Gou in the operating room to add some upgrades

Chapter 183 Assessment Failure and New Topics (Please subscribe)

Another hour passed, and Fang Xian came to No. 40, an MRI.

The difficulty coefficient in the front is on the high side, so the difficulty coefficient in the middle section drops slightly, probably to control the overall assessment time.

But the MRI image No. 40 made Fang Xian confused and confused again. He still had no idea what to do.

The written report stated: "There are no obvious abnormalities in the MRI, and the joints are developing and there are no obvious abnormalities."

On the MRI, we can also see some points that appear in the text prompts, that is, all developmental structures are normal!
Fang Xian couldn't find any abnormalities, so he started to grind out the details. The patient's gender was male.

Age, 19 years old.

Um?Male, 19 years old.

Fang Xian finally found a way to solve the problem——

When I looked at his pelvis, I found that the width of this man's pelvis was slightly wider than the width of a normal male's pelvis.

Such wideness is fine in terms of joint structure, but it does not match the gender of his logo.

Wrong gender?
There is no uterus, ovaries and appendages, and the first sexual characteristics are relatively obvious, so the gender is unmistakable.

In MRI, the identification of organs and the corresponding anatomical positions are the most basic basic skills. Even when he is the best, he will not get it wrong...

In other words, his pelvis does not look like a male's pelvis, but looks like the pelvis of a pregnant woman after pregnancy.

In layman's terms, it means you are pregnant, so your pelvis has made certain preparations for childbirth.

If such an MRI appears on a pregnant woman, it will definitely be fine, but if it appears on a 19-year-old boy?

male!

Still male.

Need to go back and review it again.

During the Level 3 assessment of MRI reading, the MRI display is used as the standard and the diagnostic report is only used as a reference.

Some people may not have a uterus but have ovaries.

There are also some girls whose epididymis has not descended completely, so they appear to be girls, so they have no uterus and ovaries...

The gender is correct, but there are abnormalities in the pelvis. This should not be normal!
Unfortunately, this patient's MRI only reached above the mid-abdomen and pelvis, and only a small amount of the femoral head appeared in the hip joint.

Therefore, Fang Xian was unable to determine secondary sexual characteristics——

That is, breast development.

How to diagnose this?
This is a very rigorous question, and there should be no doubts in medicine. If it is in clinical practice, you can draw blood to see his estrogen level.

but?
Wait!
Understood.

When Fang Xian was hesitating, he discovered that when he looked down from the axial position.

I saw that within a certain range above the epididymis, there was no special male hair.

This is exactly the symbol of the blue dragon!
If the patient is a boy of a few years old, then leave it alone, that's no problem.

19 years old, not too young, this is not normal.

Therefore, the diagnosis results came out. To be cautious, Fang Xian made the diagnosis: "Suspected hormone secretion disorder: sex hormone secretion disorder, suspected abnormal secretion of estrogen and progesterone."

"Pelvis is wide."

Therefore, the problem for this patient is not actually the wide pelvis, but the hair structure outside the body.

But it does not rule out that there is no hormone secretion disorder, but developmental delay.

Therefore, Fang Xian added another diagnosis: "Pubic hair loss syndrome?"

This is already the most comprehensive.

After all, this is only a unilateral display of nuclear magnetic resonance, and the final result still depends on many aspects to determine.It is already the limit to be able to see so many problems through nuclear magnetic reading alone.

Perhaps if there are more layers, more information can be collected.

If you encounter such a patient in clinic, you can also make a final determination through physical examination and other methods...

Time passed slowly, and finally it was the assessment time. At the fourth hour and 15 minutes, Fang Xian completed all 120 MRI scans, which took a total of only 2505 minutes.

This speed is already the limit that Fang Xian can reach!

The Level 3 assessment of MRI reading has come to an end.

It's just a little longer.

It seems that the assessment of film reading skills is much longer and more difficult than the assessment of basic medical skills.Fang Xian had also conducted assessments on other skills before.

But the length of time is relatively short...

But theoretical assessment is inherently different from skills.

The differences in assessment between skills must also be respected.

In the end, the overall score given by the assessment instrument was only 89 points.

This score was low, so the red light flashed again in the assessment room.

Although the MRI reading technique does not need to reach 100 points in the assessment, an overall score of 90 or above is the standard.

Obviously, this time, Fang Xian failed the test of reading 120 MRI scans——-
Fang Xian's scalp instantly started to feel numb.

Slightly flustered and confused, he looked at Zhou Cheng and Yang Yifeng, full of confusion.

Is this a joke?My MRI reading skills are level 5, which is the Ruyi level. Such strength should be equivalent to my operational level.

However, my operating skills are also shown as level 5, and now I can't even pass level 3 in MRI reading.

Isn't it because the whole world is joking with me? In fact, I am very good at it, and everything that happened before was just an arrangement deliberately set by someone?

When Fang Xian's Taoist heart collapsed, Professor Zhou Cheng's expression turned calm. When he looked in the direction of Yang Yifeng, he raised his chin and said, "How about it? Is my previous guess correct? You still don’t believe it!”

