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

Chapter 457 Attending Physician Examination, The Sequence of Life, Car Accident in the Suburban Mountain Area!
The test results are in.

The examining physician can observe the characteristics of the skin lesions through a dermatoscope and make a preliminary judgment on the spot.

If a highly suspected lesion is found, a biopsy will be recommended.

However, the initial conclusions are already quite high.

And so, Du Jiamei entered the consultation room.

The dermatologist's tone was somewhat grave.

"Are you the patient, Du Jiamei?"

He looked at the woman in front of him, whose skin was somewhat dark and who appeared rather robust.

As a dermatologist.

He has actually treated many similar patients, and most of them are migrant workers who work on construction sites.

Their long-term tolerance and neglect of their injuries is a cruel reflection of the prevalence of such behavior within this group.

As a doctor who has dealt with many patients like this, he can understand their situation.

Migrant workers have long been in high-intensity, high-risk, and low-security working environments.

Especially on construction sites, these manual laborers often regard minor physical discomforts as normal.

It has even been internalized as a survival rule.

To make a meager living, avoid losing work due to taking leave, or worry about being replaced by more resilient coworkers.

By deliberately suppressing pain signals, they develop a trauma-reactive form of self-numbing, ignoring the body's warnings and ultimately allowing minor injuries to develop into potentially fatal cancers.

But fortunately...

This patient is currently in stage II of the early stage.

The early stages were divided into Phase I and Phase II.

Some people also refer to it as early stage and early-late stage.

Very few migrant workers are diagnosed in the early stages, because at that time their legs are still mobile, and they only experience a little pain.

But for them, with their extremely high tolerance, this little bit of pain is nothing.

As long as you wear thick clothes, others will basically not be able to tell that your foot is injured.

When will you come to the hospital for a checkup?

It's probably because my feet were so badly injured that I couldn't walk anymore, and they even became ulcerated to a certain extent, so I had no choice but to come to the hospital.

However, even the luckiest cases at this point are in the middle stage of melanoma, while most are already in the late stage.

It's good that the patient's life can be saved through treatment.

Some people, even after spending almost all the money they've worked so hard to earn through treatment, still can't survive.

"Doctor, this is Du Jiamei. How is my foot? Is it better?"

Du Jiamei nodded and then asked very eagerly.

I want to know if my foot is better.

After all, new flesh has grown.

"Okay? Who recommended you to come here! It might be early-stage melanoma, thankfully it's only early-stage, and it can be removed. If you had come a month later, it probably would have progressed to the middle stage and spread throughout your body, posing a life-threatening risk!"

The dermatologist looked at Du Jiamei, who seemed to naively believe that her foot was healed, and immediately spoke seriously.

Thanks to the person who referred this lady to the doctor.

Otherwise, she definitely wouldn't have come.

After all, judging from her tone, I felt that I had only pricked my foot and it was probably nothing serious.

However, sometimes even such a tiny thing can have fatal consequences.

Why does he know so much?

Many of the migrant workers who ended up in hospital beds for treatment never imagined that such a small wound could be fatal.

"Ah! My life is in danger!!"

Du Jiamei was utterly shocked when she heard this.

Soon.

Fang Tao, who was already in isolation, saw his mother's preliminary diagnosis.

"Mom, do you think it's possible that Dad knew we were both going to die, and he ran himself ragged in the underworld until he ran into Veterinarian Zhang on his way home from get off work, and then happened to call you, so that one of us could stay alive?"

Silent for a long time.

For some reason, Fang Tao suddenly thought of an interesting saying he saw online: "With this kind of luck, the ancestors must have been running themselves ragged on the ground."

Then he suddenly thought, was his father watching from heaven, anxiously waiting for his father to see that his father hadn't treated the dog bite and that his mother hadn't gone to the hospital for melanoma?

Did running yourself ragged ultimately lead to this unexpected accident?

Because if it weren't for Dr. Zhang.

My mother absolutely cannot come to the hospital today.

Even if she came to the hospital, no one would force her to examine her legs given her reluctance, and it would be impossible for her to eventually be diagnosed with melanoma.

"If he were really that capable, he should have kept you here!"

Upon hearing her son's words, Du Jiamei immediately retorted in an annoyed tone.

Her surgery is scheduled for tomorrow.

My son is currently in a separate isolation ward for rabies. Since he hasn't developed symptoms yet, visits are allowed, but visitors must be closely monitored.

But for a mother who wants to see her son, these things are not complicated at all.

"It's good enough for us, father and son, to protect you from heaven~"

When Fang Tao said this, a frank smile appeared on his face.

People are unwilling to accept the loss when they know they still have a chance to live.

They wanted to survive by any means necessary.

The will to survive outweighs everything else.

