This doctor has a system

Chapter 480 544. She is a good girl

The second student was a girl who represented the true level of most master's students. The professor simply asked her two questions and let her pass.

The third student was a fat boy. He was the first disciple of Director Yu from the Department of Respiratory Medicine.

Director Yu is relatively young. He only obtained the qualification to supervise master's students three years ago, and no students applied to him at that time.

The purpose of taking a master's degree exam is definitely to find a job. Most students prefer instructors who are department heads, vice presidents, or presidents, who have a say.

Newcomers like Director Yu are definitely not favored.

After all, he is just a beginner in the field as he has just obtained the qualification to supervise graduate students. The probability that he can help students with their employment in the future is very small.

The fat guy was called Wu Xun. He initially applied to the cardiology department, but he was obviously overweight and people who didn’t know him thought he had acromegaly.

The major of cardiology has always been quite popular, and there are many choices for instructors, but the fat guy Wu Xun was passed.

The people in the Graduate School saw that he had good grades and felt it was a pity so they suggested that he be transferred.

Wu Xun didn't want to go back and fight for another year, so he agreed. Director Yu happened to have not recruited any students either, so the two hit it off and hugged each other and cried.

As the first disciple, Wu Xun took care of everything for Director Yu, including food, clothing, housing and transportation. The two of them ate together, made rounds, applied for research projects, and did experiments. Sometimes it was so late that they even slept in the same office.

Director Yu’s wife initially thought her husband had come out, and even came over to watch him for a few days. Fortunately, she didn’t find anything.

Unfortunately, Wu Xun's ability is average. Although he has received all-round and in-depth guidance from Director Yu in the past three years, he has not achieved any results in scientific research.

Director Yu later gave up on him and only used him as a secretary.

"Did you write the graduation thesis?" a director expressed doubt.

"It's definitely not him. He doesn't have that level of ability." Another director said with a smile.

The military hero on the stage had sweat on his forehead and his eyes involuntarily looked towards his mentor.

"This is a hopeless case!" Director Yu cursed in his heart.

“Hahaha, everyone saw through it,” Director Yu laughed awkwardly, “I helped him write a few paragraphs, and he completed the rest by himself.”

The acknowledgments were written by Wu Xun himself, and the instructor did not lie.

"Oh, it's really not easy for you, Old Yu." A director sighed.

"I can't help it. This is my first disciple. I have to serve him well." Director Yu laughed dryly, "I just want his reputation."

He also helped Wu Xun find a job, and he put aside his pride and put on a smile to find a lot of people. Now Wu Xun has started a trial job in the ICU of the center.

Although working in the Provincial Hospital's Central ICU is hard and tiring, the people who come in have tried their best. Director Yu almost sold his job for this. It makes me sad just thinking about him. It's not easy.

Gao Feng felt that he was quite lucky in this military achievement, as he met a good mentor, but it might also be because he was the founding disciple.

Most supervisors are very special to their first students. They will really care about them, carefully guide them in their projects, and try their best to teach them knowledge during ward rounds.

As the number of students he taught increased, this enthusiasm was worn away. It may also be that there were too many students and the instructor could not take care of them all.

Gao Feng will also supervise graduate students this year. His situation is different from others, and Z University has communicated with him about this. If nothing goes wrong, he will be assigned a position among the seven-year undergraduate and master's students.

But there is another very important thing next, which is the intermediate professional title examination.

You can take the intermediate professional title examination 4 years after graduating from undergraduate school, or 1 year after graduating from master's degree school. If you pass, you can be called an attending physician.

Some provinces have higher requirements. For example, H Nan requires that applicants must have a registered medical practitioner qualification certificate and meet the above time requirements.

Gao Feng graduated with a master's degree and will also take the exam this year.

There are different opinions on the difficulty of the questions in the intermediate professional title examination. In a nutshell, it is not difficult if you know how to do it, and it is not difficult if you don’t. Some people take the exam for several years in a row before they can pass it, while others get high scores in the first year.

For Gao Feng, this is obviously a very trivial thing.

The examination was held at the new campus of HNan University of Finance and Economics, about half an hour’s drive from the Provincial Hospital. Li Zheng drove and Li Youliang was responsible for logistics support.

Li Zheng was very excited. His time had finally come in handy.

Some time ago, Gao Feng was either in Beijing or abroad, and Li Zheng was bored every day. He would clean the car and start it every two days, and then go back to lie down.
I always feel ashamed of the salary I get.

"Who the hell is so showy? He even has a driver to take him to the exam!" A candidate squatting in the shade complained, "I curse him to fail!"

"What's wrong? Are you jealous?" someone next to him laughed.

"What do you think? I'm so jealous."

