Chapter 15 Old Troubles
"Ah, Qin... Doctor, come take a look at Old Lady Ji." Zhang Jinhua nodded towards Qin Di with his chin, a smile on his face, then personally moved a chair to the bedside and stood to one side, ready to respond to any emergency situation.
Riding a tiger is hard to get off, no, there's not even a bit of awkwardness. Qin Di didn't show any weakness at all. He walked big and steady to the bedside, sat down, focused his eyes, stretched out his hand, and under Zhang Jinhua's stunned gaze, gently lifted the patient's eyelid to examine the fundus, then lightly pressed several locations on the patient's abdomen, waist, and chest, finally grasping the patient's wrist to take their pulse.
A set of movements, he performed with ease and fluidity, completing it in one breath.
He seemed to have entered a state of heightened awareness, his senses of smell, sight and hearing suddenly becoming extremely acute. His thoughts were racing rapidly, his eyes were precise, and there was not a hint of panic in his hands or feet, but rather an extreme accuracy, as if he had complete control over every beat of the patient's pulse, every breath, and every reaction of their body.
Just as Qin Di made his move, Li Xiangxi, a famous doctor in the capital, suddenly lit up and couldn't help but praise him for being handsome.
Let's not talk about the young man's medical skills for now, but just his demeanor and bearing are impressive, no less than my own. What's even more remarkable is that at such a young age, he remains calm and composed when dealing with such a special patient, without showing any signs of nervousness or panic. If it were an ordinary young doctor facing someone like Ji Lao, they would probably be so excited and flustered that their mind would be in disarray.
Qin Di's series of diagnoses stunned everyone, after all, they were experts in this field and could deduce something from Qin Di's series of diagnoses. Even Zhang Jinhua couldn't help but put away his scornful heart.
Qin Di was very quick in taking the pulse and other diagnoses, almost before the patient could react. Qin Di lightly asked: "In the past ten or so days, have you had symptoms such as morning abdominal distension and nausea with occasional vomiting; afternoon right upper quadrant abdominal pain and nosebleeds? And at night, general fatigue, skin itching, and insomnia?"
"Are you the doctor that Zhuxin invited?" Ji Lao stared at Qin Di.
Just a glance, this frail and listless old man suddenly had an aura of intimidation.
It was a bloody and violent atmosphere, Qin Di's mind was shaken, and he respectfully replied: "Yes."
"Goodness, he's so young!" Old Lady Ji sighed faintly, unsure whether she was lamenting that Dr. Qin was too inexperienced to be of any use or blaming her granddaughter for being immature and recklessly inviting such a youthful-looking doctor to attend to her.
It seemed that there was a flow of air in his body, Qin Di's shaken heart stabilized instantly, he looked at Ji Lao lightly and smiled: "Alright, you can rest for a while."
The old man was slightly surprised, he clearly saw Qin Di's momentary loss of spirit and then instantaneous recovery, thinking that this young man had some meaning, at least not as unbearable as his gaze.
"Qin... doctor, is that all? Don't you want to make another diagnosis?" Li Xiangxi furrowed his brow slightly, kindly reminding him. In his heart, he felt that this young man was too careless and ignorant of the circumstances. For a special patient like Ji Lao, if it were him, he wouldn't dare to end it so hastily without diagnosing for at least a couple of hours. Not only did he need to put on an extremely cautious attitude, but also consider the feelings of the patient's family.
After all, the longer a doctor diagnoses a patient, the more it proves that he is doing his best. The family members see this and will appreciate your kindness, regardless of whether the illness is cured or not.
This time, Li Xiangxi was truly reminding him.
Why did Qin Di, who had a clear mind, not accept this feeling and responded lightly: "No need, I have a plan for this illness! By the way, do the experts need to re-examine it again?"
"No need, no need, we've already reviewed it before you came!" Zhang Jinhua hastily took over the conversation and said with a smile: "If Dr. Qin has no questions, let's go downstairs to discuss it now."
Qin Di nodded and said: "Good!"
Li Xiangxi opened his mouth, wanting to speak but hesitated.
Back in the living room, Ki Toshinori took the lead, and everyone returned to their seats, but the experts' faces all looked a bit awkward.
Zhang Jinhua hesitated for a moment, pointing directly at Qin Di, trying to prove to Ji Zhongxin that the guy in front of him was not some kind of divine doctor: "Qin... Doctor, you've seen the medical history and personally diagnosed it, don't you have any conclusions... speak up, let's discuss it?"
Plotting in secret!
Abyss!
Zhang Jinhua has come up with a brilliant move.
Experts all smelled the killing intent under Zhang Jinhua's silly smile.
Qin Di's fingers lightly tapped on his knee.
Zhang Jinhua smiled and said: "Isn't it that you haven't figured it out yet? Do you want to take another look at the medical records?"
"No need, let's talk about the patient's current situation." Qin Di's hand stopped pointing.
Zhang Jinhua became excited: "According to Dr. Qin's opinion, what is the patient's current condition?"
"Hmm!"
Qin Di suddenly became alert, he finally sensed Zhang Jinhua's abnormality, and he abruptly lifted his head. Indeed, he saw a hint of sinister intentions beneath Zhang Jinhua's kind smile, it seemed that this guy still had ulterior motives! Qin Di's mind suddenly flashed with a medical anecdote, and he finally understood the meaning behind Zhang Jinhua's previous sentence "Is there anything special you need to know? You can ask me" before the re-examination, and his current sentence "What is the patient's situation now".
