Great doctor starts with adding points

The person who came in was not a middle-aged man with a ferocious spirit and a hulking back.

It was a hunchbacked old man with a stooped and emaciated body, and his limbs were like bamboo poles. Dressed to look very trendy -

The jacket is plain, and the trousers are cloth trousers with holes. The holes reach up to the heels of the legs, and even the underwear leaks out. Drops below the knee and zips at the side.

In the middle, in front of Ben's thigh, which was less than ten centimeters in diameter, was a bulging bag.

The old man's skin was full of wrinkles, but now it was smooth and bright, and it was tighter than the young girl's face.

No one knew this person, including Wu Xie, who probably wasn't from the town.

"Slow down, sir! Sit down slowly." Wu Xie helped him sit in front of several people.

His companion was only a middle-aged woman, who might be his daughter-in-law or daughter, but Wu Xie hadn't had time to ask.

The old man's face was yellow and bony, with missing front teeth, and the inside was full of black smoke stains. His eyes were hollow, with a slightly painful expression.

Slowly stroking the thing that tormented him with his right hand, he spoke in a leaky voice: "Doctor, I am a big bastard, please show me, I am here specially for you."

He has the inspection data and is staring in that direction right now.

Hearing the words, Long Yuan quickly comforted him: "Master, don't be in a hurry, take your time, it's still early, let's talk slowly and carefully."

Then he raised his head: "Sister, is this your father or your father-in-law? What's going on with him?"

The woman was sorting out the materials, and kept flipping through them, saying, "This is my dad, doctor, what happened to my dad, I heard from him that it's an old problem, probably a few years ago, and there's a lump growing here."

"At that time, it was very small and could only be touched, and it hurt occasionally. Once my dad accidentally squeezed it by himself, but he felt more comfortable and thought it was nothing."

"Later it bulged up again, a little bigger than last time, but when it didn't grow up, it was squeezed by him again, and he didn't tell us."

"I went back and forth several times like this. I heard from my mother that the last time I was squeezed by himself was a few months ago."

"Then it slowly developed like this. Every time I go back, my dad has no symptoms, and I'm the only one in our family. The two of them are usually in good condition, so I don't care."

"They didn't plan to talk about it this time. I only found out about it after hearing what my aunt said. I rushed back a few days ago and went to our town hospital to have a look. The town hospital said, we It's better to go to the county."

"Yesterday we went to the county, and the county said there was no bed, let us go to the state hospital. My dad didn't want to go to the state hospital, so he asked someone to ask, and said that there is an expert from Tongji Hospital here."

"I thought it would be better to see an expert from Tongji Hospital than to go to the State Hospital. Here I am, and my cousin is married here." The woman was about to cry, and her eyes soon turned red.

Instead, the old man persuaded: "Don't cry! My mother and I are both old."

Long Yuan probably knows why women cry. Her parents only have one daughter. suite.

This is a rather embarrassing thing.

Long Yuan hurriedly persuaded: "Don't cry for now, sister, let's solve the problem first, right? The old man is also kind."

"Let's figure out the problem first, right?" Long Yuan can understand her mood, but now is not the time to express feelings, if you want to talk about feelings, it would be nice to talk about it at home.

Talking about feelings can't cure the disease.

Such a large tumor looks like a tumor, which is quite scary, but it is not.

Because according to the physique of the old man, he couldn't support the tumor to grow so big. This is not a curse. Although it was a malignant onset and grew rapidly, Long Yuan was not flustered.

"Are you in pain? Xiao Wu, please do a physical examination, be careful, the old man has a history of crushing many times, and the cyst wall may be very thin." Long Yuan confessed.

"Okay!" Wu Xie didn't let the old man get up. The diameter of his tumor was ten centimeters wide and twenty centimeters long.

Wu Xie was afraid that he would explode while walking, and that would be quite troublesome.

Such things, at first glance, consider cysts, or sebaceous glands.

Long Yuan then went to ask the woman for a more detailed medical history and the examination results in the county hospital.

Wu Xie is doing a specialist physical examination.

