Chapter 46: The Fish Enters the Sea (1)
The conference room attached to the administrative building of the Fifth Medical Center is actually a multi-functional hall.
Before Cheng Junjie came, he originally thought that he was going to participate in an interview similar to an internal job fair, but when he walked in the door, he found that there were only 5 people besides himself.
Over the years, Su Qingshan has rarely participated in interviews with recruiters directly, but today he has to come over. Not for anything else, just to see with your own eyes what this young man is capable of.
Cheng Junjie pushed the door in and was stunned at first, and just wanted to go out to see if he had gone to the wrong room, but he heard the person sitting in the middle of a row of tables: "Is it Cheng Junjie?" ”
Cheng Junjie heard that it was right, and quickly stopped and replied, "It's me." ”
Su Qingshan casually pointed to the large pile of scattered chairs in front of him, and said, "Sit down." ”
Cheng Junjie felt strange in his heart, but relying on real materials, he didn't have any worries this time, and sat on the chair closest to everyone generously, then nodded and greeted politely: "Hello teachers." ”
Cheng Junjie didn't look like he was stage frightened or nervous at all, but he made a group of big directors nod secretly in their hearts.
"The surname is calm, not like a child who will beat people in public......"
Su Qingshan thought secretly, but did not hesitate to react, and stretched out his hand to introduce the other four people to Cheng Junjie in turn: "This is Xue Zhanxiong, the director of the Department of Gastroenterology of our hospital, Dong Jianda, the director of the Department of General Surgery of our hospital, this is Lao Jianing, the director of the Imaging Department, and this, you should know, is Teacher Xiang Zeduan, the director of the Chinese Medicine Teaching Department of our Nuanzhou City Hospital." And I am the dean of the Fifth Affiliated Medical College, Su Qingshan. ”
Cheng Junjie bowed slightly, not showing an overly surprised expression, but his heart became more and more strange.
Su Qingshan was obviously satisfied with Cheng Junjie's performance at this time, and he continued with a smile: "Cheng Junjie...... Classmates, this interview is special, because in fact, the recruitment work of our hospital has all ended the day before yesterday, so we must take your additional field seriously, otherwise the hospital will be very passive if you are gossiped. ”
Cheng Junjie nodded and smiled: "Dean, don't worry, I came prepared today, and I will definitely not let you be passive." ”
Cheng Junjie's confident answer made the directors present shine. The quality of teaching in Nuanzhou Medical College, they couldn't be clearer. Even if the average undergraduate student has mastered about half of the content in the books during college, he can already be regarded as the best among them. You must know that in recent years, the professional quality of undergraduates who entered the hospital for internship in the last year of college has been so low that it is almost the same as those who have not studied medicine.
"Okay, let's not waste any time, let's start the interview!"
Su Qingshan glanced at Xue Zhanxiong, and the director of the digestive department cleared his throat and said straight to the point: "I'll just ask two questions casually, first, please answer me what are the causes of liver cirrhosis." Second, if a person has a persistent low-grade fever accompanied by abdominal pain and bloating, and the physical examination can reveal that the patient's abdominal wall has a special sense of flexibility, what diagnosis would you make first, and what other methods would you add to confirm the diagnosis? ”
Cheng Junjie, whose mind was full of "Internal Medicine", almost didn't think about it, and blurted out: "The causes of liver cirrhosis are currently subdivided into 10 in the world, the most important of which are hepatitis with the surname of the virus, alcoholism with the surname of slow, hepatitis with the surname of fatty liver with the surname of non-alcoholic, and cholestasis...... Finally, a further 5% of cirrhosis causes are currently unidentified. ”
Cheng Junjie's fluent answer made Xue Zhanxiong's eyes light up, and he was pleasantly surprised: "It's rare, it's rare." Now, unless they specialize in gastroenterology, there are very few young doctors who can say all 10 reasons so word-for-word. After Xue Zhanxiong finished speaking, he couldn't wait to say: "Then how did you analyze that case?" ”
Cheng Junjie said: "Based on the symptoms and signs alone, we should be able to basically determine that the patient is suffering from tuberculosis surnamed peritonitis, as for what diagnosis to add, tuberculin test, ascites test, abdominal B ultrasound, X-ray, and even laparoscopy can be." However, since the patient's symptoms are so typical, I think that we can save so much trouble by having a slightly more detailed consultation before the examination. ”
"Ask what?"
