Love Healing Manual

Chapter 14 Complex Medicine

Fortunately, the wait wasn't too long.

The figures of two division commanders walked over from around the corner of the hospital building.

"Monitor."

"exist!"

“The team leader will come up with me. It’s so hot at noon, and you’ve just eaten. Let’s not climb the stairs, let’s take the elevator together.”

"Master, you are wise!"

Everyone's eyes lit up. The wards they had checked that morning were on the 3rd and 7th floors. They had climbed up and down many times and were exhausted. Needless to say, it was the height of summer.

Conserving energy is the best option.

"Oh," as he led the group into the hospital, Section Chief Nanye noticed that many students had brought paper and pens and asked curiously, "Your class has a good attitude towards learning. You know how to take notes proactively, which is very good."

"Thank you for the praise, Master." Hiramomi Onoko said, holding her notebook and standing tall.

Although she doesn't have any breasts, she's definitely flat-chested.

The section chief noticed this detail, and the other students realized what was happening. They looked at each other and saw that some students had paper and pens in their hands, while many others were empty-handed.

natural.

In the morning, some classmates learned from Sano Chizuru that Lin Ze had asked him to take notes, and the others quickly followed suit, afraid of falling behind. Lin Ze took the lead, and Hiramomi Onoko carried it on completely.

Although she didn't know the purpose of taking notes, Lin Ze did it, so following his example was definitely the right thing to do.

This makes everyone think this is some kind of internship... or some kind of unspoken rule?

Why didn't anyone tell me to bring my notebook?

"I don't know, I wasn't in the classroom at noon."

"Just follow behind... as long as you don't get noticed."

Some students who arrived empty-handed felt a pang of sadness and shrank back into the crowd.

More than thirty interns in white coats walked together in the corridor, led by their supervising teachers; it was quite a sight.

Upon arriving on the 8th floor, the nurses at the station greeted Section Chief Nanye.

"Hello, Section Chief~"

"Hello, thank you for your hard work."

"If you need anything, just call us, Section Chief."

Minamino Isamu nodded in agreement.

Everyone remained quiet, not daring to make a sound.

Some were bolder, like Taro Mizuno and Yu Yamazaki, who greeted the nurses at the station, only to be met with a dismissive glare and a slight smile.

"Lin Zesang, when will we be able to be addressed so respectfully?"

"Ten years from now, or twenty years from now?"

"Chatting with you is really boring."

Lin Ze remained noncommittal and shrugged.

For medical students, ten years is a very common number when they are promoted within a hospital.

For most male doctors, around forty years old, they are just beginning to reach the peak of their careers. Without a doubt, Section Chief Minamino is in the prime of his life.

squeak-

The door to the ward was pushed open.

Even the VIP ward, which was specially designed for interns to visit, was still somewhat crowded after more than thirty people poured in.

The two women lying on the hospital beds turned around and saw this scene.

They hurriedly tried to get out of bed and put on their slippers.

“No need,” Minamino Isamu said, extending his hand. “You can just lie in bed.”

The patient nodded.

"Next, I will introduce this lady's condition to you. Please listen carefully." Associate Professor Fujita pushed up his glasses.

"I won't repeat myself a second time." Section Chief Nanye scanned the crowd, his words carrying a subtle air of authority.

"Matsushima Riko; Female; Age 38; Teacher; Marital and reproductive history: G1P1; Medical record number...Chief complaint...Present illness..."

Associate Professor Fujita spoke slowly and methodically, explaining all the auxiliary examinations, preliminary diagnosis, differential diagnosis, and preliminary treatment plan.

In the ward.

The interns listened until their mouths were dry and their brains felt hot.

Even though the air conditioning was on in the ward, making it bright and clean and dispelling the sweltering heat, it did nothing to stop the cold sweat from dripping from their foreheads.

What Associate Professor Fujita said verbally could almost be used as a medical record, as it was detailed, used professional terminology, and was very clear.

Some students were taking notes at first, but then their brains just went blank, and their pens stopped scribbling.

This is much more difficult than simply examining the patient's condition in the morning.

Lin Ze listened attentively, his expression extremely serious.

"Next, let me introduce the second patient."

Without any hesitation, Associate Professor Fujita led everyone behind the second curtain.

Let me now introduce the case of the second patient.