"As long as there are enough level 5 skills and fused together, we can handle the perfect skill test, at least a large part of it."

Ok?
Fang Xian's eyes moved.My heart began to slowly let go.

A test of perfect skills?

Isn’t this an assessment of Ruyi’s skills?
Let me just say, if this is a test of Ruyi-level skills, I will fail when I reach the level 3 MRI reading test. Then those professors in the imaging department, the professors in the imaging department at Shonan University Affiliated Hospital , all are at least Level 4 MRI reading techniques.

So how good do they have to be?
Fang Xian even thought for a time that there was something wrong with his panel. All this was just his unilateral imagination...

Professor Yang Yifeng sighed and murmured in a low voice: "Different paths lead to the same destination! Different paths lead to the same destination."

"The systematic nature of knowledge can produce qualitative changes after it is accumulated in a certain amount."

"Just like Lin Hui, as long as there are enough level 4 skills, you can use level 5 skills to fight, but you need a lot, is this what I mean..."

Zhou Cheng nodded and patted the stunned Fang Xian: "Stop being in a daze and go eat."

"You're not a failure, you're just not good enough. It's okay. This is an assessment of the perfect level of MRI reading. Your current ability can pass 3 levels. This result is enough to make you proud."

When Fang Xian heard that Zhou Cheng was so sure, he breathed a long sigh of relief: "Professor Zhou, I think the difficulty of this assessment is a bit high. There are some contents that cannot be dealt with simply by reading the film. "

"According to the Medical Association's analysis of level 5 skills related to image reading, it is only possible to deduce some theoretical changes in the displayed content through image reading."

"Level 1 looks at the gross anatomy and report, level 2 looks at the lesions, level 3 looks at the anatomy, level 4 looks at the layers, and level 5 can read the theory. But some of the imaging pictures here? They are completely beyond this scope."

If you don't understand, just ask. There is no shame in giving in in front of Yang Yifeng and Zhou Cheng.

"Yeah!~" Zhou Cheng nodded first.Then while turning off the assessment machines one by one, he explained: "In fact, at present, the Medical Association and our medical workers are not yet so comprehensive and detailed in the positioning and comprehensive control of abilities, and they need to slowly explore .”

"Many times, I have been thinking about this issue. Although medical surgical operations are divided into levels, how to design and evaluate a more scientific learning approach is a question I have been thinking about."

"I have done a lot of exploration and experimentation, but the latest theoretical test is about planning the learning route for perfect level skills, and I don't have a clue yet."

"If you just rely on talent to fight head-on, it will still be too difficult. The number of level 6 skills is very rare, and there are not many in the world. I am exploring whether there are other ways to achieve one. It is not as good as level 6 skills. But it can be a stronger way than level 5 skills.”

"So I discussed, researched and dissected it with Yang Yifeng, and finally planned out what would be the effect of the comprehensive integration of multiple level 5 basic skills?"

"This answer has never been perfected or figured out. After all, you also know how difficult it is to reach a certain level in so many basic skills, and in theory, to reach a relatively high level. .”

"It requires a person to give up too many things and march for a lifetime, and it may not be achieved."

"Such an experiment actually has average effects, but the price required for the test subjects is too high, so it has been stranded until you appeared..."

"Your theory is not bad, right? It's just that you haven't gone to the Medical Association for assessment yet." Zhou Cheng finally asked.

Fang Xian nodded when he heard this.

"Then it's time to go out and practice. What's the point of staying in the operating room of the trauma center all this time?" Zhou Cheng said, then tilted his head and asked: "Professor Yang, what are you going to eat for dinner?"

"I originally planned to go to Professor Luo's house for dinner, but you just happened to come back. I couldn't think of what to eat for a while?" Yang Yifeng looked at Fang Xian up and down as he spoke, full of admiration.

Then he emphasized: "Fang Xian has helped you such a big favor this time, why don't you thank him?"

"Isn't your Xiyin the same age as her..."

Zhou Cheng immediately tilted his head when he heard this: "Please be serious, why are you kidding me about this junior?"

"She can make the decision on Xiyin's affairs. What should we mix in..."

Fang Xian was beside him and understood what the two people meant, but he didn't know what to do.

Then he asked: "Professor Zhou, Professor Yang, when will we conduct the real advance plan assessment of skill levels?"

After passing the assessment as a first-level physician, Fang Xianhao entered the specialist department as early as possible, obtained the rank of attending physician as soon as possible, and then officially started working.

Now that I have a lot of money, if I can increase my salary and save for a year, buying a house is the right way.

Although there is no need to worry about treating patients and saving people and becoming the backbone of the department, making money is the right thing to do.

Although there are many rewards from competitions in the Central China Region, and although there are also many rewards from hospitals, can't they still get more?It is also something Fang Xian considers to improve his quality of life and make his parents happier.

I am not Professor Zhou Cheng or Professor Yang Yifeng, they have great wealth and freedom.

After possessing enough level 5 skills, the hospital should also give a talent introduction reward when applying for a job, and Fang Xian will naturally keep his eye on this money.

Take it with a clear conscience.

