found this thyroid nodule, Ren Jiangchi remained silent, and continued to take the opportunity of physical examination to look at other parts of Cheng Xuezhi's body. Because from the current situation, he can only say that the gray-white nodule in the thyroid tissue is a lesion, but it is impossible to judge whether it is a primary lesion or a metastatic lesion. Therefore, he also needs to see through whether there are any lesions in other parts of Cheng Xuezhi's body.

Fortunately, after Ren Jiangchi saw through Cheng Xuezhi's whole body, no cancer was found in other parts, except for fluid in the abdomen, other parts are some common diseases of the elderly such as rheumatism and inflammation and arteriosclerosis.

Ren Jiangchi almost had a number in his heart at this time, and the gray-white nodule in Cheng Xuezhi's thyroid tissue should be the primary lesion.

He asked the nurse to cover Cheng Xuezhi again, and then said with a smile: "Cheng Lao, I have finished the physical examination, now I will give you a pulse!"

Cheng Xuezhi naturally didn't know that Ren Jiangchi had found the lesion in his body, and the so-called pulse was just a look. Hearing that Ren Jiangchi was going to give him a pulse, he put his hand on the outside of the quilt and said politely in a weak voice: "Then it's troublesome little gentleman!"

Ren Jiangchi gently put three fingers on Cheng Xuezhi's wrist, closed his eyes slightly, and felt the pulse beating for two minutes, then slowly opened his eyes and removed his fingers from Cheng Xuezhi's wrist.

"How is it, Mr. Jiang Chi?" asked Cheng Dongliang nervously.

"Cheng Lao has a problem with his right thyroid gland, and there is a cancer lesion in it, the size of half a sesame seed, and the diameter should not exceed one millimeter. Ren Jiangchi said.

As soon as he said this, the room suddenly fell silent, and Zhong Jincai and the experts from the Provincial People's Hospital behind him all showed incredible expressions on their faces.

What is this Ren Jiangchi doing? If you just say that Cheng Xuezhi has a thyroid problem, whether it is true or not, at least it sounds like that. But now you directly say that Cheng Xuezhi has a cancer lesion in the thyroid on the right side, and directly say the specific size of the lesion, are you taking our top experts from the Provincial People's Hospital as fools, right?

After all, Zhong Jincai had seen all kinds of worlds and was the first to react. He opened his mouth and asked, "Xiao Ren, what evidence do you have for saying this?"

Ask me again what evidence I have! What a damn evidence!

Ren Jiangchi forcibly suppressed the annoyance in his heart and said: "Just like X-rays, B ultrasound images, and CT images, the pulse I feel in my fingers is my evidence!"

"Nonsense!" Zhong Xiaoxiao held back for a long time, and finally found an opportunity at this time, "I have studied at the Medical Department of Yenching University for nearly five years, and there are so many top Chinese medicine experts in our school, and I haven't seen that expert brag that he can judge whether the patient has a tumor just by relying on his fingers and pulses, and where the tumor grows in the patient's body, not to mention the specific size of the tumor!"

Ren Jiangchi had had the experience of the previous few times, and knew that it was useless to argue with Zhong Xiaoxiao. So just as there was no Zhong Xiaoxiao in the room, he looked at Cheng Dongliang calmly, "Mayor Cheng, I have already told you the results of my pulse diagnosis, and the task I was invited here by Dean Shi and Dean Zhu today has been completed. As for what to do next, you can think carefully before making a decision. If I don't need anything else, I'm going back now!" he said, standing up.

"Mr. Jiang Chi, please wait!" Cheng Dongliang hurriedly stretched out his hand to stop Ren Jiangchi. At this critical moment, how could he let Jiang Chi go?

No matter what the experts in the Provincial People's Hospital think, in Cheng Dongliang's opinion, since Ren Jiangchi can tell the specific location and size of the cancer lesion, he must be sure in his heart. Otherwise, if his nonsense is exposed, what kind of serious consequences will he face, isn't he worried in his heart?

After all, his identity is the executive deputy mayor of Tianyang City, not a cat or a dog, and he can be teased and deceived without worrying about what consequences he needs to bear!

"Xiaoxiao, don't talk yet!" Cheng Dongliang glanced at Zhong Xiaoxiao, then turned his face and asked Zhong Jincai: "Jincai, what do you think of Mr. Jiang Chi's diagnosis?"

Zhong Jincai first glanced at the experts behind him with his eyes, and saw that none of them wanted to speak, so he knew that these experts were basically the same as his judgment, so he slowly spoke: "Dongliang, Xiao Ren's current diagnosis is difficult to talk about at present, mainly because Xiao Ren's judgment is too subjective and lacks objective evidence to support it. ”

"So, is there any way to verify the correctness of Mr. Jiang Chi's diagnosis?" Cheng Dongliang said, "After all, Mr. Jiang Chi has clearly pointed out that the lesion is in my father's right thyroid tissue!"