"Takahashi Nai; Female; Age 29; Sales Occupation; No Marital or Childbearing History; Medical Record Number..."

He spoke so fluently that it made one wonder if he had memorized it countless times beforehand.

At first, the interns listened attentively, but when they realized they couldn't keep up, they gave up. Their attention began to wander, their eyes could no longer focus, and they appeared to be in a dazed state.

Even those who usually excel in their studies, such as Miyagi Suzuo and Hiramomi Onoko, gave up their focus after showing signs of strain.

How can the human brain process so much information instantly?

“Okay, I’m done.” Associate Professor Fujita withdrew his hand and took a step back.

"Thank you for your hard work," Minamino Isamu turned to face the crowd, "You must have heard it as well; Associate Professor Fujita explained it very clearly."

"We heard that." Everyone nodded repeatedly.

however.

Section Chief Minamino Isamu, however, did not have the interns make way for him, as they had done in the morning, and instead went directly to another ward.

He simply glanced calmly at the crowd.

"Then, can anyone tell me the first patient's chief complaint, physical examination results, and differential diagnosis?"

For a moment, there was silence.

The interns stood there, none of them speaking, a look of astonishment on their faces.

No?

Who could remember that?
The teacher leading the team talked on and on, and it was good enough that we could understand some of the technical terms. Now we have to repeat some of the content?

Taro Mizuno swallowed hard, his lips twitching slightly.

Forget about repeating it, his mind was completely blank at that moment, and he couldn't even think normally.

Moreover, Section Chief Minamino's serious expression is quite intimidating...

"No one's going to step forward? How cowardly! Even repeating a few words would be better than just keeping your heads down and staring at your toes. What's the point?" he scolded. "Not going to speak? Then I'll call on someone. Class monitor, step forward!"

Hiramomi Onoko shuddered.

She glanced at Section Chief Nanye, then steeled herself and walked out.

"exist……"

"Reiterate the chief complaint, physical examination results, and differential diagnosis of the first patient."

"The patient's chief complaint is... an increase in frequency and duration... a worsening over the past two months," Hiramomi Onoko stammered, "and the results of the physical examination are..."

If she were in class and being asked a question by the teacher, she might not be so nervous.

But this is in a hospital ward.

In addition, Minamino Isamu's expression was terrifying; he was staring intently at her.

The sharpness in his eyes was as if it could pierce a person.

Hiramika Onoko's voice grew softer and softer until it fell silent. The two instructors, however, did not end their questioning but simply watched her.

She felt the temperature on her cheeks rising rapidly, her whole body burning up, and sweat pouring down her forehead. She was so embarrassed that she wanted to disappear into the ground.

Even the patients looked over, casting sympathetic glances.

She lowered her head as much as she could; she had never felt so humiliated in her entire life.

“Go back,” Minamino Isamu said coldly.

"Yes……"

Hiramomi Onoko was about to bite her lip until it bled.

"Hmph," Minamino Yu strode in front of the group, scanning each face, and sneered, "Of all the interns I've mentored, you... are the worst group ever!"

Everyone's face turned deathly pale.

"As students of the University of Tokyo's Faculty of Medicine, students of the most prestigious university, is this the kind of performance you deserve after the guidance your teachers have given you? Many of you don't even have the courage to stand up, and I have to call on you by name. If anyone had stood up, even if they were wrong, I wouldn't be this disappointed—"

"Report."

Suddenly, Lin Ze raised his hand in the crowd.

"What are you doing?" Minamino Isamu was very unhappy about being interrupted.

He glanced at the model student in the class, and then some impressions came to mind: this wasn't Professor Hishida's prospective student...

“I can try to repeat it.”

"What were you doing all this time?" Section Chief Minamino glared at him mercilessly. "I was just recalling what Professor Fujita had said."

"No chance."

So what if he's Professor Hishida's disciple? Minamino Yu isn't afraid of any of that. He doesn't need to give face to anyone. He makes a living at the University of Tokyo Affiliated Hospital by relying on his own abilities.

Is this because he saw his classmates being scolded and wanted to save face?

He thought to himself with a mocking tone.

What an arrogant brat!

You can't make a living as a doctor just by looking good. If you interrupt your teacher or superior while they are giving a lecture, don't blame them for taking their anger out on you.

“I’d like to try. I can repeat Section Chief Minamino’s question,” Lin Ze said calmly.

