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

Chapter 449: Hairy Tongue with a Foul Smell—What Disease Is It? The Trial of the Deadly Poison Doctor—The Whole Internet Is Watching! [Seeking Monthly Tickets]

Mechanical rotating head.

He glanced in Zhang Lingchuan's direction.

"This, this is the dental department???"

Her voice was somewhat weak.

I wonder if the dental department has ever seen this strange condition.

And she looked at Zhang Lingchuan for help.

"Let's see you directly in our emergency room. I'll take you to the chief physician's office and explain what happened along the way."

Zhang Lingchuan used the system to scan.

It also activated the proactive help task.

[The current host has encountered a patient with a red tag and in critical condition. As a new employee, please take the initiative to help. Upon completion of the task, you will receive 1 regular treasure chest and +500 professional reputation.]

This is the task prompt that popped up for Zhang Lingchuan.

[Scanning for patients with red tags...]

And the scanning is also happening simultaneously.

He was also curious about what the patient had done.

Why are tongues always black?

It even has downy hair.

It was pitch black.

Just like a shoe brush, it's a whole piece on the tongue.

But it doesn't feel like it was innate.

If it's congenital, everything around the tongue looks relatively normal.

It's impossible that the tongue has mutated!
That's outrageous.

But how to say it.

For people like this, it's generally best to come to the emergency department for examination first.

After all, it's a red label.

After understanding part of the reason, we will send them to a specialist clinic.

"I don't know what happened. About two weeks ago, I bought some stinky tofu at the food street. After eating it, my tongue turned a little black. I didn't pay attention at the time and thought that drinking more water would be enough. Who would have thought that my tongue would stay black?"

This woman's full name is Li Chiqing.

He said it with a very helpless tone.

"So, you're saying your tongue turned black and even grew hair on it after you ate stinky tofu??"

Yin Xiaoxiao was stunned.

Although she doesn't eat stinky tofu, some of her roommates liked to eat it when she was in school.

I've never heard of your tongue turning black after eating stinky tofu.

Not to mention it's covered in hair.

"That's right! I have no idea what happened!"

Li Chiqing nodded.

"Besides your tongue turning black, have you experienced any other discomfort these past few days?"

Zhang Lingchuan inquired.

"When my tongue turned black, I actually brushed it with my toothbrush for a long time the next day and rinsed it with a lot of water, but it didn't work. After about two or three days, I felt a little uncomfortable on my tongue, and the blackness became more severe, and there were even some ulcers. I took some anti-inflammatory medicine, thinking it would help, but after taking it for a week, I started to have stomach pain and diarrhea. I was just about to come to the hospital for a check-up, but as soon as I came in, I had stomach pain again and had to squat in the toilet for a while before I came out. Then I met you two doctors, and I was wondering which department I should go to for my condition, but I don't really know."

Li Chiqing was only thirty-five years old.

They belong to a very young generation.

But she didn't know whether she should go to the emergency room or the dental department for her strange illness.

I'm afraid I'll end up in the emergency room.

The ER doctor said it was a dental problem and told her to go to the dental department.

"You're so irresponsible! You've been feeling unwell for so long, and you're only coming to the hospital now!"

The scan results are in.

Zhang Lingchuan's expression was solemn.

"I never expected such a dark thing to grow on my tongue. I thought it would be fine after taking some anti-inflammatory medicine. Doctor, I'm sure I'm alright!"

Li Chiqing asked curiously.

Even if you eat something bad, a normal bout of diarrhea will usually resolve the issue.

I've never seen anything like this before.

"You almost got into serious trouble, but it wasn't too serious. In your case, we need to do some screening, especially to check your tongue to see if it's black hairy tongue or some other fungal infection. But I still suggest you call your family members over, because you'll most likely need to be hospitalized today."

Zhang Lingchuan spoke solemnly at this moment.

"Oh no! Hospitalization? Doctor, I work as a screenwriter, and my company is waiting for my script to be discussed. Can I not be hospitalized?"

Li Chiqing heard that he needed to be hospitalized.

His face immediately fell.

I really, really don't want to be hospitalized.

Yin Xiaoxiao, on the other hand, was reviewing key points.

Black hairy tongue.

This appears to be a benign, self-limiting tongue condition.

