I'm just a veterinarian! You've unlocked the Great Physician System!

"Xiao, Xiaochuan...you, you've got this wrong!!"

Hong Ran was dumbfounded.

Misdiagnosis.

In front of the patient... what if something goes wrong and they come to the rescue?

Wouldn't that be troublesome?

"Misdiagnosis, misdiagnosis, Dr. Zhang, did I misdiagnose you?"

Tang Chuxue was completely stunned.

She thought that Dr. Zhang would give her some advice, such as how to take good care of her body and what not to do.

To my utter surprise, it turned out to be a misdiagnosis.

"I wouldn't say 100%, but based on the available information, I think it's highly likely."

Zhang Lingchuan nodded.

To be honest, he didn't expect there to be so many doctors here.

But this is what he thinks about whether or not to tell the patient.

The patient will find out about this sooner or later, so there's no harm in saying it now.

Of course, this was before it caused any major impact.

This has caused a major impact, and if this matter escalates, it will definitely not end well.

According to the system's current estimates, if treatment is timely, the patient can basically be saved.

If the hospital waives the fees, gains the understanding of the patient and their family, and provides some nutritional compensation, it will be much more cost-effective than hiding it.

"This……"

Tang Chuxue looked in the direction of the attending physician He Lin and the vice president Hong Ran.

It seems he wanted to give himself an explanation.

"Impossible! Professor Ogawa, we conducted a very rigorous investigation before proceeding with the treatment. There is almost no possibility of misdiagnosis. You should see if there is a mistake. After all, I think you may not be very familiar with some things in hematology."

He Lin was speaking at that moment.

Mainly, he felt it was a bit too absurd.

They suddenly accused them of misdiagnosis.

However, hospital diagnoses are all based on rigorous verification.

It is definitely not a careless act.

Therefore, the possibility of misdiagnosis is not high.

"I think the misdiagnosis that Professor Xiaochuan mentioned might be different from what we thought of as a misdiagnosis. Xiaochuan, is there something we've overlooked in the misdiagnosis you're talking about?"

Hong Ran looked as if he had just realized something.

Is something missing?
For example, if we are diagnosed with lymphoma, there may actually be other lesions besides lymphoma.

In that case, it wouldn't be considered a misdiagnosis by their hospital.

It can only be said that the hospital's level of expertise is not very high, which is why this case of missed diagnosis occurred.

"Xiao Chuan, quickly tell me your deduction."

Fang Yuan's heart was pounding as he stood beside him.

It was so scary.

With so many doctors here, how can you talk to them about a misdiagnosis?

"Based on Ms. Tang Chuxue's pulse, her physical condition, complexion, and even your examination report, I don't think it's lymphoma, but rather osteosarcoma."

Zhang Lingchuan said.

You have discovered a misdiagnosed patient and have been given two options.

1. Without notifying the hospital, secretly inform the patient to switch hospitals for treatment, and you will gain 100 professional reputation points.

Second, find a way to notify the hospital to correct the error. Rewards will be given based on the hospital's level of attention and the impact of the incident, with a minimum of 100 professional reputation points.

This is one of the options he received after the scan.

They told the patient discreetly, without notifying the hospital.

This isn't actually a bad idea.

However, Vice President Hong did come along at that time.

Therefore, this can be considered as notifying the hospital, but this option has a condition: the reward can only be obtained after the error is corrected.

This is somewhat different from the first method where you are directly informed and receive a reward.

"That's impossible, Professor Xiaochuan. Do you think we can't distinguish between osteosarcoma and lymphoma? And you're just analyzing based on these reports and pulse readings. Isn't that a bit irresponsible? It's practically a disrespect to our entire department, don't you think?"

He Lin was excited.

Lymphoma and osteosarcoma, one is treated in orthopedics and the other in hematology.

These are two completely different diseases.

If it is indeed a misdiagnosis, it means that all the girl's previous treatments will be in vain!
"Director He Lin, you could actually do an immunohistochemical assay to differentiate them, and that would tell us!"

Fang Yuan said.

His current stance is to support Xiao Chuan.

As for why, all he can say is that he's seen it all along. This guy has an incredible medical sense.

In this situation, arguing with the hematology department won't help; the best course of action is to have an immunohistochemical examination to differentiate the causes.

“Normally, small cell osteosarcoma does resemble lymphoma, but this one is definitely different, as you can see from the medical records; it was first seen in our orthopedics department.”

Just at this time.

A tall, muscular man in a white coat walked over.

The nameplate on the other person's chest reads:

Name: Chen Qiang

[Professional Title: Associate Chief Physician]

Position: Deputy Director of Orthopedics

It turns out he was the deputy director of orthopedics.

In fact, Vice President Hong Ran had also informed the orthopedics department about Dr. Xiao Chuan's desire to see the patients previously referred to them.

Hopefully, their orthopedics department can come and take a look if they have time.

