Chapter 180 I know the liver of every patient
He said "admiration" but he never looked at her from beginning to end.
Su Tang stood there, expressionless, looking at the male doctor in a white coat in front of her.
I plan to see what other choking tricks this guy has next.
Oh! Young people! You are so arrogant!
What kind of people have I not met in all these years? What kind of novels have I not read?
Don't think I don't know that your move is called - Mental Level·Stimulation·Precise Strike·Opponent Style!
Su Tang stood there expressionless. When she was in the Imperial Hospital, she had seen many provocations that were more blatant than this.
Although being a doctor is a sacred profession, people who work in this field are ordinary people, and as human beings they have their own ideas and pursuits.
But if you, Zhonghai Hospital, want to take first place, you have to show your real ability!
What's the point of doing evil things?! I advise you to change your ways as soon as possible!
“Ahem!”
Su Tang cleared her throat and was about to reprimand the male doctor in a white coat in front of her.
Even if you look gentle, doing this kind of thing is just a disgrace to your manners...
Not far away, a doctor wearing black-framed glasses and with a slightly plump figure saw the scene in front of him, slapped his thigh, and quickly ran towards the direction of Su Tang and the other two. The doctor with black-framed glasses panted and shouted as he ran: "Zhou Li, Zhou Li! You are wrong, you are wrong! The one next to you is Su Tang, the one next to you is the one with the surname Su!"
Yao Wen: “……?”
Su Tang: “……???”
The doctor in black-framed glasses panted and exclaimed, feeling embarrassed and annoyed. He clasped Zhou Li's shoulders with both hands and said, "What's wrong with you, Mr. Zhou? I told you that you were the one closest to our examination table! How come you made the mistake again?!"
"Fuck! If you have face blindness, you should be aware of it! Can you please not talk to other people for no reason when I and other colleagues are not around?" The doctor in black-framed glasses was furious and roared angrily.
Zhou Li: “……………………”
The companions' voices were so loud that this time not only Su Tang and Yao Wen looked at Zhou Li, but also the others around them looked over here silently.
A group of people's eyes were all focused on Zhou Li.
Zhou Li felt an inexplicable burning sensation from the people around him, which instantly made his back stiffen. He felt as if someone around him wanted to penetrate his brain, open his skull, and look at the structure of his brain. What kind of strange structure could cause prosopagnosia?
"Ahem!" Su Tang politely looked away, coughed twice to cover up her embarrassment, and changed the subject: "It turns out that Dr. Zhou has prosopagnosia. I thought Dr. Zhou was deliberately trying to cause trouble by mistaking me for someone else."
"That's not possible... Zhou Li is definitely not that boring." The doctor in black-framed glasses wiped the sweat from his forehead and explained awkwardly: "Don't look at my colleague who has been a top student since he was a child. He has ranked first in every exam in his undergraduate, master's and doctoral studies, but he has had prosopagnosia since he was a child. There is nothing we can do."
"......Yeah." Zhou Li nodded, but his expression was slightly empty and numb, as if he had lost all hope.
Su Tang: “…”
Su Tang scratched her head a little awkwardly and asked curiously, "Since you have prosopagnosia, why did Dr. Zhou want to be a doctor? Wouldn't other professions, such as the military, or other professions that don't require much social interaction but only require good skills, be more suitable?"
The medical profession also places great emphasis on skills, and it is even an industry where the older a doctor gets, the more popular they become.
But this does not deny that doctors need to deal with many people on a daily basis and it is a profession that requires relatively more social interaction.
Yao Wen also looked at Zhou Li with some curiosity. She was a little suspicious whether this man would not recognize his patient after treating him. And what about when he goes to the operating table? Doctors have to confirm the patient's identity several times before going to the operating table.
Maybe it was because Yao Wen's eyes were too curious.
Prosopagnosia is just about not being able to recognize people, not being able to read facial colors, so Zhou Li thought about it and explained seriously: "Although prosopagnosia will make me lose the ability to recognize the patient's face, but... as a hepatobiliary surgeon, I know the liver, gallbladder, and spleen of every patient."
"Although they are the same organs and have the same functions in name, each patient's liver, gallbladder, spleen and pancreas are different. I just need to remember them and distinguish them."
Su Tang: “…”
I don't know why, but I always feel that Doctor Zhou's voice is a little aggrieved.