"That's Director Gao from our Provincial Hospital!" The candidate who had just complained suddenly recognized Gao Feng, "Director Gao! Over here!" He shouted, "We're in the same examination room!"

He waved his arms vigorously and successfully attracted Gao Feng's attention.

"Director Gao, I'm Xiao Ma from the Department of Cardiology." The candidate Xiao Ma was very attentive. "Please sit down." He directly pulled up a candidate who was sitting on the steps.

"You are blind, why don't you give up your seat to Director Gao!"

"Hello, Director Gao." The candidate who was pulled up was also from the Provincial Medical University, and he quickly greeted Gao Feng.

"Hello." Gao Feng replied with a smile.

"Director Gao, why did you come to take the exam in person? Isn't this a waste of your time?" Xiao Ma said, "You should call the leaders of the Health Commission. With your achievements..."

Not only did I come to take the exam in person, I also came to eat in person, Gao Feng thought.

Thanks to the loud voice of the candidate Xiao Ma, many candidates around turned their eyes to Gao Feng, which made him embarrassed.

"Fuck, this is Gao Feng." Someone whispered.

"Which Gao Feng?"

"The one from Yangtze River Scholars!"

"Oh oh oh, him!"

"Why is he still taking the intermediate exam?"

"I've just graduated from my master's program for a year, so I'm going to take the intermediate exam, right?"

"That's outrageous!"

"Have some water." Li Youliang handed Gao Feng a bottle of Pocari Sweat. "Why don't we go to the front?" He could see that Gao Feng was feeling uncomfortable.

"Row!"

But unexpectedly, Gao Feng was recognized again as soon as he got to the front.

"Professor Gao!" a middle-aged man shouted at him.

Gao Feng looked up and quickly remembered the other person's identity: Deputy Director Jiao of the Medical Administration Department of the National Health Commission.

"You still, Director Jiao."

"Professor Gao, what are you doing here?" Deputy Director Jiao was a little puzzled. "Come to invigilate? This is a bit of a waste of talent!" "I'm here to take the exam." Gao Feng whispered.

"Ah?!" Deputy Director Jiao was stunned.

Finally entering the examination room, Professor Gao breathed a sigh of relief for some reason.

The first subject was basic knowledge, which was very simple. He started clicking with the mouse and finished it in more than 20 minutes.

With 70 minutes left and no permission to hand in the paper early, I had no choice but to sit there in boredom.

Thinking about the four more doors to come, Gao Feng looked a little worried.

However, the torturous time will always pass. Just as Gao Feng was about to board the train to the capital, he received a new task.

"Director Gao, who do you think is more responsible in this matter?" asked Director Liu from the Nephrology and Rheumatology Department.

"I think they are all about the same. If we are to be more serious, the hospital may have a greater responsibility." Gao Feng replied.

The two were on their way to a prefecture-level city at the time. The cause of the incident was a medical dispute that had recently caused a lot of controversy on the Internet.

The title of the media report is quite eye-catching: A female college student who was seven months pregnant died after being treated for kidney disease.

The report described it in great detail: Lili, who should have been a sophomore in college, is now separated from her family.

In May this year, Lili, who was attending college at the time, gained weight. She was taken to a people's hospital in southern H by her family for a check-up and was diagnosed with nephrotic syndrome.

After five days of hospitalization, he was transferred to a higher-level hospital for emergency treatment due to the severity of his condition, but eventually died.

What puzzled her family was that when Lili was transferred to a higher-level hospital for treatment, she was not diagnosed with nephrotic syndrome. Instead, she was found to be more than seven months pregnant and the fetus was stillborn.

"My daughter was misdiagnosed with kidney disease, mistreated, and treated with large amounts of hormones. She underwent a kidney puncture surgery, which ultimately led to her death," said Lili's father, Mr. Pang.

In order to find out the cause of his daughter's death, the father, Mr. Pang, applied for a technical appraisal of the medical accident, but the People's Hospital of a certain city did not submit the appraisal materials, resulting in the suspension of the appraisal.

To sum it up in one sentence: the girl gained weight, was diagnosed with nephrotic syndrome, but was later found to be pregnant and eventually died.

Lili's parents, Mr. and Mrs. Pang, have been working in other places in recent years and only return to their hometown in their spare time.

On May 5 this year, when Mr. Pang and his wife returned to their hometown, Lili, a sophomore in college, also returned home.

The couple found that their usually thin daughter had gained a lot of weight and was a little breathless when doing housework. Lili told her mother that she had a stomachache, but no other discomfort.

Mr. Pang thought Lili might be sick, so he took her to the nearest People's Hospital.

After a series of examinations, Lili was diagnosed with nephrotic syndrome and was admitted to the hospital's nephrology department for treatment.

