Falling behind at the start, the first surgery shocked the world.

"Misdiagnosis?"

Zhang Ming raised an eyebrow and glanced sideways at Xia Tian.

Young man, don't try to trick me.

Misdiagnosis can have serious consequences, ranging from minor to major.

Early detection is best, as it avoids causing the patient any suffering. However, if misdiagnosis delays treatment and anything happens to the patient, the hospital will be held responsible. Zhang Ming is 50 years old.

I'll be retiring in 10 years.

He didn't want to ruin his career because of a misdiagnosis.

"You said the patient doesn't have appendicitis, then what is her illness?"

Summer flies by.

"Please wait a moment, Director."

He rushed out, found the patient's boyfriend, and quickly asked him a few questions.

Does the patient have a history of habitual diarrhea or constipation?

The boyfriend nodded.

"have."

"Neither of us ever cooks; we eat takeout every day. She likes spicy food and occasionally gets diarrhea."

"I've had diarrhea more frequently in the last few months."

"But it's not very serious. What's the connection between diarrhea and appendicitis?"

really!

Just as I predicted in the summer.

He quickly said to his boyfriend.

"We now suspect that the patient does not have appendicitis and need to conduct further tests. However, we have already given the patient painkillers and the patient has been revived. You can rest assured and wait here for the results."

When things are urgent, she speaks very quickly. Before her boyfriend could react, Xia Tian immediately returned to the emergency room.

"director."

"I suspect the patient has colon cancer."

"Perform a colonoscopy and consult with specialists immediately."

Colorectal cancer?

Everyone in the emergency room was stunned.

"Appendicitis turning into colon cancer?"

"That's quite a big leap."

"Brother Tian, ​​is it true?"

The ultrasound clearly showed a swollen appendix, and the patient's abdominal pain matched all the symptoms of acute appendicitis. How could it have turned into colon cancer?

Xia Tian said, "Early symptoms of colon cancer include abdominal pain, diarrhea, and irregular bowel movements. I just asked the patient's boyfriend, and the patient matches these symptoms."

"Furthermore, the patient's white blood cell count is normal and not elevated, thus it can be determined that she does not have appendicitis."

"As for the swelling of the appendix, it is likely due to changes in the appendix caused by colon cancer."

Summer's words silenced the emergency room.

Everyone looked at each other.

Finally, everyone's attention turned to Zhang Ming.

The final decision rests with Zhang Ming.

On one side is the patient, and on the other is his most trusted apprentice.

I'm so conflicted...

Three seconds later, Zhang Mingfei quickly said, "Immediately perform a color Doppler ultrasound on the patient. I'll take a look at the appendix. Also, notify Director Qian of the proctology department and ask him to come down for a consultation."

"Get ready for the colonoscopy."

The emergency room is bustling with activity.

Zhang Ming personally performed an abdominal ultrasound on the patient. It wasn't that he didn't trust Xia Tian; it was precisely because he trusted Xia Tian that he needed to confirm that the patient was not at risk of perforation, as appendicitis perforation is fatal.

"No intestinal perforation."

"The patient can hold on a little longer; we will arrange a rectal examination immediately."

Colonoscopy usually needs to be scheduled three days in advance. You should eat easily digestible food for three days before the procedure. In the 24 hours before the colonoscopy, try to eat as little food as possible, eat some liquid food, and be prescribed a laxative to empty your intestines.

But we can't wait three days at the emergency room.

Two nurses took turns helping the patient quickly clear his bowels.

At this moment, Director Qian of the proctology department came down.

Director Qian is very young, in his early forties. He is a handsome man at the provincial hospital, with a set of white teeth that are as refreshing as a spring breeze. Entering the emergency room is like stepping into a spring day in April.

"Someone called me earlier, asking me to make a house call. I told them my takeout had arrived and I'd eat before I went. But as soon as the nurse mentioned Director Zhang, I immediately dropped the takeout and rushed over."

"Eating is not as important as Director Zhang."

They were all old acquaintances. Zhang Ming had been at the provincial hospital for a long time and was highly experienced, so the younger doctors respected him very much.

Zhang Ming smiled.

"I haven't eaten either. After I finish seeing this patient, I'll treat you to a meal together."

"I called you over because there's a patient here."

"The patient complained of abdominal pain; this is her abdominal ultrasound."

Zhang Ming handed the form to Director Qian.

For doctors, there's no need to go into too much detail; one look at the scan and it's immediately clear what it is.

After glancing at the footage, Director Qian smiled.

"Isn't this appendicitis?"

"Do I need to be called in for appendicitis too?"

Zhang Ming nodded and said seriously, "My initial diagnosis was also appendicitis, but my apprentice said the patient has frequent diarrhea, so appendicitis might be a misdiagnosis, and it could be colon cancer."

Little apprentice?

Director Qian raised an eyebrow and glanced at Xia Tian.

His eyes lit up.

"Ha, isn't this the famous intern, Xia Tian?"

"This intern is quite the celebrity at our provincial hospital. I've seen his videos; he's bold and meticulous, truly impressive."

"However... it's a bit frivolous to diagnose colon cancer based solely on diarrhea."

"The patient is only 25 years old. Young people these days don't know how to cook and eat takeout every day. Where can you find healthy takeout? Diarrhea is also very normal. Isn't it a bit arbitrary to conclude that it's colon cancer based on this?"

Director Qian smiled broadly.

If diarrhea is cancer, then there are far more people with cancer.

Director Qian disagreed.

Xia Tian didn't refute anything, remaining calm as she spoke to Director Qian.

"Since you're here, why don't you help with the consultation?"

"The nurse is ready. We'll begin the colonoscopy now."

A flexible, 130cm long fiber tube with a light source and a miniature electronic camera at one end is slowly inserted into the large intestine and eventually reaches the end.

The nurse moved slowly, making sure she could see every detail clearly.

Image presentation.

Without exchanging any unnecessary words, Director Qian and Zhang Ming looked at the image together, while discussing what to eat later.

"A new Haidilao hot pot restaurant recently opened in Joy City. Director Zhang, do you like hot pot?"

"My treat, bring your little apprentice."

"Director Zhang, what shift are you on today? I'm on the day shift, so I can go after work and have a drink then. I have to work in the afternoon, so I can't drink at lunchtime."

Zhang Ming kept his eyes on the screen while chatting with Director Qian.

"I'm on the day shift today too, so I'll have a drink after get off work if I want."

"etc!!!!"

Suddenly, Zhang Ming shouted to the nurse, "Move the camera back."

In the image, a small black object appears, clinging tightly to the wall of the large intestine. From the outside, it looks like a small tumor, which has turned black and is firmly attached to the intestinal wall.

"Did you see the small amount of money?"

"I saw it," came Director Qian's deep voice.

He adjusted his gold-rimmed glasses and said gravely, "The tumor has turned black and requires an immediate biopsy, but..."

"It's definitely colon cancer."

In an instant, everyone's eyes fell on Xia Tian.