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

The third floor of the canteen at Jiu'an City People's Hospital.

The first and second floors house the patients' and staff's dining halls.

The third floor is a special reception hall.

There are several private rooms, as well as a special kitchen.

During the meal, Director Chen Qiang and Director He Lin ate with great confidence and were completely in control.

"Teacher Xiaochuan, come, come, have some soup. I remember that you southerners really like to drink soup, especially in Lingnan."

Director He Lin served soup to Zhang Lingchuan.

Ever since Zhang Lingchuan agreed to stay, He Lin's impression of him has greatly improved. He felt that his previous judgments were just some subjective and arrogant assessments based on his medical practice, and that the person himself was not problematic.

Some geniuses have too smooth a journey, and eventually they will encounter some setbacks. Today's incident is undoubtedly one of his setbacks.

I believe he will grow even more after today, and this performance was truly meaningful.

"Thank you, Director He."

Zhang Lingchuan picked up the bowl and expressed his gratitude.

People in the Lingnan region do indeed enjoy drinking soup, so there are quite a few people with high purine levels and gout.

Like Sichuan proctology, Hunan oral medicine, grassland parasitology, and Northeast orthopedics, gout treatment in Lingnan has always been at the forefront.

"Teacher Xiaochuan, this is char siu made by our Lingnan cuisine chef. You should try it and see if it tastes right."

"To be honest, I really admire you. You actually dared to judge that it was a misdiagnosis just by looking at your eyes, your complexion, and some test reports."

"Dr. Fang just made a bet with us, saying it's inappropriate for us to pressure you like this. The hospital director is also here and has explicitly and implicitly said that it is indeed inappropriate. But think about it, if we don't take this seriously and let it pass, would we be doing right by our colleagues in the department and by our patient, Tang Chuxue? As doctors, our most important responsibility is to our patients, right?"

Chen Qiang saw that Zhang Lingchuan was already sitting at the table. They thought the dishes they ordered were quite suitable for Teacher Xiao Chuan's taste, including char siu, soup, roast duck, and poached chicken, which are popular in Lingnan.

The poached chicken was specially purchased from a Lingnan restaurant outside; the hospital's canteen couldn't keep up with the demand.

When leaders come to visit and a meal is prepared, it usually takes a day to notify the chef.

Then, whatever flavor of food is served, the chef who specializes in that flavor will be asked to cook it. For example, if there are leaders from Sichuan and Chongqing among the guests, then the Sichuan cuisine chef will be asked to cook it; if there are leaders from Lingnan, then the Lingnan cuisine chef will be asked to cook it; if someone likes West Lake Vinegar Fish, then the Jianghang chef will be asked to cook it, and so on.

Of course, it is a county-level city hospital after all. Although it is close to Chunshi, it does not have that much funding. It is impossible to invite chefs from all major cuisines in the country to come to the canteen.

If you really want something high-class, just go to a restaurant or buy a private room at their hospital. They do a very good job in terms of ambiance.

Therefore, Chen Qiang felt that he had ordered a table full of dishes that suited Teacher Xiao Chuan's taste, and he didn't want to make enemies.

It's about addressing the issue at hand.

I want to teach him a lesson!
Sometimes it's best not to talk nonsense in areas you don't understand.

This is not only being responsible for himself, but also for the doctors on the front lines, and even more so for the patients.

"The char siu is quite good. What Director Chen said makes sense. We definitely have to be responsible to the patients. I just raised some questions during the examination. It would be best if it wasn't a misdiagnosis. If it was misdiagnosed, the treatment for lymphoma and osteosarcoma would be completely different. The earlier we discovered it, the different the disease's progression would be."

Zhang Lingchuan agreed with Director Chen's words.

Of course, I was curious in my heart that Professor Fang Yuan had actually made a bet with Director Chen and the others. What were they betting on?
"Hey! That's right! Professor Ogawa! That's why I said if it really is a misdiagnosis, I'll immediately do as I told Professor Fang, stand up straight and take the punishment, whatever happens, happens! But if you want to step on me and still make me suffer, then I can only say you've stepped on the wrong person!"

