Chapter 18
Translator: Atlas Studios Editor: Atlas Studios
“Examiner, my score is 30 points.”
A tall male candidate stood up first, pride written all over his face.
“Yes, very good. What’s your name? Which school are you from?”
The examiner looked at this examinee with admiration.
“My name is Gao Jian. I graduated from the Imperial Capital Medical Academy with a postgraduate degree. I interned at Renhe Hospital.”
This brother was obviously the kind of person who liked to show off.
His face was filled with confidence and pride.
However, his conditions were indeed extremely dazzling.
The Imperial Capital Medical Academy was the best medical school in basic medicine.
It was much better than the Tu Ya Medical School that Zhou Can attended.
Tu Ya Medical School did not have high academic achievements in basic medicine. It was actually at the bottom and was more inclined to clinical medicine and could barely squeeze into the top 10 in the country.
In recent years, the reputation of Tu Ya Medical School has increased thanks to the rapid development of Tu Ya Hospital.
“So you’re a top student from the Imperial Capital Medical Science Academy and have undergone an internship at the top hospital in the capital. No wonder you could get full marks. Share your diagnosis with everyone.”
After the examiner heard Gao Jian’s introduction, he could not help but look up to him.
Imperial Capital and Renhe Hospital were the ceiling of all hospitals in China. Its academic and scientific achievements, various high-risk treatment rates, and medical team were all the best in the country.
Being able to intern at the top hospital in the country was definitely a shining point in his resume.
Gao Jian looked around and smiled calmly. “There are two points in my diagnosis. The blood test report shows an increase in troponin. Yes, troponins are the hallmark of myocardial necrosis. However, serum myoglobin is the most sensitive indicator in the early stages of the diagnosis of acute myocardial infarction. The increase in the patient’s troponin did not increase to more than twice the level.”
He paused for a moment, his disdainful gaze revealing everything.
“Next, I looked at myoglobin, creatine kinase, and other similar key indicators. There were slight fluctuations, so it was basically normal. I began to suspect that the patient might not have an acute myocardial infarction. So I continued to look at the electrocardiogram carefully. At first glance, it was indeed quite similar to the electrocardiography of a myocardial infarction, but it was just a little lacking compared to the straight cardiac infarction electrocardio cardiogram.”
“How should I put this feeling? It’s like a tiger and a cat. They look similar, but the cat’s body is much smaller and lacks the king’s might that a king of beasts should have. If we encounter a cat on the road, no one will be afraid of it. If we meet a tiger while playing in the mountains, we will immediately be frightened and flee. This patient’s ECG is the ‘cat’ that looks more like a tiger.”
As expected of a top student from the Imperial Capital Medical University. He was indeed awesome.
The solid medical foundation he displayed made Zhou Can feel ashamed of his inferiority.
Zhou Can’s diagnosis was completely different from his.
“With these two findings, I’ve basically diagnosed that the patient might only have symptoms of a myocardial infarction. Hence, I added a coronary angiography test. The results are as I expected. The coronary artery is normal. I think it’s necessary to investigate the cause of the patient’s illness. After investigation, the patient lost his job not long ago and suffered a divorce. He suffered a huge blow. That’s why he has chest pain and difficult breathing. The treatment plan I prescribed is oral tranquilizers. Then, I suggest psychological counseling.”
This treatment plan was similar to Zhou Can’s.
However, Zhou Can didn’t prescribe any tranquilizers. This thing had a certain negative effect and reliance.
It was best not to use it if he could.
It was like drowning one’s sorrows with alcohol.
From this perspective, it could be seen that the teaching philosophy of Tu Ya Medical School was very different from that of the Imperial Capital Medical School.
Tu Ya was more inclined towards national medicine and had incorporated some of the essence of Chinese medicine.
The Imperial Capital Medical School was connected to the world’s most developed Western, North American, and Japanese countries. It focused on Western medical theory, and its diagnosis and treatment plans were also more Westernized.
Both had their own strengths.
It could not be said who won or lost. It could only be said that both could cure the illness.