“Yes, that’s right! Even though our Doctor Zhou often fails to recognize his colleagues in the department because of their new hairstyle or clothes, our Doctor Zhou remembers the liver and gallbladder of every patient! If you ask him to perform surgery on a hepatobiliary surgery patient now, even 5 or 10 years later, Doctor Zhou will not forget it!” The doctor with black-framed glasses finally found a way to save face for Zhonghai Hospital. He patted Zhou Li on the shoulder and said a lot of things about Zhou Li.
It turns out that although Zhou Li is a face-blind patient, he has a very good memory since he was a child. He skipped grades in elementary school, middle school, and even completed all subjects in college in advance. Therefore, although Zhou Li is only 27 years old this year, he has actually been a deputy chief physician for more than 3 years.
Because of this, the opponent directly obtained 40 additional points in the on-field assessment.
Of course, unfortunately, Zhou Li was young and not experienced enough, and he never expected that those simulated patients could do the nesting dolls continuously!
"If it weren't for this, our Brother Zhou would definitely be able to get 50 extra points, right Brother Zhou?!" The doctor in black-framed glasses smiled, revealing his big white teeth, and praised him repeatedly.
Zhou Li glanced at the other party and said without any appreciation: "No, I really didn't see that the patient had chronic renal failure at that time. Chronic renal failure is mainly manifested by low back pain, increased nocturia, and general fatigue. But the other party never said that he had increased nocturia, so I had no idea about the situation. Although low back pain and fatigue are obvious in patients, there are too many symptoms and situations that can manifest low back pain and fatigue..."
All in all, he did not realize at first glance that the patient was suffering from chronic renal failure.
He had even seen Su Tang's video before, in which the doctor followed the main force and then sneaked back to the multimedia classroom to examine the patient. The entire examination process took less than three minutes for him to accurately diagnose that the patient had a gastric tumor.
It is difficult for doctors to diagnose gastric tumors when there are no symptoms, the patient does not disclose the diagnosis, and there is no gastroscopy data. It is even more confusing than chronic renal failure.
After all, they are just doctors, not fortune tellers.
This is also the reason why Zhou Li particularly admired Su Tang.
Doctor in black-framed glasses: “…………”
The stage he had built was forcibly dismantled by his friend, and he felt like punching him.
"Forget it, forget it. Just look carefully at the difference between me and Doctor Su. I have a mole on the tip of my nose. You must never call me the wrong person again!" Yao Wen waved her hands and touched her empty belly.
Su Tang also nodded: "There are only three female doctors in our hospital this time, and one of them wears glasses, but I don't. It should be easy to tell them apart."
As for how to identify who is from the Sixth Hospital, the white coats they wear are enough to explain it.
"Okay, Dr. Su."
Zhou Li nodded, pushed up his glasses, looked at Su Tang for a moment, and said seriously again: "I will take the third round of practical assessment seriously, and I hope Dr. Su will also take it seriously."
Yao Wen: “…”
Su Tang: “……?”
No, when did she stop being serious?
This person is here to stir up trouble, right?
If you can't speak, just say less!
………………
Qinggang Town, in front of the free temporary hospital.
"How are your legs? I saw you were walking down from the waiting area just now with the help of your legs. Has the treatment been particularly effective recently? You look like you will be well again soon." An old man with gray hair, wearing a thick black coat, and looking about 70 or 80 years old, looked down at Wei Yan's legs and said with a cheerful smile: "If your secretary Xiao Zhao hadn't called me, I wouldn't have believed that Chinese medicine treatment could really reach this level."
"Mr. Wu, I have to thank you for treating me back then. Otherwise, even if I found the right doctor this time, it would not be so easy to stand up." Wei Yan stared at the old man with a sincere voice.
The old man in front of you is Wu Lin, he is 76 years old this year and is a famous expert and academician in neurosurgery in China. When Wei Yan was injured in a car accident, it was the old man in front of you who performed surgery on him.
In recent years, he would go to Dr. Wu for a checkup basically once a year. After a few visits, the two sides became relatively familiar friends.
"Hey, how many times have you said this? There's no need to say this to me every time we meet... If you really want to thank me, show me your medical records, and when you go back, introduce me to this Chinese medicine master." As Elder Wu and Wei Yan walked into the temporary hospital, he smiled cheerfully and said, "I have more or less come into contact with the well-known Chinese medicine masters in the country. I'd like to meet this new master if I have the chance."
