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

"coming."

"An hour has passed without me even realizing it."

"What should I do if I feel inexplicably nervous?"

"Sigh... I really can't accept this!"

"Brother Zhou has a two-year-old daughter at home, that damned bastard!"

Viewers in the live stream chat were sending messages.

I was even a little afraid to look.

"Dr. Zhang..."

Both of them looked at Zhang Lingchuan in tacit agreement.

It seems they are awaiting judgment from fate.

"Have the results come out yet? Let me see."

Zhang Lingchuan turned on the computer; they could directly see the patients' test results here.

"Ah."

Lu Zhou and Cai Ning both nodded.

On the other side of the screen, countless people seemed to hold their breath.

Hu Zong, sitting in the boss's chair, took a deep drag on his cigarette.

If it wasn't leukemia, then he would definitely make both of them pay the price, since he disrupted the company's order.

As a long-time employee, he really has no self-awareness whatsoever.

If it really is leukemia, then this time they've really got their Achilles' heel.

Other online celebrities may not have such a big influence, but Zhang Lingchuan really has that much ability.

Even if you want to bribe the other party, you don't know how.

After all, he's been live streaming for so long, and he has tens of millions of fans who are urging him to start giving tips, but he hasn't done so yet.

"The proportion of primitive cells has increased to 10%, the developmental stages of white blood cells are disordered, with immature, intermediate, and mature cells mixed together with differentiation gaps, platelets are significantly reduced and uneven in size, and red blood cells are reduced and morphologically abnormal, showing signs of anemia..."

Zhang Lingchuan conducted a comprehensive analysis of the peripheral blood smear and blood routine test results.

"I don't understand. Is there any medical expert who can analyze this for me?"

"Sigh... let's wait for Veterinarian Zhang to tell us."

"cold."

……

The number of viewers in the live stream has already exceeded two million, and has even reached more than three million, approaching four million.

At this moment, everyone's expressions were filled with doubt upon hearing Zhang Lingchuan's report.

Meanwhile, the medical student netizens all looked suffocated.

Because they no longer wanted to answer.

There is a term called "three-system repression".

The white blood cells, red blood cells, and platelets were all abnormal.

At this point, all you need to do is wait for the bone marrow aspiration results.

"You've already had the bone marrow aspiration done, right?"

Zhang Lingchuan asked.

"Yes, Dr. Zhang, we've already done the bone marrow aspiration. The doctor said it will take about one to three business days to get the results, and the earliest we can expect them is tomorrow afternoon."

Cai Ning nodded in response.

"How about this, you can wait for the bone marrow aspiration results tomorrow or the day after. Try to relax and don't be too nervous these two days. Even if you have leukemia, as long as you receive proper treatment, the survival rate is still very high."

Zhang Lingchuan looked at the two of them.

Then he offered words of comfort.

"Dr. Zhang, does that mean we both have leukemia?!"

When Lu Zhou heard these words, the anxiety that had been hanging over him finally subsided.

Yes.

How could I have been so bold as to survive the clutches of that infamous online veterinarian, Dr. Zhang?

Since their debut, when has the other party ever been misdiagnosed?

He was confident about all the misdiagnoses—no, I should say all the directions of reasoning.

"In fact, neither a complete blood count nor a peripheral blood smear can directly diagnose leukemia, but abnormal data in these two tests can strongly suggest leukemia. Further diagnosis is needed for a definitive diagnosis."

Zhang Lingchuan explained to the two of them.

Because in the logic of real medicine.

It is neither possible nor permitted to directly state that this is leukemia.

I can only say I have a high degree of doubt.

Because a definitive diagnosis requires bone marrow aspiration to determine the proportion of primitive cells, flow cytometry to determine the cell type (lymphoid/myeloid), and chromosome/genetic testing for precise typing (such as BCR-ABL, PML-RARα, etc.), only after this process is completed can the doctor give a definitive diagnosis.

"Dr. Zhang, so we now highly suspect leukemia?"

Cai Ning looked at Zhang Lingchuan.

His eyes held an unprecedented sense of weariness.

"Yes, it's highly suspected and requires further confirmation, so just wait for the results and don't dwell on it these next couple of days."

Zhang Lingchuan nodded.

"Zhang the veterinarian! I'm your fan! So is Brother Zhou! You said you highly suspected that every single time it wasn't real! Have you ever made a mistake? If you had made even one mistake, I would have been willing to believe that I was the one who got lucky! But you didn't!!"

Cai Ning broke down.

She burst into tears right in front of the screen.

Twenty-nine years old and diagnosed with leukemia.

She's so young.

Moreover, no one in the family has ever had leukemia.

How could she possibly accept that?

So Cai Ning directly called him Veterinarian Zhang.

His fans usually call him Veterinarian Zhang.

Only people in the medical field call him Dr. Ogawa.

"Sigh...it's so true."

"Yes, if Veterinarian Zhang's previous suspicions were wrong, the girl would feel better, thinking that she might have guessed wrong too."

"Sometimes a high diagnostic accuracy rate is both a good thing and a bad thing."

"That damn boss, he deserves to die!!"

"After watching this video, I'm quitting my job today, damn it!"

"I really hope this can be recognized as a work-related injury, with the company covering the subsequent treatment costs. What ordinary worker can withstand leukemia!"

Studio.

Everyone felt sorry for him.

Meanwhile, some people said they would resign today.

If you actually get leukemia because of your work environment, the few dollars you earn won't even cover a fraction of the treatment costs.

"Well... how should I put it? Right now, it's just a strong suspicion, but even if it really is diagnosed as leukemia, we'll still have to face it, won't we?"

At the scene, Zhang Lingchuan looked at Cai Ning, who was emotionally distraught, and felt a mix of emotions.

His original intention was to let them have a couple of quiet days first.

If you are diagnosed with leukemia, your life and mindset will undergo tremendous changes.

But he forgot that someone who strongly suspects they have leukemia cannot live a peaceful life for two days.

