Chapter 12: 0012 Misdiagnosed Case Live Stream

Um…… Director Liu was stunned.

In his view, Zheng Ren was an honest, simple fellow who couldn't even fart after being hit with three sticks.

One should pick soft persimmons to pinch; Director Liu knows this.

So he didn't want to argue with Director Pan, because if it came out how he had squeezed out Director Pan's student, his own teacher, and the former head of General Surgery, he would lose face.

But no one expected that, upon arriving at the Emergency Department, Zheng Ren's temperament would change dramatically, and he would arrogantly say such things.

Not everyone can perform surgery; who can't criticize?

What a frog in a well! Director Liu first looked down on Zheng Ren, then smiled, and without waiting for Director Pan to refuse, he said: "Fine! All the appendicitis cases these days are yours to handle. If you do well, my General Surgery… General Surgery Department One will no longer handle appendicitis. If you don't do well, hehe!"

Leaving a gloomy smile, Director Liu turned and left, giving Director Pan no chance to refuse.

Director Sun of General Surgery Department Two couldn't understand why Zheng Ren would set such a huge flag, and, pondering, he also left with Director Liu.

The situation was calm, Director Pan wore a helpless expression.

"Little Zheng, your words are a bit over the top." Director Pan said, worried.

"Director Pan, if my skills aren't enough, the Emergency Department can't even launch surgeries. If they are enough, I'm not afraid of their criticism." Zheng Ren found a way out and quickly added: "Rest assured, I guarantee I'll complete the tasks you arrange."

"Guarantee? Where would you guarantee?" Director Pan, who had wielded a scalpel for over forty years, said there really was no surgery without flaws.

"Let's go to General Surgery. When we really need to perform surgery, we'll just ask Director Pan to oversee things, so they don't twist right and wrong."

Director Pan truly didn't know where Zheng Ren's confidence came from, but since things had come to this, what could he do? He sighed and arranged for the Emergency Department's on‑call doctors to send any acute appendicitis or suspected cases to the Inpatient Department for consultation.

After making the arrangements, the two fell silent and headed straight for General Surgery Department One.

……

……

Zheng Ren clearly remembered that, because there was a teaching demonstration surgery, the General Surgery Department One ward had several patients with abdominal pain awaiting diagnosis.

Upon arriving at General Surgery, Zheng Ren didn't go into the doctors' office; he went straight to the ward.

The system's power remained; whenever Zheng Ren gazed at a patient, the relevant diagnostic information would appear in the upper‑right corner of his vision.

However, the font had grown faint and slightly blurry.

At the top was a countdown: still two days and twenty‑two hours.

"Yo? The Inpatient Chief from the Emergency Department is doing a grand round in our General Surgery?" Seeing Zheng Ren walk from ward to ward, the Inpatient Chief of General Surgery Department One, Cen Meng, wore a look of contempt and switched to mocking mode.

Cross‑department grand rounds—aside from a few big shots, nobody dares to do that.

His mockery was fully loaded, and Cen Meng still had a bunch of lines ready to spray at Zheng Ren.

Zheng Ren acted as if he hadn't heard, walked a circuit, examined the few patients with abdominal pain awaiting diagnosis from his memory, then approached Cen Meng and said: "Chief Cen, the patient in Bed 3‑7 is diagnosed with ectopic appendicitis and needs emergency surgery."

Cen Meng blinked, realizing that the grand round he'd just mentioned was meant as a joke, and he hadn't expected Zheng Ren to actually take it seriously.

This is practically asking for a beating, isn't it?

He recalled that Bed 3‑7 held a 40‑year‑old male patient who had been admitted with one day of right upper‑abdominal pain. The ultrasound reported an inflammatory mass near the gallbladder area, with a rough gallbladder wall, suggesting acute cholecystitis.

What a quack—diagnosing acute cholecystitis as acute appendicitis…

"Is your technique taught by your master's wife?" Cen Meng sneered, "The appendix is in the lower right abdomen, not the upper right."

"Ectopic, I said." Zheng Ren stepped aside, walked past Cen Meng, approached Director Pan, opened the workstation, and pulled up the case for Bed 3‑7.

"Director Pan, look at this patient—I believe General Surgery Department One's diagnosis is wrong." Zheng Ren said.

Director Pan was speechless.

This is literally coming to one's door to slap them in the face—saying someone's diagnosis is wrong leaves absolutely no room for reconciliation.

But it's unclear who will be hitting whom.

To directly claim General Surgery's diagnosis is wrong—what kind of grudge is that?

Director Pan examined the case, and a sense of foreboding washed over his whole body.

