Chapters 11-14 (Revised)
Chapters 11-14 (Revised)
Qin Di continued to smoke, puffing out clouds of smoke with a practiced air, his posture old and cunning, clearly an old hand at smoking, directly ignoring the existence of a group of experts.
Beijing expert Li Xiangxi was getting impatient, his eyebrows slightly furrowed, he picked up the teacup and took a light sip, just as he was about to break the awkwardness, he glanced at Director Zhang beside him, smiled faintly, and decisively distanced himself from the matter.
"Let's discuss Madame Ji's illness!" Finally, it was still Director Zhang who couldn't sit still.
He broke the silence, pulled out a medical record book, and didn't give Qin Di an introduction to Ji Lao's condition. He said directly: "Qin... Doctor, this is the medical record, which records the patient's situation over the past two months. You first understand it, and then we'll go for a re-examination together. After the re-examination, we'll discuss it again."
Director Zhang Jin Hua pushed the medical records in front of Qin Di and reminded him with a friendly tone: "If there's anything you need to understand, feel free to ask me."
Zhang Jinhua's words were cryptic, and a patient's medical history not only records the illness they are suffering from, but also their past illnesses and treatments, as well as any family history of genetic diseases. However, for someone of Ji Lao Da Ye's stature, it was strictly one illness per case, and doctors were absolutely forbidden from casually flipping through his file; if they didn't understand something, they could only ask, not look.
What Zhang Jinhua said "especially need to understand" refers to this meaning.
But rather than saying Zhang Jinhua was giving Qin Di a friendly reminder, it's better to say he set a trap for him.
Because doctors who can be called famous doctors at the national level have mostly faced or experienced such situations, they understand the implication of this "special" meaning. If not, it would seem inadequate and unqualified to take the stage.
The hole dug by Zhang Jinhua is so clever and subtle that it leaves no trace. If Qin Di can't find any clues from the medical records, he would have to ask questions. But if he doesn't ask about the patient's past medical history, daily physical condition, and family medical history, can he still be considered a doctor? In a situation where the illness cannot be determined and the cause of the disease cannot be confirmed, which doctor would not require viewing or flipping through the patient's previous medical records?
This trap set for Qin Di, regardless of how good or bad his medical skills are, as long as he doesn't ask questions, he will fall into the trap, and Zhang Jinhua can be sure that this guy is not a doctor at all.
Because even if someone doesn't understand the most basic medical knowledge, no matter how brilliant their performance was just now, Ji Zhu's heart will still have doubts. Once she has doubts, would she be willing to let such a person treat Grandpa Ji's illness?
Answer——
Of course it is affirmative.
This is Zhang Jinhua's real killer mace.
He wants to teach this kid a lesson, so that he knows that everyone present is an expert in this field. As a junior, what qualifications do you have to sit here and discuss the condition with us?
As expected, the dean is indeed the dean, with clever means and no trace of it. However, all the experts present are formidable masters who have figured out the taste. They remain calm and reserved, waiting for Qin Di to make a mistake, and then they will jointly condemn him and get rid of this arrogant junior.
Li Xiangxi slightly furrowed his brow, then quietly and soundlessly glanced at Zhang Jinhua, tacitly approving of his actions. As a veteran who had experienced many incidents, how could Li Xiangxi not see through the thoughts of Zhang Jinhua and the group of expert doctors? He didn't mind adding fuel to the fire when the time came, giving this junior who was extremely lacking in respect for his elders a profound lesson.
So at the moment Qin Di took over the medical record, a war without gunpowder smoke broke out.
Qin Di seemed to be completely unaware of the conspiracy, he took over the medical records and opened them, only to see a large stack of test results and medication prescriptions... It was very detailed, including not only the observations of the expert group on the patient, but also various equipment inspection results, as well as the judgments and speculations of the experts, even a series of arguments and established treatment plans. The details were so meticulous that any new doctor taking over could quickly understand the entire process of the patient's illness. But for Qin Di, a half-baked country doctor, the handwriting of the doctors was too sloppy, even Wang Xizhi would have been shocked to see it.
Qin Di casually put down the medical record and raised his head to glance at everyone, saying: "Can I take a look at the patient first?"
"Have you finished reading the medical records? Hmm, I believe Dr. Qin also has a preliminary understanding of the condition. Do you have any different opinions?" Zhang Jinhua glanced at him calmly.
"No." Qin Di said bluntly, --- he really didn't see any clues, let alone a method...... The font on the medical record was flying and dancing, lively and dynamic, with a strong pen; there were modern scripts, chapter scripts, and wild scripts. Where is the medical record that records the patient's condition? It's actually a piece of emotional writing that surges and churns...
Uh-huh!