Zhou Can’s treatment method was better from the perspective of the patient’s interests. Even though the effect was slower and required the patient to untie the knot in his heart and slowly recover, there was an old saying in China. It was called ‘breaking down before rebuilding’. A patient who stood up from a blow would be reborn and be stronger than before.
On the other hand, a brilliant treatment plan was fast-acting, but it would also imperceptibly weaken the patient’s will. After walking out of the haze, the patients’ hearts would become stronger, but it would be very limited. After all, they walked out with the help of medicine.
In addition, the patient had to bear the negative effects of taking tranquilizers for a long time, such as insomnia, constipation, and so on.
From this point of view, Western medicine was actually very bad. It cured the patient’s current illness, but it also created other illnesses.
Traditional Chinese Medicine and Western Medicine.
Perhaps one day, the concept of TCM’s treatment would be pursued by the world.
“Alright, thank you for your brilliant sharing. Now, those examinees below 10 points understand why their scores are so low, right?”
Those examinees below 10 points lowered their heads in shame.
No one shouted that the system’s score was wrong anymore.
So embarrassing.
Gao Jian sat down proudly.
He probably thought that he was the only one who had diagnosed it correctly from his smug expression.
Among the examinees, many girls looked at Gao Jian with admiration in their eyes. Even the proud and beautiful Yang Chan could not help but take a few more glances at him.
It was easier to win the girls’ favor and admiration with talent.
Otherwise, why would the ancients say that everything was inferior except for studying?
Zhou Can had never liked to be ostentatious. He had always disdained things like snatching credit and showing off.
From the current scoring situation, he would definitely not be inferior to Gao Jian.
However, it was very likely that his theoretical score was A+.
This brother’s medical foundation was too strong after all.
“Next, let’s enter the second segment of the interview, medical skills. It’s divided into four parts: dissection, suture, ligation, and hemostasis. The total score is 60 points.”
The examiner got everyone to understand what hellish difficulty was.
The previous theoretical and pathological diagnosis was more inclined to internal medicine.
Now, he was going to test his surgical skills.
That was a proper requirement for an all-rounded talent!
Zhou Can was very well-prepared, so he looked exceptionally calm.
Looking at the examinees who had not practiced their surgical skills well, they felt a little uneasy.
“With the advancement of modern medical technology, the use of surgical medicine has become more and more widespread. The line between internal and external medicine has begun to blur. Internal medicine, interventional surgery, minimally invasive surgery, stent surgery, and other surgeries are all based on the four basic medical skills of the surgical department. Internal Medicine is the foundation of disease diagnosis and treatment ideas. Surgery is a sharp blade in treatment methods. It is called a double blade for treatment along with medicine. When the two swords are combined, there will be no illness in the world.”
The examiner enthusiastically explained the importance of surgery.
“Due to the restrictions of the equipment, the medical skills examination is divided into the initial and second examinations. Those with outstanding results in the initial examination have a chance to enter the second examination. Our staff will distribute a piece of pork skin and a set of dissection and suturing tools to each candidate. After receiving it, make a wound of about four centimeters according to the knife position marked on the pork skin and suture it.”
When Zhou Can heard that it was sutured pig skin, he couldn’t help but grin.
This is my forte!
He had stitched up so many pig skins that he could not remember the quantity.
It would probably have to be calculated in tons.
The other candidates also revealed relaxed expressions. Dissecting and suturing the pig skin was not a difficult technique.
All the examinees present knew how to do it.
The pig skin and tools were quickly distributed. After the examinees received them, they could not wait to show their skills.
Zhou Can also obtained a piece of pig skin and a set of dissection and suture tools.
The knife position was marked on the pig skin.
His Level Three incision came in handy at this moment.
He stared at the scalpel position and sized it up. He could see the patterns on the pig skin and further deduce the approximate distribution of the nerves and blood vessels below.
Severing the vascular nerves was a big taboo when making an incision on a patient.
Just think about it. He originally only wanted to cut off a conscientious tumor on his leg. In the end, he cut off the motor nerves in his leg. Uh-oh, the patient was most likely crippled.
