This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 196's written test score is far ahead!

"Yes, that's right, Uncle. In your case, you'll need to keep the device immobilized for at least half a month after the repositioning."

"Not a single day can be missed! Otherwise, it's easy for the dislocation to recur." Lu Cheng's words were calm.

Standing opposite Lu Cheng was a middle-aged man in his forties, slightly overweight but with a small face, his eyes darting around on his small head: "Dr. Lu, it's all back in place, but you still can't move it?"

"Is it because it wasn't reset properly that you're saying that?" he asked, his face full of suspicion.

Lu Cheng's Adam's apple bobbed as he patiently explained, "Uncle, if it wasn't properly repositioned, I would have taken you directly into the operating room for surgery to reposition it."

"Manual reduction is one of the treatment options. After a joint dislocation, normal movement will not be restored immediately once it is reduced."

The middle-aged man said, "I've seen many videos online where the child stops crying immediately after the repositioning is done, and can move normally again... But the repositioning you did doesn't allow the child to move?"

Lu Cheng patted his right elbow with his left hand: "Uncle, to put it more professionally, the joint dislocation you saw online is radial head subluxation, which is a common type of dislocation in children."

"Your dislocation is an anterior shoulder dislocation. Have you watched any videos on manual reduction of the shoulder joint?"

"Do the doctors in these videos also tell patients that they can move around immediately?"

Radial head subluxation is one of the simplest joint dislocations, and reduction is quick; basically any orthopedic surgeon can do it.

Even the diagnosis of this dislocation does not rely on imaging examinations.

"That's rarely seen." Little Head shook his head.

"That's it. Your joint is already dislocated, which means that the soft tissue has been damaged during the dislocation process."

"The dislocation has been reduced, but soft tissue damage cannot heal immediately. Is it possible that the joint could slip out of the previous gap again?"

"To give you an example, if you wear a pair of shoes whose heels are easily stepped on, and you don't repair or mend them, they will continue to slip on your heels."

"This is the same as the current state of your joint soft tissue. However, unlike shoes, which cannot heal naturally, soft tissue can."

That's why you need to rest.

The middle-aged man remained wary: "Really, it wasn't a failed repositioning? I've seen many people online saying that hospitals tend to shirk responsibility."

Can you guarantee that your manual repositioning technique will be flawless?

"I can guarantee that. My manual reduction technique was flawless, and the X-ray results from your post-operative follow-up examination will also confirm this."

Lu Cheng continued, "I also want to make it clear to you that although your condition has been treated, you still need to be immobilized and recover for at least half a month."

"Moreover, you will need to come back for a follow-up examination in half a month to determine whether you can continue your activities based on the specific circumstances."

"If you do not follow the doctor's advice during this process and over-recover on your own, resulting in slippage, then it will have nothing to do with my treatment."

“Normal joints can dislocate even in normal people. Your joint is damaged, so how can you compare it to a normal person’s?”

Hearing that Lu Cheng was slightly angry, Xiao Naoke said, "Doctor, I don't understand any of this."

Lu Cheng nodded and said, "I know you don't understand, that's why I'm telling you these things. If you don't understand, don't pretend to understand."

"As for these swelling-reducing and pain-relieving medications, you can choose not to take them, not to buy them now, and to buy them yourself when the pain becomes unbearable. That's fine."

"I have written down the name of the medicine and how to use it for you."

"Do you have any further questions?" Faced with this group of people who believed that medical staff were harmful, Lu Cheng spoke frankly.

Such people, who are medical staff, will only pursue money for the sake of money. If you ask them to do something, they will think you are trying to earn performance targets.

If you say anything negative to him, he will start to doubt the effectiveness of your treatment.

When faced with this kind of person, Lu Cheng's usual approach is: take it or leave it.

"Okay, Dr. Lu, I'll buy it later." The middle-aged man took the medical record and was about to leave.

"Okay, wait a moment, I'll print out another electronic medical record for you and stick it on." Lu Cheng smiled.

Medical records can be lost, but electronic medical records are always archived on the computer.