This disease is not common, and it is more common in men, primarily elderly patients.

Black hairy tongue is often associated with congenital overgrowth of filiform papillae on the dorsum of the tongue, as well as acquired fungal infection of the filiform papillae. Unhealthy lifestyle habits, changes in the oral environment, and long-term use of antibiotics can also induce it.

Generally speaking, the specific appearance is like a layer of black paint being applied to the tongue.

It's a bit dark.

But this one has grown hair.

Could she have a black hairy tongue?
It doesn’t quite look like it!

Therefore, we can eliminate options based on the fact that the first one that appears is often the wrong one. What Dr. Ogawa said is most likely just cannon fodder; the fungus is the key.

Generally speaking, fungal infections are quite serious.

Hospitalization is also reasonable.

But what kind of fungus causes hair to grow on the tongue?

Yin Xiaoxiao was scratching her head.

“In this situation, if you don’t go to the hospital, you can only sign an informed consent form to give up hospitalization, but I don’t recommend it because that’s playing with your life. You can find another job, but if you lose your life, it’s really over.”

Zhang Lingchuan said.

Even though I'm ready to die, I'm still thinking about work.

This happens every day.

"Wow, that's serious! I only ate some stinky tofu, it can't be that bad!!"

Li Chiqing's expression was somewhat stunned.

"Madam, look at this name. Search it online and you'll know whether this doctor is lying to you or not."

Yin Xiaoxiao pointed to Zhang Lingchuan's sign.

Name: Zhang Lingchuan

Department: Emergency Medicine

[Title/Position: Intern Doctor]

of course.

She was referring to the line with names.

I believe that in Chunshi, if not everyone knows Dr. Ogawa, at least one-tenth of the people do.

Even if you don't know them personally, you've probably heard of them.

After all, the internet is so advanced now.

Information can be found online.

"I know, after all, as you all know, we screenwriters definitely like to collect all kinds of information online, and I've read a lot of news about Zhang the veterinarian."

At first, Li Chiqing just randomly called a doctor, intending to ask him some questions.

It was only from behind at that time.

In fact, she didn't recognize the other person when the doctor turned around.

After all, they were wearing masks.

I just felt that the eyes looked a little familiar.

Then she looked at the sign hanging around her neck.

She was stunned.

I never expected to be so lucky; I actually ran into that very popular Dr. Ogawa.

It is rumored that he is a human-shaped health scanner.

You can tell at a glance whether someone is sick or what kind of illness they have.

"Then you still have doubts, ma'am... If I were sick, I would do whatever Dr. Ogawa asked me to do, even if he asked me to jump off a cliff, I would think that might be a way to treat the illness."

Yin Xiaoxiao shrugged.

"???"

Zhang Lingchuan looked completely bewildered.

No.

Hey girl! What are you doing?!
They're making themselves sound like cult leaders, engaging in mind control!

He even jumped off a cliff.

"Yes, yes, that's right. I know Dr. Zhang is really amazing, but I can't believe that I ate a bowl of stinky tofu and then ended up in the hospital... It really feels too outrageous. I just wanted to ask Dr. Zhang if there are any treatment methods besides hospitalization."

Li Chiqing nodded.

After all, it's hard for anyone to accept when something like this happens to them.

For example, she was hospitalized after eating a serving of stinky tofu.

It's really too exaggerated.

But this is what Dr. Zhang said.

"???"

Zhang Lingchuan listened to the girl talking to Yin Xiaoxiao and wondered what she meant by "that's how it is".

Chatting and chatting.

We soon arrived at the emergency department, where we met with Dr. Wang Haixia, the chief physician of internal medicine and a level four expert.

Teacher Wang is very dedicated.

I see patients in the emergency department four days a week.

And it's all from morning till night.

"Xiao Chuan? What's wrong? Is your friend sick?"

Wang Haixia had just sat down; she hadn't even started seeing patients yet.

She recognized the pair Zhang Lingchuan was with Yin Xiaoxiao when she knocked on the door.

After all, the two often performed surgeries together.

On this particular day, they brought a young woman with them. As an internist, she was quite accurate in determining whether someone was sick or not.

After all, unlike surgeons who focus on physical skills, internal medicine practitioners cultivate inner strength.

She was thinking it was so early.

