Great Power

"No, I won't do CT. That thing has more radiation than X-rays. I won't do it—"

Adriana shook her head vigorously and yelled with a voice as high as seventy to eighty decibels. Zheng Jianguo turned to look at Oliver next to him. The latter scratched his nose and said to him: "This is Ply Dr. Niu gave it to you, now you are in charge—"

"Okay, it just so happens that you are here. She definitely rejected my test recommendation, so we can only treat it conservatively-or ask the neurology gentlemen upstairs to test her?"

Zheng Jianguo was not idle when he was talking. Instead, he picked up the pen and continued to write and gave it to Adriana to see. Unexpectedly, this one looked at it and said with a loud voice: "Oh, Zheng, you are I have seen doctors with the most neat and complete writing. In order to save time, they will spell out the words of neurology, just like the emergency room is called ER. I accept your suggestion and ask the neurologists to come and see me. This poor old woman!"

"Oh, Zheng, what you said is too elegant, neurology-gentlemen~"

Oliver turned his head and looked at Zheng Jianguo's white coat, which fits almost to the point of thinness. Just like the Ivy League school’s look down on community college, there are many chains of contempt in the hospital. As far as surgical departments are biased, for physicians who are neatly dressed and move their mouths to see patients, it is like a money grabber: "But I feel that you describe them in this place as if it were true. not bad."

Not long after arriving in the United States, Zheng Jianguo learned about the two major factions in the hospital-internal medicine and surgery in the conversation between Fan Dailin and Yang Na's four daughters.

Physicians look down on surgeons who wield knives, scissors, pliers, or even hammers to cure diseases, and surgeons look down on the group of physicians who only know how to treat patients with test results.

In addition, since physicians usually do not come into contact with too heavy physical work, their appearance is far better than surgeons who have to face bleeding and perform operations for tens of minutes to hours.

So just like when Zheng Jianguo described the psychiatrist as a gentleman, Oliver’s first thought was that the wording of this product was too good, which represented the fact that the physicians were not doing work, but also satirized them for saving face. The essence of the project: "I heard that you are here today, but I feel that you are more like an attending doctor than I am. I only welcome you to the emergency room of Massachusetts General Hospital in my personal capacity. Pliny's luck is good—— "

"Thank you, Doctor Oliver—"

Zheng Jianguo nodded with a smile to express his gratitude. According to the domestic classification, there are only two types of doctors in the American Hospital. The representatives are the resident doctor and the attending doctor Oliver Agas.

According to the requirements, residents in the learning stage do not have the right to practice medicine, that is, they do not have the right to diagnose and treat patients and prescribe drugs.

Putting it on Zheng Jianguo, he needs to carry out the behaviors including consultation and modification of doctor's orders and corresponding testing needs under the leadership of Pliny Bolton with temporary power.

Although the senior resident Pliny Bolton still belongs to the category of resident doctors, he has been authorized by his superior, the director of the emergency department, Nathan Beckson, to share his rights with Zheng Jianguo.

As for the attending doctor Oliver Agath, this is the level that can open a clinic on his own. Although the title of attending doctor is somewhat similar to the domestic name, it is not the standard of treatment given when a hospital is required to hire. , But follow the recognition of life.

That is, after leaving all hospitals including the Massachusetts General Hospital, Oliver still has the qualifications of the attending doctor.

Of course, Zheng Jianguo’s current reputation is not false. If there is luck in the discovery of Helicobacter bacteria and the discovery of the atomic graphite layer, he can pass the graduation exam at Harvard Medical School in less than two years. , This is a solid proof of its ability to be a master of learning.

After all, as long as it is an American doctor, there is no one who has not been beaten up by the hellish experience of medical students.

In addition, Zheng Jianguo graduated from a top medical school such as Harvard Medical School. The annual acceptance rate of Harvard Medical School of less than 4% is enough to screen out the world's top students. However, He actually graduated in one and a half years.

And this is why Adriana previously called him a super student!

