Chapter 12: A Live Broadcast of A Misdiagnosed Case
Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
Er... Chief Surgeon Liu was taken by surprise.
He had the impression that Zheng Ren was an honest conformist, quiet as a lamb.
It was easier to oppress a mild-tempered man of straw and Chief Surgeon Liu was aware of it.
That was exactly why he stopped arguing with Chief Physician Pan. If anyone found out that he had actually supplanted his ntor, who was also the forr chief surgeon in the general surgery departnt, his reputation would be damaged.
However, Zheng Ren’s huge attitude change upon transferring to the ergency departnt, even making such an arrogant announcent, was completely beyond expectation.
Not everyone was capable of performing a surgery. Fault-finding, though? That was easy.
What a small-minded imbecile! Chief Surgeon Liu gave Zheng Ren a contemptuous gaze. Then, he smiled and replied imdiately before Chief Physician Pan could disagree: “Okay! You’ll handle all appendicitis cases for the next few days. If you do well, the general surgery... The first general surgery departnt will never perform an appendectomy again. Otherwise, haha!”
Smiling wickedly, Chief Surgeon Liu turned around and walked away without giving Chief Physician Pan a chance to refuse.
Chief Surgeon Sun from the second general surgery departnt could not understand Zheng Ren’s motives for such an overconfident decision and was imrsed in his own train of thought as he followed Chief Surgeon Liu out of the ergency departnt.
Finally, so peace and quiet, but Chief Physician Old Pan could not but feel helpless.
“Little Zheng, that was a little too big for your boots,” said the perturbed Chief Physician Pan.
“Chief Physician Pan, if my skills aren’t up to par, we won’t be able to carry out our plans for ergency surgery anyway. However, they won’t find any mistakes at all if my standard is good enough. Rest assured, I’ll complete the task that you assigned to ,” Zheng Ren promised, happy that he found a way to live.
Rest assured? How? Chief Physician Old Pan had used a scalpel for more than forty years. Surgeries without any mistakes... they existed, but were very rare.
“Let’s go to the general surgery departnt. When it’s ti for to perform surgery, I’d like to request the honor of your presence to prevent them from bending the truth.”
The source of Zheng Ren’s confidence remained a mystery to Chief Physician Old Pan, but what could he possibly do when the deal was on? Sighing heavily, he instructed all doctors on duty in the ergency departnt to transfer every acute appendicitis case or similar they had to the ward for consultation.
After that, the duo headed straight toward the first general surgery departnt in silence.
...
...
Zheng Ren recalled multiple patients with abdominal pain in the first general surgery departnt, waiting to be examined for educational purposes in live surgical demonstrations.
He went straight to the wards first instead of entering the office upon arrival at the general surgery departnt.
Whenever Zheng Ren stared at a patient, their relevant diagnostic information would appear at the upper right corner of his vision, which signified that the System was still operational.
However, the words were slightly blurry and seed faded.
A countdown tir was hovering at the highest point of his vision. Two days and twenty-two hours left.
“Yo? A chief resident from the ergency departnt is here for a ward round in the general surgery departnt?” scoffed Cen ng—a chief resident in the first general surgery departnt—after witnessing Zheng Ren’s patrol around the wards.
Apart from a few experienced senior consultants, no one dared to do ward rounds in other unrelated departnts.
This assault of mockery was fired at full power, and Cen ng had a lot more ammunition waiting to be launched at Zheng Ren.
Pretending as if he heard nothing at all, Zheng Ren continued to walk around and check every patient with abdominal pain to be examined before saying to Cen ng, “Chief Cen, the patient in bed number three-seven is suffering from an acute appendicitis in the ectopic position and requires imdiate surgical intervention.”
Cen ng was stunned montarily. The ward round he ntioned just now was ant to be a taunt and he had not expected Zheng Ren to take it seriously at all.
Was Zheng Ren looking for a fight?
Cen ng recalled that the patient in bed three-seven was a forty-year-old male admitted on the first day of the month due to upper right abdominal pain. B-scan ultrasonography findings included an inflammatory mass at the right hypochondrium region with gallbladder wall thickening, which was suggestive of acute cholecystitis.
He diagnosed an acute cholecystitis patient with acute appendicitis? What an idiot...
“Where did you learn surgery from? An appendix lies in the right iliac fossa region, not the right hypochondrium region,” sneered Cen ng.
“I told you, an ectopic appendix.” Zheng Ren walked past Cen ng towards the workstation in front of Chief Physician Old Pan and brought out the patient record of bed three-seven.
“Chief Physician Pan, please take a look at that patient. I think this is a misdiagnosis in the first general surgery departnt,” said Zheng Ren.
Chief Physician Old Pan was at a loss for words.
Misdiagnosis? Damn, that was humiliating. Reconciliation would be impossible from now on.
Whose humiliation it was would be a mystery until later.
How much resentnt had he built up to accuse the general surgery departnt of a misdiagnosis?
An ominous feeling ca over Chief Physician Old Pan as he read through the patient record.
Was it possible that he misjudged Zheng Ren when the man was actually a brainless bastard? He took a lifeti to build up a good reputation; was he going to lose it due to this foolish imbecile? There was an inflammatory mass at the anatomical position of the gallbladder. An ectopic appendix was a possibility but honestly, it was at the bottom of the list.