Is he a friend of Dr. Ogawa?

"Teacher Wang, this is what's going on. This is a patient who just came to the hospital for treatment. I think she looks like she has food poisoning. I wanted to give you a physical examination and order some tests. Also, I wanted to check her tongue to see if she has black hairy tongue."

Zhang Lingchuan explained.

"Physical examination? Black tongue? Okay, okay, let me take a look..."

Teacher Wang Haixia is very dedicated.

Tell the other person to open their mouth.

"This isn't a black hairy tongue! It's just something growing on your tongue. Girl, can you feel anything on your tongue?"

Wang Haixia frowned after examining the area.

If you don't feel anything, you should consider the possibility that your tongue may be necrotic.

"I still feel something, but it's very uncomfortable."

Li Chiqing nodded.

"That's alright, it might be necrosis but it's not completely necrosis yet. If you were comfortable, Xiaochuan wouldn't have brought you to my office so early in the morning... Honestly, Xiaochuan, you could have just gotten the tests done directly... I'll order whatever tests you want, older people can't stand these things and easily get teary-eyed."

Wang Haixia threw the examination tools back into the trash can.

He murmured to himself.

Li Chiqing's mind was racing.

What's going on?
Is this Teacher Wang really that sentimental?
Why am I crying like this?
She can't possibly be dying, can she?!

Dr. Wang felt a sense of regret for himself!

In an instant, Li Chiqing's heart jumped into his throat.

She was supposed to go to the company this morning.

It has already been postponed to the afternoon.

But what the doctor just said made her despair.

It seems they won't be able to leave this hospital.

Otherwise, why would a doctor say this out of the blue?

Meanwhile, Yin Xiaoxiao was inwardly cheering for the humorous Teacher Wang.

She could only say that she understood Teacher Wang too well. This was truly tears in a physical sense; the stench was so overwhelming that it made her eyes water uncontrollably!
"what?"

Suddenly, Yin Xiaoxiao noticed.

The patient's condition is not quite right.

He seemed to be frightened.

Could it be that phrase, "I'm getting old and can't bear to see these things, so I cry"?
Uh...

Then I can only say that you've misunderstood, sister.

Teacher Wang had just started work and wasn't prepared when she was caught off guard by the fumes.

"Teacher Wang has experienced so many ups and downs, this is just a small ripple. Besides, you should at least take a look, right? How could I issue an inspection arbitrarily?"

Just as Yin Xiaoxiao was pondering, Zhang Lingchuan looked at Dr. Wang Haixia, who was wiping away tears, and said with a smile.

"Xiaochuan, I don't think it's black hairy tongue. It's more like a fungal infection. Please share the information you've gathered and your guesses so we can put them together."

Wang Haixia still liked Zhang Lingchuan very much.

In her opinion, his character, morality, thoughts, and actions are all excellent.

Unlike some so-called geniuses who get all high and mighty just because they have a little talent.

There are even some technically-oriented people who denigrate their internal medicine practices.

I thought that internal medicine doctors only knew how to write medical records and had no practical skills, relying entirely on the body's own healing abilities to cure diseases.

All she could say was that the standards for internal medicine and surgery are indeed different.

Surgeons can judge who is better or worse based on their surgical skills, the neatness of the incision, and whether they can remove the tumor even if the other surgeon cannot, while saving the patient's life.

However, internal medicine does not have such quantitative and clear evaluation criteria.

But this does not mean that internal medicine is unimportant.

Internal medicine and surgery are equally important disciplines in modern medicine.

This kind of discrimination is unreasonable and naive.

However, even though Ogawa is very capable, he has never experienced this kind of discrimination.

They even showed them great respect.

Wang Haixia also had a very good impression of him.

"The patient complained that he ate stinky tofu half a month ago, and his tongue was stained black after eating it. Teacher Wang, you are from Hunan Province, so you know that stinky tofu could never stain the tongue, right?"

Teacher Wang Haixia is from Hunan Province.

She came to Northeast China to study in her early years, and later married and moved here.

She must know about stinky tofu, a local delicacy.

"Sigh, the stinky tofu these days is an unnaturally dark color. I remember when we were kids, the stinky tofu was naturally fermented and it wasn't this dark. It was grayish with a very light layer of black. It's nothing like the stinky tofu sold now, which is pitch black. I don't even know what it's made of. We should eat less of these street vendors."