The medical records issued by a certain city people's hospital showed that the diagnosis upon admission was nephrotic syndrome, pleural effusion, pericardial effusion, pneumonia, and anemia.

"After admission, the patient will undergo relevant examinations, undergo renal puncture biopsy, and receive hormones, anticoagulation, kidney function protection, urine protein reduction, anti-infection and symptomatic treatment."

The ward rounds records for many days also noted "severe nephrotic syndrome" and "nephrotic face".

A few days later, Lili suddenly had difficulty breathing and fell into a coma, so the Nephrology Department invited doctors from other departments for a consultation.

In the consultation opinion, the doctor recommended symptomatic treatment with intravenous injection of furosemide, doxofylline + methylprednisolone. After endotracheal intubation and ventilator treatment were ineffective, he was transferred to the First People's Hospital of the city for emergency treatment in the early morning of May 5.

But to Mr. Pang’s surprise, during the rescue at the First People’s Hospital of the city, the doctor discovered that Lili was pregnant and the fetus was stillborn.

The rescue record showed that "the patient's abdomen was swollen, similar to that of late pregnancy, and color Doppler ultrasound indicated pregnancy." After consultation, it was considered that it was pregnancy with heart disease, intrauterine fetal death, and gestational age was 31 weeks+.

On the morning of May 5, Lili was transferred to the Emergency and Critical Care Center for Pregnant and Lactating Women of the City Central Hospital. The diagnosis was consistent with that of the First People's Hospital of the city, and a cesarean section was immediately arranged for her.

After the operation, Lili remained in a coma and died on May 5.

This is all the information Gao Feng got. There are many doubts in it, which can only be answered after he arrives at the place.

They arrived at their destination at almost 12 noon. Someone was waiting for them at the door, and the two sides quickly got in touch.

"Two experts, let's eat first."

Gao Feng and the other man had no objection. After they had a simple meal, someone led them to a large conference room.

The organizer was the local Health Commission. After the incident was reported by the media, the hospital's image was greatly affected and the Health Commission also suffered considerable pressure.

They specially invited some experts here today to make a final conclusion on this medical dispute.

Soon the attending doctor was called over. He was about 30 years old and looked a little tired.

"The patient is already 7 months pregnant, didn't you notice?" an expert asked, his tone full of doubt.

"I can't tell. She's fat all over and her belly isn't noticeably swollen." The doctor in charge replied with his head down.

"Didn't you have a physical examination?"

"I checked, but maybe my level is not good enough." The doctor in charge answered the question weakly.

"I saw in the medical record that the last menstrual period was on the 25th of last month." Gao Feng asked, "Did you write this casually? Or was it provided by the patient or family members?"

"The patient provided it himself!" The doctor in charge was a little excited when talking about this. "I don't know why she said that, otherwise it wouldn't be necessary..."

It was obvious that the patient lied. She was already seven months pregnant, so how could she have her period?

"She also said she had no sexual history." The doctor in charge was a little indignant. "Could it be that the child just appeared out of thin air?"

"My mistake was that I trusted the medical history provided by the patient too much, otherwise this wouldn't have happened!"

"You have been working for several years. Don't you know that we can't trust everything patients of this age say?" An expert said this with a feeling of disappointment, "especially when the patient is accompanied by his parents."

“I didn’t think that much at the time.”

Gao Feng shook his head helplessly. He had encountered such a thing before when he was studying for his master's degree.

At that time, he was working in the outpatient clinic with his mentor, Director Kong. A 15-year-old student came with abdominal pain, nausea, and vomiting, and his family requested a gastroscopy.

After the gastroscopy, Director Kong felt inexplicably uneasy, especially when he saw the girl's arms covered with tattoos.

The anesthesia was about to be injected when Director Kong asked them to stop and asked about the patient and family again. Both the patient and family denied it.

"Let me tell you, even though my daughter has tattoos, drinks, and has her hair permed, she is definitely a good girl!"

"Then let's check the urine HCG. We still need to rule out pregnancy." Director Kong said.

"Fuck you! Are you mentally ill?" The girl's father was a little irritable, but because Director Kong was very tough, he finally took his daughter to the laboratory while cursing.

The result, of course, was that he became a grandfather, and the man was so excited that he screamed.

This incident once again illustrates the importance of a comprehensive physical examination. Women of childbearing age must routinely rule out pregnancy!

However, there are also some difficulties in actual work. For example, once the doctor asks whether the patient has a history of sexual life, the family members often firmly deny it, and once the doctor tells them that pregnancy needs to be ruled out, the family members often resist a lot.

However, during the medical treatment process, patients have the obligation to explain their true condition, as explaining the true condition is the basis for correct diagnosis and treatment of the disease.

(End of this chapter)