The on-site assessment was conducted in an office on the fifth floor of the office complex.

Yu Zhiming walked into the slightly empty office and found five sets of tables and chairs in the east, each sitting a man in his fifties and sixties wearing a white coat.

What these five people have in common is that they have gray hair, are thin, and have a smile on their faces.

There was no identity plate on their desk, and Yu Zhiming couldn't specifically combine the five review experts introduced by Dr. Qi last night with the five people in front of him.

On the left-hand side of the door of the room, there are two sets of tables and chairs, and two men in white coats about thirty years old are seated.

In the middle of the room, there is an examination table.

Yu Zhiming took a few steps to stand beside the examination bed, and bowed to the five experts first.

"Good morning, teachers!"

"I am a ...... from the People's Hospital of Liyang County, Lu Province"

"Okay, no need to introduce yourself......"

The long-faced man sitting in the middle of the five people interrupted: "Doctor Yu Zhiming, we have your information and already have an understanding of your basic situation. ”

Without pause, he said, "Doctor Yu, you can answer first, you can independently perform the three surgeries that can show your surgical level." ”

Hearing this question, Yu Zhiming immediately guessed that it was possible to arrange a practical assessment of surgery based on his answer.

Surgery in China is managed at different levels.

The operation is divided into four levels, from level 1 to level 4, and the difficulty of the operation gradually increases.

Generally speaking, county and township hospitals are responsible for primary and secondary surgeries, and tertiary and tertiary surgeries are mainly handled by provincial and municipal tertiary hospitals.

In the past few years, Yu Zhiming has studied and been responsible for surgeries such as abdominal hernia repair, appendectomy, and caesarean section in the county hospital, all of which are second-level surgeries.

For more complex tertiary surgeries, there are few opportunities for Yu Zhiming to learn and practice in the county hospital.

However, surgeries such as abdominal hernia repair and appendectomy are performed under laparoscopic conditions, and the difficulty of the operation will be increased by one level, and it will become a tertiary operation.

Yu Zhiming is very good at laparoscopic use.

He quickly sifted through his mind and replied loudly: "Teacher, I have performed more surgeries in the county hospital such as laparoscopic abdominal hernia repair, laparoscopic appendectomy, and laparoscopic ovarian cyst stripping. ”

The long-faced man nodded lightly at Yu Zhiming's answer, and then raised his hand to point to the camera above the corner.

"Doctor Yu, there is an audio and video recording of the whole process of this assessment, and if you have any doubts afterwards, you can apply for access."

After a pause, the long-faced man continued: "I heard that Wenling is especially good at auscultation and percussion. ”

"Next, please show us a specific one."

"Wait, there's going to be a volunteer, and you're going to need to check on and report on his visceral damage."

"Ask for ......"

The long-faced man raised his voice, "Don't ask volunteers any questions other than asking about pain reactions." ”

"Do not use any instruments other than stethoscopes."

"Don't lift volunteers' clothes."

"Thirty minutes time limit."

The long-faced man deliberately paused for a moment and asked, "Doctor Yu, do you understand the above request?" ”

Yu Zhiming bowed his head and said, "Teacher, I understand." ”

After receiving a response, the long-faced man waved his hand at the young man in a white coat sitting next to the door.

One of them got up and left, returned less than a minute, and brought back a skinny middle-aged man in a hospital gown.

The tall and thin man lay on the examination table.

Yu Zhiming put on surgical gloves, and after the long-faced man said "The timer starts", he started to examine the thin and tall man.

He didn't use the stethoscope that was set aside, and he didn't ask the tall and thin man about his pain reaction, but he first came for a cursory examination by tapping and pressing from his chest to his lower abdomen.

After a cursory examination, Yu Zhiming was secretly speechless.

Where did you find this gem?

How can a person hurt to such an extent?

There are two punctures in the left lung for repair surgery;

There are two bridges in the heart;

The stomach was cut in quarters;

The right kidney has shrunk to only one-half the size of the left;

hepatomegaly;

There is no appendix;

There are also obvious surgical marks in the duodenum and cecum.

Yu Zhiming couldn't help but imagine what the man in front of him had gone through that made his viscera hurt so much.