Several classmates around him turned their gazes toward him.

Nan Ye Yong narrowed his eyes, his sharp gaze fixed on Lin Ze, attempting to force him back with such a death stare.

However, Lin Ze kept his gaze level and showed no change in expression.

The atmosphere suddenly became awkward.

The air seemed to freeze, and the students standing behind Lin Ze didn't dare to breathe, and even the patients in the ward held their breath.

"Ahem," Associate Professor Fujita coughed twice and offered, "Then, Lin, please speak."

“Okay,” Lin Ze replied, calmly saying, “The patient’s chief complaint is increased menstrual flow and prolonged menstrual period for 6 months, which has worsened in the last 2 months; physical examination is normal, T 36.8 degrees Celsius, P 80 bpm, R 18 bpm, BP 115/70 mmHg; normal development, moderate nutrition, clear consciousness, pale conjunctiva, no jaundice, no palpable enlarged superficial lymph nodes; preliminary diagnosis is uterine fibroids with moderate anemia.”

His voice was very pleasant, magnetic yet with a youthful clarity; each word he uttered was precise and had a clear intonation.

At first, the students were worried about Lin Ze, fearing that he was just showing off and would not be able to repeat it, which would provoke Section Chief Nanye's anger even more. But after he finished speaking fluently, they were relieved.

Everyone breathed a sigh of relief.

"I've finished repeating it," Lin Ze said, pausing his words.

To be honest, being led by the division commander to visit the ward was not as easy as I had imagined. Associate Professor Fujita used all technical terms, which were difficult to understand, and Section Chief Minamino kept putting pressure on everyone.

For an average intern, it would be quite an achievement to be able to concentrate on the lecture under such circumstances.

Even those with excellent grades will be unable to answer this kind of question eight out of ten times.

Just look at how Hiramomi Onoko and her classmates behave.

Good written grades only prove that you have good learning ability, and have nothing to do with your clinical internship ability.

Lin Ze possesses the "photographic memory" skill granted by the system, so of course he can repeat it.

The students looked at Lin Ze with admiration, and their hearts were filled with excitement.

Who wants to be criticized by their teachers for "leading the worst class"? Everyone is a student of a top university, and of course they have pride in their hearts.

Behind.

In front of the crowd.

Miyagi Suzuo's gaze toward Lin Ze grew increasingly eager; she had been clenching her hands tightly while Lin Ze was answering her questions, and her palms were sweating slightly.

Seeing his outstanding performance.

Miyagi Suzuo was overjoyed, and for the first time in her life, she felt a sense of shared glory.

He truly deserves to be called the most outstanding man in the class; he always shines brightly, no matter the situation.

She thought silently.

She unconsciously clutched the hem of her skirt, genuinely happy for him.

As for Otomo Shoji and Yamazaki Yu, they had already retreated to the very back of the interns. If they didn't run to the back when they were being scolded, when would they run away?
When they saw their best friend Lin Ze being scolded by the section chief, the two thought, "We're doomed." But Lin Ze actually managed to repeat it.

"Well done..." The two of them almost wanted to pump their fists in celebration.

These are their true brothers.

Nan Yeyu was somewhat surprised. He had already turned around and listened carefully with his hands behind his back when Lin Ze was halfway through recounting the story.

There are no problems. Although many parts have been simplified, the key points have not been omitted.

Even if he wanted to find fault, he couldn't find a suitable place.

This shows that Lin Ze did indeed listen attentively, his learning attitude was fine, and he did not lie or try to show off.

His expression softened somewhat.

"Then let me ask you, if the patient's anemia does not improve and they are not eligible for surgery, what are the alternative options?" Minamino Isamu turned around and suddenly asked again.

“This…” Associate Professor Fujita looked at him in surprise.

"How did the exam start?"

"Who can answer that?"

"Our teacher never taught us any of this, so we have no idea how to do it..."

The students behind couldn't help but whisper among themselves.

Associate Professor Fujita felt it was inappropriate.

Both of them had previously mentored several cohorts of interns. To put it bluntly, interns are like raw recruits on the battlefield; it's a miracle they don't lose their composure, let alone be able to recite medical records or answer questions on the spot.

Even if there is a response, this is a requirement that should only be made after the instructor has led the team through a long period of learning.

