Chapter 243

"No, I won't do CT. The radiation of that thing is greater than X-ray. I won't do it -"

Edriana shook her head vigorously and shouted with a voice as high as 70 or 80 decibels. Zheng Jianguo turned to look at Oliver next to her. The latter scratched his nose and said to him, "this is what Dr. Pliny gave you. Now you are in charge -"

"Well, you're right here. She explicitly rejected my test proposal, so we can only treat her conservatively - or ask the gentlemen in the neurology department upstairs to test her?"

Zheng Jianguo was not idle when he said this. Instead, he picked up his pen and continued to write and gave it to edriana. Unexpectedly, the doctor looked at it and said in a loud voice, "Oh, Zheng, you are the most neat and complete doctor I have ever seen. In order to save time, they will simplify the words of Neurology, just like the emergency room is called er. I accept your suggestion, Just ask the neurologists to see my poor old woman! "

"Oh, Zheng, what you said is so elegant, neuroscientists - gentlemen ~"

Oliver turned to look at Zheng Jianguo's thin white coat. Just as Ivy League schools despise community universities, there are also many chains of contempt in the hospital. As for the surgical department in the emergency room, physicians who can see patients with neat clothes and mouth, It's like a money Robber: "but I feel that it's really good for you to describe them in this place."

Not long after he came to the United States, Zheng Jianguo learned about the two major factions in the hospital - Internal Medicine and surgery.

Physicians despise surgeons waving knives, scissors, pliers and even hammers, while surgeons despise these physicians who only know to treat patients with test results.

Moreover, because physicians are usually not exposed to too heavy physical work, they are infinitely better in appearance than surgeons who often have to face bleeding and surgery for tens of minutes to hours.

So when Zheng Jianguo described psychiatrists as gentlemen, Oliver's first thought was that the words of these goods were too good, which expressed the fact that physicians did not work, and satirized the essence of their face Engineering: "I heard that you came today for the first day, but I feel that you are more like an attending doctor than me, I only welcome you to the emergency room of Massachusetts General Hospital in my personal capacity. Pliny is lucky - "

"Thank you, Dr. Oliver --"

Zheng Jianguo nodded with a smile to express his gratitude. According to the domestic level classification, there are only two types of doctors in American hospitals, represented by him as a resident and Oliver argas, the attending doctor in front of him.

According to the requirements, inpatients in the learning stage have no right to practice medicine, that is, they have no right to diagnose and treat patients and prescribe drugs.

On Zheng Jianguo, he needs to carry out behaviors including consultation, revision of medical orders and corresponding testing needs under the leadership of Pliny Bolton with temporary power.

Although Pliny Bolton, a senior inpatient, still belongs to the category of inpatients, he has been authorized by his superior, Nathan BECKSON, director of the emergency room, to share his rights with Zheng Jianguo.

As for Oliver agas, the attending doctor, he can open his own clinic. Although the title of the attending doctor is somewhat similar to that in China, it is not the treatment standard given by which hospital to hire, but the recognition for life.

That is to leave all hospitals including Massachusetts General Hospital, Oliver is still qualified as an attending doctor.

Of course, Zheng Jianguo's current name is not empty. If there is luck in the discovery of Helicobacter and atomic graphite layer, however, he can pass the graduation examination in less than two years at Harvard Medical School, which is a real proof of his academic hegemony attribute with strength.

After all, as long as it is an American doctor, there is no one who has not been beaten by the experience of hellish medical students.

In addition, Zheng Jianguo graduated from a top medical school such as Harvard Medical School. The annual admission rate of Harvard Medical School alone is less than 4%, which is enough to screen out academic bullies all over the world. However, he graduated in a year and a half.

This is also the reason why edriana previously called him a super school bully!

Similarly, it is also the reason why Oliver came to claim Zheng Jianguo's weight!

However, when Oliver approached Zheng Jianguo, who used gossip to "communicate" with edriana, he subconsciously thought that this was no different from other Xinzha residents, or even interns in the third academic year, when he was so young in the face of patients, but in the subsequent "inquiry" process of Zheng Jianguo, Found the symptoms of edriana - speak up!

People suddenly speak loudly unknowingly. If it is not an emotional response, it can only prove that their hearing has been affected. Zheng Jianguo found this symptom before him, and then thought of using words to communicate with each other!

Details are the embodiment of strength after reaching some extreme!

Zheng Jianguo's observation is keen. Oliver knew about his discovery of Helicobacter as early as he saw in the report. As for the atomic graphite layer behind, it is beyond his scope of knowledge. Just analyzing it from the report, it can still be classified into this detail.

Oliver had a personal experience of Zheng Jianguo's observation acuity until he could find out that edriana was wrong. Of course, if no one would get out of the meeting, he would even think that this was a play arranged by Zheng Jianguo for edriana!

However, edriana was sent to the emergency room by the ambulance last night. In the morning, Pliny asked Zheng Jianguo to replace him in the conference room. All this proves that the information received by his senses is true. This is not the lucky man in the outside world - he can graduate from Harvard Medical School in less than two years, No one dares to say that this man passed by luck.

But until he saw Zheng Jianguo's observation ability, Oliver only had an acceptable understanding of the treatment he enjoyed.

After all, when director Nathan BECKSON announced at the meeting that the treatment of this is an unprecedented MD and PhD, that is, only 40 hours a week, Oliver could hardly believe his ears!

The annual quota of MD and PhD is only about 500, which accounts for one in 40 of the more than 20000 senior inpatients and total inpatients who submit applications. Pulling out one of these more than 20000 people is not comparable to Xinzha inpatients.

Because only the attending doctor is qualified to be exposed to PhD at work. In other words, only the attending doctor can do relevant medical research like Oliver agas.