Their lives were disrupted from the moment the hospital test results came back.

So all he can do now is advise people to face it calmly.

"That damn bastard! They actually made us move into this office that's full of formaldehyde! They only renovated it for one day and then made us move in! Veterinarian Zhang, Zhou and I are both in similar situations. There's no family history of leukemia in us. Could it be the formaldehyde from the company that caused our leukemia?!"

Cai Ning spoke very directly, getting straight to the point with his questions.

Her words instantly piqued the interest of her viewers.

I want to know if there's really a connection.

There is still a lot of controversy about this online.

Some people think there is no connection, while others think there is.

Zhang the veterinarian is a doctor.

Although the patient transitioned from veterinary medicine to human medicine, the patient's diagnostic abilities remained unchanged.

It has a high degree of authority.

"Let me quote the conclusions of the International Agency for Research on Cancer (IARC), a branch of the World Health Organization. According to their research, they have classified formaldehyde as a human carcinogen. This classification is based on experimental evidence and studies in some populations, confirming that formaldehyde is associated with certain cancers, such as nasopharyngeal carcinoma, and also includes evidence of some leukemia risks. So, to summarize, formaldehyde has a potential carcinogenic risk, and long-term exposure may lead to related diseases. However, not everyone will develop it, and it is not necessarily leukemia."

Zhang Lingchuan explained to everyone in front of the camera.

Some studies have shown that formaldehyde exposure is associated with an increased risk of leukemia.

For example, studies of occupational cohorts and cases have found that people exposed to formaldehyde, such as embalmers and funeral industry workers, have a higher risk of myeloid leukemia.

However, not all studies in the medical and academic communities support a consistent association.

Some large cohort studies have not found a significant increase in the risk of leukemia.

Therefore, this is the only conclusion we can draw.

A relationship between formaldehyde exposure and leukemia may exist, but it is not yet consistent and is not yet an absolute causal relationship.

He found the system's summary of 'special constitution' quite interesting.

This constitution may cause leukemia if exposed to formaldehyde.

Because formaldehyde can cause oxidative stress, DNA damage, and cross-linking of cellular genetic material in the body, these changes may theoretically affect the hematopoietic system, especially in environments with long-term high exposure.

Most normal people could probably handle it.

No diseases will occur.

However, a small percentage of individuals with special physical conditions may develop leukemia.

Ultimately, humans haven't even figured out the underlying principles of how they develop cancer.

There is still a long way to go to fully understand these issues.

"Did you hear that, @Hu!"

"Ugh, I can't come to work!!"

"Tao Tao is pregnant! How can you be so reckless with human life! @Hu"

"What kind of bastard boss is this? Don't employees' lives matter? You hide at home all day and don't come to the company. You know the formaldehyde smell is strong, so why should we have to put up with this!"

"When Veterinarian Zhang says it's leukemia, it's basically leukemia! And now you're saying it's psychological?! Have you no shame?!"

"Veterinarian Zhang put it very tactfully, but he also said that there might be some connection."

"Leukemia is such a rare disease, yet two cases have appeared in our company. Doesn't that say something?"

……

This is not a bullet screen comment.

This is Lu Zhou and Cai Ning's company affairs group.

There are more than a hundred people in the group chat.

The company is considered quite large in the local area.

After all, it's a company with over a hundred employees.

If the employees really cause trouble, the impact will be huge.

Looking at the messages tagging me one by one.

Hu Zong's hand had already tapped the input box.

There was no reply for a long time.

Hu: Everyone, please don't get excited yet. We're still in the stage of high skepticism. What if this Dr. Zhang on the internet is wrong? Right? So let's wait for the bone marrow aspiration. The aspiration results are the authoritative ones.

But he knew that if he remained silent and kept quiet at this moment, it would be a mistake.

The entire company is definitely going to be in complete chaos.

There is still room for maneuver.

That means leukemia has not yet been diagnosed.

If it really is leukemia, then we can discuss the terms with those two people privately.

We should try to minimize the impact of this incident.

"Isn't Veterinarian Zhang authoritative enough?"

"What, you want him to make a mistake? I wish I could win the lottery!"

"We need to go back and rest now; the smell in this company is unbearable!"

"Working from home!"

"Working from home!"

……

Everyone in the group was shouting.

Nothing bad happened, it's nothing serious.

But now someone is suspected of having leukemia, and he is a long-time employee of the company. How can they sit still?

I already felt very uncomfortable in this company; I was drowsy, had difficulty breathing, and my throat was burning.

Hu: Okay, okay, working from home!

Looking at the group chat, it's full of messages about working from home.

If only a few people post it, then we can identify a typical case.

These individuals were dismissed on the grounds of disrupting company order.

But there are too many people now.

He certainly can't fire all the employees.

However, it's not appropriate to continue emphasizing at this point that the results are not yet available, that it's just a stage of doubt, and that everyone shouldn't worry, in case the results are wrong.

Because we're already on the verge of making a scene online.

The company is at risk of being exposed at any time.

If this message is sent out again, the company will be labeled as lacking humanistic care, which is the least of their worries; they might even face severe backlash themselves.

The anger of these working people is no joke.

"As expected! So Zhou and I are the unlucky ones affected by formaldehyde, right?! Whether we actually got it or not, Veterinarian Zhang, you're live-streaming this, brothers and sisters, run! Damn it! Don't work for that unscrupulous company! Life is the most important thing!"

He continued watching the live stream.

The camera is now focused on Cai Ning in close-up.

After Zhang Lingchuan finished explaining, Cai Ning clenched his fists.

His gaze was very sharp as he looked directly at the camera.

A monthly salary of four to five thousand.

I only earn 60,000 yuan a year.

If you run into such an unscrupulous company, the cost of medical treatment will exceed 60,000 yuan a year.

"Dr. Zhang, if we are indeed diagnosed with leukemia, how much time do we have left to live..."