No matter how talented a doctor is, without the tempering of clinical internships, it's all just empty show.

A surgeon's suturing skills require tens of thousands of repetitions before they can independently complete a few minutes of suturing on the operating table.

Every doctor starts as an intern.

The most outrageous thing is that among the interns who were previously supervised by Associate Professor Fujita, some were so frightened by the patients' wounds on their first day that they vomited and had to take a three-day leave of absence.

In other words, Lin Ze's ability to answer questions calmly demonstrates his strong mental fortitude, as well as his ability to grasp the key points and adapt to changing circumstances.

Hearing the students' discussion behind him, Minamino Yu didn't resort to sarcasm this time, but instead stated firmly:
"You'll learn basic medical science in your second year of university. Your teachers must have taught you similar topics. No matter how good your grades are on paper, if you can't apply them in practice, then you've wasted your time learning. Medical theory must ultimately serve practice."

Nan Ye Yu glanced at Lin Ze, who was deep in thought.

"I'll give you five minutes to think about it. That's not deliberately making things difficult for you, is it?"

Professor Fujita was somewhat helpless. He knew Minamino's character well; he was quite famous in the University of Tokyo Hospital.

Lin Ze was indeed deep in thought. He had been listening attentively in every class, but searching for similar examples of problems in his vast memory bank was taking quite a bit of time.

Suddenly, he had a flash of inspiration.

The teacher on the podium used to tap on the screen during class, and the parts highlighted in red circles immediately came to mind.

"The medication regimen has been adjusted to use GmRh drugs, with the goal of shrinking the fibroids in the short term and improving anemia. These are often used as temporary treatments before surgery!" Lin Ze said with increasing confidence.

He was convinced that this was the answer.

"Oh right!" Hiramomi Onoko also realized, clapping her hands and saying, "Or you can use selective progesterone receptor modulators, which can also control bleeding and shrink some of the fibroids."

“But both have side effects, so we need to be extra careful,” Miyagi Suzuo quickly added.

After Lin Ze finished explaining the first plan, the other students also remembered some of the details, but they didn't react as quickly as the class monitor and the academic representative.

Apply what you've learned!

This is what it means to apply what you've learned... Standard cases are right in front of us, so isn't turning the content from the textbook into practical operation exactly what the medical school teachers emphasize as "flexible thinking"? Make corresponding adjustments based on different patient conditions.

"Not bad." Nan Yeyong looked at the excited group and this time didn't pour cold water on their enthusiasm.

However, his face remained stern.

"The division commander actually praised us!"

"Did I hear wrong?"

"I feel a sense of relief, like I've survived a disaster..."

Several students whispered among themselves.

Regardless, we are still a class, and we were able to answer the teachers' questions correctly.

It has gained recognition.

Although it only has the two words "not bad".

But everyone suddenly felt a great sense of accomplishment, their tense shoulders relaxed, and a faint glow appeared on everyone's face.

"I underestimated you. Don't be arrogant, keep it up. This isn't the first time you've been asked a question like this." Associate Professor Fujita pushed up his glasses, a hint of satisfaction appearing on his weathered face.

instantly.

Lin Ze also felt a strange feeling.

He spent most of his time studying diligently, otherwise he wouldn't have been able to get into the University of Tokyo. But this was the first time he had actually applied what he had learned to real-world situations.

I must say, this feeling was absolutely wonderful.

Those complex and obscure questions are no longer confined to textbooks. Why are there so many complicated test questions? It's simply because difficult cases have emerged in reality. However, with the advancement of modern medicine, these problems have been overcome one by one.

They reappeared in textbooks, nurturing a new generation of medical students.

"Kid, you only got half right." Nan Ye Yong said this last sentence, gave Lin Ze a deep look, and strode past the interns into the corridor.

Immediately, a look of confusion appeared in everyone's eyes.

Everyone looked at Associate Professor Fujita.

“While using GmRh drugs is certainly the most suitable alternative, this patient,” he gestured toward the first patient, “has coronary artery disease, and these drugs would increase the risk to her condition, so the attending physician needs to design a more appropriate plan. But that’s beyond the scope of this discussion, so let’s assume you got it right for now.”

Done.

Professor Fujita also walked away.

The interns were left looking at each other in bewilderment.

"Medicine is really complicated."

"Who says it isn't?"

(End of this chapter)