Soft tissue tumors in the extremities are also a very common disease in orthopedics, but such a large tumor is quite rare. Usually, it is quite remarkable to see a tumor the size of an egg.

The physical examination of tumors is different from the simple orthopedic physical examination, mainly relying on inspection and palpation.

Inspection is used to check the size and the state of the skin surface, while palpation is to rely on the sense of touch to understand the size, texture, hardness, base, and mobility of the tumor.

The size is not small, conservatively estimated to be at least ten centimeters in diameter.

The cyst wall is very hard and smooth, and the texture is very soft and elastic, and there is that kind of mucus inside, so I dare not use force.

When pushing the basal part, Wu Xie found that the mobility was not bad, and malignant tumors should not be considered, but auxiliary examinations were still needed to confirm the diagnosis.

But before distinguishing, you still have to prepare a certain amount of knowledge in your heart, and extract it, and go through it again, so that you can know what you know. It is unlikely that patients who encounter tumors all have cancer.

This belongs to relatively basic knowledge, and it is also some content in the basic skills of physical examination, and it belongs to the knowledge of pathology.

Just need to mix it up a bit.

Cysts are usually a liquid or semi-solid structure enclosed in a cystic wall, and they can appear in different parts of the body, such as breast, ovary, subcutaneous, intermuscular, etc.

Most cysts are usually benign and do not spread or invade surrounding tissue.

Cysts are usually asymptomatic unless they enlarge or exert pressure that causes symptoms such as pain, pressure, or organ dysfunction.

On physical examination or imaging studies, cysts usually appear as round or oval, well-circumscribed structures with a fluid or semisolid interior.

This is very important, that is, the edges are clear and the shape is relatively fixed.

Malignant tumors are composed of abnormally proliferating tumor cells, which are highly invasive and metastatic.

Therefore, during the physical examination, it is necessary to understand the purpose of the physical examination based on these two points. Invasiveness means that most of the tumors are adhered to other tissues, with unclear boundaries, will invade in, and have poor mobility.

Metastatic means that tumor cells will transfer to other parts, and most of them will find enlarged lymph nodes.

and!

Symptoms of malignant tumors are usually related to the growth and spread of the tumor, such as mass or tumor palpability, local pain, pain discomfort, weight loss, fatigue, anemia, loss of appetite, unexplained fever, etc.

Malignant tumors may also cause cachexia, such as fatigue, general weight loss, enlarged lymph nodes, and hepatosplenomegaly.

Regarding this point, one must be skeptical when looking at the old man's figure, because he is too thin, which is in line with the performance of cachexia. Of course, lymph node examination is also needed to assist in the diagnosis.

The lymph nodes in the anterior femoral region are a T-shaped structure, running horizontally and basically level with the inguinal ligament, and then extending far away at the midpoint of the inguinal ligament.

If small indurations in these areas can be detected, malignancy may be considered.

Of course, after Wu Xie's careful physical examination, no enlarged lymph nodes were found. In the state of non-invasiveness, his own structure is intact, and the possibility of malignant tumors is not high during the physical examination. Auxiliary examinations must be conducted to further confirm diagnosis.

Wu Xie reported the results of his physical examination one by one: "The mass is soft, the mobility is good, the tumor has smooth edges, the base is movable, and no inguinal lymph nodes or prefemoral lymph nodes are enlarged."

Wu Xie seems to be a formatted report, but in fact, every point corresponds to the difference between benign and malignant tumors, which is what a professional physical examination can get.

"Well, okay, come over and have a look at these two test results!" Long Yuan subconsciously said so.

Wu Xie was a little flustered when he heard this.

Because to be honest, he has never clicked on the ultrasound reading and checking skills.

But it doesn't matter, just click it temporarily when you need it, Wu Xie hastily activated the skill of ultrasonic reading to the proficient level, and then took over the content of ultrasonic.

At the same time, seeing Long Yuan, He Ling and others discussing the content of the NMR, he explained: "Master, sister, don't worry, let's discuss it together, it will take a certain amount of time, and it will be more accurate. "

"Ms. Long's technique is good, we all want to learn from it, and it won't take much of your time."