Compared to Cai Ning's emotional outburst, Lu Zhou appeared very somber and sullen.

He raised his head and asked slowly.

Cai Ning remained silent.

At the same time, they also turned their gaze to Zhang Lingchuan.

Of course she knew why Brother Zhou asked that question.

Because there is a little girl at home who is only two years old.

If he were to leave for some special reason, she couldn't imagine how reluctant Brother Zhou would be.

Thinking about it.

Her eyes reddened again.

This time it wasn't for myself, nor because I was afraid, but because I thought of Zhou Ge's adorable little daughter in his WeChat Moments.

"Actually, the survival period for leukemia is not a fixed value. It depends on many factors such as the type of leukemia, age, whether treatment is timely and effective, gene typing, and stem cell transplantation."

Zhang Lingchuan replied.

He doesn't say that you can live for a certain amount of time.

It mainly depends on the type of illness, whether the treatment was timely and effective, and so on.

"For example, leukemia includes acute leukemia and chronic leukemia."

Acute leukemia includes acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML).

Chronic leukemia includes chronic myeloid leukemia (CML) and chronic lymphocytic leukemia (CLL).

Different types of diseases vary greatly in their course, treatment response, and survival time.

"What if it's acute leukemia?"

Lu Zhou asked Zhang Lingchuan.

"Yes, if we had acute leukemia, how long could we live?"

She knew nothing about leukemia.

But I heard that one of these two types of leukemia is acute and the other is chronic.

So an acute attack would be quite dangerous.

If it's this kind of dangerous leukemia, how long can they live?

"Acute leukemia progresses rapidly, and untreated patients may only survive for weeks to months, while patients with treatment will have their survival significantly extended."

Zhang Lingchuan patiently explained to the two of them.

Acute myeloid leukemia (AML) has a generally low 5-year survival rate in adults, with some studies showing it as low as 24%. The prognosis is even worse for older adults over 65 years of age, with median survival time traditionally ranging from a few months to 1–2 years.

Acute lymphoblastic leukemia (ALL) has a relatively poor prognosis in adults, with a survival time of about two years, while the 5-year survival rate for children is over 80%.

"So, if we have acute leukemia, we'll have at least five years to live, or less than a year if we're unlucky?"

After listening to Zhang Lingchuan's explanation, Cai Ning felt her head buzzing.

"Yes, acute leukemia is very dangerous, while chronic leukemia is slightly better."

Zhang Lingchuan nodded.

Chronic leukemia progresses relatively slowly, and some patients can survive for many years or even decades.

For example, in chronic myeloid leukemia (CML), the 5-year survival rate is close to 90% or even higher after using targeted drugs such as imatinib (Gleevec) and other tyrosine kinase inhibitors. Many patients can control their disease for a long time and live almost like normal people.

The survival rate of chronic lymphocytic leukemia (CLL) is also affected by individual circumstances, with the 5-year survival rate of the low-risk group reaching over 90%.

"Dr. Zhang, if it's chronic leukemia, as long as you receive proper treatment, there's a chance to live for more than ten years, or even longer, right?"

For once, a glimmer of light appeared in Lu Zhou's eyes.

At only thirty-two years old, he has never thought about the end of his life.

Because with the current average lifespan of 79 years, he still has more than 40 years left.

By then, let alone daughters, you might even have a grandson.

But leukemia completely shattered all his hopes.

If it's less than a year, five years would be a luxury. His daughter would only be a few years old then, not yet grown up, and he really couldn't bear to part with her.

But if I can live for ten years, my daughter will be twelve years old by then.

Although he was absent from her brilliant youth and the second half of her life as her father, he at least accompanied her for the first twelve years. Although there are regrets, who can have a perfect life?

"Yes, for chronic myeloid leukemia, according to some cases, after the advent of targeted therapy, some patients have survived for 10 or even 20 years or longer, and their quality of life is close to normal. As for chronic lymphocytic leukemia, there are individual differences. Some people can survive for a long time without treatment, while others need treatment to survive for a long time. Of course, there is also a small probability that it will develop into a critical condition."

Zhang Lingchuan patiently explained throughout.

Because it represents their confidence in survival.

"It would be better if it were chronic."

Lu Zhou muttered to himself.

"It must be a chronic condition!"

Both of them were praying.

"It must be slow!"

"I heard this male patient has a two-year-old daughter. I don't know what to do if it's acute; I hope it's chronic!"

"This kind of unscrupulous boss deserves to die! If one person gets leukemia, it's an accident; but if two people get leukemia, is that still an accident?"

The viewers were also praying.

Hopefully it's not acute leukemia, otherwise it would be too cruel for the person involved, his daughter, and his family.

Of course, some people also cursed the unscrupulous boss.

"Go back and wait patiently for the results before proceeding with further examinations."

Zhang Lingchuan said.

"Thank you, Dr. Zhang, thank you so much."

Cai Ning bowed to Zhang Lingchuan in gratitude.

Lu Zhou also expressed his gratitude.

"No need to thank me, it's what doctors should do. Besides, even if you didn't come to me, other doctors would have given the same conclusion. I also thank you for agreeing to be included in our documentary to celebrate Doctors' Day."

Zhang Lingchuan said gratefully.

It's already noon.

His live stream has also come to an end.

After all, we were going to have lunch.

“But if it weren’t for you, Dr. Zhang, I believe that so many netizens wouldn’t have paid attention to this matter, and the boss wouldn’t have been so scared that he called to threaten us not to talk nonsense. My colleagues wouldn’t have risen up to fight for their health.”

Cai Ning spoke very sincerely, and even went so far as to reveal everything about her boss.

Because in her eyes.

She has severed ties with her boss after being diagnosed with leukemia.

The next step is to acquire more leverage and fight for more rights for oneself.

Standing there waiting for the boss to give them handouts.

This is completely impossible.

Moreover, it's harder than climbing to heaven to get goodwill from the other person!

