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

Lunch is over.

Zhang Lingchuan returned to his dormitory for the time being.

Even cameramen need rest.

So filming of Zhang Lingchuan was temporarily suspended starting from lunchtime.

I was busy all morning, from morning until 3 pm, and the live stream only reached a little over nine million viewers.

[Number of viewers watching the provincial TV station's "Medical Path to Success" live stream: 9120809.]

[Top 1 in Live Streaming Category Ranking]

It remains firmly in first place on the category list.

Keep in mind that this account hasn't been around for very long.

It was specially opened as a gift for Doctors' Day.

Of course, the authorities are also very cautious.

This is a live stream, and I will absolutely not accept any gifts.

Therefore, the tipping feature is completely disabled.

In addition, since it's a live stream, they don't keep any videos. All the videos are sent to Xiao Chuan's assistant, Song Wanqing, and will be updated on the "Zhang the Veterinarian's Daily Life" human medicine series.

After all, their provincial TV station and provincial hospital can't be accused of profiting from the suffering of the people of Sichuan.

Therefore, the best way to collaborate is for one side to broadcast live and the other side to release videos.

[Command Center for the Provincial People's Hospital and Provincial Television Station's Doctors' Day Special Program]

"Let's all take a break!"

Dong Fang lay on the soft sofa chair.

The live stream is still running.

[The doctor is currently charging and is expected to start broadcasting in two hours...]

However, the subtitles only included a small hint.

"I'm so tired, I'm going to rest for a bit."

"I'm late. Let's check Zhang the veterinarian's account to see what happened."

"Rumor has it that Dr. Ogawa has once again achieved a 20% success rate? Incredible! A god-like genius!"

"Honestly, my colleagues in the obstetrics and gynecology department were completely stunned when they heard about this incredible scene. Saving one person is already a miracle, but he saved both of them. You won't see the crucial part because it was blurred out at the time!"

"Do you think it's possible that Dr. Ogawa has some special skills or expertise that aren't suitable to be revealed, which is why they blurred them out at the time, and not because he couldn't be saved?"

"Holy crap? That's an interesting idea!"

"Ah, I thought I could watch the live stream, but it turns out it starts in two hours. Isn't that 5 PM? I still have an hour before I get off work, so I can slack off a bit."

……

In the live stream, viewers were commenting enthusiastically.

After all, the number of views has now reached nine million.

The barrage of comments was naturally also quite numerous.

In particular, some viewers who had just joined were surprised to find that it was actually halftime.

I was immediately disappointed.

However, thanks to Song Wanqing's immediate update of the morning's live stream video, viewers flocked to watch it.

Rumor has it that today is a day that has shocked both the cardiology and obstetrics and gynecology departments.

Veterinarian Zhang replicated the previous 20% probability once again.

All those designated by the King of Hell have been rescued.

Inside a large single-level apartment in Chunshi.

"No wonder it has nearly ten million views. The update speed is fast, and netizens come here to catch up on their studies."

Song Wanqing is still working on the account here.

After the intermission of the "Medical Path to Success" program, she quickly retrieved the videos stored by Director Dong Fang and the others, edited them on her own computer, and uploaded them to Teacher Zhang's account.

As a journalism student.

They do have a knack for detecting traffic.

The live stream was in full swing, but there was a break during the intermission, and there was no replay available.

Some netizens who had just entered and watched for a while urgently needed a rewatch as an outlet for their emotions.

Moreover, this is originally Zhang's own traffic, so it doesn't count as profiting from someone else's misfortune.

So this move was equivalent to Teacher Zhang starting another live stream, gaining over 100,000 new followers.

The current goal is to reach 50 million.

And so, Song Wanqing continued editing the video.

She's basically editing the footage one event at a time now.

In the lounge.

[Fragment Mission 1]

[At this moment, you are an obstetrician-gynecologist who has just completed a surgical emergency and obtained a special treasure chest containing a Perfect Massage Technique. Please use the Perfect Massage Technique at least twice within one day: "2/2" (1 day)]

【completed. 】

[Fragment Mission Two]

[Your current system assessment task is not yet complete. Please complete at least five system assessments today, regardless of success or failure; only the number of attempts will be counted. "1/5" (1 day)]

[In progress...]

Actually, Zhang Lingchuan was also a little sleepy.

But sometimes you can't just come to the bedside and fall asleep immediately.

A buffer period is needed.

It's like how many people play on their phones before going to bed.

Fragment Quest 1 has been completed.

