Section 11

After a while, all the names were announced.

Among the people who participated in the assessment, Zhang Yi ranked first in both the written test and the operation.

This also made many doctors who interviewed him look at Zhang Yi with admiration.

It is rare for an intern to get this score!

As for Qian Zhenggang, he glanced at He Ming who was a little nervous and walked onto the podium.

"The student who reported He Ming just now, do you have any evidence? If you have any trouble, please organize it and give it to me, and I will give you an explanation."

"Before you officially come to our hospital to participate in the work, I have to tell you one more point, that is, as a doctor, you must not accept bribes! Whether it is family members or colleagues! You must not take bribes or bribes by taking advantage of your position!"

"If you don't understand, recite the Hippocratic Oath a hundred times, or at least go to the bulletin board at the entrance of the hospital and copy the Doctor's Code of Conduct a hundred times!"

When Qian Zhenggang spoke, his chest rose and fell slightly, and it can be seen that he seemed very angry.

After a while, the assessment officially ended.

He Ming followed Qian Zhenggang and left the meeting room in disgrace.

Just as Zhang Yi was about to leave and go out for a farewell dinner with Wang Chenjun, the system's prompt sound suddenly rang in his mind!

[Congratulations to the host for passing the assessment and winning the first place! ]

[Specially rewarded with 100,000 Chinese currency! (Can be withdrawn through virtual currency)]

[Rewarded with surgical practice knowledge of artificial valve replacement for heart surgery! ]

Chapter 12 Finally not a poor and tired dog intern

"What?! 100,000?!"

Zhang Yi was stunned on the spot!

So the system can also reward money?

But what does it mean to withdraw virtual currency?

[Please log in to the Mars Coin app and buy a currency called 'qinb'. You can get 100,000 yuan in two hours. ]

"Damn! So awesome?!"

This system is really thoughtful. If there is an extra 100,000 yuan in your bank account for no reason, it will definitely be checked.

But giving rewards in this way will not attract attention at all!

"Zhang Yi? Why are you in a daze? They asked you where you're going to drink tonight?" Wang Chenjun nudged Zhang Yi with his elbow.

Zhang Yi came to his senses and said quickly, "Anywhere is fine, you decide."

Just as the group was about to leave the hospital, someone suddenly called Zhang Yi from behind.

"Zhang Yi, wait a minute!"

Everyone turned around and found that it was Chen Feng and his brother Chen Song.

The two were walking towards Zhang Yi with resentment on their faces.

"Zhang Yi! It's because of you that my brother lost the qualification to stay in the hospital! Humph, let's wait and see!" Chen Feng looked at Zhang Yi with disgust, and he wanted to tear him to pieces.

Originally, they were all determined to stay in the hospital, but because of Zhang Yi, Dean Qian changed his mind and re-evaluated.

Now, all those who gave money to the relatives were eliminated!

How could they not hate Zhang Yi?

Zhang Yi frowned, and he didn't like to hear this.

"What do you mean because of me? It's obviously your brother who is too weak. He failed the written test and the operation. Can you blame me for this?"

Wang Chenjun also said something fair on behalf of Zhang Yi: "That's right. Zhang Yi's grades were originally the first. If you, the relatives, hadn't given money to He Ming, Zhang Yi would definitely stay in the hospital!"

Zhang Yi looked at the two brothers Chen Feng with livid faces and asked: "By the way, you reported Director He for taking bribes today. Didn't that just expose you as the briber? Haha, I don't think you, Chen Feng, will be able to work in the Department of Nephrology in the end."

"You...!" Chen Feng narrowed his eyes and stared at Zhang Yi. After Zhang Yi said this, Chen Feng also reacted belatedly.

Really, what if Dean Qian fired them when he dealt with He Ming?

Wouldn't it be a waste of time? !

After a stalemate for a while, the two brothers hurriedly left the hospital.

Zhang Yi and others were not disappointed by this unpleasant episode.

In the evening, several people had a happy farewell dinner.

After returning to the dormitory, Zhang Yi quickly picked up his phone to download the Mars Coin app.

After some operations, ‘qinb’ really began to soar!