"You! Motherfucker!!"

Sure enough, upon seeing this, Hu Zong angrily stubbed out his cigarette.

After all, in his view, this kind of thing has already been exposed.

I really want to kill him!

It's actually quite easy to do it in secret.

With such a huge public outcry, he really has to admit defeat now!

"What? A threat!"

"What kind of boss is this? His employee just came to the hospital for a checkup and he's already threatening them, is that it?"

"This is absolutely outrageous! A boss like that should be hung on a lamppost!!"

"Alright! Threats can only be made covertly! Let's see if we can withstand the backlash when we put them out in the open! Girls and brothers, we support you!"

The viewers were in high spirits.

Hu Zong immediately turned off the live stream.

Shortly after he turned off the live stream, Zhang Lingchuan's camera also left the consultation room.

But just like the previous live streams, the stream continued even after the viewers went offline, so the live stream was still running.

The only difference is that the content is no longer medical consultation.

It's actually a doctor's routine of going out to eat after get off work.

"Give me a twice-cooked pork and a big, savory chicken."

Zhang Lingchuan is getting food in the cafeteria.

The photographer was taking pictures from the side.

Since it's a documentary, it's bound to record what doctors do from the start of their shift to the end.

"Miss, I just saw online that the patient, Lu Zhou, has a two-year-old daughter. I hope God won't be so cruel and that it's definitely not acute leukemia."

Nurse Zhao Chunchun was also present.

His tone was full of emotion.

However, the next moment she looked flustered and avoided the camera.

She was surprised to find that the photographer's lens had captured both of them.

I don't know if those words were recorded.

It's fine for medical staff to chat with patients privately, but it doesn't feel quite right to upload that directly to a documentary.

"It shouldn't be that cruel."

Yin Xiaoxiao sighed and replied.

"I think Veterinarian Zhang might know?"

"Actually, I also have a feeling that Dr. Zhang must have known in advance."

"Don't just focus on breaking the rope at its weakest point. If you're so capable, make sure this happens to the evil boss's family!"

"There's no such thing as a miracle. I accept the rumors that Dr. Ogawa has strong diagnostic skills, and that he can even see blood bars, but he's not a testing machine that can diagnose even the specific type of leukemia."

People were getting a bit tired of the entire process of seeing a doctor.

After a consultation, we go out for a meal and film a glimpse into the daily life of a doctor; people actually quite like that.

"It's actually reached over four million! The number of people is increasing instead of decreasing."

lunch time.

Leaders including Dong Fang and Sun Jianguo also ate in the conference room.

They also discussed the live stream data.

They were the ones who initiated the whole thing.

Now they are increasingly determined to do this well.

In particular, their documentary has received a lot of support from leaders.

"Five million is definitely the minimum we'll make today, and there's still one afternoon left."

Sun Jianguo said with a smile.

As Sun Jianguo and the others had predicted, Zhang Lingchuan's live stream surpassed five million viewers and reached a peak of six million views in the afternoon.

June 29th, Monday, evening.

After Zhang Lingchuan finished his live stream, he returned to his dormitory.

There's no need to work on Tuesdays.

He only works on Wednesdays and Fridays.

I originally thought the live stream would end after the out-of-hospital emergency care, but who would have thought that in addition to out-of-hospital emergency care, there would also be a live stream of a medical consultation.

I really don't know what other live streams they'll do besides medical consultations.

"I have to move bricks during the day and move bricks at night."

Time is up.

Zhang Lingchuan entered the system space.

[Successfully entered the "Silent Killer" level.]

He continued to target the silent killer.

如今的他已经完成了85名患者的确诊，按照系统SSS级应为准确率100%、SS级应为准确率99%、S级应为准确率98%、A级应为准确率95%，B级应为准确率90%、C级应为准确率80%、D级应为准确率70%、E级应为准确率60%的评分准则。

If I get thirteen more correct, I can pass this level.

It hasn't been an easy journey.

They were all so busy they were spinning like tops.

[Mission Title: The Silent Killer]

[Task Overview: As the attending physician, you have your own consultation room. Today is your turn to see patients. Please assess the level of danger from the patients and provide appropriate advice.]

[Task Objective: Upon completion of this assessment, the host will possess a high level of independent diagnostic ability, capable of conducting diagnosis without relying on traditional system scans.]

It began with the number three, two, and one.

Zhang Lingchuan arrived at that familiar consultation room.

He habitually glanced at the clock hanging on the wall.

Every time I log in, it shows 08:55.

Then a message pops up saying you have five minutes to prepare.

[You have five minutes to prepare. The consultation will begin five minutes after the consultation begins. During the consultation, all of the host's special skills will be restricted.]

The countdown has ended.

A knock came from outside the consultation room, just like any other time.

"Hello, Dr. Zhang."

A man and a woman, both in their early twenties, were present. The woman was clutching her stomach, appearing to be in great discomfort.

"Come on, let me do a physical examination."

Zhang Lingchuan immediately took action.

"Doctor, my girlfriend has an intestinal blockage, stomach pain, and feels unwell. Please take a look at her quickly."

Even though Zhang Lingchuan rearranged the order of some questions, the man continued to talk about his girlfriend's situation as before, just like an NPC.

The woman remained squatting on the ground, her face contorted in pain.

"You haven't had a bowel movement for a few days, right? Go get a colonoscopy and biopsy. There's a high suspicion of colon cancer."

In the beginning, he certainly asked very detailed questions during the consultation.

But he has now entered this system space hundreds of times.

Every time, it has to start from scratch.

Although only ten minutes had passed in the real world, he had to catch up with his previous progress each time in order to start a new patient.

Each time is like reviewing it all over again.

He simply stated his conclusion directly.

Because of all the trial and error I've done.

As long as you state that it is highly suspected to be xx and the correct check is performed, you can pass through.

And so on, the second, the third... and suddenly there were eighty-five.

