I'm just a veterinarian! You've unlocked the Great Physician System!

Time had passed by and it was already 12:30 pm.

I didn't fall asleep until 3:30 in the morning, so of course it's impossible for me to get up at 8 or 9 in the morning.

Especially since he has expended so much energy, he will definitely feel groggy the next day after sleeping for only five or six hours.

Therefore, sleeping until one or two o'clock is normal.

12:30 is still a bit early.

"Huh? What's going on?"

After opening his eyes, Zhang Lingchuan habitually opened the system space.

Usually, after opening the system space in the morning, he would see a small notification bell.

"No news yet?"

Clicking the little bell often reveals a treasure chest.

So today, he habitually checked whether his treasure chest had been logged in.

There was no further news.

Generally speaking, there are two possibilities when there is no news. The first possibility is that the person could not be saved and did not survive. The second possibility is that the person is still being rescued.

If they're still in the emergency room, this is a bit of an exaggeration.

After all, it's been 3 PM yesterday and now it's 12:30 AM.

It's been nine and a half hours.

A ruptured spleen and abdominal bleeding, and it's the work of several teams, shouldn't have taken this long?

This isn't a brain or nerve surgery.

And there are so many people.

With collaboration, it should be completed quickly.

Five or six hours should be enough normally.

[Notification! The current host has completed level one and can proceed to level two and level three.]

Because I opened the system interface.

Perhaps there were still tasks in the simulation space that hadn't been completed, because the system popped up another notification.

"Uh...you won't be satisfied until you've exhausted me, right?"

Zhang Lingchuan was speechless.

I just came out of a tense emergency yesterday, and today I'm trying to get myself back into the system space.

The other party won't be satisfied until they've exhausted themselves.

That’s all.

I'll go check out the assessment criteria for this level.

[Notification! The current host has entered the system simulation space and can select the levels "Silent Killer" and "Triple Delivery Room of Hell".]

Soon after he clicked to enter.

A sound came from the system.

Two more level cards appeared in front of them.

They are 【The Silent Killer】 and 【The Triple Delivery Room in Hell】.

[Successfully entered the "Silent Killer" level.]

In the end, Zhang Lingchuan chose the second challenge first to see what this silent killer was all about.

[Mission Title: The Silent Killer]

[Task Overview: As the attending physician, you have your own consultation room. Today is your turn to see patients. Please assess the level of danger from the patients and provide appropriate advice.]

【评分准则：SSS级应为准确率100%、SS级应为准确率99%、S级应为准确率98%、A级应为准确率95%，B级应为准确率90%、C级应为准确率80%、D级应为准确率70%、E级应为准确率60%。】

[Task Objective: Upon completion of this assessment, the host will possess a high level of independent diagnostic ability, capable of conducting diagnosis without relying on traditional system scans.]

[Task Notes: Each level has its own unique features and scoring criteria. The host needs to achieve an S-level or higher score to complete the level. As the examiner for the Perfect Physician exam, if you make more than three misdiagnoses, the task will fail. Your clinic hours are from 9:00 AM to 12:00 PM and from 3:00 PM to 6:00 PM, with an estimated 100 patients to see.]

The current host is currently undergoing assessment.

Soon a familiar scene appeared.

It was inside a consultation room.

There was a clock hanging on the wall, which read 08:55.

[You have five minutes to prepare. The consultation will begin five minutes after the consultation begins. During the consultation, the host cannot use any special skills.]

After he entered, a notification appeared above his head.

"..."

Zhang Lingchuan rubbed his forehead.

No, is this task really for myself?

Look at what they're saying.

I have to see 100 patients in a total of six hours, three hours in the morning and three hours in the afternoon.

Moreover, the accuracy rate must be above 98%.

That means you need to correctly identify at least 98 people.

If you get three of them wrong, you're out.

Then why are there ratings like A, B, C, D, and E?
Getting three wrong meant failing immediately, which means that this rating will never be achieved.

Furthermore, isn't 100 people a bit of an exaggeration?

He seemed to have never seen so many patients before.

Well, well, since we've already entered the system assessment stage, let's see how this task turns out.

[Countdown to the assessment: 3, 2, 1...]

The assessment began soon.

"Please have patient number 01, Gu Haiqun, go to consultation room number 10."

A sound came from the loudspeakers in the hospital corridor.

"Boom boom boom——"

Right now.

There was a knock on the door of Zhang Lingchuan's clinic.