You know, neurosurgery is a department that often interacts with traditional Chinese medicine. Dr. Wu thinks it is very good to have the opportunity to communicate with each other occasionally.
"There's no need to wait to go back. The other party is here now." Seeing that Mr. Wu was eager to find someone to discuss medical skills, Wei Yan chuckled, shook his head, and pointed to the free temporary hospital next to him.
"Huh? Inspector?" Mr. Wu asked in confusion.
"No..." Wei Yan shook his head slowly and said with a smile: "She is a contestant this year. She led their hospital to first place in the last exam."
"Oh? The Chinese medicine master who treated you is so young? I must take a closer look this time..."
Old Wu raised his eyebrows and said cheerfully: "Young people are getting better and better nowadays. I have no choice but to admit my age. Let's go! Let's go and see that person. You can introduce him to us as well..."
Mr. Wu walked beside Wei Yan while joking.
Wei Yan walked slowly down from the car and sat on the wheelchair pushed by his bodyguard again. He raised his eyebrows and curled the corners of his lips, smiling: "No problem. I'm sure you two will have a lot to talk about."
…………
On the other side, after lunch, Su Tang and others returned to the clinic to continue seeing patients. However, since the clinic table was not fixed, Su Tang and Yao Wen were assigned to the warehouse this time.
The warehouse occupies a large area and is filled with treatment tables. If someone stands on the second floor of the warehouse and looks down, they can see a large crowd of people. Others from the imaging department and the laboratory department are also in the warehouse at this moment. The separate cubicles on the other side are busy. Although Su Tang can diagnose most patients without these instruments, she occasionally needs to use these auxiliary equipment to make her data more accurate.
However, after sitting here and seeing five or six patients in a row, Su Tang discovered that many elderly people here have arthritis due to the influence of the geographical climate and long-term labor. The incidence rate of ordinary people over 65 years old is 30%, but Su Tang felt that the number here was obviously higher than this.
Of course……
Arthritis is a common disease among middle-aged and elderly people around the world. It is not surprising that the incidence rate and number of patients are high.
However, this disease will lead to a serious decline in the patient's quality of life, and because it is a chronic disease, it can only be treated to relieve but not cure.
When he was in the Sixth Hospital, when Mr. Zhou and his friends had arthritis, they would ask her to give them an injection and drink some herbal soup.
But she would have to go back to Qinggang Town soon, and the average income in Qinggang Town was relatively low, so she always had to buy soup and medicine, and eating medicinal food was not cheap either...
I recall the common wild medicinal herbs I saw on the roadside while sitting on the train along the way.
Su Tang talked about folk remedies with a patient again, and said that he would go to pick some herbs nearby. After everyone took note, they could go up the mountain to dig and crush them and apply them to the joints of the affected limbs.
Although the efficacy of the medicine is certainly not as good as the treatment method of acupuncture combined with herbal soup and medicated diet, it is cheaper.
Arthritis is a chronic disease with a high morbidity rate and requires long-term treatment.
Therefore, a folk remedy that is cheap, convenient, and fairly effective for the residents of Qinggang Mountain is definitely more attractive than the former.
When Su Tang was explaining the earth compress prescription to the patient, he didn't notice Wei Yan and Wu Lao who had just arrived.
Elder Wu looked at Su Tang, then at the other doctors around him, nodded and said, "The doctors who can treat you are really good. They just arrived at noon today, right? They actually know what common medicinal herbs are around Qinggang Mountain."
Being able to think from the patient's perspective and have empathy is an essential skill for doctors.
In many hospitals, some doctors will even pay out of their own pocket to treat patients when the situation is really difficult and urgent.
But it is not easy to come up with such a folk recipe in a short time based on local conditions.
It takes strong observation skills and rich work experience to efficiently produce such a piece of earthwork.
Considering that Wei Yan's body was almost recovered now, Wu Lin could easily conclude that this folk remedy should be quite effective.
Wei Yan, Wu Lin and others stood aside, along with bodyguards, the person in charge of the exam, and relevant staff from the local investment promotion department. Before long, a large group of people gathered around Wei Yan and his party, but most of them did not dare to get too close, probably because of their status or because the bodyguards were too fierce.