Wang Haixia never expected that the girl's tongue grew hair and smelled foul because she ate stinky tofu.

This is a local delicacy from their hometown.

But now, she is completely unfamiliar with these so-called stinky tofu products.

It's as black as coal.

Anyway, the stinky tofu they ate when they were little was grayish, with only a very light layer of black.

I remember eating it once on a whim when I was young, and I've never eaten any of these so-called stinky tofus since.

Because they're all called stinky tofu, it's like they're using the name of stinky tofu to sell an unknown and extremely unpalatable food.

Now it's even more outrageous.

They even colored my tongue after I finished eating it.

Simply unheard of!

"I'll remember this, I really won't dare to eat it now. It smelled so good that I couldn't resist buying it!"

Li Chiqing was filled with remorse.

I know that making stinky tofu nowadays might involve some technology and ruthless techniques.

I just didn't expect this tough job to be so tough.

"With those toppings sprinkled on by the vendors, let alone deep-fried stinky tofu, even deep-fried rubber bands would probably taste delicious."

Wang Haixia said irritably.

There used to be so many ingredients.

What you're really enjoying is the aroma and flavor of the food itself.

It's all about piling up these ingredients now.

So unless I go back to my hometown and eat homemade stinky tofu, I really don't dare to eat stinky tofu from outside.

Firstly, I'm getting old.

My physical condition is poor, and my digestive system isn't very good either; eating this kind of food is too much of a pain for me.

They might even end up in the hospital.

After all, people with good physical condition can withstand it, but those with poor physical condition really need to be hospitalized.

"Ugh--"

Li Chiqing lowered his head.

He sighed heavily.

"Has the black stain on your tongue not gone after you ate it? You must be feeling unwell, right?"

Wang Haixia inquired.

"Yes, yes, there are."

Li Chiqing recounted the details of her situation over the past few days in the consultation room.

It was detailed down to every single step.

"I see. Xiaochuan, do you suspect industrial dyes combined with fungal infection or something? Do you have any specific areas of suspicion?"

After listening, Wang Haixia also made her own judgment.

Normally, even ink on the tongue wouldn't take this long to disappear.

This person may have used industrial dyes for coloring.

If a person's conscience has deteriorated to this extent, then naturally there will be no standardized food production environment, and naturally there will be things like fungi.

But she couldn't guess what the specific industrial pigments or fungal infection were.

After all, there is a lack of understanding in this area.

Therefore, Dr. Wang Haixia asked Zhang Lingchuan if he had any suspected individuals.

Yin Xiaoxiao also looked at Zhang Lingchuan with her big eyes.

Because she always felt that Dr. Ogawa seemed to know what was going on.

"Yes, my initial assessment is that it is caused by poisoning from foodborne harmful chemicals and fungal infection."

Zhang Lingchuan nodded.

"As for the direction of suspicion, there are indeed some, because the dyes illegally used in stinky tofu are mainly used to enhance the color and maintain the black color. Common industrial pigments include basic black, direct black dyes, nitrosamine dyes, aniline black, carbon black, etc."

Zhang Lingchuan described the direction of his suspicions.

A moment.

Wang Haixia and Yin Xiaoxiao, the old woman and the young girl, had their eyes shining.

Wow, he really knows all this! Xiao Chuan's knowledge is a bit outrageous!

"Xiaochuan, what kind of dye do you think it might be?"

Because there is a suspected link, it is easier to conduct screening.

Otherwise, they will go further and further in the wrong direction.

"It depends on the effects of these dyes on people after use. For example, basic black and dark black are often used for dyeing leather and textiles. They belong to the aromatic amine class. Long-term intake may be carcinogenic, while short-term intake can irritate the digestive tract and cause abdominal pain, diarrhea, and nausea. The symptoms currently reported by the patient are highly consistent with these."

Zhang Lingchuan expressed his opinion.

The other possible outcomes will also be stated.

For example, direct black dye is mostly used in industrial printing and dyeing. It has a dark and glossy color and contains aniline components, which are toxic to the liver and kidneys and can cause gastrointestinal inflammation to a certain extent.

