Chapter 433: Field Test
Hu Pengfei was a little surprised when he heard this kind of test, in the past, in school, it was either a long test paper or an on-site dissection!
No matter how good it is, I'll have to take him to the lab or the ward! It was the first time for him to take a verbal assessment, but he was confident in himself.
Jiang Yu walked up to him, leaned against the table and looked at him, and asked: "There are several patients sent to the emergency department of the hospital, one is a scientist in his seventies, the other is an ordinary middle-aged man with a father of three children, one is the mayor, and the other is a young rich second generation, they are all bitten by poisonous snakes, and this poison is a rare fast and deadly snake venom, but there is only one bottle of serum in the storeroom of the hospital, you are the attending physician of the reception, who will you save?" ”
This question caught Hu Pengfei off guard, and he thought he would ask professional questions about medicine? He frowned, not knowing what to do for a moment.
This is a philosophical question, but also a question that tests human nature, and there is no precise answer. Scientists have contributed to society, but they are old and will not live long; Although middle-aged is ordinary, but behind it is the pillar of a family, and once it falls, it is related to the survival of other people in the family; The mayor is an official eunuch and represents authority; The young rich second generation represents the future and money, and it is really difficult to save only one.
Hu Pengfei struggled for a long time and said, "Save the middle-aged man." ”
"Why?" Jiang Yu frowned, but still asked with interest.
"You can save anyone in this problem, if you can only save one person, I choose to save the middle-aged man, because he still has a big family behind him to rely on him, once he dies, the lives of the rest of the family will be ruined." Hu Pengfei explained.
"That young man may also be the only child in the family, and he may be very good?" Jiang Yu asked.
"This ......" Hu Pengfei was speechless with a embarrassed face.
Jiang Yu was very dissatisfied with such an answer, looked at him with a serious expression and said: "You have ignored one thing, you are a doctor, for a doctor, whether it is an old man or a young man, a rich man or a poor person, he is just a person, an equal person, who seriously saves whom, who has saved whom, there is no nobility in front of life, if you want to become a doctor, you must first jump out of those prefixed thinking, there are no scientists in the eyes of doctors, there is no mayor, only patients." ”
However, although he was a little disappointed, Jiang Yu was relieved that Hu Pengfei stood on the side of human favor and was not confused by honor, money and power.
The first question is to test whether he has a clear understanding of the profession of doctor, and the most important part of many professions is this, such as teachers, soldiers, etc., if you can't even see the essence of the profession, how can you become a competent doctor!
Jiang Yu continued: "The hospital sent a patient with lacunar cerebral infarction, and he could be rescued within three hours after the onset of this disease. After the initial diagnosis, the patient had convulsions on the left side of his face, a stiff tongue, heavy pupils in both eyes, tremors in his hands and feet, confusion, and possibly blood congestion in his brain. ”
Seeing that Hu Pengfei listened very seriously and quickly recorded notes on the paper, a trace of praise flashed in Jiang Yu's eyes, and then said: "There are two treatment options now, one is conservative treatment, first stabilize the condition and save the patient's life, but the golden time for treatment will be missed, and even if the patient is rescued, he will not be able to act normally in the future, or even paralyzed." ”
Here, Jiang Yu paused and gave Hu Pengfei enough time.
After seeing him nod, Jiang Yu said again: "The other is direct surgery, but this kind of surgery is extremely risky, only half of the success rate, and it must be signed by the family, if the operation is successful, it can be restored to the original health state." ”
"This is an elderly man who lives alone, and it has taken an hour on the road from being found by a neighbor to being taken to the hospital, while his son is out of town, and it will take at least 4 hours to rush back. What would you do? ”
Hu Pengfei leaned forward, crossed his fingers with his hands, and kept spinning his thumbs.
"Save the patient's life first, the risk of surgery is too great, and you can't risk the patient's life."
Jiang Yuyi touched his chin and replied: "Lacunar cerebral infarction refers to a small perforating artery in the cerebral hemisphere or deep part of the brainstem, and on the basis of long-term hypertension, the blood vessel wall is diseased, resulting in lumen occlusion and the formation of small infarct foci. Pure motor hemiplegia or only hemibody sensory impairment without hemiplegia is present. This kind of brain disease caused by vascular blockage and occlusion is still a problem in the medical community, and if it is the initial stage, it can be slowly dredged with drugs. ”
"However, it is clear that this case is at an advanced stage, and if you choose conservative treatment, then the best situation for the patient in the future is to be in a wheelchair, unable to speak, and have a degenerative brain. Is this any different from dying? ”
Hu Pengfei retorted: "Shouldn't doctors base all their measures on saving patients' lives? ”
Jiang Yu said leisurely: "What you said is not wrong, but as a doctor, you should do your best to earn hope for patients, not to mention fifty percent, even if it is only five percent." Isn't it a doctor's job to snatch people from death? How can you fight death without courage and courage? ”
"But the most important thing is medical skills, absolutely confident medical skills! I don't mean that you can't do it, but that you have to constantly increase your strength, and have the strength to fight all kinds of difficulties at any time, and with this kind of strength that can control everything, there is no other 50% risk. ”
Hu Pengfei raised his head and looked up at this Jiang Yu, his eyes widened, and he had a feeling of admiration for Jiang Yu in his heart, he used to be a proud person, his eyes were empty, but he suddenly felt that he was not in the same realm as the person in front of him.