In just two hours, Zhang Yi’s principal of 1,000 yuan rose to 100,000 yuan!

“[Huaguo Huafa Bank] Your account with the last number 7743 has received 101,130.2 yuan, and the balance is 103,452.3 yuan.”

After a while, Zhang Yi received a text message on his mobile phone.

“Hiss! So cool!”

Finally I have money!

Finally I am not a poor and tired dog intern!

Just when Zhang Yi was excitedly imagining the future, the system suddenly spoke again.

[The novice benefits have been used. In the future, if the host wants to practice surgery in the simulated operating room, he needs to use gratitude points to redeem it! ]

“Gratitude points?”

[Yes, gratitude points need to be obtained from patients and their families. ]

[Only when you, the host, have received the sincere gratitude of patients and their families can you obtain the corresponding gratitude points. ]

[You can only redeem the surgical operation knowledge you want to practice with gratitude points. ]

[So please cheer for the host! 】

【On the road to becoming a great doctor, there will inevitably be difficulties and twists and turns, but as long as the host is dedicated to serving the people and the doctor, I believe that in the near future the host will become the best doctor in China! 】

After the system gave him this wave of chicken soup for the soul, Zhang Yi was instantly full of fighting spirit.

After falling asleep at night, Zhang Yi practiced the "artificial valve replacement" rewarded by the system in the simulated operating room.

Artificial valve replacement surgery is a repair and improvement surgery, which is more common in rheumatic heart, congenital heart disease, etc.

It is to implant an artificial valve into the heart chamber to restore the heart blood flow to normal levels.

In the simulated operating room, a virtual thirteen-year-old boy lies under the shadowless lamp.

The patient provided by the system has a congenital heart disease - mitral valve stenosis, and needs valve replacement surgery to expand the mitral valve to restore blood flow.

The human heart has a total of four chambers, namely the right atrium, right ventricle, left atrium and left ventricle.

There is a valve between each atrium and ventricle, which acts like a valve.

It is precisely because of these four valves that the heart can contract, and the blood in the human body can return to the heart after traveling throughout the body.

When the mitral valve in the left atrium is connected to the left ventricle is stenotic, it is difficult for the blood in the atrium to flow into the left ventricle. The blood will gradually accumulate in the left atrium, causing the capacity load of the left atrium to increase. Then, the left atrium will transfer this The pressure is transmitted to the pulmonary veins. When the pulmonary vein pressure is high, the fluid in the blood vessels will leak into the alveoli, forming pulmonary edema.

This is why many heart diseases are accompanied by varying degrees of lung disease.

Because the heart and lungs are connected together, if one fails, the other will hardly survive.

After carefully recalling the surgical steps in his mind, Zhang Yi put on gloves and a mask and prepared to start the operation.

This... can be considered the first surgery in his life!

And it’s a major surgery like artificial valve replacement!

Whether it is open chest surgery or minimally invasive surgery, it will test his ability!

Taking a deep breath, Zhang Yi looked at the electrocardiogram monitor beside him.

bp112/70mmhg, r19 times/min, p102 times/min, spo298%.

"The indicators are normal, start the operation!"

Considering that the patient in front of him was a 13-year-old child who already had symptoms such as heart failure, Zhang Yi chose to open the chest.

(Patients with normal heart sizes can use minimally invasive methods, but once heart failure is associated with boot-shaped heart or giant heart, thoracotomy must be used.)

He picked up the scalpel and made a midline incision on the sternum. The moment the knife made an incision, gurgling blood overflowed from under the skin!

Zhang Yi quickly picked up the gauze and wiped it, and then moved down to separate the tissue.

After incision under the skin, you need to switch to the electrosurgical knife, because there are more large blood vessels further down, and the blood vessels are denser.

Electrosurgery can have a certain hemostatic effect.

After separating the pleura and ribs to expose the entire heart, preparations begin to establish extracorporeal circulation.

All cardiac surgeries require the establishment of an extracorporeal circulation channel.

That is, artificial pipes are inserted into the aorta, pulmonary veins, and pulmonary arteries to connect to the extracorporeal circulation machine.

Let the extracorporeal circulation machine replace the heart's blood ejection and lung's breathing functions.