Nitrosamine dyes, such as aniline black, are used in industrial printing and rubber coloring. They can be reduced to aromatic amines by intestinal bacteria, causing discoloration and black deposits in the intestines. Carbon black, a type of carbon powder black pigment, is derived from incomplete combustion. Food-grade carbon black has strict standards, but industrial-grade carbon black may contain heavy metals, which can lead to mucosal pigmentation and gastrointestinal irritation.

The lightest of them is probably carbon black.

But if the vendors were so conscientious, this female patient wouldn't have come to the hospital.

"The match is indeed very high, but what about mold? Do you have any directions?"

Wang Haixia nodded slightly as she listened to Zhang Lingchuan's analysis.

This child's knowledge base is beyond description.

That's really impressive.

"Her condition reminds me of a type of mold with similar symptoms, Aspergillus niger! It has a typical appearance of black, velvety mold spots and is commonly found in damp, fermented foods. It can form a black, hairy tongue-like covering on the back of the tongue and intestinal mucosa!"

Zhang Lingchuan said.

"Aspergillus niger! Girl, are you breathing alright? Are you very tired?!"

Wang Haixia's pupils constricted upon hearing this.

Then he asked Li Chiqing.

Their emergency room has its own set of procedures.

The first is the airway.

She had just examined the patient's tongue to determine whether the black color was due to hairy tongue or necrotic tissue. She confirmed that it was not hairy tongue, but there was some necrosis.

In addition, oral fungal infections can easily lead to airway involvement, such as oropharyngeal edema and necrotic tissue sloughing, requiring tracheal intubation or tracheotomy, as death can occur if not handled carefully.

The second is breathing.

Oxygen therapy and monitoring of blood oxygen saturation.

Fungal infections, especially Aspergillus niger, can affect the lungs. If there is hemoptysis, chest pain, or difficulty breathing, a chest X-ray or CT scan is needed to rule out fungal pneumonia or invasive aspergillosis.

The third is the cycle.

Monitor blood pressure and heart rate, establish intravenous access, and if diarrhea leads to dehydration, administer fluids and electrolytes.

Fourth is the nervous system.

Assess the patient's consciousness and pupil size to rule out neurological symptoms caused by toxic encephalopathy or electrolyte imbalance.

So don't be fooled by their seemingly casual questions.

In fact, it was all a prelude to this program.

"It's okay so far."

Li Chiqing said.

"Okay, I'll order four tests for you first. The first is routine lab tests: complete blood count, electrolytes, liver and kidney function, lactate, and blood gas analysis."

Wang Haixia said this while operating the computer.

"Four checks, good, good, good..."

Seeing how nervous the doctor was, she could only nod.

then.

Li Chiqing received it.

The second toxicology test involves blood, urine, and feces.

The third medical imaging examination includes an abdominal CT scan to determine if there is intestinal necrosis or perforation, and a chest CT scan to rule out lung fungal infection and invasive aspergillosis pneumonia.

The fourth step involves taking a sample from the oral pharynx, scraping the lesion from the black tongue, and performing fungal microscopy and culture to determine whether it is black hairy tongue or Aspergillus niger infection. However, normally, it should be Aspergillus niger.

However, it's not enough to make a judgment yet.

Accurate data screening is essential.

"Me? Multidisciplinary consultation???"

Soon.

Li Chiqing was dumbfounded.

Because she had just finished her examination, she was asked to have a multidisciplinary joint consultation.

They said her condition was a combination of poisoning and invasive fungal infection.

Departments like infectious diseases, respiratory medicine, gastroenterology, general surgery, toxicology center, clinical pharmacology, and even the intensive care unit (ICU) that you often see on TV have all come!

I remember someone complaining about it before.

The doctors in the hospital were aloof and ignored people.

She feels more at ease when she's aloof.

Look at all these doctors surrounding you, all so incredibly enthusiastic—it's absolutely terrifying!
"Dr. Zhang, am I going to die...?"

Li Chiqing asked timidly.

"The results aren't out yet. If it really is a fungal infection, you could die from organ failure or sepsis within days to two weeks."

Zhang Lingchuan gave a reply.

"Gulu——"

Li Chiqing swallowed hard.

"I hope it isn't, I really hope it isn't."

She was praying.

It's truly terrifying that organ failure and death can occur within days or even weeks!
Zhang Lingchuan, on the other hand, left.