He's currently working on Fragment Mission 2.

That is to complete five system space simulation training sessions in one day.

He went directly to the second stage of the assessment.

The Silent Killer

The current host has received an SS-level rating with an accuracy rate of 99%.

The elderly man, number 88, who had previously been stuck in the aortic dissection, completed the challenge after being diagnosed with type A aortic dissection.

It has been upgraded from S-class to SS-class.

[Notification: Patient No. 98 has not yet completed the challenge. Host, would you like to proceed to the second level?]

Exit the real world.

A second prompt appeared in front of Zhang Lingchuan.

Ask him if he wants to continue into the system simulation assessment space to begin training.

"Enter!"

Anyway, there's still time.

He simply went directly to the system space for assessment.

Let's meet this patient, number 98, again.

[Ding! The current host has entered the system assessment space. Since you have already completed the level assessment, you now have two ways to continue the assessment.]

Option 1: Conduct the assessment as normal.

Option 2: Assess the incorrect items separately.

After entering the system space, two prompts appeared in front of Zhang Lingchuan.

[You have selected to assess the error items individually. Assessment begins...]

Zhang Lingchuan chose to conduct a separate assessment for No. 98.

Since the assessments were conducted normally before, from the first one to the 98th or even 100th, it felt unnecessary to conduct another assessment.

[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.]

[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.]

It began with the number three, two, and one.

Zhang Lingchuan entered the familiar consultation room once again.

The clock on the wall always shows 08:55 when I come in, and this time was no exception.

[You have five minutes to prepare. The consultation will begin five minutes after the consultation begins. During the consultation, all of the host's special skills will be restricted.]

There is also a preparation prompt.

Zhang Lingchuan is reviewing the game.

This is a young female patient with abdominal pain who had previously been diagnosed with intestinal obstruction at another hospital and also had hematuria.

I came here today because I had a severe stomachache.

So initially, he suspected it might be strangulated intestinal obstruction complicated by multiple organ dysfunction.

Intestinal volvulus, incarceration, and impaired blood supply progress to strangulation, leading to intestinal wall ischemia and necrosis. Toxins are absorbed into the bloodstream, damaging the kidneys and causing hematuria. Intestinal ischemia triggers severe abdominal pain, followed by peritonitis.

This explains the previous bowel obstruction and also explains the hematuria.

This is incorrect.

He later suspected it was intestinal obstruction complicated by intestinal perforation and septic shock.

Because the intestinal obstruction was not relieved, the pressure inside the intestine suddenly increased, leading to intestinal perforation. Intestinal flora entered the bloodstream, causing sepsis and septic shock. Shock caused insufficient tissue perfusion, and kidney ischemia and damage resulted in hematuria. After the perforation, diffuse peritonitis worsened, leading to abdominal pain.

This also corresponds to the previously diagnosed intestinal obstruction and the current hematuria symptoms.

The result was still wrong.

He later suspected it was related to hemolytic kidney disease.

For example, G6PD deficiency, or acute hemolysis and acute kidney injury induced by drugs or toxins.

The principle is that contact with heavy metals such as lead and mercury, poisonous mushrooms, and chemical toxins directly damages the red blood cell membrane, causing hemolysis. At the same time, it damages the renal tubular epithelial cells, resulting in red urine and anemia. The toxins also irritate the gastrointestinal mucosa, causing abdominal pain.

Previous intestinal obstruction may be related to intestinal motility disorders caused by toxins.

Therefore, he felt that the most likely cause was poison!

But unsurprisingly, it was still wrong!
Now he's completely confused.

There are many diseases that cause acute abdominal pain and hematuria.

The iconic ones have all been listed.

"Boom boom boom——"

At that very moment, the horn sounded.

A patient named Bai Xiaojin walked in.

She was wearing a hat, a blue face mask, and sunglasses.

It looked exactly like a celebrity trying to avoid obsessive fans.

After all, celebrities always cover themselves up completely when they go out.

I was afraid of being recognized by someone.

"Doctor, hello, I have a stomachache. I was previously diagnosed with intestinal obstruction at another hospital. Could you prescribe some medication for me?"

Bai Xiaojin came in and immediately clutched her stomach.

He looked like he was in a lot of pain.

"Besides stomach pain, are there any other symptoms? Please tell me everything, especially whether anyone in your family has had a similar illness?"

Zhang Lingchuan asked a lot of questions.

But he felt that since he hadn't found the answer yet, there must be something missing.

