagnosis and trying to convince other doctors, Lin Jiuze often does this kind of thing at Massachusetts General Hospital, and he is already very proficient. For him, it is just a routine.

but!

With one sentence, Ji Xiang pierced the last layer of window paper.

A ray of sunlight came in.

In the past, Lin Jiu always felt that other doctors were on the first floor, and he stood on the second floor, condescending and overlooking all living beings.

For other doctors, Lin Jiu belongs to the method of reducing dimensionality.

But what about Jixiang?Lin Jiu felt that he was on the third floor, or even on the fifth floor.

He subconsciously looked up and saw the roof of the CT room, but Ji Xiang was not there.

Bird Allergies!

This diagnosis is wild and unconstrained, but after careful inspection, Lin Jiu thinks it is correct.

At this moment, he wanted to run to Mo Chenggui and write and draw with his notebook.

"You can try it, director, don't do surgery directly. If you are worried that doing a needle biopsy will lead to implant transfer, go for a PET-CT. There are also requirements in the clinical pathway." Ji Xiang said in a pleading tone.

Director Liu was a little confused.

But what Ji Xiang said made sense, and he didn't mess around here because of sadness and unwillingness.

He thought for a while, nodded, "Okay, then I'll go talk to Lao Mo."

After being confused, the director of the CT room gave Director Liu a sideways glance, his eyes were full of expressions of blaming him for being too used to children.

In his opinion, Director Liu is too used to Ji Xiang to describe it in words.

How can a child make irresponsible remarks on such a big matter as a diagnosis!