Chapter 611: Chapter 280: Winning the Silver Medal, Director Yan Starts to Question His Life_3
She and Li Jingsheng formed an inseparable bond because of this competition.
The relationship between the two became noticeably closer.
"It’s hard to say, I believe there’s a possibility of appendicitis, but it shouldn’t be significant. Unfortunately, there’s just too little effective information given, making further diagnosis impossible."
Li Jingsheng had participated in multiple rounds of the competition, getting some understanding of the question-setting examiners of the organizer.
The examiners were very cunning. The questions they posed were often misleading, easily causing participating doctors to misdiagnose or misjudge.
The symptoms of this case could be preliminarily diagnosed as appendicitis by any slightly experienced doctor, which is all too simple.
As time passed, the rankings gradually appeared on the screen.
Renmin Hospital and Qiaobang Hospital unsurprisingly tied for first place.
And the number of contestants achieving full marks was still increasing.
After twenty minutes, the quiz was basically over. Doctors with quick diagnoses gave results within five or six minutes and successfully made it onto the leaderboard.
Those who were slower found twenty minutes more than sufficient.
Usually, a doctor diagnosing a patient might take only one or two minutes to finish.
It’s truly not an exaggeration.
Many doctors need to attend to fifty or sixty patients a day, or even over a hundred, hardly having much time to spend on the same patient.
Unless encountering a difficult-to-diagnose patient, it may take longer or even require consulting senior doctors.
Many patients complain of spending tens of yuan on a senior doctor’s spot, only to be dismissed after speaking less than ten sentences.
This is a normal phenomenon.
Currently, small hospitals are relatively idle, while larger hospitals face a general shortage of medical resources and even crowding issues.
Doctors, having to manage so many patients a day, can only speed up and improve efficiency.
"Our Second Hospital’s ranking is out, ranking seventeenth, and it wasn’t Director Yan from Digestive Surgery but his junior doctor Liu Miao."
Xiao Linlin said worriedly.
Honestly, the doctors at the Second Hospital were very disappointed with this result.
Especially after securing a gold medal at the start, everyone had high expectations for General Surgery.
Given that even the weaker Digestive Internal Medicine had secured a silver medal, there was no reason for the strongest General Surgery to miss the gold.
The fact is, the three digestive surgeons from General Surgery disappointed everyone.
There was a Waterloo-like downfall.
Isn’t this what is commonly said about overconfidence leading to defeat?
"Director Yan, you mustn’t fail at a crucial moment!"
Vice Dean Jin was fuming with anxiety but didn’t dare speak harshly.
He could only offer a mild reminder out of unwillingness to see failure.
"Ahem... I thought it was acute appendicitis, that’s why I misdiagnosed."
Director Yan, who is about fifty-two or fifty-three years old, was considered a relatively young chief physician.
He certainly had the capability.
But perhaps he didn’t adjust his mentality well for this competition.
Maybe seeing a small figure like Li Jingsheng succeed in winning two gold medals made him overconfident in his abilities, leading to his downfall in the first round of questions.
"In terms of diagnosis, I see Li Jingsheng is quite capable. You could use a team effort! Get Director Xiao and Dr. Li to help!"
Dean Jin’s face darkened upon hearing it wasn’t a missed diagnosis but a direct misdiagnosis by Director Yan.
Misdiagnosing the first question is like giving yourself a red card, directly eliminating yourself.
"It’s okay, I’ll be more careful next time."
Director Yan was unwilling to seek help from Li Jingsheng and Xiao Linlin.
Some chief physicians aren’t ashamed to ask questions and can let go of their pride, while others remain proud to their last days.
If they were to seek help from Li Jingsheng and Director Xiao, they should have given a heads-up before the competition began.
Xiao Linlin initially was similar to Director Yan, with a thin face, unable to let go of her pride.
Fortunately, she later decisively chose to seek help from Li Jingsheng.
She ultimately succeeded in winning a silver medal.
The competition continued, with Director Yan stifling his frustration.
The person who answered the first question correctly and had the highest score was fortunate enough to earn the right to perform the surgery.
The on-site staff had already invited this individual to the operating room to lead the surgery.
This digestive surgery skill competition had an interesting concept.
It seems its competition rules involve a comprehensive assessment, giving excellent performers advantages everywhere.
A strong diagnosis allows one to seize priority for surgery rights.
The further ahead the exam question, the lower its surgical difficulty should be.
The first case turned out not to be appendicitis but intestinal strangulation.
Indeed unexpected.
The pain location for intestinal strangulation is not fixed, mainly depending on where the strangulated intestinal segment is found.
It also exhibits an increase in white blood cells.
If the strangulated location happens to be in the right lower abdomen area, it indeed makes it hard to distinguish the issue.
Director Yan fell into the pit, not the least undeservedly.
"These examiners are indeed too cunning."
Li Jingsheng once again recognized the true nature of the examiners.
They went to great lengths, deliberately setting traps for the participants to fall into.
"Reiterating the competition rules, for example, if the person who answered the first question correctly is Director Wu Shengwang from Renmin Hospital and ranks first, he has seized the surgery chance. Then he’s out of the pool. The remaining participants can attend the second question session, and those who ranked in the top three scores for question one do not lose any points. From the fourth rank onward, everyone loses one point. Your previous scores are cleared, with scores recalculated."
This was the examiners’ convoluted attempt to inject some trickery.
It’s like for each question, only the first place can successfully reach the shore. The rest, even the second and third places, must continue answering questions, but won’t lose points.
As for those behind, they all lose one point.
Which means even before the competition starts, they are already one point behind the top three.
It’s likely that this pattern continues.
When answering the third question, a total of two points would be deducted.
Doing so can maximize the emergence of truly capable individuals.
Those who lack capability can only see the gap with the top ranks widen, ultimately having no chance at medals.
"Please look at the second question."
The patient is male, 27 years old, who unfortunately encountered a car accident while delivering goods in a van. He had external trauma to the upper abdomen, waist, and back. After admission, he suffered abdominal pain, severe back pain, vomited blood and bile, and simultaneously exhibited genital abnormalities and erection.
There is tenderness in the upper abdomen, rebound pain, and muscle tension.
Normal temperature, slightly low blood pressure, rapid heart rate.
The information provided remains very limited.
There are no results from abdominal x-rays or abdominal paracentesis and lavage exams.
Director Yan showed no intention to seek assistance from Director Xiao and Li Jingsheng, stubbornly sticking to his guns and temperament.
The rankings for the second round of diagnosis came out quickly again.
This time, the result was unusually tragic for the Second Hospital, with the entire group wiped out.
Among the top fifty, there was not a trace of any of the three participants from the Second Hospital.
This became the joke of the competition, with two entering but failing to make the top three, giving them the nickname "the eliminated gang."
Vice Dean Jin was dumbfounded, as was General Surgery’s Director Bi.
"Old Yan, what’s going on? Another fiasco!"
Director Bi saw Vice Dean Jin’s face turn longer than a donkey’s and hurriedly questioned Director Yan.
"Damn, today’s really been a string of bad luck, another misdiagnosis."
Director Yan’s face was equally grim.
Who would have thought this year’s skill competition would be this difficult?
The first diagnosis case fell into a pit, and once more in the second.
This surely marks a streak of dire misfortune.
On the flip side, the ability isn’t as strong as imagined.
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