Lu Cheng wrote it into the electronic medical record. Even if he didn't give it to the patient, this electronic medical record would be considered as Lu Cheng having fulfilled his obligation to inform.

Of course, Lu Cheng wouldn't treat patients as "enemies" to be wary of, but one can't be too careful, after all, the current medical environment is really bad.

Many people who have been mistreated in society choose to act like big shots in hospitals.

……

After finally seeing off the unusually conflicted patient, Lu Cheng washed his hands and went back into the emergency room.

Zeng Huanqi was on duty in the emergency room, so he naturally knew this difficult patient: "How is he? Has he left?"

Lu Cheng nodded: "He's gone. He was a rather meticulous and cautious patient."

"He just went to the internal medicine department, it seems like he wanted to find someone to ask if there was a problem with your treatment."

Zeng Huanqi said, "At this critical juncture, you still need to be cautious. If the patients are too difficult to handle, just send them to the orthopedics department for egg tube treatment..."

Lu Cheng said, "Brother Zeng, there are very few people like that. Those who are really outrageous are the ones who deliberately set traps for you before the treatment even begins. You can ignore these kinds of people."

Zeng Huanqi looked at Lu Cheng with interest: "Actually, Lu, at this point in your life, why worry so much?"

"Didn't I just tell you? In these selection exams, if others find out the inside story, they might pick a fight with you."

"If they find out you have a medical dispute, even if they can't bring you down, they'll still keep you in trouble."

"This is a very common practice in civil service exams: reporting your competitors. If you succeed, you'll get the job."

Zeng Huanqi felt that Lu Cheng was still somewhat naive and had not experienced enough of the darker side of society.

What Zeng Huanqi knew about was that some people would even deliberately check their competitors' alma mater and published papers.

They even went to his former workplace to check if there was any dirt on him.

Lu Cheng should focus on advancing his career now, so doing less is the safest course of action.

"You may not know about others, but don't you know about Peng Kun's situation?"

"Why is he so frustrated right now? Isn't it because Xiang Kuihua found out that the paper he published during his master's studies was bought?" Zeng Huanqi bluntly stated.

To graduate from a master's program, one needs to publish articles. Peng Kun is pursuing an academic master's degree, which requires publishing SCI papers to be approved for graduation defense.

When Director Peng Haibo was still alive, Xiang Kuihua did not want to fall out with him.

But just as Peng Haibo was taken in for investigation, Xiang Kuihua revealed this thing, which clearly indicated that it was prepared in advance.

Peng Kun's initial advantage in education collapsed immediately under these circumstances, and now he's only concerned with cleaning up the mess.

Fortunately, Peng Kun must have had other elders to advise him, so he knew to stay away and transfer out of the orthopedics department as soon as possible to avoid Xiang Kuihua from investigating further.

He then tried to find a way to finish up what had happened.

"When soldiers come, we'll deal with them; when water comes, we'll dam it. Just be careful."

“Paper fraud is different from clinical disputes. I do my job honestly, so I shouldn’t have such a big problem.”

"In clinical practice, as long as it doesn't involve surgeries outside the scope of one's expertise or economic issues, no one will really make a big deal out of it." Lu Cheng had his own confidence and basic principles.

If Lu Cheng were to be punished for attempting manual repositioning and failing, then no one would dare to perform manual repositioning in the future!

Direct surgical repositioning, using the law as a weapon to avoid risks.

This is not what the overall environment wants to see.

Only surgeries performed outside of one's designated level and economic disputes are clear red lines that can be firmly drawn.

Currently, apart from banners, any other items are considered "bribes".

Other items can be traded again, but the banner is a name mark and cannot be resold.

Zeng Huanqi changed the subject again: "Yesterday, when Director Du and I were in surgery together, he asked me to tell you that if there is spleen damage next time he is on duty, he hopes you can come along."

"Holy crap, this is the first time I've ever seen such a despicable person."

"I did not agree."

Lu Cheng said, "I listened to my superiors. Director Du made it clear on his first day that I shouldn't cause trouble when it's not my turn to be on duty. You heard that too, Brother Zeng."

"You'll have to be my witness then."

