Chapter 22 Adding drama is useless
The on-site assessment is conducted in an office on the fifth floor of the comprehensive office building.
Yu Zhiming walked into the slightly empty office and found five sets of tables and chairs placed on the east side, each with a man in his fifties or sixties wearing a white coat sitting on it.
The common features of these five people are gray hair, thin body, and stern face.
There were no identity badges on their tables, and Yu Zhiming was unable to connect the five evaluation experts introduced by Dr. Qi last night with the five people in front of him.
On the left side of the room door, there are two sets of tables and chairs, with two men in white coats, about thirty years old, sitting there.
In the middle of the room, there is an examination bed.
Yu Zhiming walked a few steps to the examination bed and stood beside it, then bowed to the five experts.
"Good morning, teachers!"
"I'm from the People's Hospital of Liyang County, Shandong Province..."
"Okay, no need to introduce yourself..."
The long-faced man sitting in the middle of the five people interrupted, "Doctor Yu Zhiming, we have your information and already have some basic information about you."
Without pausing, he turned and said, "Doctor Yu, please answer first. What are the three surgeries that you can perform independently and that can demonstrate your surgical skills?"
Upon hearing this question, Yu Zhiming immediately guessed that a practical surgical assessment might be arranged based on his answer.
Surgery in my country is managed in a hierarchical manner.
The surgery is divided into four levels, and the difficulty of the surgery increases gradually from level one to level four.
Generally speaking, county and township hospitals are responsible for level one and two surgeries, while level three and four surgeries are mainly performed by level three hospitals in provinces and cities.
In recent years, the operations that Yu Zhiming has studied and performed at the county hospital, such as abdominal hernia repair, appendectomy, and cesarean section, are all second-level operations.
Yu Zhiming had few opportunities to learn and practice the more complex level 3 surgery in the county hospital.
However, operations such as abdominal hernia repair and appendectomy, when performed under laparoscopic conditions, will increase in difficulty by one level and become level 3 operations.
Yu Zhiming is quite proficient in the use of laparoscopy.
He quickly screened the list in his mind and replied loudly, "Teacher, the surgeries I perform most often at the county hospital include laparoscopic abdominal hernia repair, laparoscopic appendectomy, and laparoscopic ovarian cystectomy."
The long-faced man nodded slightly at Yu Zhiming's answer, then raised his hand and pointed at the camera above the corner of the wall.
"Doctor Yu, this assessment is fully recorded and videotaped. If you have any questions later, you can request to review it."
After a pause, the long-faced man continued, "I heard you're particularly good at auscultation and percussion."
"Next, please give us a detailed demonstration."
"Wait, a volunteer will come in. You need to examine and report on his internal organ damage."
"Require……"
The long-faced man raised his voice and said, "Except for asking about pain reactions, volunteers are not allowed to ask any other questions."
“No instruments other than stethoscopes are allowed.”
“Don’t lift up the volunteers’ clothes.”
"Time limit: thirty minutes."
The long-faced man paused for a moment and asked, "Doctor Yu, do you understand the above requirements?"
Yu Zhiming nodded and said, "Teacher, I understand."
After receiving the response, the long-faced man waved to the young man in a white coat sitting near the door.
One of them got up and left, but returned less than a minute later with a thin, middle-aged man in a hospital gown.
The tall and thin man lay on the examination bed.
Yu Zhiming put on surgical gloves and after the long-faced man said "start the timer", he started to examine the tall and thin man.
He did not use the stethoscope placed beside him, nor did he ask the tall and thin man about his pain reaction. He first patted and pressed his chest to lower abdomen, giving him a rough examination.
After a rough inspection, Yu Zhiming was secretly shocked.
Where did you find this top-notch product?
How could a person be hurt to this extent?
There were two perforation repair surgery marks on the left lung;
The heart has two bridges;
One-quarter of the stomach was cut;
The right kidney has shrunk to only half the size of the left kidney;
Enlarged liver
No appendix;
The duodenum and cecum also had obvious surgical scars.
Yu Zhiming couldn't help but imagine what this man in front of him had experienced that caused his internal organs to be damaged to such an extent.