Last time, I failed because of the numbers 86, 87, and 88.

"Doctor, I've had mouth ulcers for a long time, and I also have some knee pain, which is especially noticeable when it's cold."

A man in his fifties walked in.

He directly showed Zhang Lingchuan his lips.

Cough cough cough, actually this hurdle has been holding him back for a while, and of course, he didn't rush into a diagnosis of syphilis.

After all, syphilis ulcers include chancres.

This is a typical normal ulcer.

If a normal ulcer lasts for this long, then it must be abnormal.

For this case, he also looked up some papers and even consulted relevant doctors.

"Your eyes look a little red and swollen. Is your vision also a little blurry?"

Zhang Lingchuan began the consultation process.

Actually, after going out and using cheats, Zhang Lingchuan already has some ideas.

But we still need to confirm it step by step.

"That's right, Dr. Zhang, my vision is also a bit blurry."

He became somewhat agitated.

"Okay, I'll order some blood tests for you, a complete blood count and inflammatory markers, to assess your systemic inflammation. I'll also do a skin prick test because I suspect you have Behcet's disease." A very niche term.

But this disease actually exists in quite a few cases.

He looked it up and found that a diagnosis of this disease requires conditions such as recurrent oral ulcers, at least three times a year, as well as genital ulcers, conjunctivitis, joint damage, skin lesions, and a positive skin prick test.

Of course, not all of them.

One or two items should be enough.

He currently suffers from recurring oral ulcers, eye inflammation, and joint damage. If the skin prick test is positive, he believes it is highly likely to be Behcet's disease.

"Behçet's disease? Doctor, what is that?"

The man froze.

Because I've never heard of this disease before.

"This is a chronic vasculitis, mainly manifested as oral and genital ulcers, which may be accompanied by skin and joint damage, eye inflammation, and in the later stages may affect organs such as the nervous system and digestive tract."

Although he knew this was a simulated world, he patiently explained it to the patient when asked.

"Ah, that really does sound a bit like me! But why did this strange illness happen to me? Was it caused by what I ate or by going to places I shouldn't have gone to?"

The patient's name is Meng Shanze.

He was filled with doubt.

"The cause of Behcet's disease is currently unclear, and treatment mainly focuses on controlling symptoms. In severe cases, cytotoxic drugs or hormones are used. If you are diagnosed, you must take your medication on time and never stop taking it just because you think you are fine."

Zhang Lingchuan gave his instructions.

Many people are like that.

I felt fine, all better, so I stopped taking the medicine.

In fact, the treatment course hasn't even started yet.

"Oh...I understand, doctor, thank you."

Monsanto went to get a checkup.

Watching the other person's departing figure, Zhang Lingchuan pressed the next patient's number.

Yes, he was in charge of calling out the numbers.

In this assessment space, even though one's physical strength is unlimited, one can continue watching indefinitely.

But there is one thing about them that is humane.

That means not constantly pushing patients onto yourself.

The time between this patient and the next patient is something you can choose yourself.

For example, if you want to read a book to digest the information or read a paper to refresh your knowledge, you can do that here.

And no matter whether you stay here for one day, three days, five days, or even ten days, ten minutes will still pass in the real world.

So Zhang Lingchuan was also practicing medicine and studying in this world before.

Otherwise, his clinical skills wouldn't have improved so quickly.

To be honest, this assessment is much better than the previous ones.

At least I'll give you time to learn gradually.

Unlike before, when rescue was imminent.

If you're even a little slow, the person might just be gone.

It calculates the score based on whether a person survives.

In emergency situations, time is life.

"Patient number 87, Zhao Xiaoke, please come for your appointment."

He had seen this patient before.

A 10-year-old girl had been suffering from abdominal pain for a long time. Her family said they had taken her to many hospitals and tried many medications, but the cause of her illness could not be found.

They eventually found their way to the provincial hospital.

Hopefully, the cause of the illness can be found.

During the emergency examination, Zhang Lingchuan felt a hard mass in his abdomen.

Simply put, a hard lump was found on the little girl's stomach.

So he dismissed the functional abdominal pain, feeling that it was more likely due to an organic cause.

He suspected that constipation caused the accumulation of fecal matter, such as fecal stones or fecal masses.

This is very common in pediatrics.

It is also accompanied by long-term irregular bowel movements, bloating, and decreased appetite.

The little girl also had similar symptoms.

Most importantly, palpation reveals a mass that is "hard in texture and has incompletely clear boundaries".

They also clashed with the other side.

Unfortunately, this conclusion was proven wrong when the task was concluded and summarized.

Based on his previous experience, he wondered if it was something like swollen lymph nodes in the abdomen or lymphatic tissue hyperplasia.

This thing will feel like a lump when touched.

Pain is location-dependent.

If it's in the abdomen, then it will cause abdominal pain.

This conclusion was also refuted.

Finally, he wondered if it was an ovarian mass, cyst, or tumor.

Because you often need to consider these things when dealing with teenage girls.

Symptoms include abdominal pain, bloating, and irregular discomfort. The mass may be more noticeable in the lower abdomen or on one side.

As for your question about her being only ten years old, it's impossible for her to have ovarian abnormalities, right?

He could only say that although ten years old is still young, early puberty or ovarian cysts are not uncommon.

What really made him back down was that the lump on the little girl's abdomen was not located in the lower part of her abdomen.

We can try anything, even if it seems hopeless.

What if it's an exception?

He still came to this conclusion.

result.

[Assessment Target No. 87, Zhao Xiaoke, incorrect diagnosis of ovarian cyst. ×]

Yes, there will be a notification indicating whether the assessment was correct or incorrect after each task is completed.

Let you know which is right and which is wrong.

"Doctor, my daughter often has stomach aches. We've been to several hospitals but they can't find the cause. We've also tried some medication, but it hasn't helped at all."

It's the same as before.

After Zhao Xiaoke's mother came in, she talked about her daughter's situation.