"The problem is that Xiao Ren also said that the diameter of the lesion is not more than one millimeter, which is beyond the minimum range that modern medical instruments such as B-ultrasound, color ultrasound, nuclear magnetic resonance and PETCT can detect. Zhong Jincai said, "The previous examinations that we used various modern medical instruments also proved this. ”

Therefore, if you want to prove whether Xiao Ren's statement is correct, unless it is a direct pathological analysis of thyroid tissue. Zhong Jincai continued, "And to do a direct pathological analysis, either a needle biopsy of the thyroid tissue, or the thyroid tissue is removed and sent to the pathology department for biopsy examination. ”

"Although the needle biopsy is said to be small and the healing is fast, it needs to be guided by B-ultrasound or color ultrasound instruments to puncture the lesion site and extract the biopsy. However, under the current circumstances, neither B-ultrasound nor color ultrasound can detect tissue nodules, so this method is not feasible. Then the only way left is to remove the thyroid tissue and send it to the pathology department for analysis to see if the nodular lesion can be found. ”

"However, thyroid tissue is a very critical tissue to the human body, if it is removed, even if only one side is removed, it will need to be taken for life, otherwise it will cause serious sequelae!"

Hearing Zhong Jincai say this, Cheng Dongliang couldn't help but hesitate. If the thyroid tissue is cut and it is found that there is a cancer foci in it, then there is no problem, but if the thyroid tissue is removed, no cancer is found in it, and there is a super oolong, isn't it worse for my father's health? Originally, with my father's current condition, I could support him for a longer period of time, but because of the removal of thyroid tissue, the decay of my father's body was accelerated, and the gains outweighed the losses!

Cheng Xuezhi has been resting on the bed with his eyes closed since Ren Jiangchi crossed the pulse, but at this time, he suddenly opened his eyes, and said in a low voice but with a resolute attitude: "Jincai, then you are ready for thyroid tissue removal surgery, my current situation, even if I don't remove thyroid tissue, how long can I last? In short, I am not wronged if I cut it in vain, if I find the lesion that Mr. Xiao said after the resection, then I will be equal to earning!"

Cheng Xuezhi's words once again gave Ren Jiangchi a taste of what it means to be truly open-minded. Although the truth is what Cheng Xuezhi said, but the real thing comes to him, who can really be so open-minded as Cheng Xuezhi?

Although the old man said this, Cheng Dongliang still had a hard time making up his mind in his heart, and he looked at Ren Jiangchi again, "Mr. Jiang Chi, how sure are you about your diagnosis?"

"One hundred and twenty percent sure!" Ren Jiangchi said very firmly.

Cheng Dongliang pinched his fingers, turned around and looked at Zhong Jincai again, "Jincai, on the results of the current examination in your hospital, can you find even the slightest evidence to support Mr. Jiang Chi's diagnosis?"

Zhong Jincai pondered for a moment and said, "There are two test results that support Xiao Ren's judgment. One of them is adenocarcinoma cells in the ascites fluid pathological examination, and the other is CK19(+) in the immunohistochemistry project, which is consistent with the characteristics of thyroid cancer. But the problem is that it's not just thyroid cancer that has these two characteristics, basically adenocarcinoma meets these two characteristics!"

Hearing Zhong Jincai say this, Cheng Dongliang finally made up his mind, "If these two characteristics match, at least it shows that Mr. Jiang Chi's diagnosis still has a certain basis." If you make money, according to what my old man said, you can arrange for someone to prepare for thyroidectomy!"

"Okay, since the old man and you are both insisting, then I will arrange for someone to prepare for the operation!" Zhong Jincai nodded helplessly in agreement, "But before that, we need to conduct another color ultrasound examination on the old man's thyroid tissue to determine the extent of thyroid tissue resection." ”

Zhong Xiaoxiao was still unwilling next to him, and he wanted to speak several times, but Zhong Jincai glared back sternly. So Zhong Xiaoxiao secretly glared at Ren Jiangchi, thinking that after Grandpa Cheng's thyroid tissue was removed, he would not find the cancer focus that Ren Jiangchi said, so he immediately turned his face on Ren Jiangchi and asked him to be sent to the Tianzhou City Health Department to convict him of illegal medical practice!

Surrounded by everyone, Cheng Xuezhi was sent to the special color ultrasound room in the Gaogan ward.

When he pasted the color ultrasound probe to the position of Cheng Xuezhi's right thyroid gland and looked back at the color ultrasound display screen, he couldn't help but scream in surprise.

Because the display screen clearly shows that Cheng Xuezhi has a hypoechoic nodule on the right lobe of his thyroid gland, the boundary of the nodule is blurred and difficult to judge.

Obviously, Cheng Xuezhi's left and right thyroid glands were examined by color ultrasound only yesterday afternoon, and there were no low-echo nodules at all! Why did a low-echo nodule suddenly pop up today?

Listening to the old director of the color ultrasound room, Zhong Jincai also hurriedly stretched his head to the color ultrasound display, and when he saw the low echo nodules on the color ultrasound display, he couldn't help but be dumbfounded!