This would become a medical accident.
Zhou Can easily made a wound on the pig skin with his resident doctor-level incision. It was about four centimeters long.
It perfectly avoided the possible nerves and blood vessels.
“Eh, why is there a mechanism inside?”
He found two thin red catheters and a white catheter inserted under the skin. He would most likely have cut the catheters if he wasn’t accurate.
The red catheter represents the hidden arteries and blood vessels, and the white catheter stands for the important nerves.
The examiners had really put in a lot of effort to help the hospital choose talents.
Next was the suture of the wound.
This was also Zhou Can’s forte.
His five basic medical skills were all at Level Three and had no weaknesses.
The suturing speed was fast and good.
It only took him about eight minutes to complete the incision and suture.
After checking that there were no mistakes, he raised his hand and handed in his work.
The examiner was quite surprised to see an examinee complete it so quickly.
He took a closer look. Oh, isn’t this the young man that Deputy Section Chief Hu praised so much?
“Zhou Can, why are you raising your hand?”
“Reporting to the examiner, I have completed my surgery!”
Many examinees were still carefully cutting open the pig skin when they heard that someone had already completed the surgery. They could not help but be shocked.
They turned to look at Zhou Can.
Gao Jian, who had been in the limelight during the pathological diagnosis, had already stitched up about half of the wound.
He couldn’t help but look up at Zhou Can when he heard that someone else had completed it first.
“The surgery is not like other surgeries. It’s easy to be sloppy if you do it quickly. I’m afraid his results won’t be good.” He lowered his head and continued suturing nonchalantly. This young man was a little too eager for quick success. There was a high chance that he would be eliminated.
This was the second time Yang Chan had heard Zhou Can’s name today.
When she heard that Zhou Can had completed the surgery so quickly, she was first stunned. Then, she felt a sense of pity. Zhou Can’s surgical skills were average to begin with. It was foolish of him not to suture properly and insist on fighting for the title of being the earliest to complete.
What was the use of an empty reputation?
The surgery results were the key to advancing.
She sighed slightly.
“Examiner, my score is 30 points.”
A tall male candidate stood up first, pride written all over his face.
“Yes, very good. What’s your name? Which school are you from?”
The examiner looked at this examinee with admiration.
“My name is Gao Jian. I graduated from the Imperial Capital Medical Academy with a postgraduate degree. I interned at Renhe Hospital.”
This brother was obviously the kind of person who liked to show off.
His face was filled with confidence and pride.
However, his conditions were indeed extremely dazzling.
The Imperial Capital Medical Academy was the best medical school in basic medicine.
It was much better than the Tu Ya Medical School that Zhou Can attended.
Tu Ya Medical School did not have high academic achievements in basic medicine. It was actually at the bottom and was more inclined to clinical medicine and could barely squeeze into the top 10 in the country.
In recent years, the reputation of Tu Ya Medical School has increased thanks to the rapid development of Tu Ya Hospital.
“So you’re a top student from the Imperial Capital Medical Science Academy and have undergone an internship at the top hospital in the capital. No wonder you could get full marks. Share your diagnosis with everyone.”
After the examiner heard Gao Jian’s introduction, he could not help but look up to him.
Imperial Capital and Renhe Hospital were the ceiling of all hospitals in China. Its academic and scientific achievements, various high-risk treatment rates, and medical team were all the best in the country.
Being able to intern at the top hospital in the country was definitely a shining point in his resume.
Gao Jian looked around and smiled calmly. “There are two points in my diagnosis. The blood test report shows an increase in troponin. Yes, troponins are the hallmark of myocardial necrosis. However, serum myoglobin is the most sensitive indicator in the early stages of the diagnosis of acute myocardial infarction. The increase in the patient’s troponin did not increase to more than twice the level.”
He paused for a moment, his disdainful gaze revealing everything.