"Okay, we're not in a hurry." She could understand Wu Xie's explanation. It would be terrible if Wu Xie and others were unwilling to learn or admit their own shortcomings.

The more this happened, the more she trusted Long Yuan.

Ultrasound is a tool for auxiliary examination in clinical practice. Basically every hospital has an ultrasound department.

General clinicians may only read the results, but in fact, the content seen during the ultrasound examination given by the ultrasound department is quite important.

Like, this patient writes Mixed Echo...

In color ultrasonography, echo features refer to the characteristics of the acoustic echo signals of different tissues or lesions in ultrasonic images.

Anechoic is an area on an ultrasound image that appears completely black or has no echogenic signal.

Possible causes are often found in cystic structures or fluid-filled areas such as cysts, fluid accumulation in glands, etc. This is a common response to cysts.

Hypoechoic is an area that appears dark on an ultrasound image, an area that is less echogenic than surrounding tissue.

It is common in some solid lesions, such as masses, inflammations, nodules, etc. But it could also be a sign of a solid component in the cystic lesion.

Iso-echoes are common in tumors, glandular tissues, muscles, etc., and are similar to the sound wave reflections of surrounding normal tissues.

Hyperecho is common in some calcified, fibrosis or gas-containing structures, such as vessel walls, bones, stones, etc.

Mixed echoes are common in some complex lesions, such as cysts containing solid components, hemorrhage or necrosis in tumors, etc.

The reason why I have to learn to distinguish is that the doctors in the ultrasound department may not have so much clinical experience, so the diagnostic opinions they give are not so good. Not that precise.

Under normal circumstances, if it is a stone, a thrombus, or a small cyst, their diagnosis can be used directly.

But it is complicated, and clinicians must make a comprehensive analysis based on what they see, which is something that many doctors will not do.

And this, in fact, is the difference between high-end doctors and ordinary doctors in terms of basic skills and skill reserves for treating diseases.

The mixed echoes proved that, apart from the liquid, there may be a solid structure in this mass, but it is not yet fully determined which one it is.

But at least it shows that there are things inside this big thing. If you don’t know how to read ultrasound, just read the ultrasound report: a large mass in the right anterior femoral region, with a diameter of 204mm*112mm, suspicious cyst, and its nature is to be ruled out.

Just looking at this, then the meaning of your inspection will be lost.

You don't understand the real purpose of this inspection.

This is skill.

Doctors in the ultrasound department are looking at the level of echoes, so they must be professional and have basic skills, which is credible. It is the skill of clinicians to distinguish what may be inside based on such echoes.

Wu Xie finished watching, turned around, and lowered her voice: "Brother? Is there something inside?"

"Ah? Wait a minute." Hearing what Wu Xie said, Long Yuan froze for a moment.

Because, when looking at MRI, professional orthopedic surgeons have their own order of reading images, first look at the size and position, then look at the nature of the disease, then look at whether the anatomical shape is abnormal, then look at the level, and finally look at whether the theory can be deduced.

He is still working hard with He Ling and others to look at the anatomy, mainly looking at the cyst wall. As for whether there is anything in the cyst, this is a hierarchical content and needs to be looked at last.

He Ling and Guo Lixiang were dumbfounded upon hearing this, and looked at Wu Xie as if they were looking at a freak.

Damn are you telling your fortune?

Physical examination, such a large cyst can never be found inside the cyst, palpation is impossible, and inspection is even more impossible.

Through ultrasound, you said that there is something in the cyst, which is not in line with common sense?

He Ling took Wu Xie's checklist and looked at it, and went directly to the diagnosis opinion.

Then he looked at Wu Xie again with complicated eyes.

I didn't see what Wu Xie was talking about, so I didn't know what Wu Xie was talking about.

Guo Lixiang stood on tiptoe and took a look. He Ling didn't understand, so he asked him to rub the back of his head and wait for Longyuan to feed him.