He planned to use the time he had to go to the restroom to check what the intermediate-level assessment required.

After the scan just finished, he has now reached 100,000 professional reputation.

An option is popping up in front of me.

As for the test results...

All he could say was that what he said was the test result.

System scan complete.

Patient Name: Li Chiqing

[Patient's gender: Female.]

[Patient's age: 35 years old.]

[Patient symptoms: abdominal pain, diarrhea, nausea, black deposits in the intestines, ulcers, necrosis, foul breath, tongue necrosis, etc.]

[Patient Diagnosis: Industrial poisoning and fungal infection, currently causing serious consequences, assigned a red label with a lifespan of less than one month.]

[System notification: The patient has consumed food colored with alkaline black dye and nitrosamine dye. Due to the production environment, fungi such as Aspergillus niger have grown. In addition, the patient's physical condition is poor, so a severe reaction has occurred!]

When large amounts of Aspergillus niger spores are ingested, they can colonize the oral cavity, tongue, and intestines, forming black, velvety mold spots that cause foul odor and erosive inflammation, which is already manifesting.

At the same time, this combination carries a clear risk of causing cancer, disease, and even death. It can damage the liver, bladder, and gastrointestinal tract, induce tumors, especially liver cancer, bladder cancer, and gastrointestinal cancer, and may also cause acute poisoning or fungal infection leading to serious complications!
In summary: Even young and healthy patients may experience organ failure or sepsis and death within days to two weeks. Immediate hospitalization is crucial for thorough toxicology and fungal testing, along with symptomatic supportive care, antifungal treatment, detoxification, and multidisciplinary collaboration. Delay will lead to rapid deterioration.

[By actively helping to complete the mission and successfully admitting the patient to the hospital, the host will receive 1 regular treasure chest and +500 professional reputation.]

This is Zhang Lingchuan's previous scan results.

I can only say that I was actually being a little too lenient.

The actual test results should be even more serious.

Such vendors are not just heartless.

It was outright poisoning.

Therefore, an alarm must be triggered when the test results are available.

He really didn't know what was going on in the minds of these vendors.

This is practically rubbing salt into the wounds of diners.

[Ding! The current patient has completed the hospitalization procedures. The host has received 1 Ordinary Treasure Chest and +500 Professional Reputation.]

As soon as Zhang Lingchuan stepped outside, he heard a notification from the system.

It seems they just proactively helped complete the task.

have to say.

Giving out regular treasure chests every now and then is quite nice.

At least it can yield some good items that don't exist in the real world.

[Host, would you like to open the treasure chest?]

The same familiar message.

"Open!"

Zhang Lingchuan chose to open the treasure chest.

[Ding! Congratulations, host, for opening a normal treasure chest. You have obtained 1 Stamina Potion, 1 Precision Scan, and 500 Profession Reputation.]

Not a moment later.

A prompt appears.

I received a stamina potion and a precise scan.

There are also 500 professional reputations.

how to say.

not bad.

[Professional Reputation: LV9: 101000/15w (Resident Physician)]

Professional reputation is automatically added.

We have now reached 100,100.

It was still 99,900 in the morning.

A single accurate scan yielded 100 professional reputation points.

In addition, you gain 500 class reputation by actively helping with quests and another 500 class reputation by opening treasure chests, for a total of 1,000.

[Congratulations, host! Your professional reputation level has been upgraded from LV8 to LV9. You have received 1 Promotion Common Treasure Chest and have gained the opportunity to take the Resident Physician to Attending Physician promotion exam.]

A notification popped up in front of Zhang Lingchuan.

really.

He came after all.

[Open the regular treasure chest?]

Another prompt to open a treasure chest appeared.

[Congratulations, host, you have successfully opened a normal treasure chest and obtained Precision Scan*2 and Stamina Potion*1.]

It was another precise scan and a stamina potion.

It's alright, though.

These are things that don't exist in the real world.

[Special Items: Special Stamina Potion *24, Precision Detection *3, System Simulation Space Single Training Card *2, Hidden Item Card Fragment *4.]

Special items will be automatically settled.

He now has 24 bottles of special stamina potion.

The accurate detection reached three times.

There are also two system space single-use training cards and four hidden item card fragments.

