Practicing Medical Skills in a Small Clinic novel Chapter 612

Chapter 612: Chapter 281: Fall Behind at Every Step, Doctor Xu’s Illness

Surgical doctors, especially those in the operating room, generally have outstanding surgical skills, but their diagnostic abilities are somewhat weaker.

Director Yan is an expert in the General Surgery operating room.

Incision, suturing, knotting, hemostasis, anastomosis, debridement... almost every skill mastered to a high level.

Unfortunately, this year’s skill competition is utterly frustrating.

Even though it’s a surgical competition, it doesn’t allow people to directly compete based on surgical skills but requires a correct diagnosis first, and ranking first to possibly earn the surgical qualification.

Ranking second or third also presents an opportunity to seize the surgical qualification.

The premise is that the first place voluntarily gives up the surgical qualification for this round and willingly participates in the next question’s competition.

Unless faced with a surgical case they aren’t proficient in, otherwise, no one would willingly give up.

"The correct diagnosis answer for the second question is duodenal injury. Such cases are rare, usually associated with damages to surrounding organs like the pancreas, liver, etc. The diagnosis is considerably challenging, and it can be seen that many contestants answered incorrectly. This disease has a mortality rate of over 30%; if diagnosis is delayed for more than twenty-four hours, the death risk exceeds 50%.

The panel selected this question as the second test in order to highlight the dangers and hidden nature of this case.

If the duodenum hasn’t undergone major rupture, or hasn’t ruptured at all, abdominal puncture might not detect anything.

Upper gastrointestinal imaging is a relatively good diagnostic method.

When necessary, even surgical exploration can be performed to lower mortality rates."

The host might have noticed in the backstage statistics that many people answered incorrectly.

Only then did they provide some explanation.

The duodenum’s location is quite special, with excellent protection from the chest-abdominal cavity, making injuries seldom occur.

But there are always exceptions.

The patient from the car accident has noticeable trauma on the waist, back, and abdomen, likely from a steering wheel impact, ultimately causing duodenal injury.

"Oh dear! This really angers me. I clearly performed abdominal puncture and didn’t find any organ rupture. Who could have guessed this patient’s duodenum was injured!"

Director Yan forcefully slapped his forehead.

At this moment, he regretted it deeply.

Many doctors have this habit of making retrospective criticisms.

Before the confirmed result comes out, they are like headless flies, then transform into Zhuge Liang the moment the result is out.

...

On the third question, Director Yan finally rose to the occasion and answered correctly.

This was the result of Director Bi secretly helping because he couldn’t bear watching anymore.

But now he was already two points behind first place, and added to the loss of points in answers, leading his ranking directly to fourth.

Even so, it made Director Yan feel quite relieved and joyful.

He tripped twice in succession earlier, making even himself doubt his life.

There was no suspense in the third question, the surgical opportunity simply won’t reach him.

He could only try for the fourth question.

As a result, there was a missed diagnosis in the fourth question, ranking twenty-first.

This time it was completely hopeless.

If he were to participate in the fifth question, he would be four points behind first place, how could he compete?

A step behind, a step forever behind, became the most accurate depiction of Director Yan.

Until the Digestive Surgery competition ended, he still didn’t have the chance to seize a surgical qualification.

After the competition ended, Vice Dean Jin left with a stern face.

The General Surgery on which high hopes were pinned lost the first battle, failing even to enter the operating room, how could he not be angry?

Going back with no satisfactory outcome!

"All medical staff of General Surgery, hold a meeting in my 312 room at the hotel. Our General Surgery came with a total of seven people, Digestive Surgery encompassed Colorectal Surgery, Pancreatic Surgery, Hepatobiliary Surgery, Gastric Surgery, and more areas. Three people participated in Digestive Surgery skills competition, but screwed up. We have two more chances tomorrow, for Urology Surgery and Breast and Thyroid Surgery, hoping this time not to screw up again."

Director Bi looked very displeased.

Being the leader of General Surgery, scoring such poor results left him ashamed.

It’s clear Vice Dean Jin is now suppressing his anger.

Worried that reprimanding them might affect subsequent competitions, he refrained from harsh words.

If the next two General Surgery competitions still get messed up, Vice Dean Jin might jump and curse these seven people.

As the proverb says, soldiers are raised for a thousand days, used for an hour.

The second hospital concentrated the best resources on General Surgery, including this time’s competition, where General Surgery was the largest group represented.

A total of seven people came.

Yet the competition was turned into this mess, it’s no wonder the hospital leadership would get angry.

Keep in mind, if the competition scores are poor, General Surgery at the second hospital will bear a significant negative impact. Patients seeking treatment might opt for hospitals with higher rankings.

Nowadays, patients are incredibly clever and well-informed.

Failing to admit enough patients, General Surgery will rapidly shrink. Various vicious cycles will follow consecutively.

Without enough patient admissions, the department’s revenue will drop significantly, medical staff’s salaries will also decrease.

Those skilled doctors are likely to choose to switch jobs at this time.

After all, everyone has families to support and can’t stay in a poorly rewarding department.

Moreover, capable doctors and nurses find jobs easily.

Heading to other tertiary hospitals, or even top-tier hospitals, their development can only get better.

Five people came from Orthopedic Surgery.

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