I'm really an intern
Chapter 466 The fog is heavy
Chapter 466 The fog is heavy
"Are you free? The endoscopy room needs you, come quickly!"
The call was from Brother Qiu Ming.
Requirements straight to the point, concise and to the point.
Zhang Tianyang asked instinctively.
"Did something happen to the patient transferred to the general surgery department?"
There was a silence on the other side for a long time, and a "yes" was answered.
"Ugh--"
After hanging up the phone, Zhang Tianyang sighed silently.
I knew it!
It's definitely not going to be a good day!
He turned to look at the nurse aunt.
"I'll trouble you to get out of bed with your family later, I still have something to do."
Something has happened, what can I do?
I can only ask the chief director for a leave, and then sneak to the endoscopy room of the gastroenterology department to see if I can help.
"Ugh--"
On the other side of the phone, Qiu Ming also sighed silently.
I knew it!
It must have something to do with Junior Brother Zhang!
He stared at the computer screen for a few seconds.
Junior brother Zhang is really awesome, really powerful.
But it seems that the feng shui around me is not very good.
"call--"
In the next second, he cheered up again.
"I'm going to change clothes first, and wait in the endoscope room."
Zhang Tianyang came very quickly.
Thanks to a previous mistake, he is still wearing a surgical gown.
He stopped in the changing room of the endoscopy room and took off his white coat. He even arrived at the operating table a little earlier than Senior Brother Qiu Ming.
"what's the situation?"
"I'll pull out the medical records for you, and you talk while looking at me."
There were no unnecessary pleasantries, and the two went straight to the topic in a tacit understanding.
"This patient is one of the three patients who came to the emergency department last weekend. The patient reported that he vomited blood several times in the past three months, and he vomited blood again one hour before admission, about 15ml."
"But you have also seen the results of the emergency gastroscopy and colonoscopy, and there is nothing inside."
"The patient underwent gastroscopy and colonoscopy again this week, and no bleeding point was found, but the patient continued to have black stools."
"Later, at the strong request of the patient and his family, he was transferred to the General Surgery Department for laparotomy. As a result, according to the news from the operating room just now, the patient suddenly vomited blood before going to the stage, and the amount was quite large."
"I'm looking for you"
Zhang Tianyang nodded, "I'm afraid his stomach is full of blood, so he can't see anything, right?"
"Yes."
Qiu Ming didn't refute either.
In front of Junior Brother Zhang and Teacher Zhang, there is nothing to lose face.
He quickly glanced at his phone, "The patient is coming soon, I'll pick it up."
"Ah."
Zhang Tianyang didn't follow in a hurry, instead he sat in front of the computer, squinting his eyes and quickly browsing the patient's medical records.
There are many reasons for vomiting blood, and sometimes hemoptysis can be misdiagnosed as vomiting blood.
But Zhang Tianyang believed that the doctors of gastroenterology would not make mistakes in this simple identification.
The patient occasionally vomits blood, often has black stools, and the hemoglobin continues to decrease. The possibility of digestive system bleeding is very high.
But both gastroscopy and colonoscopy were fruitless.
Even the capsule gastroscope that specializes in looking at the small intestine didn't take pictures.
These three tests can cover the entire digestive tract from the esophagus to the anus.
There is no reason for this to happen.
But unfortunately, it just appeared.
And the patient vomited blood again.
There must be a problem here.
There must be something I haven't noticed.
Zhang Tianyang frowned, his thoughts turned sharply.
"boom blah blah"
Outside the gastroscope, the flat car has already pushed the patient over.
"Brother, do you still need me to help Lao Zhang? Why are you here?"
Chen Jiajie was shocked to find that his old friend actually crossed the distance from the department and appeared in the gastroscopy room.
But before he could continue to ask, Senior Brother Qiu Ming pushed him out directly.
"You are not needed here, go back and write your medical records!"
"Boom!"
The screen door mercilessly closed in front of your eyes.
