Top-tier doctoral supervisor, reborn as a first-year graduate student in standardized residency trai

Amidst the shocked gazes of the crowd, Gu Lin continued speaking.

"Many people focus on the diagnosis name, but according to the data, the patient already has low platelet count, coagulation abnormalities and liver damage."

"This means that the high fever is caused by an out-of-control inflammatory response that is beginning to consume organ function."

"So my first consideration wasn't what his illness was called, but that he was heading towards multiple organ failure."

Qin Zhenghong's eyes changed slightly.

"continue."

Gu Lin spoke calmly.

"Adult Still's disease can explain most of the symptoms, and MAS also fits the bill."

"But what truly determines the prognosis is whether a cytokine storm has already formed."

"If it has already formed, then the importance of diagnostic discussion has begun to fall below that of the timing of treatment."

"Because patients won't wait for us to finish all the tests."

Qin Zhenghong stared at him.

"If the infection hasn't been completely ruled out, would you dare to use immunosuppressive therapy?"

As soon as he finished speaking, many people in the audience held their breath for a moment, but Gu Lin hardly paused.

"I dare not gamble, but I dare not wait either."

A strange light flashed in Qin Zhenghong's eyes.

Gu Lin continued.

"The most dangerous mindset in clinical practice is to pit infection against immunity."

"In reality, they often coexist, so I will advance them simultaneously."

"Continue with anti-infection coverage and continue etiological investigation."

"But if the evidence chain for MAS is strong enough and organ function continues to deteriorate, I will not delay treatment in order to wait for a 100% certain answer."

"Because we need to make the correct diagnosis in the shortest amount of time."

As the last sentence fell, the judges' panel fell silent.

Qin Zhenghong was also taken aback for a few seconds before continuing to ask.

What evidence would make you make this decision?

Gu Lin answered very quickly.

"Persistent high fever, rapidly rising ferritin levels, decreased blood cell count, and abnormal coagulation..."

"And the dynamic progression rate of the disease."

After he finished speaking, he added:

"But besides the above, I value trends even more."

"Because trends often reveal dangers earlier than individual outcomes."

Qin Zhenghong remained silent for two seconds.

Why?

Gu Lin looked at him.

"Because patients are constantly changing, not like exam questions."

"The truly dangerous patients often start to lose control before their indicators even reach the target level."

Qin Zhenghong stared intently at Gu Lin.

"Who taught you that?"

Gu Lin's lips curved slightly.

"The patient taught me."

Qin Zhenghong's admiration grew stronger. He remained silent for a moment, then asked one last question.

"If this patient is under your care, you might not have noticed it on the first day, but only realized it could be MAS on the third day."

"What should we do?"

Gu Lin was silent for two seconds before speaking.

"Change the treatment first."

Qin Zhenghong raised an eyebrow.

Gu Lin continued.

"Admitting mistakes is important, but patients won't get better just because I reflect on them deeply."

"So the first step is not to review, but to correct immediately."

"We need to conduct supplementary examinations, treatments, consultations, and communication to bring patients back to the right path."

"Then review why you missed it."

Gu Lin thought for a moment and then added one last sentence.

"At times like this, saving face is nothing compared to the patient's life."

As soon as he finished speaking, the admiration in Qin Zhenghong's eyes was almost overflowing.

"very good."

The chief judge glanced down at the time; the timer had ended.

"The fourth stage of the defense is over."

The six of them walked out of the defense room, and as soon as the door closed, Zhao Qiming breathed a long sigh of relief.

"I feel like the game is over by now."

Xu Ran nodded.

"Like the head doctor making rounds."

Meanwhile, inside the defense room, several judges were tallying up the scores.

The chief judge looked at the scoring sheet and couldn't help but sigh.

"This team is way behind the teams ahead of them."

The judges next to him nodded in approval.

"The main reason is that young Gu Lin thinks on a different level than others."

Qin Zhenghong picked up his pen, paused for a moment next to Gu Lin's name, and then wrote down the score directly.

When the infectious disease expert next to me saw the numbers, his eyelids twitched.

"So tall?"

Qin Zhenghong put down his pen.

"I've already given it to you while holding back."

The judges were all taken aback. Qin Zhenghong looked at the score sheet and added casually.

"This kind of student would be considered top-tier even within the North Union."

One sentence silenced the entire judging panel.

A few minutes later, the final results were displayed on the big screen.

All the teams returned to the main venue, and Zhao Qiming and the others stared at the screen, feeling very uneasy.

Gu Lin stood at the edge of the crowd, his expression unchanged.

The screen scrolls.

Third place:

[Nanling Medical University Affiliated Hospital, overall score: 83.6]

Second place:

[Haicheng Provincial First People's Hospital, overall score: 87.8]

Under the tense gaze of everyone, the big screen refreshed again.

First Place:

[The First Affiliated Hospital of Haicheng University, overall score: 98.7]

The entire venue fell silent instantly, even the host was taken aback.

A 10-point difference is a complete rout.

The next second, applause erupted.

Zhao Qiming was completely stunned.

"98.7?"

"Holy crap?"

Xu Ran was also stunned.

"That big of a difference?"

Shen Qing even pinched herself.

"I got a perfect score on my overall defense..."

The large screen continued to refresh.

[Comprehensive Case Analysis: First]

[Team Simulated Rescue: First]

[Comprehensive Defense: First]

[Best Individual Performance Award: Gu Lin]

Another commotion broke out at the scene, and many teams subconsciously looked at Gu Lin.

If the previous high scores in a single station could be explained by good performance, smooth teamwork, and a suitable track, then these few lines now clearly indicate that there is no room for luck involved.

Three first-place finishes in individual categories, plus the Best Individual Performance Award.

This practically means that the most outstanding positions in this provincial competition have all been given to Haicheng First Affiliated Hospital and Gu Lin.

Zhao Qiming stared at the big screen for two seconds, then suddenly raised his hand and slapped himself.

"They really got first place."

After he finished fanning himself, he seemed to finally realize what was happening and suddenly turned to look at Gu Lin.

"Gu Lin, we really got first place!!!"