Chapter 619: Chapter 284: Irrelevant Answers and Competing for Surgical Qualifications (Part 3)
The most common feedback is poor service attitude.
There’s really no way around this.
The more prestigious departments usually have similar attitudes toward patients.
Doctors don’t want patients’ wounds to get wet, but some patients just can’t stand not showering for a day. Then when their wounds do get wet, can you expect the nurses to be happy?
Renowned departments are invariably busy.
Patients not cooperating and giving nurses and doctors a hard time—it’s no wonder nurses get upset.
"Dr. Li, take a look at your answer."
Hu Jia is very keen on learning, and his relationship with Li Jingsheng has become increasingly familiar.
They are colleagues in the same department, after all.
Seeing Li Jingsheng get extra credit at this moment, he felt particularly curious and also looked at Li Jingsheng more admiringly.
Chen Anchen, despite being a professor, a veteran in the orthopedic department, and a chief physician, still couldn’t bring himself to let it go.
He was now just eavesdropping on the conversation between the two.
He had immense confidence in the surgery proposal he submitted. Clearly, there was nothing wrong with it, so why didn’t it earn extra credit?
Instead, once again Li Jingsheng, this young doctor with only average skills, had achieved something.
It’s not just him; Hu Jia was equally puzzled.
He considered himself quite competent in surgical treatment of bone trauma.
So what was the issue?
"Damn! It turns out it was the risk of local anesthesia. I had thought about it at the time but didn’t think that deeply."
After reading Li Jingsheng’s answer, Hu Jia couldn’t help but slap his thigh.
"The risk of local anesthesia? Let me see."
Professor Chen Anchen couldn’t keep up the pretense any longer. In the pursuit of medical truth, every aspiring doctor is the same.
When encountering errors, they will always find ways to understand clearly to avoid making the same mistake next time.
He also came over to see Li Jingsheng’s answer.
"This, this... is really frustrating. I thought the exam was about how to repair knee joint trauma. Who knew the focus was on this! I said my surgery proposal was nearly perfect, why didn’t I get extra credit?"
After reading it, Chen Anchen was equally vexed.
In terms of skill, he was not inferior to Li Jingsheng. As for whether his pharmaceutical skills could reach Li Jingsheng’s current level, it’s hard to say.
After all, improving in pharmaceuticals is extremely challenging.
It requires doctors to continually observe the effects in clinical use, summarize, and then improve.
Ultimately, they need to have a thorough understanding of the efficacy and pharmacokinetics of various common drugs.
Because modern medicine is highly developed, the variety of drugs is ever-increasing, and it’s almost impossible for doctors to grasp every drug thoroughly.
Being well-acquainted with some common medications is already excellent.
Both his and Hu Jia’s answers missed the mark.
The examiner was testing drug safety, yet they focused on the surgery proposal. No matter how brilliant their answer, it was in vain,
both of them inwardly cursed the examiner concurrently for being cunning.
So tricky.
"The answer session has concluded, with teams from twenty-three hospitals successfully earning extra credit. That’s quite impressive. Those who didn’t earn extra credit shouldn’t be discouraged. This question still prioritized the emphasis on safety. The supplementary examination data provided indicated that the patient had cirrhosis and impaired liver function. In such a situation, injecting the local anesthetic drug procaine can easily lead to toxic reactions due to the patient’s slowed metabolism.
In fact, during the surgery, the doctor had only cut through the cortex and subcutaneous tissue and hadn’t yet reached the knee joint fracture reduction stage when the patient showed signs of eyes rolling upwards and fixating blankly.
The nurse immediately measured the patient’s blood pressure, finding it unmeasurable.
The patient’s breathing also stopped.
The pulse in the major cervical arteries was absent.
The surgeon immediately performed emergency treatment on the patient, administering 1 mg of adrenaline, tracheal intubation for artificial respiration, and external cardiac compression. A cardiac monitor was then set up for the patient, and the ECG showed ventricular premature beats with ventricular fibrillation.
The doctor immediately defibrillated the patient, but it was unsuccessful.
They then repeatedly gave the patient adrenaline injections and administered sodium bicarbonate, atropine, and other treatments, including lidocaine.
Despite multiple rescue attempts, the patient’s life could not be saved.
This case was brought out as an extra credit item. The examiners’ committee had good intentions, aiming to sound the alarm for every healthcare professional present. Safety is no small matter, and all potential risks must be heeded."
The host didn’t rely on the manuscript for reading.
Presumably, she didn’t possess medical knowledge in this area.
After all, she had both looks and eloquence and didn’t need to rely on being a doctor for a living.
Any adult who possesses a skill can make a living.
At most, if they are unlucky, they might enter an obscure or sunset industry and not earn much. More severely, they could become unemployed.
"We will now enter the formal competition phase. There are ten cases, please submit your respective surgery proposals. The adjudicating committee will prioritize the teams with highest scores for performing surgeries. Each team may choose only one case to answer, and a total of twenty surgery opportunities will be offered, so cherish each opportunity."
It’s similar to the digestive surgery competition from yesterday.
Those who don’t pass the theory stage have no chance of entering the operating room.
If nothing unexpected happens, it will certainly be another round of deciding winners and losers.
For surgical proposals on bone trauma, Li Jingsheng is not skilled, so in this round, it’s mostly about participation for him.
Luckily, both Chen Anchen and Hu Jia are very strong, and after discussion, they chose question six.
Leader Chen Anchen submitted the surgery proposal.
After the results came out, seven hospital teams answered question six, including the team from Qiaobang Hospital.
It can only be said that the Second Hospital was truly unlucky.
In the end, the result was predictable; the orthopedic team from Qiaobang Hospital won the priority to perform the surgery and happily went into the operating room to perform surgery on the patient.
"This is really frustrating. How did we end up clashing with the giant that is Qiaobang Hospital?"
Chen Anchen was originally full of confidence.
The surgery qualification being snatched away by Qiaobang Hospital’s team left him truly frustrated.
Skill matches are fundamentally a victory for the strong.
Failing to seize surgical opportunities is also a sign of weakness.
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