After being fired, I became the light of medicine

Chapter 172 Completely different opinions!
Director Hao has the highest industry status among the three chief physicians of thoracic surgery, and naturally became the spokesperson.

Hearing this, he was silent for a moment, then gently pushed the frame of his glasses and shook his head:

"Secretary Bai, there are many things in medicine that cannot be done 100%."

"Especially for lung nodules, which only have CT images as a reference, doctors ultimately need to make judgments based on their clinical experience, so some errors are inevitable, so..."

"We can't guarantee 100% results."

"Oh."

Secretary Bai's eyes flashed with disappointment, but he also knew that this matter was indeed very difficult.

On the one hand, the diagnosis of lung nodules is difficult; on the other hand, there is a lot of pressure to draw conclusions.

After a moment, his tone slowed down:
"Then Director Hao, how sure are you that this is a malignant nodule?"

"65%!"

"65%?"

Secretary Bai suddenly fell silent.

This probability obviously did not satisfy him.

Director Hao also noticed that the atmosphere suddenly became a little dull. He coughed lightly and explained again:
"Secretary Bai, to be honest, it is indeed very difficult to judge this lung nodule. Even Director Li, Director Qiao and I have some disagreements."

"From the perspective of nodule morphology, it does not have obvious malignant characteristics, but it has grown by nearly 1mm from last year to now, and is obviously active, which is consistent with the growth rate of malignant tumors."

"So, we hope you can understand the difficulty of the judgment. We think there is about a 60-70% chance that this nodule is a rapidly growing malignant tumor, possibly squamous cell carcinoma."

"In addition, there is a 20% to 30% chance that this is an uncommon pulmonary adenomatous hyperplasia."

"But considering all factors, the probability of malignancy is higher, so we still recommend surgery."

Director Hao's rigorous explanation also made Secretary Bai realize the difficulty of the three people in making a decision.

After a few seconds of silence, he took a deep breath in his heart. It seemed that this matter did involve some risks.

"All right!"

Secretary Bai's expression returned to normal, and then he showed gratitude:

"Well, I would like to thank the three professors for coming to consult with me so late tonight. I have taken note of all your treatment suggestions!"

"But everyone knows that the patient's identity is quite special, and I can't make the decision on the surgery."

"I have to communicate with the relevant leaders and Professor Zhang himself before I can decide whether to perform the surgery. If it is confirmed that surgery is necessary, I will have to trouble the three professors again."

"No trouble, no trouble, this is what we should do."

After the pleasantries, Director Hao and the other two left the meeting room. Secretary Bai had already prepared a special car at the hospital entrance to take the three of them back.

Secretary Bai was the only one left in the empty conference room. He rubbed his temples and began to think about how to report the matter.

To be honest, a probability of 65% is not too low. In addition, this is a unanimous recommendation from the three top thoracic surgeons in the country, so the probability can even reach over 80%.

But after all, this is being used in important national projects and on elderly academicians, so one has to be extra careful.

"It's difficult. If only the three professors could be more confident, it would be great. Now it's really hard to decide."

Secretary Bai sighed,
At this moment, the door of the conference room was gently pushed open, and a middle-aged man walked in:
"Secretary Bai, what did Director Hao and the others say? Do they think it's a malignant nodule or a benign nodule? Does it require surgery?"

The visitor was the head of the Thoracic Surgery Department of the Air Force General Hospital - Director Ma Yaohua.

Director Ma is the Aerospace Group's personal physician, and he was the first to notice the abnormality in Mr. Zhang's CT scan.

Due to the complexity of the situation, he suggested that Secretary Bai seek consultation from three top thoracic surgery experts, Director Hao, Director Li, and Director Qiao.

Secretary Bai shook his head slightly, and then told Director Ma that Director Hao and the other two were only 65% ​​sure.

Director Ma fell silent upon hearing this. He also realized that if even the top three consultations led by Director Hao were only 65% ​​certain, then this operation was indeed risky.

After a moment of silence, he saw the confusion in Secretary Bai's eyes and said:

"Secretary Bai, if you really have trouble deciding, I suggest you look for someone else."

"Oh?"

Secretary Bai was startled and immediately said in surprise:
"Who else can I ask for help?"

"I am a junior fellow student of mine. He is currently at the Xinqiao Hospital in Shancheng City, which is also the Second Affiliated Hospital of the Army University."

