Chapter 336: Becoming an Exam for Seeing Patients
"Wait a moment." After the Expert said this, he began to go through the procedure, examining the other two candidates.
Those two were somewhat unconvinced; in their view, the teachers of the Expert Group had a different attitude toward Ji Xiang—it was clearly an inside job!
But they didn't dare to question it openly and answered the questions honestly.
After the few minutes of examination were over, the two lingered, wanting to leave but not doing so, preparing to see what kind of questions the judging teachers were going to ask Ji Xiang.
"Doctor Xiao Ji, I heard that a while ago, there was a Patient who was about to die from 'exhaustion' and you diagnosed them with Tetanus, and they recovered after symptomatic treatment, is that right?" the Expert asked with great interest.
The two Standardized Training Students were stunned.
What was this teacher saying? Was he making a dirty joke? Could someone die from 'exhaustion' in a Clinical setting? Could he be a bit more professional!
They were a bit confused.
They had originally thought that if they lingered, the teacher would chase them away; after all, shady deals shouldn't be seen by others.
But they lingered and didn't leave, and no one chased them away. After the few judging teachers muttered a few words in low voices, one said, "Doctor Xiao Ji, let's skip the exam, it's meaningless."
"Look, I told you there was a shady deal!" one candidate whispered to the person beside him.
"This is too damn ridiculous, we haven't even left yet."
"Heh, there's even more ridiculous stuff; doing this right in front of us, I'm going to report this by name the moment I get out!"
No one cared what the two of them were saying. All the judging Experts' gazes were fixed on Ji Xiang, as if looking at a treasure, which made Ji Xiang scratch his head a bit.
"Teacher, this isn't good, is it?" Ji Xiang asked.
"I've watched the surgery you performed for Giant Hydronephrosis many times. Your level is high, higher than mine, and also higher than Mo's. Mo, admit it."
Mo Chenggui nodded; he felt it wasn't quite right, but he had no way to refute it.
"What is Giant Hydronephrosis?"
"I don't know."
The two candidates looked completely bewildered.
"There's no need for any further testing. I specifically applied to be a proctor, and I even paused two surgeries for this." The man looked at Ji Xiang with a smile. "We're just chatting; I'll give you a diagnostic question."
His words were contradictory, and Ji Xiang didn't know the specific meaning of this judging Expert.
"Teacher, please go ahead." Ji Xiang sat in front of them and said calmly.
"We admitted a Patient a few days ago; take a look at the lab report." The judging Expert took out an Electrocardiogram he had prepared beforehand and handed it to Ji Xiang.
"Take your time, no rush. You'll definitely get a perfect score on the exam, but you still need to be serious."
Ji Xiang took the Electrocardiogram and began to look at it bit by bit.
The other two candidates were so envious their eyes turned red. Getting a perfect score without even taking the exam—this was definitely a shady deal!
One of them was unconvinced and turned to look at the judging Expert.
"Hey, why haven't you two left yet?" The judging Expert only just noticed him.
"Teacher..."
"Oh, you can take a look too. If you can provide a diagnosis, I'll give you a perfect score as well. No, if you can tell me the diagnosis of this Electrocardiogram, I'll give you a perfect score, and you too." The judging Expert said with a smile.
The two felt a spark of hope and crowded over to Ji Xiang's side.
The waveform of the Electrocardiogram looked a bit messy, and the two were stumped.
Reading an Electrocardiogram is extremely difficult; skill exams usually only test Electrocardiograms of typical Myocardial Infarction with ST-segment elevation. Anything slightly more complex is considered bullying.
But the Electrocardiogram in Ji Xiang's hand was a mess. The two stared at each other, completely unable to understand it.
One minute later, the judging Expert glanced at the time and said with a smile, "Doctor Xiao Ji, it is indeed a bit of a tall order, but time is limited. Tell me how you analyzed it."
"Electrocardiogram I, II, III, aVF, V3-V6 ST-segment elevation; Troponin T 0.11ng/ml; CK-MB 25U/ml; NT-proBNP 985pg/ml," Ji Xiang said softly.
The other two candidates only then noticed that a line of lab report values was also written in the bottom right corner of the Electrocardiogram.
"Can I take a look at the Medical Record?"
"I didn't bring the Medical Record, just tell me your thoughts," the judging Expert said with a smile.
"Li Zhuren, aren't you making things difficult for the kid?" Mo Chenggui was a bit unhappy.
"Hey, I'm just joking with the kid. I want to see what the level of Doctor Xiao Ji, who is rumored to be so miraculous, really is."
"The conditions aren't even complete. If you only give him an Electrocardiogram, what could he possibly analyze?" Mo Chenggui argued with a dark face.
"Mo, why are you so serious? You're being way too protective of your student." The judging Expert laughed, then covered his nose and moved away from Mo Chenggui, looking particularly disgusted by the plastic bag next to Mo Chenggui. "It's just a casual question; actually, the answer is very simple."
"Looking at the Electrocardiogram and the lab report, it should be an acute Myocardial Infarction," Ji Xiang said loudly.
The judging Expert laughed. Seeing him looking so smug, Ji Xiang had a thought and went into the System Operating Room.
The next second.
Ji Xiang smiled. "Teacher, although the conditions are insufficient, I'll make a bold guess."
"Haven't you already guessed it?"
"Tell me, what other diagnosis could there be?"
"The Patient should have acute hydrogen sulfide poisoning."
"..."
"..."
"..."
Everyone in the room was stunned. The judging Expert stared at Ji Xiang, as if he had seen a monster.
"Hydrogen sulfide can inhibit mitochondrial cytochrome c oxidase. The clinical presentation is extremely similar to a Myocardial Infarction, but the smell of rotten eggs is quite easy to distinguish during the treatment process," Ji Xiang said. "The Patient was resuscitated, right, Teacher?"
"Uh, ah, yes, they were resuscitated. It took a lot of effort," the Expert answered, stunned.
"So you still don't like the smell of eggs to this day?"
"!!!" The judging Expert looked at Ji Xiang in surprise.
"When resuscitating a Patient with hydrogen sulfide poisoning, medical staff need to be careful and pay attention to their own safety. But gas masks are rarely seen in hospitals now, so you just have to push through. You participated in the resuscitation, is your vision still very uncomfortable to this day?"
"..." The Expert judge was speechless.
Every word Ji Xiang said was correct, yet the Expert judge truly could not fathom how he knew so much.
They had only intended to make a small joke, while also harboring the thought of seeing just what level this Standardized Training Student, who was currently in the limelight, was at.
Because they had recently been plagued by the aftereffects of treating hydrogen sulfide poisoning, they had, as if possessed, brought the Electrocardiogram of a patient with hydrogen sulfide poisoning.
What they never expected was that, relying solely on an Electrocardiogram, this little Standardized Training Student had actually given them a diagnosis!
"Teacher, using cortisone eye drops plus Erythromycin Ointment until the symptoms of eye discomfort disappear has quite good results; you could give it a try."
"Oh?! Really?"
"Really." Ji Xiang said earnestly, "Since the patient was resuscitated, I estimate the irritation your eyes received wasn't very severe, and it should disappear in about a week. Don't worry, it's a minor issue."
"..."
Several Expert judges looked at each other in dismay.
The examination had turned into an Outpatient Department visit; one wonders how much this Doctor Xiao Ji charges for a registration fee.
(End of this chapter)
End of Chapter
