"Ha, in the office of the vice president of the hospital, there is not even a light box. The light box is a special tool for looking at CT and other imaging imaging, and generally speaking, one will be installed on the wall next to the desk of the internist, Liang Baoguang deliberately emphasized this point to satirize Shin Chongxi's bureaucratic and bureaucratic lack of medical skills, "Then let's find a place where you can watch the film, and I will teach you fools a lesson." ”

Liang Baoguang's words are certainly ugly, but he is a diagnostic expert with real skills, even if several people think that Jin Chengzhu is a neurological lesion caused by Parkinson's disease, they dare not directly ignore his judgment at this time, "What is Dr. Liang's high opinion, I want to see it." ”

"It's not a high opinion, it's a fact. After entering the conference room for consultation, Liang Baoguang took out the PET-CT film in the bag and inserted it on the light box board, because the whole body imaging volume was relatively large, he almost covered the entire whiteboard, "From these imaging images, do you see the problem?"

Shen Chongxi frowned, the MRI images are not something that ordinary people can understand, and the PET-CT is even more difficult, there are a bunch of pictures lined up, if they can immediately see the problem, it will be Superman, "If there is any specific problem, Dr. Liang, please tell me directly, don't sell it anymore." ”

"That's right, you fake insiders and real laymen, probably don't know how to use positron tomography. Liang Baoguang picked up the water-based pen under the whiteboard and dotted on the image of a chest position, "There is a black spot here, hanging over his heart like a big strawberry, you can't see it?"

Liang Baoguang said quite exaggeratedly, in fact, the shadow is not close to see clearly at all, Shen Chongxi deliberately stood in front of him and put on reading glasses for the sake of prudence, and looked at it seriously for a long time but still couldn't agree with this point of view, "This doesn't explain anything, I think it's mostly fake." ”

Positron tomography technology has appeared for decades, but it has always been controversial in the clinical application of the medical community, because it is too "precise", no matter who scans it, it can scan out suspicious lesions with high confidence, so that the actual practical value is low.

Liang Baoguang tapped the whiteboard heavily with a water-based pen, "Look closely, a year and a half ago, Jin Chengzhu's patient was misdiagnosed with depression, and you prescribed him Haloperidol (haloperidol), the side effect of this medicine on him is reflected in stiffness, and this is the reason why you misdiagnosed him with Parkinson's disease. ”

"Even if haloperidol is taken with levodopa, it will not cause any excessive adverse reactions, which cannot explain the symptoms of his brain giving wrong instructions, unless neuropathy ......" Kim Sung-ju did not receive treatment at Korea University Hospital before, but Ha Ji-sung felt the need to maintain the dignity of his colleagues in the South Peninsula.

"I said that you are all idiots, of course it's okay to take levodopa with haloperidol, but levodopa caused his insomnia, I looked through his medication history, and he asked the doctor to prescribe some tranquilizers for him in order to sleep more peacefully, do you know what he got his hands on? According to Dr. Klaans of the New England Medical Center in 12 cases of haloperidol for L-dopa-induced ADHD, taking haloperidol with levodopa at the same time only reduced the drug's effectiveness, but taking it together with levodopa induced the "off" in the "switch" symptoms.

Li Yunjing suddenly realized that she also went into a misunderstanding at the beginning, saying that even if Jin Chengzhu's heart had a problem, there should be no sudden arrest and stiffness, but as soon as Liang Baoguang explained that she understood that the original problem was the medicine the patient was taking, and the elimination of the symptoms caused by this drug was the original course of the patient's disease, "No one has seen it for so long that his immune system is fighting against cancer!"

"Yes, malignant thymoma, if you insist on using the same treatment for Parkinson's on him, he will soon have another cardiac arrest and then die. So I'm going to ask you, Dean Shen, do you have a personal grudge against the patient, or are you prejudiced against North Korean defectors, and you are in such a hurry to take his life?" Liang Baoguang returned to him what Shin Chongxi had just said to Li Yunjing.

The people from the National Intelligence Institute only looked at the expressions on both sides, and they actually knew the true situation of the matter, but Jin Chengzhu's existence was very important, so he asked Shin Chongxi again for the sake of insurance, "Dean Shen, do you have anything to say about Dr. Liang's words?"

"Dr. Liang's judgment should be correct, but we still have to do a biopsy to confirm it, and we can confirm the diagnosis when the results of the smear come out." "Shen Chongxi can't mess around, except for the people in the National Intelligence Institute, they are all experts in internal medicine, and a dead duck's hard mouth will only make the back more ugly. He only felt that he had made a move too early this time, but he just flipped through the medical records and was picked up two sentences to put the old dean right, and as a result, he lost face in front of Liang Baoguang.

Liang Baoguang walked over and shook hands with the people of the national intelligence officer, the other party was said to be a deputy director, and the level was already quite low, "This time it is the face of Director Nandou Yinan, and the diagnosis fee will not be calculated with you, fortunately, I will go back first, and you will inform the patient later, he only has two years to live." ”

"What, is malignant thymoma not cured?" The deputy director of the Framework Intelligence Institute was stunned, originally they thought that Jin Chengzhu's life had been saved, but Liang Baoguang told them that all this was only temporary, their efforts were just a bamboo basket, and the little information he revealed was not worth it for them to pay so much to bring people back.

Li Yunjing nodded regretfully, malignant thymoma is incurable, because the lesion is in the heart, many treatments for cancer cannot be used, "Two years is just the most optimistic prediction, in fact, this disease has developed to the current stage, it should not be able to live for more than a year, and it is possible that luck will almost die tomorrow." ”

Liang Baoguang didn't care what the people in the National Intelligence Institute thought, he was only involved in this case because he saw it for the first time because he saw the symptoms of "the brain transmitting wrong signals to the heart" before, and he thought it was very interesting, so he accepted Nandouyi's invitation. Now that the mystery has been solved, of course, he has no interest in staying at Korea University Hospital, and his mother-in-law called yesterday and said that she wanted him to come over for a good chat on the weekend, and he still had to face the upcoming three sessions.

"Boss, I didn't expect you to see the lesions on PET-CT so quickly. Liu Zhizhi took the film and watched it for a long time and found nothing, but Liang Baoguang saw the problem in just a few minutes from getting the things to walking into Shen Chongxi's office.

"Oh, you don't have a skill. Liang Baoguang shook his head.