About a minute later, Long Yuan put down the NMR and handed it to Wu Xie.

Then maybe because He Ling and Guo Lixiang told He Ling and Guo Lixiang what they were diagnosed with, they may not be in line with their education levels, so they told the patients and their families: "You guys are going to be hospitalized for surgery, and after the surgery, you have to go to the county hospital. Only by sending a pathological slide can the final diagnosis be made.”

"At present, according to the results of nuclear magnetic resonance and color Doppler ultrasound, the possibility of benignity is very high, but nothing is absolute."

"Are you willing to live in our hospital?" Long Yuan now has a general judgment on the beds in the department.

A week has passed, and all the queued patients who were admitted to the hospital on Tuesday last week were all processed to the ward. The previous inpatients will be discharged and the beds will be vacated, and the number of cases in the general surgery department is currently decreasing. Available beds.

But whether there is a willingness to be hospitalized depends on the patient and his family.

"Come on, doctor, we are here to see you for surgery." The woman said before her father.

The old man could not refuse, so he asked: "Then how much does the doctor charge for surgery and hospitalization?"

Long Yuan thought for a while and said: "If it is benign, it should not be expensive after reimbursement, but if it is malignant, you have to go to the province to ask about the follow-up treatment costs. This prefecture-level city hospital still has me here. It can’t be done well, so there is no reference point.”

"The benign ones only cost a few thousand dollars."

"It's okay. Doctor Long, we are hospitalized." The middle-aged woman replied.

Then he warned his father: "Early treatment is good. If you had told us earlier, how could this happen now? You wouldn't suffer."

"Dad, we're going to be hospitalized for surgery. Don't delay."

"Doctor Long is an expert from Tongji Hospital, don't you still trust him?"

...

After sending the father and daughter upstairs to go through the hospitalization procedures, He Lingcai asked: "Mr. Long, is this patient's condition very special?"

In front of patients, it is still necessary to focus more on seeing a doctor and supplement it by teaching.

Long Yuan nodded: "It's very interesting."

"Intussusception cysts are more common in ovarian or renal cysts, like onions, but they are extremely rare in the anterior femoral area. It is estimated that we will have to check the literature before we can diagnose him."

When Long Yuan said that, he looked at Wu Xie: "Do you still watch color Doppler ultrasound?"

Long Yuan's question made Wu Xie suddenly turn his head to look at Long Yuan, thinking, Brother, you don't know how to watch color Doppler ultrasound?

"Brother, I read it before, because it's not short, I still remember it." Wu Xie confirmed through Long Yuan's words that Long Yuan would not read the results of the color Doppler ultrasound.

So, he points this skill higher than Longyuan, and Longyuan can't teach him.

well! ~

Not being able to pluck the wool is uncomfortable.

Long Yuan did not continue to ask, but continued to start the normal outpatient clinic.

Because of the arrival of Longyuan, the golden signboard of experts from Tongji Hospital really attracted some people from the next town to come to see a doctor and try their luck.

But none of them are particularly serious diseases, and most of them are basically treated by prescribing medicines.

But there are also two patients whose conditions are quite complicated and need to be hospitalized.

Therefore, in one morning, a total of three hospitalization certificates were issued, and the hospitalization rate of one-fifth was quite high.

Everyone had lunch together, and Luo Wei, who was going to see the outpatient clinic together in the afternoon, was also called.

During the dinner, He Ling asked again: "Mr. Long, what diagnosis do you consider for the patient we saw this morning?"

Long Yuan replied: "It may be an intussusception cyst, or it may be a large cyst complicated by other tumors, or there may be cystic stones, but malignant lesions can basically be ruled out."

"Because I didn't see the vascular pedicle and vascular network around this mass."

"Malignant lesions, all malignant lesions must have sufficient nutritional support, and more than 99% of tumors without rich vascular pedicle tissue are benign lesions. This is still clear."

"What I'm thinking about is how to deal with his skin after the tumor is cleaned up. Wei Ge, what should you do if you encountered a patient with redundant skin before?" Long Yuan's thinking has come to an end The surgery is over.

no.