Jiang Yu looked at his dumbfounded eyes and continued: "One last question, I asked a professional, there was a car accident at a certain highway, an injured person was sent over, after a preliminary diagnosis, the injured person's two ribs were broken, injuring his lungs, and his neck was pierced by a foreign body, but it was not life-threatening for the time being, only slightly affecting breathing, his right leg and thigh were fractured, and the bone was pierced from the inside, may I ask you what will you do if you are an emergency doctor?" ”
Hu Pengfei sorted out his thoughts and relaxed a little, this problem is very simple, emergency doctors know how to deal with it, and they have learned a lot of cases in books before. This is the type he is best at, and he believes that he will not disappoint Jiang Yu again.
Hu Pengfei leaned back, and said with a serious and confident face: "In a sudden situation like this, first check the injuries of the injured person's whole body, from the head, chest and abdomen and other vital parts, to the meridians and blood vessels of the limbs. The injured person had three injuries, first treat the wound on the wound of the wound on the victim's neck to see if it hurts the trachea and whether it obstructs breathing, and then to see whether the broken ribs are inserted into the lungs and whether there is bleeding in the lungs. ”
Jiang Yu stood up and crossed his hands over his chest, obviously not satisfied with this answer.
Hu Pengfei was a little stunned, he thought about it, and still felt that there was no problem with his answer. It can even be said that there is not a single typo in the textbook at all!
Jiang Yu took a deep breath and said in a solemn tone: "Don't forget, there are large arteries inside the thigh, and fractures will hurt the arteries and the surrounding nerve tissues, and if not treated in time, excessive blood loss will lead to death." Also, over time, it can paralyze the nerves, leading to paralysis. The lungs can be drained first, and the neck injury can be slowed down if it is not fatal, and if it is a fatal injury, it will die on the spot, and it will be sent to the hospital. ”
"This test is your detailed consideration of the patient's injury and on-the-spot response, what you said is theoretically correct, but to consider the actual situation, each patient's situation may be different, the order of treatment, the way of treatment, depending on the time and person, your little accident, for the patient is a matter of life and death."
Hu Pengfei was a little frustrated, he was full of confidence, thinking that he would get Jiang Yu's attention, but today he was hit hard, and the original arrogant medical school suddenly felt that his worldview had collapsed.
Jiang Yu returned to his seat and sat down, looking at Hu Pengfei, there seemed to be a light in his eyes.
Hu Pengfei was a little uncomfortable, he struggled for a long time, and plucked up the courage to say: "Dean Jiang, I know I disappointed you, thank you for your reminder today, I also know that I am still far from a real doctor, I will work hard, thank you for giving me this opportunity, you don't have to worry about the relationship with my dad, I will tell my dad myself, don't leave me because of my dad's relationship, I will one day rely on my own efforts to earn." ”
Jiang Yu was a little surprised when he heard him say this, but he didn't expect this young man who seemed to be polite and conceited in his heart to have this kind of heart.
Seeing that Jiang Yu didn't speak, Hu Pengfei got up and prepared to leave.
Jiang Yu grinned, he knocked on the table, and said in a light voice: "You come over tomorrow for an internship!" ”
Suddenly, a word came and pulled Hu Pengfei, who got up to leave, back, he couldn't believe his ears, Jiang Yu would actually leave him!
"Dean Jiang, are you saying that I can stay and study with you? Are you sure? ”
Jiang Yu sorted out the documents on the table, and said without raising his head: "You still have a lot to learn, come on!" I will evaluate you regularly, and if you don't meet my requirements, I will let you go, and I won't give your dad face. ”
Hu Pengfei said happily: "I will definitely work hard and will not disappoint you and my father's expectations." ”
"Okay, remember your words and go back."
Jiang Yu was still hesitant at first, but after listening to his last words, he finally decided to leave him behind.
Although such a person is arrogant, he has a heart for learning, and such a person is worthy of his observation.