When the Doctor Uses A Hack

Over here.

In the lab department.

The young Dr. Zhao was utterly shocked!

"Oh my god, this is the first time I've encountered a false-negative HIV result in all my years as a lab physician!"

A colleague nearby also exclaimed in disbelief!

"Yeah, I've only seen false positives before. It's the first time I've heard of a false negative, really... sigh... What a huge issue it would be if the patient left like this!"

"Dr. Zhao, how did you think of retesting?"

Hearing this, everyone was curious.

But young Zhao blushed a little!

Yet, he admired Chen Cang to the fullest!

What makes one remarkable!

This guy is really a big shot!

Being able to diagnose based on test results is a skill.

But!

Being able to refute a patient's test results based on their condition, what level is that?

Young Dr. Zhao couldn't figure it out!

Nor did he dare to guess!

There's a natural barrier between the lab and clinical departments, as if they're two different systems.

People in the lab department know that Chen Cang is excellent, but... this excellence isn't apparent!

Now, with a single retest, Chen Cang amazed young Zhao!

So strong!

Truly amazing!

Meanwhile, the department head had just finished his call and hearing everyone chatting, he, too, sighed.

This Chen Cang is truly formidable!

Formidable enough to astonish even him.

Initially, the retest was just out of courtesy.

That's how it really was.

Merely to confirm the results.

After all, a false negative is one in a million.

Now what?

The test results indeed showed positive!

HIV test result positive!

What does this indicate?

Chen Cang might have suspected an error in the test result from the start.

Thinking of this, Director Li took a deep breath and said to everyone:

"Today, Professor Chen gave us all a lesson!"

"Never over-rely on machines. We need to think more and not assume the machines are always right. Be careful when sending tests and never get complacent!"

Others asked, "Director, what exactly happened?"

Director Li then recounted today's events to everyone!

After hearing it all, everyone was dumbfounded!

Inside, they all had just one thought!

This is a man who dares to challenge the test reports!

Moreover... he succeeded.

So strong!

As lab experts themselves, they knew how challenging this was, but... Professor Chen really did it.

The facts were right before their eyes, what more was there to say?

Director Li looked at everyone and said, "Today's event is not really a bad thing; it's a wake-up call for all of us in the future."

"If this AIDS patient had left without realizing his condition, what kind of social impact would that have caused?"

"From now on, everyone, pay more attention."

After speaking, Director Li hesitated for a moment before deciding to summarize today's events and issue a notice to the clinical departments, urging them to integrate clinical judgments with test results.

...

...

Meanwhile, after hanging up the phone, Chen Cang returned directly to the office.

He said to everyone, "Everyone, quiet down for a moment, I have something to say."

After listening, everyone quieted down.

Chen Cang looked somewhat somber: "The lab department just called to inform me that the patient's HIV test result is positive, while the first test was a false negative."

As soon as he said this, the room buzzed with activity!

HIV!

This name is scarier and more terrifying than a tumor!

Because...

It can spread!

Upon hearing this, the patient's parents turned pale, their expressions filled with panic.

Living with the child every day, sharing utensils and bathroom items... Wouldn't it spread?

It's really hard to say!

The two were extremely frightened at the moment.

Could they have been infected too?

Fear and anxiety hovered in their hearts.

Eager to rush out and get tested immediately for confirmation.

Similarly, the group of department heads below also furrowed their brows!

Because once the HIV test results come out, the previous discussions might need to be overturned!

But!

What shocked everyone even more was how Chen Cang predicted that the previous HIV test result was wrong?

Everyone knows, as department heads, that refuting a test result isn't done lightly.

Yet Chen Cang did it, and the results matched his predictions exactly.

At this moment, the room fell silent!

Everyone had the same thought: Perhaps, Professor Chen had already concluded internally from the start!

Just...

For various reasons, did not say it out loud.

At this time, Zhao Furui asked, "Professor Chen, what do you think about the patient's condition?"

Everyone perked up expectantly upon hearing Director Zhao speak up.

Chen Cang replied calmly: "Initially, I, like everyone else, hesitated between malignant tumor and AIDS."

"The test results and the patient's intracranial lesions made me inclined towards a malignant tumor, especially given the overall blood cell reduction."

"But... During the first physical examination, I noticed the patient's pain was muscular, somewhat resembling myositis! But... can a tumor cause myositis? Obviously not! What can? An immunodeficiency virus!"

"However, what truly solidified my thoughts was the patient's cross-sectional MRI result!"

At this, Chen Cang opened up the big screen and uploaded the imaging results!

"Take a look, why would the lesions migrate with a simple change in weighted treatment, at the same exact positions?"

Upon hearing this, everyone paused, puzzled!

Then they closely examined the images, indeed finding a subtle shift.

Following that, Chen Cang compared DWI images with others from different regions, astonishingly revealing differences!

This caught everyone off guard!

Suddenly, Zhao Furun had a realization!

"No wonder you asked if they owned a cat!"

This remark left many still confused about its implications.

But Chen Cang, eyeing Zhao Furun, couldn't help but nod.

The old director indeed had abundant experience!

Common people rarely associate AIDS with cat ownership, headaches, or seizures!

Even Chen Cang couldn't do it initially!

But sometimes diagnosis needs several clues linked together.

Slowly piecing them together thread by thread.

Only then can the real culprit be uncovered.

Seeing everyone puzzled, Chen Cang continued:

"The patient's polymyositis, spleen and liver enlargement, critically low lymphocytes, none of these exclude the possibility of AIDS!"

At this point, a young doctor asked, "Professor Chen, shouldn't HIV result in increased white blood cells? The patient's are significantly reduced!"

Chen Cang smiled: "That's a great question!"