Because of running just now, the sweat on Chen Jiajie's forehead was still oozing slowly.
He stared blankly at the screen door for a long while.
A burst of bitterness suddenly came up.
I have no credit, but also hard work.
How could he be so thoroughly disliked?
And
Why on earth did Lao Zhang appear in the Department of Gastroenterology when something obviously happened!
Ignoring Chen Jiajie who was thinking about things outside the door, inside the screened door, two doctors and a nurse had already prepared for the gastroscopy.
The patient voluntarily climbed onto the operating table and lay down on his left side without the guidance of doctors and nurses.
"Brother Zhang"
"Come on, I'll watch."
Zhang Tianyang washed his hands, but he didn't pick up the mirror handed over by Senior Brother Qiu Ming.
He always felt as if something was being overlooked.
The patient lay quietly on his side on the operating table, except for the faint black blood stains remaining at the corner of his mouth and on the hospital gown, he looked like a normal person.
That's right, after he vomited a few mouthfuls of blood, he seemed to be fine again.
But the doctors present didn't think he was really all right.
"So I started?"
Brother Qiu Ming's voice was filled with inquiries.
Obviously he is the higher-level attending physician, but at this moment, the intern Zhang Tianyang is the main one.
"Go ahead, if it's full of blood, I'll take over."
Zhang Tianyang didn't think there was anything wrong, so he answered seriously.
The little nurse who cooperated didn't know Zhang Tianyang, but she could tell the word "young" written all over Zhang Tianyang's face.
I don't know where the foreign aid was invited.
She looks really young, young and promising, do you have a girlfriend?
"Go in."
On the screen, the picture shakes a few times.
This time the gastroscope is still intended to explore the bleeding point, so senior brother Qiu Ming looked very carefully.
There were sporadic streaks of blood hanging on the wall of the esophagus, but after looking around, it was indeed not damaged.
The mirror continued to go deeper inside.
Soon, the stomach wall appeared in front of his eyes.
The imagined sea of blood in the stomach did not appear.
This made the trembling Senior Brother Qiu Ming heave a sigh of relief, cheered up, and began to look for the bleeding point.
Under the gastroscope, there are also many bloodstains on the stomach wall.
This is proof of recent active bleeding.
If there is such a bleeding point that is hard to find, now is the best time to find it after active bleeding.
However, as time passed by, the mirror turned around the entire stomach, and then went down to the duodenum to search carefully.
But still no bleeding point was found.
"I can't! It's just bleeding!"
Senior brother Qiu Ming was a little frustrated and frantic.
He turned his wrist to control the gastroscope in and out, trying to find the "hidden" bleeding point by looking again.
Zhang Tianyang has been watching from the side, and his brows are also furrowed at this time.
Seeing that Senior Brother Qiu Ming had started the third inspection, Zhang Tianyang slowly moved his eyes away from the screen, and then landed on the patient.
It's not right.
There's no reason to just bleed and now you can't find the bleeding point.
The patient vomited a lot of blood in the operating room, and it was delivered in a timely manner. There is no reason for the bleeding point to heal so quickly.
So, what exactly went wrong?
Zhang Tianyang stared at the boy, his thoughts began to diverge gradually.
The patient was lying sideways on the operating table, because the Department of Gastroenterology of Dongfang Hospital is used to lying on the left side with the head high for gastroscopy.
Judging by his face, he didn't look very painful.
Wait a minute.
Zhang Tianyang was stunned for a moment.
When the patient came in, no one instructed him how to lie down, he just obediently lay on his left side!
Although he has had gastroscopy twice before,
Zhang Tianyang suddenly stopped Senior Brother Qiu Ming who was a bit furious.
"Brother, do you remember, when the patient had a gastroscopy for the first time, you taught him how to lie down, or did he lie down by himself?"
------------
No surprise, no surprise~
Gululululululu~
Thank you Yuzige for the rewards~ You guys are amazing!
