Great doctors start with pediatrics

"Am I going to die?"

The energetic young man pointed to his face and asked, "Me?"

Yes, it's you.

Zhang Lianren nodded with a dark expression.

He didn't expect Laurent to actually guess correctly.

It is difficult for even the most experienced doctor to discern that a patient is unsuitable for surgery.

After all, the only indication was a sudden spike in blood pressure, which quickly subsided afterward.

If surgery isn't performed for this reason, then circumcision shouldn't be performed at all.

Does this mean this guy will have to stay in the hospital another night?

But where are there so many beds in the hospital?

"no!"

The energetic young man, not thinking too much about such things, said, "Why didn't you detect it before? Hey, am I going to die any minute now?"

"Calm down, comrade."

Zuo Zhenxing stepped out from behind the consultation table and explained, "Myocardial bridging is a congenital coronary artery malformation. You can understand this condition as not being acquired later in life, but rather a congenital malformation."

You can think of it as a section of your coronary artery growing out of its original direction and into an area where it shouldn't be, so its presence will put long-term pressure on your heart.

"When it is quiet and relaxed, the electrocardiogram, echocardiogram, and blood pressure are all normal. For most patients, the presence of myocardial bridging may never be discovered in their lifetime."

They can only tightly compress the coronary arteries buried in the muscles when you are extremely emotional, staying up late, exercising vigorously, or your heart rate suddenly increases, causing your heart muscle to contract forcefully.

In addition, more severe cases may involve long-term angina, which can eventually develop into myocardial infarction, etc., but if you don't even have these symptoms, a missed diagnosis is inevitable.

"If it hadn't been detected during this examination, you wouldn't have had a chance to save him once the problem developed."

Zuo Zhenxing gave a lengthy explanation.

Reasoning with patients can sometimes be more effective than simply comforting them.

A doctor's job inevitably involves tailoring treatment to the individual patient.

At least the young man listened.

"You mean, my illness is not only congenital, but also insidious, and could even kill me silently. Ah!"

"Yes." Zuo Zhenxing nodded.

"Wow!" the energetic young man exclaimed. "That's so cool! No wonder I have this disease, it's so unique. I need a diagnosis, I have to go brag about it!"

"No wonder I had heart pain before; I always recovered by drinking Monster Energy."

"But come on, doctor, please explain it again. I'll record it. I want to show it off to my baby."

The young man's honest heart is like that of a child.

Even illnesses that weren't mentioned before are now being brought up.

I drink caffeine when I have heart problems, it's a miracle I'm still alive.

"Ugh."

Zuo Zhenxing sighed: "In short, you are not suitable for surgery right now. The degree of myocardial bridging is quite serious. We will find a specialized cardiac surgeon to consult with you later."

You can stay in the ward tonight.

"Then call your family, because you are still a minor."

"Oh, is it okay if we don't fight?"

Jiang Nanguo, as the department head, said sternly, "If you don't call, we'll contact someone to call."

"Oh……"

The spirited young man looked at Laurent pitifully.

Laurent shrugged, indicating that he was powerless to help.

Not long after, his parents rushed to the hospital and anxiously grabbed the doctor, asking him questions repeatedly.

As soon as he entered the examination room, he grabbed Laurent and asked, "Doctor, doctor, is my child alright?"

A man with a tiger painted on his shoulder and a mohawk hairstyle.

A woman wearing a tank top, with voluptuous breasts and high heels.

If you put the whole family together, you won't find a single normal person.

Laurent was about to explain.

They turned around and saw the energetic young man lying stiffly on the bed.

Almost in tears, the energetic young man finally opened his eyes: "Hey, old folks, scared, huh!"

Laurent observed everything.

If the young man weren't still critically ill, he would definitely have received a severe beating.

Director Jiang, Zuo Zhenxing, and the other two also concluded their online consultation with the on-duty doctor and director of the Department of Cardiac Surgery.

Upon entering, I was taken aback by the restaurant's bold and unrestrained style. It took me quite a while to recover before we took turns explaining the illness and its risks.

"I told you to go to the bar, that's what I meant by going to the bar!"

Tiger Bro wants to beat him up.

The woman in the tank top was much more practical: "What about my child? Will he/she need surgery?"

"No need. You can take the medication long-term and observe the effects. Just remember to come to the hospital for follow-up appointments."

Director Jiang, who currently holds the highest position in the clinic, naturally spoke up: "The child is still young. If surgery is performed, the benefits will be minimal, and it will also harm his health."