In addition to the increase in professional reputation.

There's still not enough stuff in my backpack.

When will I be able to get items with a three-digit price tag?

[Note: The current host is a Level 9 resident physician.]

According to the system definition.

Resident physicians are classified into five levels: LV6-LV10.

The attending physician is LV11-LV15, which is also a level 5 physician.

Normally, one needs to reach LV10 level to be eligible for the assessment, but those below the attending physician level who have officially embarked on the path to becoming a great doctor are in a probationary period, and can also start preparing in batches from LV9 level.

The current host is qualified to prepare for the assessment to advance to the attending physician level. Initiate the attending physician advancement process? Successfully advancing from LV10 resident physician to LV11 attending physician will grant a special treasure chest.

The special items have just been retrieved.

A new prompt appeared in front of Zhang Lingchuan.

The system's professional reputation levels are explained in detail.

It turns out that resident physicians normally need to reach LV10 to be eligible for assessment.

However, those under the attending physician have special privileges.

For example, the assessment of interns for resident physicians and the assessment of resident physicians for attending physicians can be prepared one level in advance.

At the end of the message, the other party also asked him if he wanted to start the attending physician assessment ahead of schedule.

All he could say was...

Not preparing in advance when you can is such a waste of potential benefits that you'll regret it when you wake up at night.

"Turn on!"

Without hesitation, Zhang Lingchuan immediately began the assessment.

Let's not even talk about regular treasure chests.

It's good to check the task requirements in advance.

[Ding! The attending physician level assessment has begun!]

[Assessment Objective: The system aims to cultivate the host into a perfect physician. Whether an intern, resident physician, or attending physician, all must be at the top level in their respective stages. Therefore, each promotion assessment is extremely rigorous. Attending physicians are typically key physicians, representing diligence, ambition, positivity, and vitality. Becoming an attending physician will officially mark your entry into the path of becoming a perfect physician, a benchmark in the medical field, and a guide for future generations. The system will also evolve to its complete form.]

[Task being distributed, please wait...]

It's the same familiar interface.

I remember the last residency promotion task included three parts: professional reputation enhancement, real-world timely tasks, and system simulation assessment.

I wonder what it is this time.

[System promotion assessment tasks have been successfully issued, mainly consisting of three aspects: professional reputation enhancement, real-world timely tasks, and space simulation assessments.]

It's the same as last time.

So how much should your professional reputation be increased?
[Task 1: Increase Professional Reputation. Please increase your professional reputation to LV10 (maximum level) and 200,000 professional reputation points within six months.]

Current professional reputation.

[Professional Reputation: LV9: 101000/15w (Resident Physician)]

Professional reputation gained upon completing a task.

[Professional Reputation: LV10: 20/20 (Resident Physician)]

The difference is 99,000.

"???"

When Zhang Lingchuan saw the first task appear.

His brows furrowed slightly.

How many? ?
I need to earn 100,000 professional reputation points within six months?
What a joke! !

Is this a task that a human could accomplish?
You should know that I worked like crazy before, using almost every trick in the book, and it took me ten days to accumulate 10,000 professional reputation.

It took me a month and a half to accumulate the remaining 10,000 professional reputation.

What is the concept?

Under normal circumstances, it would be incredible if I could achieve 10,000 reputation points in a month.

Therefore, it would take at least ten months to earn 100,000 reputation points and, with extremely good luck, become a spinning top.

He now sets a goal for himself to reach this number within six months.

Holy crap!!

Got cheated.

The mission should not have been started prematurely.

Damn it!!
Zhang Lingchuan slapped his forehead.

A month has thirty days, and three times six equals one hundred and eighty days.

That means you owe 550 professional reputation points every day when you wake up.

The first mission is so hellish.

What's the second task?

[Task Two: Real-world timely mission, currently undergoing real-world scanning...]

Soon, a prompt for the second task appeared.

[The host has been detected to have 3500 million followers on global social media platforms, making them a popular livestreamer and a joint PhD graduate from five universities, holding a certain reputation in the medical field. As a perfect healer and a popularizer of medicine, one should not be limited to the technical aspects but should also reach out to the entire society.]

One message after another appeared.

"???"

He looked completely bewildered.

What's with this "shouldn't be limited to technology, but should be geared towards the whole society" nonsense?

