Chapter 107: I owe you an apology
Tian Tian has always had a good impression of Zuo Li, she felt that Zuo Li didn't speak because she was frustrated and speechless because of a mistake in judgment, so she thought about explaining it for him and giving him a little credit to make him feel better.
Unexpectedly, Zuo Li didn't buy it, he decided to say what he wanted to say just now, he shook his head: "I'm sorry, Doctor Tian, you may have misunderstood what I said." When I say that the disease is located in the lungs, I mean the primary lesion and not the metastasis of the lesion. In other words, I don't think that there is ** intimal peeling debris or cells that have been transferred to the lungs through some way, and of course I don't think that the cough is caused by a lung infection caused by this reason, my opinion is that coughing up blood comes from the disease of the lungs themselves, which is what I really mean by the disease in the lungs. ”
Speaking of this, he turned his head to look at Jiang Feng: "I suggest that the chest and pulmonology department have another careful examination, I didn't mean to do another X-ray, they also misunderstood, I mean ......"
"Doctor Zuo!" Jiang Feng interrupted Zuo Li's words, "Everyone doesn't seem to agree with your opinion. Well, why don't we talk to each other separately after we come down? The dean and other colleagues are very busy, so I won't delay everyone's time. ”
Zuo Li had no choice but to nod and stop talking.
Tian Tian was very embarrassed, she didn't expect that she would be kind enough to explain for Zuo Li, but Zuo Li didn't buy it, she couldn't understand why Zuo Li regarded his kindness as a donkey's liver and lungs.
She didn't know that Zuo Li was right about things and not people, he just wanted to attract everyone's attention and find that the patient had a lesion in the lungs themselves, not a metastatic infection, which were two completely different concepts. If you ignore the former, you will ignore the real cause of coughing up blood, and there will be big problems in the future.
It was precisely because of this worry that Zuo Li ignored the fact that Tian Tian would not be able to get off the stage on the spot, and bluntly stated his judgment, so as to arouse the great attention of the leaders and members of the academy.
Chen Tianming hesitated for a moment and said, "I think it is necessary to consider Dr. Zuo's opinion carefully, because the diagnosis of Chinese medicine is very different from the way we think about Western medicine. This difference also means that he may look at the problem from a different angle, so it also reminds us that the patient may have other unknown diseases that we should pay close attention to. ”
Gu Zhijie nodded and said, "It's good that Zuo Li can say his opinion from his point of view." I also agree with Director Chen Tianming's opinion that Zuo Li's opinion should be important, and your chest and pulmonology department should have a more mindful eye, pay close attention to the changes in the patient's condition, and pay attention to whether there is still the possibility that the patient's lungs mentioned by Zuo Li have other lesions, and you should not take it lightly. ”
Jiang Feng and Chen Tianming both nodded in agreement.
End of meeting.
Zuo Li followed Chen Tianming and was about to walk out, but Chen Tianming pouted at him behind him.
Zuo Li turned his head to look, but it was Tian Tian who came over. Chen Tianming smiled and walked out of the conference room first.
Tian Tiansheng blushed and said to Zuo Li: "Doctor Zuo, I don't have much research on Chinese medicine, I don't mean to misinterpret your meaning." ”
Zuo Li shook his head apologetically and said, "I should apologize to you, you want to help me, I know this." However, according to the results of my pulse diagnosis, the primary location of this disease is in the lungs, not the metastasis of other lesions. Moreover, the patient's pulse and the four diagnoses are not in line with your judgment. ”
Tian Tian said: "I hope you are right, I don't have to defend my own judgment, after all, we don't understand Chinese medicine, and many things in Chinese medicine are too mysterious in my opinion." ”
Zuo Li said: "I came to this judgment not all from traditional Chinese medicine, but also from the judgment of the X-ray chest X-ray, the round-like dense shadow on the chest X-ray, you think it is an infectious lesion formed by **endometriosis metastasis, but I always feel that this is not the case." Perhaps this is the real lesion I am looking for in the lungs, so I recommend further examination of the density. If you are involved in their further consultation and treatment, I hope you will mention to them that it is best to have a biopsy. - That's what I mean by asking for further tests from the chest and pulmonology department. ”
Tian Tian was taken aback: "Biopsy? Are you worried that this dense body of the lungs is not a metastatic infection, but a tumor? ”
"Well, but pathology is needed to make further judgments."
Tian Tian nodded and said, "Okay, I'll remind them." ”
Tian Tian left first, Zuo Li cleaned up the notebook and cup on the table, and also walked out of the conference room, but found that there was a person standing by the window next to the hall outside the door of the conference room, looking at him, but it was Chen Tianming.
She was obviously waiting for herself, Zuo Li walked over, and said with a hippie smile: "Beauty, are you waiting for me?" ”
"You're beautiful!" Chen Tianming glanced at him angrily, "I heard what you said to Tian Tian in the conference room just now, but from my personal point of view, I don't really support your judgment." But I don't think you would make this judgment for no reason, and I don't know much about Chinese medicine, although my dad is an old Chinese medicine doctor, I don't know why you came to such a conclusion. There is now a strong case for endometriosis, and the patient coughs up blood several times in a row during menstruation. ”
"And the lung imaging doesn't seem to look like a tumor, so I still prefer to follow the treatment of endometriosis. However, I will also tell Director Jiang your opinion on the patient's puncture to see if he decides to do a needle biopsy on the patient. After all, it was his patient. ”
Speaking of this, Chen Tianming said to Zuo Li apologetically: "However, I guess he won't agree, because this patient is from the countryside, he is self-funded, and the family economy is very tight, and now all the money for treatment is borrowed, so he can't add an extra burden to her." If it is a tumor, it will continue to grow. We can do a chest X-ray on the patient after a while, as long as we find that the shadow is getting bigger, then it is very likely that you speculate on the tumor, and at that time I believe that Jiang Fengfeng changed his opinion and agreed to the needle biopsy. ”
"That's fine, but it's best to get a piercing now."
"The patient's financial situation does not allow it, especially if there is no further evidence to support your judgment. For the sake of the patient, we didn't do any tests that could not be done, and this re-examination of the chest X-ray was actually completely unnecessary. You have to understand us. ”
“…… All right. ”
After this incident, Chen Tianming seemed to forget the previous unpleasantness, and said softly to Zuo Li: "Okay, let's say something else." By the way, how is the patient you took the initiative to take the pot doing? ”
Zuo Li said: "I am taking medication and it is starting to get better." ”
"Really? That's good. ”
Chen Tianming was a little surprised.
The two walked to the elevator entrance, pressed the elevator button on the left, and the elevator did not come up. Zuo Li said: "Are you free at night, eat together?" ”
Chen Tianming was obviously a little distracted, he didn't know what he was thinking, and after Zuo Li asked again, he came back to his senses and said, "I have to be on duty at night." ”
"That's right. By the way, how is your aunt's pain now? If there is no recurrence for three or four months, the medicine can be stopped. ”
"Got it."
The elevator came, and after it opened, it was empty, and the two went in, and there was no one all the way down, and there were only two of them in the elevator. Seeing the numbers constantly changing, Chen Tianming said: "By the way, next month, my dad will celebrate his 60th birthday, and he hopes that you can come, just a small gathering." ”
Zuo Li immediately said: "Okay, I will definitely come, you will send me a message on which day." ”
"Good!" Chen Tianming glanced back at him, nodded, and the elevator arrived with a dingdong.
The elevator door opened, and Chen Tianming walked out.
When the elevator door was about to close, she suddenly turned around and said, "If that patient is really cured with Chinese medicine, I owe you an apology." ”