The result was completely unexpected.

When I arrived, I was shocked to find that the orthopedic surgeon had been desecrated.

Tang Chuxue knew this patient; the test report had also gone through him at the time.

He knew perfectly well whether the other person had osteosarcoma or lymphoma.

"Director Chen is here. Teacher Xiao Chuan, let me introduce you. This is the deputy director of the orthopedics department."

Hong Ran said to Zhang Lingchuan.

“Vice President Hong, Director He, I just arrived and I didn’t expect you to make such a big fuss. Teacher Xiao Chuan, look at this initial report. Tang Chuxue has a bone mass in her hand. The MRI shows a large area of ​​soft tissue. There is also a preliminary report suggesting lymphoma. We also performed a biopsy, and the pathology report strongly suggests lymphoma.”

Director Chen took out the report.

He said to Zhang Lingchuan.

Unbeknownst to him, Zhang Lingchuan was also seeing Tang Chuxue's information right in front of him.

System scan complete.

[Patient's Name: Tang Chuxue]

[Patient's gender: Female.]

[Patient's age: 18 years old.]

[Patient condition: persistent localized pain that worsens at night, swelling or palpable mass, limited joint movement, weight loss, anemia.]

[Patient Diagnosis: Small cell osteosarcoma. The patient's current treatment direction is incorrect. If the incorrect treatment continues without correction, the patient's life expectancy will be less than three years. Therefore, a red label has been assigned.]

[System prompt: This is a small cell osteosarcoma patient. Based on the current hospital's treatment direction, it is a clear misdiagnosis. Once the patient is misdiagnosed, it will be very dangerous, because the standard treatment for osteosarcoma is chemotherapy + surgical resection, which can save the limb in most cases. Lymphoma is mainly treated with chemotherapy and usually does not require surgery!]
Incorrect treatment can lead to continued tumor growth, failure to remove the tumor in time resulting in metastasis, especially lung metastasis, missed limb-sparing opportunities that may necessitate amputation, and a significantly reduced survival rate!

This is the current state of the girl as he scanned her after he first met her.

It has to be said that the current treatment is completely counterproductive.

If this isn't corrected, the girl will die from the spread of the disease in her lungs—it's only been three years. And there's some additional information to consider here.

The other party explained the possibility of misdiagnosis.

"Indeed, the report shows it's lymphoma, so this isn't a valid basis for our conclusion."

"Dr. Ogawa might have made a mistake this time!"

"No one is perfect, everyone makes mistakes. Dr. Ogawa finally made a mistake once, which is good, otherwise the internet would spread all sorts of exaggerated stories about it."

……

Some hematology nurses were whispering among themselves.

"Gulu——"

The anemic female college student and the girl with the same lymphoma exchanged a glance.

I originally thought that Dr. Zhang would come to give some advice, or that it was a spur-of-the-moment decision.

Unexpectedly, the other party had already discovered that Tang Chuxue was involved.

I think it was a misdiagnosis.

However, Dr. Zhang's claim of misdiagnosis was opposed by almost all doctors.

Besides the doctor from the provincial hospital who supported Zhang the veterinarian.

Actually, Xiaoxiao also wanted to help.

But she's a nurse, and she really doesn't know anything about this kind of illness or anything like that.

She didn't even know what kind of immunity she was getting.

So after thinking about it carefully, I decided not to say anything and just support the other person in my heart.

Sometimes speaking up can actually cause more trouble.

"Director Chen, have you ever encountered a situation in your clinical practice where lymphoma was misdiagnosed as osteosarcoma, or osteosarcoma was misdiagnosed as lymphoma?"

Zhang Lingchuan asked a question.

“What you described does happen, but it’s almost impossible. Professor Ogawa, take a look at this report. We’ve done immunohistochemistry to differentiate it, and it has nothing to do with osteosarcoma. We only started treating it as lymphoma because we went through the whole process.”

It must be said that Dr. Ogawa is quite skilled. Under normal circumstances, small cell osteosarcoma does easily resemble lymphoma because its cells are dense, it has little osteogenic formation, and it looks very similar to Ewing sarcoma and lymphoma under a microscope.

However, they can generally be distinguished by immunohistochemistry.

So, to be more rigorous, they actually performed immunohistochemical differentiation.

"This……"

Fang Yuan hadn't actually read the report.

He simply trusted Xiaochuan deeply in his heart.

But now the other side says they even have reports.

This left him somewhat bewildered.

Did Ogawa really misdiagnose the disease?
That can't be possible, right?
“Professor Xiaochuan, you see, we have actually done immunohistochemistry to differentiate the disease. Professor Fang just said that he hopes we can do it, which may be because he doubts that we have done it. But we are very rigorous in dealing with any disease and try to minimize the probability of error.”

Hong Ran was still very polite in his speech.

Well, as an emergency room doctor, there's no doubt that Xiaochuan is truly exceptional.