Chen Qiang patted his chest and said.

“That’s right! My personality is quite similar to Director Chen’s!”

At this point, He Lin also had an expression that said, "Me too."

"Teacher Fang, what kind of bet did you make?"

On the other side of the dining table, Yin Xiaoxiao asked curiously.

She was completely unaware of the bet.

But I spend most of my time with Teacher Fang. The only time we weren't together was when I went with Dr. Xiao Chuan to follow up with the family of that girl with mental health issues. Dean Hong also came at that time.

Only Director Chen, Director He, and Teacher Fang Yuan remained.

I guess that's when the bet was made.

"Dududu-"

However, before Fang Yuan could speak, Director Chen Qiang's phone rang suddenly throughout the private room.

"Professor Xiaochuan, Dean, Professor Fang, it's Director Wei from the First Affiliated Hospital of Jilin University calling. I'll take this call."

Why was Chen Qiang so reassured about sending the samples to the First Affiliated Hospital of Peking University for testing?

Because Director Wei of the Pathology Department at the First Affiliated Hospital of Peking University is from the same town as Chen Qiang, there's no doubt that Director Wei's test results will be accurate.

When he saw Director Wei calling, he knew the answer must be out.

"Director Chen, please answer the phone."

Hong Ran said, "Things have escalated to this point, so let's wait for the results and then see how to handle it."

"Okay, okay, I'll turn on the speakerphone so everyone can hear it too."

Director Chen turned on the speakerphone.

"Hello, is this Xiao Chen?"

Soon, a woman's voice, around forty years old, came from inside the private room.

Without a doubt, this should be Director Wei of the Pathology Department of the First Affiliated Hospital of Peking University.

"Sister Wei, it's me! Have the immunohistochemistry results come back yet? How is it? Is it osteosarcoma or lymphoma?"

Chen Qiang asked.

The attention of everyone in the private room instantly focused, as this was exactly what they wanted to hear.

This will determine the fate of the entire hospital, the hematology and orthopedics departments, and even Dr. Ogawa.

Was it a misdiagnosis, or did Dr. Ogawa make a mistake?

"Xiao Chen, the immunohistochemistry results are in, and they might be a little different from what you expected."

The voice on the other end of the phone was deep.

"Sister Wei, what's the difference? What's the difference?"

Chen Qiang was taken aback when he heard this, and his smile was no longer as cheerful as before; it even became a little stiff.

“??”

Director He Lin, who was standing next to him, also suddenly felt a jolt.

"That's right. We conducted extremely thorough testing and invited several expert directors specializing in bone tumors to make a judgment. The biopsy sample of Tang Chuxue that you sent over showed osteosarcoma."

"That's what Director Wei from the pathology department is saying on the other end of the phone."

Actually, Director Wei already knew about the situation at Jiu'an People's Hospital when the baby was brought over. Of course, it wasn't because she was gossiping, but because Chen Qiang had told her on his own initiative.

They said that a senior doctor suspected that their hospital's orthopedics department had misdiagnosed osteosarcoma as lymphoma.

Their hospital has already performed immunohistochemical differentiation, but people still don't believe it.

Hopefully, the affiliated hospital can expedite the testing process.

Several more calls came in after that.

She then realized that the person who raised the question was Dr. Ogawa.

After examining the patient's complexion, treatment results, and test reports, the other party concluded that it was a misdiagnosis.

They don't even believe the immunohistochemical differentiation reports.

She found it quite absurd.

To my utter surprise, the final immunohistochemical differentiation report turned out to be quite absurd.

Just as Dr. Ogawa predicted, it wasn't lymphoma at all, but rather osteosarcoma.

This means that Jiu'an People's Hospital made a misdiagnosis.

"Bone, osteosarcoma! Sister Wei! You must be joking! How could it be osteosarcoma! We've done immunohistochemistry to differentiate them!"

Chen Qiang felt his head buzzing.

He Lin also felt difficulty breathing.

It's unreasonable.

No, that shouldn't be the case.

How could this happen!

