I'm really an intern

Chapter 356 Rectal cancer, bladder violation?

Zhang Tianyang withdrew from the ward.

He was afraid that if he stayed any longer, his eyes would get wet.

He thought again of what he heard in the infection department back then, the desperate, mournful cry that spread throughout the corridor.

In contrast, the silent tears of the 33-bed family members were quieter, but less quiet.

Hidden under the suppressed voice, hidden in the closed eyes, is even more unspeakable grief.

"Ugh."

Sighing lightly, Zhang Tianyang stood in place and took a while to calm down.

No matter how many stories I have seen, I still feel uncomfortable when I meet again.

Maybe it would be better to tell them the news in a few days?

An idea popped up suddenly, but was quickly suppressed by Zhang Tianyang.

How could it be so easy to hide.

After two rounds of consultations by brother Meng and Sun Yu, I went to ask them about the symptoms of the digestive system today, which would definitely attract their attention.

And for such a typical symptom, just go to the gastroenterology department and make an appointment, and it will be easy to diagnose.

The reason why I was discovered by myself until now is only because of a coincidence——

A week ago, the patient went to the simple outpatient clinic to make an appointment for a gastroscopy directly, and wanted to wait for the results before going to the gastroenterology department for treatment.

During this period, the patient was found to have bladder cancer recurrence during regular cystoscopy checks, and was admitted to the hospital.

The doctor in the urology department subjectively believed that the patient must have gone to the gastroenterology department first when he made an appointment for a gastroscopy.

Moreover, the patients may have gotten used to it because of many disasters, so they didn't even mention it to them in such an uncomfortable situation.

But even without Zhang Tianyang, this kind of thing would be discovered sooner or later.

The patient had an enhanced CT scan of the lower abdomen the day before yesterday, but the results had not been displayed on the computer until noon.

However, there are 33 beds in the difficult case consultation in the afternoon, and the experts in the imaging department will definitely look at it carefully.

Then, after the consultation is over, communicate with the patient and family members

It's just been a few hours ago.

Look at the time, it's around 50:[-], almost.

Taking out his mobile phone, Zhang Tianyang made a call directly.

The first call was to Senior Brother Meng and briefly described the situation.

Brother Meng quickly agreed on the opposite side, expecting to arrive at the battlefield in 5 minutes.

The second call was to Brother Yang with the bald head.

Brother Yang's tone changed from being careless at the beginning to seriousness, and he hung up the phone after saying "I'll be right there".

He didn't forget to send Sun Yu a WeChat message.

After all, the patient in bed 33 was Sun Yu's patient, so he was actually a bit overstepping.

At exactly three o'clock, Brother Meng, Brother Yang, and Sun Yu all arrived at the scene.

Instead of bothering the patient, Zhang Tianyang briefed everyone on the symptoms according to his notebook full of memories.

"It turns out that this is tenesmus!"

Sun Yu couldn't hold back and let out an exclamation, but quickly covered his mouth and stepped back silently to reduce his sense of presence.

Brother Meng and Brother Yang with the bald head took a look at her, but didn't scold her.

After all, Sun Yu has too little clinical experience, so it's normal to not be able to recognize him.

In fact, the interns may all be like this, and they will not recognize them when they encounter them.

The worst thing is to repeat the original words in the medical record, and then be scolded bloody by the superior doctor for being "long-winded".

But Zhang Tianyang

Brother Meng and Brother Yang with the bald head looked at each other, then looked away silently.

Zhang Tianyang is a pervert, not an intern.

Both of them have no opinion on Zhang Tianyang's diagnosis.

"Change in bowel habits, diarrhea, progressive thinning of stools, tenesmus"

"There are also symptoms of abdominal distension, abdominal pain, decreased food intake, and incomplete intestinal obstruction"

When Mr. 33 bed described himself, he used the vernacular. After Zhang Tianyang summed it up in medical terms, the progress of the disease became clear.

Listening to Zhang Tianyang's narration, Sun Yu could even think of a mass on the patient's rectal wall that grew from small to large, and slowly bulged out, bit by bit occupying the normal excretory passage, and eventually blocking this passage completely. .

"It feels like it should be."

The bald headed teacher Yang made a judgment based on his many years of clinical experience.

"Such typical symptoms, coupled with his past medical history of bladder cancer and stomach cancer"

Zhang Tianyang sighed softly, and completed the second half of Brother Yang's sentence.

"There are many possibilities for the recurrence of bladder cancer. It may be that his last operation was not completely removed, leaving roots, or it may be metastasized from other places.

Rectal cancer can easily invade the bladder."

"Malignant cancer, surgery can't do it."

Brother Meng bowed his head silently, writing something down in the small notebook, his eyes drooped, making it difficult for people to see clearly.

Sun Yu still didn't react.

Or unwilling to respond.

"The uncle on bed 33, he, he looks pretty good, and, and"

How could such a decent and bookish gentleman be like this?

"Just do a digital rectal examination."

Zhang Tianyang sighed, and then looked at Brother Yang with the bald headband, "Is the consultation about to start? Do it now, or after the consultation?"

"Xiao Zhang, can you do digital rectal examination?"

The bald-headed teacher Yang didn't answer right away, but asked instead.

Zhang Tianyang hesitated for a moment, then nodded, "Yes, I have practiced before."

Although it has not been done for patients, but it has been practiced in real simulation in the system space, it should be considered good, right?

"Then do it now!"

The bald headed brother Yang didn't hesitate at all.

"Xiaomeng and I will go to the conference room to adjust the equipment first, and you can take your junior sister to do it.

I asked Xiaomeng to talk about his patient first, and the two of you will seize the time to change the introduction of the disease, and then hurry over here. "

As soon as these words came out, Brother Meng was a little dazed.

"Brother Yang, you"

Are you so worried about Junior Brother Zhang?

Although there will be a big boss coming for the consultation, it must be arranged immediately, and the time is tight.

But that can't let Zhang Tianyang take his junior sister to do digital rectal examination alone!

Both of them are interns!

He didn't mean to despise Zhang Tianyang at all, after all, he had already seen how powerful Zhang Tianyang was.

But if you have never had a digital rectal examination and just practiced it, what should you do if you miss it?

What should I do if I missed a diagnosis?

"fine."

Brother Yang with the bald headband can see Brother Meng's thoughts at a glance, but his attitude is firm.

Just kidding, he just learned from the director this morning what this pervert Zhang Tianyang has done before.

Can penetrate deep veins, can withstand machetes, a digital rectal examination is a fart.

"Your Junior Brother Zhang may be much better than you. If he said yes, then he will."

After the words fell, brother Yang with the bald head and the teacher had already walked a long way.

Turning around, he found that Senior Brother Meng was still in a daze. He frowned and spoke in a bad tone.

"What are you still doing!"

"Oh, oh!"

Brother Meng hurriedly followed, leaving a worried look before leaving.

Sun Yu stared blankly at the backs of the two leaving, then turned to look at Zhang Tianyang, still unable to accept the reality.

Obviously Mr. 33 bed looks good

"Don't be stunned."

Zhang Tianyang sighed lightly.

"Go and bring the patient to the dressing room, I'll prepare."

(End of this chapter)