But when a person knows that there is no hope for them, and all that remains is to face death calmly, and the time of death is estimated to be within a week, then their state of mind will change drastically.

For example, it's no longer noisy.

I stopped having wild thoughts.

All that remains is acceptance and figuring out how to make the most of these final moments.

And after he said that...

Du Jiamei was stunned and stood there dumbfounded.

"Mom's going to the bathroom."

I went into the restroom.

Tears streamed down my face.

She really couldn't accept it. Why couldn't it be her and her husband watching over their son from heaven?

And when her son said that so calmly, she felt like her heart was about to explode.

It's also in another building of the provincial hospital.

Zhang Lingchuan's mentality also exploded.

However, it's a different kind of explosive, frenzied attack.

[Task Title: The Sequence of Life]

[Mission Background: At 3:00 AM, a serious car accident occurred on a provincial highway in the suburbs, injuring multiple people. You are the doctor in charge of the out-of-hospital emergency team.]

[Mission Summary: Medicine is not a game of victory, but a constant race against death. The survival rate this time was extremely low, and the host's overall capabilities were insufficient.]

[Task Rating: E ​​"Extremely Poor"]

As the view gradually widens, it reveals the results of his assessment.

It has to be said that this "Sequence of Life" assessment is even more inhumane than his previous one involving malignant high fever.

Moreover, he had absolutely no experience in providing emergency medical care outside the home.

Especially when faced with such a complex scene, he became even more flustered.

Then, after only halfway through his work, his assessment was forced to stop abruptly.

It received an extremely poor review.

Back to the real world.

Zhang Lingchuan got up from the bathtub.

After drying herself off and changing into clean clothes, she lay down on the bed.

At that moment, he felt that the evaluation of "E" was an insult to him.

Cover with quilt.

Zhang Lingchuan entered the system space again.

In the blink of an eye, he was in front of a mirror in the restroom, wearing a white coat.

He had a sign hanging around his neck.

Name: Zhang Chuan

Position: Attending Physician

Department: Emergency Room

His name remains Zhang Chuan.

His professional title has now changed to attending physician.

"Beep beep beep—" The phone rang.

Just like in the previous assessments, he went to the restroom. He saw his haggard reflection in the mirror, and then a phone call came in.

"Team A's Teacher Zhang Chuan, we received a call from the emergency dispatch center. There has been a car accident on the mountain road in the suburbs. Team A's vehicle is ready and will be dispatched soon!!"

The urgent voice on the other end of the phone came from the dispatch center.

"Okay, I'll set off right now!!"

I remember that during the resident physician assessment, Dr. Fang Yuan was in charge of Group A, but now it seems that I have taken over his position.

[Ding! The attending physician practical assessment mission has been successfully activated! This assessment aims to train the host to become the most outstanding attending physician in the emergency department, possessing extremely strong emergency treatment capabilities!]

[Mission Name: Car Accident in the Mountainous Area Outside the City]

[Task requirement: Achieve an S-rank rating.]

[Task-related penalties: Performance evaluation and promotion eligibility.]

[Task Notes: The system will automatically rate the candidate based on multiple aspects, including multi-task scheduling capability, life priority judgment ability, rapid differential diagnosis ability, triage decision-making ability, clinical reasoning ability, etiology analysis ability, crisis response ability, operational accuracy, teamwork ability, meticulous observation ability, and patient survival rate.]

After hanging up the phone.

Zhang Lingchuan ran wildly along the route he remembered.

At the same time, a task panel popped up in front of him.

Look at this task description, it's such a long string.

He hadn't felt much of a difference before.

But now he feels it really strongly and clearly.

[Note: The system training space is for training the host's own abilities; therefore, no restricted skills can be used except for those accumulated by the host themselves. See details below.]

The same familiar notification appeared again.

He discovered that special skills such as X-ray vision, ultrasound hearing, group traffic light scanning, system precision scanning, and ordinary scanning could not be used in system-wide assessments.

The assessment and scoring system is the same as before, namely E (extremely poor), D (major problems), C (barely acceptable), B (well done), A (excellent), S (near perfect), SS, and SSS.

"Dr. Ogawa."

Go to the car.

That was a girl who bore some resemblance to Yin Xiaoxiao in the real world; her name was Yin Qiao'er.

At that moment, he grabbed a first-aid kit and rushed toward the ambulance.

In his current memory, Yin Xiaoxiao was his partner in the emergency rescue team.

"Dr. Zhang, Nurse Qiao'er, we're on our way!!"

A slightly balding man greeted him. This driver was the same ambulance driver he had tested earlier, named Shi Feng, or Master Shi.

After they got on the bus.

Inside the vehicle were two men dressed in emergency center uniforms, brothers named Sun Hong and Li Mingjie, who were carrying the stretcher.

