Chapter 30 Different Diagnoses

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 The meeting stopped for five minutes.

Sima Lin Yi is still angry.

It’s so embarrassing to be interrupted.

He refused to speak.

He didn't speak. At this time, no one could speak, unless Sun Tao severely criticized Liu Muqiao.

The consultation is suspended.

At this time, even Professor Hao cannot say another word, otherwise it will be difficult for them to meet in the future, unless Professor Hao says this: "Mr. Si, please continue to give instructions."

If this is the case, Sima Lin Yi can accept it.

However, the old man did not speak and seemed to be happy.

Sun Tao glanced at Sima Lin Yi and turned his head, "This classmate, who is your teacher?"

If an intern makes a mistake, the teaching teacher will be punished. In this case today, the teaching teacher made a serious mistake.

"Teacher Aling."

"Teacher Aling? Who is Aling here?"

"Pediatrics."

"Pediatrics? Pediatrics, why are you here?"

"I, I invited him here." Zhao Yilin said loudly.

"You? He is your relative?" Sun Tao respects Zhao Yilin very much. He is the director of the department, but Sun Tao is only thirty-six years old. He does not dare to offend Zhao Yilin.

"Does it matter? I am a talented person. Sun Yuan, I will find another time to talk to you, and the consultation will continue." Zhao Yilin said.

"Professor Sima, I'm sorry, my education is not good enough, I will deal with it. Please continue to give instructions." Sun Tao does not want to continue the stalemate.

Sima Lin Yi coughed twice, looked at his watch reservedly, and said: "This classmate just now, I noticed that you were watching the movie so seriously. You must not be pretending, right? Tell me, what did you find?"
p>

Liu Muqiao stood up and said loudly: "I just watched the film. First of all, there are some problems with the quality of the film. The patient moved during the MRI, so there were artifacts, which affected the interpretation of the film."

"Is there any?" Sima Lin Yi asked with a smile. He didn't find any artifacts at all.

"Yes. However, for ordinary doctors, it is not affected and they cannot find any artifacts."

Everyone was shocked.

It’s not that Liu Miqiao’s level is high, but that Liu Miqiao’s words are too harsh. In these words, he obviously regards himself as God’s vision.

Liu Muqiao ignored the same eyes as others.

He continued: "The NMR machine in our hospital should be maintained. The magnetic field of the 1.5t NMR is far from reaching the level of 1.5t. Therefore, the grayscale gradient of the films produced is 15% less. However, for ordinary doctors,

Generally speaking, the impact is not big."

What?

Ouch! It’s so mysterious!

True or false,

Even radiologists are not at this level.

Sima Linyi waved his hand as if he were watching a gorilla show.

Then grinned: "You continue."

Of course Liu Miqiao had to continue. He hadn't finished speaking yet. "I don't know who purchased the film for this film. It is a product that is about to expire, and it was not stored properly. It was not stored in a constant temperature environment, so the image quality was affected."
What?

Sun Tao can't stand it anymore.

You said there is a problem in the equipment department, and the equipment is under my control. If you criticize the purchasing, isn't this criticizing me?

Angry!

Touching the tiger’s butt!

"Liu Muqiao! Pay attention to your identity. Sit down!"

"Should I sit down? Professor Sima wants me to answer a question!"

"Are you answering a question? You are talking nonsense."

"These are all facts. You should go to the equipment department to find out. Okay, I won't waste time anymore. I will talk about the problems found on this bad film. First, this patient has several lacunar infarctions; second,

The patient's basal ganglia blood vessels show signs of aneurysm, and there is a high chance of future stroke; third, the lesions in the temporal lobe are neither neurons nor nerve fibers."

He paused and then said: "In other words, it is neither viral encephalitis nor demyelinating encephalopathy, but glioblastoma. I'm done."

Glioblastoma?

Oops!

Overturn the conclusions of all previous experts?

There is a good show to watch.

"Nonsense!"

Sima Lin Yi roared angrily.

This is contempt for authority and disrespect for authority!

On purpose!

It must be intentional!

From the very beginning, Zhao Yilin laid out the plan!

Sima Lin Yixiang.

Liu Muqiao did not respond to Sima Lin Yi’s scolding.

Dr. Zou looked at him with an expression of disbelief.

Everyone may dismiss Liu Muqiao's diagnosis, but Dr. Zou believes that Liu Muqiao must be right.

Sima Linyi spoke again, and he calmed down a lot, because he remembered that I am a great professor, a great master, and the Taishan Beidou. In this province, I am the only one besides Professor Hao, and I must not lose my composure.

A great professor must have the demeanor of a great professor.

He smiled sweetly and said, "This classmate, well, is very good, very good. He can come up with the diagnosis of 'glioma', which is already very good. An intern can remember the name of the disease glioblastoma.

It’s amazing.”

He smiled and continued: "However, as far as this patient is concerned, based on the imaging data, it is correct to consider demyelinating encephalopathy. Did you notice that he had a history of removing ascaris, removing ascarids, and intestinal

Insects may cause demyelinating encephalopathy. This must not be forgotten when asking for medical history.”

He looked at his watch again and decided not to talk.

Not happy today.

Not happy!

Very unhappy!

"Professor Hao, that's all I have to say." Sima Linyi said angrily.

Professor Hao coughed twice and smiled slightly.

"Let me say a few words. Your analysis is good and your speeches are also very exciting. I feel that the progress of Antai Hospital is very obvious. I will not comment on them one by one. I agree with Professor Sima Linyi's comments just now.

Very good, very good."

He took a sip of tea.

"However, there are also shortcomings in the whole president, especially in terms of organization." He glanced at Sun Tao, "We should change the trend. Our affiliated hospital has been changing it in the past two years to allow young people to express different opinions.

, but also encourage them.”

He cleared his throat again and turned to Liu Muqiao, "This classmate, this is the second time we have met. It's good, it's very good. It's commendable that you dare to put forward different opinions. However, let me ask you, what are your opinions on the MRI film?

You have received a lot of criticism, are you sure that this is the result of your independent thinking and not just hearsay?"

Liu Muqiao stood up respectfully, "This is the conclusion I came to when reading the film just now."

"Oh yeah, have you read a monograph on imaging? Or... No, what's your basis?"

"The main reason is that the grayscale gradient is not enough."

"Oh, you have done a lot of research on imaging."

"This..."

Liu Muqiao originally wanted to say a few words of humility. However, he felt that the more modest he was, the more he would be suspected of being pretentious. Therefore, he stopped saying it just now.

"Well, that's right. Professor Huang is the only one in our affiliated hospital who has this ability. Okay, let's not discuss the issue of MRI machines and films anymore. Let me ask you, are you sure about your diagnosis? Do you have any other diseases to consider?"
p>

Liu Miqiao shook his head and said: "I am not very knowledgeable in the diagnosis and treatment of neurological diseases, but based on the imaging data, I am 80% certain that it should be glioblastoma."

"Eighty percent? I think you should be 90% sure."

"Yes, I think 90%."

"Okay," Professor Hao raised his voice, "I basically rule out viral encephalitis and demyelinating encephalopathy. I agree with Liu Miqiao's diagnosis. Glioblastoma is highly likely. Of course, the final conclusion is

, I recommend a needle biopsy."

This chapter has been completed!
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