Since 1981 Health School Chapter 422

  Chapter 422 Lung cancer from a fight

   One month later, the First Affiliated Hospital of the Province, the Third Department of Surgery.

  Director Xu Jinlin, Dean Guo Yuanhang, Director Zhu Huoyan, Chen Qi, and many doctors from the research group sat around the conference room, all frowning.

  There are various inspection reports on the table, and the half-written draft of the thesis has been written.

  The reason why everyone gathered together was because the thesis could not be written anymore.

  Other teams have made preliminary research results, but the etiology investigation team alone has been unable to come up with a final conclusion, even if it is speculated that there is no possible conclusion.

  Director Xu touched his chin, but couldn't think of it:

   "Ah, this is really strange. All the examinations have been done. The tissue around the baby's lungs is normal, and there is no invasion of the surrounding organs. There is no problem with the parietal pleura, chest wall tissue, and mediastinal organs.

  The lymphatic system was checked, and the lymphatic vessels around the bronchi and pulmonary vessels were checked several times, but no other cancer cells were found. A physical examination was also done, except for the lungs, there were no traces of malignant tumors, which is really strange. "

  Chen Qi joked: "Could it be a cancer sister who fell from the sky?"

  Dean Guo slapped Chen Qi on the head: "Be serious, this is a case discussion meeting. Didn't you see so many teachers sitting around?"

  Many doctors in the office laughed lightly.

  Everyone already knows that this too young director of a grassroots hospital will be a junior graduate student in their department for the next three years. It stands to reason that Chen Qi will call everyone a teacher.

  Even though he is at the departmental level and has a certain position, he is still a little brother in front of the doctors of the First Provincial Affiliated Hospital, especially in front of President Guo.

  Chen Qi rubbed his hair and said aggrievedly:

"It's really like falling from the sky, otherwise it's hard to explain. It is said that he was exposed to some pollutants or radioactive substances after birth, but we have already visited the child's house inside and outside, and also learned about the surrounding living conditions. , this risk factor can be ruled out.

  Finally, the family has such a precious grandson, and there is no one who smokes, and the cooking kitchen is not in the same place as the bedroom, so the cause of air pollution can also be ruled out. What other risk factors are there? chronic inflammation?

But we also checked and found no tuberculosis, bronchiectasis, etc. The only chylothorax was born one month later, so the bronchial epithelium metamorphoses into squamous epithelium during the chronic infection process, eventually causing cancer. This argument is also untenable.

   Another one, which is more prominent among lung cancer patients, is the long-term lack of vitamin A, vitamin B, carotene and trace elements in food. The problem is that a baby is only breastfed, and it does not involve incomplete nutrition. "

  As soon as Chen Qi's words came out, everyone in the office nodded repeatedly.

  The etiological investigation team is the most complicated, led by Chen Qi.

  Chen Qi led a group of junior doctors from the First Affiliated Hospital of the Province to check the small patient inside and out, up and down, from head to toe.

  All the inspections that should be done have been done, and all the methods that should be thought of have been thought of. Some inspections have even been repeated many times, but the result is still nothing, and the money has been spent for a long time.

  Dean Guo was smoking a cigarette, but he was also puzzled:

"If you can't find out the cause of neonatal lung cancer, then this project can't be established at all. If you don't even know the reason, how can you convince others? The paper is not authoritative, but one thing is certain, lung cancer is impossible to miss. Born out of nowhere."

  Chen Qi interjected at this time:

"At present, I think there are two possibilities. One is genetic factors, but this involves genetic testing. As far as I know, this technology has not yet been developed in my country. You can only go abroad for testing. The other is whether there is lung cancer. Is it contagious?"

  As soon as Chen Qi said this, the office burst into laughter.

   "How is it possible? How can lung cancer be contagious..."

   "That's right. At present, whether it is domestic or foreign, there has never been a case of lung cancer that is contagious. This assumption is not valid..."

  "Lung cancer is an abnormal proliferation of human tissue after mutation, has nothing to do with pathogenic microorganisms, and is not an infectious disease..."

   "It would be terrible if cancer could be transmitted, just like tuberculosis, then human beings would be finished..."

  Everyone in the office was chattering, no one supported Chen Qi's hypothesis, not even Director Xu Jinxing, Teacher Li Baotian, and Dean Guo disagreed.

