Chapter 432: The Icy Wind Bites (Alliance Leader Foucs Bonus Chapter ×3)
The scenes of the shift handovers in the three wards where the interns from the three groups were located were different; each ward had its own habits.
Whether in the Doctor's Office or at the Nurses' Station; whether standing or sitting.
The guests took advantage of the time gap before the handover to chat for a few moments, their gazes falling unanimously toward the Hepatobiliary Surgery Department side.
Ji Xiang's performance yesterday was stunning; although they hadn't watched the content from too late in the night and didn't know what had happened, based solely on his performance during the day yesterday, it was enough for the guests to cast immense attention on Ji Xiang.
The key was that Ji Xiang had high aesthetic appeal and a good figure; he looked like a trainee from the entertainment industry.
It was pleasing to the eye, and certainly better than looking at the others.
"The Hepatobiliary Surgery Department is going to review Medical Records. Mao Mao, why are you so serious?" one guest asked.
"Reviewing Medical Records, Director... When I was an intern, I saw the Director smiling at the start, but later, as soon as they looked at the Medical Record, they would change their face and start scolding people."
Recalling the events of those years, Mao Mao still felt lingering fear.
"Scolding people? That shouldn't be necessary."
"It means they use very harsh language. I've heard that some Directors with bad tempers don't just scold people; they even throw the Medical Record into the face of the intern or doctor."
"!!!"
"!!!"
The other guests who didn't understand medicine were surprised, their gazes turning toward Shen Ke.
"That is the case," Shen Ke replied. "Writing Medical Records is a basic skill, but the Medical Records written by many young doctors and interns are written in a way that makes it hard not to get angry."
"For example?" a guest asked curiously.
"For example, I once saw a Medical Record written by an intern—'First day post-operation, the weather is clear, the sun is bright, and the Patient's mood is pleasant.'"
"Hahaha."
The Review Room erupted in laughter.
Even the guests who knew nothing about the medical industry knew that this wasn't writing a Medical Record at all, but rather like an elementary school student writing an essay.
In fact, it wasn't even as good as writing an essay.
It was hard to imagine this was a Medical Record written by a doctor; it was no wonder the Director would scold them. If it were them, they would probably say even harsher things.
……
……
In the Hepatobiliary Surgery Department, after the routine handover was finished, the nurses left first to prepare medicine, set up IV drips, and administer infusions.
Yang Zhuren sat in the very center of the front row, looking at the Medical Record of a Patient on the projector.
"The Patient has a very rare Gallbladder Torsion. Little Zhai, who is reporting?"
"Zhao Mengmeng."
Hearing Zhai Yuhan call her name, Zhao Mengmeng walked to the computer and began clicking through the Medical Record. She was very nervous; her gait was stiff and she was somewhat out of step, which looked quite funny.
Her operations were projected onto the screen, and the moment Yang Zhuren saw the chief complaint, his expression turned extremely ugly.
Chief complaint—Abdominal pain for 3 hours.
At first glance, there seemed to be no problem, but the smile on Yang Zhuren's face vanished.
"You copied this chief complaint from the Emergency Department Medical Record," Yang Zhuren said coldly.
Zhao Mengmeng was so nervous that her legs pressed together, twisting like a pretzel.
Her feet under the table trembled slightly; it was obvious Zhao Mengmeng was extremely nervous. She had been afraid of not writing it well, so she had copied the chief complaint from the Emergency Department Medical Record, not expecting Zhao Zhuren to see through it at a glance. With just that one sentence, Zhao Mengmeng felt embarrassed, anxious, and even vaguely fearful.
"Next, what is the medical history?" Yang Zhuren asked sharply.
Zhao Mengmeng was nervous to the Extreme Point; she had no idea how to answer Yang Zhuren's question.
"Expand on the chief complaint and describe the Patient's illness process in detail! I didn't ask you to write something vague and confusing. If you can't even describe the Patient's illness process clearly in dozens or hundreds of words, who are you writing this for!"