Could it be that I misread things, and Zheng Ren is just a junk‑case? My lifelong reputation would be ruined by this junk‑case. Although there is an inflammatory mass near the gallbladder, which could also be an ectopic appendix, that possibility is simply too low.

The surgery itself isn't a problem—whether it's a gallbladder removal or an appendectomy, both are just names; the real procedure is an exploratory laparotomy.

But…… Director Pan also thought it was acute cholecystitis.

In clinical practice, low‑probability events are generally ignored; we just stay cautious and don't let such rare occurrences disrupt normal medical flow.

All test results pointed to the patient's condition being most likely acute cholecystitis.

The family consented to surgery; now we just wait for the operating room to come get the patient.

To diagnose acute cholecystitis as acute appendicitis—how could anyone think that, how could it be reliable?

"Are you done or not, Zheng Ren? You've already been transferred…" Cen Meng's words were cut off halfway by Director Liu.

"The patient isn't already prepped for surgery? Then open the table and let him go." Director Liu said: "At worst it's a misdiagnosis; we'll just follow an exploratory laparotomy to clean up after him. Cen Meng, come along and watch, keep an eye on the patient's safety."

Saying this, Director Liu glared and said: "Patient surgery is the most important; it cannot be taken lightly."

Cen Meng answered with an acknowledgment.

Cen Meng had also just experienced the Emergency Department incident; in an instant he knew what Director Liu was thinking, a faint odd smile appeared on his face, he leaned close to Director Liu and whispered: "Why don't I tell the operating room to arrange it in the demonstration operating room? You go find a leader from the Medical Department, so they won't…"

Director Liu felt greatly relieved, patted Cen Meng on the shoulder—this Inpatient Chief hadn't been promoted in vain; he was truly thoughtful.

This time I'll definitely slap Zheng Ren to death with one blow, and tell Director Pan that anyone who dares to come to my General Surgery to grab a meal isn't worthy!

He gave a look, Cen Meng convened a meeting, then quietly left to arrange various matters.

Director Liu looked at Zheng Ren, snorted coldly, and said: "Zheng Ren, this patient was never yours to comment on three ways and four. But what you say also makes sense; since you're sure, go give it a try. However, I'll say this up front: if you misjudge, the operating table isn't a place for you to fool around. I'll bring Cen Meng and have you taken down, and then…… hum!"

……

……

On the Xinglin Garden Website, that same anonymous account went live, beginning to upload the patient's condition, lab results, and examinations.

"Which hospital's person is streaming on Xinglin Garden?"

"They probably just want fame gone crazy; disappearing in disgrace is the norm."

Hahaha, have you guys seen? An acute cholecystitis case, actually treated as acute appendicitis, can't even get the diagnosis right and still come to do a live broadcast Shou Bing? Are they going to broadcast a post-op medical disturbance?

The video live broadcast had just been put up, and it attracted a dozen or so viewers.

Those who dare to live broadcast Shou Bing are all big shots.

But to live broadcast an appendectomy, and moreover a 'misdiagnosed' appendectomy…… Is this just a joke?

As the initial viewers called their friends, the number of people watching this live broadcast grew more and more.

The patient's test results, case name, and hospital were all covered with a mosaic, making it impossible to know which hospital it was.

But no one paid attention to that; everyone's focus was on one thing——this is a case of misdiagnosis!

……

……

The demonstration classroom was spacious and bright, with a dozen or so doctors gathering around Director like stars around the moon.

This was arranged by Director Liu.

At this moment, the higher they lifted Director, the more miserable Director's fall would be a dozen or so minutes later.

Exactly, in just a dozen or so minutes, Zheng Ren will have his true colors revealed; decades of clinical experience gave Director Liu confidence.

Director Liu already saw a bright future; the turmoil in the Emergency Department would be nipped in the bud, and from now on who would dare to stir trouble on Director Liu's own head?

"Director, everything has been arranged according to your requests; the instrument nurses are from your Emergency Department, and Zheng Ren said no assistance is needed. Take a look, is there anything else you're dissatisfied with?" Cen Meng strode in, seeing the respectful approach to Director, his tone and expression flawless.

Medical Department's deputy chief sat beside Director, wearing a strange expression.

Director really is old; for such a simple case, actually letting a junior attending run wild.

Ah, this time handling things, it actually saves us from having to deal with various disputes for them later.

The demonstration classroom was very quiet; everyone was thinking about different things.

On the screen, the anesthesiologist made a gesture, and the Shou Bing officially began.

The scalpel was very thin, the Shadowless Lamp in the Operating Room was very bright, and Zheng Ren hesitated not, cutting down with one blow.