Healing Doctor

Chapter 664 Mo Chenggui's tattered down jacket

Director Liu's expression darkened. He sighed inwardly and turned to stare intently at Ji Xiang.

Old Mo probably has cancer, the kind that makes him cough up blood. He might not live for many more years.

This is the biggest hurdle Ji Xiang has encountered right now.

Whether he can get through this depends on Ji Xiang himself.

Now that he has spoken, the difficulty for Ji Xiang to overcome this hurdle has suddenly increased, and he is likely to suffer a major setback.

Ji Xiang had a serious expression, with a light seemingly shining between his brows, as he stared intently at the reconstructed images from the 64-slice enhanced CT scan.

"This child is still unwilling to give up," Director Liu thought.

Doctors are expected to be objective. But doctors are human, and it's impossible for them to remain objective all the time.

Especially when it comes to one's own relatives and friends, one always thinks of "what if," "what if," and so on.

Ji Xiang has now committed a grave mistake!

"Xiao Ji, what did I just tell you? No matter what you see, don't say anything," Director Liu said softly.

He was also worried that if Ji Xiang got stubborn, he might knock himself to the ground in front of others.

If I can't back down from this situation, and I can't do anything to Ji Xiang, how embarrassing would that be?

"Director, but I really don't think it's cancer," Ji Xiang said, bowing deeply and explaining gently.

Director Liu was somewhat satisfied.

At least Ji Xiang hasn't lost his mind and is still maintaining a humble attitude towards himself.

"I also don't think it's cancer, and I recommend getting a PET-CT scan."

Just as Director Liu was beginning to feel satisfied, Lin Jiuze gave him a fright.

But Director Liu was immediately filled with endless doubts.

If Ji Xiang is not fair and objective enough, it is understandable. After all, when Ji Xiang first came to the Second Affiliated Hospital, he was personally trained by Mo Chenggui and Colonel Wang. They had a very good and harmonious relationship.

The teacher has cancer, and it may be very serious, so it's understandable that Ji Xiang lost objectivity.

But Lin Jiu and Mo Chenggui didn't know each other at all, at most they were nodding acquaintances, how could she say such a thing!

"What nonsense are you talking about?" The head of the CT room said seriously, pointing to the images on the computer. "There's a 99% chance it's a malignant tumor. Any doctor with even a basic understanding of radiology would come to that conclusion."

"If it's not a malignant tumor, is it tuberculosis? Pneumonia? Or an inflammatory pseudotumor?"

"Bullshit."

The head of the CT department finished speaking in a reprimanding tone.

He glanced at Lin Jiuze, and suddenly felt dizzy; his eyes had inexplicably become cross-eyed.

"Tumor markers are not 100% guaranteed to rise. Many cancer patients have normal tumor markers. You cannot rule out lung cancer just because tumor markers are normal."

"The blood test showed a high white blood cell count, which could indicate pneumonia, lung abscess, or something similar. However, a typical lung abscess is not like this. A typical lung abscess would present with high fever, a very high white blood cell count, and the patient would cough up a lot of thick phlegm, among other things."

Lin Jiu explained everything bit by bit, making a differential diagnosis in front of everyone.

But everything he said brought the diagnosis closer and closer to malignancy.

Everyone was somewhat puzzled.

"The most common symptoms of typical pulmonary tuberculosis are coughing up blood, as well as fever, fatigue, night sweats, etc. The patient has had a low-grade fever during the past few days of hospitalization, so we cannot easily rule out the possibility of pulmonary tuberculosis. However, the chest CT scan does not look like pulmonary tuberculosis, so that can also be ruled out."

"Dr. Lin," Director Liu said, struggling with waves of dizziness, "what exactly are you trying to say?"

"I'm fairly certain the patient doesn't have lung cancer, but I can't give a definitive diagnosis yet."

"..."

"..."

Everyone was speechless.

What is Lin Jiu doing?!

"I think everyone's attention is probably focused on the tumor. The patient reported having a low-grade fever recently. He did not measure his temperature before being admitted to the hospital, and his temperature was 37.5 degrees Celsius when he was admitted."

"Let's assume—and I'm saying hypothetically, because the patient hasn't had their temperature taken before—that the patient has a prolonged fever could be due to several reasons: infection, tumor, or AIDS."

"!!!"

"HIV negative," Director Liu said, clearly displeased.

If it weren't for the fact that just looking at Lin Jiuze made him dizzy, Director Liu would definitely have glared at him to express his anger.

People who return from the United States are unscrupulous.

"The remaining possibilities are most likely caused by infection and tumors, with a very small chance of being some rare rheumatic and immunological diseases, which we will not consider for the time being."

"We still have to continue..."

Lin Jiu was talking at length about his differential diagnosis and understanding of Mo Chenggui's disease, but before he could finish speaking, a voice came from behind him.

"Teacher Mo's down jacket."

"..."

"..."

Everyone, including Lin Jiuze, was stunned.

What does it mean that Teacher Mo is wearing a down jacket?

Director Liu looked at Ji Xiang with deep concern. He raised his hand and patted Ji Xiang, "Ji Xiang, I know you're very sad. Well then, you should rest for a while. I'll take care of things here, don't worry."

After saying that, Director Liu felt it wasn't enough, so he continued, "I value your and Dr. Lin's opinions very much, so let's ask Director Lu to come for a consultation first to rule out diseases in the rheumatology and immunology department."

"Is that alright now? You can go and rest."

"Director, that's not what I meant," Ji Xiang said softly. "I saw a down jacket in Teacher Mo's ward that was already worn out."

Director Liu's heart tightened suddenly, as if gripped by an invisible hand.

Xiao Ji was very sad, but he hadn't shown it yet; it was still deeply hidden in his heart.

While others were focused on the malignant tumor, Xiao Ji had started noticing the down jacket Lao Mo was wearing.

Ugh……

Actually, Lao Mo earns quite a lot; he's just stingy.

Director Liu thought to himself, feeling slightly saddened.

Ji Xiang's words caught Lin Jiuze's attention. A thought flashed through his mind. "Down jacket? Bird allergy?"

Before anyone could ask, Lin Jiu said to himself, "Bird allergy mainly manifests as itchy skin, and sometimes eczema-like changes such as erythema and papules may appear."

Skin allergies are a type of hypersensitivity reaction. When an allergen enters the body, it prompts the body to produce corresponding antibodies, triggering an antigen-antibody reaction. Symptoms include erythema, papules, wheals, and may also include stinging, burning, tingling, and tightness.

"There is a very small chance that bird allergies will cause interstitial pneumonia."

"However, the patient's enhanced CT scan did not show interstitial pneumonia."

His string of words stunned everyone, except for Ji Xiang, who said, "There are always exceptions. I think it would be better to do a PET-CT or a biopsy first."

Director Liu listened blankly.

He had never heard of a diagnosis of bird allergy.

However, Lin Jiu's theoretical knowledge was countless times richer than his own. As soon as Ji Xiang spoke, he "talked to himself" and said a lot of things, explaining bird allergy clearly.

like……

seem……

possible……

Is that true?

Even his initial resolve wavered, and Director Liu, filled with suspicion, reviewed the film again.

(End of this chapter)