"Well, Dr. Ogawa might be right. Immunohistochemistry isn't 100% accurate. It's affected by many factors. If you think my results are unreliable, you can send them to the provincial hospital for testing."

"Director Wei said."

As the head of the pathology department, misdiagnosis is not a problem that can be completely eliminated; it can be caused by many factors, such as incorrect sampling sites, which is the most common and realistic source of misdiagnosis.

Another issue is that the specimens are too small to observe osteogenic formation.

The core diagnostic criterion for osteosarcoma is not immunohistochemistry, but rather the presence of atypical osteoblasts in biopsy specimens, meaning that tumor cells directly produce osteoid.

If the specimen is too small or the sampling site does not contain the osteogenic area during the first biopsy, the pathologist cannot see the tumor bone, and the immunohistochemistry results are atypical, which can easily lead to misdiagnosis.

This time, when a new biopsy was performed, a bone-forming area was obtained, which allowed for a definitive diagnosis of osteosarcoma.

Of course, tumors themselves can be deceptive.

Some osteosarcomas are small round blue cell tumors. They have high cell density, large and deeply stained nuclei, and little stroma under HE staining, which are very similar to lymphomas.

Failure to perform a full immunohistochemistry test or selection of the wrong antibody can lead to misdiagnosis.

Another reason for misdiagnosis is the limited experience and skills of the pathology department.

There is a significant gap between county-level city hospitals and large provincial hospitals, both in terms of the technical level of their staff and their equipment.

Bone tumors are a highly specialized field with a small number of cases, placing extremely high demands on the pathology department.

Incomplete immunohistochemical antibody testing, pathologists' unfamiliarity with the specific variations in osteosarcoma, lack of multidisciplinary team collaboration in bone tumor diagnosis, and the standardized, procedural approach to diagnosing lymphoma are all reasons for misdiagnosis. This is especially true in large, top-tier, specialized hospitals like theirs.

With specialized bone tumor pathology departments and more accurate immunohistochemistry, the results are generally quite reliable.

"Okay... I understand, Sister Wei."

The light on Chen Qiang's face dimmed instantly.

"Dr. Ogawa is an oddball. Many of his diagnoses seem nonsensical, but maybe he has his own set of analytical logic. You can ask him for advice sometime, but please don't make enemies with him, okay?"

Director Wei was unaware that the loudspeaker was on.

So he also mentioned his younger brother from his hometown.

I had heard before that Dr. Ogawa had an incredible intuition.

The other party can connect these data in their mind and then draw a conclusion.

If you feel there's a difference in perspectives, you can consult the other party.

In short, you must never make enemies with anyone.

Otherwise, you'll be narrowing your own path.

"Sister Wei, I understand. No, no, I will definitely ask Teacher Xiaochuan for advice if I need anything."

Chen Qiang's heart is dead.

The sadness was so overwhelming.

The affiliated hospital invited several experts to conduct an assessment, and the final diagnosis was osteosarcoma.

I feel that further examination is unnecessary.

The head of the pathology department at the First Affiliated Hospital of Peking University is my sister from my hometown; she wouldn't lie to me no matter what.

What a freak! He really is a freak!!
“Okay, you’re still young, you must not narrow your path. If I were you, I would definitely catch Dr. Xiaochuan and sincerely apologize, and then communicate and interact more.”

After Director Wei finished speaking, he hung up the phone.

After all, it's not just my little brother who needs to reply.

Several other places are also waiting for news.

"beep--"

The phone hangs up.

The atmosphere at the table suddenly became unusually quiet.

Even Hong Ran himself is still loading.

"Cough-cough-"

But after all, he is a leader.

Although it was loading, it responded quickly.

He coughed twice.

"Director Chen, didn't Director Wei tell you to consult with Teacher Xiao Chuan more often? Xiao Chuan, Director Wei even called you a freak. He can tell it's a misdiagnosis just by using his intuition and some test reports."

Although the hospital made a misdiagnosis.

The next step will definitely be to communicate with the patient and revise the treatment plan.

Thanks to the roads that had already been paved.

Therefore, Dean Hong was not flustered.