“Next, I looked at myoglobin, creatine kinase, and other similar key indicators. There were slight fluctuations, so it was basically normal. I began to suspect that the patient might not have an acute myocardial infarction. So I continued to look at the electrocardiogram carefully. At first glance, it was indeed quite similar to the electrocardiography of a myocardial infarction, but it was just a little lacking compared to the straight cardiac infarction electrocardio cardiogram.”
“How should I put this feeling? It’s like a tiger and a cat. They look similar, but the cat’s body is much smaller and lacks the king’s might that a king of beasts should have. If we encounter a cat on the road, no one will be afraid of it. If we meet a tiger while playing in the mountains, we will immediately be frightened and flee. This patient’s ECG is the ‘cat’ that looks more like a tiger.”
As expected of a top student from the Imperial Capital Medical University. He was indeed awesome.
The solid medical foundation he displayed made Zhou Can feel ashamed of his inferiority.
Zhou Can’s diagnosis was completely different from his.
“With these two findings, I’ve basically diagnosed that the patient might only have symptoms of a myocardial infarction. Hence, I added a coronary angiography test. The results are as I expected. The coronary artery is normal. I think it’s necessary to investigate the cause of the patient’s illness. After investigation, the patient lost his job not long ago and suffered a divorce. He suffered a huge blow. That’s why he has chest pain and difficult breathing. The treatment plan I prescribed is oral tranquilizers. Then, I suggest psychological counseling.”
This treatment plan was similar to Zhou Can’s.
However, Zhou Can didn’t prescribe any tranquilizers. This thing had a certain negative effect and reliance.
It was best not to use it if he could.
It was like drowning one’s sorrows with alcohol.
From this perspective, it could be seen that the teaching philosophy of Tu Ya Medical School was very different from that of the Imperial Capital Medical School.
Tu Ya was more inclined towards national medicine and had incorporated some of the essence of Chinese medicine.
The Imperial Capital Medical School was connected to the world’s most developed Western, North American, and Japanese countries. It focused on Western medical theory, and its diagnosis and treatment plans were also more Westernized.
Both had their own strengths.
It could not be said who won or lost. It could only be said that both could cure the illness.
Zhou Can’s treatment method was better from the perspective of the patient’s interests. Even though the effect was slower and required the patient to untie the knot in his heart and slowly recover, there was an old saying in China. It was called ‘breaking down before rebuilding’. A patient who stood up from a blow would be reborn and be stronger than before.
On the other hand, a brilliant treatment plan was fast-acting, but it would also imperceptibly weaken the patient’s will. After walking out of the haze, the patients’ hearts would become stronger, but it would be very limited. After all, they walked out with the help of medicine.
In addition, the patient had to bear the negative effects of taking tranquilizers for a long time, such as insomnia, constipation, and so on.
From this point of view, Western medicine was actually very bad. It cured the patient’s current illness, but it also created other illnesses.
Traditional Chinese Medicine and Western Medicine.
Perhaps one day, the concept of TCM’s treatment would be pursued by the world.
“Alright, thank you for your brilliant sharing. Now, those examinees below 10 points understand why their scores are so low, right?”
Those examinees below 10 points lowered their heads in shame.
No one shouted that the system’s score was wrong anymore.
So embarrassing.
Gao Jian sat down proudly.
He probably thought that he was the only one who had diagnosed it correctly from his smug expression.
Among the examinees, many girls looked at Gao Jian with admiration in their eyes. Even the proud and beautiful Yang Chan could not help but take a few more glances at him.
It was easier to win the girls’ favor and admiration with talent.
Otherwise, why would the ancients say that everything was inferior except for studying?
Zhou Can had never liked to be ostentatious. He had always disdained things like snatching credit and showing off.
From the current scoring situation, he would definitely not be inferior to Gao Jian.
However, it was very likely that his theoretical score was A+.
This brother’s medical foundation was too strong after all.
“Next, let’s enter the second segment of the interview, medical skills. It’s divided into four parts: dissection, suture, ligation, and hemostasis. The total score is 60 points.”
The examiner got everyone to understand what hellish difficulty was.
The previous theoretical and pathological diagnosis was more inclined to internal medicine.
Now, he was going to test his surgical skills.
