I'm really an intern

Chapter 430 Are you drifting away, or is the director unable to hold the knife anymore?

The first week of the urology internship was passed without any danger.

It's a new Monday.

When the shift was over in the morning, Zhang Tianyang silently counted the days and showed a gratified smile.

I originally thought that surgery would be the kind of place where patients screamed, blood flowed, and then they disappeared if they didn't pay attention, and they were tense every day like a war.

It looks good now.

Compared with the daily life of the emergency department, it is far worse.

The internship in the Department of Urology lasted for two weeks, and if there were no accidents, this week should pass smoothly.

"Little Zhang!"

The bald-headed teacher Yang Ge specially greeted Zhang Tianyang, and then called Brother Meng, who had dark circles under his eyes, to arrange the operation together.

It is a routine operation of the chief medical team to arrange surgery on Monday morning.

"The director is out on Monday morning. Let's line up the ones who have already made plans first, and those who came last weekend will take it easy."

The bald band taught Brother Yang to count the number of surgeries to be performed tomorrow while facing the patient list, and informed Zhang Tianyang at the same time.

There were three patients in total last weekend, except for one elder brother with dysuria who probably didn't need surgery, the other two were in Zhang Tianyang's hands.

"Ok."

Zhang Tianyang is as good as he is, and while watching the bald headband teach Brother Yang to pick out four patients who need to be operated on Tuesday, he goes through the patients in his own hands in his mind.

So far, I have handled six patients in total.

Except for the little brother Li Yueban who has been discharged from the hospital, there are two people who have completed the operation.

A nouveau riche from Qiao Ke, who underwent kidney surgery, is expected to wait a few more days before being discharged from the hospital.

The other was the one with the hydrocele, the little boy who cried so hard at the sight of him.

The little boy is expected to be discharged from the hospital on Tuesday, and today he may have to change his medicine and endure another torment of his eardrum.

Among the newly admitted patients, the eldest brother who had difficulty urinating was separated out, and the remaining 35 beds and 36 beds were still in Zhang Tianyang's hands.

Bed 36 is the eldest sister who opened her mouth and kept saying "Master Zhang" and kept talking about changing wards.

Zhang Tianyang has a deep impression on her, but her situation is relatively simple.

Very typical hypertension and hypokalemia, imaging showed adrenal space-occupying lesions, and biochemical examination also verified the existence of primary aldosteronism.

For this kind of patients, there is nothing to say, just surgical removal of unilateral adrenal gland.

I will ask about the menstrual history later. If there is no problem, the surgery should be scheduled on Thursday.

The tricky part is the 35 bed.

Zhang Tianyang's mind flashed the face of the 35-bed woman.

The cheekbones are prominent, the complexion is yellowish, and the spirit looks normal.

After all, her chyluria has lasted for more than ten years. The long-term nutritional loss and the food restriction from the perspective of supportive treatment have caused her to be extremely nutritionally deficient.

More importantly, she had an operation before

Zhang Tianyang frowned involuntarily.

"Yo, look at this frown!"

The bald-headed teacher Yang had finished hooking up the patients, sent Brother Meng and Sun Yu to work, and turned his head to care about Zhang Tianyang with a smile.

"Xiao Zhang, what are you thinking? Have you encountered any difficulties? Talk to me? The director told me again yesterday to take good care of you."

The smile on Brother Yang's face with the bald headband seemed a little too wide, and his tone was too kind.

This made Zhang Tianyang glance at him in surprise.

Why are you so enthusiastic all of a sudden?

Brother Yang met some great event today, is he in a particularly good mood?

The irrelevant emotions were instantly forgotten by Zhang Tianyang, and Zhang Tianyang dug out the medical records of 35 beds of chyluria patients.

"Brother Yang, look, she had an operation in 04. Let's do it this time"

"Oh~"

Brother Yang patted his bald head and instantly understood what Zhang Tianyang meant.

"You mean, it's very difficult to enter the palace for the second time."

For a surgeon, the first surgery is always the easiest.

Regardless of whether the specific body structure of the patient is mutated or not, at the time of the first operation, the inside is "original".

Tissues are tissues, blood vessels are blood vessels, and nerves are nerves. They are well organized and easy to separate.

With one cut, the hardness and touch of different tissues are different.

During the operation, as long as you observe carefully and pay attention, the problem will not be too big.

But for the second operation, what the "second entry into the palace" has to solve is not only the difficulty of the operation itself, but also the "sequelae" left over from the previous operation.

Such as various scars and adhesions.

Maybe, as soon as you open up the patient's stomach, a huge scar tissue holds everything together.

When you go down with the knife, the touch feels hard, but you have no idea whether the tip of the knife is touching another piece of scar tissue behind this piece of scar tissue, or whether it is the wrapped aorta.

The surgical risk of surgical difficulty increases every minute.

After all, you never know what the patient's stomach will look like after closing the abdomen this time.

In some smaller hospitals, the doctors directly refused to perform the second palace operation.

Like the level of the Oriental Hospital, it can be done

Zhang Tianyang hesitated for a moment, and finally raised his own question.

"The level of our doctors must be able to win this operation, but I was thinking.

Is this surgery really necessary? "

The 35-bed woman, after the first surgery in 04, had chyluria again half a year later, but she never had a second surgery.

Until recently, after the occurrence of chylus hematuria, I went to the doctor again.

Here, in the past ten years, why hasn't she dealt with the chyluria?

Now, at her age, is it really necessary to suffer the damage of the second operation?

Zhang Tianyang thought of a lot in an instant.

The bald teacher Yang also fell silent.

However, he quickly slapped himself on the head again.

"fine!"

"Huh?" Zhang Tianyang showed doubts.

"In the afternoon, ask the director."

Brother Yang with the bald headband started laughing again, and patted Zhang Tianyang on the shoulder to comfort him.

"If you think about it this way, since the patient agrees to be admitted to our urology department, he must be ready for surgery.

Moreover, this patient was admitted by the chief outpatient clinic. When he admitted the patient, he must have already had a corresponding plan in mind.

You don't have to worry about it yourself. In the afternoon, ask the director what the patient is going to do. For patients with complicated conditions, the director will definitely give instructions. "

"Is that so?"

Zhang Tianyang thought for a while, then nodded slightly.

That's right, the director must have made arrangements.

It's useless to worry about it yourself.

Just listen to the arrangements.

Could it be that the director can still let himself decide the patient's follow-up treatment plan?

Zhang Tianyang, don't forget, you are an intern!

It's you who floated away.

Or is the director unable to hold the knife anymore?

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Today is also working hard to update Ann!

(End of this chapter)