"Is it prolonged abdominal pain?"

Zhang Lingchuan was thinking.

Chronic gastritis, enteritis/functional abdominal pain, psychogenic/emotional abdominal pain, slow intestinal obstruction, fecalith, enlarged lymph nodes/lymphoid hyperplasia, and ovarian cysts were all ruled out.

What else is there?

The absurd thing about this assessment is that you can get the test report yourself, but he can't see the report, but he has to predict the disease first.

The system's intention is likely to prevent him from relying entirely on medical tests to assist in diagnosis.

I have to say, that's a really high requirement!

These days, which doctor doesn't look at reports?

You won't let me see the report and rely entirely on experience to deduce the disease; that's just hellish.

"Yes, I've had stomach aches for two or three years now. You can't eat much anymore, and I'm all yellow and thin."

Zhao Xiaoke looks rather thin.

Of course, it hasn't reached the point of being like bean sprouts yet.

But you can tell at a glance that the child doesn't look well.

"So, it's been chronic abdominal pain...significant weight loss, poor complexion, signs of anemia, and occasional vomiting. Parents, does your child feel full after eating only a little bit? Doesn't he want to eat?"

Based on what he already knew, Zhang Lingchuan asked some new questions.

"Yes, she only eats a little bit, and then says her stomach is bloated."

Zhao Xiaoke's mother looked at her daughter.

There was heartache and a sense of exhaustion in his eyes.

After all, it must be heartbreaking for him to see his daughter treated like this.

As for fatigue, that's also quite simple.

It's no wonder you're exhausted from taking your kids everywhere.

"Why am I full after eating just a little? I don't want to eat anymore, my stomach is bloated... Holy crap!"

Thinking about it.

Zhang Lingchuan suddenly thought of a cow.

Yes, it's the cow that I often go to the countryside to see, the cow that Old Zhang loves to clean the butt of the most!
If a cow doesn't eat, or gets bloated after eating a little, or even becomes very thin, could it be that it's eating random things?

Zhang Lingchuan carefully observed the girl's collar.

His pupils contracted in the next instant.

He noticed a small chip in the collar.

Is the truth finally about to come out?
Zhang Lingchuan's expression was full of excitement, but he forcibly suppressed his excitement.

"Come on, let me take a look first."

Zhang Lingchuan immediately reached out and touched the child's upper abdomen again. Sure enough, he could feel a relatively fixed mass that did not move significantly with breathing.

It is not as hard as a tumor.

Then comes the percussion examination.

This time he listened very carefully; it was a drum sound mixed with a murky tone.

"Parents, does your child show any signs of eating random things? For example, have you seen her eating hair, biting her nails, or biting her collar?"

Zhang Lingchuan already had a basic answer in his mind.

I immediately asked my parents.

"Ah, I don't bite nails, but eating hair... I think I've seen it once or twice, but I didn't pay much attention to it. But I always like to bite my collar."

Zhao Xiaoke's parents nodded.

"Xiao Ke, tell the doctor, have you ever eaten any hair?"

Zhang Lingchuan asked Zhao Xiaoke.

This child doesn't talk much.

He seems to have a somewhat introverted personality.

"Quickly tell the doctor whether or not you ate hair!"

Zhao Xiaoke's mother urged.

Soon, a pair of almond-shaped eyes slowly rose and looked at Zhang Lingchuan.

"Yes, I've eaten."

Xiao Ke nodded.

"Why are you eating hair out of the blue, kid?!"

The parents were furious when they heard this!
He immediately scolded.

Honestly, this simulation in the system space is incredibly realistic.

They are completely living, breathing people.

The scene of Xiao Ke shrinking back and lowering his head when his parents scolded him was a vivid portrayal.

"Parent, please don't get agitated. I suspect your daughter may have pica. I felt a hard lump in her stomach, which may be a bezoar caused by pica. I'll order an imaging test for you to confirm, such as an ultrasound or gastroscopy."

Zhang Lingchuan said to the parents.

"Pica? Bezoars! Okay, okay, doctor, let's go get some tests done."

The mother and daughter left.

The door to the consultation room was also closed.

"Patient number 88, Wang Yonghai, please come for your appointment."

We've reached the last place from the last round.

"Doctor, I have a slight fever and a sore neck. Could you prescribe some cold medicine to treat it?"

An elderly man walked in, looking rather drowsy.

Last time, Zhang Lingchuan underwent examinations including temperature, respiration, pulse, blood pressure, pharyngeal examination, lymph node examination, and neck mobility test.

They even listened to the condition of the lungs.

The final conclusion was lymphadenitis.

The result showed an error.

This time, he needs to rethink things.

"Are you feeling unwell all over? Is your neck stiff?"

Zhang Lingchuan asked the doctor.

"A little stiff."

Zhang Lingchuan then continued to confirm.

"Mr. Wang, I suspect you have a meningeal irritation-related disease, such as meningitis. I'll order a head CT scan to see the results."

Zhang Lingchuan eventually came to a conclusion.

Fever, neck pain, general malaise.

He had previously focused on the neck area.

Think about it carefully, what if the system has some hidden problems?
It's not the neck, but symptoms related to the brain.

I remember the title of the assessment was something like "The Silent Killer".

Perhaps this is how they kill people!

Because meningeal irritation syndrome is a very critical, very rare, and very fatal condition.

"Oh, then I'll go check it out..."

The old man has passed away.

At that very moment, Zhang Lingchuan discovered that his perspective had shifted from a purely visual one to a god-like one, allowing him to press a number.

This means that at least one of the three patients mentioned earlier was correctly diagnosed.

Because there are only three limits for each fault tolerance.

More than three failures.

If you get 86, 87, and 88 wrong, you will fail.

"Patient number 89, Lu Qianzhou, please come for your appointment."

He couldn't wait to call the next patient.

After all, it's a new look.

"Doctor, I've been feeling unwell lately. I'm dizzy, nauseous, have chest tightness, and I've even lost 15 pounds from vomiting."

