Chapter 214: Dispute

When Xu Ze heard the system suddenly showing a warning that the silicon reflection exceeded the standard, he was stunned. When did the x-ray perspective have this function?

However, he was too lazy to be surprised at this time. After all, many functions of the system are exploring, so he can fully understand them. Since the system now prompts that the silicon reflection exceeds the standard, then he has to figure out what it is.

After all, the CT and MRI examinations in Appendix 1 did not show any abnormalities in the lungs, but my X-ray perspective was shown. It seems that I have to confirm whether it is the real cause of the patient's cough.

Silicon reflex exceeds the standard is likely to be a sign of silicosis. Silicosis is a lung disease caused by inhaling a large amount of industrial dust. It is more common in mine workers. It is coughing, shortness of breath, etc., but this is not certain.

"Describe the detailed analysis report..." Xu Ze continued to order.

"Ding...the fluoroscopy of the lung x-ray is used to determine that patients generally contain a small amount of silica in the lung interstitial mass, resulting in slight lesions in the lung interstitial mass..." The automatic response system responds quickly.

"Silica, silicosis?" Xu Ze couldn't help but raise his eyebrows. It turned out to be a cough caused by silicosis!

However, the lung CT and MRI of Appendix 1 showed that no abnormalities were found, so their diagnosis should not be considered silicosis. However, since Li Moling said that it has been confirmed, what disease would be that they misdiagnosed?

Thinking of this, Xu Ze had a headache. He had already diagnosed a disease, but he still had to figure out what kind of disease he misdiagnosed was. This was really a bit difficult.

However, it is difficult to make things difficult. Since I have made a bet with Li Moling, I still have to think about it. Otherwise, if I lose, I will not look very good on my face. Besides, I would be a little unwilling to lose to such a vulgar guy.

Seeing Xu Ze frowning and embarrassing, Li Moling became more and more proud in his heart. This kid, you can at most come to a conclusion about mycoplasma pneumonia, and you will never think of central nervous system problems.

This was only confirmed by several of us doctors and directors for consultation. I’ll see how powerful you are.

Li Moling thought so proudly, but when he saw Xu Ze turn around and look at him, a hint of hesitation appeared in his eyes.

Just as Li Moling became more and more proud, Xu Ze frowned and said uncertainly: "You should diagnose him with a central nervous cough!"

"Ga..." After hearing Xu Ze's words, Li Moling's expression froze instantly. He looked at Xu Ze blankly, and after a while, his face turned ugly, "Have you read this patient's medical record?"

Looking at Li Moling's ugly expression and suspicion in his eyes, Xu Ze smiled disdainfully and said, "Doctor Li, this patient, you are considering central nervous cough because no other abnormalities were found in the examination, and he had frequent dry coughs, so he was diagnosed!"

After hearing Xu Ze's reason, Li Moling snorted: "You have indeed read this medical record... The consultation records on these medical records are written very clearly, no wonder you can guess correctly!"

"Doctor Li... whatever you say, you can accept this bet properly, it's better not to accept it..." Xu Ze shook his head gently and smiled lightly: "But there is something wrong with your diagnosis... He is not a central nervous cough..."

When Li Moling heard Xu Ze's words, he was happy again and sneered: "Do you think he is a Mycoplasma infection?"

"No... Mycoplasma infection, I think you have already ruled out... This patient should be silicosis..." Xu Ze said with a smile: "You are wrong. Simple central nervous coughs are usually rarely seen, and this is a very likely cause of silicosis..."

Before Xu Ze finished speaking, Li Moling sneered, pointed at Xu Ze and laughed loudly, "Silication? Are you having a problem with your brain... There is no problem with chest x-rays and lung CT, but you still said it was silicosis..."

The classmates in Xu Ze's group were very excited to see that Xu Ze had actually found something, but at this time Xu Ze actually said that the respiratory medicine department had made a mistake. Now they were all surprised, thinking that Xu Ze had suddenly fainted, otherwise how could he say such things?

Xingda Affiliated First Affiliated Hospital is among the top hospitals in the country. Moreover, the conclusions drawn by so many chief doctors in the Department of Respiratory Medicine are wrong? Even if it is wrong, Xu Ze, no matter how powerful you are, you cannot be better than so many chiefs and doctors, right?

Thinking of this, everyone looked at Xu Ze worriedly, hoping that Xu Ze would not get entangled in this issue anymore. After all, if you have already found this central nervous cough, it is not considered losing...