Considering that he was missing a rib and had multiple fractures and unhealed bones, Yu Zhiming guessed that this guy had suffered at least one serious accidental injury.
With so many internal organs damaged, he was still able to survive. This man's vitality is comparable to that of a cockroach...
Yu Zhiming calmed down and began to conduct a further detailed examination of the tall and thin man...
Nearly ten minutes later, Yu Zhiming finished the percussion and auscultation examination and stood up straight.
"Teachers, I've finished the examination. As for the injuries to the volunteers' internal organs..."
Yu Zhiming asked, "In order to describe it more intuitively and accurately, can I use a diagram to illustrate it?"
After communicating with each other, the five review experts agreed.
Sketching is a basic skill for doctors.
Because sometimes, doctors must use both pictures and texts to clearly express the problem and make others understand.
Yu Zhiming's sketching skills, even if not excellent in the medical circle, are considered quite good.
At least his sketches are clear and understandable to his peers.
When he was at the county hospital, whenever he encountered problems he didn't understand or couldn't solve while diagnosing patients, he would often draw sketches of his findings and consult with senior colleagues in the hospital.
After seeking help in vain at the county hospital, he would ask the patient to take the sketch to a large hospital for further diagnosis.
Colleagues at the county hospital all said that the symptom sketches drawn by Yu Zhiming were simpler and clearer than the image diagrams.
This is also one of the reasons why he is called "Human CT".
Because the tall and thin man had more internal organs damaged, and Yu Zhiming was quite particular about the details of the damage, even with the simple sketches, it took him nearly an hour and a half to draw all the internal organ damage that was discovered.
Fortunately, the experts did not rush and did not show any impatience on their faces.
Yu Zhiming also made a keen discovery.
After seeing his sketches, these judges looked at him differently.
From the previous businesslike review, there was an addition of inquiry, curiosity and appreciation.
Yu Zhiming knew that he was like a Tibetan wearing a robe, showing off his skills and initially winning their recognition.
Encouraged by this, Yu Zhiming began the second round of assessment with greater confidence.
The second round consisted of five patients, including men, women, young and old.
The requirement is that each person is limited to fifteen minutes and can only diagnose major diseases and provide treatment plans through questioning, percussion, auscultation and other means.
After careful diagnosis, Yu Zhiming found that the volunteer, who was nearly 70 years old, suffered from coronary heart disease and chronic obstructive pulmonary disease.
A ten-year-old child suffers from vitamin D deficiency rickets and atrial septal defect.
A 25-year-old female volunteer suffers from lupus erythematosus and hepatitis caused by lupus erythematosus.
A 40-year-old male volunteer suffered from gallstones and moderate liver cirrhosis.
The most recent one was an eight-year-old pregnant woman who suffered from hydronephrosis and gestational hypertension.
The diseases of these patients are not difficult or complicated.
Under Yu Zhiming's careful diagnosis, the disease was quickly confirmed and a treatment plan was given.
However, when diagnosing the last pregnant woman, Yu Zhiming also diagnosed that the umbilical cord of her fetus was wrapped around the neck.
The umbilical cord wrapped around the neck is not a big problem. You just need to pay more attention to fetal movement, fetal heart rate, etc.
However, Yu Zhiming would naturally not miss such a rare opportunity to show off.
He adjusted the fetal position of the pregnant woman on the spot.
The results naturally attracted the attention of several experts.
Yu Zhiming told them modestly that in addition to percussion and auscultation, he was also very good at adjusting fetal position.
He can effectively adjust difficult birth positions, umbilical cord around the neck, and even umbilical cord torsion through manipulation.
However, what disappointed Yu Zhiming was that several experts seemed to have no positive response to his added drama.
You know, Dr. Xi Zhen was quite shocked when he cured the fetus's umbilical cord torsion at Jinling Drum Tower Hospital.
Maybe they thought he was bragging?
The long-faced man looked calm as he packed up the diagnosis and treatment plan written by Yu Zhiming.
"This concludes the morning's assessment."
"Doctor Yu, at 2:00 PM, you will be performing a laparoscopic abdominal hernia repair surgery under our supervision..."
Please recommend! Please recommend! Please recommend!
(End of this chapter)
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