The diameter of the old man's thigh was less than ten centimeters, and the shortest diameter of the tumor was more than ten centimeters. How to suture the excess skin propped up was a very troublesome problem.

If it is not treated well, then there is a loose gap between the skin and the subcutaneous layer, isn't this the best hiding place for bacteria, or the best cavity for future cysts or other things?

The corner of Luo Wei's mouth twitched, and he said, "Mr. Yuan, we have never come into contact with such patients before. We often come into contact with trauma, so we don't have much experience in dealing with redundant skin after excision."

Luo Wei is quite honest, but he dare not think about how to lose face in front of Long Yuan.

What is the request?

As far as the fibula fracture restoration that Wu Xie did yesterday is already perfect in my own eyes, I still have to find out the shortcomings. With my level and the goods in my stomach, it is not enough for others to pull it out in one morning. knowledge base.

What face do you want?

Elementary school students can't do their own teachers, so they feel that they are incompetent and autistic?

That is asking for trouble.

Seeing that Luo Wei was not in good condition, He Ling quickly changed the subject and said, "Xiao Xie, when you diagnosed intussusception cysts for that patient through color Doppler ultrasound in the morning, it was like fortune-telling. Can you tell me how you considered it?" ?”

Luo Wei hurriedly asked what was going on.

He Ling explained to Luo Wei: "Brother Wei, at that time Xiao Wu was doing a physical examination for the old man. The three of us were looking at the MRI. Teacher Long showed us his nerves. Because the old man is thinner, the display is clearer. "

"But Xiao Wu, after reading the color Doppler ultrasound list, I asked if there was something inside the tumor. Well, isn't this amazing?"

"Of course, you can only be smart if you are ignorant. Xiao Wu must have seen it by himself." He Ling slightly lowered his position.

Getting along with Longyuan, Longyuan used his strong basic skills and knowledge to let everyone understand the gap between Longyuan and everyone, and the height and plane he stood on were different.

Even Lu Junyin had to politely call out to Teacher Long.

But Wu Xie, apart from knowing more about joint dislocation and infection, there will be no step-like gap with them in other aspects, and everyone is evenly matched.

At least it doesn't look as deep and unfathomable as Longyuan, and his knowledge is like an abyss.

But today, He Ling felt that he might not know Wu Xie enough.

Wu Xie didn't try to be modest either, because she was afraid that what happened to Luo Wei yesterday would happen again, so she explained all her deliberations exactly.

"Mixed echoes are intussusception cysts? Can you still correspond like this?" He Ling habitually took Wu Xie's inferred thinking as the thinking of taking the exam.

After all, Wu Xie is a top student, and the top students are good at solving problems, and can sensitively capture point-to-point correspondence, like a fixed collocation of high school English.

But it is not.

Wu Xie said: "The mixed echo is considered uneven, so we can only know that there is something in it, but what can be seen, the color Doppler ultrasound still can't see it, and it can only be seen through nuclear magnetic resonance."

"But even if I look at the MRI, I can't see it."

"I'm going to ask Teacher Long for this."

For the convenience of learning, Wu Xie has not yet reached the level of mastery in MRI reading skills, and it is enough to see all the anatomical levels proficiently, let alone seeing different levels, which is a full two levels short.

The gap between the proficiency level and the expert is much higher than the gap between entry and non-entry.

Longyuan didn't ask too much, so he explained it again from the perspective of the whole.

But because Longyuan's skill level is very high, so just combining the patient's nuclear magnetic field, it is also logical, how to look at it first, then how to look at it, and finally how to look at it...

After talking for more than 20 minutes, Wu Xie added two points of knowledge, but Long Yuan and others felt that the knowledge was overwhelming and they could not absorb it, so Long Yuan stopped the instillation.

"..."

At this point, Wu Xie speculated that it might be difficult to give him more understanding and guidance on the knowledge structure at a proficient level based on Senior Brother Long Yuan's current understanding of nuclear magnetic film reading techniques.