But Xu Ze didn't want to give up so easily. The first thing he was that he really didn't like Li Moling. Secondly, since they had misdiagnosed the appendix, the use of some central antitussive drugs may have a certain effect on the treatment in this way, but it will not be beneficial to the patient in the future. Moreover, as time goes by, the patient's disease may become more and more serious. At that time, even if it is discovered that it is silicosis, the effect of the medication treatment will not be very good.

Faced with Li Moling's ridicule, Xu Ze chuckled, too lazy to pay attention to him, and then continued to conduct some consultations on the patient to clarify whether there is more basis for his diagnosis of silicosis.

At this time, the patient also listened to the words of the two of them. When he saw Xu Ze, he seemed to be very confident. Although he thought the little doctor was not very reliable, he was a little worried. After all, he had been treated for a long time and the effect was not very good, so Xu Ze cooperated very well when he was in the consultation.

Soon, Xu Ze asked what he wanted. There was a large lime mine near the patient's house. Although he did not work in the lime mine, there was often a lot of dust covering his home.

Since there is a history of contact with industrial dust, Xu Ze is now more and more sure. He smiled at Li Moling and said, "Did you hear that the patient has a history of contact with industrial dust, so it is very likely that it is silicosis. I suggest you ask Director Qian to visit the clinic again. Otherwise, if the medicine continues like this, I am afraid the effect will not be very good!"

Seeing Xu Ze seemed to teach him a lesson, Li Moling was angry. The patient had clearly been diagnosed with a central nervous system cough, but this kid was about to be here, making trouble and chaotic, and even taught himself who he thought he was.

He smiled angrily and said, "Okay... You are a trainee, but you have taught me... Are so many of us directors and doctors who are worse than you are a trainee?"

Li Moling was about to continue teaching Xu Ze a lesson, but the patient who was increasingly worried about the other side interrupted: "Doctor Li, since this little doctor thinks so, just talk to Director Qian and see if you don't rule it out... so that this little doctor can understand..."

When the patient heard such obscure words of worry, Li Moling felt that blood was rushing into his face. He was so angry that he was so angry that the boy Xu Ze was coaxed by him. He immediately laughed coldly and said, "Okay... Since you insist, I'll ask Director Qian to come and have a look! I'll tell you Xu Ze... If Director Qian says you have no basis, then you, an intern, will disrupt the medical order of our hospital and destroy the reputation of our hospital. I want to see if you can take this responsibility!"

"Okay... Ask Director Qian to see it... This is also responsible for the patient..." Xu Ze smiled lightly and said indifferently; he wanted Director Qian to see it. Only after he came to see it and persuaded him could he be diagnosed for the patient, and this would be able to suppress Li Moling's arrogance.

Li Moling ran to the director's office and told the matter more and more about it, saying that Xu Ze destroyed the reputation of the hospital. Director Qian's face looked bad when he came over. Xu Ze was really good at causing trouble...

However, since the patient requested it, he naturally had to carefully examine the patient and eliminate the patient's doubts;

After coming in, although his face was not very good-looking, he still asked Xu Ze why he suspected this diagnosis. After all, Xu Ze was very familiar with his immediate boss, Zhang Reed, the director of the Department of Internal Medicine. Zhang Reed also told Xu Ze that he could see the patient at will, so he still gave Xu Ze some face. Otherwise, if it were someone else, he would have been taken to the office for a while to train.

Facing Qian Zhixun, Xu Ze did not look afraid at all and told him about the situation he had just asked. Of course, he could not say that he had discovered that there was a small amount of silica, that is, silicon dust, in the patient's lung interstitial mass.

He just reminded: "The patient has a long-term contact history of industrial dust, and it is a irritating dry cough. I think it is necessary to consider this aspect of the reason... The subtle changes in early silicosis seem to be sometimes not obvious to X-rays and CT..."

Qian Zhixun heard Xu Ze's words and his expression became a little serious. Some of the things Xu Ze said also aroused his concern. At that time, he was diagnosed with central nervous cough during the consultation. It was because no abnormalities were found on all examinations, so he had to make this diagnosis.

But if Xu Ze said, then the possibility of silicosis is not without...

The expression on Xu Ze's face calmed down a little, and then he asked the patient in detail again, mainly for silicosis.
Chapter completed!