Chapter 666: Ji Xiang Standing on the Fifth Floor

Liu Zhuren and the Director of the CT Room were extremely shocked, but the most astonished of all was Lin Jiuze.

He had never imagined that the space-occupying lesion in the lower right lung of Mo Chenggui could actually be bird allergy.

Similar diagnoses and similar patients are extremely rare, and the lung imaging is primarily characterized by interstitial pneumonia.

Yet, connecting the cause and effect and pondering it carefully himself, he felt more and more that what Ji Xiang said made sense.

Ji Xiang was not talking nonsense; he definitely had his own diagnostic basis.

Lin Jiuze had seen one such case of a patient at Massachusetts General Hospital, a very severe case of interstitial pneumonia. But after the diagnosis was confirmed, the patient improved quickly following hormone pulse therapy.

As for Mo Chenggui...

The more he thought about it, the more surprised he became, his peripheral vision fixed firmly on Ji Xiang.

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

Explaining a differential diagnosis and attempting to persuade other doctors was something Lin Jiuze did often at Massachusetts General Hospital; he was already very skilled at it, and to him, it was just a routine procedure.

But!

A single sentence from Ji Xiang pierced through that final layer of window paper.

A ray of sunlight shone in.

Previously, Lin Jiuze always felt that other doctors were on the first floor, while he stood on the second, looking down at the masses from above.

To other doctors, Lin Jiuze represented a dimensionality-reduction strike.

But what about Ji Xiang? Lin Jiuze felt he was on the third floor, or perhaps even the fifth.

He subconsciously looked up, seeing the ceiling of the CT Room, but Ji Xiang was not there.

Bird allergy!

This diagnosis was wildly imaginative, but after savoring it carefully, Lin Jiuze believed it was correct.

At this moment, he wanted to sprint to Mo Chenggui's side, notebook in hand, to write and draw.

"We can try it, Zhuren, please don't operate directly. If you are worried that a puncture biopsy will lead to seeding metastasis, let's do a PET-CT; it's also a requirement in the clinical pathway," Ji Xiang said in a pleading tone.

Liu Zhuren was somewhat bewildered.

However, what Ji Xiang said made sense; he wasn't just making a scene here out of sadness or unwillingness to accept the situation.

He thought for a moment and nodded, "Alright, I'll go talk to Mo."

After his bewilderment passed, the Director of the CT Room glared at Liu Zhuren, his eyes full of an expression blaming him for spoiling the child too much.

In his view, Liu Zhuren spoiled Ji Xiang to a degree that could no longer be described in words.

How could such a major matter as a diagnosis be left to a child to talk nonsense about!

The reconstruction had already been done, and that blood vessel appeared clearly before their eyes; whether looking at the morphology or the blood supply, it was a malignant tumor.

Damn it!

The Director of the CT Room cursed inwardly.

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

"Lao Liu is messing around, acting recklessly!"

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

"Calm down? I think Lao Liu has lost his mind! The film clearly shows a malignant tumor, yet he insists on listening to that young Doctor Ji. This is a hospital, not a variety show!"

"I think Liu Zhuren has gotten carried away!"

The doctors in the CT Room remained silent.

"Isn't the film obvious enough! If you can't even see this, why be a doctor!" The Director of the CT Room viciously kicked the chair again, knocking it over with a bang.

An enhanced CT scan involves injecting some contrast agent into the patient's blood vessels before the CT; these contrast agents can be captured by the CT and reflected in the images, which is why they are called contrast agents.

If the patient has lung cancer, there should be abundant blood vessels within the tumor, because tumor cells often have vigorous metabolism, which requires a rich blood supply to support, so there are many blood vessels in a malignant tumor.

With a rich blood supply, the contrast agent will also gather there, which the CT can see, and based on this, determine whether it is lung cancer.

But if it is a disease like lung abscess or tuberculosis, the blood supply within the mass is not that rich, so naturally, not as much contrast agent enters, and the resulting image is different from that of lung cancer.

The imaging had already provided an accurate hint, so it was no wonder the Director of the CT Room was so angry.

"Zhuren, don't be angry, how many clinical doctors can actually read films? We see thousands of similar images a year; they won't see that many in their entire lives," someone advised.

The Director of the CT Room calmed down slightly and asked, "Who was the doctor who explained the differential diagnosis later? Such a cocky attitude!"

"It seems to be the doctor who came back with Ji Xiang, the one who is here for further training, the Expert from Massachusetts General Hospital mentioned in the program."

The CT Room went silent instantly.

A person's name is like the shadow of a tree.

The Director of the CT Room could scold Liu Zhuren and could scold Ji Xiang, but he was a doctor after all, and he still held awe for world-renowned large hospitals like Peking Union Medical College Hospital and Massachusetts General Hospital.

An Expert from Massachusetts...

That was no wonder; no wonder he could provide such a detailed differential diagnosis, and no wonder he started discussing it with Ji Xiang when Ji Xiang mentioned bird allergy.

The Director 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 at this moment, his mouth agape, staring blankly at Mo Chenggui.

Bird allergy!

It really was bird allergy!

His hand trembled slightly, and he could barely hold his pen.

How did Ji Xiang diagnose it?!

Lin Jiuze had encountered countless geniuses and had also defeated countless geniuses.

To carve out a path at Harvard Medical School, diligence alone was impossible; it also required top-tier talent and some luck.

Lin Jiuze had all of these things.

But he had never seen a person like Ji Xiang.

Simple and easy, with just one sentence about Mo Laoshi wearing a down jacket, he provided a diagnosis.

He did not say Bird Allergy directly; Lin Jiuze recalled that it must have been to save face for Liu Zhuren, not wanting Lao Zhuren to be too embarrassed.

What the hell!

The phrase others often used to describe him surfaced in Lin Jiuze's mind.

"Mo Laoshi, please don't be too anxious. I've looked at the scans, and... Doctor Lin and I both believe it is not a Malignant Tumor," Ji Xiang said to Mo Chenggui with a smile, "Let's do a PET-CT, and then you can see for yourself."

"Xiao Ji, don't go through the trouble; I know my own condition," Mo Chenggui said, smiling to comfort Ji Xiang instead, "I've spent my whole life telling Patients that Cancer is no big deal and that they have to face it. Now that it's my turn, I certainly can't be a coward."

As he spoke, Mo Chenggui shook his head, "The key is that being a coward is useless anyway, isn't it?"

"Mo Laoshi, let's talk after the PET-CT is done," Ji Xiang said, "Also, your down jacket is tattered; I'll take it away and get you a new one."

"There's no need to be so polite."

"It's not about being polite; I suspect your illness is caused by the down jacket," Ji Xiang said.

Wang Daxiao rubbed his bald head; if Mo weren't sick, he would have almost burst out laughing.

A down jacket, causing Lung Cancer? Wang Daxiao really wanted to touch Ji Xiang's forehead to see if he had a fever.

(End of chapter)