Chapter 77 The Nanny's Niece's Counterattack
"Tetralogy of Fallot is a heart malformation caused by incomplete development of the right ventricular infundibulum or conus medullaris. It mainly includes four anatomical malformations, of which... there are several." She recited the exact same knowledge as in the textbook, while also supplementing the parts of Yang Mingjie's answer that were insufficient.
"It's a congenital heart disease. Besides the symptoms I just mentioned, clubbing is the most common sign, and it's also accompanied by developmental delays, cyanosis of the lips and nail beds." Actually, she could have said more, but after thinking about it, she realized she had already covered the main points, so there was no need to continue.
After hearing this, Deputy Director Liu didn't stop and asked another question, "What should we do when we encounter this kind of patient?" This had a bit of a testing feel to it, since there weren't exact questions and answers in the book, and some questions required personal understanding.
The attending physicians nearby felt they might not be able to answer adequately, let alone Yang Mingjie. Just as he was worrying about Lin Wei, she remained calm, saying, "First, assess the patient's condition. If the patient's condition has worsened, palliative surgery can be performed first..."
"And palliative surgery is..." A whole string of words came out of her mouth. She seemed to know the knowledge in the book very well, and could basically repeat it one by one. At the same time, she did not completely follow the book and included her own subjective ideas.
After listening to all the answers, Deputy Director Liu finally smiled and said, "Not bad." He could see the potential in her to pass the talent development program.
His gaze fell on Yang Mingjie. "You still need to work harder when you get back." If he can't even answer such a simple question, what will happen when Director Zheng comes back?
If Director Zheng is good-natured and has low expectations of him, that's not a good thing. It just means we should give up on him. Since we've given up, there's no need to be strict with him anymore.
Upon hearing this, Yang Mingjie immediately nodded, and then a large group of people began to check the next room.
Cardiac surgery, as the name suggests, is all about the heart. Heart disease is divided into congenital heart disease and acquired heart disease. Apart from Tetralogy of Fallot, which we just saw, most of the patients admitted here are patients with coronary heart disease, valvular heart disease, and cardiac tumors. And surgery basically involves open surgery.
The next patient underwent valve repair surgery.
Deputy Director Liu stopped asking the attending physicians and looked at Lin Wei, asking, "Under what circumstances should valve repair be performed, and under what circumstances should valve replacement be performed? What should we pay attention to for this patient three days after surgery?"
Upon seeing this, all the attending physicians looked somewhat surprised, not expecting him to continue questioning the young girl. Yang Mingjie, on the other hand, felt a pang of pity for her, as she had actually been caught up in questioning by the deputy director.
These questions weren't difficult in themselves, but being asked them suddenly would make most people a little nervous. If someone wasn't familiar with the subject, they certainly wouldn't answer very well. However, Lin Wei surprised everyone once again. Not only did she answer, she answered very well.
"Heart valve repair is suitable for patients with mild valvular disease and good mobility..." The voice was clear, very organized, and unhurried.
Ding Hong counted the points he had come up with in his mind, and they were actually not as comprehensive as hers. This girl, fresh out of school, was really smart.
However, the question posed by Deputy Director Liu relieved the group of people. When they usually make rounds and the director asks them questions, they say it's impossible not to be terrified. They all have to review the medical records of the patients under their care again, for fear of being stumped.
Ding Hong picked them up today, so he didn't really look at them much. If you asked him, he definitely wouldn't be able to give a complete answer. Although Deputy Director Liu doesn't swear, his aura is too strong. If he really doesn't know how to swear, he would feel a little guilty.
Thank goodness.
After checking the rooms, the only impression the group had of Lin Wei was that she was a young girl who had memorized knowledge quite well.
"This one today is stronger than the ones we've seen before." Putting everything else aside, his knowledge is quite impressive.
At this moment, Lin Wei and Yang Mingjie were called into the office and given two documents by Deputy Director Liu. "Director Zheng isn't here, but you still need to learn what you need to learn. Don't relax. Take these two documents back and take a good look at them. The schedule hasn't been arranged for you yet, but I'll have Dr. Ding send you the schedule later." This Dr. Ding was the doctor who had come to pick them up earlier.
Deputy Director Liu: "Because you are different from ordinary clinical interns, you have to stay after the day's work to take exams." The written exam is the easiest; the difficult ones are the practical exam and their usual performance.
"At the same time, pick a few patients, write a few long medical records, and learn from other doctors how to write case reports." He didn't specify how many to write; they could decide the quantity themselves.
After Yang Mingjie left, he asked Lin Wei, "How many patients do you want to write about?" He was a little unsure about the amount.
Lin Wei stopped and glanced at him. "Of course, I wrote it all down." This was a great opportunity to understand the patient's condition. Although it was a bit troublesome, the gains would be enormous if it was all written down.
