"No, I'm not going to do a CT, that thing has more radiation than an X-ray, I'm not going to do it-"

Adriana shook her head vigorously and shouted in a voice as high as seventy or eighty decibels, Zheng Jianguo also turned his head to look at Oliver next to him, who scratched his nose and said to him: "This is given to you by Dr. Plini, and now you are in charge——"

"Okay, so you happen to be here, and she's explicitly rejecting my test suggestion, so we'll have to treat it conservatively - or ask the gentlemen from the neurology department upstairs to give her a test?"

Zheng Jianguo's hands were not idle when he spoke, but picked up the pen and continued to write and handed it to Adriana to see, but he didn't expect this person to look at it, and then said in a loud voice: "Oh, Zheng, you are the most neat and complete doctor I have ever seen, they will spell the words of neurology in order to save time, just like the emergency room is called ER, I accept your suggestion, just ask the doctors in the neurology department to come and see me, a poor old woman!"

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

Oliver turned his head to look at Zheng Jianguo's almost thin white coat, just like the Ivy League schools look down on community colleges, there are also many chains of contempt in the hospital, as for the emergency room, which is biased towards surgery, for the internists who can treat patients with neat clothes and mouths, it is like a money grabber: "But I feel that you describe them like this in this place, it seems to be really good." ”

Not long after coming to the United States, Zheng Jianguo learned about the two major factions in the hospital - internal medicine and surgery - from the conversation between Fan Dailin and Yang Na.

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

Moreover, because internists are not usually exposed to too heavy physical work, they are very strong in grooming than surgeons who often have to face bleeding and dozens of minutes to hours of surgery.

So just like when Zheng Jianguo described the psychiatrist as a gentleman, Oliver's first thought was that the words of this product were too good, which expressed the fact that the internists did not work, and satirized the essence of the project that they would only save face: "I heard that you are here for the first day, but I feel that you are more like an attending doctor than me, and I only welcome you to the emergency room of Massachusetts General Hospital in my personal capacity, and Priny is lucky——"

"Thank you, Dr. Oliver—"

Zheng Jianguo nodded with a smile and expressed his gratitude, according to the classification of domestic levels, there are only two types of doctors in American hospitals, and their representatives are the resident doctor and the attending doctor in front of him, Oliver Agas.

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

In the case of Zheng Jianguo, he will need to carry out actions including interrogating and revising medical orders and corresponding testing needs under the leadership of Priny Bolton, who has temporary powers.

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

As for the attending doctor, Oliver Agas, this is the level that can open his own clinic, although the title of attending doctor is somewhat similar to the domestic title, but it is not the standard of treatment given when it needs to be hired by any hospital, but follows lifelong recognition.

That is, leaving all hospitals, including Massachusetts General Hospital, Oliver is still qualified as an attending physician.

Of course, Zheng Jianguo's current reputation is not false, if the discovery of Helicobacter and the discovery of the atomic-level graphite layer are lucky, but he was able to pass the graduation exam in less than two years at Harvard Medical School, which is a real proof of his strength to prove his academic attributes.

After all, as long as you are a doctor in the United States, you have never been beaten by the hellish experience of a medical student.

In addition, Zheng Jianguo graduated from a top medical school like Harvard Medical School, and Harvard Medical School's annual acceptance rate of less than four percent is enough to screen out the world's top students, but he graduated in one and a half years.

And this is also the reason why Adriana previously called him a super scholar!

Similarly, it is also the reason why Oliver came to call Zheng Jianguo two pounds!

It's just that when Oliver approached Zheng Jianguo, who used small talk to "communicate" with Adriana, he subconsciously thought that this was no different from other new residents, or even interns in the third year, who were so immature when facing patients, but in the subsequent Zheng Jianguo's "consultation" process, he found Adriana's symptoms - speak loudly!

People suddenly speak loudly unconsciously, if it is not an emotionally related reaction, it can only prove that their hearing has been affected, and Zheng Jianguo actually discovered this symptom before him, not to mention, and then thought of using text to communicate with the other party!

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

Zheng Jianguo's observation is keen, Oliver knew about his discovery of Helicobacter as early as he saw it in the report, and as for the atomic-level graphite layer behind it, because it is beyond his knowledge, it can still be classified into this detail just from the analysis of the report.

Until he was able to find out that Adriana was wrong, Oliver had a second-hand experience of Zheng Jianguo's observation acumen, of course, if it wasn't for no one until he would get out of the meeting, he would even think that this was a scene that Zheng Jianguo arranged for Adriana to play!

However, Adriana was taken to the emergency room by ambulance last night, and he heard it in the conference room in the morning when Pliny asked Zheng Jianguo to substitute for him, all of which proved that the information received by his senses was true, and that he was not the lucky one who was rumored to be able to graduate from Harvard Medical School in less than two years, and no one dared to say that this person passed by luck.

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

After all, when Director Nathan Beckson announced at the meeting that this person's treatment was unprecedented for MD and PhD, that is, the treatment of only 40 hours a week, Oliver almost couldn't believe his ears!

The number of MD and PhD places per year is only about 500, which accounts for one-40th of the more than 20,000 senior residents and total residents who submit applications.