"Ask him if he's ever had tuberculosis!" At this moment, Cheng Junjie had a long-lost sense of pleasure in a trance, he looked directly at Xue Zhanxiong, and continued loudly, "As long as we ask this clearly, we can use anti-tuberculosis drugs for diagnosis and treatment." In this way, the time and money of examinations and repeated diagnosis can be eliminated, and more importantly, the patient can get rid of the pain as soon as possible and recover his health! ”
"Good!" Xue Zhanxiong clapped his hands, looking full of energy, and was about to continue to ask questions when he opened his mouth, but was stopped by Su Qingshan and said, "Director Xue, your round is over." This student is so good, we can't wait! ”
Xue Zhanxiong smiled embarrassedly and said, "Alas, it's rare to meet such a good student, I don't think the level is lower than my graduate student!" Dean Su, if you don't accept this child, even if I pay my salary at my own expense, I must accept him! ”
"Then how many points is Director Xue going to give?"
"Needless to say!" Xue Zhanxiong said excitedly, "Full score!" Full marks, of course! ”
After Xue Zhanxiong finished his excitement, Dong Jianda of the Department of General Surgery also started with a smile.
"This classmate, since you are a traditional Chinese medicine practitioner, most of you will not enter the operating room in the future, so I will ask you a simple question. How do you distinguish between pancreatitis and intestinal obstruction? ”
I have to say that the question asked by people who engage in surgery is that they are more perverted. The identification of these two diseases, to say the whole point, can at least babble tens of thousands of words, but fortunately, Cheng Junjie is no longer an ordinary pervert. In view of the hoarseness that may occur next, Cheng Junjie first opened the mineral water he brought with him, drank a small sip to moisten his throat, and then began to say unhurriedly: "To identify the two, you must first know the reasons for the occurrence of the two...... The main clinical manifestations are abdominal pain, vomiting, abdominal distention, and cessation of bowel movements from the anus...... Intestinal peristaltic waves may be seen on physical examination, but there are no signs of peritoneal irritation...... Early risers are not obvious for chemical tests...... With the help of auxiliary equipment, we can further clarify the diagnosis, and the most important thing is to find out whether the obstruction is a simple surname or a strangulated surname...... As for acute pancreatitis, there are 5 main causes of occurrence, including biliary tract disease, excessive alcohol consumption, and duodenal fluid reflux...... The main symptoms are abdominal pain, diarrhea, and vomiting, but unlike intestinal obstruction, acute pancreatitis will also have obvious peritoneal irritation and even pancreatic encephalopathy...... I'm done! ”
Cheng Junjie talked endlessly for more than ten minutes without pause, and Dong Jianda stared at the reference answer in his hand for about 10 minutes, until Cheng Junjie finished speaking, Dong Jianda still did not get rid of the shock.
Where is this still an undergraduate? Dong Jianda felt that standing in front of him was clearly an old oilman who had been engaged in surgical work for many years! The reference answer in his hand, which was copied and pasted by his graduate student, was not as detailed as what Cheng Junjie dictated just now! Even if it is himself, he can only introduce two diseases to this extent at most.
Dong Jianda was silent for a long time, finally raised his head, and asked with a smile: "Classmate, are you interested in changing your career to engage in clinical practice of Western medicine?" ”
Xue Zhanxiong immediately shouted: "Old Dong, I booked this child!" ”
Su Qingshan's heart at this time was somewhat relieved. promised Cheng Jianhua's matter, and now he will definitely not run aground because of Cheng Junjie's own problems. After all, looking at the current situation, even if Cheng Junjie can't be as magical as Su Man said, staying in the Fifth Affiliated Doctor as a little doctor is definitely more than enough.
"It's a good seedling."
Su Qingshan thought so, and said, "Jianing, it's your turn." ”
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