There is no comparison with professors, associate professors or even senior doctors, but the money that other doctors can get is what I deserve.Looking at the whole country, although Fang Xian does not dare to say that he is number one in his age group, ranking in the top ten is not an exaggeration.

Of course, you should keep the rewards that others can win. Who should you give them to?
"Just go directly to the Medical Association for the assessment tomorrow."

Yang Yifeng glanced at Fang Xian and said: "Thanks to you, our Hunan Medical Association is now stronger than ever. There are dozens of level 5 subject leaders gathered in our hospital to give you a simple basic The skill level assessment is still enough, and there is no need to apply for external examiners."

"Can do it anytime."

"You do well."

"When a person's ability reaches a certain level, his temperament will naturally change. Seeing that you are not guilty, we will have peace of mind."

"Also, when you are a doctor, it is best to have some grounding. Some people can't stand your strong ambition and have opinions about you. A huge opportunity passed by you and you didn't seize it. Do you know that? "

When Yang Yifeng said this, he still felt strange and walked around Fang Xian seriously: "Hey, you are a very stubborn person. You can't listen to anyone's advice, right?"

"What a great opportunity?" Fang Xian was puzzled.

Fang Xian looked at Yang Yifeng thoughtfully, and then at Professor Zhou Cheng.

I said in my heart, if there is really a chance, you two can take me as your student and keep me by your side to teach you well?

After understanding the relationship between major and basic, Fang Xian did not dare to compare himself to the sky.

In the medical world, for a disease that cannot be reversed by such a huge system, how could a young boy like me be able to reverse it with just three melons and two dates?
"A man who works hard for his career is destined to be unable to take care of other people's daughters. Naturally, he will not want to have more contact with you."

"This point, you should not learn from your senior brother Zhou, you should learn from me. You should learn to enjoy more as a human being. If it is not for enjoyment, then all your efforts will be in vain."

"Of course, enjoyment is not about lying down and showing off."

When Yang Yifeng spoke like this, Zhou Cheng wanted to defend himself.

"Zhou Cheng, don't quibble. What I said is a fact."

"If you don't believe me, go home and ask your wife, and then go home and ask my wife, who they think has the better husband?" Yang Yifeng asked sarcastically.

When Yang Yifeng reached this point, Professor Zhou Cheng finally remained silent, probably because he had nothing to say.

"Let's go eat hot pot..." Zhou Cheng thought for a while and decided.

"I have a bad stomach. You can go with your wife, children, and Fang Xian. The thing you chose is not for me." Yang Yifeng stretched and walked out. He changed his mind in an instant. I guess I don't want to go out to eat together anymore.

Seems to be a little angry.

But Zhou Cheng did not tell Yang Yifeng to stop. Instead, he patted Fang Xian on the shoulder and asked, "Can you eat hot pot?"

Fang Xian nodded.

Following Professor Zhou Cheng.

After going downstairs, Fang Xian discovered that Professor Zhou Cheng was riding a small electric donkey. He patted the back seat and motioned for Fang Xian to get on.

And when he was in the elevator, he sent a voice message to his wife, but the result was that the other party happily asked who was there, and when he heard that Fang Xian was there, the other party refused.

"Professor Zhou, does Professor An have any objections to me?" Fang Xian asked.

Professor An used to be a professor at Shonan University Hospital, but now he has resigned and he doesn’t know where he went.Fang Xian had met him at the last memorial service for Mr. Gui.

However, at that time, Fang Xian did not see that Professor An had any objections to him.

"You are overthinking. Your sister-in-law thinks that you and I may have something to talk about, and she doesn't want to get involved." Zhou Cheng replied, and handed another pink helmet to Fang Xian.

Although Fang Xian felt that this helmet was a bit too girly, he could only wear it.

For safety reasons, neither of them spoke on the way to the hot pot restaurant.

After sitting down and taking orders, and before waiting for the bottom of the pot to be served, Zhou Chengcai looked Fang Xian from side to side: "A very good young man, and he is very motivated. He is very good, and he will have a bright future in the future."

"It is probably higher than what your uncle can achieve." Zhou Cheng encouraged.

Fang Xian asked a more concerning topic: "Professor Zhou, with the current medical level so advanced, can the upper limit of damage to this disease still be limited to the current level?"

Zhou Cheng shook his head and nodded again: "The disease type of damage belongs to trauma surgery. The fact that it can guarantee a higher survival rate is a reflection of the development and advancement of medicine."

"Although the prognosis is limited, the number of patients with this disease is relatively small, and there are already some teams working on this disease, so naturally not everyone will rush in."

"The reason why you only see a poor prognosis for the disease type of malignant lesions is that you have not looked at the overall situation of the entire medical community. There are still many diseases that are more cruel than malignant lesions."

"Even if you ask me why I don't do something for these injured patients, I will answer that I can't spare the time. If my own family members hadn't encountered similar injuries, I wouldn't have spent too much money. I have to devote a lot of time and energy to this small disease."

"Let me ask you, are the number of radiation-related diseases large?"

"Are there many patients with cancer types?"

"How much do you know about the prognosis of geriatric diseases, basic diseases, heart-related diseases, and many congenital diseases..."

(End of this chapter)