(End of this chapter)
"Are you free? The endoscopy room needs you, come quickly!"
The call was from Brother Qiu Ming.
Requirements straight to the point, concise and to the point.
Zhang Tianyang asked instinctively.
"Did something happen to the patient transferred to the general surgery department?"
There was a silence on the other side for a long time, and a "yes" was answered.
"Ugh--"
After hanging up the phone, Zhang Tianyang sighed silently.
I knew it!
It's definitely not going to be a good day!
He turned to look at the nurse aunt.
"I'll trouble you to get out of bed with your family later, I still have something to do."
Something has happened, what can I do?
I can only ask the chief director for a leave, and then sneak to the endoscopy room of the gastroenterology department to see if I can help.
"Ugh--"
On the other side of the phone, Qiu Ming also sighed silently.
I knew it!
It must have something to do with Junior Brother Zhang!
He stared at the computer screen for a few seconds.
Junior brother Zhang is really awesome, really powerful.
But it seems that the feng shui around me is not very good.
"call--"
In the next second, he cheered up again.
"I'm going to change clothes first, and wait in the endoscope room."
Zhang Tianyang came very quickly.
Thanks to a previous mistake, he is still wearing a surgical gown.
He stopped in the changing room of the endoscopy room and took off his white coat. He even arrived at the operating table a little earlier than Senior Brother Qiu Ming.
"what's the situation?"
"I'll pull out the medical records for you, and you talk while looking at me."
There were no unnecessary pleasantries, and the two went straight to the topic in a tacit understanding.
"This patient is one of the three patients who came to the emergency department last weekend. The patient reported that he vomited blood several times in the past three months, and he vomited blood again one hour before admission, about 15ml."
"But you have also seen the results of the emergency gastroscopy and colonoscopy, and there is nothing inside."
"The patient underwent gastroscopy and colonoscopy again this week, and no bleeding point was found, but the patient continued to have black stools."
"Later, at the strong request of the patient and his family, he was transferred to the General Surgery Department for laparotomy. As a result, according to the news from the operating room just now, the patient suddenly vomited blood before going to the stage, and the amount was quite large."
"I'm looking for you"
Zhang Tianyang nodded, "I'm afraid his stomach is full of blood, so he can't see anything, right?"
"Yes."
Qiu Ming didn't refute either.
In front of Junior Brother Zhang and Teacher Zhang, there is nothing to lose face.
He quickly glanced at his phone, "The patient is coming soon, I'll pick it up."
"Ah."
Zhang Tianyang didn't follow in a hurry, instead he sat in front of the computer, squinting his eyes and quickly browsing the patient's medical records.
There are many reasons for vomiting blood, and sometimes hemoptysis can be misdiagnosed as vomiting blood.
But Zhang Tianyang believed that the doctors of gastroenterology would not make mistakes in this simple identification.
The patient occasionally vomits blood, often has black stools, and the hemoglobin continues to decrease. The possibility of digestive system bleeding is very high.
But both gastroscopy and colonoscopy were fruitless.
Even the capsule gastroscope that specializes in looking at the small intestine didn't take pictures.
These three tests can cover the entire digestive tract from the esophagus to the anus.
There is no reason for this to happen.
But unfortunately, it just appeared.
And the patient vomited blood again.
There must be a problem here.
There must be something I haven't noticed.
Zhang Tianyang frowned, his thoughts turned sharply.
"boom blah blah"
Outside the gastroscope, the flat car has already pushed the patient over.
"Brother, do you still need me to help Lao Zhang? Why are you here?"
Chen Jiajie was shocked to find that his old friend actually crossed the distance from the department and appeared in the gastroscopy room.
But before he could continue to ask, Senior Brother Qiu Ming pushed him out directly.
"You are not needed here, go back and write your medical records!"
"Boom!"
The screen door mercilessly closed in front of your eyes.
