My Medical Skills Give Me Experience Points

Chapter 1242: Chapter 490: Drastically Different Fates, Touching the Threshold of Top-Tier Diagnosis

Under normal circumstances, if someone over the age of forty-five hasn’t been promoted to deputy senior level, nine out of ten are stuck on the academic aspect.

In this era that increasingly values education, even nurses now start with a bachelor’s degree.

Most of the skilled nurses basically have a graduate degree.

Even now, many people look down on nurses, thinking they only know how to give injections, change dressings, and do some caregiving work. That’s because most people still hold on to the past, when nurses were mostly vocational school graduates.

But so what?

Nurses with ambition have long completed their Bachelor’s degree, taken entrance exams for graduate school, and become leaders among nurses. Those without ambition, just getting by, have either retired or switched careers.

Nowadays, the quality of nurses in major hospitals is already extremely high.

Ali is considered a rather unique presence in Tuya Hospital.

Tuya Hospital has been trying to establish a comprehensive department, but it has always remained at the ideal stage and has never truly been implemented.

This has resulted in a very small number of general practitioners at Tuya Hospital.

Only Ali and Director Lou in the entire Emergency Department have reached the rank of Chief Level or above as general practitioners.

Director Lou is currently already at a deputy senior rank and has become the department head of the Emergency Department. Compared to Ali, he can be considered a winner in life.

It’s said that Director Lou also encountered the same awkward situation as Ali back in the day.

Biting off more than you can chew!

Becoming a general practitioner sounds impressive, but the end result is you know a little bit about each department.

And it’s really just a little bit.

Achieving a very high level of medical expertise is nearly impossible.

Director Lou realized that following the path of a general practitioner made it difficult to get promoted to deputy senior rank in his lifetime. He was eliminated from the internal medicine department and moved to the Emergency Department, where his conditions weren’t particularly good.

However, he was much smarter and more insightful than Ali.

Not only did he put in the effort to earn a master’s degree after working for eleven years, but he also specialized in Respiratory Internal Medicine in order to get promoted to deputy senior rank. Respiratory Internal Medicine was probably the area most likely to yield results among various disciplines.

Director Lou worked in the Emergency Department, dealing with all kinds of critical patients. Ensuring that patients could breathe smoothly was the top priority.

Therefore, his specialization in Respiratory Internal Medicine was a perfect fit for his job nature.

Let’s just say, Director Lou successfully got promoted to deputy senior rank. Furthermore, after the previous head of the Emergency Department moved on, he rose up like a dark horse and took the position.

Back then, Deputy Director Han, and another now-retired deputy director, were reportedly the most hopeful candidates for the emergency department head position.

No one expected that Director Lou, an unremarkable junior, would swoop in and seize the opportunity.

After Director Lou became the director of the Emergency Department, the deputy director with the surname He reportedly fell ill shortly thereafter. It must have been from anger.

Deputy Director Han held out a bit longer, but was undoubtedly hostile towards Director Lou.

However, how the situation was deftly resolved by Director Lou, and how the two became close allies, remains unknown.

Director Lou may not be particularly good-looking, but his methods are impressive, and his strategies are outstanding. Moreover, his vision is far-reaching, and he has great ambitions. Having him as the director of the Emergency Department is actually a good thing.

If Deputy Director Han Changqing had become the department head back then, the Emergency Department would not have the current scene at all.

It has to be said that sometimes a person’s fate can change because of a single decision.

Ali didn’t have the determination and foresight of Director Lou back then and ended up still being a Chief Physician at fifty years old.

If nothing unexpected happens, she will retire at the Chief Level at fifty-five.

In terms of medical diagnosis and treatment experience, Doctor Ali is exceptionally rich.

What kind of patient could leave her at a loss?

Zhou Can followed the nurse, hurrying towards the emergency hall.

Even from a distance, he could see a female family member crying beside the patient’s bed, while the other family members each had expressions of sadness and anxiety.

Doctor Ali was performing various examinations on the patient.

At present, it seems that the exact problem causing the shock hasn’t been identified, so no emergency measures were taken rashly.

In the Emergency Department, a patient’s death can generally be divided into three stages.

Severe illness, shock, death.

When ordinary doctors encounter a patient in shock, they tend to panic, but for Doctor Ali, this kind of situation occurs daily. She might even encounter it many times in a single day.

The emergency volume at Tuya is astonishing. Even if only one percent of patients are in shock, several shock patients can be admitted in a day.

"Doctor Ai, what’s going on with this patient?"

Zhou Can squeezed past the family surrounding the portable emergency bed and greeted Ali while already beginning to observe the patient on the bed.

"According to the family, the patient has had black stools for nearly a month and suddenly had a nosebleed while eating breakfast this morning, became confused, and fell to the ground. The family was worried that calling an ambulance would delay the condition, so they directly used their own car to bring the patient to our hospital for treatment."

Ali briefly introduced the patient’s medical history.

Black stools indicate gastrointestinal bleeding.

The patient suddenly had a nosebleed while eating breakfast, could it be upper gastrointestinal bleeding?

Zhou Can silently observed the patient’s appearance: the complexion and lips were pale without any sign of blood, still relatively conscious, with a slightly pained expression on the face. No rash or bruising visible on the neck and arms. The sclera was not jaundiced.

He reached out to feel the patient’s neck, finding no significant enlargement of the superficial lymph nodes.

The thyroid was also normal.

He tried pressing on the patient’s chest, and the patient showed no obvious tenderness.

"The patient’s temperature is 36.7°C, pulse is 100 beats per minute, respiration is 21 breaths per minute, blood pressure is 90/70 mmHg."