People are different from water, they always look up.

When Qi Jing was just reborn, he had no reputation, no achievements, and no papers. Aside from the five big words "Director Qi's son", he was just a "poor and white" hospitalized.

At that time, in order to find like-minded people, he was very patient and would also find younger students in the lower grade to explore talents.

However, when Hu Dongsheng's intern entered the clinical trial, with Qi Jing's urgent reputation increasing, his requirements became higher and higher. As the requirements were higher, his vision would naturally be higher. Since winning over Gao Jian, Qi Jing's enthusiasm for talents has gradually faded.

Now he is at most willing or unintentionally changing to Taobao and high-quality students among interns. He will be excluded by a little worse ability. Especially recently, he has been close to several senior directors, which has caused Qi Jing to have the illusion that he is still a deputy high school student. His impatient temper grew and his requirements became more and more strict.

When you reach the level of deputy senior, the director is his next goal, and the main subject is a colleague who is one level worse than you. The hospitalization is a pure subordinate, and when you reach the level of internship, you are just a tool person who can do miscellaneous work.

If the other party doesn't even count as an intern...

"You're here." Qi Jing glanced at the dozen students in white coats in front of him. His youthful and tender face made him yawn, and then praised them: "I have to admire your enthusiasm for studying. It's great to be able to survive this hot day and work hard to come here for internships!"

"Senior Qi was joking."

"Yes, where can I compare with Senior Qi..."

"It's still more difficult for Senior Qi to work and be a teacher for us!"

In medical school, he has a reputation. For these medical students, they can meet the legendary senior Qi when they are trained. They are so lucky that they can play for two days when they go back.

So from the moment I met them, Qi Jing felt something was wrong. These little bastards were as excited as if they had taken stimulants. Every flattering word without any rhetorical color just got straight into Qi Jing's ears.

To be honest, Qi Jing still sounds quite comfortable.

People want to listen to good things. Most people are like cats. When they are fucked, they will easily feel relieved when they feel relieved. However, the reactions they make after hearing these words are somewhat different, especially those of Qi Jing, who have different reactions from others.

After hearing these sentences, he was very pleased to abandon the originally planned plan a and switch to the more tormenting plan b.

After establishing a "step-by-step" internship process, Qi Jing did not forget to praise himself in his heart: I am so nice to them.

"Have you learned all diagnosis?"

"Study!" The students spoke loudly and answered very straightforwardly.

He restrained the muscles on his face and said seriously: "If I remember correctly, the diagnosis first taught me about consultation and physical examination, and the next one is a laboratory examination."

"Yes, after the laboratory test, it will be an auxiliary examination such as electrocardiogram."

"That's good..."

Qi Jing nodded and took out two completely different test sheets from his pocket, each drawing a circle: "Laboratory examination is the top priority of modern medicine. Before the internship begins, I have a question. If I can answer it to satisfy me, then start the internship. If I am not satisfied..."

He spread his hands and said helplessly: "Then I have to go back."

"ah?"

"Why do you think this is the case?"

"No, this is an intern organized by the school..."

When medical students first entered the clinical stage, they were the same. The basic medical education reformed several times, but they did not achieve any results. However, when it comes to personal rights, they are getting more and more refined year by year. It is difficult to fool them purely by their own personality.

Qi Jing smiled and waved to them, led the people forward a few meters, and pointed at Gao Jian who was carrying the students in the distance.

Gao Jian stood in front with a cold face, with a three-point majesty that the instructor should have. After asking about the patient's medical history and symptoms, he gave corresponding instructions to the interns at hand. The two interns were taking notes while absorbing the nutrients they had just obtained.

As students who come to the internship, their status is too low, so they can only surround the outside. It is a blessing to be able to hear what Gao Jian said in the noisy observation corridor.

"In the hands of other teachers, no matter how strong you are, you will always be trainees, but it is different when I come to my place."

A smile appeared on Qi Jing's lips: "The internship is only five days short. Do you want to go to see these five days in a regular manner, or do you want to experience the stimulation of the emergency room in these five days? Anyway, Teacher Ji Qing is here at night. If you think I'm not good here, I can recommend you to him."

This question has actually been answered long ago.

Students who come to the emergency department for internship naturally want to experience the stimulation, just like going to the surgical internship to see the operation. It's so easy to guess.

"Add to the senior's arrangements."

"Senior Qi, you have to keep your word."

Qi Jing nodded: "I have always been fair. For me, risks and returns are positively correlated. Students who pass the test will naturally receive a generous 'reward'."

When the students heard that there was a reward, they began to try.

"The question is very simple, it is the two words on these two sheets of paper." Qi Jing handed over the test form in his hand and said, "One is calcitonin and the other is procalcitonin. I want to know the difference."

“Calcitonin and procalcitonin…”

These two are important clinical laboratory indicators, and these students have heard of it a little, and someone immediately made a literal judgment: one is blood calcium-lowering, and the other is its synthetic material.

The answers that came out of my mind at the first time were almost the same, but looking at their senior Qi's smile, no one was stupid.

Qi Jing is indeed famous. Whenever he enters the small circle of Dan Medical University, he will more or less hear his rumors. He does not treat interns as human beings, and does not show mercy at all. He makes female students cry many times, does not do their jobs at work, and peeks at swimsuit magazines in the clinic...

Faced with such a teacher, such ordinary answers are simply untenable.

"Think about it, after thinking about it, go to the lounge to find me, and turn right in the corridor." Qi Jing yawned and patted his butt and left.

"Senior Qi, there is no time limit?"