Because only the attending physician is eligible to have access to a PhD at work, in other words, only the attending physician can do relevant medical research like Oliver Agas.

Zheng Jianguo actually got a place in the MD and PhD joint program, how can this not be recognized by other senior residents and chief residents?

Then you can only use strength!

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

Doctors believe in the ability to make a diagnosis according to the most standard procedures when dealing with patients!

Of course, Zheng Jianguo didn't know that Oliver came to weigh him, but he felt that the other party's attitude had changed significantly, but he couldn't feel where it was, and when Manieon who appeared next to him again spoke: "Doctor Zheng, you can give me the case, and I'll notify the neurologist to come and see him-"

"Okay, thank you, Manion~"

With a smile on his face, Zheng Jianguo saw Oliver next to him showing an ambiguous smile but turned around and walked away without speaking, Yang Na's kind prompt flashed in his mind, he couldn't help but show a wry smile, and when he arrived at the No. 4 hospital bed, he saw that he was still asleep, and he returned to the opposite side of the service desk to look at the list of people who went to work.

The three operating rooms, the three treatment rooms, and the two treatment rooms were all empty, and according to Yang Na, if any doctor was in the room now, Carter or Magnon at the service desk would write the corresponding name on the board, and even if there was a scheduled operation, they would write the list on it, but looking at the emergency room that was not noisy, he knew that it was a relatively idle day.

It turned out Zheng Jianguo's idea, and with the return of Priny Bolton, who attended the Monday morning meeting, the neurology gentlemen who came down from upstairs had also finished seeing Adriana, in fact, Zheng Jianguo knew that this was the prototype of a multidisciplinary consultation.

Yes, in the 1980's American hospital system, the MDT model of multidisciplinary consultation for complex conditions did not exist, let alone a multidisciplinary collaborative treatment plan for patients.

These patterns, which Zheng Jianguo was already familiar with in his memory, were only short-lived when facing cancer treatment patients, and he certainly did not know that the real sense of MDT in his memory appeared 17 years later in 1997.

In 1980, it was just an occasional phenomenon in hospitals.

Zheng Jianguo does not want to push for change in this area, because he is now a new resident in the emergency department, and if he wants to change the status quo of the tacit system that has been formed, it will inevitably touch the interests of some people - although on the surface all disciplines are equal in MDT.

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

Of course, Zheng Jianguo also knows that promoting the establishment of MDT now can save some patients who have not been scientifically treated in time and space, that is, it can save the lives of some people, but he is now a doppelganger.

The most important thing in the main class is to catch up with the progress of the MD and PhD joint training program, although he now occupies the 1980 quota, but the goal is to catch up with the training progress of 1979, and only then can he shorten the training time from 3 years to 2 years and 2 months.

Otherwise, it will take 3 and a half years to complete the original 3 years of training requirements, and the end time of the MD and PhD joint training program and the graduation time in the school are fixed, only in April and in June.

In this case, Zheng Jianguo certainly does not want to use the cost of delaying the establishment of MDT for a year, and if you consider the point of promoting MDT in advance to save more people, it is better to use this time to update the detection methods of Helicobacter.

With the infection rate of 1 in 5 in the United States, 900 million of the world's approximately 4.5 billion people are infected, and if the infection rate in less developed regions is half of that of the world's less developed regions, there are at least a billion infected people in the world.

And such a large base represents a six-digit annual mortality rate from stomach cancer!

Not to mention the HIV that has come to you!

Mortality rates will be as high as 90 percent in the next 10 years, and up to 60 percent in the next 20 years!

The incubation period after infection is an average of eight or nine years, and it is not until fifteen years later that there will be an initial treatment for HIV!

Let 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 people's quality of life, and from the transmission route, it looks at patients with colored glasses, and physically makes people feel the pain of almost all diseases - the most direct consequence of the collapse of the immune system is that the beneficial bacteria carried by the human body can kill people!

What about the invading viruses and bacteria?

Imagine the consequences of all the terrible viruses and bacteria entering the human body and dividing and growing wantonly!

This is what HIV deaths experience!

A long incubation period and a dignified death make up the life of an HIV patient!

This is the outcome for patients who have been infected with HIV for at least 10 years!

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

So at this point, although after nearly a year of sorting out and searching during study, I only remember the pathogenic mechanism of this virus, which is that the HIV virus attacks the T4 lymphocytes in the body's immune center and destroys the cells!

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

In addition to the normal work, there is also a physical laboratory to go to on the weekend, and the preparations for the first World Digestive System and Helicobacter Pylori Symposium, which will be hosted by the American Gastroenterology Association and co-organized by the European Multinational Gastroenterology Association, - after two years, doctors in most countries around the world have discovered the shadow of Helicobacter pylori!

Helicobacter pylori is already a worldwide epidemic!

It is related to his Nobel Prize, and these two tasks are also something that Zheng Jianguo cannot give up, but in addition to these two, he still has problems to deal with in terms of investment, the audition work of "Dream of Red Mansions" involves the future direction of his Jianguo Group, and Fan Dailin's hospital involves him inserting his hands into Britain and Hong Kong Island, which are also related to the future of Jianguo Group!

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