Zheng Jianguo even got the quota of MD and PhD joint project. How can this not be recognized by other senior inpatients and general inpatients?

Then you can only use your strength!

So in front of Oliver, Zheng Jianguo completed another standard consultation and prescription disposal process. Even as the attending doctor, he felt that even if he did it himself, he could only do it to this extent.

The strength doctors believe in is to make a diagnosis according to the most standard procedure when facing patients!

Of course, Zheng Jianguo didn't know that Oliver came to weigh him. He just felt that the other party's attitude had changed significantly, but he couldn't feel where it was. Manion, who appeared next to him again, said, "Dr. Zheng, you can give me the case. I'll inform the neurologist to come and see -"

"OK, thank you, Manion ~"

With a smile on his face, Zheng Jianguo handed it to Manion. Zheng Jianguo saw that Oliver showed an ambiguous smile but turned away without opening his mouth. Yang Na's kind hint flashed in his mind. He couldn't help but show a bitter smile. When he got to bed No. 4, he saw that the sober man was still asleep, so he went back to the service desk and looked at the list of people working.

Three operating rooms, three disposal rooms and two treatment rooms are all empty. According to Yang Na, if any doctor is in the room now, kart or Manion at the service desk will write the corresponding name on the kanban. Even if there is an operation arranged, he will write the list on the kanban. However, looking at the non noisy emergency room, he knows that this is a relatively idle day.

Facts have proved Zheng Jianguo's idea. With the return of Pliny Bolton who attended the morning meeting on Monday, the neuroscience gentlemen who came down from the upstairs have finished seeing edriana. In fact, Zheng Jianguo knows that this is the prototype of multidisciplinary consultation.

Yes, in the American hospital system in 1980, the MDT model of multidisciplinary consultation for patients with complex conditions did not appear, let alone the multidisciplinary collaborative treatment plan for patients.

These familiar patterns in Zheng Jianguo's memory are only a flash in the pan when facing cancer patients. Of course, he doesn't know that the real MDT in his memory appeared in 1997 17 years later.

In 1980, this was only an occasional phenomenon in hospitals——

Zheng Jianguo doesn't want to promote this change, because he is now a Xinzha inpatient in the emergency room. If he wants to change the current situation of the tacit system, it is bound to touch the interests of some people - although on the surface, all disciplines are equal in MDT.

Only where there are people, there are Jianghu. Otherwise, why did Daisy, the head nurse who had never met before, target herself like that?

Of course, Zheng Jianguo also knows that now promoting the establishment of MDT can save some patients who could not get scientific treatment in the original time and space, that is to say, it can save some people's lives, but he is now separated and lack of skills.

The most important thing in the regular class time is to catch up with the progress of the MD and PhD joint training project. Although he now occupies the quota of 1980, the goal is to catch up with the training progress in 1979. Only in this way can he shorten the three-year training time to two years and two months.

Otherwise, it will take three and a half years to complete the original three-year training requirements. The completion time of MD and PhD joint training project and the graduation time in the school are fixed, only one in April and one in June.

In this case, Zheng Jianguo certainly doesn't want to promote the establishment of MDT at the cost of delaying one year. If considering that promoting MDT in advance to save more people, it's better to use this time to update the detection methods of Helicobacter.

Even the United States has an infection rate of one fifth, 900 million of the world's about 4.5 billion people are infected, and if half of the infection rate in underdeveloped areas is calculated, there are at least more than one billion infected people in the world.

Such a large base represents a six digit mortality rate of gastric cancer every year!

What's more, there is HIV who has come around!

The mortality rate will be as high as 90% in the next decade and 60% in the next 20 years!

The incubation period after infection is on average eight or nine years, and there will be no initial treatment for HIV until 15 years later!

Let millions of people watch their bodies decay and die in the most painful way in the world!

The main reason why HIV is so terrible is that it will destroy people's quality of life. Looking at patients with colored glasses from the route of transmission will make people feel the pain of almost all diseases physically - the most direct consequence of the collapse of the immune system is that the beneficial bacteria carried by the human body can kill people!

What about foreign invading viruses and bacteria?

Imagine the consequences of all terrible viruses and bacteria entering the human body and growing wantonly!

This is what people who die of HIV experience!

The extremely long incubation period and the shameless death method constitute the life of HIV patients!

This is the outcome for patients infected with HIV within at least ten years!

Zheng Jianguo didn't know much about HIV. During his training in his last life, most of his attention didn't focus on the podium.

So at this moment, although after nearly a year of sorting and searching during learning, I only remember the pathogenic mechanism of the virus. It is the HIV virus that attacks T4 lymphocytes in the human immune center and destroys the cell!

This is just what Zheng Jianguo should do within the scope of normal work.

In addition to the normal work, there are physical laboratories to go to at the weekend, as well as the preparations for the first world digestive system and Helicobacter pylori seminar, which is immediately sponsored by the American Gastroenterology Association and co sponsored by the European multinational Gastroenterology Association. After two years, doctors in most countries around the world have found the shadow of Helicobacter pylori!

Helicobacter pylori is already a worldwide epidemic!

It's about his own Nobel Prize. Zheng Jianguo can't give up these two tasks, but in addition to these two tasks, he still has problems to deal with in terms of stall investment. The audition of a dream of Red Mansions involves the future direction of his Jianguo group, and fan Dailin's hospital involves him inserting his hand into Britain and Hong Kong Island. These two tasks are also related to the future of Jianguo group!

So when Amy, director of the digestive center, arrived, Zheng Jianguo quickly threw the MDT behind his head, stood up with a smile and said, "director Amy, I was going to trouble you again on Thursday afternoon."