Therefore, after a little hesitation, Wu Xie decided to try again if Long Yuan could give him some guidance if he added the nuclear magnetic film reading technique to his specialization.

After all, different levels of skills have completely different vision.

And sure enough, in the afternoon, Wu Xie once again felt the scene of a sharp increase in knowledge.

In one afternoon, ten knowledge points were credited, and the proficiency required to improve the skill level of nuclear magnetic film reading was reduced to 490!

Got off the clinic.

He Ling and Luo Wei immediately made an appointment to go fishing, and Guo Lixiang also went back beforehand, leaving some time for Long Yuan and Wu Xie.

"Brother, shall we go home for dinner? Let's have a little wine."

"No, I want to go back to the dormitory and lie flat." Long Yuan said solemnly.

"Then come to see you tomorrow morning. Brother." Wu Xie hurried back, with a harmless expression on his face.

"Go and comfort yourself." Long Yuan seemed to be very sensible.

Seeing Wu Xie walk away, Long Yuan immediately ran back to the dormitory, and then frantically asked his colleagues for information, most of which came from a certain general hospital in the ultrasound department.

After getting the information, Long Yuan smiled heartily.

Small boy, you must be treated to death, I can't let you jump around again, and lose the face of the senior brother.

And at this moment, Long Yuan's mother sent him a message.

"Son, mom is wrong, okay? Mom has already apologized to you. Don't be stubborn, let's live a good life. I found a blind date for you, and the person's education is not bad. Don't always think about the past. Got it."

"Times have changed, do you really plan to never look for it for the rest of your life? Just to get angry with your mother?"

Long Yuan replied: "Mom, it was you who said that a man should start a career first, and career is more important than other things. You can't say this at the beginning, but now you don't recognize it?"

His tone was very dry and cold.

"People can't be resurrected after death, I regret it now too? Yuan'er." Long Yuan's mother also sent a message.

"But the business still has to go on. Mom, don't worry, I will start my new life after I complete her blessing to me."

"But how long will it take for you to be promoted to a professor? You haven't been promoted to an associate professor yet. If you are like this, how can your father and I feel at ease? We will all be old by then, and we will not be able to take care of your children."

"I will always get promoted. Mom, don't worry, you have to be with me. I died twenty-four hours a day. Now I am not always hospitalized. The teacher treats me very well. I can ask for leave at any time."

"In the future, if we have children, we will take them by ourselves. If you need to travel, I can also accompany you to travel. Even if you are unwell, I can accompany you. Isn't that good?"

"Then what if I want a grandson?"

"I'll be your grandson..." Long Yuan said.

After saying this, Long Yuan took out an inch photo from the back of the phone case, and there was a girl in it, young and beautiful, with a bright smile and shining eyes.

But Long Yuan's expression was slightly gloomy, he stroked it, then put the photo in, and pressed down the phone case again.

...

On the other side, Wu Xie immediately sold Longyuan.

"Yuewei, you also know that my senior brother always likes to play tricks on me, and he is also jealous of me." Wu Xie explained seriously on the way with Tang Yuewei to eat Malatang junk food in the town.

"Why is he routine and jealous of you?" Tang Yuewei asked irrefutably.

She didn't take it to heart, at that time Wu Xie just said in passing that if she really took it seriously, then she would be really naive.

"Is it better to be jealous than his life?" Wu Xie said.

"How about telling you a gossip about my senior brother?"

Tang Yuewei was stunned: "Is there a relationship history? Can you say that?"

Tang Yuewei was really interested. As the only non-divorced old bachelor in the surgery department of Tongji Hospital, Tang Yuewei was actually very curious about why Longyuan chose this way.

Long Yuan has a good personality, good skills, and good looks. There are many girls who favor him, and there are countless high-quality young female resources, but he is still unmarried.

This has always been something Tang Yuewei was curious about. It's just that she asked many people to eat melons, but almost no one told her the truth.

People of her generation don't even know the reason.

"You can say it, but you have to promise not to tell others. Because I also promised not to tell others." Wu Xie thought for a while and confessed like this.

