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 desks and chairs placed at the east end, each with a man in his fifties or sixties wearing a white coat.
What these five people have in common is that they have gray hair, are thin, and have a serious smile on their face.
There were no identity plates on their desks, and Yu Zhiming was unable to specifically combine the five review experts Dr. Qi introduced last night with the five people in front of him.
On the left hand side of the room door, there are two sets of tables and chairs, with two men in white coats in their thirties sitting there.
In the middle of the room, there is an examination bed.
Yu Zhiming took a few steps to stand next to the examination bed and bowed to the five experts.
"Good morning, teachers!"
"I am from Liyang County People's Hospital of Shandong Province..."
"Okay, no need to introduce yourself..."
The long-faced man sitting in the middle of the five people interrupted: "Dr. Yu Zhiming, we have your information and already know your basic situation."
Without pausing, he said: "Dr. Yu, please answer first. You can perform three surgeries independently, and there are three surgeries that can demonstrate your surgical skills."
Upon hearing this question, Yu Zhiming immediately guessed that it might be possible to arrange a practical surgical assessment based on his answer.
my country implements hierarchical management of surgeries.
Surgery is divided into four levels. From level one to level four, the difficulty of the operation gradually increases.
Generally speaking, county and township hospitals are responsible for first- and second-level surgeries, while third- and fourth-level surgeries are mainly handled by provincial and municipal tertiary hospitals.
In the past few years, Yu Zhiming studied and was responsible for operations such as ventral hernia repair, appendectomy, caesarean section, etc. at the county hospital, all of which were secondary surgeries.
For more complex third-level surgeries, Yu Zhiming has few learning and training opportunities in county hospitals.
However, if operations such as ventral hernia repair and appendectomy are performed under laparoscopic conditions, the difficulty of the operation will increase by one level and become a third-level operation.
Yu Zhiming is very good at using laparoscopy.
He quickly sifted through his mind and replied loudly: "Teacher, the surgeries I perform more frequently at the county hospital include laparoscopic ventral hernia repair, laparoscopic appendectomy, and laparoscopic ovarian cyst dissection."<
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The long-faced man nodded slightly at Yu Zhiming's answer, then raised his hand and pointed at the camera above the corner.
"Dr. Yu, there is an audio and video recording of the entire assessment. If you have any questions afterwards, you can apply for access."
After a pause, the long-faced man continued: "I heard that you are particularly good at auscultation and percussion."
"Next, please give us a detailed demonstration."
"Wait a minute, a volunteer will come in. You need to check and report his organ damage."
"Request..."
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 instrument other than a stethoscope is allowed."
"Do not open volunteers' clothes."
"Time limit is thirty minutes."
The long-faced man paused for a moment and asked, "Doctor Yu, do you understand the above request?"
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 next to the door.
One of them got up and left, but returned within a minute and brought back a thin middle-aged man wearing a hospital gown.
The tall and lanky man was lying on the examination bed.
Yu Zhiming put on surgical gloves, and after the long-faced man said "timer starts", he started to examine the lanky man.
He did not use the stethoscope placed aside, nor did he ask the lanky man about his pain reaction. He first performed a rough examination by patting and pressing from the chest to the lower abdomen.
After a cursory inspection, Yu Zhiming was secretly speechless.
Where did you find this top quality?
How can a person be injured to this extent?
There are two puncture marks on the left lung to repair the surgery;
The heart has built two bridges;
A quarter of the stomach was cut off;
The right kidney has shrunk to only one-half of the size of the left kidney;
Enlarged liver;
No appendix;
There are also obvious signs of surgery in the duodenum and cecum.
Yu Zhiming couldn't help but imagine what the man in front of him had gone through to cause his internal organs to be injured to such an extent.
Considering that he was missing a rib and had multiple fractures and injuries, Yu Zhiming guessed that this guy had suffered at least one serious accidental injury.
With so many internal organs damaged, he can still survive smoothly. This man's vitality is comparable to that of Xiaoqiang...
Yu Zhiming calmed down and began to conduct a further detailed examination of the tall and lanky man...
Nearly ten minutes later, Yu Zhiming finished the percussion and auscultation examination and stood up straight.
"Dear teachers, I have finished the examination. As for the volunteers' organ damage..."
Yu Zhiming asked: "In order to describe it more intuitively and accurately, can I use pictures to illustrate it?"
After communicating with each other, the five review experts agreed.
Sketching is also a basic skill for doctors.
Because sometimes, doctors must use pictures and texts to express the problem clearly and make others understand.
Yu Zhiming's sketching skills, even if he cannot be said to be excellent in the medical circle, are still quite good.
At least his sketches are clearly visible to his peers.
When he was in the county hospital, when he diagnosed a patient and encountered a problem that he didn't understand or couldn't solve, he would often draw a sketch of his findings and ask the seniors at the hospital for advice.
After seeking no results at the county hospital, he would ask the patient to take the sketch with him 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 for his nickname "Humanoid CT".
Because the tall and thin man had many internal organs damaged, and because Yu Zhiming was obsessed with describing the injuries in detail, it took him nearly an hour and a half to draw all the discovered internal organ injuries one by one, even with a simple sketch. Fortunately, the experts did not rush, nor did they show impatient expressions on their faces.
Yu Zhiming also made a keen discovery.
After seeing his sketches, these review experts all looked at him differently.
From the previous business-like review, I have added some exploration, curiosity and appreciation.
Yu Zhiming knew that he was wearing a robe as a Tibetan, showing his hands, and initially won their approval.
Encouraged, Yu Zhiming started the second round of assessment with greater confidence.
There were five patients in the second round, including men, women, old and young.
It is required that each person has a time limit of fifteen minutes and can only diagnose major diseases and provide treatment plans through consultation, percussion, auscultation and other means.
After careful diagnosis, Yu Zhiming found that the nearly 70-year-old volunteer was suffering 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 forty-year-old male volunteer with gallstones and moderate liver cirrhosis.
The most recent one was a pregnant woman who was eight months pregnant and suffered from hydronephrosis and maternal hypertension.
The diseases of these patients are not difficult and complicated.
Under Yu Zhiming's careful diagnosis, the diagnosis was quickly diagnosed and a treatment plan was given.
Only when diagnosing the last pregnant woman, Yu Zhiming also diagnosed that the fetus in her belly had an umbilical cord wrapped around the neck.
It’s not a big problem if the umbilical cord wraps around the neck. You just need to pay more attention to fetal movement, fetal heart rate and other conditions.
However, Yu Zhiming will not let go of such a rare opportunity to perform.
He adjusted the fetal position of the pregnant woman's fetus on the spot.
The result naturally attracted the attention of several experts.
Yu Zhiming told them in a humble tone that in addition to percussion and auscultation, he was also very good at adjusting fetal position.
He can effectively adjust things like difficult labor positions, umbilical cord wrapping around the neck, and even umbilical cord twisting through manipulation.
However, what makes Yu Zhiming quite disappointed is that several experts seem to have no positive reaction to his extra drama.
You know, Dr. Xizhen was quite shocked when he cured the fetus' umbilical cord torsion at Jinling Drum Tower Hospital.
Perhaps, they think he is telling lies?
The long-faced man looked calm as he packed up the diagnosis and treatment plan written by Yu Zhiming.
"This morning's assessment ends here."
"Dr. Yu, at two o'clock in the afternoon, you will perform a laparoscopic abdominal hernia repair surgery under our supervision..."
