Chapter 2465: 2378 The last straw?
2378 The last straw?
Wang Zong heard Director He say that, and immediately became unhappy.
He coldly looked at Director He and said, "From the perspective of diagnostics, I trust Zheng Lao Ban's judgment."
"Diagnostics?" Director He's tone carried a sense of fresh coldness and ridicule, but he soon smiled and gently asked, "How did you judge that?"
Just like a usually gentle and honest person who often becomes especially aggressive online after going online, saying anything from a thousand kilometers away doesn't matter.
But in front of Wang Zong who came from the capital, Director He had to try his best to endure, no matter how impatient he was or how much he wanted to send the troublesome patient to a higher‑level hospital.
"Zheng Lao Ban is a big shot in Interventional Medicine; I don't think he would have patients undergo meaningless tests." Wang Zong showed no fear, his eyes locked onto Director He's, facing each other, he spoke plainly yet firmly.
Although his reasoning isn't very solid, does being a big shot in Interventional Medicine mean he can diagnose respiratory internal medicine? That's illogical.
But Wang Zong was full of confidence, his expression extremely firm when speaking. After only a few seconds of eye contact, Director He lowered his head.
In her mind, Wang Zong is an expert from the capital with a bright future ahead. Meanwhile, the Zheng Chief she has watched grow up… although now called Zheng Lao Ban, he's just a petty doctor.
She didn't dare offend Wang Zong to his face, secretly thinking—just do it then; if the enhanced CT shows nothing wrong after it's done, what else do you have to say?
Anyway, this is a full-hospital consultation; with so many department heads present, it's unlikely they could deny it.
"Director Zhou, the line for enhanced CT at the CT room is backed up to two days later," Director He said quietly.
"I've contacted Director Zhao of the CT room; go find her." Director Zhou said, "Emergency patients don't need to wait in line."
Director He nodded, then turned away with a feeling of helplessness.
"Have Director Zhao upload the patient's image data as soon as possible. After uploading, give me a call and we'll wait to see." Director Zhou said.
This time, with the strong opinion of the Medical Department, nobody had any objections.
They have a big mouth, saying whatever they say.
Director He rushed to the CT room, followed the emergency process, and arranged an enhanced CT scan for the patient.
They waited a full thirty minutes, then after the needle was inserted, the patient was sent into the CT room.
Director He stood behind the lead glass of the control room, coldly watching the patient's family show impatience, and did not go over to talk to them.
In her view, every additional test now is like placing another straw on the back of an overburdened camel.
As for how long the camel can hold up, nobody can say. Looking at the patient's family's expression, this 64-slice CT examination really could be the last straw.
"Director He, what patient?" Zhao Jie, who was mainly in charge of the 64-slice, chatted happily.
A patient personally sent by a senior clinical director definitely has a story—either someone personally instructed it, or it's especially serious.
Zhao Jie operated the machine, and through the lead door she could faintly hear the machine's humming.
After a few seconds, not hearing Director He's reply, she thought the room was too noisy and he hadn't heard clearly, so she turned around, smiled, and asked, "Director He, is there anything to watch out for?"
"…" Director He felt helpless; with Wang Zong and Director Zhou not present, she felt stifled and began to complain, "A patient with unexplained fatigue and breathing difficulty, whose CT and chest X‑ray are normal—I think it's an immune system disease, and Zheng Chief from the capital called, insisting on doing a brain wave and enhanced CT."
"You say, what's all this about, insisting on doing these…"
"Zheng Chief? The capital? Zheng Ren?" Zhao Jie blinked, then asked.
"Yeah, he's now Zheng Lao Ban, and he called from the capital—even Director Zhou has to…" Director He said, sighing.
The following slander about Director Zhou wouldn't be proper to say, but everyone understood what Director He meant.
Zhao Jie's expression was strange; she glanced at Director He, furrowed her brows, and said, "As for what Zheng Chief said, we should just go ahead and do it."
Director He felt a surge of anger rise inside.
"Plain X‑rays and routine CT scans don't show some effects; it could be due to insufficient exposure, not enough conditions. Doing an enhanced CT should be because Zheng Chief has his own considerations. Director He, Zheng Chief's skill at reading images and even operating the machine is very high."
Zhao Jie's words were like adding dry kindling to a fire pile, causing the flames to leap up crackling.
She understood a little about exposure, but no matter how professionally she pressed the issue, she really couldn't produce anything.
Director He suppressed her anger and fell silent. She waited for the enhanced CT to finish, and after it was done, she would slap everyone in the face with the facts!
This is all bullshit; even if a plain CT doesn't show something, there should still be some clue, unless the consideration is a pulmonary thrombolytic disease or something that would require an enhanced scan.
It definitely isn't a pulmonary thrombosis; Director He has determined that. She's run a series of indicators like D2 dimers on the patient, and the results show nothing wrong.
Moreover, the patient's pulmonary function test also proves it's not caused by a pulmonary thrombosis… Anyway, now saying anything, they won't listen.
Waiting for the test results to come out.
"Director He, the patient's family emotions don't seem very stable to me."
"Hmm, I suggest referring the patient to a higher‑level hospital."
"Let's wait and see after it's done; Zheng Chief's consultation is better than going to a higher‑level hospital. A few months ago…"
Afterward, Director He spent a most unpleasant ten or so minutes. During the examination, Director Zhao began telling her about her relatives who had surgery in the provincial capital, and how the doctors there clearly said it would be good to see Zheng Lao Ban and such.
"Director Zhao, Director Zhou said to upload the images after it's done." Director He finally couldn't hold back and interrupted Zhao Jie's words.
"That former little doctor, now Zheng Lao Ban far away, can't see a damn thing!"
"Oh, okay." Zhao Jie replied and continued operating the machine.
The patient had difficulty holding his breath; Zhao Jie tirelessly communicated with the patient lying on the examination table, trying to pick the best conditions for the scan.
A check that should have taken over ten minutes ended up taking more than twenty.
Director He was quite impatient; she didn't even know what was wrong with her today. Possibly she was fixated on sending this troublesome patient to a higher‑level hospital, making her irritable.
After the patient came down, Director He had her subordinate doctors send him back, but she didn't rush to leave. Standing behind Zhao Jie, Director He waited for the images to appear.
She could hardly wait to go back and look again.
The enhanced image appeared bit by bit before her eyes; after just over ten seconds, more and more images showed up, and Director He was dumbfounded.
Both lungs showed a diffuse patchy ground‑glass density mosaic change!
End of Chapter
