medical treatment

Chapter 22
The on-site assessment is conducted in an office on the fifth floor of the comprehensive office building.

Yu Zhiming walked into the somewhat empty office, and found five sets of tables and chairs in the east, each sitting a man in his 60s or [-]s wearing a white coat.

What these five people have in common is gray hair, thin body, and a serious expression on their faces.

There was no identity plate on their table, and Yu Zhiming couldn't combine the five reviewers Dr. Qi introduced last night with the five people in front of him.

On the left-hand side of the door of the room, there are two sets of tables and chairs, and two men in white coats around 30 years old are sitting.

In the middle of the room, there is an examination bed.

Yu Zhiming took a few steps to the examination bed and stood still, first bowed to the five experts.

"Good morning, teachers!"

"I'm from the People's Hospital of Liyang County, Lu Province..."

"Okay, no need to introduce yourself..."

The long-faced man sitting in the middle of the five people interrupted: "Dr. Yu Zhiming, we have your information, and we already know your basic situation."

He didn't pause, but instead said: "Doctor Yu, please answer first, you can perform three operations independently, which can demonstrate your surgical skills."

Hearing this question, Yu Zhiming immediately guessed that it is possible to arrange a practical operation assessment based on his answer.

Our country implements hierarchical management of surgery.

Surgery is divided into four levels, from level one to level four, the difficulty of surgery gradually increases.

Generally speaking, county and township hospitals are responsible for first- and second-level surgeries, while third- and fourth-grade surgeries are mainly performed by provincial and municipal tertiary hospitals.

Over the past few years, the surgeries that Yu Zhiming studied and was responsible for in the county hospital, such as abdominal hernia repair, appendectomy, and caesarean section, were all secondary surgeries.

For more complex tertiary operations, Yu Zhiming rarely had opportunities to study and practice in the county hospital.

However, operations such as abdominal hernia repair and appendectomy are performed under laparoscopic conditions, and the difficulty of the operation will increase by one level, becoming a third-level operation.

Yu Zhiming is very good at laparoscopy.

He quickly screened in his mind, and replied loudly: "Teacher, I perform more operations in the county hospital, including laparoscopic abdominal hernia repair, laparoscopic appendectomy, and laparoscopic ovarian cyst dissection."

The long-faced man nodded slightly in response to Yu Zhiming's answer, then raised his hand and pointed to the camera above the corner.

"Doctor Yu, there is an audio and video recording of the entire assessment process. If you have any questions afterwards, you can request to read it."

After a pause, the long-faced man continued: "I heard that you are especially good at auscultation and percussion."

"Next, please show us the details."

"Wait a minute, a volunteer will come in, you need to check and report his visceral damage."

"Require……"

The long-faced man raised his voice, "Except for the pain response, you are not allowed to ask the volunteers any other questions."

"No utensils of any kind other than a stethoscope shall be used."

"It is not allowed to lift the clothes of the volunteers."

"Time limit three 10 minutes."

The long-faced man deliberately paused for a moment and asked, "Doctor Yu, do you understand the above request?"

Yu Zhiming nodded and said, "Teacher, I understand."

After getting a response, the long-faced man waved his hand to the young man in a white coat sitting by the door.

One of them got up and left, and returned in less than a minute, bringing back a thin, middle-aged man in a hospital gown.

The tall and thin man was lying on the examination bed.

Yu Zhiming put on the surgical gloves, and after the long-faced man said "timer starts", he began to examine the tall and thin man.

He didn't use the stethoscope that was placed aside, and he didn't ask the tall and thin man about his pain reaction. He first patted and pressed from his chest to his lower abdomen for a rough check.

After a rough inspection, Yu Zhiming was secretly speechless.

Where did you find this superb product?
How can a person be hurt to such an extent?

There are two perforated repair surgery marks in the left lung;
The heart builds two bridges;
Quartered the stomach;

The right kidney shrank to only half of the left kidney;

enlarged liver;

no appendix;

The duodenum and cecum also showed obvious traces of surgery.

Yu Zhiming couldn't help but imagine what the man in front of him had gone through to hurt his viscera to such an extent.

Considering that he was missing a rib and had multiple fractures and healed bones, Yu Zhiming guessed that this guy suffered at least one serious accidental injury.

