Chapter 612: Chapter 281: Fall Behind at Every Step, Doctor Xu’s Illness
Surgical doctors, especially those in the operating room, generally have outstanding surgical skills, but their diagnostic abilities are somewhat weaker.
Director Yan is an expert in the General Surgery operating room.
Incision, suturing, knotting, hemostasis, anastomosis, debridement... almost every skill mastered to a high level.
Unfortunately, this year’s skill competition is utterly frustrating.
Even though it’s a surgical competition, it doesn’t allow people to directly compete based on surgical skills but requires a correct diagnosis first, and ranking first to possibly earn the surgical qualification.
Ranking second or third also presents an opportunity to seize the surgical qualification.
The premise is that the first place voluntarily gives up the surgical qualification for this round and willingly participates in the next question’s competition.
Unless faced with a surgical case they aren’t proficient in, otherwise, no one would willingly give up.
"The correct diagnosis answer for the second question is duodenal injury. Such cases are rare, usually associated with damages to surrounding organs like the pancreas, liver, etc. The diagnosis is considerably challenging, and it can be seen that many contestants answered incorrectly. This disease has a mortality rate of over 30%; if diagnosis is delayed for more than twenty-four hours, the death risk exceeds 50%.
The panel selected this question as the second test in order to highlight the dangers and hidden nature of this case.
If the duodenum hasn’t undergone major rupture, or hasn’t ruptured at all, abdominal puncture might not detect anything.
Upper gastrointestinal imaging is a relatively good diagnostic method.
When necessary, even surgical exploration can be performed to lower mortality rates."
The host might have noticed in the backstage statistics that many people answered incorrectly.
Only then did they provide some explanation.
The duodenum’s location is quite special, with excellent protection from the chest-abdominal cavity, making injuries seldom occur.
But there are always exceptions.
The patient from the car accident has noticeable trauma on the waist, back, and abdomen, likely from a steering wheel impact, ultimately causing duodenal injury.
"Oh dear! This really angers me. I clearly performed abdominal puncture and didn’t find any organ rupture. Who could have guessed this patient’s duodenum was injured!"
Director Yan forcefully slapped his forehead.
At this moment, he regretted it deeply.
Many doctors have this habit of making retrospective criticisms.
Before the confirmed result comes out, they are like headless flies, then transform into Zhuge Liang the moment the result is out.
...
On the third question, Director Yan finally rose to the occasion and answered correctly.
This was the result of Director Bi secretly helping because he couldn’t bear watching anymore.
But now he was already two points behind first place, and added to the loss of points in answers, leading his ranking directly to fourth.
Even so, it made Director Yan feel quite relieved and joyful.
He tripped twice in succession earlier, making even himself doubt his life.
There was no suspense in the third question, the surgical opportunity simply won’t reach him.
He could only try for the fourth question.
As a result, there was a missed diagnosis in the fourth question, ranking twenty-first.
This time it was completely hopeless.
If he were to participate in the fifth question, he would be four points behind first place, how could he compete?
A step behind, a step forever behind, became the most accurate depiction of Director Yan.
Until the Digestive Surgery competition ended, he still didn’t have the chance to seize a surgical qualification.
After the competition ended, Vice Dean Jin left with a stern face.
The General Surgery on which high hopes were pinned lost the first battle, failing even to enter the operating room, how could he not be angry?
Going back with no satisfactory outcome!
"All medical staff of General Surgery, hold a meeting in my 312 room at the hotel. Our General Surgery came with a total of seven people, Digestive Surgery encompassed Colorectal Surgery, Pancreatic Surgery, Hepatobiliary Surgery, Gastric Surgery, and more areas. Three people participated in Digestive Surgery skills competition, but screwed up. We have two more chances tomorrow, for Urology Surgery and Breast and Thyroid Surgery, hoping this time not to screw up again."
Director Bi looked very displeased.
Being the leader of General Surgery, scoring such poor results left him ashamed.
It’s clear Vice Dean Jin is now suppressing his anger.
Worried that reprimanding them might affect subsequent competitions, he refrained from harsh words.
If the next two General Surgery competitions still get messed up, Vice Dean Jin might jump and curse these seven people.
As the proverb says, soldiers are raised for a thousand days, used for an hour.
The second hospital concentrated the best resources on General Surgery, including this time’s competition, where General Surgery was the largest group represented.
A total of seven people came.
Yet the competition was turned into this mess, it’s no wonder the hospital leadership would get angry.
Keep in mind, if the competition scores are poor, General Surgery at the second hospital will bear a significant negative impact. Patients seeking treatment might opt for hospitals with higher rankings.
Nowadays, patients are incredibly clever and well-informed.
Failing to admit enough patients, General Surgery will rapidly shrink. Various vicious cycles will follow consecutively.
Without enough patient admissions, the department’s revenue will drop significantly, medical staff’s salaries will also decrease.
Those skilled doctors are likely to choose to switch jobs at this time.
After all, everyone has families to support and can’t stay in a poorly rewarding department.
