I Am Diagnosed as a Medical Titan

Their relationship was much better than it appeared.

To Lin Han, a childhood friend was a childhood friend.

There was no reason to hold back and not share just because they were representing different schools in the competition.

If he could help, he would.

Jiang He took the notebook and glanced down at it.

On it were notes about on-site emergency treatment for Crush Syndrome.

Lin Han explained from the side, "If a test question involves prolonged compression from a heavy object, like in an earthquake or a car crash, removing the pressure will cause a massive amount of potassium ions from necrotic tissue to flood the bloodstream. This leads to fatal hyperkalemia, which shows up on an ECG as peaked T-waves. In this situation, a standard fluid resuscitation isn’t enough. You have to immediately push 10% calcium gluconate to counteract the cardiotoxicity of the potassium ions and stabilize the cell membranes."

After listening, Jiang He said, "Calcium gluconate is indeed a first-line drug for emergency hyperkalemia treatment. However, that’s not the full picture. Before you push calcium gluconate, you have to quickly check for one specific part of the patient’s medical history."

Lin Han was slightly taken aback. "What part of their history?"

"Use of digitalis-type drugs. If you have an elderly patient with a history of heart failure who has been on long-term digitalis medication, like digoxin, then calcium ions and digitalis have a synergistic effect on the myocardium. In that case, if you quickly push a standard dose of a calcium agent, you can easily induce ventricular fibrillation, causing the patient to go into cardiac arrest on the spot."

As Jiang He finished speaking, Lin Han quickly cross-referenced the key points of pharmacology and emergency medicine in his mind.

’Calcium ions... digitalis... synergistic toxicity... inducing ventricular fibrillation.’

’He’s absolutely right.’

A flash of surprise appeared in Lin Han’s eyes.

When he was taking notes, his mind was completely focused on the pathophysiological changes of Crush Syndrome itself.

He had overlooked the critical variables of a patient’s comorbidities and medication history in a complex, real-world clinical setting.

"If you encounter a patient on digitalis and you absolutely have to lower their potassium, you can only use insulin with glucose, or sodium bicarbonate. Calcium agents are an absolute contraindication," Jiang He concluded.

Lin Han nodded, his expression growing more serious. "You have a really good point. That’s impressive."

"Let’s go. It’s almost time. We should head in."

...

「The Main Auditorium.」

The lights were dazzlingly bright.

The stands were filled with observing students from various medical schools, and multiple cameras were set up all around.

On the elevated stage in the center of the auditorium, the judges’ table, draped in a red velvet cloth, was lined with name cards bearing some of the most prominent names in China’s medical community.

The competition, which had been anticipated for so long, was finally beginning.

Jiang He and Lin Han returned to their respective teams.

The first item on the agenda was a welcome speech from Southern Medical University’s Principal, Qian Suzhi.

Qian Suzhi: "Respected leaders, esteemed experts, and students from all the medical schools in the South China Region, good morning, everyone!"

The principal was very serious, but Jiang He couldn’t even look at him.

Every time he did, he was reminded of some deadpan, absurd cartoon, and it was getting really hard to keep a straight face.

To distract himself, Jiang He’s gaze began to wander over the audience in the stands.

To the left was the observation group from Zhongshan University; to the right was the team from Ji University...

Suddenly, his gaze froze on a hallway on the second floor, toward the back and to the side.

At the edge of the bustling crowd, there was a figure in a beige trench coat.

A high ponytail, a fair-skinned profile.

The person was just a fleeting glimpse, quickly crossing the hallway and disappearing behind a door.

But in that one brief glance, Jiang He’s gaze completely froze.

In an instant, his heart suddenly began to race.

’Is that... Shen Yu?’

’I couldn’t be mistaken, right? That has to be my wife’s profile?’

’But... that doesn’t make any sense. Why would my wife be here?’

Jiang He frowned.

He found he couldn’t be sure if what he’d just seen was real.

On the night of the Ring City Expressway accident, he had hallucinated seeing Shen Yu before.

’This might be a hallucination too.’

Jiang He closed his eyes and took a deep breath.

’Visual hallucinations... a dangerous sign.’

’If there’s something wrong with my nervous system, I’ll be in big trouble.’

’How could someone who can’t tell reality from hallucination dare to perform surgery?’

’Looks like I’ll have to get myself checked out after the competition is over.’

At this thought, Jiang He’s mind turned back to Shen Yu.

’My wife is amazing at psychology. If only she were here... sigh...’

"Jiang He? What’s wrong? You look pale," Pan Wen asked in a low voice from beside him, noticing something was off.

"...I’m fine."

On stage, Principal Qian’s speech ended.

Next up was the introduction of the guests.

"Please welcome the head of the South China Region Clinical Skills Competition organizing committee, Director Gong Nian!"

"Please welcome Dean Chen from the Southern Medical University First Affiliated Hospital!"

As the host announced their names, several university- and hospital-level leaders rose to their feet one by one.

Rounds of applause echoed through the venue.

Next came the introduction of two top-tier figures:

"Please welcome the titan of China’s hepatobiliary and pancreatic surgery, Academician Zheng Liyan!"

CLAP CLAP CLAP—

Thunderous applause erupted.

"At the same time, we would also like to extend a special thanks to the Provincial Health Department for the great importance it places on this competition. Let’s give a warm round of applause to welcome Director Lin Zhenhua of the Provincial Health Department, who is here to provide his guidance!"

CLAP CLAP CLAP—

The applause grew even more enthusiastic.

With an academician presiding and a department director overseeing, this lineup raised the prestige of this university-level skills competition to the absolute highest level.

After the guest introductions were complete, the host began to introduce the participating teams from each university.

"First, let’s welcome—the team from Zhongshan University Medical School!"

The five members from Zhongshan University waved to the crowd.

Just then, Pan Wen spotted Lin Han.

’Hey, isn’t that... the expert who was giving Jiang He a lesson on the basics in the No. 2 Cafeteria yesterday?’