Chapter 214 Argument

I heard the prompt that the silicon reflection exceeded the standard suddenly popped up by the system. Xu Ze was stunned, X-ray perspective, when did this function come into being?

However, at this time, he was too lazy to be surprised. After all, many functions of the system are being explored. Where can he fully understand them? Now that the system 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 Attachment 1 did not show any abnormality in the lungs, but my own X-ray showed it. It seems that I have to confirm whether it is the real cause of the patient's cough.

If the silicon reflection exceeds the standard, it is likely to be a sign of silicosis. Silicosis is a lung disease caused by inhaling a large amount of industrial dust, which is more common in mine workers. The performance is coughing and shortness of breath, etc., but this is not sure.

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

"Dick... X-ray fluoroscopy of the lungs shows that there is generally a small amount of silicon dioxide in the interstitium of the lungs of patients, resulting in slight lesions in the interstitium of the lungs..." The automatic response system responded quickly.

"Silicon dioxide, silicosis?" Xu Ze couldn't help raising his eyebrows, it turned out to be a cough caused by silicosis!

But attached one's lung CT and MRI showed no abnormality, so their diagnosis should not consider silicosis. But since Li Moling said it had been diagnosed, what kind of disease could they have misdiagnosed?

Thinking of this, Xu Ze got a headache. He had already diagnosed a disease, but he still had to figure out what disease he misdiagnosed, which was a bit embarrassing.

But the embarrassment is the embarrassment, since I made a bet with Li Moling, I still have to think about it, otherwise, if I lose, my face will not be very good-looking, and it is really unwilling to lose to such a wretched guy.

Seeing Xu Ze frown in embarrassment, Li Moling felt more and more complacent in his heart. You can at most draw a conclusion of mycoplasma pneumonia, this kid, and it is impossible to think about the problem of the central nervous system.

This is because several of us doctors and the director consulted together to diagnose this disease. I'll see how good you are.

Li Moling thought so complacently, but Xu Ze turned around and looked at him with a trace of hesitation in his eyes.

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

"Ga..." Hearing Xu Ze's words,

Li Moling's expression froze instantly, he stared blankly at Xu Ze, and after a while he said with an ugly face: "Have you read this patient's medical record?"

Seeing Li Moling's ugly expression and the suspicion in his eyes, Xu Ze smiled disdainfully, and said, "Dr. Li, you are considering central nervous cough for this patient. It is because no other symptoms were found in the examination. It's abnormal, and it's a frequent dry cough, so let's make a diagnosis!"

Hearing Xu Ze's reason, Li Moling snorted and said, "As expected, you have seen this medical record...the consultation records in these medical records are very clear, no wonder you guessed it right!"

"Doctor Li...you can say whatever you want, it's fine for you to accept this bet, or not..." Xu Ze shook his head lightly, and said with a light smile: "But there is something wrong with your diagnosis...he is not a central nervous cough ..."

Hearing Xu Ze's words, Li Moling was overjoyed again, and sneered, "Don't you think he was infected with mycoplasma?"

"No...mycoplasma infection, I think you have already ruled it out...this patient should be silicosis..." Xu Ze smiled lightly and said, "You are wrong, simple central nervous coughs are rare, but his is silicosis The possibility of causing it is extremely high..."

Before Xu Ze finished speaking, Li Moling sneered, pointed at Xu Ze and laughed loudly: "Silicosis? There is something wrong with your brain... Chest X-ray and lung CT are all fine, you still say It's silicosis..."

The students in Xu Ze's group were all very excited when they saw that Xu Ze had actually checked out something, but at this time Xu Ze actually said that the respiratory medicine department had made a mistake, and they were all surprised. I thought Xu Ze really lost his head suddenly, otherwise how could he say such a thing.

The First Affiliated University of Xingda is one of the top hospitals in the country, and the conclusion reached by so many chief doctors in the Department of Respiratory Medicine, how can it be wrong, even if it is wrong, no matter how good you are, Xu Ze, you can't compare Directors and doctors are all great, right?

Thinking of this, everyone looked at Xu Ze worriedly, and hoped that Xu Ze would stop entangled in this issue. After all, he has already found out what kind of central nervous cough, so he is not a loser...

