I'm really an intern

Chapter 158 Senior Brother Deng: I Picked Lemons

It's over!

Brother Deng panicked behind Zhang Tianyang.

The resentment towards the director of the cardiology department skyrocketed in his heart.

This is obviously the emergency department, hey!

If you want to ask questions, is it okay to ask the doctors in your group during the rounds of the Cardiology Department!

Why are you embarrassing my junior brother!

Don't you know that my junior brother is covered by me!

It can be judged that the heart problem is caused by severe water and electrolyte disturbance and decreased circulation blood flow, the junior is already very good, okay?

Also electrophysiological mechanism?

Only postgraduates in the Department of Cardiology have such high requirements!

Brother Deng's eagerness to protect the calf overcame his inner fear, and he took a difficult and great step forward.

He opened his mouth, ready to find a reason to rescue his junior brother.

But Zhang Tianyang gave his answer before he even uttered the first word.

"I feel that the occurrence of ventricular electrical storm should be mainly related to factors such as excessive activation of sympathetic nerves, abnormal conduction of the Shipp system, and increased β-receptor reactivity."

"Of course, this is just speculation."

After Zhang Tianyang finished speaking, he found that Senior Brother Deng had rushed to his side suddenly, so he couldn't help turning his head to ask.

"What's the matter, brother, another patient has an accident over there?"

"No, it's fine."

Brother Deng stuttered his answer, feeling his head was a little stiff, and it took him a long time to slowly, slowly turn to the director of the cardiology department opposite.

Human emotions are so strange.

When he saw the director of the cardiology department asking questions and trying to make things difficult for his junior brother, he defended his junior brother against injustice.

But when the younger brother successfully answered some words that he didn't understand, he somewhat expected the director to deny the younger brother's statement, or ask the younger brother to explain in detail.

He wondered why he suddenly became psychologically dark.

But after thinking about it, he realized.

It's all because he doesn't understand!

In fact, the younger brother mentioned three key words in total.

As for the sympathetic nerve, he knows that the human body has two sets of nerves, one is sympathetic and the other is parasympathetic.

The Shipp system should be His bundle and Purkinje fiber, right?

He also knows this, it is an important link in the electrical signal transduction of the heart.

He also knows β receptors, isn't it the receptors on various muscles and vascular endothelial cells? He not only knows β receptors, but also α receptors.

But knowing what it is doesn't mean he can figure out the logic behind it.

Why does the younger brother talk like those senior doctors, and only speak half of it?

Is it interesting to just say a keyword?You have the ability, you explain it!

He really wanted to ask, the sympathetic nerves were overexcited, and then what?

Abnormal conduction of the Hipp system, then what?

Increased beta-receptor reactivity, then what?

Then how did it cause the patient to die? ? ?

You are done!

Brother Deng's madness is the same as sometimes you know every Chinese character, but you just don't know what the other person is saying when you put it together.

In the final analysis, it was because he was too good.

So, Brother Deng, who suddenly realized his "dish", looked at the director of cardiology with full expectation, hoping that he could say that Zhang Tianyang made a wrong judgment, and then give a correct explanation.

But the moment he saw the other party's face, Senior Brother Deng was disappointed.

Although the director of the cardiology department is wearing a mask, the mask can cover his mouth, but cannot cover the corners of his eyes and the crow's feet.

The crow's feet are all out!

The younger brother's answer must be right!

Ah, a little pissed off!

Why can the younger brother be so good!

Why can my junior brother be praised by the director of the Cardiology Department, but I can only ask three questions and get kicked into a corner!

Why is this happening, obviously I am the senior brother!

What the hell did I just want to mourn for my junior brother for three seconds?

These three seconds are obviously a moment of silence for myself!

Throw the table!

Seeing the two white coats in front of him, one kind and appreciative, the other calm and calm, Senior Brother Deng only felt that his mouth was unpleasant.

Hiss - this lemon is so sour!

"The judgment is very good, I think so too."

Not noticing the subtle expression of Senior Brother Deng next to him, the director of the cardiology department smiled and exaggerated Zhang Tianyang.

But he didn't say a word about Senior Brother Deng's long-cherished explanation.

After all, in the world of senior doctors, some things that junior doctors can't figure out are actually common sense to them.

Since Zhang Tianyang can mention these key words without his guidance, he must have an accurate understanding of the mechanism behind them.

Naturally, no further explanation is needed.

At the same time, the director of the cardiology department was also a little surprised.

He just felt that the doctor's medical history report made him feel very comfortable today, and the question was completely subconscious.

After all, when he meets a junior he feels good about, he always likes to ask more questions, and it doesn't matter if he can't answer, he will also explain.

He would ask questions every day during the ward rounds, and it has become natural for him to get used to it.

In fact, the moment he asked, he regretted it a little.

He is just a doctor in the emergency department, not a graduate student in cardiology.

Can think of the danger of an emergency and keep this patient.

And it was very, very difficult to discover ventricular fibrillation at the first time, and even miraculously rescued the patient after some operations.

When I asked myself this question, I was a bit nitpicking.

But before he could think of a way to clear the siege, Zhang Tianyang had already given him an answer that satisfied and surprised him.

It's really great!

The director's eyes fell on Zhang Tianyang's face, and he really observed this very nice young man.

"Are you a graduate student in our cardiology department?"

"I'm not."

Zhang Tianyang told the truth, "I just graduated from the clinic last month, and I'm an intern this year."

"A trainee who just graduated from the clinic?"

This saying is so familiar

The director of the cardiology department was taken aback, and some memories and pictures suddenly popped up in his mind.

He looked at Zhang Tianyang's slightly familiar face, his eyes moved down, and fell on his breastplate.

"Are you Zhang Tianyang?"

"That Zhang Tianyang who gave a report on the stage before the consultation of the whole hospital of infectious diseases?"

The director of the cardiology department was a little dazed, and even added a few words in his mind.

Are you that Zhang Tianyang who caused a bloodbath in the professor group some time ago?

Is that Zhang Tianyang who I entrusted my student to lobby you for cardiology, but was flatly rejected?

Zhang Tianyang didn't know the inner drama of the director of the cardiology department at all, so he just blinked, "Yes, I am."

"Are you in the emergency department now?"

"correct."

"How long is the round?"

"One week."

"Where is the next department?"

"Neurology."

"When will you come to our cardiology department?"

"almost."

Brother Deng was stunned and watched the conversation between the two.

Not to mention that he was thinking about explaining, the content of the chat now is not related to the patient!

The chief director of the cardiology department has always been serious in his mind, concentrating on academics, and merciless when scolding others.

When did you speak so softly and talk so homely?

The point is, the junior brother still treats it calmly, not flattered at all?

hiss--

These two people probably have an affair!

Could it be that the younger brother will go to the cardiology department in the future!

Junior brother is so awesome!

Brother Deng's eyes widened, and he frantically began to play up his inner drama, and he froze in place.

And Zhang Tianyang, after calmly chatting with the director of the cardiology department for a few words, changed the topic back.

"By the way, Director, do you accept this patient?"

(End of this chapter)