"Hello, Dr. Zhang."

A man and a woman entered.

They all looked to be in their early twenties.

The girl was clutching her stomach, looking extremely uncomfortable.

"What's wrong? Is your stomach upset?"

Zhang Lingchuan's gaze fell on the woman, since she looked very unpleasant.

Actually, the most frightening thing in the emergency room is abdominal pain, which can have many causes, and you need to rule them out one by one.

He has no idea why.

As expected, this is a place to train his advanced diagnostic skills... and they've already presented him with such a difficult option right from the start.

"Doctor, my girlfriend has an intestinal blockage, stomach pain, and feels unwell. Please take a look at her quickly."

The man said to Zhang Lingchuan.

The woman squatted down on the ground, her face contorted with even more pain.

"Do you have a stomachache? Have you passed gas or had a bowel movement?"

Zhang Lingchuan inquired.

"I just can't poop."

The female patient's name is Gu Haiqun, and her boyfriend's name is Hu Dafeng.

Hu Dafeng replied after Zhang Lingchuan asked the question.

"When did it start? Have you had a bowel movement? Could you please tell me the specific time?"

Zhang Lingchuan inquired.

"Dr. Zhang, I haven't had a bowel movement for three days. This used to happen often, but I don't know what's wrong this time. Do you think it's because I ate hot pot and drank cold water at the same time? Could you prescribe some medicine for me?"

Gu Haiqun's face turned a little pale.

His face looked very haggard.

Clearly, the pain had taken a toll on her.

"Yes, yes, we went to Shancheng Hot Pot yesterday. It was a bit spicy, so my girlfriend drank some cold water to relieve it. Is it because of that Shancheng Hot Pot yesterday that my girlfriend has a stomachache today?"

Hu Dafeng nodded in agreement.

"Is that so... Come on, lie down and take a look."

Judging from what the other person said, they are someone who often doesn't defecate for several days or only once every two or three days. Although a normal person should defecate once a day, or even twice a day, there are also people who defecate once every two days.

However, those who do it once every three days are indeed a relatively small group.

However, we can't say that they are sick.

Some people, especially women, have bowel movements only once every three or four days and no problems are found.

However, as a doctor, palpation and physical examination are also necessary procedures during examinations.

Zhang Lingchuan wanted to see how much pain the other person felt when he pressed on their skin.

Is it stomach pain caused by eating something wrong, or is it appendicitis, or uterine issues, or something else?

"Ah."

Ms. Gu lay down on the bed.

"Does it hurt here?" Zhang Lingchuan pressed McBurney's point first.

If you experience pain here, it's most likely appendicitis.

The next step should be to diagnose appendicitis, followed by having the patient undergo the necessary examinations; that should complete the task.

It's impossible to find out the problem yourself and then have surgery to complete it.

If that were really the case, having a hundred people would be too abnormal.

"It doesn't hurt."

Gu Haiqun shook his head.

So what about here?
Press on the area where the stomach is located.

"It doesn't seem to hurt much, but I can feel a little bit."

Gu Haiqun replied.

"What about here?"

Zhang Lingchuan pressed on the area slightly towards the chest, specifically the mid-abdomen.

"It hurts, it hurts—"

Just as he pressed towards her chest, Ms. Gu Haiqun let out a very painful cry in the next instant.

"It hurts here..."

Zhang Lingchuan frowned.

There are many common causes of mid-abdominal pain.

These include digestive system diseases such as gastritis and enteritis, inflammation of internal organs such as cholecystitis and pancreatitis, urinary system diseases such as kidney stones, and gynecological problems such as ovarian cysts.

With so many options, which one is correct?

"Do you experience nausea or vomiting?"

Zhang Lingchuan inquired.

Because he is a female patient, he is currently undergoing a procedure to rule out conditions related to ovarian cyst torsion.

"No."

Gu Haiqun shook his head.

"If there's no nausea or vomiting, is there any vaginal bleeding?"

Zhang Lingchuan asked again.

This time, the examination was for a ruptured ectopic pregnancy.

Sudden, tearing pain in the lower abdomen after missed menstruation, accompanied by vaginal bleeding, may indicate a ruptured ectopic pregnancy, a critical and serious condition.

"Well... it's my first day... and it's the right time. I'm pretty punctual every month."

Gu Haiqun looked a little embarrassed after hearing Zhang Lingchuan say those words.

Because I am in a special period.