"We generally take the patient's age into account when performing surgical procedures."

"Oh, so that means I'll have to take medicine from now on?"

Before his parents could even speak, the energetic young man's eyes widened: "That's so cool! Carrying medicine with you when you go out, that's so cool of me!"

"..."

Director Jiang paused for a moment: "Remember to control his medication intake, prohibit him from drinking alcohol and engaging in strenuous exercise, and also do not let him drink sports drinks or coffee."

You could consider buying him a fitness tracker; it can track his activity and heart rate.

"Okay, thank you, doctor."

Tiger nodded decisively and turned to look at Laurent.

"By the way, you're that young, handsome doctor, right?"

"Yes." Laurent looked around and realized that he was indeed young and handsome.

"My son said on his phone that it was thanks to you that he discovered this strange disease."

Brother Tiger took out his phone and opened the QR code: "My family runs a building materials company. We don't know how to thank you, but if you need to renovate your house in the future, we'll take care of everything for you as a token of our gratitude."

Laurent quickly waved his hand: "Sorry, we can't add patients on WeChat."

"These are our postcards." The woman in the tank top cooperated, pulling a still-warm card from her hot pants pocket: "Contact us if you need anything in the future."

Laurent initially wanted to refuse, but seeing Zuo Zhenxing nodding, he quickly accepted, saying, "Thank you."

"It's nothing, we should be thanking you. We'll make you a banner after my son is discharged from the hospital."

Tiger Bro casually asked, "But why is my son at the hospital? What kind of surgery does he need?"

Tiger Brother's gaze fell on Laurent.

Laurent, with a stern, handsome face, said: "...circumcision."

"..."

The energetic young man was transferred to the inpatient department.

When they parted, they kept saying they would take good care of Laurent's business in the future.

Everyone was speechless.

"Laurent."

Suddenly, Zhang Lianren walked over: "This time you were right. Sure enough, my surgery will require tightening the standard..."

"But isn't this disease too obscure?"

Laurent nodded with deep understanding.

He consulted a number of experts during this period and learned that this disease was only discovered with the advancement of anatomy, and was even initially considered a benign lesion.

With an incidence rate of 20%, it can be considered a common ailment.

However, it is difficult to detect without imaging.

The risk of developing the disease is generally low.

"Fortunately, there is a system for prediction."

Laurent thought to himself.

Zuo Zhenxing also came over, his gaze serious and his tone solemn: "You've made progress."

"This time you didn't make a rash judgment, but called to ask me, which is much better than before."

Later, I learned to eliminate possibilities step by step, reasoning and narrowing down the problem.

Zuo Zhenxing changed the subject: "But your medical knowledge is so terrible. Even if you can observe abnormalities, the moment you say it, everyone will think you're some kind of shaman!"

"You can't possibly predict how the illness will change, right? So as a doctor, you need to study properly."

"From now on, I will start with diagnostics and check your learning progress every day."

"If you perform well, you can start working at the hospital after graduation."

"Okay!" Laurent nodded in agreement.

Laurent was delighted to hear Zuo Zhenxing's promise.

He didn't stay in the hospital because of his hospital stay, but because he gained recognition from others.

Zhang Lianren, standing behind him, even felt a little envious.

You have to know how much effort he put in to stay in the hospital.

Don't underestimate him just because he's currently just a tool for crushing rocks and grinding mortar. Even this position, working in a top-tier hospital, is something most medical students can only dream of.

Laurent now has Zuo Zhenxing's promise. And it's what he deserves.

Just then.

[Received the deepest gratitude from the patient, their family, and friends]

[Unlock Skill: Sign Language (Proficient)]

The skill has synchronized neural and muscle memory.

"Oh?"

Laurent paused for a moment.

I never expected that this family, who all looked so energetic, could trigger a reward.

Laurent seems to have learned a little bit of both natural sign language and Chinese sign language.

But sign language? Does it really have any practical applications?

What does this have to do with doctors?

I walked out of the hospital.

Zuo Zhenxing suddenly said, "By the way, Laurent, remember to come to the clinic for class tomorrow."

"You don't need to go to their urology department. You won't be able to get into surgery there anyway. Just study hard, and I'll take you to the operating room later."

After saying that, Zuo Zhenxing turned and left.

They didn't ask Laurent about his experience in the urology department at all.

When I got to the bus stop, the last bus was already the last one.

Laurent hurriedly caught up.

I rushed back to my dormitory under the stars and moon.

As soon as I entered the dormitory, my roommates surrounded me.

"Laurent, why are you back so late?"