With so many visceral injuries, he can still survive smoothly. This man's vitality is comparable to Xiaoqiang...

Yu Zhiming calmed down, and began to conduct a further detailed examination of the tall and thin man...

After nearly 10 minutes, Yu Zhiming finished the percussion and auscultation examination, and stood up straight.

"Teachers, I've finished the examination. As for the damage to the volunteers' viscera..."

Yu Zhiming asked: "In order to describe it more intuitively and accurately, can I use a picture to illustrate it?"

After the five review experts communicated with each other, they agreed.

Sketching can be regarded as one of the basic skills of doctors.

Because in some cases, doctors must combine pictures and texts to express the problem clearly and let others understand it.

Yu Zhiming's sketching level, even if it can't be said to be excellent in the medical circle, is quite good.

At least his sketches can be seen clearly by his peers.

When he was in the county hospital, when he was diagnosing patients with problems that he didn't understand or couldn't solve, he would often draw his findings into sketches and ask the seniors in the hospital for advice.

After finding no results in the county hospital, he will let the patient take the sketch and transfer it to a large hospital for further diagnosis.

Colleagues at the county hospital all said that the symptom sketches drawn by Yu Zhiming are more concise and clear than the image maps.

This is also one of the reasons for his nickname of "Humanoid CT".

Because the thin and tall man had many visceral injuries, and Yu Zhiming wanted to describe the details of the injuries, it took him nearly an hour and a half to draw all the visceral injuries he found, even if it was a simple sketch.

Fortunately, several experts did not urge them, nor did they show any impatient expressions on their faces.

Yu Zhiming was also keenly aware of it.

After seeing his sketches, these reviewers looked at him differently.

From the previous business-like scrutiny, some inquiry, curiosity and appreciation have been added.

Yu Zhiming knew that he was a Tibetan wearing a gown, showing off his skills, and initially won their approval.

Encouraged by Yu Zhiming, he started the second round of assessment with greater confidence.

The second round consisted of five patients, both men, women and children.

Requirements, each person is limited to 15 minutes, and can only diagnose major diseases by means of consultation, percussion, and auscultation, and give a treatment plan.

After careful diagnosis, Yu Zhiming found that the nearly [-]-year-old volunteer was suffering from coronary heart disease and chronic obstructive pulmonary disease.

A ten-year-old child suffered from vitamin D deficiency rickets and atrial septal defect.

A 25-year-old female volunteer suffers from lupus erythematosus and hepatitis caused by lupus erythematosus.

A 40-year-old male volunteer with gallstones and moderate liver cirrhosis.

The most was a pregnant woman who was eight pregnant, suffering from hydronephrosis and high blood pressure in pregnant women.

The diseases of these patients are not considered difficult and miscellaneous.

Under Yu Zhiming's meticulous diagnosis, the diagnosis was made quickly and a treatment plan was given.

Only when diagnosing the last pregnant woman, Yu Zhiming also diagnosed that the umbilical cord of the fetus in her womb had wrapped around the neck for a week.

It is not a big problem if the umbilical cord wraps around the neck for a week, you just need to pay more attention to the fetal movement and heart rate.

However, Yu Zhiming would not let go of such a rare opportunity to perform.

He adjusted the fetal position of the pregnant woman's fetus on the spot.

The result naturally attracted the attention of several experts.

Yu Zhiming told them in a modest tone that besides percussion and auscultation, he is also very good at adjusting fetal position.

He can effectively adjust the position of dystocia, the umbilical cord around the neck, and even the twisting of the umbilical cord.

However, to Yu Zhiming's disappointment, several experts seemed to have no positive reaction to his extra play.

You know, Dr. Xi Zhen was quite shocked when he cured the twisted umbilical cord of the fetus in Jinling Drum Tower Hospital.

Perhaps they thought he was talking big?
The long-faced man looked calm, and tidied up the medical certificate and treatment plan written by Yu Zhiming.

"This morning's assessment is over."

"Doctor Yu, at two o'clock in the afternoon, you will perform a laparoscopic abdominal hernia repair under our supervision..."

　Ask for a recommendation ticket!Ask for a recommendation ticket!Ask for a recommendation ticket!
　　


(End of this chapter)