My Medical Skills Give Me Experience Points Chapter 1242: 490: Drastically Different Fates, Touching the Threshold of Top-Tier Diagnosis

Chapter 490: Drastically Different Fates, Touching the Threshold of Top-Tier Diagnosis

Generally speaking, if a professional fails to ascend to the deputy senior level by the age of forty-five, the primary obstacle in nine out of ten cases is their academic background.

Reflecting the current era’s heightened academic standards, even entrants to the nursing profession are expected to hold a bachelor’s degree from the outset.

Most highly proficient nurses now possess at least a graduate degree.

Although many still harbor outdated stigmas toward nurses—viewing them as mere orderlies who provide only basic injections or dressing changes—these perceptions are relicts of an era when vocational schooling sufficed.

Yet, does that perception matter?

Ambitious nurses have long since secured their bachelors, aced graduate entrance exams, and ascended to supervisory roles. Those who lacked such drive have either pivoted to other industries or retired.

Hospital nursing standards at major institutions are currently exceptionally high.

Within Tuya Hospital, Ali represents a rather unconventional figure.

Tuya Hospital has repeatedly attempted to launch a comprehensive medicine department, but the concept has remained a mere ambition, never materializing into reality.

Consequently, the number of general practitioners at Tuya remains quite limited.

Only Ali and Director Lou have attained the rank of Chief Physician or above as general practitioners within the entire Emergency Department.

Director Lou, now a deputy senior rank holder and head of the Emergency Department, stands as a clear victor in the game of life when measured against Ali.

Legend has it that Director Lou once faced the very same discouraging circumstances as Ali.

He fell into the trap of trying to consume too much at once.

Being a general practitioner sounds prestigious, but the practical consequence is merely knowing a superficial fragment about every department.

Truly, it is nothing more than a fragment. Achieving profound medical mastery through such a broad path is nearly impossible.

Upon realizing that his trajectory as a general practitioner would prevent any chance of reaching a deputy senior rank, Director Lou pivoted. After being cycled out of internal medicine, he transitioned to the Emergency Department, where his initial prospects were bleak.

However, he possessed far greater shrewdness and foresight than Ali.

He spent eleven years balancing work and study to earn a master’s degree, subsequently focusing exclusively on Respiratory Internal Medicine to secure his promotion. Among the various disciplines, respiratory medicine offered the most viable path to results.

Working in emergency, Director Lou dealt with myriad critical cases where maintaining a clear airway was always the highest priority.

His specialization, therefore, dovetailed perfectly with his clinical responsibilities.

Ultimately, Director Lou successfully climbed to deputy senior rank. When the previous head departed, he emerged as an unexpected dark horse to claim the lead position.

At the time, Deputy Director Han and another now-retired colleague were considered the frontrunners for the head position.

No one foresaw that Director Lou, an seemingly unremarkable junior, would seize the vacancy with such precision.

It is whispered that Deputy Director He, furious at the turn of events, fell ill shortly after Director Lou’s promotion.

Deputy Director Han persisted longer, though he openly displayed animosity toward the new director.

How Director Lou managed to neutralize this friction and transform their rivalry into a close professional alliance remains a mystery.

While not particularly handsome, Director Lou possesses remarkable strategic acumen and methods. His long-term vision and ambition have actually proven beneficial for the Emergency Department’s development.

Had Deputy Director Han Changqing assumed control instead, the current prosperity of the department likely would not exist.

It must be acknowledged that the course of one’s fate can hinge upon a single, pivotal choice.

Lacking the focus and long-term planning that sustained Director Lou, Ali finds herself still serving as a Chief Physician at the age of fifty.

Unless unforeseen circumstances arise, she will terminate her career at the Chief level in five years.

Nevertheless, in terms of diagnostic acuity and clinical treatment history, Doctor Ali remains an incredibly seasoned veteran.

What kind of patient could possibly baffle her?

Zhou Can trailed behind the nurse, rushing toward the emergency hall.

Before even reaching the bedside, he observed family members huddled in distress, a female relative weeping as others projected waves of anxiety.

Doctor Ali was diligently conducting a series of diagnostic tests.

Since the specific etiology of the patient’s shock remained elusive, she had wisely avoided any premature, rash interventions.

In an emergency setting, patient mortality usually proceeds through three distinct phases: acute illness, shock, and finally, death.

While average practitioners might panic when facing a patient in shock, such encounters are mundane for Doctor Ali, occurring perhaps multiple times in a single shift.

The patient volume at Tuya is staggering; even if only one percent enter shock, several such cases arrive daily.

“Doctor Ai, what is the situation with this patient?”

Zhou Can bypassed the family members encroaching on the emergency cart and greeted Ali while immediately beginning a visual assessment of the patient.

“According to the relatives, the patient suffered from melena for nearly a month, followed by a sudden nosebleed during breakfast today. This was accompanied by confusion and a loss of consciousness resulting in a fall. Fearing an ambulance delay, they drove here independently for treatment.”

Ali provided a succinct clinical summary.

Black stools typically signify gastrointestinal bleeding.

Given the sudden epistaxis occurring at breakfast, could this be an upper gastrointestinal hemorrhage?

Zhou Can silently scrutinized the patient’s appearance: skin and lips appeared exsanguinated, entirely pale, though the patient remained conscious with an expression of distinct agony. No rashes or bruising marred the neck or limbs, and the sclera was free of jaundice.

He palpated the neck, finding no significant lymph node enlargement.

The thyroid appeared normal.

He applied pressure to the chest, noting no evident tenderness.

“The temperature is 36.7°C, pulse at 100 beats per minute, respiration at 21 breaths per minute, and blood pressure recorded at 90/70 mmHg.”