It turned brown last night and came in this morning.

I don't know if it matches.

"So you mean it was on time last month, right? What does this pain feel like? Is it a tearing pain?"

Zhang Lingchuan asked carefully.

"It's tearing... I don't know, doctor, could you just prescribe some painkillers for me? My stomach is really hurting so much, and my period is always very regular."

Gu Haiqun shook his head, enduring the pain.

"Don't rush. We need to confirm your symptoms before we can order tests. Since you said your periods are very regular, we'll rule out an ectopic pregnancy for now. Do you have any back pain?"

Dull pain in the middle abdomen radiating to the back may indicate cholecystitis or cholelithiasis.

This condition often worsens after eating greasy food.

So it's highly likely that they felt unwell the day after eating hot pot.

"No, my back doesn't hurt."

Gu Haiqun replied.

"Will bending over relieve the pain?"

If bending over provides relief, be wary of severe pancreatitis.

"It doesn't really help... I just want to squat down, I don't want to move at all."

She squatted down as she spoke.

"Do you experience a burning sensation, acid reflux, or nausea?"

This is most likely gastritis or gastric ulcer, which is consistent with eating hot pot and drinking cold water.

Is the system being really that kind this time, giving me such a simple case of acute abdomen as my first case?
I always felt this guy was really weird.

"It's a stomachache, but there's no burning sensation or acid reflux or nausea. It's just a stomachache. Doctor, I guess I ate something bad yesterday. Could you give me a painkiller injection first? I'm really in so much pain."

The girl said with a helpless expression.

Although the doctor's consultation time was not very long, only a minute or two.

But she was really uncomfortable with the stomach pain here.

I hope the doctor can finish the consultation quickly and prescribe medication for me.

The best course of action is to get a painkiller injection.

She was in excruciating pain.

"Painkillers can be administered, but if the cause isn't determined, administering painkillers directly can mask the underlying condition. So, is your pain coming in waves? Do you experience bloating, vomiting, or passing gas?"

Zhang Lingchuan offered an explanation.

Then he asked another question.

Early use of painkillers can mask the symptoms of the disease.

The pain was indeed relieved, but the cause of the illness was not found.

"Yes, yes, there were waves of cramping pain, and then I felt a little nauseous, but I didn't pass any gas..."

Upon hearing Zhang Lingchuan mention this, Gu Haiqun immediately spoke excitedly.

She was indeed experiencing waves of pain.

Giving up is not an empty promise.

Normally, she might pass gas even if she doesn't poop, but she hasn't passed any gas for the past few days.

"Okay, I suspect it might be enteritis or intestinal obstruction. Let's get a CT scan done first."

Zhang Lingchuan said.

"Good good."

So I was the first one to go for a checkup.

The second person was an elderly man who said he had some leg pain, but he seemed perfectly normal when asked other questions.

Zhang Lingchuan made a diagnosis of neuralgia.

Then came the third one, a dizzy little girl with a bluish complexion and a medical record.

Zhang Lingchuan thought it was severe anemia and ordered further tests.

[Ding! The current host has made three major mistakes in diagnosis; this assessment is over.]

But the next second.

Right after the dizzy girl left.

A notification suddenly popped up in front of Zhang Lingchuan.

"???"

Zhang Lingchuan was completely dumbfounded.

What the hell.

Did I not look at any of these three correctly?
It shouldn’t be.

The first one should be correct, right?

We went through so many elimination methods, even ruling out an ectopic pregnancy.

"I wipe..."

Suddenly, Zhang Lingchuan realized a serious problem: he didn't seem to have tested his pregnancy hormone levels.

It can't really be an ectopic pregnancy, can it?
But upon closer reflection, given the system's track record, it's quite possible.

"Dududu-"

At that very moment, Zhang Lingchuan's phone suddenly rang.

"Teacher's wife?"

Zhang Lingchuan was a little surprised to see the call coming in, because it was actually his master's wife calling.

Why are you calling at this time?

Could it be because of that female patient, Sun Guifang?
"Hey, Xiaochuan, are you awake? Can you come to operating room number 9 now?"

At this moment, Huang Xiangning asked.

His tone was somewhat serious.

"I just woke up, what's wrong, Madam?"

Zhang Lingchuan replied.

"Come here first, there are some things you need to know."

If Zhang Lingchuan were here, he would find that everyone in the operating room had a somber expression.

...(End of chapter)