Upon entering, the man named Lu Qianzhou wore an expression filled with pain.

"Lost 15 pounds??"

Zhang Lingchuan was suddenly taken aback.

Why does this sound so familiar?
"Do you have another colleague who lost eight pounds?"

Zhang Lingchuan immediately said something.

"Hey! Doctor! How did you know? But my colleague didn't lose eight pounds, she lost seven. She got number 89, right after me!"

Lu Qianzhou answered.

"Goodness, I suspect you have chronic myeloid leukemia. Here's what we'll do: get a complete blood count, a peripheral blood smear, a bone marrow aspiration, and some molecular biology tests!"

After Zhang Lingchuan finished speaking, he told him to go and get checked.

The next girl to come in was named Cai Anning.

"Huh? Leukemia?!"

After a brief inquiry, Zhang Lingchuan ordered the exact same tests again.

He then discovered that he could still participate in the next round of calling numbers.

也就是说，86、97、88、89、90这五个人，自己至少对了三个。

Otherwise, they wouldn't have called number 91 next.

So cool.

Previously, the system space was always projected onto the real world, which made him very busy and flustered.

I never imagined that one day I would be able to use real-world examples to outmaneuver the General System Space, and even get ahead of it, opening up a green channel for it!
Victory is at hand.

He felt that all five of his points were probably correct.

Next, we should be able to call number 93.

However, just as Zhang Lingchuan called out number 92 and gave his conclusion...

[Warning! More than three people have made mistakes! Assessment ended!]

The assessment ended without warning.

"Wrong? What's wrong with me?!"

Zhang Lingchuan was stunned.

Behcet's disease is definitely the answer, otherwise I wouldn't have been able to walk this far.

Pica is also correct.

Otherwise, it would have been impossible to call number 92.

So the meningitis was wrong? Or one of the two leukemia cases was wrong? Surely it can't be that insidious!

He finally got to enjoy the benefits!
[Today's performance review summary.]

……

[Assessment Target No. 86, Monsanto, correctly diagnosed Behcet's disease. √]

[Assessment Target No. 87, Zhao Xiaoke, correctly diagnosed with pica and bezoars. √]

[Assessment Target No. 88, Wang Yonghai, incorrectly diagnosed meningitis with meningeal irritation signs. ×]

[Assessment Target No. 89, Lu Qianzhou, correctly diagnosed chronic myeloid leukemia. √]

[Assessment Target No. 90, Cai Anning, correctly diagnosed chronic myeloid leukemia. √]

[Assessment target number 91, ... diagnosis error. ×]

[Assessment target number 92, ... diagnosis error. ×]

Zhang Lingchuan carefully flipped through the assessment summary.

"Good heavens, this meningitis is a mistake!"

Both patients who came for treatment today have leukemia, so they've gotten a good deal.

Currently, 88, 91, and 92 are incorrect.

You must complete any one of 88, 91, or 92 before you can continue calling numbers.

Zhang Lingchuan tried a few more rounds.

He got 91 sorted out.

But 88 is still wrong.

He had encountered this situation before, and he would basically do his best to collect information about the symptoms of this person (88) before conducting an analysis.

However, after a whole night of trying, they still couldn't find the cause of the illness.

Continue the next day.

92 has been resolved, but 88 is still stuck.

Wednesday arrived quickly.

Zhang Lingchuan continued his live-streamed medical consultations that day.

The appearance of Lu Zhou and Cai Ning, along with the release of the test results, caused a surge in popularity.

Fortunately, both of them had chronic myeloid leukemia.

With proper treatment, life expectancy is quite long, at least ten years or more, and even twenty years is not a problem.

"Live well and don't give up on yourself. If you have any difficulties, you can contact me. I will definitely help you if I can."

Zhang Lingchuan spoke sincerely to the two of them.

"Thank you, Veterinarian Zhang, but the first thing we should do next is find that unscrupulous boss!"

Cai Ning clenched her fists.

Hu Zong hasn't dared to go out these past two days.

We're practically drowning in their spittle.

Wednesday's live stream has ended.

"Xiao Chuan, Friday is your work day at Jida Affiliated Hospital. Jida Affiliated Hospital has communicated with the provincial TV station, hoping that their hospital can also join the Doctors' Day tribute program. So, Friday will be the same as here at our provincial hospital, with the work being broadcast live. Director Li will tell you the details. I believe you can definitely do a good job."

Huang Xiangning looked at Zhang Lingchuan, her eyes filled with relief.

"Good good..."

In fact, Director Li Tinglan had already spoken to him.

He was shocked by this.

But I've gotten used to it.

Just like Comrade Xiao Song said, if you want to gain more followers, you should show your face more often.

It's like using facial recognition.

Thursday.

Zhang Lingchuan spent the entire day searching for treatments and reviewing academic papers within the system space.

We are determined to win over Grandpa No. 88, who suspects he has a cold.

However, he had already conquered number 100, but hadn't finished number 88 yet.

[Ding! Congratulations, host, for achieving 98% accuracy and receiving an S-level rating. The remaining candidates are numbers 88 and 98. You can continue the assessment to obtain a higher rating.]

[Level 1 "Sequence of Life" is complete; Level 2 "The Silent Killer" is complete; Level 3 "Triple Delivery Room of Hell" is complete.]

Soon, the completion status of a level appeared in front of him.

"Outrageous! What on earth is this 88?!"

Zhang Lingchuan looked haggard.

I've never seen anything like it before.

He has been studying in the system space for no less than three years, but he still can't find the cause of the illness.

[Prompt: Host, do you wish to enter the Triple Hell Delivery Room?]

The assessment is over.

A notification appeared in front of Zhang Lingchuan.

The Triple Hell Delivery Room.

[Successfully entered the Hellish Triple Delivery Room challenge.]

[Task Overview: You are an obstetrician-gynecologist, responsible for obstetrics and gynecology work.]