That was a proper requirement for an all-rounded talent!
Zhou Can was very well-prepared, so he looked exceptionally calm.
Looking at the examinees who had not practiced their surgical skills well, they felt a little uneasy.
“With the advancement of modern medical technology, the use of surgical medicine has become more and more widespread. The line between internal and external medicine has begun to blur. Internal medicine, interventional surgery, minimally invasive surgery, stent surgery, and other surgeries are all based on the four basic medical skills of the surgical department. Internal Medicine is the foundation of disease diagnosis and treatment ideas. Surgery is a sharp blade in treatment methods. It is called a double blade for treatment along with medicine. When the two swords are combined, there will be no illness in the world.”
The examiner enthusiastically explained the importance of surgery.
“Due to the restrictions of the equipment, the medical skills examination is divided into the initial and second examinations. Those with outstanding results in the initial examination have a chance to enter the second examination. Our staff will distribute a piece of pork skin and a set of dissection and suturing tools to each candidate. After receiving it, make a wound of about four centimeters according to the knife position marked on the pork skin and suture it.”
When Zhou Can heard that it was sutured pig skin, he couldn’t help but grin.
This is my forte!
He had stitched up so many pig skins that he could not remember the quantity.
It would probably have to be calculated in tons.
The other candidates also revealed relaxed expressions. Dissecting and suturing the pig skin was not a difficult technique.
All the examinees present knew how to do it.
The pig skin and tools were quickly distributed. After the examinees received them, they could not wait to show their skills.
Zhou Can also obtained a piece of pig skin and a set of dissection and suture tools.
The knife position was marked on the pig skin.
His Level Three incision came in handy at this moment.
He stared at the scalpel position and sized it up. He could see the patterns on the pig skin and further deduce the approximate distribution of the nerves and blood vessels below.
Severing the vascular nerves was a big taboo when making an incision on a patient.
Just think about it. He originally only wanted to cut off a conscientious tumor on his leg. In the end, he cut off the motor nerves in his leg. Uh-oh, the patient was most likely crippled.
This would become a medical accident.
Zhou Can easily made a wound on the pig skin with his resident doctor-level incision. It was about four centimeters long.
It perfectly avoided the possible nerves and blood vessels.
“Eh, why is there a mechanism inside?”
He found two thin red catheters and a white catheter inserted under the skin. He would most likely have cut the catheters if he wasn’t accurate.
The red catheter represents the hidden arteries and blood vessels, and the white catheter stands for the important nerves.
The examiners had really put in a lot of effort to help the hospital choose talents.
Next was the suture of the wound.
This was also Zhou Can’s forte.
His five basic medical skills were all at Level Three and had no weaknesses.
The suturing speed was fast and good.
It only took him about eight minutes to complete the incision and suture.
After checking that there were no mistakes, he raised his hand and handed in his work.
The examiner was quite surprised to see an examinee complete it so quickly.
He took a closer look. Oh, isn’t this the young man that Deputy Section Chief Hu praised so much?
“Zhou Can, why are you raising your hand?”
“Reporting to the examiner, I have completed my surgery!”
Many examinees were still carefully cutting open the pig skin when they heard that someone had already completed the surgery. They could not help but be shocked.
They turned to look at Zhou Can.
Gao Jian, who had been in the limelight during the pathological diagnosis, had already stitched up about half of the wound.
He couldn’t help but look up at Zhou Can when he heard that someone else had completed it first.
“The surgery is not like other surgeries. It’s easy to be sloppy if you do it quickly. I’m afraid his results won’t be good.” He lowered his head and continued suturing nonchalantly. This young man was a little too eager for quick success. There was a high chance that he would be eliminated.
This was the second time Yang Chan had heard Zhou Can’s name today.
When she heard that Zhou Can had completed the surgery so quickly, she was first stunned. Then, she felt a sense of pity. Zhou Can’s surgical skills were average to begin with. It was foolish of him not to suture properly and insist on fighting for the title of being the earliest to complete.
What was the use of an empty reputation?
The surgery results were the key to advancing.
She sighed slightly.
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