"Director Chen, is my mother's condition serious? I heard Dr. Song say that she is going to have surgery, is this true?" Just as Chen Tianlin was instructing Song Yongbo to prepare for the patient's operation, the patient's daughter heard the news and walked out of the ward and asked Chen Tianlin with a worried face.

Chen Tianlin heard the patient's daughter's inquiry, and introduced it with a stern face: "Ms. Wen, your mother has nematosis, which is a very rare parasitic disease, and the nematodes live in your mother's bladder. ”

The patient's daughter didn't know what kind of parasite the nematode was, but Chen Tianlin's mention of the word rare made the patient's daughter feel very nervous, and hurriedly asked Chen Tianlin: "Director Chen, what kind of worm is the nematode, and how can there be such a worm in my mother's body?"

"Wireworms are found in tropical and temperate zones and live freely in water, and the reason why your mother is infected with this worm is probably because the body comes into contact with water, or when you drink raw water, the infected larvae enter the body, and eventually lead to the infection of the wireworm, and now the worm can only be removed surgically. Chen Tianlin heard the patient's daughter's inquiry, and made a serious introduction to the patient's daughter.

"I said that you can't drink raw water, but my mother won't listen to it, otherwise there will be no worms in the stomach. When the patient's daughter heard Chen Tianlin's introduction, she thought of some of her mother's daily habits, and after complaining to herself for a while, she quickly pleaded with Chen Tianlin: "Director Chen, please help my mother!"

When Chen Tianlin heard the plea of the patient's daughter, a faint smile appeared on his originally strict face, and he comforted the patient's daughter: "Ms. Wen, you can rest assured! This is just a minor operation, and now you only need to sign the surgery consent form, and we can operate on your mother immediately." ”

As Chen Tianlin said, this is just a minor operation, at one o'clock in the morning, the operation was successfully completed, waiting outside the operating room, the patient's family members saw more than a dozen nematodes with a body length of seven or eight hundred millimeters in the tray, one by one their faces appeared shocked.

"Hello Professor Chen! I'm Qin Xin, studying at Huhai Medical University. In the afternoon of the next day, in the conference room of the comprehensive department, Qin Xin was the first to walk into the reception room, saw Chen Tianlin sitting at the conference table, and politely introduced himself to Chen Tianlin.

Chen Tianlin heard Qin Xin's self-introduction, and learned that the girl in front of him was actually studying in the same school as Pan Wenting, so he thought of the scene when Pan Wenting and the other party got together to communicate before, and said with a smile: "I'm wondering! How did you know Wen Ting, it turned out to be a classmate!"

"Professor Chen: Wen Ting and I are not only classmates, but we have also lived in the same dormitory for three years. Qin Xin heard Chen Tianlin's words and replied playfully.

When Chen Tianlin heard Qin Xin's answer, he quickly put away the smile on his face and asked seriously: "Qin Xin, right? Now I have a question, how is appendicitis caused, and what kind of clinical reaction will occur?"

When Qin Xin heard Chen Tianlin's inquiry, he immediately searched for knowledge related to appendicitis in his mind, and replied with some restraint: "Professor Chen! Appendicitis is an inflammatory change formed by a variety of factors, and it is a common surgical disease, most common in young people, more men than women, acute appendicitis is more common in clinical practice, and women of all ages and pregnancy can develop the disease, and chronic appendicitis is relatively rare. ”

"Acute appendicitis begins with mid-upper quadrant or periumbilical pain, metastasizes and fixes in the right lower quadrant after a few hours, and when the inflammation spreads to the serous layer and parietal peritoneum, the pain is fixed in the right lower quadrant, and the original mid-upper quadrant or periumbilical pain is reduced or disappears, although the absence of a typical history of metastatic right lower quadrant pain does not rule out acute appendicitis. ”

"Treatment can be done both medically and surgically, but surgery is the only effective method, but the decision to undergo appendectomy should be done with particular caution, and after the diagnosis of chronic appendicitis, the treatment should be surgical in principle, especially for patients with a history of acute exacerbations. ”

Chen Tianlin nodded with satisfaction when he heard Qin Xin's introduction, smiled and picked up a compendium of materia medica on the table, handed it to Qin Xin who was sitting in front of him, and said: "Okay! This book is for you, in the next week, your task is to familiarize yourself with this compendium of materia medica, and to memorize more than half of the names of traditional Chinese medicine, now you can go out!"

When Qin Xin heard Chen Tianlin's words, a surprised expression appeared on her originally restrained face, but when she thought of the situation that Pan Wenting had introduced, she immediately realized that she had successfully passed the assessment, stood up from the chair excitedly, bowed respectfully to Chen Tianlin, and replied: "Teacher, please rest assured, I will definitely read this Compendium of Materia Medica!"

Less than three minutes after Qin Xin entered the conference room, he came out of the conference room with a book of Compendium of Materia Medica, and Pan Wenting, who was standing outside the conference room, saw the Compendium of Materia Medica in Qin Xin's hand, a happy smile appeared on her face, and she congratulated Qin Xin: "Qin Xin! Congratulations on passing the teacher's assessment." ”

Not long after seeing Qin Xin enter, he successfully passed the assessment, and the remaining twenty-nine people immediately gathered around Qin Xin, and Feng Xiongping, who was in a worried mood, couldn't wait to ask Qin Xin: "Qin Xin! What questions did Professor Chen ask, why did you pass Professor Chen's assessment so quickly?"

When Qin Xin heard Feng Xiongping's inquiry, she didn't immediately tell everyone about the assessment process, but said to Li Ting on the side: "Sister Li Ting! It's your turn! The teacher's assessment method is even simpler than we imagined, and you don't need any pressure at all." ”

In Li Ting's consciousness, Chen Tianlin's assessment will be very difficult, but she never imagined that Qin Xin had successfully passed the assessment in less than five minutes after entering, which made her originally high heart suddenly let go, he had been interning in the hospital for almost a year, and his clinical experience was far richer than Qin Xin's, she only stayed in the conference room for two minutes, and then walked out of the conference room with a compendium of materia medica.

About an hour later, Chen Tianlin's assessment was officially announced, and among the 30 students who came to Jiangcheng for internship, eight of them failed to obtain the Compendium of Materia Medica, which meant that they failed the assessment and were eliminated, including Feng Xiongping.

The eight people who were eliminated, after confirming that they were eliminated, immediately called their parents, hoping to stay in Jiangcheng through relationships, but in the end they could not get their wish and left Jiangcheng with regrets, and those twenty-two people who successfully passed the assessment did not follow Chen Tianlin's side for internship as expected, but took the compendium of materia medica received from Chen Tianlin and stayed in the dormitory to learn the basic knowledge of traditional Chinese medicine.