Healing Doctor

Chapter 665 Ji Xiang Standing on the Fifth Floor

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

He never imagined that the lesion in his right lower lung would be caused by a bird allergy.

Similar diagnoses and patients are extremely rare, and lung imaging primarily shows interstitial pneumonia.

But if you connect the cause and effect and think about it carefully, you'll find that Ji Xiang's words make more and more sense.

Ji Xiang wasn't talking nonsense; he must have his own diagnostic basis.

Lin Jiuze had seen a similar case at Massachusetts General Hospital, a very severe case of interstitial pneumonia. However, after a clear diagnosis, the patient received high-dose corticosteroid therapy and quickly improved.

As for Mo Chenggui...

The more he thought about it, the more surprised he became, his eyes fixed on Ji Xiang out of the corner of his eye.

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

Explaining differential diagnoses and trying to convince other doctors is something Lin Jiu often does at Massachusetts General Hospital; he's very skilled at it, and it's just a routine for him.

but!

Ji Xiang's words broke through the last layer of mystery.

A ray of sunlight shone in.

Lin Jiu used to think that all the other doctors were on the first level, while he stood on the second level, looking down on everyone from a high vantage point.

For other doctors, Lin Jiu's approach was akin to a "lower-dimensional attack."

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

He subconsciously looked up and saw the ceiling of the CT room, but Ji Xiang wasn't there.

Bird allergy!

This diagnosis seems far-fetched, but upon closer examination, Lin Jiu believes it is correct.

He wanted to rush to Mo Chenggui and start writing and drawing in his notebook.

"We can try, Doctor, but please don't go straight to surgery. If you're worried that a biopsy might lead to implantation metastasis, let's do a PET-CT scan. It's also required in the clinical pathway," Ji Xiang said pleadingly.

Director Liu was somewhat confused.

However, Ji Xiang's words made sense, and he didn't make a scene out of sadness and resentment.

He thought for a moment, then nodded. "Okay, I'll go talk to Old Mo."

After a moment of confusion, the head of the CT room glared at Director Liu, his eyes full of resentment that he had spoiled the child too much.

In his view, Director Liu spoiled Ji Xiang to an extent that defies description.

How can we let children talk about something as important as a diagnosis?

The reconstruction was done, and the blood vessel was clearly visible. Judging from its shape and the blood supply, it was a malignant tumor.

Damn it!

The head of the CT room cursed under his breath.

After Director Liu, Ji Xiang, and others left, the head of the CT room returned and kicked a chair.

"Old Liu is just messing around, making a complete mess!"

"Doctor, please calm down," the CT doctor quickly advised.

"What's there to be angry about? I think Old Liu has lost his mind! The scans clearly show it's a malignant tumor, and he still insists on listening to that Dr. Ji. This is a hospital, not a variety show recording!"

"I think Director Liu has gotten too cocky!"

The doctors in the CT room remained silent.

"Isn't the image obvious enough?! If you can't even see this, what kind of doctor are you!" The head of the CT room kicked the chair again viciously, knocking it over with a loud bang.

Enhanced CT scans involve injecting contrast agents into the patient's blood vessels during a CT scan. These contrast agents can be captured by the CT scanner and reflected in the images, hence the name "contrast agent."

If the patient has lung cancer, then the tumor should have a rich blood supply, because tumor cells are often metabolically active and require a rich blood supply to support them, so tumors have a lot of blood vessels.

If there is a rich blood supply, then the contrast agent will also gather here, which can be seen on CT scan, and the lung cancer can be determined accordingly.

However, in cases of lung abscess or tuberculosis, the blood supply to the mass is not as rich, so less contrast agent can be introduced, resulting in a different appearance compared to lung cancer.

The images already provided accurate clues, no wonder the head of the CT department was so angry.

"Director, don't be angry. How many clinicians can interpret images? We see hundreds or thousands of similar images a year; they could never see that many in their entire lives," someone advised.

The head of the CT room calmed down a bit and asked, "Who was the doctor who came up with the differential diagnosis later? He sounded so arrogant!"

"It seems she came back with Ji Xiang, saying she was a doctor who wanted to pursue further studies, the same expert from Massachusetts General Hospital featured in the program."

The CT room fell silent instantly.

A person's name, a tree's shadow.

The head of the CT department can criticize Director Liu and Ji Xiang, but he is, after all, a doctor, and he still holds great respect for world-renowned large hospitals like Peking Union Medical College Hospital and Massachusetts General Hospital.

Massachusetts experts...

No wonder, no wonder he could give such a detailed differential diagnosis, no wonder he started discussing with Ji Xiang when Ji Xiang said he was allergic to birds.

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

……

……

Lin Jiuze, who was respected by others, stood in the ward with his mouth open, staring blankly at Mo Chenggui.

Bird allergy!

It really is a bird allergy!

His hands were trembling slightly, and he could barely hold the pen.

How did Ji Xiang make the diagnosis?!

Lin Jiu has encountered and defeated countless geniuses.

To break through the ranks at Harvard Medical School, hard work alone is not enough; top-notch talent and a bit of luck are also required.

Lin Jiuze has all of these things.

But he had never met someone like Ji Xiang before.

With a simple and effortless statement, the diagnosis was made simply by saying that Teacher Mo was wearing a down jacket.

He didn't directly say he was allergic to birds, but Lin Jiu recalled that it was probably to save face for Director Liu and not to embarrass the old director too much.

This is fucking bizarre!

Lin Jiu then recalled the phrase that others often used to describe him.

"Professor Mo, don't be too anxious. I've looked at the scans, and Dr. Lin and I both believe it's not a malignant tumor," Ji Xiang said to Mo Chenggui with a smile. "Let's get a PET-CT scan done, and then you can see for yourself."

"Xiao Ji, don't make things difficult for yourself. I know my situation." Mo Chenggui comforted Ji Xiang with a smile. "I've spent my whole life telling my patients that cancer is nothing to be afraid of and that they have to face it. Now that it's my turn, I definitely can't back down."

As he spoke, Mo Chenggui shook his head, "The point is, there's no use in being a coward, is there?"

"Professor Mo, let's talk after the PET-CT scan," Ji Xiang said. "And you, your down jacket is all tattered. I'll take it and get you a new one."

"No need to be so polite."

"I'm not being polite, but I suspect your illness was caused by the down jacket," Ji Xiang said.

Colonel Wang, with his bald head tucked in, almost burst out laughing if Lao Mo hadn't been sick.

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

(End of this chapter)