Good job!
Great!
Qin Di could only sigh and suggest examining the patient first before drawing any conclusions.
Zhang Jinhua did not expect Qin Di to be so straightforward and cautious, a bit unexpected, it seems that he is a very unorthodox young man! Or maybe this kid has sensed something? Not easily deceived, Zhang Jinhua was not dead set on it, and very friendly and enthusiastically said: "Then you can just talk about your own ideas, every doctor has their own understanding of the illness, right? It's dialectical, so we have to speak boldly and freely."
Qin Di was somewhat taken aback, this... is also too polite, too enthusiastic?
He keenly sensed a hint of unusual taste, guessing that these famous doctors were not giving up... He glanced at Ji Zhuxin again, with a cold and detached expression. Qin Di immediately knew that this big shot still had doubts about his doctor.
As expected, Qin Di did not disappoint. At this moment when his grandfather's life was at stake, he played the role of a bad guy without hurting anyone's feelings. He believed that no one would dare say he was unkind.
Qin Di faced Zhang Jinhua's relentless pursuit, and after a long deliberation, he said: "Let's re-examine first, and after the diagnosis is complete, I'll slowly discuss it with the seated seniors?"
Zhang Jinhua's expression was also somewhat wronged, feeling like a punch in the cotton, secretly resenting this turtle son for being too cautious! Never mind, re-examination is just re-examination, he doesn't believe that he would make any mistakes: "Expert Li, do you have any different opinions?"
"No! Let's have another check!"
"Miss Ji, is it convenient for you to see Dr. Ji again now?" Zhang Jinhua asked cautiously.
Just as Ji Zhuyi was about to respond, a gentle and elegant voice floated in from outside the door, ringing clearly by her ear:
A man over forty-five years old walked in with a gentle smile, elegant and dignified. In pure Beijing dialect, he said: "Of course it's convenient, you're the experts in this field, whatever you say to treat the illness is how we'll treat it."
"Secretary Ji has arrived!"
Everyone quickly stood up to welcome him.
Qin Di knew that this man in front of him was the real master, and he was the one who really held power in the Ji family now.
"Dad!" Ji Zhu called out softly.
"Thanks to everyone!" As the Central Political Bureau member and Secretary of the Deep Sea City Municipal Party Committee, Ji Zhongxin was a vice-national-level big shot. He wouldn't bother being polite to the experts one by one. After a brief pause, Ji Zhongxin's gaze fell on a group of expert doctors, and he said slowly: "Doctors, you all know my father's condition. At this critical moment, I hope everyone will work together, concentrate their efforts, and overcome his illness... As for whether or not to give my father another examination, you don't need to report back to us family members at all. Just treat me like an ordinary patient's family member."
"Yes, yes, yes..." Zhang Jinhua nodded repeatedly, his heart bitter with a smile. If he really treated him as an ordinary patient's family member, he wouldn't have to personally take action... He thought to himself, his movements unhurried and very neat, standing up and looking at the group of experts: "If everyone has no questions, we'll go give Old Ji a re-examination now."
No one spoke up, everyone stood up and followed Zhang Jinhua out of the room, then went upstairs.
Qin Di walked behind, quietly glancing at Ji Zhu Xin, this cold-faced girl followed her father with an expressionless face, very reserved and also very unkind, kicking him to a group of experts with one foot, then ignoring him indifferently. Qin Di's heart felt a bit chilly. Indeed, she was cold enough, ruthless enough, no wonder she had the aura of rejecting people from the inside out.
After a slight convergence of his thoughts, Qin Di followed the expert group into the ward.
As soon as he entered, Qin Di's first impression was that it was big enough, luxurious enough, and high-end enough, no longer just a special ward.
The ward occupies over 100 square meters, with a patient room, a family member room, and a nurse room. The rooms are fully equipped with furniture, electrical appliances, and various devices, making it resemble a small emergency room.
Before Qin Di walked in, there were two nurses in the ward who were doing routine physical data checks on the patient. When they saw the experts walk in, they handed over their records.
Zhang Jinhua glanced over and handed it to Li Xiangxi, then quickly walked to the bedside of Old Man Ji, asking softly: "Old Man Ji, how are you feeling today? You can rest assured that we have a clear direction for your illness, so please don't worry at all, just cooperate with our treatment!" As he spoke, he straightened up and looked at the two nurses, pointing to the IV bottle on the bedside, saying: "The infusion is very important, it must be monitored 24 hours a day, absolutely no empty bottles are allowed."
Two nurses were busy infusing, but in their hearts they despised the fact that such a simple task required so much fuss and bother, making it seem like a monumental task.
What a bootlicker!
Too deceitful!