This strange sight not only attracted the attention of local residents who were receiving medical treatment in the warehouse, but also attracted the attention of many candidates and examiners.
Yao Wen had just finished seeing the last patient when she subconsciously patted Su Tang on the shoulder and said excitedly, "Oh my God! Isn't that Academician Wu?! Our director used to travel a long way to listen to Academician Wu's public lectures! And that one! Isn't that Wei Yan who we often see in newspapers and magazines?! Oh my God! Why is he here too?! Is their company sponsoring this time?!"
Yao Wen was so excited that her cheeks turned red, and her right hand was so excited that she kept patting Su Tang's shoulder with such force that Su Tang almost died on the spot.
Su Tang looked up and saw Wei Yan's familiar face. She sighed and said that Dr. Yao had not changed his face, but had become a different person. She simply said, "Their company has recently been doing online medical care, and has also joined forces with medical insurance and other medical-related industries. It is normal for them to be invited to sponsor the National Hospital Ranking Practice Competition."
It may be difficult for ordinary medical schools to attract sponsorship for such a competition.
However, the scale of the National Hospital Ranking Competition is so large, it covers such a wide range of areas, and it is a public welfare project organized by the higher authorities, so many companies are scrambling to donate money to sponsor it.
During lunch time, Su Tang had already heard from contestants from the Sixth Hospital and other hospitals.
This time, the government, the Red Cross, and corporate sponsors not only brought in various common instruments, such as B-ultrasound machines, electrocardiograms, blood collection and testing equipment, but also laparoscopes and other surgery-related equipment, as well as 30 of the most advanced operating vehicles. These operating vehicles are equipped with not only operating beds and operating lights, but also various surgical instruments, anesthesia ventilators, medicines, and more.
It would not be easy to obtain so many things without commercial sponsorship.
"Online medical treatment? But online medical treatment has little to do with Qinggang Mountain..."
Yao Wen blinked and sighed: "This guy is still in a wheelchair and came all the way here. Sigh... I would definitely ask someone else in the company to come. I didn't expect that Mr. Wei would do it himself. No wonder he was able to make the company so prosperous in just a few years."
Su Tang: “…………”
There is no need to exaggerate.
However, the other party did work very hard every day. Recalling the busy look of Wei Yan working and reading documents in the room when he was giving the other party an injection every morning some time ago, Su Tang had to nod her head.
Although they were acquaintances, Su Tang didn't think too much about it, nor did she plan to deliberately greet and make friends with them when everyone rushed forward.
But sometimes, many things are just coincidental.
Su Tang was about to look away when her eyes met with Wei Yan's in the crowd.
Su Tang blinked: "..."
The other person was clearly sitting in a wheelchair, with quite a few bodyguards and other people around him, but his pair of dark and deep pupils happened to meet Su Tang's gaze.
The man's facial features were clearly defined, and his deep, dark eyes were like the finest black gemstone. Originally, things like gemstones were hard, cold, and unattainable. But at this moment, those eyes, which were like black jade, suddenly seemed like ice turning into spring water, and his eyebrows curved.
Although the curve of her eyebrows was not big, it made Su Tang involuntarily stunned.
The sunshine in early winter is not scorching. The light golden sunlight slowly falls from the sky, shines through the glass windows of the warehouse, and sprinkles on the man's cheeks, making his handsome and extraordinary features even more charming, casting a little shadow under his sexy Adam's apple, and even making his slightly curved peach blossom eyes tinged with a little golden light, making him look gentle and seductive.
Su Tang felt as if she was scalded. Her pupils shrank and her ears involuntarily turned slightly red.
It’s difficult. No wonder there is a song that says - Male beauty misleads people.
…………
Since Su Tang and his team arrived at Qinggang Town at noon, there were not many patients to see in the afternoon. Those patients who were far away from Qinggang Town would have to wait until tomorrow or the day after tomorrow. Seeing that many new patients were being shared by the contestants, and thinking that she would have to wait for the next patient to sit at the clinic for a long time, Su Tang simply packed up, found a local girl, and climbed up the nearby back mountain to pick common herbs for treating arthritis.
According to Su Tang's plan, she planned to pick the herbs she saw on the train first, and then find a printer to print out these common herbs in the form of pictures and text annotations. If someone wants to use this prescription to treat arthritis, he can get a paper version of the drawings and see the real objects for reference. With both methods, the probability of making a mistake will be greatly reduced.