It's just that Xu Ze didn't want to give up so easily. Firstly, he was really not used to seeing Li Moling, and secondly, since Fuyi and the others had misdiagnosed him, if he continues to treat like this, using some central cough suppressants, maybe There will be a certain effect temporarily, but it will not be of any benefit to the patient in the future, and as time goes by, the patient's disease may become more and more serious. At that time, even if silicosis is found again, the effect of drug treatment , would not be too good.

Faced with Li Moling's sneer, Xu Ze chuckled lightly, but didn't bother to pay attention to him, and then continued to conduct some consultations with the patient to clarify whether his silicosis diagnosis had more basis.

At this time, the patient also listened to the words of the two of them. Seeing Xu Ze seemed to speak very confidently. Although he felt that this little doctor was unreliable, he was also a little worried. After all, he had been treating for a long time, and the effect was not very good, so Xu Ze was extremely cooperative when he asked for a doctor. .

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

Now that Xu Ze has a history of exposure to industrial dust, Xu Ze is now more certain, and immediately smiled at Li Moling: "Have you heard that, the patient has a history of exposure to industrial dust, so it is likely to be silicosis. I suggest you ask Director Qian to see you again, otherwise, if you continue to use the medicine like this, I'm afraid the effect will not be very good!"

Seeing Xu Ze's appearance of teaching him a lesson, Li Moling was furious. This patient had clearly been diagnosed with a central nervous cough, but this kid wanted to be here in a daze. Mess around, and look like he is teaching himself, he thinks who he is.

Immediately he laughed angrily and said, "Okay... You are a trainee, but you have taught me... Could it be that we have so many directors and doctors, are we worse than you as a trainee?"

Li Moling was about to continue to teach Xu Ze a lesson, but the worried patient next to him interjected: "Doctor Li, since this little doctor thinks so, you can talk to Director Qian and see if you want to rule it out or not... Let this little doctor understand..."

Hearing the patient's veiled worried words, Li Moling only felt that blood was rushing to his face, and he was really dizzy from the anger of Xu Ze today. Even the patient was convinced by him, so he immediately laughed coldly and said: "Okay... since you insist, then I will invite Director Qian to take a look! Let me tell you Xu Ze... If Director Qian said that you have no basis for this, then You, a trainee, are disrupting the medical order of our hospital and ruining the reputation of our hospital, I want to see if you can bear this responsibility!"

"Okay...Please ask Director Qian to take a look...This is also responsible for the patients..." Xu Ze smiled lightly, and said indifferently; he wished that Director Qian would take a look, and only after he came and persuaded him would he It is possible to diagnose this patient, and only in this way can the arrogance of Limo Ridge be suppressed.

Li Moling ran to the director's office and explained the matter emphatically, saying that Xu Ze had ruined the hospital's reputation, and when Director Qian came over, his expression was not very good. This Xu Ze is really good at causing trouble...

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

After he came in, although his face was not very good-looking, he still asked Xu Ze why he doubted the diagnosis. After all, Xu Ze was very familiar with his immediate boss, Zhang Lide, director of internal medicine, and Zhang Lide also told Xu Ze Ze can see patients at will, so he still gave Xu Ze a little face, otherwise, if it was someone else, he might have already brought him to the office for a training session.

Facing Qian Zhixun, Xu Ze did not show any fear at all, and told the situation of his consultation just now. Of course, he could not say that he had discovered a small amount of carbon dioxide in the patient's lung interstitium. Silicon, that is, silicon dust exists.

He just reminded: "The patient has a history of long-term exposure to industrial dust, and has an irritating dry cough. I think this aspect should be considered... The subtle changes in the early stage of silicosis seem to be sometimes invisible to X-rays and CT. Find…"

Hearing Xu Ze's words, Qian Zhixun's face turned serious, and what Xu Ze said aroused a little worry in him. At that time, he was diagnosed with central nervous cough during the consultation. It was also because no abnormalities were found in various examinations, so he could only make this diagnosis.

But if Xu Ze said, then the possibility of silicosis is not impossible...

At the moment, Xu Ze's face softened a little, and then he asked the patient again in detail, and it was mainly about silicosis.

On the other hand, Li Moling saw that Director Qian didn't directly lecture the trainee with his own words, but also asked the trainee so politely, and even seemed to be seriously considering the trainee's opinion, and was a little bit dissatisfied. Li Moling seemed to be moving, but now he became more and more depressed. (!)