"Because we are located in the southwest, where medical resources are not very developed, our influence in the field of thoracic surgery in China is not as great as that of Director Hao and Director Qiao."

"But I know that my junior fellow apprentice is very capable, especially in identifying lung nodules."

"Over the years, he has insisted on providing free online lung nodule diagnosis for patients. Not only is it very down-to-earth, but the accuracy of his diagnosis of each lung nodule is really high!"

"As his fame spread, many patients even traveled from northeast China and coastal areas to Xinqiao Hospital to register just to have him take a look at their lung nodules!"

Hearing this, Secretary Bai's eyes gradually brightened.

"What's his name?"

"Director of the Department of Thoracic Surgery at Xinqiao Hospital, Director Dai Jigang."

"He has an exclusive forum on Baidu Tieba, which is very popular. Netizens in the forum call him 'Dai Shen'. You can also go to the forum to check it out."

"'Dai Shen'?!"

"That's quite a high title!"

Secretary Bai was originally preparing to report to his superiors, but after hearing Director Ma's strong introduction, his mind immediately became active again.

He immediately looked up Dai Jigang's career resume on the Internet, and then went to Baidu Tieba to read many posts. In just twenty minutes, he decided to meet Director Dai in person.

Although Dai Jigang is slightly less famous than Director Hao and Director Li, he is by no means an unknown person. He is a chief physician, professor, and doctor of medicine. He is also ranked among the top 50 in the country in thoracic surgery. His professional ability is beyond doubt!

the most important is,

He really has the nickname "Dai Shen" on the Internet, and he is a master at identifying lung nodules!
The next morning, Secretary Bai flew to the mountain city. During the lunch break, he met Dai Jigang.

Director Dai wore a pair of glasses and was very young, probably in his forties.

"Director Dai, this is the specific situation. Please take a look at the film to see whether it is a malignant nodule or a benign one."

"Okay, I'll try my best."

Without any unnecessary nonsense, Secretary Bai quickly explained the purpose of his visit.

After learning the patient's identity, Director Dai realized the seriousness of the matter and immediately put down his work and began to check it carefully.

The office became quiet. About twenty minutes later, Director Dai, who was immersed in the CT images, suddenly raised his head.

"Secretary Bai, I've finished reading it." Secretary Bai was shocked and looked quite expectant:

"How is it? Benign or malignant?"

"Let me start with the left lung."

Director Dai slowly turned the laptop towards Secretary Bai.

"The first one in the left lung is a solid nodule. It was not there last year, but it is new this year. Although the shape is a bit abnormal, I don't think it's a big problem and we can continue to observe it."

"And I think the other one, two, and three ground-glass nodules in the right lung are all benign, no problem!"

"Only the last nodule took me a lot of time. After carefully examining the images from the previous two years, I thought it was most likely a benign and uncommon pulmonary adenomatous hyperplasia."

"Although it has grown a bit this year compared to last year, it is just a growth and not a malignant tumor. We can continue to observe and see!"

"That is to say, I don't think the patient needs surgery at the moment!"

Not a malignant tumor?!

No surgery necessary?!

After the words fell, Secretary Bai was stunned.

In order to avoid interference, he did not tell Director Dai about the conclusion of Director Hao and the other two in advance. However, he did not expect that as soon as Director Dai opened his mouth, he came to a completely different conclusion on the most critical nodule!

Benign nodules?!

After thinking for a moment, he suppressed his surprise and decided to inform the other three top thoracic surgeons of their judgment.

"Director Dai, to be honest, I also consulted several other top thoracic surgeons before you."

"Including Director Hao from the 301 Hospital and Director Qiao from the Union Hospital, they all think that the last nodule in the right lung is most likely a malignant nodule. Do you want to take a closer look?"

Director Dai was a little surprised, but then he shook his head and his eyes became more determined.

"Secretary Bai, you don't need to look at it. I have looked at it many times and I am very sure of my judgment - this is a benign and uncommon lung adenomatous hyperplasia!"

"There is absolutely no need for open-heart surgery at this time!"

Director Dai's firm tone was really inspiring, and Secretary Bai couldn't help but feel a little excited.