  Xu Jinxing thought that Chen Qi was joking, but jokingly said:

   "Wonderful, if we can prove that lung cancer is contagious, then we can win the Nobel Prize in Medicine, haha."

  Chen Qi rubbed his nose and laughed a few times in embarrassment, but he was a little bit aggrieved in his heart. Why should he veto this theory?

  Didn't Hu Shi say that we should make bold assumptions and carefully verify them?

  The plenary meeting of the research group did not discuss any results. When everyone adjourned the meeting, Director Xu stopped Chen Qi.

"Chen Qi, this small patient has already spent more than 20,000 yuan in the past month. Even if our three hospitals bear part of it, it is not a small amount for the patient's family, and there are only a few issues in the hospital. , and it is impossible to reimburse us without limit."

  In the 1980s, whether it was a provincial hospital, or a city level, a county level, or even a hospital level, every level of hospital was facing a financial difficulty.

  As the dean of the Fourth Academy, Chen Qi couldn't give the green light for his own project and occupy all the research funds.

   Blocking people's money is like killing their parents, so they won't be scolded to death by those old employees in the unit.

  Similarly, it is impossible for the People's Hospital and the First Provincial Hospital to reimburse expenses for a subject without limit, especially since Chen Qi wants to do genetic testing in a whimsical way, and he has to go abroad to get the testing.

  Good guy, this is worth tens of thousands, or even hundreds of thousands of dollars, which is simply not something the research team can afford.

  Chen Qi was also a little embarrassed: "Have you already spent so much?"

  He just wanted to blurt out that he should bear this part of the expenses himself, but when he thought of how he was forced to donate by the common people, he immediately rejected this decision in his heart.

   But the problem of money is always to be solved.

  Lessons and topics aside, the main reason is that the source of cancer cells in children is not clearly identified. It is a 100% thing that cancer will recur, and Echung lacks the necessary inspection equipment, so it will not know that it has recurred.

   For cancer, the focus is on early detection and early treatment. In the middle and late stages, it is a dead horse as a living horse doctor, which is of little significance.

   When it came to this point, Chen Qi felt sorry for the child's father, and also for the trust of his relatives.

  Otherwise, whose child would dare to let the doctor do the experiment and go through a lot of inspections? The inspection process is not a playground, it is a pain.

   "Director Xu, leave the money issue to me. I'll make a few calls to see if any stupid foreigners are interested in this subject."

  The first thing Chen Qi thought of was his sponsor, Japan Nipro Medical Devices Company.

  Pharmaceutical giants are big dogs, and they sponsor a lot of doctors, tens of thousands or hundreds of thousands, which is like a drizzle to them. Maybe he can sponsor this neonatal lung cancer project like Ken Hashimoto did back then?

  Chen Qi wanted to contact the Japanese side, but writing letters was too slow, and it took two or three months to send them abroad. It's not clear when sending a telegram, and if you count the money in words, at most you can only send "Father's death and return soon".

  So he decided to make an international call.

  In the 1980s, there was only one place where international calls could be made, and that was the local post office.

  The post and telecommunications office in the provincial capital is on Yan'an Road, not far from the First Affiliated Hospital, within walking distance.

  The city of West Lake City these days is still relatively small, the roads are not wide, and people come and go very densely. The spring clothes worn by pedestrians have obviously begun to be colorful, especially for girls, and various beautiful styles have come out.

  Many fastidious girls also have a perm, tall and fluffy, looking very fashionable.

   But Chen Qi doesn't like this hairstyle, he just likes Lan Lijuan's, a simple ponytail, looks simple and clean.

   Chen Qishou stuck in his trouser pocket, while shopping, looking at beautiful women, and walking towards the post office, a rare time to relax.

  He knew that there would be a long queue to make long-distance calls, but he did not expect that there were so many people making international calls.

  When he saw the long queue in front of the counter on the second floor, he was shocked, and hurried to the counter to get a number, and then filled in the international long-distance number and the name of the person he needed to find.

  Yes, you don't need to dial the number yourself to make international long-distance calls these days, and you need to be checked by the Post Office before they can connect you.

  Since there was a queue, Chen Qi didn't know how long it would take for the caller in front, so Chen Qi took out the information in the bag and continued to study, but at this moment the crowd suddenly became commotion.

  On the counter not far away, two middle-aged men fought, and the people around them were also pointing.