Considering that he was still missing a rib and that there were multiple fractures on his body, Yu Zhiming guessed that this guy had suffered at least one serious accidental injury.

With so much damage to his internal organs, he can survive smoothly, and this man's vitality is comparable to Xiaoqiang......

Yu Zhiming calmed down and began to conduct further detailed examinations on the tall and thin man......

Nearly ten minutes later, Yu Zhiming finished his percussion and auscultation and stood up straight.

"Ladies and gentlemen, I'm done with the checkup. As for the visceral damage of the volunteers......"

Yu Zhiming asked: "In order to describe it more intuitively and accurately, can I use it as a diagram to illustrate?" ”

After communicating with each other, the five reviewers said yes.

Sketching is also a basic skill for doctors.

Because in some cases, the doctor has to be illustrated in order to make the problem clear and understandable to others.

Yu Zhiming's sketching level, even if it can't be said to be very good in the doctor circle, is quite good.

At least his sketches are clear to his peers.

When he was in the county hospital, when he diagnosed patients who did not understand or could not solve problems, he would often draw sketches of his findings and consult the hospital seniors.

After seeking results at the county hospital, he would also ask the patient to take the sketch and transfer it to the big hospital for further diagnosis.

Colleagues at the county hospital said that Yu Zhiming's sketch of symptoms was more concise and clear than the image map.

This is also one of the reasons for his "humanoid CT" name.

Because the thin and tall man has a lot of visceral damage, and Yu Zhiming pursues some detailed descriptions of the damage, even if it is a simple sketch, it took him nearly an hour and a half to draw all the visceral injuries found one by one.

Fortunately, several experts did not urge, and there were no impatient expressions on their faces.

Yu Zhiming is also keenly discovered.

After seeing his sketches, these judges looked at him a little differently.

From the previous business-like scrutiny, there is some inquiry, curiosity and appreciation.

Yu Zhi knew that he was a Tibetan wearing a robe, showing his hand, and initially won their approval.

Yu Zhiming, who was greatly encouraged, began the second round of assessment with greater confidence.

The second round consisted of five patients, both men and women, young and old.

It is required that each person has a time limit of 15 minutes, and can only diagnose the main disease and give a treatment plan through questioning, percussion, auscultation and other means.

After careful diagnosis, Yu Zhiming found that the volunteers, who were nearly 70 years old, suffered from coronary heart disease and chronic obstructive pulmonary disease.

A 10-year-old child with vitamin D deficiency rickets and atrial septal defect.

A 25-year-old female volunteer with lupus erythematosus and hepatitis caused by lupus erythematosus.

Forty-year-old male volunteer with gallstones and moderate cirrhosis.

The most common one is a pregnant woman who is eight years pregnant, with hydronephrosis and maternal hypertension.

The diseases of these patients are not incurable.

Under Yu Zhiming's meticulous diagnosis, he was quickly diagnosed and a treatment plan was given.

It was only when diagnosing the last pregnant woman that Yu Zhiming also diagnosed that the fetus in her womb had an umbilical cord around her neck for a week.

It is not a big problem to wrap the umbilical cord around the neck for a week, you only need to pay more attention to fetal movement, fetal heartbeat and other conditions.

However, such a rare opportunity to perform, Yu Zhiming will naturally not let it go.

He repositions the pregnant woman's fetus on the spot.

The result, of course, attracted the attention of several experts.

Yu Zhiming told them in a modest tone that in addition to percussion and auscultation, he was also extremely good at fetal position adjustment.

For example, the position of dystocia, the umbilical cord around the neck, and even the umbilical cord twist, he can effectively adjust it through manual movements.

However, to Yu Zhiming's disappointment, several experts didn't seem to have any positive reactions to his play.

You must know that he treated the fetus's umbilical cord torsion in Jinling Drum Tower Hospital, and Dr. Xi Zhen was quite shocked.

Perhaps, they think he's talking big?

The long-faced man's face was calm, and he cleaned up the diagnosis and treatment plan written by Yu Zhiming.

"This is the end of the morning's assessment."

"Dr. Yu, at two o'clock in the afternoon, you will perform a laparoscopic abdominal hernia repair operation under our supervision......"