[Details of the real-world timely mission are unfolding.]

[Mission Title: As the strongest resident physician, give the world a small shock.]

【任务要求：社交网站不低于8000万粉丝、在专业的医学直播网站如医香微视直播或者上传不低于50个优质手术教学视频，若为直播单场不低于五千人观看，若为录制视频每个点击量不低于1000万、至少出席5次医学界国际论坛并以学者身份访问不低于五个国家、即日起每周主动看诊/救治/帮助患者人数不低于50人。】

[Task deadline: November 11th.]

[Task Reward: Complete any sub-task to receive an additional Common Treasure Chest*1.]

[Mission Penalty: Failure to complete the mission will result in being barred from promotion to the next rank for ten years.]

[Task Note: This assessment is extremely difficult. The host can temporarily unlock the abilities and perspectives gained at the attending physician level for six months. This will be activated after one minute of countdown. If the assessment is failed, the abilities and perspectives will be revoked and will be reactivated after ten years.]

My God!

Zhang Lingchuan exploded.

What does it mean to give the world a little shock?

Mother.

Today is December 5st.

He was required to reach 8000 million followers on social media within six months, more than doubling his previous number.

To achieve high-quality results, you need to host 50 live streams or upload 50 instructional videos on live streaming websites like Medical Micro-Video.

He's also going to be a visiting scholar in five countries and attend five medical forums.

The most outrageous thing is that the number of patients seen each week is no less than fifty.

Is this the perfect doctor?
This is the perfect bull and horse!

[Task 3, Spatial Simulation Assessment: Please click to view when entering the simulation space.]

He no longer has the courage to open the third item.

Let's do it later, it's too frustrating.

After all, it's so difficult to match a professional reputation with real-world quests.

He dared not even think about being tested in the system simulation space.

correct.

What are the capabilities and perspectives of this attending physician?

Start in one minute?
Zhang Lingchuan looked a little curious.

"Swipe-"

He washed his face.

Be prepared to wait a while.

[Capabilities loaded...]

One minute is up.

A loading complete option appeared in front of him.

"Is there anything special about it? I don't think so?"

Zhang Lingchuan carefully sensed it.

There's nothing particularly special about this perfect bull and horse, except that they're busier!
As an attending physician, you have left the medical field's novice village and become a true traveler. You now possess the ability to actively and passively trigger quests, and can also independently explore quests to improve your system's professional reputation and social standing.

A system notification appeared.

At the same time, a young man who was using the restroom walked in, and above his head, in addition to the yellow tag that had been there before, there were now the words "Exploreable".

He clicked on it, and a notification appeared quickly.

[The host has currently encountered a patient who can be explored.]

Zhang Lingchuan frowned; he'd already said something pointless.

He is very troubled by certain functional impairments; we can explore his condition and provide some guidance.

Seeing this Lingchuan (a medical document) made me a little tempted. It skipped the scanning process and actually summarized the disease. It truly lives up to its reputation as a perfect product, going to great lengths to encourage you to have more consultations.

Precision scanning can provide an extremely accurate diagnosis of a patient's illness, regular scanning can provide a general overview, and labels can indicate health status. Now, a text prompt has appeared, located between the labels and regular scanning.

[This is your first time experiencing the perspective of an attending physician. Completing this mission will reward you with 100 professional reputation and one stamina potion.]

I saw the system's rewards screen.

Zhang Lingchuan decided to give it a try, but he was curious about what this guy did to be worth so much.

Isn't this just a minor personal issue?
At the same time, Zhang Lingchuan's phone rang; it was Comrade Xiao Song calling.

"Hey, Wanqing, why are you calling today?"

Zhang Lingchuan was a little curious.

"Zhang Laoshi, are you at work? I thought you were off today. Did you know that deadly poison doctor was sentenced?"

Song Wanqing has been busy lately, but she has been keeping an eye on the case of the Deadly Poison Doctor. She called Teacher Zhang immediately after the sentencing.

"Huh? The verdict's been handed down? That was fast!"

Zhang Lingchuan knew that the trial was today, but he didn't expect that the verdict would be announced so early, at only 10:30.

"That was indeed a bit rushed. Zhang Laoshi, guess what the sentence will be?"

……

(End of this chapter)