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

He never thought that the mass lesion of the right lower lung would be a bird allergy.

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

can contact the cause and effect, think about it carefully, and feel more and more that what Ji Xiang said makes sense.

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

The related patient, Lin Jiu, had seen a very severe case of interstitial pneumonia at Massachusetts General Hospital. However, treatment with pulse hormones after the diagnosis is confirmed and improves quickly.

As for Mo Chenggui......

The more he thought about it, the more surprised he became, and stared at Ji Xiang out of the corner of his eye.

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

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

But!

Ji Xiang pierced the last layer of window paper with a word.

A ray of sunlight shines in.

In the past, Lin Jiu always felt that the other doctors were on the first floor, and he stood on the second floor, condescending to have a bird's-eye view of all beings.

For other doctors, Lin Jiu is a means of dimensionality reduction.

But what about Ji Xiang? Lin Jiu felt that he was on the third layer, or even on the fifth layer.

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

Bird allergies!

This diagnosis is imaginative, but after careful examination, Lin Jiu thinks it is correct.

At this moment, he wanted to rush to Mo Chenggui, writing and drawing with a notebook.

"You can give it a try, Director, don't go straight to the operation. If you are worried that needle biopsy will lead to implant metastasis, do a PET-CT, which is also required 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 moment and nodded, "Okay, then I'll go and talk to Lao Mo." ”

After the director of the CT room was confused, he glanced at Director Liu, and his eyes were full of expressions of resentment that he was too used to children.

In his opinion, Director Liu is too accustomed to auspicious Xiang to describe it in words.

Diagnosing such a big matter, how can a child talk about it!

The reconstruction was done, and the blood vessel appeared in front of me clearly, whether it was looking at the form or the offering, it was a malignant tumor.

It's amazing!

The director of the CT room cursed in his heart.

Waiting for Director Liu, Ji Xiang and others to leave, the director of the CT room came back and kicked on the chair.

"Lao Liu is fooling, nonsense!"

"Director, you are discouraged." The CT doctor hurriedly advised.

"What's so angry, I think his old Liu is dizzy! It was already clear that it was a malignant tumor on the film, and he still had to listen to Dr. Xiaoji. This is a hospital, not a variety show! ”

"I think Director Liu is floating!"

The doctors in the CT room were silent.

"Isn't the film obvious enough! I can't see this, what kind of doctor should I be! The director of the CT room kicked the chair viciously again, knocking the chair down with a bang.

Contrast-enhanced CT scan is to do CT to go to the patient's blood vessels and inject some contrast agents, which can be captured by CT and reflected in the image, so it is called contrast agent.

If the patient is lung cancer, then there will be abundant blood vessels in the cancer, because the tumor cells are often metabolized, which needs abundant blood to support, so the cancer has many blood vessels.

If there is abundant blood circulation, the contrast agent will also gather here, and the CT scan can see it, and judge whether it is lung cancer or not.

If it is a lung abscess or tuberculosis or other diseases, the blood circulation in the lump is not so abundant, and the natural contrast agent does not enter as much, so the pattern is different from that of lung cancer.

The images have given accurate hints, no wonder the director of the CT room is so angry.

"Director, don't be angry, there are a few clinicians who can watch the film. We have to see 1,800 similar images a year, and they can't see so many in their lifetime. Someone persuaded.

The director of the CT room calmed down a little and asked, "Who is the doctor who came to talk about the differential diagnosis later?" The look of a stinky fart! ”

"It seems that he came back with Ji Xiang, saying that the doctor who wanted to study was the expert from Massachusetts General Hospital in the show."

There was an instant silence in the CT room.

The name of a man, the shadow of a tree.

The director of the CT room can scold Director Liu and Ji Xiang, but he is a doctor after all, and he is still full of awe for world-renowned large hospitals such as Union and Massachusetts General Hospital.

Massachusetts experts......

No wonder, no wonder he was able to give such a detailed differential diagnosis, no wonder Ji Xiang started to discuss with Ji Xiang when he said that birds were allergic.

The director of the CT room was silent for a few seconds, and said in a deep voice, "Find out for me, what is bird allergy." ”

……

……

Lin Jiuze, who was respected, was standing in the ward at this time, his mouth open, and he looked at Mo Chenggui in a daze.

Bird allergies!

It's really a bird allergy!

His hands were shaky and he could barely hold the pen.

How was Ji Xiang diagnosed?!

Lin Jiu has encountered countless geniuses and defeated countless geniuses.

If you want to fight your way through Harvard Medical School, you can't just rely on hard work, but you also need top talent and some luck.

Lin Jiu has all these things.

But he had never seen someone like Ji Xiang.

It's simple and easy, and Mr. Mo wears a down jacket to give a diagnosis.

He didn't directly say that birds were allergic, but Lin Jiu recalled that he should have given Director Liu face, and he didn't want the old director to be too embarrassed.

What a hell!

Lin Jiu had in his heart the sentence that others often described him.

"Teacher Mo, don't be too anxious, I watched the film, I ...... Dr. Lam agrees that it is not a malignant tumor. Ji Xiang smiled and said to Mo Chenggui, "Do a PET-CT, and then you can see it yourself." ”

"Xiao Ji, don't toss, I know my situation." Mo Chenggui instead comforted Ji Xiang with a smile, "I told the patient what is the great deal about cancer in my life, and I have to face something like that." Now that it's my turn, I can't afford to be intimidated. ”

Saying that, Mo Chenggui shook his head, "The key is that it's useless to coax, isn't it." ”

"Mr. Mo, let's talk about it after we finish PET-CT." Ji Xiang said, "You too, the down jacket you are wearing is tattered, I took it and replaced it with a new one for you." ”

"Don't be so polite."

"You're welcome, it's my suspicion that your illness is caused by a down jacket." Ji Xiang said.

Colonel Wang crossed his bald head, if it weren't for Lao Mo's illness, he would almost laugh.

Down jackets, causing lung cancer? Colonel Wang really wanted to touch Ji Xiang's forehead to see if he had a fever.

(End of chapter)