"Dr. Ogawa, I'm punishing myself with three cups of tea instead of wine. I'm really sorry for targeting you like this."

Chen Qiang raised his teacup.

Then he drank three cups in a row.

"I'll also punish myself with three drinks to thank you for your guidance, Professor Xiaochuan. At the same time, I'm really curious, why is that? Can a person's complexion really reveal a misdiagnosis? That's too far-fetched!!"

He Lin raised his teacup.

And they asked curiously.

"Professor Ogawa, we couldn't have class this afternoon, how about we do some science popularization this evening? Tell me about your idea."

Hong Ran's gaze fell on Zhang Lingchuan.

I want to know the logic behind the other party's judgment.

"Professor Ogawa, in my eyes, this is like seeing a ghost! We even did immunohistochemistry, and it was still a misdiagnosis!!"

Chen Qiang was no longer the unruly person he once was.

There was no longer any aggressiveness.

Some people only looked at the kind of genius who said, "Even the dumbest person wouldn't know calculus."

Sister Wei is right.

We can't afford to narrow our path.

He used to think that his phone got too hot to handle when it was on speakerphone, but later he realized that it was better to say some things out in the open.

"Actually, I don't have any particular thoughts. It's just that after so much treatment, this person is getting worse and worse. Even chemotherapy shouldn't cause this. Considering the reports, some symptoms, and even palpation, it seems like a misdiagnosis."

Zhang Lingchuan had already thought of an answer.

Although it is full of loopholes.

But a flawed answer is the only logical answer, isn't it?

If a perfect answer is fabricated, then there is a big problem.

"Sigh... Let's go to the ward in a bit, we should also tell Xiao Tang about the results."

It's so spicy, my face is burning!

This meal was anything but peaceful.

What will happen if Xiao Tang finds out that the hospital misdiagnosed her with osteosarcoma and treated her for lymphoma?

Just like Dr. Ogawa said.

These two treatment methods are completely contradictory.

Hopefully, the tumor hasn't progressed too far, and even more so, it hasn't spread to other places.

Otherwise, they would truly be sinners.

The following dinner.

Directors He Lin and Chen Qiang apologized, and the leadership that had previously been in charge was now taken over by Vice Dean Hong Ran.

The meal, which started at 6:30, lasted until 7:30.

Meanwhile, in a residential area in Chunshi.

"Sis, dinner's ready! What are you doing with a knife? And why did you peel this apple like that?!"

A young man of about seventeen or eighteen years old pushed open the door and entered a room.

The things in the room were somewhat scattered.

A woman in her early twenties was peeling an apple with a fruit knife.

But this apple wasn't peeled properly.

Instead, it's full of potholes and bumps.

It felt like I'd been stabbed several times.

"Oh……"

It took a while.

About thirty seconds later.

The woman slowly put down the knife and then stood up.

And she is Yan Feifei, who returned from the Provincial People's Hospital today. The person who called her to dinner was her younger brother, Yan Wen.

"Dad, Mom, how were my sister's test results today? I feel like something's wrong with her! Has her condition worsened?"

I saw my sister poking at an apple.

She didn't respond when I called her.

It took the older sister quite a while to realize what was happening.

He stiffly put the knife down.

Upon arriving at the dining table, Yan Wen couldn't help but ask.

Because he was still in school, he didn't go with his sister to the hospital and didn't know the outcome.

"Make it worse?! Your sister isn't sick at all! It's all because of these quack doctors!"

The woman wearing an apron said irritably.

"Not sick? Mom, my sister was misdiagnosed?!"

Yan Wen was stunned.

"That's absolutely right! A normal person would develop mental illness from taking so many psychiatric medications! It's only in this day and age that we have so few mental illnesses, depression, schizophrenia, or bipolar disorder back in our time! These are just diseases doctors created to make money!"

Yan Dazhun held a bowl in one hand and chopsticks in the other, his tone filled with anger!
His daughter has always been an obedient and good child.

Schizophrenia and bipolar disorder can be dangerous to society, so family members should pay attention and keep a close eye on her. These doctors really went to great lengths to send her daughter to a mental hospital!

...(End of chapter)