"There were some issues in the department, which is why it's so late."

Laurent's vague explanation.

It's not that I don't trust my roommates, but there's no need to explain so much.

He recounted a series of events, not knowing where to begin.

"Oh, oh, pediatrics is tough. I told you you should have just chosen surgery." Pan Jiujiang said dismissively, "I don't know what those patients' families are thinking. Last time, a pediatrician even complained to me about it."

Otherwise, you should try to transfer to surgery.

Laurent shook his head.

Choosing pediatrics was the original owner's decision; he inherited the original owner's identity, but he is also constantly changing.

Qiu Chen said, "By the way, have you guys checked your phones?"

It seems their pediatrics department has a special case today, mentioning a patient with a myocardial bridging condition.

I heard it was a pediatric resident who discovered it and stopped the surgery in time; otherwise, I heard from the teachers in the group that there was a risk of sudden death during surgery.

Pan Jiujiang asked, "Did they mention the students' names?"

"No, they usually don't name names in large group chats," Qiu Chen shook his head. "But they'll probably give recognition and bonuses privately."

"With this incident, it will be much easier to stay in the school and become a doctoral supervisor in the future. However, it is also an ability to discover this situation."

"Yeah, even my supervisor might not let me stay at the hospital. It's a one-size-fits-all situation."

Pan Jiujiang nodded: "I wonder who obtained it? Laurent, do you know?"

Laurent smiled and shook his head: "It's me."

"Get lost!" Pan Jiujiang cursed.

"Your pediatrics department seems to be some kind of treasure trove lately, discovering some special case every now and then, and it's always the students who discover it. We in orthopedics don't have that kind of opportunity."

"I'm so angry!"

Laurent finished washing up and lay down on his dormitory bed.

Ding dong.

Laurent, are you coming to the operating room tomorrow?

【I've scheduled several extra surgeries for you. You can have it stitched however you like, until you're completely satisfied.】

"..."

Laurent took a deep breath and looked at the message sent by Zhang Lianren, feeling that it was somewhat abstract.

No, I'll be observing patients in the clinic tomorrow.

【Row. 】

On the other side of the night.

Zhang Lianren's face was filled with sorrow as he began to worry about tomorrow's surgery.

Those two days felt like an eternity to him.

With Laurent around, surgeries could always be completed quickly, but now Laurent is gone...

There were only two other trainees around me, who were like crosstalk comedians.

"Ugh."

……

The next morning.

Arrive at the hospital.

Laurent rushed to the pediatric surgery break room.

Fang Qingxue and Zuo Zhenxing had already started talking.

Seeing Laurent enter, Fang Qingxue's eyes lit up as she said, "Laurent, Teacher Zuo told me about your situation!"

"Wow, that's amazing! You're able to spot symptoms that others don't pay attention to. You're like a lucky charm, saving two patients in just a few days."

Laurent was also very handsome in his past life, so even if the girl was enthusiastic, he handled it with ease: "Just don't say I'm the Grim Reaper."

"Pfft, no way, otherwise everyone in the hospital would be a death god."

"Even if he is the Grim Reaper, a doctor is a kind Grim Reaper who can save lives."

"Laurent is a kind, handsome, and life-saving Grim Reaper!"

Fang Qingxue smiled and said, "Anyway, I will learn a lot from Luo Lang in the future. Remember to help me out."

"Cough cough."

Zuo Zhenxing coughed twice, glared at Fang Qingxue, and said, "Learn from him? Xiaoxue, you're the one who should be tutoring him."

As he spoke, Zuo Zhenxing looked left and right at Laurent and Fang Qingxue, seemingly lost in thought.

"However, I feel that Laurent's medical background is... a bit weak. I should ask him to consult you more often when he has time."

"Okay." Fang Qingxue nodded.

"By the way, have you added each other on WeChat? If not, we can do it now..."

"It's been added!"

Laurent quickly replied.

He was wondering if Zuo Zhenxing would face repercussions from the head of surgery after Fang Qingxue returned home.

Early in the morning, Laurent followed Zuo Zhenxing on his rounds in the inpatient department.

Laurent also gained a lot of practical experience by combining the knowledge he learned in the evening tutoring sessions.

Back in the consultation room, it was time to start the outpatient clinic.

Zuo Zhenxing understood the urgency of time and did not waste any.

Turn on the computer, and they'll start calling out numbers.

"Please have patient number three go to examination room number fifteen."

"Please have patient number three go to examination room number fifteen."

Today's outpatient clinic has begun!