Moreover, capable doctors and nurses find jobs easily.
Heading to other tertiary hospitals, or even top-tier hospitals, their development can only get better.
Five people came from Orthopedic Surgery.
Doctor Xu fell ill, and Li Jingsheng planned to visit his mentor again.
If possible, he also wanted to discuss the matter of taking on apprentices with Doctor Xu.
Li Jingsheng wanted to take on a batch of talented apprentices and truly make the bone-setting techniques at the Second Hospital strong and prominent.
Alternatively, he could also expand this business at his own clinic.
But this would create strong competition with the Second Hospital. In the face of huge interests, he didn’t dare take the risk.
Because the Sunshine Clinic doesn’t rely on bone-setting technique for survival. It can also do quite well without it.
There’s no need to lose big over something small, forcing the Second Hospital to deal with him.
Harmony is like a mirror.
Once harmony is broken, it’s like a shattered mirror.
A broken mirror can be restored, but the cracks will always remain.
The help he received from the Second Hospital was immense. And now, his wings are not yet fully spread, and there are many areas where he still requires the protection of the Second Hospital.
If he didn’t have the identity of a doctor from the Second Hospital, would Station Chief Qiao be so friendly to him?
They’re not little kids anymore; such ties from working at the First Hospital hold no value.
Upon arriving at the emergency rescue room of Qiaobang Hospital, he learned after inquiring that Doctor Xu’s condition had improved and he’d been transferred to a general ward for treatment.
He was transferred to Cardiac Surgery.
That was quite unexpected.
Qiaobang Hospital’s standards are beyond question.
If they transferred him to Cardiothoracic Surgery, they must have identified the cause of the illness.
Doctor Xu had symptoms of coughing, which was somewhat akin to a cold.
This time he was so maddened that he coughed up blood.
It should still be a respiratory disease, so why did it become a cardiothoracic issue?
Could it be a heart condition?
That’s possible.
But there might also be an issue with the lungs.
You’ll get clear once you’ve inquired more.
After some effort, he finally found the cardiothoracic inpatient department.
In reality, Pulmonary and Cardiac departments in Qiaobang Hospital are separate.
But the inpatient department is on the same floor.
You could see that the place was filled with patients. There’s no need to mention the larger monitoring wards; there are at least tens of patients in them.
And there’s more than one monitoring room.
The cardiothoracic department often has critical patients, and after surgery, they also need to be monitored closely in the monitoring room.
When necessary, various instruments have to be used for support.
Like the most common ventilators, intubation, and so on.
Li Jingsheng entered the ward and saw Doctor Xu lying on the bed, the ventilator had already been removed.
But his face was still somewhat pale.
After Vice Dean Jin left, he surprisingly came to visit Doctor Xu, which caught Li Jingsheng by surprise.
Because Doctor Xu previously refused to take Vice Dean Jin’s nephew as an apprentice, which essentially offended Dean Jin.
There should be some estrangement between the two.
However, leaders have a certain broad-mindedness and vision, even if they are somewhat displeased. But since Dean Jin led the team to the competition, having a participant fall ill partway, as the leader, he naturally had to come visit and console.
"Oh, Dean Jin is here too!"
Li Jingsheng quickly greeted him.
"I came to see Old Xu, I’m still somewhat worried. I’ve understood the condition, initially thought it was a lung issue, the doctors here told me Old Xu has problems with his heart and blood vessels, and they are quite tricky."
That Dean Jin could understand the condition so clearly shows that he genuinely cares about Doctor Xu, not just for show.
"Currently, surgery might be needed. As per my suggestion, Old Xu might as well focus on getting treated at Qiaobang before thinking about work. It’s usually extremely difficult to get a bed here. This time, with the skills competition, top cardiothoracic experts from within and outside the province are all here. No matter how complex your case, I’m sure they can resolve it for you."
It indeed made sense.
The beds at Qiaobang Hospital are notoriously scarce.
Cardiothoracic beds, even more so, are hard to come by.
"Haven’t they yet found the specific cause? Let them check further, and then decide."
Doctor Xu was a bit reluctant to have surgery.
The risks are inherently great, especially with cardiothoracic surgeries, the risks are particularly high.
However, if you encounter a skillful cardiac surgeon, the risks can certainly be greatly reduced.
"Hmm, okay, let’s see tomorrow. My personal suggestion is to treat your case as a test, leveraging all the experts’ insights to collaborate for a diagnosis and formulating a reliable treatment plan. If you’re willing, I’ll mention this matter when dining with the committee leaders later."
Dean Jin was trying hard to secure the best medical resources for Doctor Xu.
"Teacher, such opportunities are too rare. It’d be good for you to agree."
Li Jingsheng equally hoped that Doctor Xu would assent.
Cardiothoracic diseases, many untreated, can easily lead to death.
And result in sudden death, stroke, and other severe outcomes.
Li Jingsheng still hoped that one day, he could bring Doctor Xu to see patients at Sunshine Clinic.
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