Well, it was alright to proceed for surgical intervention since an incision would be made on the right upper quadrant of the abdon anyway. Cholecystectomy and appendectomy were just nas. The true operation for this patient was an exploratory laparotomy.
However... even Chief Physician Old Pan assud that this would be a case of acute cholecystitis as well.
Clinically, no one would pay much attention to rare diseases as their chances of occurrence were so small that it would be unwise to hinder a normal dical procedure because of it.
Various investigative reports suggested the patient was most probably suffering from acute cholecystitis.
The patient was currently in the operating theater’s elective surgery waiting list after his family mbers had consented to surgical treatnt.
A diagnosis of acute appendicitis in a patient with suspected acute cholecystitis felt unreliable in every aspect.
“Zheng Ren, are you done? Don’t forget, you were transferred away...” reprimanded Cen ng before he was interrupted by Chief Surgeon Liu.
“Isn’t the patient prepared for operation? Send him to the operating theater and let Zheng Ren perform the surgery. An acute appendicitis of ectopic position is possible but low on the list. What’s the worst that could happen? A misdiagnosis, that’s all. We can proceed for an exploratory laparotomy to locate the source when that happens. Cen ng, tag along and pay attention to the patient’s safety.”
Then, Chief Surgeon Liu glared at Cen ng and added. “The patient’s surgery is of utmost importance. Negligence is intolerable.”
Cen ng nodded in response.
Cen ng understood Chief Surgeon Liu’s plan instantly as he was involved in the retaliation against the ergency departnt earlier. Grinning peculiarly and devilishly, he leaned closer to Chief Surgeon Liu and whispered, “Perhaps I can inform the operating theater to arrange a live broadcast in the surgical demonstration classroom. You can inform the upper managent of the dical administrative division in the anti, just in case...”
What a kind and thoughtful lad! The delighted Chief Surgeon Liu patted Cen ng’s shoulder gently. His effort in promoting this chief resident was not in vain after all.
This ti, Chief Surgeon Liu will slap Zheng Ren to death and remind Chief Physician Pan that it was foolish to overstep his workplace boundaries!
He winked at Cen ng, who understood imdiately and started making the necessary arrangents.
Chief Surgeon Liu glanced at Zheng Ren coldly and snorted. “Zheng Ren, normally I wouldn’t allow you to make nonsense out of this patient’s final diagnosis, but I’ll give you a chance to prove yourself since whatever you confidently said just now sounded logical too. However, I’ve to warn you that the operating table isn’t soplace where you can fool around as you please. If your diagnosis is wrong, I’ll ask Cen ng to take over and when that happens... Humph!”
...
...
The sa anonymous account started a live stream and uploaded the patient’s disease condition and various investigation reports to Xinglin Garden.
“Which hospital starts a live broadcast on Xinglin Garden?”
“Perhaps soone who is trying to make a na for himself. Well, it’s normal for these people to disappear in the end anyway.”
“Hahaha, did you guys read it? A case of acute cholecystitis but treated as an acute appendicitis. How is the surgeon going to broadcast a surgery when he can’t even diagnose a patient correctly? Does he want to show us the battle between surgeons postoperatively?”
The video livestream attracted the attention of more than a dozen doctors in a very short amount of ti.
Those who had the courage to live stream surgery were usually experienced senior consultants.
However, a live broadcast of an appendectomy, sorry... a “misdiagnosed” appendectomy... Was this supposed to be a joke?
The first batch of viewers started inviting their friends or fellow colleagues, and the viewership climbed even further.
The hospital’s and patient’s na in every dical record and investigative report were pixelated in order to anonymize the location of the live broadcast.
Regardless, none of the viewers cared about those details in the first place. There was only one thing that really caught their eyes—this was a misdiagnosis!
...
...
The surgical demonstration classroom was spacious and bright. A dozen doctors were surrounding Chief Physician Pan just like stars twinkling around a dazzling moon.
This arrangent was Chief Surgeon Liu’s idea.
The higher Chief Physician Pan climbed, the harder he would fall ten minutes later.
Yes, only ten minutes were required to expose Zheng Ren as an incompetent and idiotic surgeon. Decades of clinical experience gave Chief Surgeon Liu confidence.
Chief Surgeon Liu could foresee the bright future ahead of him; a future where no one dared to offend him after witnessing the unfortunate outco of the ergency departnt.
“Chief Physician Pan, everything was arranged according to your request. The scrub nurse ca from the ergency departnt and Zheng Ren ntioned that he didn’t need a surgical assistant. Are you satisfied with this arrangent?” Cen ng walked into the surgical demonstration classroom and stood in front of Chief Physician Pan courteously, tone and expression flawless.
The deputy division chief from the dical administrative division was sitting beside Chief Physician Pan with a peculiar look on his face.
Chief Physician Pan was really showing his age to allow a re junior attending surgeon to ss around with such a simple case.
Alas... it was better to go through so trouble this ti so that he would not need to handle their disputes in the future.
An eerie silence engulfed the surgical demonstration classroom as everyone beca imrsed in their own trains of thought.
The anesthesiologist then made a gesture on the screen. The operation had officially begun.
The scalpel was thin and shiny. Without hesitation, the first incision was made.
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