In the eyes of the Chinese people in the past, all walks of life in the United States had sufficient regulatory mechanisms and was very rational. It seemed that the entire assessment was only talented and very fair. This was also the cornerstone of the United States dream, and it was sacred and unshakable.

But in fact, the reality is not like this at all. It is not that only domestic relations are discussed, but foreign countries are more important.

Who would hope that the person who works under him is an unknown person. As long as he has good abilities, he will definitely be better than a stranger to know his true nature. Therefore, the so-called "recommendation letter system" has emerged, which has become the biggest obstacle for Chinese people to come to the United States to practice medicine.

If you don’t have a recommendation letter, even if you pass the first two stages, you will fall on the way to the third stage due to trust issues.

In order to get a letter of recommendation, many Chinese doctoral students who want to practice medicine in the United States, attending and even chief physicians, will choose to lower their identities and work in the ward and laboratory for a few years, and then take the letter of recommendation to take the final match. (1)

Because the United States does not recognize the master's degree in China, the two are superimposed on each other. Doctors over 30 or even near 40 will choose to take the American master's degree in medicine.

Anyway, you have to survive for a few years first, so it’s better to take a master’s degree and increase your bargaining chips for your own assessment.

During the examination of the American doctor license, acquaintances are definitely not necessary. After all, there are many cases of successful struggles from scratch. But if it is placed in Qi Jing's plan, time is more important than everything. The existence of acquaintances can achieve twice the result with half the effort.

For him, the most important part of his connections is Coent.

Without Coent, Qi Jing's examination for practicing physicians in the United States would not have been so smooth. Even issuing a visa has become much faster because of Coent's recommendation letter. While others are still worried about whether the match is successful or not, Qi Jing can easily infer the time he gets the certificate.

Of course, the premise is that he is strong enough to complete the entire usmle qualification examination.

Coenter's role is very important. Logically, after receiving such great favors, Qi Jing should work well under the old man for a while. After the match, he will be able to get a US doctor's license for two or three years, and he will need to consider his plan at that time.

At first, he really thought so. The certificate issuance has its own regulations on the issuance of the United States, and no matter how popular he is, he cannot get around it. Besides, the real decisive battle will take ten years to come, and Qi Jing still has a lot of time to prepare.

Too much time does not mean that you can be wasted.

In the past five years, he basically achieved the best an ordinary clinician could do. With the previous foundation, Qi Jing began to plan.

He has a hospital, a diagnosis department, a "Friday dusk" certified by the Medical Association, a biotechnology company that focuses on vaccines, and a medical device factory that holds shares. As long as he is willing, in the next time, he will definitely be able to arm a public health center that specializes in providing major epidemics within his ability.

But after he gained a certain influence, he came back to his senses and carefully examined the sudden outbreak of the epidemic, and jumped out of the original frontline to rescue patients. His perspectives were different, and the doubts began to slowly emerge in front of him.

Looking at the history of influenza, it was first traced back to the Spanish flu in 1918. It was said that it was Spain, but it actually originated from the United States, but it was just a matter of mercy and flirting.

The original flu killed tens of millions of people.

Many years after the outbreak of the flu in 1918, scientists did not find the cause of the disease. Until 1930, the Americans isolated the swine flu virus from the respiratory tract of pigs with similar symptoms. After serological research, the prevalent pathogen was locked on the swine flu virus.

In fact, except for that big flu, the other few times were closely related to the swine flu virus.

The Asian flu in 1957, the Hong Kong flu in 1968 and the Soviet flu in 1977 are both likely to be mutated by swine flu. The mutated new virus is transmitted from pigs to humans, which eventually leads to the pandemic of influenza.

Qi Jing looked at the flu epidemic that broke out at different regions and at different times, and seemed to have no rules. But when he thought about it carefully, he realized that he had just found the wrong partner.

Considering the United States' slutty nature, Qi Jing temporarily put down the "human flu" and first focused his search target on "swine flu". After using "swine flu" as the keyword and then searching the literature, everything suddenly became clear.

Looking back over the years, the countries with the most swine flu have not actually been the countries that have experienced major flu outbreaks.