“Of course!” Zeng Huanqi nodded. “Director Du is really useless. He always rushes to do all kinds of surgeries, but he won’t give us appendectomy cases unless I’m on duty.”

“If he weren’t the director, I would definitely…” Zeng Huanqi clenched his fist.

Previously, when Lin Qianlong was alive, simple surgeries were performed by Zeng Huanqi and Zhang Tiesheng in rotation.

Lin Qianlong still performs the major surgeries, and he always receives the highest performance bonus for being the lead surgeon.

Now look what's happened! Du Qiang won't even allow minor surgeries anymore. His character is truly appalling. He wants to pocket every penny. No wonder Du Qiang can't make it in the general surgery department.

Lu Cheng did not reply to Zeng Huanqi's words because he realized that everyone's perspective is truly different.

In Lu Cheng's opinion, Du Qiang is really a very good actor.

Furthermore, Du Qiang is also capable. After a week in the emergency department, he has managed to keep the department in a fairly good order and has performed a considerable number of surgeries.

Therefore, for the sake of maintaining stability, no one from the hospital bothered Lu Cheng anymore.

Because Du Qiang deliberately reduced Lu Cheng's participation in clinical practice, and Tong Yuan'an was also there to hold things up in the hand surgery department, so from the leadership's perspective, if they had to choose between Lu Cheng's absence and Du Qiang's absence, it would be a matter of choosing one over the other.

Lu Cheng can be discarded.

While Lu Cheng did receive an award, the operating rule of the county hospital is that whoever is more capable gets promoted.

Winning awards and such things are all just empty words.

After all, it's not clear that Lu Cheng really brought much benefit to the hospital.

More importantly, Lu Cheng's heart isn't here, and no one will shamelessly force him to stay...

Hospitals are public institutions, not private enterprises. No matter how well you, Lu Cheng, do, you can't bring any real benefits to others.

During his continued conversation with Zeng Huanqi, Lu Cheng learned about the following things.

That is Zeng Long'an, the current acting president of Longxian People's Hospital, who has complained to the county health bureau and the prefecture health commission more than once.

The complaint was that Longxian County is located in a remote area with an underdeveloped economy, and the salary offered to the director is not good. They hoped that policies could be introduced to improve the salary, otherwise it would be difficult to retain staff in the current situation.

Zeng Long'an also said that Longxian County's health level is extremely underdeveloped and it desperately needs more expert teams from provincial hospitals to help it. He hoped that the prefecture would give it preferential treatment when implementing the counterpart assistance policy.

Zeng Long'an also said that the normal operation and maintenance of Longxian People's Hospital is not easy, and he hoped that the state would consider the matter carefully and stop plucking the best talent from Longxian People's Hospital.

Otherwise, the hospital departments would collapse...

According to Lu Cheng, Zeng Long'an's actions had a significant impact on Huang Haibo in the emergency department.

Director Huang Haibo has been in a particularly bad mood these past few days.

According to rumors, Huang Haibo originally planned to apply for "talent introduction" through the state people's hospital. The emergency department of the state people's hospital also had a personnel deficit under this inspection team.

But because Dean Zeng Long'an made such a good accusation, Huang Haibo lost the positive response he had already received.

Furthermore, Sister Yaqin from the internal medicine department said that she overheard Huang Haibo on the phone with a leader, who said to let Huang Haibo take it easy, explaining that Longxian County is indeed located at the junction of three provinces, and Huang Haibo is a key figure in this area...

After Zeng Huanqi finished speaking, he added, "Based on this, currently, apart from our Director Lin Qianlong, it seems that only the resignation of an attending physician in the Department of Respiratory Medicine has been approved normally."

"The resignations of others, such as Director Du's previous resignation, were suppressed by the state party committee, and their resignation applications were rejected."

Lu Cheng asked, somewhat puzzled, "Brother Zeng, isn't this resignation normal? How can it be rejected?"

"Yes... It's normal under normal circumstances, but it's not normal now. The state said that we have to wait until the central inspection team finishes its investigation before we can talk about these things."

"This is a very formal reply, to avoid any violations going unchecked. Do you dare disobey?" Zeng Huanqi thought Lu Cheng was still too young.