Similarly, it is also the reason why Oliver came to claim Zheng Jianguo's burden!

However, when Oliver had just approached Zheng Jianguo, who used chat to "communication" with Adriana, he subconsciously thought that this and other Xinzha residents, or even the third-year interns, were facing When the patient was so immature and there was no difference, but during Zheng Jianguo's subsequent "inquiry" process, Adriana's symptoms were discovered-speaking loudly!

People suddenly speak loudly without knowing it. If it is not an emotional response, it can only prove that their hearing has been affected. However, Zheng Jianguo discovered this symptom before him. Not to mention, he thought of using words. Communicate with each other!

Details are the manifestation of strength after reaching a certain extreme!

Zheng Jianguo's observation is keen. Oliver knew about his discovery of Helicobacter as early as in the report. As for the atomic graphite layer behind it is beyond his scope of knowledge, it is still possible to analyze it only from the report. Fall into this detail.

Until he was able to find out that Adriana was wrong, Oliver had a second-hand experience of Zheng Jianguo’s observational acumen. Of course, if it weren’t for no one until he would get out of the meeting, he would even think it was Zheng Jianguo’s arrangement for Adri. A play by Anna!

However, Adriana was sent to the emergency room by an ambulance last night. In the morning, Pliny asked Zheng Jianguo to replace him in the meeting room. All this proves that the information received by his senses is true. Yes, this is not the lucky one in the rumors of the outside world-it took less than two years to graduate from Harvard Medical School, no one dares to say that this person passed by luck.

But until the moment when he saw Zheng Jianguo's observation ability, Oliver only had an acceptable understanding of the treatment he was enjoying.

After all, when director Nathan Beckson announced at the meeting that his treatment was unprecedented for MD and PhD, that is, only 40 hours of work per week, Oliver almost couldn't believe his ears. !

The annual quota for MD and PhD is only about 500 people. This accounts for one out of 40 of the more than 20,000 senior residents and total residents who have submitted applications. Just pick one out of more than 20,000 people, that’s not Xinzha hospital can be compared.

Because only the attending doctor is qualified to be exposed to PhD at work. In other words, only the attending doctor can do related medical research like Oliver Agas.

Zheng Jianguo actually got the place for the MD and PhD joint program. How could this not be recognized by other senior residents and general residents?

Then you can only use strength!

So in front of Oliver, Zheng Jianguo completed another standard consultation and prescription disposal process. The standard was so standard that even as the attending doctor, he felt that even if he did it himself, he could only do this. The degree of it.

The strength that doctors believe in is to make a diagnosis according to the most standard procedures when facing patients!

Of course, Zheng Jianguo didn’t know that Oliver came, and he wanted to weigh him. He only felt that the attitude of the other party had changed significantly, but he couldn’t feel the specifics. When Ma Nion who appeared next to him spoke up again. : "Doctor Zheng, you can give me the case. I'll call the neurologist to come to see the doctor—"

"Okay, thank you, Marion~"

With a smile on his face, Zheng Jianguo saw Oliver smiled ambiguously but turned and left without opening his mind. Yang Na's kind reminder flashed in his mind, and he couldn't help showing a wry smile. Seeing that the sober up in bed 4 was still asleep, he went back to the opposite side of the service desk and looked at the list of people working.

Three operating rooms, three treatment rooms, and two treatment rooms are all empty. According to Yang Na, if a doctor is in the room now, Carter or Mañion at the service desk will write the corresponding names on the board. Even if there is an operation scheduled, the list will be written on it, but looking at the emergency room, which is not noisy, you know that this is a relatively idle day.

Facts have proved Zheng Jianguo's idea. With Pliny Bolton who attended the Monday morning meeting, the neurology gentlemen who came downstairs have also seen Adriana. In fact, Zheng Jianguo knows that this is a multidisciplinary consultation. Prototype.

Yes, in the American hospital system in 1980, the MDT model of multidisciplinary consultation for patients with complex conditions has not yet appeared, let alone a multidisciplinary collaborative treatment plan for patients.

