I'm really an intern

Chapter 357

The 33-bed patient came earlier than Zhang Tianyang imagined.

As soon as the gloves and lubricating paraffin oil were ready, Sun Yu led Mr. 33 into the treatment room.

"Doctor Zhang."

He greeted Zhang Tianyang with a smile, and seemed to be in a stable mood.

Zhang Tianyang noticed his address.

The other party even asked Sun Yu his name on the way over.

Does he really not care?

Zhang Tianyang took a deep breath and wanted to raise the corners of his mouth, but found it difficult.

So he could only keep a straight face, nodded, and then turned around to put on the mask.

After Sun Yu brought the patient in, he stood there in a daze.

In some small treatment rooms, the atmosphere seemed a little gloomy.

"Don't be so serious."

Two doctors and one patient, among the three, it was the patient who spoke to adjust the atmosphere.

"Are you all still students? Just graduated from the clinic? Or haven't graduated yet?"

Obviously, the other party is only in his 50s, not too old, and he doesn't have the bonus of being full of gray hair.

But inexplicably, Zhang Tianyang seemed to see a trace of kindness in Mr. 33's eyes.

The same is true.

33 Mr. Bed looked at the two little white cats as if he saw his own students.

One by one, they are not deeply involved in the world, but they still maintain that innocence, that impulsiveness, and that empathy.

Sometimes, that's a good thing.

But they are doctors.

In the future, we will have to face so many life and death.

It's better to be more mature, more cunning, and calmer.

"Well, it's an intern."

Zhang Tianyang responded briefly, restraining his emotions.

Sun Yu took two steps closer, fixed his eyes on Mr. Bed 33, and bit his lower lip lightly.

Because of her strong body, people usually even subconsciously think that she is a boy.

But now, the delicate and soft heart that belongs to girls is crying silently.

"Sure enough, he's an intern. Haven't you seen many patients?"

Although the reaction of the two little white cats was not positive, Mr. Bed 33 didn't care about it and still smiled softly.

"My body, I know it in my heart, but you see, I am not doing well."

"You haven't graduated yet, and you will see each other a lot in the future, do you want to do this every time?"

"Hey, life is like this, everyone has to go through it"

No complaints, no scolding, just like an elder chatting cordially with younger generations.

But Sun Yu's lower lip was instantly bitten even deeper by his teeth.

Zhang Tianyang, who possessed the attribute of joint stability, couldn't help shaking his fingertips.

He lowered his head slightly, hiding his eyes.

"Loosen the belt and lie down with your head this way, facing the wall, with your knees tucked in."

"Hehe, okay."

Mr. Bed 33 was still cheerful, and lay down on the bed as promised.

"Whoa, whoa-"

The green curtain around the bed was pulled up, Mr. Bed 33's trousers were half down, and he was ready for a pose.

When the digital rectal examination started, Mr. Bed 33 suddenly became quiet.

Looking from the back side, Zhang Tianyang could see his frowning.

He is enduring.

Digital rectal examination is very uncomfortable.

The glove was covered with lubricant, but when the fingers went in, they still encountered obstacles.

The warm feeling came from the fingertips, and Zhang Tianyang turned his wrist to feel the inner wall of the rectum.

Soon, he touched the bad thing.

Just to the left, enter about 4 cm.

There is a hard thing.

The normal inner wall should be soft.

But the fingertips clearly felt it, a pebble-sized, slightly hard, round thing.

No surprises.

that's it.

Zhang Tianyang silently withdrew his hand.

Perhaps a more rigorous diagnosis would require taking a sample inside and making a slice.

But speaking from experience, it can be diagnosed.

He turned his head and looked at Sun Yu who was behind him in a daze.

"Will you come?"

Sun Yu looked away from the patient in a daze, and looked at Zhang Tianyang.

Her lips were almost bleeding from being bitten.

Unbearable was written all over his face, and his eyes were full of rejection.