But the United States!

There are swine flu infection cases in the United States almost every year, and deaths are endless. After investigations of some pig slaughtering farm staff in the United States, it was found that at least 20% of people contain swine flu virus antibodies.

The history of the two outbreaks in the 1950s and 1960s is no longer verified. At least, he, an ordinary doctor, could not find these things in the literature system in 2008.

But when it comes to the Soviet flu in 1977, things are not as simple as they are described.

As early as the year before 1977, in 1976, a swine flu outbreak occurred in the recruit camp in Dicksburg, New Jersey, USA, causing more than 200 people to be infected and killed. It should be a big deal that the swine flu virus disappeared about a month later.

No one knows why he went to the Soviet Union for no reason after that.

When Qi Jing saw this evidence, the first thing he thought of was sars.

The origin of sars has been bumpy. Domestic researchers have been finding the sars virus from the bodies of some wild bats for many years. But how did this virus enter the body of civets from deep mountains and forests, and finally went to the dining table, and there was no trace of the following.

The entire chain of infection is broken at all.

Sars was still young at that time and had never thought about this problem. During the new epidemic, he was busy saving people and had no time to think about it.

Is it the environment that caused the virus to mutation from animals to humans, or is it that external forces helped it in the process?

With this question, Qi Jing arrived in the United States.

This time, it was not Qi Jing's intention to switch to North Carolina. He was originally planning to stay in Seattle for a while before leaving. The first stop he went to should be Texas.

According to his memory, the H1n1 influenza A virus that swept the world in 2009 first attacked Mexico in the south of the United States, and then went north to enter the United States before it began to grow bigger and stronger. The most critical part of the entire infection chain is Texas, which is adjacent to Mexico.

In April 2009, three patients with H1n1 influenza A were diagnosed with, one of whom unfortunately died. Or to put it more precisely, it should have died prematurely, after all, the patient was just a child under two years old.

At this point, h1n1 announced that it has begun to take official roots in the United States.

But the United States is so big that there will definitely be a process of weighing the pros and cons before finding clues and determining goals.

According to the original time trajectory, Texas should be the front line for the United States to fight h1n1. But the timeline of this life has become very strange, and previous memories can only be used as a reference.

It is November 2008, and there is nearly half a year left before April 2009. If other external factors, clues or conditions occur, Qi Jingda can put Texas aside and divert to other places.

North Carolina is the external factor that suddenly appeared in front of him.

The prerequisite for the birth of this external factor still starts with Ye Han. When discussing this case, many young people with potential emerged. Finally, under Qi Jing's assessment and certification, three of them were left behind.

Wang Wen, Lin Yi and Zhang Junyan.

Wang Wen was named in the diagnosis department and was directly asked by Qi Jing to take the doctoral student of Luo Tang. She is still studying and working in Danyang Hospital. At the earliest, she will not graduate in the next year. After she comes back, she will probably work hard in the diagnosis department for a while.

Lin Yi's Western medicine level is actually not very strong, and he can stay because of his outstanding traditional Chinese medicine ability.

These days, it is very rare for young people who can excel in both traditional Chinese medicine and acupuncture. Of course, compared to those masters of the country, he still owes a lot of understanding and realm things. Aom's exam is not a big problem. (2)

The nccaom test time is much shorter than that of Qi Jing. Generally, if it goes well, you can get the certificate in half a year. During the period when Qi Jing's assessment certificate, if he can get the traditional Chinese medicine certificate, he will definitely become a good card.

Since Chinese is naturally allowed in traditional Chinese medicine assessment, Chinese is used as the examination language, and time constraints are imposed on it. The fastest time is at the end of December. If you take the exam late, you will naturally get the certificate late.

Therefore, Qi Jing’s requirement is to take the English exam directly.

Lin Yiba is just speaking English. If you want to pass the fastest way, you must think of some other ways to help him with the best practice.

The original plan was to help clear the relationship through the Seattle Traditional Chinese Medicine Center, which is Ma Shouming, who had helped Coent handle emergency patients before. At least he had to submit a letter of recommendation to increase Lin Yi's value.

