Standing on the other end of the video is a French doctor, while the one connected to the video is a large group of Chinese doctors.

Pierre's English is very poor, so he naturally used his native language. Only Huang Xinghua and Qi Jing could understand the whole venue. The others were confused and could only wait for Huang Xinghua's translation to understand.

Huang Xinghua's French is good, and he studied by himself in France during the years he went to study.

Qi Jing's is a little worse. After all, he was transferred to France for a doctorate for only half a year. The limitations of the language environment made his spoken language very ordinary. Of course, it was just a little worse. Normal communication can still be achieved, and even more powerful than Huang Xinghua in terms of professional terms.

More than ten years ago, being able to speak French or German fluently was still very popular in the field of medicine. The medical strength of the two advanced countries is comparable to that of the United States, and there are many old medical colleges in China and medical colleges in France and Germany that also have cooperative relationships.

Qi Jing's French is the product of this cooperative relationship, which also made him realize the convenience of learning another language.

It is not to show off, nor to show that he has a higher education. Qi Jing learns language so that he can understand some strange infectious disease journals. The content of these journals is very biased, and the research scope is more inclined toward backward areas. Therefore, most of them do not have English translations, and there are even fewer Chinese translations.

In order to understand, Qi Jing has been learning all the messy language by himself.

He knew a little bit from the French and Spanish commonly used in tropical countries to Arabic, Italian and Portuguese. Later, when he was bored, he also learned Hindi, Malay and Thai for a while in order to read local medical journals in South and Southeast Asia.

Anyway, there is only one purpose, I will give up all daily communication, as long as I can understand the journal.

Fortunately, French is the one he studied for the longest time, and at least he could communicate normally with people: "Dr. Pierre, do you say it is eosinophilic fasciitis, so what is Dr. Lin's gamma globulin?"

Qi Jingbian asked, and Huang Xinghua, who was standing by, helped translate his words to the directors below the stage. The Greek letter "γ" in gamma globulin represents the third meaning: "γ is what we call gamma globulin."

"Ball C?"

"What is the relationship between C-ball and eosinophilic fasciitis?"

"Hey, Lao Zhang, you are a skin disease expert, why do you ask others about it?"

"Oh, this disease must be rare in clinical practice, and I have never heard of it." The old director who was nearly 60 years old pushed his glasses helplessly, "I think since you need to use hormone treatment, Xiao Qi also asked about C-flame, which should be an immune disease, so it should not be under the dermatology department."

“So that’s what it is…”

"It seems to make sense."

Although the old director didn't understand, he relied on the two clues he got to introduce the characteristics of eosinophilic fasciitis. In comparison, that Pierre was much worse. Even if he knew what eosinophilic fasciitis was, he still didn't understand the importance of the role of gamma globulin in it.

"Gamma globulin?" Pierre frowned slightly, "I don't know much."

"Eosinophilic fasciitis will be combined with hyperγglobulinemia. If you didn't check gamma globulin, you would be considered eosinophilic fasciitis?" Qi Jing chuckled and shook his head repeatedly, "Isn't it too hasty?"

Few of these old directors know English, let alone French, and they have long changed their thinking when they first came.

After the previous rounds of consultations, they had already changed their attitude from actively participating in consultations to learning and communication. Now they can know a rough situation better than knowing nothing, so they can only endure it.

Qi Jing didn't make things difficult for the young doctor here.

Judging from his appearance, Pierre is very young and should have just been in clinical practice for a few years, so Qi Jing just asked him to find his superior, hoping to get a satisfactory answer.

The one who was pulled to the camera was a female doctor, Sara, who was in her 30s and had a big golden ponytail. As soon as she arrived, she explained: "I am the leader of the medical team. I just talked with my colleagues in the laboratory department. There is indeed something worth discussing about the diagnostic suggestions for the biopsy report just now."

Qi Jing was not affected by anything and immediately asked: "I want to know if Dr. Lin has hypergamma globulinemia."

Sarah quickly explained with a hint of refutation, "I'm really sorry, the conditions here are limited, and even immunoglobulin cannot be measured. It is impossible for us to single-test gamma globulin count."

The facts are indeed the same as what she said. The local conditions are limited, so it is good to check blood routine and liver and kidney function. Where can I find the specific protein content? Huang Xinghua immediately realized the importance of this answer, and the translation was rare to be serious: "She replied that the local hospital cannot test C balls."

Logically speaking, Qi Jing’s question should end here. The hardware gap cannot be easily compensated by just saying a few words.