Something as trivial as an intravenous drip doesn't require your instructions, Director.
Two nurses despised in their hearts, but how could they know that the hospital director had made up his mind to perform a ruthless performance, wanting to leave a good impression on Ji Zhongxin.
Li Xiangxi took over the patient's data, calmly looked at it for a while, and mentally reviewed Mr. Ji's condition from head to toe; persistent high fever, loss of appetite, dry mouth, insomnia, bloating in the upper abdomen, and joint pain throughout the body, but they were all minor illnesses, yet they revealed major problems, because many minor illnesses entwined together often mark the beginning of a major illness, and Mr. Ji was exactly in this situation.
After careful diagnosis by experts, it can be initially confirmed that the patient has liver disease and is in the first stage of malignancy. In layman's terms, this is cancer. Medically speaking, this is a transformation from benign tumor cells to malignant tumor cells, which is also why even a renowned expert like Li Xiangxi was unable to do anything about it. As for Old Man Ji, who has late-stage liver cancer, surgical treatment is not feasible, not only because of his age and whether he can withstand a major operation, but also because even if the surgery is successful, there is still the issue of whether the cancer cells will metastasize to other internal organs.
Adopting interventional therapy, however, has certain disadvantages. Since liver cancer mainly relies on the hepatic artery for blood supply, but there is also portal vein blood supply around the tumor, cancer cells can "survive in hiding". Even if the super-selective operation proceeds smoothly, high-pressure injection may cause mis-embolization, shunting and possible micro-metastasis. Moreover, normal liver cells are still damaged, and a small number of patients even experience liver dysfunction. Some patients have their blood vessels blocked after one treatment, making further operations difficult.
Considering various possible situations, Li Xiangxi decisively chose radiotherapy, using a concentrated dose of radiation to the tumor area, allowing the tumor to receive a lethal dose of cancer cells, thereby achieving an ideal therapeutic effect.
This is one of the main methods for treating liver cancer, and many inoperable liver cancer patients have achieved a cure through modern radiation therapy, more importantly, this treatment has the least damage to liver function.
However, this plan was soon overturned by other members of the expert group.
Due to the many drawbacks of radiotherapy, during treatment, patients not only experience fatigue, skin hypersensitivity, hair loss and other symptoms in the treated area, but also a decrease in white blood cell count or platelets, decreased immune function, causing patients' skin to peel, blister, and ooze... Considering Old Lady Ji's age, the success rate of radiotherapy will not exceed 30%.
Li Xiangxi dared to utter such harsh words, first because he had the courage to make such a major decision, second because it was his duty as a doctor, and third because he was rushing towards this three-layered life force.
This is called "placing oneself in death ground and then thriving".
So from the above three points, let's not talk about his character, just that he dared to use radiotherapy, it can be seen that the famous doctor in Beijing is indeed not a vain name. Not only did he make a decisive diagnosis, but he also dared to take action, and unlike ordinary doctors who are hesitant and indecisive when facing special patients.
Being able to give patients a glimmer of hope in desperate situations is no longer just a description of a good doctor.
Alas, many experts strongly opposed it, and Li Xiangxi did not have the power to act unilaterally, so he could only follow the "public opinion" and continue to headache.
He let out a soft sigh, Li Xiangxi put down the patient's data, walked to the bedside, first looked at the label on the infusion bottle, confirmed that the patient was taking the right medication, then bent down, carefully observed the patient's complexion, and finally asked in a low voice: "Mr. Ji, how are you feeling now?"
"What feelings? What feelings can I have?"
On the sickbed, an emaciated old man with a sallow complexion and dwindling spirit slightly opened his eyes and said in a bad temper: "Every day is the same words, every day is a revisit, every day you ask me how I feel? If I lie down in the morgue, will you still ask if I'm comfortable lying there?"
"Hmm!" Li Xiangxi's expression stiffened, extremely embarrassed.
Zhang Jinhua's expression was equally ugly, and his mouth twitched violently several times.
Other experts looked worried, thinking that it's not that we didn't try our best to treat you, but your illness is just too bizarre! - Late-stage liver cancer, the most terminal of terminal illnesses, what do you want us to do? What can we even do? Even if we had a few more guts, we wouldn't dare gamble with your life and future!
They feel very wronged, very stifled and very headached.
"Madam, this time we're not here for a follow-up examination, but to bring you some good news. Director Ji has invited a doctor... a divine physician with the skill of reviving spring, and your illness will be cured soon." Zhang Jin Hua's words were obviously more profound than those of the experts behind him who had been harboring resentment. He immediately introduced Qin Di as a "peerless divine physician" with great fanfare.
Very good, very powerful, a big black pot is also a beautiful Tai Chi fist.