They were all familiar faces from when I took the residency exam.

The only difference this time was that their team leader was themselves, who held the title of attending physician.

"It's 3 a.m. We're heading to a mountain road in the suburbs. It's a road under construction with few people around. The vehicle's official customer service called the police. Their accident center detected a collision, but couldn't get a response when they called the driver, so they called the traffic police and our emergency center. The specific situation is currently unknown."

Zhang Lingchuan said at this moment.

He mentioned this point when he first entered the test.

Then everyone went to the scene.

I was then stunned by what I saw.

In the end, amidst the chaos and confusion, they managed to obtain an E rating.

"understand!"

Upon hearing Zhang Lingchuan's words, everyone's expression turned serious.

“But in these kinds of car accidents, it’s not necessarily just one person who gets injured; it’s possible for multiple people to get injured. So I don’t think it’s safe enough for our Group A to go out. We should send more groups over.”

The collision involved two cars and one motorcycle.

One car carried a family of five, another car carried a man and a woman, and there was also a motorcycle.

Three cars collided.

Everyone was knocked unconscious.

The motorcyclist even drew lines on the ground for more than ten meters.

At that time, I was simply overwhelmed.

There's only one car, and five people including the driver. How can we possibly provide emergency care?

There was simply no way to properly carry out rescue work.

The system assessment looks at comprehensive abilities, as well as the probability of survival.

What could he do?
So this time he decided to call two more cars to go.

Once manpower is allocated, others can be taken care of, thus increasing the overall survival rate.

"Dr. Ogawa, usually only one team is dispatched at a time, unless there are special instructions. Dispatching two teams directly like this might not be in accordance with the rules."

Because nobody at the scene knew what was going on.

All that everyone knew was that a car had been in an accident.

Sending a vehicle in this situation is reasonable and a normal practice.

"But what if multiple people are injured? Let me call Director Fang first and ask."

In this assessment, Dr. Fang Yuan has been promoted from the doctor in charge of Group A of the outpatient emergency team to the director, and has also obtained the associate senior professional title. However, this director is not the director of the emergency department, but the director of the outpatient emergency center.

After all, the emergency department of the provincial hospital is a large emergency department.

Therefore, an outpatient emergency center has been set up.

Responsible for managing the entire outpatient emergency team, the job is quite complex, mainly including communication and coordination of transport work, vehicle operation, arranging overtime for personnel, disinfecting and cleaning vehicles, allocating protective equipment, traffic safety, living support, etc.

To put it simply, he was previously just the person in charge of Group A.

Now he needs to manage the out-of-hospital emergency teams, which are six out-of-hospital emergency groups: A, B, C, D, E, and F.

Groups A and C are the emergency surgical group, groups B and D are the emergency internal medicine group, and groups E and F are the backup emergency medical teams for internal medicine and surgery.

"Okay, Dr. Xiaochuan, you can ask Director Fang."

Yin Qiao'er nodded.

Dr. Ogawa's judgment was quite accurate.

"Dududu-"

Dr. Fang Yuan's phone suddenly rang.

"Xiao Chuan, didn't your team assign a mission? Why are you calling? What's up?"

Fang Yuan was on duty tonight. When he saw that it was Zhang Lingchuan calling, he looked a little puzzled after answering.

Tell the truth.

The director of an outpatient emergency center may sound like a director, but in reality, they are extremely busy and often have to work overtime.

If someone has already reached the associate senior professional title, who would want to be the director?

Others go home early to be with their wives and children and still get high salaries, while I have to work overtime at night. A deputy chief physician lives like a chief resident.

Fang Yuan still admires Xiao Chuan.

He vividly remembered the last time he had a severe high fever.

He is already a key young talent in the entire emergency department.

To be in charge of the Group A out-of-hospital emergency team at such a young age speaks volumes about their skill level.

"Teacher Fang, this time we received a report of a car accident scene. I hope we can send more people over."

Zhang Lingchuan said this to Director Fang Yuan on the phone.

Pre-hospital emergency care resources are relatively scarce.

For situations like this where the situation is unclear, sending one vehicle would be sufficient.

I don't know if the other party will agree to such a request.

"Xiaochuan, the internal medicine D team is currently free, so I'll send them over as well."

However, Zhang Lingchuan did not expect that Teacher Fang would agree immediately the next second.

Even the people in the car were somewhat taken aback.

"Teacher Fang, are there any other groups available? Could you send three cars over?"

Just when everyone thought Zhang Lingchuan would stop.

"?"

"??"

"???"

Everyone looked completely bewildered.

What does that mean?!

Three cars?
Isn't this a bit over the top?!

"Xiao Chuan, did you receive any news?"

Fang Yuan's expression was full of doubt.

……

(End of this chapter)