Chapter 16 What’s the Use of Speed?
"Report to the examiner, my score is 30 points."
A tall male candidate stood up first, his face full of pride.
"Well, very good. What's your name? What college are you from?"
The examiner looked at the candidate with admiration.
"My name is Gao Jian. I graduated from the Imperial Capital Medical College with a postgraduate degree. My internship unit is the Imperial Capital Renhe Hospital."
You can tell at first glance that this guy is the type who likes to show off.
Full of confidence and pride, all overflowing from his face.
But his conditions are indeed very impressive.
The Imperial Capital Medical College is one of the best medical schools in basic medicine.
It is much better than Tuya Medical College where Zhou Can studied.
Tuya Medical College's academic achievements in basic medicine are not high, and it even ranks at the bottom. It is more inclined towards clinical medicine and can barely squeeze into the top ten in the country.
In recent years, thanks to the rapid development of Tuya Hospital, the popularity of Tuya Medical College has increased.
"So you're a top student at the Imperial Capital Medical College, and you've interned at the top hospital in the capital. No wonder you got full marks. Please share your diagnostic ideas with everyone."
After listening to Gao Jian's introduction, the examiner couldn't help but look at him with even higher regard.
The Imperial Capital Renhe Hospital is the ceiling of all hospitals in China. Its academic and scientific research achievements, cure rates for various difficult and high-risk cases, and medical team are all ranked first in the country.
Being able to intern at the top hospital in the country is definitely a highlight in your resume.
Gao Jian looked around and smiled calmly, "I have two ideas for diagnosis. The blood test report shows elevated troponin. Yes, troponin is a marker for myocardial necrosis. But serum myoglobin is the most sensitive indicator for diagnosing early acute myocardial infarction. The patient's troponin level was elevated, but not to an exaggerated degree of more than two times."
He paused, his eyes revealing a look of disdain.
"Then I looked at myoglobin and creatine kinase, which are also key indicators. They fluctuated slightly and were basically normal. I began to suspect that the patient might not have an acute myocardial infarction. So I carefully checked the electrocardiogram. At first glance, it was indeed quite similar to the electrocardiogram of myocardial infarction. However, compared with the electrocardiogram of a genuine myocardial infarction, it was a little different."
"How do I describe this feeling? It's like a tiger and a cat, they look similar. But a cat is much smaller and lacks the majesty that a king of beasts should have. If we meet a cat on the road, no one will be afraid of it. But if we meet a tiger while playing in the mountains, we will immediately be terrified and run away. This patient's electrocardiogram is the 'cat' that is more similar to a tiger."
As expected of a talented student of the Imperial Capital Medical University, he is truly awesome.
The solid medical skills he displayed made Zhou Can feel ashamed of himself.
Zhou Can's diagnostic approach is completely different from his.
"After the above two findings, I have basically diagnosed that the patient is likely to have symptoms similar to myocardial infarction. So I also did a coronary angiography. The result was as I expected, the coronary artery was normal. I felt it necessary to check the cause of the patient's illness. After investigation, it turned out that the patient had lost his job not long ago and divorced his wife, which was a huge blow. This is why he had chest pain and difficulty breathing. The treatment plan I prescribed was oral tranquilizers, and then recommended psychological counseling."
This treatment plan is similar to Zhou Can's.
However, Zhou Can did not prescribe tranquilizers, as these drugs have certain negative effects and are addictive.
If you can avoid using it, it’s best not to use it.
It's like drinking to drown your sorrows, which only makes you more sorrowful.
From this perspective, it can also be seen that the teaching philosophies of Tuya Medical College and Didu Medical College are very different.
Tuya is more inclined towards traditional Chinese medicine and incorporates some of the essence of Chinese medicine into it.
The Imperial Capital Medical School is aligned with the world’s most developed Western, North American, and island nations, and focuses on Western medical theories, with diagnosis and treatment plans also becoming more Westernized.
Both have their strengths.
It is impossible to say which one is better or worse, we can only say that both can cure the disease.
From the perspective of the patient's interests, Zhou Can's treatment method is better. Although it takes a long time to take effect, it requires the patient to open up and recover slowly. However, there is an old Chinese saying that it is necessary to break down before you stand up. The patient who stands up again from the blow will be reborn stronger than before.
On the other hand, Gao Jian's treatment plan is effective quickly, but it will also invisibly weaken the patient's will. After getting out of the haze, the patient's mind will become stronger, but it is very limited. After all, it was with the help of drugs that he got out.
In addition, patients also have to endure the negative effects of long-term use of tranquilizers, such as insomnia, constipation and so on.
From this point of view, Western medicine is actually very bad. It cures the patient's existing diseases, but creates other diseases invisibly.
Traditional Chinese medicine treats the root cause, while Western medicine treats the symptoms.
Perhaps one day, Chinese medicine's medical treatment philosophy will be sought after by the world.
"Okay, thank you Gao Jian for sharing your wonderful experiences with us. Now, those students who scored below 10 points, do you understand why their scores are so low?"