Because of running just now, the sweat on Chen Jiajie's forehead was still oozing slowly.
He stared blankly at the screen door for a long while.
A burst of bitterness suddenly came up.
I have no credit, but also hard work.
How could he be so thoroughly disliked?
And
Why on earth did Lao Zhang appear in the Department of Gastroenterology when something obviously happened!
Ignoring Chen Jiajie who was thinking about things outside the door, inside the screened door, two doctors and a nurse had already prepared for the gastroscopy.
The patient voluntarily climbed onto the operating table and lay down on his left side without the guidance of doctors and nurses.
"Brother Zhang"
"Come on, I'll watch."
Zhang Tianyang washed his hands, but he didn't pick up the mirror handed over by Senior Brother Qiu Ming.
He always felt as if something was being overlooked.
The patient lay quietly on his side on the operating table, except for the faint black blood stains remaining at the corner of his mouth and on the hospital gown, he looked like a normal person.
That's right, after he vomited a few mouthfuls of blood, he seemed to be fine again.
But the doctors present didn't think he was really all right.
"So I started?"
Brother Qiu Ming's voice was filled with inquiries.
Obviously he is the higher-level attending physician, but at this moment, the intern Zhang Tianyang is the main one.
"Go ahead, if it's full of blood, I'll take over."
Zhang Tianyang didn't think there was anything wrong, so he answered seriously.
The little nurse who cooperated didn't know Zhang Tianyang, but she could tell the word "young" written all over Zhang Tianyang's face.
I don't know where the foreign aid was invited.
She looks really young, young and promising, do you have a girlfriend?
"Go in."
On the screen, the picture shakes a few times.
This time the gastroscope is still intended to explore the bleeding point, so senior brother Qiu Ming looked very carefully.
There were sporadic streaks of blood hanging on the wall of the esophagus, but after looking around, it was indeed not damaged.
The mirror continued to go deeper inside.
Soon, the stomach wall appeared in front of his eyes.
The imagined sea of blood in the stomach did not appear.
This made the trembling Senior Brother Qiu Ming heave a sigh of relief, cheered up, and began to look for the bleeding point.
Under the gastroscope, there are also many bloodstains on the stomach wall.
This is proof of recent active bleeding.
If there is such a bleeding point that is hard to find, now is the best time to find it after active bleeding.
However, as time passed by, the mirror turned around the entire stomach, and then went down to the duodenum to search carefully.
But still no bleeding point was found.
"I can't! It's just bleeding!"
Senior brother Qiu Ming was a little frustrated and frantic.
He turned his wrist to control the gastroscope in and out, trying to find the "hidden" bleeding point by looking again.
Zhang Tianyang has been watching from the side, and his brows are also furrowed at this time.
Seeing that Senior Brother Qiu Ming had started the third inspection, Zhang Tianyang slowly moved his eyes away from the screen, and then landed on the patient.
It's not right.
There's no reason to just bleed and now you can't find the bleeding point.
The patient vomited a lot of blood in the operating room, and it was delivered in a timely manner. There is no reason for the bleeding point to heal so quickly.
So, what exactly went wrong?
Zhang Tianyang stared at the boy, his thoughts began to diverge gradually.
The patient was lying sideways on the operating table, because the Department of Gastroenterology of Dongfang Hospital is used to lying on the left side with the head high for gastroscopy.
Judging by his face, he didn't look very painful.
Wait a minute.
Zhang Tianyang was stunned for a moment.
When the patient came in, no one instructed him how to lie down, he just obediently lay on his left side!
Although he has had gastroscopy twice before,
Zhang Tianyang suddenly stopped Senior Brother Qiu Ming who was a bit furious.
"Brother, do you remember, when the patient had a gastroscopy for the first time, you taught him how to lie down, or did he lie down by himself?"
------------
No surprise, no surprise~
Gululululululu~
Thank you Yuzige for the rewards~ You guys are amazing!
(End of this chapter)
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