"When I go to the toilet... my urine is also red. Has anyone in my family ever had this disease? I don't know the specifics..."

The two are talking.

Time ticked by. "Could it be hereditary spherocytosis? Here's what we'll do, Ms. Bai Xiaojin, please get a complete blood count, reticulocyte count, peripheral blood smear, and hemolysis panel (bilirubin, LDH, and haptoglobin) done first."

Zhang Lingchuan quickly made this judgment.

The principle is as follows: defects in the red blood cell membrane lead to chronic hemolysis, which is acutely aggravated by factors such as infection. Hemolysis causes hematuria, splenomegaly, traction on the capsule, or combined with intestinal ischemia, resulting in abdominal pain.

The previous intestinal obstruction may have been caused by intestinal spasms induced by hemolysis.

So he ordered this test.

If so, further testing such as red blood cell osmotic fragility test (including incubation test) or flow cytometry membrane protein detection can confirm the result.

[Summary of today's special assessment.]

[Assessment Target No. 98, Bai Xiaojin, incorrect diagnosis of hereditary spherocytosis. ×]

However, reality slapped him hard in the face once again.

wrong again.

"That's enough, that's enough. SS-rank is already high enough, let's just leave it at that!"

Zhang Lingchuan felt that Bai Xiaojin was simply hellish.

I racked my brains but still couldn't figure out what the illness was.

It's as if the system deliberately set an extremely high level of difficulty here.

Anyway, I've already finished the game.

It doesn't matter whether I get SSS rank or not.

A 99% accuracy rate is still incredibly impressive.

Now he wants to go into the hellish triple delivery room to see if today's mother is an elderly woman.

She developed eclampsia after leaving.

[Prompt: Host, do you wish to enter the Triple Hell Delivery Room?]

The second task of the fragment has been completed twice out of five.

Zhang Lingchuan plans to take some time to quickly clear this level.

Soon a prompt appeared in front of him.

"Enter."

no doubt.

Zhang Lingchuan went directly into the familiar scene he had entered the previous night.

[Successfully entered the Hellish Triple Delivery Room challenge.]

[Task Overview: You are currently an attending physician in the Department of Obstetrics and Gynecology at the Provincial People's Hospital, responsible for the department's work.]

[Assessment Objective: In this assessment space, you cannot use any skills and can only rely on your knowledge of obstetrics and gynecology to make judgments. The aim is to mold the host into a top-notch, multidisciplinary physician. After completing this assessment, you will have a new level of expertise in obstetrics and gynecology diagnosis and crisis symptom assessment.]

[Task score: The task will fail if any pregnant woman, new mother, or even unborn child you treated dies.]

A relevant prompt appeared in front of Zhang Lingchuan.

At this time, he went to the clinic where he used to work the night shift as usual.

The clock shows 3 a.m.

Sure enough, doctors often work all night.

"Doctor, doctor, my wife suddenly has a stomachache, dizziness, and weakness. Can you take a look and tell me what's wrong?"

Just then, a man walked in with a heavily pregnant woman.

The man's face was filled with anxiety.

"Oh dear, honey, don't be in such a hurry, I'm fine."

The woman's expression seemed somewhat relaxed.

In the last assessment, he saw that the woman looked relaxed, and coupled with his own lack of experience, he received a notification of failure after only ten minutes.

This means either something happened to the pregnant woman, or something happened to the baby in her womb.

No matter which.

It was all his dereliction of duty as an obstetrician and gynecologist.

"Okay, let's go to the examination room first. We'll do a preliminary vital sign check here, and you'll also need to answer some questions for me truthfully."

Having learned from his previous experience, Zhang Lingchuan spoke solemnly.

The blood pressure readings came back quickly.

The blood pressure was 90/60 mmHg, just like last time, only slightly low, but still quite common among pregnant women.

What caused the accident involving the pregnant woman?
Atypical eclampsia?

Normally, eclampsia is a hypertensive disorder that occurs during pregnancy.

However, there are also some atypical cases of eclampsia, which can occur suddenly without high blood pressure.

There are many reasons for this, such as young first-time mothers, multiple pregnancies, malnutrition, advanced maternal age, multiple pregnancies, first pregnancy, obesity, and autoimmune diseases.

The patient we're treating outside today is elderly, obese, and has high blood pressure; it's a classic case of eclampsia.

He was worried that the system would test an atypical preeclampsia patient here.

"Sun Xiaotong, right? Is this your first pregnancy and first delivery?"

The person is very young.