Qi Jing looked at the watch, paused strangely for a few seconds, then stretched and said, "Of course not."

“…”

The few people were silent for a moment, and then someone suddenly poked the window paper: "Would he have deliberately given us a difficult problem and then secretly ran to rest by himself."

"This is not secretly..."

"I'm going to rest blatantly."

Qi Jing really needs rest. He didn't know when he fell asleep last night, and his eyes are sore now. If he stayed with these students, he might not have fallen asleep and he would have been sleepy first.

Easily avoiding Wang Ting's sight in the clinic, the first 2-hour summer internship class started with a nap in the lounge.

He took four short cabinets to make a "small bed", then folded it into Ji Qing's white coat to form a pillow, and Qi Jing lay down comfortably. The case given by Cai Ping last night was always in his mind, and so much information could just become his sleep aid tool.

Africa.....

Mobility subcutaneous lumps...

There is only mild pain, no fever, no subcutaneous crawling feeling...

Several microorganisms that can detect antibodies will not have symptoms of subcutaneous lumps. In fact, it is indeed the same as Huang Xinghua said. It is impossible to easily judge whether it is an infectious disease...

The key is to have a skin and muscle biopsy to see what this subcutaneous lump is.

However, Africa, as the most rampant area in the world, does not have a complete parasite antibody inspection system. Years of war and poverty have made it impossible for the local area to even ensure the most basic laboratory tests, and it would be great to have the most ordinary hematuria test. If it were replaced by other places, it would be impossible to even provide a clean water source.

Not only the infrastructure and instruments of the hospital, but even people have to rely on assistance to solve the problem.

The patient is located in one of the best hospitals in the local capital, but the doctors in it come from seventeen medical teams around the world, and there are only two doctors who really belong to their own country.

It would be fine if it was an ordinary employee who went to work in Africa. At worst, he could fly back to China and find a junior high school to slowly diagnose and treat it. However, the patient's identity was a famous deputy director of the internal medicine department in China and the most important internal medicine doctor to maintain this capital hospital.

He has worked in the local area for thirteen years, is experienced and is proficient in five languages: English, French, Western, Russian and Arabic. In a hospital that requires translations from various languages ​​at any time, it is really important for a doctor who knows so many languages ​​to be a translator.

Therefore, many other countries have participated in the diagnosis of Professor Lin Zhixing this time.

This kind of joint consultation is indeed rare and has attracted the attention of many doctors. It seems to be a good exchange in others, but when Huang Xinghua takes the cooperation to a competitive relationship. No matter what, the diagnosis must be proposed by domestic doctors first, and people must not be laughed at.

Qi Jing is a generation younger than Huang Xinghua, and does not have this strong and almost extreme sense of family and country.

In fact, whether there are foreign doctors involved, how many doctors are involved, what the patient is, and how many benefits will be after the end does not matter to him. All Qi Jing wants is the fun of finding the answer to the question and the sense of accomplishment that can satisfy his little self-esteem.

"Teacher Qi..."

"Senior Qi..."

While sleeping in a daze, some strange sounds came from Qi Jing's ears. What he opened his eyes were the interns who had just obtained the question. The girl was the one who was in charge, holding the two test papers in her hand. Judging from the smile on her face, she seemed to have an answer.

Qi Jing stared at the fluorescent lights sprinkled on the ceiling, frowned and looked back. There seemed to be many people coming: "Are there any answers?"

"There's there."

"Okay." Qi Jing looked at the watch, pointed to the gate and said, "Come in line."

......

The first one was the girl who woke him up. After putting down the test form, she started talking nonsense: "First, the propeptide procalcitonin synthesizes the propeptide procalcitonin. Procalcitonin mainly consists of 82 amino acids at the n-terminal, active calcitonin and calcitonin. Procalcitonin enters the endoplasmic reticulum and turns it into procalcitonin through glycosylation and enzyme removal of the leader peptide... "

In fact, the answer they thought about before was not too bad. If juniors can achieve this level, they can be considered to be of medium level. But Qi Jing obviously would not be satisfied with that kind of answer. He gave them a test form and pointed out Gao Jian's position to them, so he naturally wanted them to think about it and ask.

This girl did a good job, and the answer was very strong in Gaojian color, which Qi Jing could hear at the first time.

In order to encourage her, Qi Jing kept nodding. As for the contents in it, it was indeed considered to be memorizing well, but there is no need to go into the questioning whether it is right or wrong. The attitude of just being willing to put aside her attitude is enough to show her attitude.

"......pct is then acted separately by different proteases. The n-terminal peptide is removed to form 57 peptides, and then further degraded, that is, mature calcitonin and calcitonin are produced. The c-terminal of mature calcitonin is amidated and finally formed active calcitonin." The girl completed the answer very well.

"Not bad." Qi Jing applauded and gave affirmation, "Next."

“…”

One question divided these students into different levels.

In fact, when preparing the answer, the twelve students were divided into two factions, one faction advocated asking Gao Jian or other doctors, while the other faction advocated solving the problem on its own.

The result was only three students who could fully meet his requirements.

Two of them really got Gao Jian's true teachings. They not only talked about the entire calcitonin synthesis process, but also explained the reasons for detecting procalcitonin. They also had a very fluent answer, at least in terms of memory, they were better than others.

The other person's focus is not on the generation process, but on the clinical sense.

He also became the only one left among another independent thinkers.

Theoretically, the concentration of procalcitonin in the peripheral blood circulation of healthy humans is very low, almost 0. However, in the state of inflammation, especially bacterial infection, various cell types in the body can produce a large amount of non-degradable procalcitonin.

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