……

[Task score: The task will fail if any pregnant woman, new mother, or even unborn child you treated dies.]

Zhang Lingchuan was still sitting in the consultation room.

However, this consultation room is no longer the previous one; it is now an obstetrics and gynecology consultation room.

It was no longer daytime.

It was nighttime.

The clock in the clinic reads 3 a.m.

"Doctor, doctor, my wife suddenly has a stomachache, dizziness, and weakness. Can you take a look and tell me what's wrong?"

A man walked in with a heavily pregnant woman.

The man said very anxiously.

After all, nothing is trivial when it comes to pregnant women.

"Oh dear, honey, don't be in such a hurry, I'm fine."

The woman's expression seemed somewhat relaxed.

"Okay, let me do a preliminary vital signs check for you first."

Zhang Lingchuan meticulously arranged the inspection.

Blood pressure: 90/60 mmHg (lower than normal blood pressure during pregnancy).

HR: 125 bpm (mild tachycardia).

SpO: 95%.

Body temperature: 36.8°C.

GCS: 15 points.

"Doctor, what's wrong with my wife?"

The man asked curiously.

"There's no vomiting, and no obvious bleeding down there. The test results show mild low blood pressure and tachycardia. Would you like to have the patient hospitalized for observation? It seems like typical pregnancy discomfort."

Zhang Lingchuan asked.

"Let's not go to the hospital. Look, I can walk and move around. I'm just a little tired. It's nothing serious. Honey, you always overreact."

The pregnant woman's name is Sun Xiaotong.

Zhang Lingchuan did indeed see that the pregnant woman could walk and speak clearly.

Generally speaking, pregnancy will definitely bring many uncomfortable and awkward situations.

"Xiao Tong is alright, don't panic, don't panic. Doctor, we won't stay in the hospital. Home is more comfortable than the hospital."

The woman next to her, who bears a resemblance to the pregnant woman, is Sun Xiaotong's mother.

It's better to go home.

"Okay, if anything happens, such as bleeding, take him to the hospital immediately or call 120."

Zhang Lingchuan nodded and said.

Nights are always so boring.

After the pregnant woman left, Zhang Lingchuan started reading a book.

[Ding! Current assessment failed.]

"What the hell??"

The next moment.

Zhang Lingchuan was dumbfounded.

What the hell?

I failed the assessment!!

Don't tell me that the pregnant woman was the one who had the accident!
Why!

Isn't this just mild low blood pressure and tachycardia?

The system said it would only end if the pregnant woman or fetus died!

Everything is normal. If the pregnant woman is fine, how could the fetus die?!
With many questions in mind, Zhang Lingchuan exited the system space.

He discovered that none of the assessments given by the system were simple.

"It's 10 o'clock. I'll try this level after I finish my shift in the obstetrics and gynecology department tomorrow."

It's already ten o'clock.

I have a live broadcast tomorrow, so I'll rest first.

Zhang Lingchuan left, washed up, and then went to sleep.

time flies.

Suddenly it was the second day.

"Junior Brother Zhang!"

When Zhao Lingyun saw Zhang Lingchuan, she stopped the car and greeted him.

"Good morning, senior sister. It seems I'll have to buy a car in the future, otherwise I'll have to trouble you guys to pick me up every time."

Zhang Lingchuan originally planned to take a taxi.

As a result, Sister Lan said she would send a car to pick her up.

"Junior brother, you can't buy a car! If you buy a car, how am I supposed to hitch a ride with you? By the way, junior brother, have you had breakfast yet? I have two meat buns here!"

Zhao Lingyun had a beaming smile on her face, and then took out two rather large meat buns.

"Senior sister, you said you'd include meals, so I definitely didn't buy any... But these two steamed buns you prepared are way too big!"

Zhang Lingchuan stared blankly at the large meat bun.

"Haha, junior brother, you're a big guy, eat more. I specially went to buy these special big steamed buns."

Zhao Lingyun smiled happily.

"Then I'll thank you, senior sister."

Chatting and chatting.

Before I knew it, I was at the hospital.

"By the way, junior brother, today's live stream will start directly outside the academy, so you'd better be prepared."

"Entering the parking lot," Zhao Lingyun said.

"Sister Lan told me in advance that we should start outside the hospital. They mainly want to film the exterior of the hospital."

Zhang Lingchuan nodded.

"Mr. Ogawa."

The photographer waved to Zhang Lingchuan.

This is Sun Peng from the provincial television station.

The young man who was filming and recording the whole process when the doctor was attacked.

Good morning, Teacher Sun.

Zhang Lingchuan also greeted him.

The live stream started soon.

"Hello everyone, I am Zhang Lingchuan. Today I am working at Jida Affiliated Hospital, which is the strongest specialized hospital in Chunshi. Today I will be working in the obstetrics and gynecology department."

He gave a standard introduction in front of the camera.

Soon Zhang Lingchuan, Li Tinglan, and Zhao Lingyun entered the hospital.

"Dr. Ogawa, what a coincidence! Would you like to come and take a look around our emergency department?"

As soon as I entered the hospital, I happened to run into Nan Wenzhong, the director of the emergency department.

After all, the emergency department is usually on the first floor.

"Director Nan, you're going a bit too far! Our people just arrived here, and you're already trying to poach them! Is it really such a coincidence? Or are you deliberately waiting here?"

Li Tinglan's eyes were sharp.

"Uh...cough cough cough."

Nan Wenzhong coughed lightly.

"Doctor, I have a slight fever and my neck is a bit uncomfortable. Where should I go for a checkup?"

Suddenly, while they were talking...

An old man nearby called out to the passing doctor.

Of course, they weren't in their field of vision.

But Zhang Lingchuan heard the voice immediately, and he turned around abruptly!
Because this symptom description is exactly the same as that of Number 88 in the system space, the one who drove him to despair!
In an instant, a red tag caught my eye!

...(End of chapter)