Yang Mingjie initially thought she was joking, but seeing her serious expression and the actual actions she took, he believed her.
He gave a wry smile.
What could he do? She had already done all that; they were both participants in the Talent Strengthening Program. Could he not do the same? At this point, Yang Mingjie felt that having someone by his side wasn't so bad after all. At least whatever she did, he couldn't do less than her.
It's easy to imagine how the department heads would feel if she did all the patients' medical records while he only did one or two. So he had no choice but to follow suit.
On the first day, nothing much happened. Since Dr. Ding Hong hadn't admitted any patients yet, he took the two of them to admit patients and taught them how to write medical records.
Both of them were very intelligent, especially when it came to studying. Even if they didn't understand something, they would pick up a pen and notebook and write it down, so they quickly grasped the key points.
This is much better than those fifth-year clinical interns.
Lin Wei didn't do much all day except learn how to write medical records, sit there looking at materials, and occasionally log onto an unused computer to see how doctors order tests and prescribe medications.
Yang Mingjie followed suit after seeing this.
Other doctors who witnessed this chuckled, remarking, "These two are quite amusing; the older one seems to habitually listen to the younger one."
"The main thing is that the girl seems very clever and smart, and the boy is also quite smart. He doesn't know what he should do, so he learns from those who do." So unlike the previous few people, who were disorganized and like headless flies, following behind them every day.
It's one thing for fifth-year clinical interns—everyone trains them this way—but they're not under their supervision, so why should they follow them around? It's quite normal that they were sent back back then.
Logically, Lin Wei should be very happy to have entered the clinical phase, especially since the task is so easy. However, her intuition tells her that this is not the most important part yet. If it were, she wouldn't be unable to get even one person through the plan.
So what else is difficult? Although she has to stay behind every day to take the exam, as long as she knows the scope of the exam, the exam is not difficult for her.
Because of this, she still felt she should make some preparations, so when she returned to her rented room in the afternoon, she took out some videos to watch, which were about mitral valve commissure dilation and separation, mitral valve replacement, etc. Each video took several hours to watch, so she could only watch them slowly.
However, having a good memory has its advantages. She can basically remember everything she has seen, so it's not too difficult. Not to mention, for every step she goes through, she analyzes why it is done this way and what the purpose is. She even thinks about why she can't take another approach. She approaches these things with a thoughtful mind. If she doesn't know something, she writes it down on paper and searches for it online one by one. If she can't find the answer, she goes to the department to ask the doctor. If the attending physician doesn't know, she goes to ask Deputy Director Liu.
By this time, she had basically confirmed that he knew her. This "knowing" wasn't about their involvement in the talent program, but rather based on her acquaintance with Elder Wei. He might not know her background, but he knew she had powerful connections.
That's true. With Director Zheng not around, Dean Lin would have to find him, wouldn't he? He doesn't usually like people with connections, but the participants in the Talent Strengthening Program are different. They have certain abilities and have gone through layers of tests to get here, so his attitude is still normal.
As for the care that Dean Lin mentioned, he did take care of it.
It would be a shame not to put some pressure on someone with good learning abilities so that they can grow.
The only thing he hadn't expected was that Lin Wei was even more stubborn than he had imagined, and there were some questions she asked that he didn't know how to answer.
Some spells are conventional and unwritten rules. When he learned this spell, no one asked why he had to use it, so he really didn't know why.
"If you want to know why, then look at the papers; it's all there." Every advancement in surgical techniques and methods, if not found elsewhere, will definitely be documented in the papers.
Because of this, Lin Wei went to look at the paper again, as she was very familiar with finding papers.
Meanwhile, Director Zheng also learned about the situation of the two students from Deputy Director Liu. When he heard Yang Mingjie's name, he didn't react much, but when he heard Lin Wei's name, he exclaimed in surprise, "It seems you quite admire that girl from University A?" Otherwise, you wouldn't have spoken in that tone.
Deputy Director Liu: "You'll understand once you meet her. She's different from the other students. She's very ambitious and proactive in asking questions and learning." Her ambition isn't surprising; what's more, she learns very effectively. Although Yang Mingjie is also excellent, she's not as eye-catching as the one who came before her.
After listening, Director Zheng said, "I have to wait another day before I can go back here. Please keep an eye on things over there for now."
"By the way, how did you schedule the shifts? If you didn't schedule them, start adding night shifts for them from today. How can medical students not stay up late?" If they're lucky, they won't encounter any patients during the night shift. If they're unlucky, they'll be very busy.
What's the point of a mundane life? Of course, you need some excitement!
When Lin Wei and Yang Mingjie heard this, they were surprised. Working the night shift? And the last shift at night? So soon?
Deputy Director Liu: "This is what Director Zheng said. You should prepare yourselves, but an attending physician will be with you, so there's no need to worry too much." As for the attending physician being distracted by other matters and having no one to resolve the issue, that's practically impossible.
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