"Then you still tell me." Tang Yuewei rolled her eyes, continued to walk forward, and even raised her neck to look for the signboard of Mala Tang.

"You are not considered someone else now." Wu Xie's mind was still spinning rapidly.

Tang Yuewei shrank slightly when she heard the words, as if she was stimulated.

This Wu Xie can still flirt.

"Tell me, I will never tell anyone else."

"..."

Ten minutes later.

Tang Yuewei looked at Wu Xie in surprise: "So what you mean is that Longyuan's mother persuaded the former teacher to let go. She is not in a good mood and is on the way home after the holiday."

Tang Yuewei summed up the key points, and at the same time rolled his hands, meaning to hang up.

Wu Xie nodded.

"Well, I heard that Senior Brother Long had an appointment with that Senior Sister to go to Lijiang, and both of them had bought air tickets. But the day before departure, she said that she wanted to go home first."

"National Day is a seven-day holiday, and it's not appropriate not to go back for a day. That senior sister didn't take the exam at the time, but just found a job in Han City..." Wu Xie explained.

Tang Yuewei narrowed her eyes: "It's kind of bloody, but it also seems a little real. Your senior brother's family is a rich second generation?"

"It's not the rich second generation, but it's quite rich."

"Don't tell the outside world about this matter. In fact, I'm also hearing it from hearsay, and I don't guarantee the authenticity of this matter." Wu Xie confessed again.

"I'm too lazy to talk about this kind of thing." Tang Yuewei was slightly disgusted.

The main reason is that she has a senior sister who is interested in Long Yuan, and she has been flirting with her recently...

Otherwise, she wouldn't bother to pay attention to these things.

"Sixty-six yuan. Little crabs, eat slowly. If it's not spicy enough, I can add a little chili for you." After Wu Xie and Tang Yuewei sat down, the boss told the price when he brought a large bowl of Malatang.

"Enough is enough, Sister Lin. Thank you, Sister Lin." Wu Xie thanked, and then began to divide the dishes.

Tang Yuewei then put the topic back on the right path: "You said last night that you should resign next year, right?"

"Then where are you going to go next? It seems that you don't have a training certificate, and you can't apply for doctoral admissions."

"Should go to Enzhou, Enzhou Minda Hospital will have more surgeries!"

"I originally planned to stay in the No. 3 Hospital of Han City, but the director of trauma surgery at the No. 3 Hospital didn't want it, so I had to settle for the next best thing." Wu Xie had no choice.

If you go to Hanshi and choose a smaller secondary hospital, you might as well stay in the town.

It is estimated that the second-level hospitals in Han City have fewer operations, and it is not easy to survive near a bunch of third-level hospitals.

"Then you're gone, what about your senior brother? Isn't the purpose of his coming here to be you!" Tang Yuewei asked.

"The main purpose of the brother's coming is to support the development of the medical industry in the autonomous prefecture. By the way, he brought me along. You are not right about this position." Wu Xie said solemnly.

"You are poor." Tang Yuewei caught a key message.

Wu Xie was talking about going to Minda Hospital, not the better State People's Hospital.

so?

Tang Yuewei said: "I should stay until the anesthesiology department of your current hospital recruits enough people, or there are sub-high-level doctors to sit in, and then Director Qin will leave."

"It should be two or three months, at most until February and March next year."

There is a time limit for recruitment. Even if the deputy chief physician cannot be found, ordinary residents will definitely be able to recruit.

"I'm going to Enzhou to participate in a competition next month. When the time comes, I'll show the director of the Minda Hospital to see how good I am. I'll get in touch with him in advance and find my next home first."

"Otherwise, I will resign here, but not many people dare to ask me."

"Well, as long as you behave normally, he probably won't let you go, right?" Tang Yuewei advised Wu Xie not to put so much pressure on her.

The reason why it was difficult for you to find a job before is because your foundation is too weak.

"Well, I want to have my own bed after I go in. So I have to work harder." Of course Wu Xie didn't want to go to work for others. Without his own bed, he couldn't even get the subsistence allowance.