However, the 24-year-old man was not stumped at all. Instead, he could vaguely hear a feeling of being disappointed in his reply: "The number of globulin = αβγ, there is always a globulin count in the blood routine. The ratio of α and β globulin is not high, and the number has always been very stable. So as long as the number of globulin is not high, the number of gamma globulin will generally not be high."

In fact, Sarah was indeed a little confused, but at least she understood Qi Jing's meaning and reported the number of globulins in the blood report: "Globulins are indeed not high."

"That means eosinophilic fasciitis is untenable."

Sarah rethinked what Qi Jing said just now, and after thinking for a while, he had to admit: "If it is really as you said, then Dr. Lin is likely not eosinophilic fasciitis."

When they heard this news, the old directors were all smiling. In terms of diagnosis, their own family pushed the other side. But this was just a small step in differential diagnosis. There was still a lot of questions that Qi Jing needed to ask, and it was too early to talk about diagnosis.

"Doctor Lin is here?"

"Although working in the ward," Sarah shook her head.

"Are there any photos of the lump on his skin?" Qi Jing asked.

"Yes." Sarah nodded, picked up a medical record and read it, "Wait..."

Lin Zhixing had only one skin lump, just on the inside of his left wrist. Judging from the photos, the skin color at the lump became darker and swelled significantly, which made Qi Jing first suspect black fever: "You need to check whether it is black fever."

Sara heard a disease of calluses in one ear and shook her head repeatedly: "We suspected it was black fever at first, but the result was not. Dr. Lin had a blood smear and found no trace of the parasite. Later, he also had bone piercing, and no Leishmania Du was found in the bone marrow smear."

Qi Jing frowned and asked, "The skin biopsy just now..."

"No," Sara looked helpless, "If it weren't for the negative test results of the parasites, we wouldn't have been so inclined to be eosinophilic fasciitis."

Qi Jing sighed: "If it weren't for the black fever caused by Leishmania Du's, then the most likely thing to cause subcutaneous parasitic diseases is filaria. Have microfilariae been found?"

Sara shook her head: "The peripheral blood and bone marrow are all clean, and there is nothing."

Regarding the lump on Lin Zhixing’s wrist, Qi Jing has always felt that it was caused by subcutaneous parasites. But now all three conventional subcutaneous parasite inspection methods have been lost, so we really need to change our thinking.

But others change the cross-disciplinary diagnostic ideas. Since parasites are temporarily eliminated, we should move closer to other departments, such as dermatology, immunology, or neurology, etc.

But in Qi Jing's mind, what he changed was another way of correcting the error.

"Are the previous reports of blood smears and bone marrow smears still there?" Qi Jing thought for a moment and decided to start with the examination report. "I want to take a good look."

Actually, Huang Xinghua was right. After hearing this request, Sarah felt that Qi Jing did not trust her. But for the same purpose of treating Lin Zhixing, she did not refuse. She found the two reports and placed the description and diagnosis results in front of the camera in turn: "I remember correctly, and I did not find parasites."

Qi Jing quickly scanned the contents of the inspection report form, and wrote in detail both the description and the final conclusion, and there were no mistakes, which shows how much they value Lin Zhixing.

Just when the female doctor wanted to put away the examination form, Qi Jing suddenly said: "Time, yes, it's time! I forgot the most critical time."

"Time? When?"

Qi Jing's thoughts jumped too fast, and Sarah couldn't keep up at all, so she could only barely remember what she should do. But after less than five seconds, Qi Jing couldn't help but urge: "It's the specific time when the laboratory issues a report, it should be in the corner of the order. Help find it quickly. This is really important for diagnosis!"

"Time...time..."

During the communication with Sara, Qi Jing finally reached the point, while Huang Xinghua sat aside and watched without saying a word.

Sara really didn't know why Qi Jing didn't look at the inspection results, but the time to look for the inspection order: What problem can the inspection order explain? Can you use research on the length of the time it takes to get the results out of the inspection results to predict the accuracy of the inspection results? This is too irritating!

Qi Jing looked at Sara's finger pointing to one place, "I'm not wrong at 23:11 p.m.."

"That's right." Sara said, "It seems that the blood test should be about 22pm."

Qi Jing nodded: "Sure enough, there was something wrong with the time to send the inspection!"

To prevent automatic collection from failing to load, click to load manually, and the reading mode does not support it. Please install the latest version of the browser!

.
Chapter completed!