This is to induce him to commit the low-level error of "breaking chapters and taking meanings", letting him only look at the patient's current situation, ignoring the patient's past medical history, thus separating the patient's past condition from his current condition, committing a most fatal mistake in medicine.
However, these are not the key points. The most frightening thing is that no doctor asks about the patient's medical history, cause of illness, whether there are any genetic diseases, and what medications have been used or should be avoided when facing a patient, because these are the most basic common sense for a doctor.
Nor is there a great country doctor who does not carefully ask about the patient's past medical history before giving a diagnosis.
If Qin Di doesn't know or ask, Zhang Jinhua will surely make waves and help him out. Is he still a doctor if he doesn't even have the basic knowledge of a doctor?
Can such doctors treat illnesses? Can they cure people? Can they cure people well?
As expected, you're as cunning and slick as ever, without leaving any trace!
Qin Di guessed Zhang Jinhua's thoughts, but his heart became more calm and composed. Facing this hospital director who lacked even a bit of medical ethics, Qin Di was extremely disdainful, yet he had a way to make him lose face without losing his own dignity.
He didn't notice the sinister look under Zhang Jinhua's excited expression. Qin Di's face was solemn as he thought for a moment, then looked up at Li Xiangxi and said: "According to the medical records, before the patient was diagnosed with this disease, there were no symptoms of this disease at all... However, this is also normal, because in the early stages of this disease, the symptoms are not typical and are often overlooked by doctors. Moreover, the root cause of this disease is still the patient's old illness."
Li Xiangxi had never really taken Qin Di seriously, but when he heard the word "old trouble", his heart skipped a beat!
To know Mr. Ji's previous medical history, there is no record in this medical file, and none of the experts present have ever mentioned it to him. Qin Di has only personally diagnosed after that, and inferred that Mr. Ji's true "disease cause" is from an old illness, which shows that this young man's grasp, analysis and grasp of the disease situation are beyond the reach of many senior experts.
"How did you know that the patient's illness was caused by an old affliction?" Zhang Jinhua hesitated for a moment, and couldn't help but glance at Ji Zhuxin. He didn't believe that Qin Di had simply taken the patient's pulse and examined his eyelids to diagnose that Ji Lao's illness was caused by an old affliction. He reckoned that eight or nine out of ten times, it was because Miss Ji had leaked the information beforehand.
Qin Di didn't immediately respond to Zhang Jinhua's skeptical and suspicious face. He turned his gaze, looking at Ji Zhongxin... Then, Qin Di astonishingly said: "Secretary Ji, did your father have liver disease in the past? Or should I say, is there a family history of liver disease?"
Ji Zhongxin keenly sensed the affirmation and unyielding determination in Qin Di's tone.
"Ridiculous! The Ji family is such a noble and esteemed household, how could they have left behind a liver disease?"
Zhang Jinhua immediately sneered, he had carefully reviewed Ji Lao's previous medical records, looking at each one repeatedly and studying them again and again, but hadn't found any evidence that Ji Lao had ever suffered from liver disease: "Young man, this is just a wild guess, are you trying to mystify things? Can you actually diagnose illnesses or treat diseases?"
Qin Di smiled calmly and didn't even glance at him, but instead confidently stared at Ji Zhongxin, waiting for his response.
"Secretary Ji, don't be too trusting just because someone has a smooth tongue." Zhang Jinhua reminded kindly.
Ji Zhongxin's expression didn't change, but after a momentary glance at Qin Di, his face showed a hint of surprise as he glanced at his daughter Ji Zhuxin.
"I didn't tell him." Kizuki whispered in her father's ear.
Ji Zhongxin's eyes widened in shock, looking at the calm and natural Qin Di, sipping tea and smoking, with a face as calm as a cloudless day. Even though he had experienced many storms in his life, he didn't dare to underestimate this young man again. His expression turned serious as he said: "What you said is true, my family has a history of liver disease, my father died of liver disease."
"Ah!"
All the experts present were moved.
Zhang Jinhua's face stiffened instantly, he looked at Ji Zhongxin with a determined look, then gazed at Qin Di who was smiling, and his face showed an expression of incredulity.
"That makes sense, I'm afraid the doctor who treated Old Lady Ji at that time wasn't a good doctor?" Qin Di's face was calm and peaceful, but in his heart, he became more and more confident in his analysis.
"What do you mean by that?" Li Xiangxi's face turned a bit ugly upon hearing this, because Ji Lao's former attending physician was his teacher Da Guo Shou Ren Guo. This was also why the Ji family immediately asked him to come as soon as Ji Lao was hospitalized. Qin Di's sentence "not a good doctor" was an affront to his most respected teacher. He rebuked on the spot: "Young man, don't talk nonsense, and don't be disrespectful to the deceased."
Qin Di smiled and said, "My words aren't aimed at anyone in particular, I'm just discussing the matter as it is."
Li Xiangxi's face was expressionless, his tone slightly angry: "Discussing the matter at hand? Where did this come from?"
"It started with Ji Lao's illness."
Qin Di's tone was calm and light, he glanced at Li Xiangxi lightly, and said very affirmatively: "Liver disease is mainly caused by liver lesions. The treatment of this disease is mainly based on bed rest, reasonable nutrition, guaranteed calories, protein supplementation, vitamin supply, and medication. But what did I see from the patient's body and condition? I saw that during the treatment process, the patient had four taboos: no overwork, no smoking, no drinking, and no excessive sex. What's even more ridiculous is that the doctor actually gave the patient hepatotoxic drugs such as tetracycline, erythromycin, and rifampicin... May I ask, is this kind of doctor a good doctor?"
Smooth and unimpeded, without a hitch, written in one breath.