……
……
The guests in the Review Room were solemn. They felt as if they were sitting at the scene, clearly sensing Yang Zhuren's gradually serious and sharp words, and feeling the oppressive atmosphere.
That kind of powerful aura belonged to the professional field; the guests felt Empathy, as if they had transformed into Zhao Mengmeng, sitting in front of the computer and being reprimanded by Yang Zhuren.
"So serious," one guest muttered in a low voice.
"It's very normal. If a junior doctor's Medical Record is written poorly, the senior doctor must point it out," Shen Ke said seriously. "Zhao Mengmeng's Medical Record is indeed written poorly. I suspect she has never written a single Medical Record before; there is absolutely no focus."
"If it were my old hospital, the Medical Record would probably have been thrown aside," Mao Mao said quietly.
……
……
In the Doctor's Office, Zhao Mengmeng had once again entered a state of dissociation.
This time, she had been scolded by Yang Zhuren to the point of crashing, her mind a complete blank.
"When performing a physical examination in the Emergency Department, what is Muscle Guarding? In current terminology, very few people say it like that; only old doctors with over 20 years of seniority occasionally use 'Muscle Guarding' to describe it. Zhao Mengmeng, tell me the concept of Muscle Guarding."
"……"
Zhao Mengmeng stared blankly at the screen, and water began to faintly well up in her eyes.
"Zhao Mengmeng," Yang Zhuren said with increased emphasis.
"Director, I also saw the Patient last night. How about I answer?" Ji Xiang asked tentatively.
Yang Zhuren glanced at Ji Xiang.
His own stern tone had made the atmosphere in the Doctor's Office murderous, to the point that even the Attending Professors were dodging his gaze, afraid that if they couldn't answer a question, they would be scolded to a pulp.
Yet Ji Xiang was as usual; not a hint of nervousness could be seen, and he met his gaze while blocking in front of Zhao Mengmeng.
Wanting to play the hero? Heh.
"You answer," Yang Zhuren nodded.
"Muscle Guarding, also called Muscle Resistance, is the antagonistic contraction of muscles in response to local touch or pressure pain stimulation..."
Ji Xiang began to explain the concept of muscle guarding.
However, his explanation was not long-winded; he did not let Yang Zhuren interrupt, and after briefly describing the concept of muscle guarding, he returned to the patient's medical record.
At the time, Ji Xiang was performing a physical examination with the Emergency Internal Medicine Doctor, and he described the patient's condition at that moment in detail.
"Hmm." Yang Zhuren expressed satisfaction with Ji Xiang's answer and said indifferently, "Doctor Ji Xiang, let's set aside the medical record; you were observing the patient in the Emergency Department at the time, tell me why you were interested in this patient."
"It was like this, Zhuren," Ji Xiang replied. "At the time, I was worried that the Emergency Department was quite busy, so I went to remind the patient to be careful about their posture to avoid aspiration when vomiting. But when I arrived at the Emergency Department, the patient was experiencing mid-abdominal pain again and showed signs of guarding against pressure."
"What did you consider?" Yang Zhuren asked.
"At the time, I did not consider gastrointestinal spasms."
"I am asking you what you considered at the time." Yang Zhuren pressed step by step, his tone aggressive.
A chilling wind whistled through the Doctor's Office, and the Attending Professors all lowered their heads in unison, as if they were the ones being questioned.
Zhai Yuhan also lowered her head; she was afraid that if she made eye contact with her boss, she would be implicated by Ji Xiang.
At this very moment, Ji Xiang's answer could not have the slightest flaw; if the boss caught one, it would mean a severe scolding.
But Ji Xiang was not nervous; he smiled and said, "Since it was not a problem with hollow viscera like the gastrointestinal tract, I considered whether it could be gallbladder torsion."
"Why did you consider that? Gallbladder torsion is very rare."
(End of chapter)
End of Chapter