She's not fat either.

She looks to be only twenty-two or twenty-three years old.

"Yes, this is my first pregnancy and my first time preparing for childbirth."

Sun Xiaotong nodded and said.

"Do you feel unwell at home?"

She was indeed a young woman giving birth for the first time.

"I have a bit of a stomachache, feel weak, and a little dizzy, but I can walk. I haven't vomited or bled. My husband is just too nervous. Actually, I feel fine."

Sun Xiaotong touched her belly and smiled happily.

After all, she was happy because her husband cared about her.

"Abdominal pain, weakness... dizziness."

Zhang Lingchuan is analyzing

Fatigue, dizziness, high blood pressure? But my blood pressure isn't high, it's actually a bit low... Could it be blood loss?!

Suddenly, Zhang Lingchuan's pupils narrowed.

"Okay, I think your symptoms are a bit strange. I'll do a fetal heart rate monitoring first, and also test your hemoglobin, platelets, and coagulation function. I'll also arrange an ultrasound for you."

Zhang Lingchuan said.

Whether it's a problem with the mother or the fetus, a combination of fetal heart rate monitoring, hemoglobin, platelet count, coagulation function, and ultrasound will almost reveal everything.

"Oh? Doctor, we need so many tests! Is my daughter alright?"

The speaker was an elderly woman.

That's Sun Xiaotong's mother.

Hearing that I had to undergo so many tests made me quite reluctant.

"Family members, we'll only know for sure if there's anything wrong after the tests are done; there's no way to make a judgment at the moment."

Zhang Lingchuan answered.

"But all these tests are such a hassle. Every time I have to have blood drawn, fetal heart monitoring, and ultrasound, I think I shouldn't have come to this hospital. It's too much of a hassle late at night."

Sun Xiaotong's mother's name is Lai Qiong.

She was already in her late pregnancy.

She really didn't want her daughter to go through all that trouble.

However, after Zhang Lingchuan's persistent persuasion, the family finally agreed.

However, pregnant woman Sun Xiaotong suddenly felt a bit of an urge to urinate and needed to go to the toilet.

[Ding! The current host's mission has failed.]

As a result, Zhang Lingchuan's mission failed while he was preparing to conduct the inspection!

Damn it? ?
Back to the real world.

Zhang Lingchuan was completely dumbfounded.

They quickly re-entered the system space.

He became even more determined to make the most of every second, which meant cutting out unnecessary steps from the start, since there were only ten minutes left.

"The disappearance of baseline fetal heart rate variability, late decelerations, and severe variable decelerations indicate severe fetal hypoxia!"

The fetal heart rate results are in.

Zhang Lingchuan frowned.

"Dr. Ogawa, there is a fluid-filled dark area between the placenta and the uterine wall. The placenta is thickened and irregular in shape!"

The ultrasound team also called.

"This is placental abruption, immediately..."

"Dududu-"

The principle of system space is...

If there is any external interference, take the external information as the standard and exit immediately.

In the real world, Zhang Lingchuan's phone rang.

[Sister Lan called...]

It's Director Li Tinglan.

"Xiao Chuan, how's your rest? We have a very difficult cesarean section going on. The mother has had multiple cesarean sections and is currently experiencing severe pelvic adhesions. I think we should ask you to come along."

An emergency surgery is needed.

"it is good!"

Zhang Lingchuan nodded without hesitation.

In his view, he already knew the cause of the system space assessment, and he could solve it when the time came.

In the real world, if something goes wrong during surgery, it really does.

Therefore, we should prioritize the real world.

The live stream then started earlier than scheduled.

This surgery was performed collaboratively by multiple disciplines, including obstetrics and gynecology, anesthesiology, ICU, and blood transfusion.

By the time we finished, it was already close to 8 pm.

"Phew—it's eight o'clock again. What a busy day in the clinic! Everyone's worked so hard! How about I treat you all to a meal later!"

At this moment, Li Tinglan sighed.

"Alright!!"

"Great!"

Everyone was very happy.

I'm going to eat after get off work.

Zhang Lingchuan was the same.

Just as he came out after changing his clothes, a pregnant woman with a red tag caught his attention.

Especially that sentence.

"Oh dear, I'm really fine. I just have a little stomachache and some dizziness. I can walk and talk, so there's really no need to come to the hospital for a checkup."

Yes.

This sentence is highlighted in red.

Zhang Lingchuan's heart tightened suddenly.

Could it be her?!

……

...(End of chapter)