   This is quite rare in West Lake City, where a gentleman is respected for his words rather than his actions.

   "Look at the one in the suit, the quality is really bad!~~"

   "That's right, everyone is queuing up, but he is special?~~"

   "Oh~~oh~~ I killed someone, I killed someone~~~~"

   Not long after the fight, the security guards from the Post Office also rushed out and separated the two.

  The middle-aged man in a suit was still cursing:

   "You Liu Er, you don't even look at who your uncle is, so what if your uncle is in a hurry and joins the queue? Shame on you!"

  As soon as the words came out, there were boos from the side: "Is it reasonable to jump in line?"

   "That's right, the quality is really poor, why do you want to make international calls? Shame on us Chinese!"

   Another man in a wallet who fought was not to be outdone:

   "I don't care which bug you are, anyway, you can't get in front of me, either you line up, or don't even think about calling today!"

   Arguing and arguing, the two were about to get together again and start fighting.

  Chen Qi watched a free farce with relish. Seeing that the two were separated and couldn't fight anymore, he was about to look down at his profile again.

  Suddenly, he raised his head again, and looked at the man in the suit who was scolding his mother in confusion.

   The more you look at this man, the more wrong you become.

  I saw the redness of his right cheek, not the kind of redness after the quarrel, but a kind of sickness, similar to plateau red.

   Also, his eyelids are drooping, his eyeballs are sunken, and his left and right eyes are asymmetrical, which makes him look a little weird.

  Chen Qi had a bad guess in his mind, so he walked up to the man in the suit and took a closer look. He could see that the skin around the man's mouth and nose was slightly darkened.

  This further confirmed Chen Qi's guess.

  The man in the suit was unconvinced, and suddenly found a young man staring at him, and suddenly felt hairy, wondering if he was a pervert?

   "Hey, what are you looking at? I'm not a woman, so what's so interesting about it."

   Chen Qi realized something, so he took out his work card and shook it, "Oh, so, I'm a doctor, and I found something wrong with you."

  The man in the suit is full of question marks. I have heard that a fortune teller will suddenly come out and say that you will have a **** disaster to cheat money recently. This is the first time a doctor has come out to say that something is wrong with him.

   It was also strange that there was a large crowd watching the excitement around.

   Unexpectedly, there will be a second scene in this good show, and then a doctor jumped out. He didn't know what he wanted to do, so his eyes cast over him.

  Chen Qi asked: "Have you been coughing a lot recently?"

  Although the man in the suit was reluctant, but thinking that this young man was a doctor, he answered honestly:

   "I smoke. I usually cough a few times when my throat is itchy, but I don't cough much."

   "Did you expectorate when you coughed? Or was there blood in the sputum?"

"No!"

  Chen Qi choked for a moment, why is there nothing here?

   "Then do you have any chest pain?"

  The man in the suit touched his chest unconsciously, and pressed it a few times, then shook his head:

   "I don't seem to have this feeling, but I may have been smoking for a long time, and my voice is hoarse from time to time. Sometimes I can take some medicine, doctor, what are you trying to say? What disease do I have?"

  Chen Qi patted the man in the suit on the shoulder, come, come to the bright light, let me see your pupils.

   I don't know if I don't see it, but I can see the problem even more when I look at it. The pupil on the right side is obviously smaller, which is asymmetrical with the left eye.

  Chen Qi didn't know how to open his mouth. To tell the truth, he was afraid of being beaten, but if he encountered it, it would be against medical ethics if he didn't speak up.

   "Comrade, I suggest you go to the First Affiliated Hospital of the Province for a checkup. Their hospital has the only CT machine in Haidong Province. You'd better have a chest CT."

   "Xiqi? What is Xiqi? I don't understand, doctor, just tell me what's wrong with me."

  The man in the suit was obviously a little impatient.

  The people around are watching the excitement and are not afraid of big things, so they are also booing:

   "Let's talk, what's wrong with this guy?"

  Chen Qi was a little embarrassed. After all, this was just his guess. If he guessed wrong, it is estimated that the man in the suit will have a second fight today:

   "Comrade, don't be angry when I say it. I can see that your right cheek is flushed, your right eyelid is drooping, your pupils are narrowed, your eyeballs are sunken, and your voice is hoarse from time to time, so I suspect that you may have...

   Lung cancer. "

  (end of this chapter)

Chapter end