These patterns, which are already familiar in Zheng Jianguo's memory, are only short-lived when facing tumor treatment patients. Of course, he does not know that the true MDT in his memory appeared in 1997, 17 years later.

In 1980, this was just a phenomenon that occasionally appeared in the hospital——

Zheng Jianguo does not want to promote this change, because he is now a new resident in the emergency room. If he wants to change the status quo that has formed a tacit system, it will inevitably touch the interests of some people-although on the surface in MDT It seems that all disciplines are equal.

It's just that where there are people, there are rivers and lakes, otherwise why did Daisy, the head nurse, who had never met before, targeted herself like that?

Of course, Zheng Jianguo also knows that now that the establishment of MDT can save some patients who could not receive scientific treatment in time and space, that is to say, it can save the lives of some people, but he is now a avatar.

The most important thing in the regular class time is to catch up with the progress of the MD and PhD joint training program. Although he now occupies a place in 1980, his goal is to catch up with the training schedule in 1979. Only in this way can he The training time of 3 years was shortened to 2 years and 2 months.

Otherwise, it will take three and a half years to complete the original three-year training requirements. The end time of the MD and PhD joint training program and the graduation time in the school are fixed times, only one in April and one in June.

Under this circumstance, Zheng Jianguo certainly does not want to promote the establishment of MDT at the cost of a year’s delay. If considering the advancement of MDT in order to save more people, it is better to use this time to fully promote the development of Helicobacter The detection method is updated.

Calculated on the basis that even the United States has an infection rate of one-fifth, 900 million of the approximately 4.5 billion people in the world are infected, and if the infection rate is half of the less developed regions, there are at least ten in the world. Hundreds of millions of infected people.

And such a large base number represents a six-digit death rate from gastric cancer every year!

What's more, there is HIV who has come around!

In the next ten years, the mortality rate will be as high as 90%, and the mortality rate will be as high as 60% in the next 20 years.

The incubation period after infection is an average of eight or nine years, and there will be no initial treatment of HIV until fifteen years later!

The HIV that made millions of people watch their bodies decay and die in the most painful way in the world!

The main reason why HIV is so terrible is that it destroys the quality of life of people. From the perspective of transmission, using colored glasses to treat patients will make people feel the pain of almost all diseases-the collapse of the immune system. The most direct consequence is that the beneficial bacteria carried by the human body can kill people!

What about foreign viruses and bacteria?

Imagine the consequences of all terrible viruses and bacteria entering the human body to split and grow!

This is what people who died of HIV experienced!

The long incubation period and the indecent way of death make up the life of an HIV patient!

This is the outcome for patients infected with HIV within at least ten years!

Zheng Jianguo didn't know much about HIV, and most of his attention was not focused on the podium during the training in his previous life.

So at this moment, although after nearly a year of sorting out and searching while studying, I only remembered the pathogenic mechanism of this virus in my memory. It was the HIV virus attacking and destroying the T4 lymphocytes of the human immune center. The cell!

And this is only what Zheng Jianguo has to do within the scope of normal work.

In addition to normal work, there are also physical laboratories to go to on weekends, as well as preparations for the first World Digestive System and Helicobacter Pylori Symposium, hosted by the American Gastroenterology Association and co-organized by the European Multinational Gastroenterology Association. In two years, doctors in most countries around the world have discovered the shadow of Helicobacter pylori!

Helicobacter pylori is already a worldwide epidemic!

Regarding his Nobel Prize, these two jobs are also something Zheng Jianguo cannot give up, but in addition to these two, he still has to deal with the issue of stall investment. The audition work of "Dream of Red Mansions" involves his Jianguo Group. In the future, Van Dailin’s hospital involved him inserting his hands into Britain and Hong Kong Island. These two items are also related to the future of Jianguo Group!

Therefore, when Zheng Jianguo, director of the digestive center, Amy arrived, he quickly threw MDT behind his head, stood up with a smile, and said: "Director Amy, I originally planned to trouble you on Thursday afternoon--"