They are also adept at training doctors and nurses.

But hematology and orthopedics... no, Ogawa is actually quite good at orthopedics too.

He studied under the renowned traditional Chinese medicine master Shen Xuanqin.

The other party is a top expert in traditional Chinese medicine orthopedics.

However, there are still some differences between traditional Chinese medicine orthopedics and Western medicine orthopedics.

Especially diseases like osteosarcoma and lymphoma.

It's understandable that young people might act impulsively.

The deputy director of orthopedics and He Lin, the director of hematology, remained silent.

They just watched quietly.

He was also very clear that the vice president was now siding with outsiders.

But Zhang Lingchuan is the darling of the emergency department, so it's understandable.

"Director Chen, Director He, I understand your feelings, but there is one thing I want to say: immunohistochemistry is not 100% accurate."

Everyone was wondering how Dr. Ogawa would handle the situation.

When the other patients were also curious, Zhang Lingchuan's next words were like adding fuel to the fire, directly igniting the anger of He Lin and Chen Qiang.

After all, this implies that they committed medical malpractice.

If you were in that situation, would you have a good attitude?
"What do you mean? Professor Xiaochuan, are you saying that immunohistochemistry isn't 100% accurate? But your pulse diagnosis, or even just looking at some reports and Tang Chuxue's so-called complexion, is 100% accurate?!"

Hong Ran immediately sensed something was wrong and was about to interject.

The next second, He Lin directly questioned him.

What a joke, what a joke.

They are experts in hematology.

Let alone hematology, even orthopedics is a blind spot for you, Zhang Lingchuan.

"Of course not. I mean any test has errors. Shouldn't we be more rigorous? After all, the accuracy of immunohistochemistry is affected by many factors."

Zhang Lingchuan said.

The interior of a sarcoma is "mixed," containing ossified areas, highly stromal areas, necrotic areas, fibrous components, and cartilaginous components. If a biopsy yields fibrous components, inflammatory components, or necrotic tissue, typical osteoblasts or tumor bone will not be obtained.

In such cases, immunohistochemistry may show a large number of CD20/CD3 positive cells, high Ki-67 levels, and even an immune spectrum similar to that of lymphoma, which could lead to a misdiagnosis as lymphoma.

At the same time, the possibility was also shared with everyone present.

"Not bad! Not bad! Professor Xiaochuan, it seems you have indeed learned a lot about orthopedics. But after all, you are a veterinarian, not a proper doctor. The things in orthopedics textbooks are completely different from reality. Since you have doubts, let's do another immunohistochemical differentiation test and send it to the provincial hospital and the First Affiliated Hospital of Chongqing Medical University for testing! Let's see the results!"

Chen Qiang said directly.

They want to further criticize their orthopedics department? Impossible, absolutely impossible!

Since you have doubts now, then convince him completely!
They were sent directly to the affiliated hospital of the university or the provincial people's hospital for examination.

When the results come out, we'll know exactly what they are!
"That's right! Since you think our small town can even misdiagnose this, then we can send it to the First Affiliated Hospital of Peking University or the Provincial Hospital!"

He Lin nodded as well.

His tone was firm and resolute.

He just wouldn't believe it!

How could this possibly go wrong!
"Director Chen, Director He...you..."

Hong Ran saw that the two of them were completely enraged.

Just a quiet reminder: we still need to remember to stay united.

Some people have raised questions about the inspection results, but as long as the issues are clarified, that's fine!

"Vice Dean Hong, please don't blame us. It's Professor Xiao Chuan who's gone too far. He said that immunohistochemistry isn't 100% accurate in differentiating people, so he thinks his own eyes and pulse diagnosis are 100% accurate?"

"Vice President Hong, stop talking. When the tide goes out, it will be clear who's been swimming naked!"

Both of them had anger in their eyes.

"Did you know? Dr. Ogawa got into a fight with the head of our hematology department and the deputy head of our orthopedics department!"

"What the hell?!"

"What else could it be? Xiao Chuan said that the orthopedics department misdiagnosed it, turning osteosarcoma into lymphoma, and the hematology department made a mistake in treatment. The staff in those two departments are unhappy about it, and now it's causing a huge uproar!"

"Based on my experience, Dr. Ogawa shouldn't have made a misdiagnosis, right? The person who said he misdiagnosed someone had his face swollen from being hit, so it probably really was osteosarcoma."

"I used to trust Dr. Ogawa the same way, but today's situation is different. The orthopedics and hematology departments have all sorts of tests, including imaging, biopsies, and immunohistochemical analysis. But Dr. Ogawa said that the immunohistochemical analysis isn't 100% accurate, and then the debate started!"

"Wow, they even have immunohistochemical analysis! This feels like big news..."

Some have even leaked this information.

In their respective groups of onlookers.

It then spread again.

...(End of chapter)