If there is really no need for surgery as Director Dai said, then Mr. Zhang would not have to undergo surgery, and he would not have to worry about delays in the progress of the aerospace project he is in charge of!
However, the excitement did not last more than three seconds, and Secretary Bai suddenly found himself in a deeper dilemma.

He had originally thought it through. If even Director Dai, who was known as "God Dai", believed that this was a malignant nodule, then even if the probability was only 65%, he would try his best to persuade Dr. Zhang to perform the surgery as soon as possible!
After all, the top thoracic surgeons in the country all agree that it’s worth doing despite the risks!
But now!
The three top experts led by Director Hao and Director Dai, who is also a top expert and known as "God Dai", have completely different opinions. What should we do?
Who should I listen to now?!

……

Secretary Bai didn't expect that things would become even more difficult after seeing a few more experts.

Just as he was thinking about how to report the matter to his leader, Zhang Yang was unusually relaxed.

Since Dean Zhou readily agreed to provide a CT machine for modification, he contacted the CT machine manufacturer, Siemens (China) headquarters, the next day. In the past few days, he has been waiting for the technical staff from Siemens headquarters in Shanghai to come to negotiate.

And the other side.

Zhang Yang also provided Wei Tian with the relevant information about the "nano-nodule developer" obtained from the simulator, allowing him to start animal experiments in the R&D center and prepare to apply for clinical trials.

I have to say something here.

Although nodule contrast agent is not a therapeutic drug, it still needs to be injected into the human body, so animal experiments are still necessary.

Just as Zhang Yang was happily advancing the progress of the "Nano-nodule Contrast Agent", Dean Zhou, who had not been in contact for a week, suddenly called him.

Zhang Yang was suddenly excited, thinking that the people from Siemens had arrived.

"Director Zhou, what's going on? Are the Siemens technicians coming over?"

To Zhang Yang's surprise, Dean Zhou's voice on the other end of the phone was a little low:

"Zhang Yang, it is indeed someone from Siemens who is here, but... things are a bit troublesome. Are you free now?"

Upon hearing this, Zhang Yang's originally bright smile gradually faded, he frowned slightly, and his voice became lower.

"Director Zhou, I'm free now. I'll come right over. Would you like to visit me in your office or in the CT room?"

"office!"

"it is good!"

After hanging up the phone, Zhang Yang drove to Chengdu Third People's Hospital.

Thirty minutes later, Zhang Yang arrived at Dean Zhou's office. As soon as he entered the door, he saw two unfamiliar faces sitting on the sofa.

"Zhang Yang, these two are the technicians sent by Siemens. We contacted them a week ago and told them that they needed to modify the supporting functions of a CT, but it seems that there was a problem with the communication."

As Dean Zhou finished speaking, the two people on the sofa stood up.

One of the tall and thin staff members spoke first:

“This is what the boss said. When your hospital contacted us, our sales staff thought you wanted to add some functions to the CT machine, so we agreed!
But when we got here, Zhou Yuan said that you provided the technology and we helped with the transformation.”

"If this is the case, there is no way we would accept such a proposal and we would not use our equipment to assist a third party in any modification."

Zhang Yang understood the reason instantly.

To put it simply, Siemens only recognizes its own supporting solutions and is unwilling to accept improvements from third parties.

This is understandable.

After thinking for a moment, Zhang Yang said in a deep voice:
"It was our problem. We didn't make it clear before."

"Yes, we are currently conducting a drug trial and need to improve the supporting CT machine. If this project is successful, we can continue to cooperate with your company."

"By the way, I'm the boss of Qingshan Pharmaceutical, and this project is also a project of our Qingshan Pharmaceutical. You can call and ask your senior management if they can talk to us."

Qingshan Pharmaceutical!

As soon as he finished speaking, Zhang Yang clearly felt that the eyes of the two Siemens employees suddenly changed, and there was obvious shock in their expressions when they looked at him.

After a moment, the tall and thin staff member suddenly showed a bright and polite smile and said:

"Are you Mr. Zhang from Qingshan Pharmaceutical? I've heard of your name!"

“You just said that your company is conducting a drug trial and needs to improve the supporting CT machine?
Logically speaking, we have never cooperated with a third party before, but you are the CEO of Qingshan Pharmaceutical. I will call you and ask the headquarters right away. Can you wait a moment?"

Zhang Yang didn't expect the other party to be so enthusiastic, and nodded with a smile.

"of course can!"

(End of this chapter)