Suddenly, Xu Jinxing thought of something. Chen Qi's eyes were vicious. He had seen it personally. He could even detect lung cancer in a newborn. How could he read it wrongly after reading a movie?

After all, you are an old doctor. Although he will not admit it easily, he will not deny you simply.

So Director Xu read the X-rays carefully over and over again. When you have a natural impression in your mind, the more you look at this oval shadow, it does look a bit like inflammation.

"Come on, I'll take you to the CT room myself. I also want to see what this thing is?"

Doctors are particularly interested in difficult and complicated syndromes, and Director Xu is no exception. Who doesn’t have a heart for gossip?

An hour later, the film was developed in a hurry. Director Xu was stunned as soon as he got it, because the "dumbbell-shaped shadow" could clearly be seen on the film.

Have you ever seen dumbbells?

It is the primary lesion. The two enlarged hilar lymph nodes look like the two ends of a dumbbell, and the drainage lymphangitis in the middle looks like the iron in the middle of the dumbbell (the place where the hand holds it).

This kind of image is a typical manifestation of "primary tuberculosis".

Xu Jinxing smacked his lips and said to the two junior doctors from the Fourth Hospital next to him:

"It seems that you, Dean Chen, are going to overturn this time. The CT film has come out. It is tuberculosis. There is no mistake."

Yang Tihao and Zhang Xingshun looked at each other in shock again, then scratched their heads.

Because they think that their dean is so magical, how could he be wrong about the things he sees right? But now the person questioning Chen Qi is his master's supervisor and his teacher, so they can't say this rebuttal.

Xu Jinxing was considered responsible, and he took two junior doctors to the internal medicine department for another round. The two internal medicine directors glanced at it and impatiently made a diagnosis. It was tuberculosis. This was a real hammer.

Chen Qi received a call from Director Xu in Yuezhou.

"Haha, kid, I heard that you turned a case of tuberculosis into pneumonia, and then you didn't cure the disease after a long time of treatment, so you sent it to our hospital?"

Chen Qi has a black line. He was not the one who treated this patient in the first place, but he has to bear the blame.

"Teacher Xu, how are you? What are the CT results?"

"We can see dumbbell-shaped shadows on the CT films. What do you think the results are?"

Director Xu originally thought that he, a newly recruited graduate student, would jump up in surprise, or hide in the ground in shame, but Chen Qi responded surprisingly calmly.

"The dumbbell-shaped effect, well, that's right, it's even more unlikely to be tuberculosis."

Director Xu choked, "Are you stupid? Why is it even less likely to be tuberculosis if it's like a bell?"

Chen Qi could only patiently explain:

"Teacher Xu, it's like this. This patient had already received tuberculosis treatment three years ago. This time he also received anti-tuberculosis treatment in our hospital for more than a month. No effect was seen in the two treatments.

At that time, I saw the shadow from the X-ray film. Did you notice that there was a section in the shadow that was particularly dense? Not only was it high, but the shape felt too straight, so I asked them to come to the Provincial First Hospital to do a CT scan.

”

"Then why do you think the dumbbell-shaped shadow is not tuberculosis?"

"Director Xu, you still have to focus on the two ends of the dumbbell. Take a closer look. Are these two ends enlarged lymph nodes, or do you have abscess inflammation?"

While Director Xu was on the phone, he moved his head so close to the CT scan that his eyes almost touched it.

This really revealed a problem. If it was an enlarged lymph node, the border should be clearer.

As for the two ends of this pair of "dumbbells", if you look carefully, you can still see that the density is wrong, and the boundary is still slightly like a lake.

Overall, this does look like hilar lymph nodes caused by tuberculosis, but if you cover up the entire film and only expose a small section, it looks like inflammation.

Director Xu switched the phone to the other ear,

"Chen Qi, according to your judgment, it is difficult to convince people just by relying on this CT scan. Do you have a better way?"

"Yes, I suggest to do another CT scan. Well, if possible, it is best to do a three-dimensional reconstruction of the lungs, so that you can clearly see what the lesions are."

Director Xu laughed angrily: "Don't fart, where did the three-dimensional reconstruction come from? I've never heard of this concept. I guess it's what your plastic surgery department does?"

Chen Qi knew he had made a mistake and accidentally mentioned an important auxiliary examination for future generations, so he quickly changed the topic.

"Teacher Xu, think about it, if there are inflammatory substances at both ends of the dumbbell, then the continuous line in the middle is not likely to be the drainage lymphatic vessel. You should pay more attention when doing enhanced CT."

"Okay, leave it to me."

Director Xu put down the phone, thought for a moment, and wrote an inspection application form on the paper:

"Who, Jin Wenyao's family, please pay the fee, and we will make an appointment for an enhanced CT in the afternoon."