Lu Cheng: "..."

Normally, people would turn a blind eye. Even if you embezzled a little, the amount wouldn't be too large, or they wouldn't investigate and would just let it go.

So you want to resign now, right? Sure, I'll report your name to the disciplinary committee. Do you agree?

The attending physician might agree, since they're just a small fry and can't even get regular pharmaceutical sales representatives, but 99% of associate chief physicians are problematic.

Even if your superiors don't want you to leave, there are still ways to get you out of there.

Even if you can withstand scrutiny, it will still take a very long time.

However, Lu Cheng was more curious: "Then how did Director Lin get approved?"

“After all, Director Lin’s situation is rather special!” Zeng Huanqi said.

"Why?" Lu Cheng asked.

Zeng Huanqi said, "Do you want Director Lin to dig up the previous recruitment incident and clean it up from beginning to end?"

"Don't be so naive, bro."

Zeng Huanqi continued, "Lu Cheng, even you, I suspect you had some tricks up your sleeve when you joined our unit, right?"

"While your academic background is excellent, being from a prestigious university like Han City University, you must have had relatives pull strings for you and secured a place for you."

Zeng Huanqi was right after all; Lu Cheng's uncle, Lu Nanyong, had indeed put in a good word for him.

Longxian County is not large. Not to mention that everyone has some connection, more than 90% of the people can find someone they can talk to.

When it comes to recruitment, everyone uses their own unique methods.

"Of course, your problem is a minor one. As long as nothing gets stuck in it, it's all fine."

"With your qualifications, I doubt anyone would accept your things."

"Whether to help or not, how much help to offer, and under what circumstances it's appropriate to accept something—the person accepting it knows all this better than you do."

"Those who didn't know the situation were mostly taken in for questioning."

As Zeng Huanqi was speaking, another patient came in from outside, who looked like he was having a minor wound cleaned.

Lu Cheng immediately pushed aside the template for preparing the wound cleaning package and signing the consent form, and Zeng Huanqi immediately began the consultation process.

……

The following day, November 10th, Tuesday, was sunny.

At 2 p.m., Lu Cheng was a little surprised after checking his results of the selection test he had taken that morning at a hotel outside Xiangzhou People's Hospital in Jishi.

[Surgery.]

"First place, candidate number: 08025, medical public basics: 85 points, surgical professional knowledge: 91 points. Total score: 176 points."

"Second place: Candidate number: 03011, Medical Public Basics: 72 points, Surgical Professional Knowledge: 72 points, Total score: 144 points."

"Third second: Candidate number: 01002..."

Lu Cheng achieved the highest score in the written exam for the surgical group, and his score was a significant 32 points ahead of the second-place candidate.

The third place and the second place are very close, with a total of 142 points, a difference of only two points.

Upon seeing this result, Lu Cheng's first reaction was not happiness, but rather a bit of worry.

In the current situation, with such high and outstanding scores in the selection exam, wouldn't I be an easy target?

Don't the people grading the papers consider these things?

It's important to know that medical exams include essay questions, and the scoring for essay questions can be somewhat flexible, unlike multiple-choice questions which are either right or wrong.

Lu Cheng estimated his score to be only around 85 points.

Of course, Lu Cheng himself was not worried. Even though he had met Xiao Zhaoxi, he did not ask Xiao Zhaoxi to give him a shortcut. On the contrary, Lu Cheng rejected Xiao Zhaoxi's "shortcut"!
While the benefits of attracting talent are good, they also create another layer of constraints.

The selection process is very fast.

After the written test concludes and the size of the circles is determined, the actual practical exam will begin in the next two days.

Of course, no one could leave after the written test, because the selection of positions would be based on the test results in the afternoon.

There are so many surgical openings. After the size of the pool is determined at a ratio of three to one, those who are shortlisted need to decide in advance which specialty they want to apply for.

There is only one opening in the emergency surgery department, so we need to decide in advance which people will compete for that opening.

After all, if you're not a thoracic surgeon, even if you're selected for the thoracic surgery department, it's useless. Therefore, you need to choose your position in advance.

(End of this chapter)