In addition, the prescription she chose this time was relatively mild, with a total of six common ingredients, such as Centella asiatica, which can even be often seen in the fields, and it was crushed for external application. Even if one or two of these patients really mistook weeds for medicinal materials when picking herbs, there would be no problem. At most, the efficacy of the external application medicine for arthritis would be poor or ineffective, and it would not cause other problems.
This is also the streamlined approach that Sutang decided to take after repeated consideration.
"This green, copper coin-like weed is called Centella asiatica, and is sometimes called copper coin weed by others... It should be very common in the weeds on the ridges of fields and vegetable plots on weekdays..." Su Tang and his companions had gathered the three medicinal materials for the external application prescription just by walking to the edge of the field before they went up the mountain.
As she dug the edge of the field, she introduced a small piece of green Centella asiatica, saying, "This grass can clear away heat and detoxify, eliminate swelling, kill bacteria and promote wound healing. It is especially effective for external application in the treatment of injuries such as bruises."
In fact, in addition to these effects, Centella asiatica also has good effects in treating abdominal pain, lowering blood pressure, viral hepatitis and jaundice. Of course, those need to be decocted or added with other herbs.
Su Tang didn't intend to say more. He smiled and placed two bunches of Centella asiatica dug from the ridge of the field in the hands of the guiding girl. He briefly discussed with her the identification and processing of Centella asiatica.
However, as we walked...
Su Tang realized that although Qinggang Mountain was not suitable for growing rice and wheat, the local climate and environment were good, which actually provided unique advantages for growing many medicinal herbs. In just less than half an hour, she discovered sixteen kinds of Chinese medicinal herbs one after another, some of which grew on the edge of the field and some grew in the grass.
Although these herbs are extremely common, this is enough to show that the local environment is indeed good.
In recent years, the government has gradually begun to attach importance to traditional Chinese medicine, and I believe that the demand for Chinese herbal medicine will gradually increase in the future.
Su Tang was thinking in his mind, let alone anything else, once the batch of Chinese patent medicines for improving immunity were produced by the pharmaceutical factory, approved and verified by patients, the pharmaceutical factory would surely need to purchase a large amount of the medicinal materials.
"Isn't it possible to consider investing in and building a medicinal material planting base near Qinggang Mountain? To improve the local people's livelihood..." Su Tang murmured in a low voice.
Although it was only a few hours, Su Tang had already seen that the average economic conditions of the residents in Qinggang Mountain were indeed not very good.
If she has the ability, Su Tang would also like to contribute.
There are fewer large-scale planting bases in China today, and the demand for Chinese medicine is not as great as that for Western medicine, but this does not mean that it will always be this way in the future.
Just looking at general internal medicine practitioners such as Xiong Wei, we can see that the vast majority of doctors do not reject traditional Chinese medicine. As long as it can treat patients accurately, quickly and well, everyone is willing to try it, whether it is traditional Chinese medicine or Western medicine.
Black cat or white cat, a cat that can catch mice is a good cat.
As long as more people can feel the charm of traditional Chinese medicine in the future, I believe that both the number of traditional Chinese medicine practitioners and various large and small medicinal material planting bases will increase and get better and better.
"But..."
These have to be considered in the long term. At least we have to wait until that batch of Chinese patent medicines are approved and the company starts to make profits before we can consider setting up a medicinal material planting base in Qinggang Mountain.
Otherwise, without money, everything is just empty talk...
Su Tang carefully observed the path leading up the mountain, and his nose was filled with the fragrance of plants in the jungle.
Not long after, under the guidance of a local girl, Su Tang quickly found the other three medicinal herbs he wanted.
By the time the two of them walked back to the warehouse along the path they had come from, the sky, which had originally had some sunshine, had gradually become gloomy. The cold wind blew through the treetops, and the grass and trees made a series of sparse sounds.
"Oh, Dr. Su, I have to go home! Looking at the weather, I think it's going to rain soon." The girl looked at the weather and said goodbye to Su Tang.
The girl was a local and one of the local volunteers providing free medical treatment. Su Tang waved goodbye to her, and the girl's back soon disappeared from Su Tang's sight.
