When the Doctor Uses A Hack

Chen Cang smiled as he looked at the young man.

Then he glanced at the young doctors and interns, residents, graduate students, and doctoral students around him.

He said calmly, "If there are any questions, just ask! Don't be afraid."

After speaking, Chen Cang explained, "Actually, this question is quite advanced and valuable because the significant decrease in white blood cells puzzled me at first!"

"However!"

"We need to be flexible and consider a few issues. The first being that the patient has an infection, leading to a decrease in white blood cells. The second! That HIV has already caused bone marrow suppression!"

Upon hearing this, everyone suddenly realized.

Considering the patient's condition, everyone had a sense of enlightenment!

Chen Cang continued, "Alright, now follow my train of thought!"

"Since we can't rule out HIV, let's continue examining the disease. We now consider the condition with both HIV and malignant tumors in mind.

Now the patient's cranial MRI has shown multiple low-density shadows. What do you consider at this point? A tumor? That's correct! At this point, a tumor should indeed be considered."

"But, is there another possibility?" Chen Cang asked.

The doctors around remained silent.

But the students eagerly started to speak.

"It could be parasites!"

"It could be bleeding!"

"It could be intracranial infection with calcification!"

...

With Chen Cang's guidance, the solution became clear.

Chen Cang nodded, "Very good, the thought process is open. Now, let's see, at this point, I find that these low-density shadows on the MRI could be metastasizing, so... could it be parasites?"

"Then we must relate this to the patient's condition. If the patient has a tumor, is it likely to be parasites? Not very realistic!"

"But... what if the patient has AIDS?"

Chen Cang looked at the crowd and asked, "Parasites and AIDS together, what do you think of?"

Immediately!

The whole room was in an uproar!

"Ah, I see!"

"Amazing! So enlightening, Professor Chen is incredible!"

"Yes, who would have thought of that!"

Several department heads sighed with emotion.

But the students were still confused!

Zhao Furun couldn't hold back anymore and said, "When Professor Chen asked the family if they had a cat, he was already suspecting the patient might have a parasite."

"And the cat, parasite, and AIDS... when these clues come together, the answer is obvious!"

"Toxoplasma gondii infection with AIDS patient!"

"Because after the onset of AIDS, the HIV virus will reduce the patient's immunity, killing many T-lymphocytes, and the virus will start attacking the brain. At this point, there is a parasite that easily infects patients, which is Toxoplasma gondii!"

"This parasite mainly inhabits cats, and once the human body's barriers are gone, it will invade the body!"

"Basically, if Toxoplasma is found in the brain, it almost certainly means AIDS."

"I believe this is also why Professor Chen suspects the patient's HIV test results are incorrect!"

"If this is true, it's really... unbelievable! It's too unbelievable!"

As Zhao Furun explained the follow-up results, Chen Cang nodded, "That's right, this is my thought!"

At that moment, a nurse hurriedly ran in!

Without greeting, she opened the door and shouted, "Professor Chen, Professor Chen! The pathology department has the result, it's Toxoplasma, it's Toxoplasma in the brain!"

With that said!

The room instantly became quiet!

Oh my!

Is this really happening?

It turns out the diagnosis was correct!

This is too incredible!

Everyone looked at Chen Cang in disbelief, filled with excitement and enthusiasm.

The students' eyes were full of fervor.

Too powerful!

To unravel such a complex web of symptoms and conditions bit by bit is truly challenging!

But Chen Cang always seems to find that one thread!

This made everyone extremely envious and admiring.

This is true knowledge and skill!

The students looked at Chen Cang with admiration and aspiration, this is a respect for the strong.

However...

This is just the beginning!

Clinical practice is not a performance; treating and saving lives is not an exam.

Diagnosing the disease clearly might just be the start!

Because the subsequent treatment is the most complex part.

The patient's parents hurried over.

"Professor Chen... What should we do about the child?"

Chen Cang hesitated for a while and sighed.

He really had no confidence!

The patient's condition is not optimistic.

To put it bluntly, it's at the end of the road.

Chen Cang said, "It's hard to say, let's treat him and see, no one can make a guarantee."

Upon hearing this, the parents were left with no choice!

Today has been a painful struggle for them.

The initial malignant tumor devastated them!

But...

Comparatively, AIDS is even more unmentionable for them.

Humans are social creatures.

How do you tell parents that their child has AIDS?

"Professor Chen, can we check if we are infected?"

Chen Cang nodded, "Yes, have it checked, just in case."

Pulling the parents into the patient's room alongside him.

Once inside, the parents wore complicated expressions.

However...

Chen Cang clearly sensed they were a step further from their child than before.

Although they soon approached again.

But...

It was truly that apparent.

Chen Cang looked at the man and continued, "We understand your situation, it's quite dangerous."

"The test results show it's Acquired Immune Deficiency Syndrome, known as: AIDS."

Upon hearing this, the man's complexion changed instantly, and he jumped up!

"No... no... it can't be! I must not have rested well lately!"

"Please don't lie to me, alright?"

The man was shocked, evidently, the term "AIDS" terrified the boy.

It made him lose his sanity instantly!

This can't be!

"Doctor, you must have made a wrong diagnosis, right? It must be so!"

"Mom and Dad, I really didn't!"

The boy was hysterical, fortunately, he was the only patient in the ward.

However...

Even so, it was still no use!

Chen Cang continued to ask, "So at the beginning, when I asked if you had any recreational activities, you denied it."

The boy couldn't help but say, "I must have gotten the illness while swimming or taking a bath, or maybe in the hotel's bathtub, I didn't... I really didn't..."

The man was still in denial.

However...

Chen Cang was unconcerned.

These things were not important.

A recreational history is just a reference for diagnosing sexually transmitted infections, now that it's confirmed, Chen Cang had no interest in the man's private life.

As for the man's claim of catching AIDS from taking a bath in a hotel.

Chen Cang couldn't help but laugh.

Such childish statements are nothing but jokes in a doctor's ears.