Those candidates who scored below 10 points lowered their heads in shame.
No one was shouting about the system scoring errors anymore.
Shameful.
Gao Jianzhi sat down complacently.
Judging from his smug expression, he probably thought he was the only one who had made the correct diagnosis.
Many of the female students looked at Gao Jian with admiration and respect. Even Yang Chan, who was proud and beautiful, couldn't help but look at Gao Jian a few more times.
Having talent makes it easier to win the favor of girls and the admiration of others.
Otherwise, why did the ancients say that all things are inferior except reading?
Zhou Can has never been a person who likes to show off. He has always been disdainful of things like rushing to take credit and seeking the limelight.
Judging from the current scoring situation, he will never be lower than Gao Jian.
However, Gao Jian's theoretical score is likely to be A+.
After all, this guy's medical foundation is too strong.
"Now we are entering the second part of the interview, which is medical technology operation. It is divided into four parts: dissection, suturing, ligation, and hemostasis, with a total score of 60 points."
The examiner made everyone fully understand what hell-level difficulty is.
The previous theories and pathological diagnoses are more inclined towards internal medicine.
What we are going to test now is surgical skills.
This is definitely a requirement for all-round talent!
Zhou Can was well prepared, so he seemed particularly calm.
Looking at those candidates who have not mastered their surgical skills, they feel a little uneasy.
"With the advancement of modern medical technology, surgical skills are being used more and more widely, and internal and external medicine have begun to be highly integrated. Interventional, minimally invasive, and stent-assisted surgeries in internal medicine are all based on the four basic surgical skills. Internal medicine is the foundation of disease diagnosis and treatment ideas, while surgery is a sharp blade in treatment methods. It is called the double blade of treatment together with drugs. When the two swords are combined, there is no disease in the world."
The examiner spoke passionately about the importance of surgery.
"Due to the limitation of instruments and equipment, the medical technical examination is divided into a preliminary test and a retest. Only those with excellent results in the preliminary test have the opportunity to enter the retest. Our staff will give each candidate a piece of pig skin and a set of anatomical suturing tools. After receiving them, they will make a wound of about four centimeters according to the knife position marked on the pig skin, and then suture it."
When Zhou Can heard that it was about sewing pig skin, he couldn't help but grin.
This is his strong point!
He has stitched so many pig skins that he has lost count.
I'm afraid it will have to be calculated in tons.
The other candidates also showed a relaxed expression. Dissecting pig skin and suturing it was not a difficult skill.
There is not a single candidate present who doesn't know how to do it.
The pig skins and tools were distributed quickly, and after receiving them, the candidates couldn't wait to show their skills.
Zhou Can also got a piece of pig skin and a set of dissection and suturing tools.
The knife positions are marked on the pig skin.
This is where his three-level incision comes in handy.
By staring at the knife position, you can see the texture on the pig skin, and then further infer the approximate distribution of the nerves and blood vessels underneath.
When making an incision on a patient, it is a taboo to sever blood vessels and nerves.
Imagine that someone just wanted to remove a tumor on his leg. But when he did it, he cut off the motor nerve in his leg. Oh wow, the patient's leg was probably crippled.
This became a medical accident.
With his resident-level incision skills, Zhou Can easily cut a wound about four centimeters long on the pig skin.
Perfectly avoiding possible nerves and blood vessels.
"Hey, why is there a mechanism inside?"
He found two thin red catheters and one white catheter inserted under the skin. If the cut was off, the catheters would most likely be cut off.
The red tubes represent hidden arteries, and the white tubes represent important nerves.
The examiners really put a lot of effort into selecting talents for the hospital .
The next step is to suture the wound.
This is also Zhou Can’s strong point.
His five basic medical skills are now all at level three, with no weaknesses.
The stitching is fast and good.
It took him only about eight minutes to complete the incision and suture.
If everything is correct, raise your hand and hand in the paper.
The examiner was quite surprised to see a candidate finish so quickly.
Looking more closely, wow, isn’t this the young man that Deputy Section Chief Hu praised so highly?
"Zhou Can, what's the matter with raising your hand?"
"Report to the examiner, the operation has been completed!"
Many candidates were still carefully cutting the pig skin, and they were shocked to hear that someone had already completed the operation.
They all turned to look at Zhou Can.
Gao Jian, who stole the show during the pathological diagnosis, had already sutured about half of the wound.
Hearing that someone had finished first, he couldn't help but look up at Zhou Can.
"Surgery is not like other operations. It is done quickly and easily. I am afraid the results will not be good." He lowered his head and continued to sew. This young man was too eager for quick success and would most likely be eliminated.
This was the second time Yang Chan heard Zhou Can's name today.
When she heard that Zhou Can had completed the operation so quickly, she was stunned for a moment. Then she felt sorry for him. Zhou Can's surgical skills were average to begin with. He didn't sew properly, but insisted on competing for the false title of being the first to complete the operation. He was so stupid.
What's the use of false reputation?
The surgical results are the key to advancement.
She sighed slightly.