"Eh~~" Tang Yuewei was dumbfounded.

Minda Hospital is not the Xuanxian County Hospital of Integrated Traditional Chinese and Western Medicine. There are beds in charge, at least only the attending physician or even the deputy chief physician can have their own beds.

You are a resident doctor who wants to bring a group of tube beds? How capable are you?

This is almost impossible to happen, unless you are very good, able to perform operations that others cannot, and expand the business volume in this group.

"It's not necessary, is it?" Tang Yuewei asked.

"It's still necessary."

Wu Xie was very clear in her heart, and her tone was solemn: "I have no other intentions."

"Because in your anesthesiology department, if you have a doctorate and want to stay in the hospital, you basically can't escape. Even if you have a master's degree and want to stay in the hospital, there are opportunities for better ones, but our orthopedics department is different. You may not be able to stay in the hospital."

"Tongji Hospital is very busy."

"It can't be that I 'killed' back for a few years and ran away again." With the last sound, Wu Xie spoke very softly.

But Tang Yuewei could hear clearly.

This sentence has two meanings, one is running away in Tang Yuewei's field of vision, and the other is fleeing from Tongji Hospital in despair, being kicked out of the county hospital, and coming to the town hospital to overdo it.

"So, the stupid bird flies first, I have to prepare in advance."

"The best competition is to perform surgeries that cannot be performed by the Trauma Surgery Department of Minda Hospital, and when Tongji Hospital arrives, we will also perform surgeries that other professors in Tongji Hospital have not performed."

"I need your help." Wu Xie's tone was sincere.

He gave Tang Yuewei a hint, but it was not so obvious.

The implication is that if you want to be together in the future, you must have a relatively stable job. I am working hard, right, to prepare for entering Tongji, the stupid bird flies first.

"May I help? Yes." Tang Yuewei nodded immediately.

Then he took out his mobile phone and said with some hesitation, "I can give it to my uncle—"

Wu Xie knew that Tang Yuewei had misunderstood.

"No, Yuewei, what I mean is, I hope you can help me collect all the surgical procedures performed in the Department of Orthopedics every day at the Minda Hospital. I need to understand these common surgeries, and at the same time explore common surgeries. Rare surgery."

"Mainly in trauma surgery." Wu Xie said.

"I'm not saying that I don't want you to find relationships for me. It's just that it's good to find relationships in Minda Hospital, but it's not easy to find relationships when you enter Tongji Hospital."

"Besides, at the same age, others have learned six years more than me!" Wu Xie made a gesture of six.

"Even if I went to study for a Ph.D. two years later, I spent two more years transitioning outside, and others still struggled for four years more than me!"

If someone with relatively good qualifications enters the school normally and gets promoted, then the growth curve is not small.

Wu Xie does not rule out that the competitors he will meet at that time will have the same qualifications as himself, so if he just takes the normal way, he will definitely not be able to compare, so he has to make good use of the subsistence allowance for the supervisor bed.

Kill a way.

Moreover, truly smart people generally plan holistically, make good use of all resources, and arrange the best route for themselves from the overall situation.

Of course, some unreasonable rules can also be given a reasonable explanation.

Tang Yuewei lowered her head.

She didn't know if Wu Xie's words were a confession, but even if it wasn't a direct confession, it was still very subtle.

Tang Yuewei wondered again, whether the progress was fast.

Tang Yuewei thought again, did I chase him this time, or was he chasing me?

Girls are more delicate.

After eating, Tang Yuewei said, "I'll go ask first, and then I will send you the common surgical procedures and surgical arrangements for trauma surgery in recent years in advance."

"Although the future will be posted, it will be more beneficial to you to look at the past few years."

Tang Yuewei knew that Wu Xie had worked very hard, so she wanted to help Wu Xie a little more. Such things were not important to Wu Xie's growth, but they were more helpful to the direction of his efforts.

Can a boy who can work hard to manage the bed and lead the team in the Minda Hospital at this stage not be attractive?