…………
Su Tang was so absorbed in thinking about the medicinal materials base that he was even a little distracted while eating.
However, several other colleagues from the Sixth Hospital who were having dinner with me briefly asked about Su Tang's drug collection, and then they chattered about their medical consultation this afternoon.
Someone said that when taking an X-ray today, he saw a patient with particularly beautiful bones. The curvature of the femoral head in the X-ray was more standard and perfect than what was shown in the textbook.
Someone said that he was assigned to the pediatric department today. In addition to treating more than a dozen children, he also accompanied several children to watch cats and mice for the whole afternoon. One of the children was reluctant to leave during dinner, and was finally taken away by his parents by the collar.
This person is highly suspicious and will be able to see him in the pediatric department tomorrow to look after cats and mice.
However, Jiang Haichao and Deputy Director Han of the Department of Cardiovascular Surgery said at the table that they had seen several patients today and would start operating in the operating room tomorrow.
One of them is a minor surgery for esophageal polyps, and the other is an interventional surgery for coronary heart disease, which only requires the placement of a heart stent. Because they need to fast before the surgery and do some simple preoperative preparations, several patients are staying in temporary wards today, with their family members accompanying them.
A group of people sat at the dining table and had a brief conversation, finishing their dinner quickly.
However, just after finishing the meal, Secretary Zhao came to find Su Tang.
Secretary Zhao came in with a generous attitude, standing beside the table, looking at Su Tang with a smile and said, "Doctor Su, I wonder if you have time now. Mr. Wei wants you to help. By the way, Mr. Wu Lin wants to talk to you about Mr. Wei's condition."
Facing everyone's slightly strange gazes, Su Tang blinked, spoke briefly to Yao Wen and others, then followed Secretary Zhao out of the cafeteria.
Secretary Zhao and Su Tang didn't make much movement, but many people in the restaurant kept their eyes on them.
You should know...
Wei Yan and others were not low-key when they came, but Secretary Zhao was dressed in a suit and tie, wearing gold-rimmed glasses, with a refined, handsome and elite look, which was truly memorable.
In addition, the video of Su Tang's second assessment was widely circulated from yesterday to today, and many people looked at the two of them with curiosity.
Especially in the first examination, he dissed Guo Jiang Haichao and Su Tang's Wei Kai at the entrance of the examination room.
Wei Kai stared at the two people walking away from him in disbelief. He used a spoon to stir up some rice, but he couldn't swallow it...
"Could it be that what Jiang Haichao said the day before yesterday was true? Did Dr. Kent really go to the Sixth Hospital to seek cooperation with them?..."
Otherwise, why would the secretary of this rich man go to see the doctor at the Sixth Hospital for no apparent reason?
Wei Kai, who originally thought that Jiang Haichao was lying the day before yesterday, felt mixed emotions for a moment.
Many other contestants were just as curious and puzzled as Wei Kai.
They couldn't believe that a famous person like Wei Yan would seek treatment from a young doctor like Su Tang. However, Su Tang's identity and the results of the second exam made it seem both unexpected and reasonable.
While everyone was thinking in confusion, Su Tang and Wu Lao were already chatting in the room.
Dr. Wu is a man of profound knowledge and excellent temper. Su Tang possesses the memory of two lifetimes and his knowledge reserve is not inferior to that of Dr. Wu. He can quote from classics and recount many eye-catching medical records.
The two talked about Wei Yan's illness, the cancer project that Su Tang is currently researching, and the neurological project that Mr. Wu is recently researching.
The two sides chatted enthusiastically and their conversation became more and more euphoric, but at this time, heavy rain began to fall outside the house.
The rain was pouring down, making a rustling sound, and it was getting heavier and heavier...
A fierce cold wind blew in through the half-open doors and windows, and at the same time, following the cold wind, there were chaotic cries for help from downstairs.
"Help! Doctor! Help! My dad fell down the hillside and hit his head on a rock. He's bleeding a lot!" Downstairs, the girl's helpless cries mixed with painful cries for help pierced through the wind and rain and penetrated into the ears of everyone in the temporary hospital!
In front of the temporary hospital.
Two villagers rode a donkey cart in the storm and arrived at the hospital in the dark. On the donkey cart, a man whose face could not be seen was lying quietly, and next to him was a girl about fifteen or sixteen years old, crying loudly with a hoarse voice.