When Jin Kangsheng heard that he had to pay again, although his heart ached, he still ran away obediently.

An old farmer carried a tattered black handbag, which contained all the money he borrowed from the village, which was all his belongings.

At the pricing window, Jin Kangsheng carefully handed the order in, and heard the sound of abacus crackling inside.

After a while, a staff member shouted: "A total of 289 yuan."

Jin Kangsheng's hands trembled when he heard this, "It's so expensive, why not just take a chest X-ray."

The staff seemed impatient:

"You old man, if Director Xu hadn't expedited it for you, do you think you could have queued up so quickly? The injection of contrast agents for enhanced CT is all imported. Do you think everyone can do it? Really, you can't do it if you like it.

If you do, get out of the way if you don’t do it.”

Who said that these days only salesmen in supply and marketing cooperatives or restaurants are tough? Hospital staff are even tougher, okay?

Party Secretary Jin, who was the most influential person in the village, completely lost his temper when he arrived in the provincial capital, so he could only apologize quickly:

"Comrade, don't worry, I'll count the money right away, count the money right away."

There was not much money left in the bag. When he thought that his grandson would be saved after being diagnosed and treated by doctors from Chen Qi and the Provincial Hospital, Jin Kangsheng no longer felt sorry for the money. He gritted his teeth and handed the money in.

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In the evening, the enhanced CT report came out. As soon as Director Xu got it, he hurriedly read it and then slapped the table.

"Good boy, Chen Qi really has two skills."

As soon as these words came out, because Chen Qi was involved, all the doctors in the CT room gathered around him, including Yang Tihao and Zhang Xingshun, who also quickly took advantage of the situation.

"Director Xu, have you discovered anything?"

"This is the director, tell us."

Xu Jinxing greeted quickly: "Come on, let's take a look and refer to it. What do you think this is?"

Everyone followed Director Xu's fingers and saw on the CT film that there was a linear shadow in the patient's right chest, and it was quite long.

"What is this?"

Everyone was also shocked, "Why is there a long and thin thing inside the lung, with a diameter of at least 10cm? This is not simple."

"It's really not easy!"

After Chen Qi from the Fourth Hospital of Yuezhong got the film, he opened it and looked at it carefully, and then he put his fingers a little heavier:

"This is a foreign body! All of Jin Wenyao's current symptoms are from the infection caused by this foreign body."

After 3 years, it was finally broken in the hands of Chen Qi.

Indeed, as Chen Qi had guessed before, this was because foreign matter entered the lungs somehow, causing inflammation, followed by low-grade fever, cough, and chest pain for three years.

No one else would be able to bear such a long thing in their lungs.

When Bian Meng heard that it was a foreign object, he became excited: "Then we can perform surgery? The patient will recover after the foreign object is taken to him."

Chen Qi shook his head:

"I'm afraid it's not that simple. If you look at the film, this location is very sensitive. You can clearly see that one end of the foreign object is suspected to have pierced the pulmonary artery. Over time, it will affect the right heart, causing the right heart pressure to increase, and then right heart disease will occur.

Exhaustion.

Therefore, the patient will have symptoms of gastrointestinal congestion, loss of appetite, abdominal distension and other external symptoms. Now the patient is very weak at this time, with right ventricular dysfunction and even functional failure. Whether he can afford the surgery is another question.

What's going on.

In addition, this bamboo stick directly penetrated the left pulmonary artery. To take it out completely, it is necessary to sew the pulmonary artery. Arteries are not as simple as sewing clothes. The operation is too difficult and the risk factor is too high."
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A group of junior doctors are even more gossipy, focusing on what exactly is this thing in the lungs?

"Hey, what do you think this thing is? Could it be an iron needle? They say it's harmful to people, just give needles to children, and then let the children die."

"Yes, yes, I have heard of it too, but it seems that girls are more often stabbed, right?"

"You have seen it too much. If you look at the strength, it doesn't look like metal at all."

"Do you think this Jin Wenyao is stupid? He doesn't even know that such a long thing has gone into his body?"

"That is to say, if you tell me earlier, you will avoid delaying the disease for three years and now people are almost dead."

Chen Qi was also listening to the gossip of his subordinates with great interest. Director Bian beside him couldn't stand it anymore and reminded:

"Tou Chen, what should we do now?"

"What should I do? To tell the truth to the Jin family, conservative treatment will definitely lead to a dead end. If surgery is required, one lobe of the lung needs to be removed. In addition, whether the end of the lung that is inserted into the pulmonary artery can be removed is a question. The success rate of the surgery is only half at most. Either it is successful.

, or fail, and if they fail, they will die on the operating table and let them make their own decisions."

"Then what if they don't agree to the operation?"
To be continued...