But she nodded quickly and firmly.

The force was so great that Zhang Tianyang wondered if she would break his cervical spine.

"bring it on."

Zhang Tianyang stepped aside.

Sun Yu put on the gloves silently, and applied paraffin oil silently.

Her fingertips trembled visibly and violently.

But she took a deep breath, pinched the wrist of her right hand with her left hand, forced herself to calm down, then leaned forward and stretched out her fingers.

"On the left, a bit deeper."

Zhang Tianyang reminded that three seconds later, he saw an instant collapse on Sun Yu's face.

She touched it.

Then in her heart, she was also diagnosed.

33 Mr. Bed closed his eyes and remained silent.

Silently bearing the despair that had tormented him for two weeks, and two more painful shocks.

It's quiet around.

He knew that the two interns behind him must be very sad now.

So he tried his best to stretch his brows, and the corners of his mouth curled into a smile.

"It's okay"

What the DRE touched could almost announce the patient's outcome.

Zhang Tianyang revised the brief introduction of the medical records written by Sun Yu, adding the key points of the consultation and the results of the digital rectal examination.

When I rushed to the meeting room, the first patient's consultation had just ended.

There were tooth marks on Sun Yu's lower lip, which was a little bloodshot.

The bald-headed brother Yang stared at her for a while, and silently greeted Zhang Tianyang.

"Xiao Zhang, can you report this 33-bed case?"

"it is good."

After going through consultation with the whole hospital, this kind of pediatrics is not difficult for Zhang Tianyang.

He did it beautifully.

You can even insert a few words of your own thoughts during the discussion between the big guys and get approval.

Such a performance is quite rare among new interns.

So Zhang Tianyang was praised as a matter of course.

When the director of the urology department left, he nodded and smiled at him very satisfied.

Zhang Tianyang also nodded, but there was no fluctuation in his heart.

Because several bigwigs finally reached an agreement on the situation of the 33-bed patient:

There are two possibilities.

First, bladder cancer infiltrates and invades the rectum, leading to rectal cancer.

Second, rectal cancer invaded the bladder, which caused the false appearance of bladder cancer recurrence after surgery.

As for the isolated occurrence of three types of cancer, it was passed immediately.

There are so many coincidences.

And these two possibilities, no matter which one it is, indicate that the patient's cancer has entered an advanced stage.

There is no need for surgery, and it is useless to do it.

Whether radiotherapy and chemotherapy should be done, and whether it makes sense to do it, still needs to be discussed with the oncology department.

But whether you do it or not.

"It is estimated that the time for the 33-bed patient is not much."

Difficult, but also very realistic.

Sun Yu was in a daze the whole time.

After the consultation, Brother Yang criticized Sun Yu indifferently, saying that she did not ask about the medical history carefully.

But clinically, we only look at the results, not the process.

Zhang Tianyang made a timely remedy, and Brother Yang's tone was not too serious.

Sun Yu nodded in a daze.

Zhang Tianyang always felt that she might not have heard clearly what brother Yang just said.

Senior Brother Meng was on the side of the two little white cats, comforting the little junior sister intimately.

"It doesn't matter, the final result is that there is no missed diagnosis and no useless surgery, and now we can cancel tomorrow's surgery plan.

Brother Yang just wants us to serve snacks, just pay attention next time. "

But Sun Yu was still in a daze.

"you"

Brother Meng hesitated to speak, sighed and left.

He may not realize that his comfort is in the wrong direction.

Sun Yu wasn't sad at all because she missed the diagnosis and was scolded. What she was sad about was that Mr. Bed 33's condition was so serious.

The meeting room fell silent.

Zhang Tianyang silently walked to Sun Yu's side, pulled out a chair, and sat down.

　Pushing the book ~ "What is the experience of cultivating immortals", a kind of operation skills of cultivating immortals based on biological principles~

　　

　

(End of this chapter)