novelraw Chapter 359 - 186: Director Yang’s Gratitude and Advancing Side by Side (Part 3)
Chapter 359 - 186: Director Yang’s Gratitude and Advancing Side by Side (Part 3)
Lian Tao described the condition and medical history of this tricky case.
When encountering patients with prolonged fever and cough, doctors tend to be very cautious.
A slight misstep might reveal a major illness.
"Have you checked the chest X-ray and CT scan?"
Li Jingsheng could only get this much information, which wasn’t enough to offer any useful opinion.
Director Yang was eating grilled steak while listening to the conversation between the two.
"The chest X-ray suggested a mass in the right lower lung. The CT scan suggested a cavity-type mass in the right lower lung, with no mediastinal enlarged lymph nodes and no pleural effusion. Director Yang’s diagnosis leans towards marginal lung cancer, with enlargement in the right lower lung hilum. At first, I also thought it was likely lung cancer, but after repeatedly deliberating, I felt it didn’t seem like lung cancer.
From some of your conversations, I can sense that you have some insight into thoracic surgery diagnosis, so I’d like to ask for your opinion."
Actually, pulmonary medicine diagnosis is equivalent to a diagnosis in thoracic medicine.
Thoracic surgery diagnosis corresponds to a surgical field associated with thoracic medicine.
Most doctors only delve into one field, or even just a smaller subfield within pulmonary or thoracic surgery. For instance, some doctors specialize in bronchitis.
Some doctors specialize in pulmonary nodules.
The benefit of doing so is that it allows the doctor to advance further in this subfield, making diagnostic skills, medication use, or surgery more refined.
A remarkable pulmonary medicine expert specializes in rhinitis, an elderly female professor who is 67 years old.
She has been researching rhinitis for over thirty years, and later she only needs to listen to a patient say two sentences, then shine a small flashlight on the patient’s throat and nasal cavity to swiftly diagnose. Her medication is also extremely effective, a drug costing 2.8 yuan per box directly cured a patient’s chronic rhinitis that had persisted for over ten years.
This patient had spent nearly 30,000 yuan at a large local hospital without being cured.
That’s the level of skill.
Lian Tao has a sort of "madness" when researching difficult cases.
He won’t rest until the cause is found.
It’s just that he clearly feels a lack of knowledge, a shortcoming, when encountering such cross-departmental difficult diseases.
This is entirely normal.
There are no all-round experts, neither domestically nor globally, not a single one.
All clinical medical experts, at most, excel in two fields at best.
The vast majority only master one field, or even just a subfield.
"Can I see the case data? Ideally, I’d like to see the patient. But don’t expect too much from me, I’m just at a halfway level."
Li Jingsheng is quite interested in researching these challenging cases.
Apart from his natural love for medicine, it’s also because each successful diagnosis of a difficult case substantially boosts his medical skills.
"I was just waiting for you to say that! Haha, although we hit it off instantly and admire each other, it’s still late at night. I felt a bit embarrassed to ask you to help me diagnose the patient. After we finish this late-night snack, I’ll take you to the pulmonary medicine ward at the People’s Hospital. The patient is currently hospitalized there for treatment."
"Sure, I don’t have any plans for the night anyway."
Li Jingsheng readily agreed.
Since there was serious work to do, all three consciously quickened the pace of their meal.
For Lian Tao and Director Yang, their incomes are quite substantial, so they’ve grown tired of all kinds of delicacies.
This late-night meal was purely to thank Li Jingsheng.
And Li Jingsheng never had high demands for food and clothing; his current favorite is studying medicine and making money.
He wants to buy a house, buy a car, get married, and open a hospital.
More than twenty minutes later, the three had almost finished eating.
The late-night snack cost over 2,400 yuan in total—definitely not cheap.
When it was time to pay, Lian Tao insisted on picking up the tab, but after Director Yang scolded him, he had no choice but to give up.
Director Yang paid without batting an eye.
The expert is truly wealthy.
"Lian Tao, Jingsheng, I won’t be going with you to the hospital. I had a bit to drink, and my head is spinning. I need to go home and lie down. Jingsheng, feel free to call me anytime in the future if you need anything. Also, you’re welcome to visit my home anytime you’re free. By the way, let’s add each other on WeChat. I’ll send you my location in a bit, and it’ll be convenient to message each other if there’s anything in the future."
Director Yang took the initiative to add WeChat.
This is a signal.
His relationship with Li Jingsheng has advanced significantly.
Sometimes, human connections are just that wonderful.
Director Yang and Li Jingsheng were originally two people of completely different identities who could hardly cross paths. But because of a gesture of goodwill from Li Jingsheng, Director Yang felt grateful, and then with Li Jingsheng giving credit for curing the baby to Director Yang during this occasion, it directly made Director Yang let go of all his reserved pride and acknowledged this outstanding young clinic doctor.
They added each other on WeChat, and Director Yang’s WeChat name is simply his name.
His introduction states that he is the Chief Physician of the Gastroenterology Department at Jiangli City People’s Hospital.
The word "expert" is rarely self-proclaimed.
It’s usually a title given by an institution or society.
They hailed a taxi, sent Director Yang off, and told the driver the destination. Only then did Lian Tao take a cab with Li Jingsheng to the People’s Hospital.
When they arrived at the inpatient building of the Pulmonary Medicine department, Li Jingsheng got to see what a top-tier Grade-A hospital is truly like.
The First Hospital had already seemed like a great hospital in his mind.
But compared to the People’s Hospital, it’s not even on the same level.
"Director Lian, working overtime at such a late hour?"
"Hello, Director Lian!"
Several doctors and nurses on night duty greeted Lian Tao.
It was obvious that they truly respected Lian Tao.
They also seemed to view him as a pillar of the department.
They curiously observed the young man walking alongside Lian Tao.
Who is this young man?
He doesn’t even seem to be thirty, yet he can walk alongside Director Lian and chat and laugh.