But later when I arrived in Seattle, I found out that Ma Shouming had gone to the University of North Carolina last year and got the opportunity to study in the School of Pharmacy there.

Because of the successful cases of previous treatments, Ma Shouming became famous and has gained a foothold in the United States. He can also say something in the Aom exam. However, the assessments between the states are independent, and if you want to use them, you must go to North Carolina.

When it comes to North Carolina, I have to talk about Zhang Junyan, who entered the diagnosis department at the same time as Lin Yi.

Zhang Junyan himself is a wild path, his brain is not as fast as Hu Dongsheng, and his literature and knowledge reserves are not as deep as Gao Jian. But he worked hard enough. Even if he lost his internship due to a fracture, he did not give up. He just mixed the two shortcomings in comparison and turned them into advantages.

75% of Hu Dongsheng may not have such a powerful brain circuit.

75% of Gao Jian is the knowledge level of ordinary Grade resident doctors.

But if we try to go up 10%, then 85% Hu Dong's 85% Gao Jian, and some of his own understandings to integrate the two into each other, would be more in line with Qi Jing's expectations. Because of this special reason, Zhang Junyan stayed and worked in the geriatric department for two years first. He was taken back to the diagnosis department by Qi Jing in the middle of this year.

In fact, I didn’t know until Qi Jing started this trip to the United States that this child was born in a big family.

There are several relatives in the United States alone, all of which are concentrated on the east coast. Especially in North Carolina, his third uncle is a Chinese medicine doctor from Guangnan. He opened a traditional Chinese medicine clinic and occupied a place in the Aom examination.

The two major insurances are there, which forced Qi Jing to consider the issue of diverting the route. A phone call from Chris last night became the last reason for him to determine the route.

"Teacher Coent, I'm really embarrassed. I care more about the outbreak and epidemic of the US autumn and winter influenza season. There are clustered infectious cases in North Carolina now, so I must go and see it." Qi Jing chose a high-end reason for himself, "This time I came to study it, and I also want to complete my paper as soon as possible."

"Why do you think I'm a fool?" Coent cursed, "With your attitude towards the thesis, will you write the thesis after you graduate from a doctorate?"

"Oh, teacher, you don't understand. We have our own national conditions here..."

Coent also brought Chinese students. Xu Jiakang talked about this issue when he came to the University of Washington Medical Center. Promotion in China requires scientific research papers, and the United States also needs it, but the United States does not have such a clear professional title system as a domestic one. Especially after the main treatment, every step forward requires papers to be laid out.

In theory, the number of papers is not too high, but when the number of competitors accumulates to a certain number, this becomes the only quantitative indicator.

Of course, when Xu Jiakang and Coent discussed, Qi Jing was especially removed.

This young doctor who is less than thirty years old is not among the list, just like Monkey King who jumps out of the five elements.

Originally, his attending title had come very quickly. With Qi Jing's level and influence in the Danyang medical community, it was only a matter of time before he could get promoted to the deputy high school level. Moreover, the Diagnostics Department of the Medical Center was already his thing, and no one would compete with him, and even if he had fought, he could not compete.

"Stop doing this, Xiao Xu told me before that you have no concerns about this." Coent asked with the two work permits in his hand, "Is he by your side? Let him listen to the phone!"

Qi Jing looked at Xu Jiakang who was sitting beside him, and hesitated for a while but still didn't give him the phone: "Teacher, we'll be back in a few days."

"No, no, no, it's definitely not that easy for you to come to the United States this time!" Coent said, "If you don't give me a reason, I won't let you go!"

"This is not a nonsense this time. I'm really going to check the flu." Qi Jing explained, "Chris told me before that there was a family in North Carolina that had a very strong flu. Four of the five people had severe illness and one died. And the flu appeared as early as October and spread throughout the town."

"If you just ask the local CDC to check this kind of thing, why are you doing it?"

Coenter must be worried about his safety, but Qi Jing is very determined about the purpose of his trip: "Teacher, I came here for the flu. I highly suspect that this flu in North Carolina is a variant of swine flu."
Chapter completed!