I'm really an intern

Chapter 234 I Believe In You

Song Changkong was inexplicably looking forward to it.

Although the classmate Xiao Zhang in front of him is really just an intern.

But once they got in touch with him, no one would think that he was just a simple intern.

Although I am the director, what is the use of the director of the lower level hospital?

Let’s just talk about classmate Xiao Zhang, can’t he still wear what the attending doctor can’t wear?

Zhang Tianyang pondered for a while, "Did you have any ideas before?"

Song Changkong shook his head.

"The teacher has nothing to do with this patient other than Shangmeiping Wangu."

This statement was within Zhang Tianyang's expectation.

Song Changkong quickly added another sentence.

"The professor came and asked us to look for the cause while controlling the infection, but we haven't found it yet."

Zhang Tianyang nodded to express his understanding.

Song Changkong was still full of expectations for Zhang Tianyang, and asked again, "Do you have any ideas? You can talk about it and discuss it."

Zhang Tianyang shook his head with a smile, "Mr. Song was joking. By the way, you said you were going to study this afternoon. What are you going to study?"

The sudden change of subject made Song Changkong stunned for a moment, and he answered subconsciously.

"I originally wanted to go to the respiratory department to see how they use the bronchoscope."

It turned out to be the case.

Zhang Tianyang nodded knowingly.

There are many patients with intracranial infection in the Department of Neurology, and a considerable part of them will be complicated by lung infection.

At the same time, there are also many patients who need to be put on a ventilator and have a tracheotomy.

Bronchoscopy is also occasionally used.

Besides, Dongfang Hospital is a large hospital, and the division of departments is relatively detailed, and the division of functions of each department is also very detailed.

But other hospitals are not so good.

Some lower-level hospitals, community hospitals, and even outpatient clinics only have internal medicine and surgery, unlike Eastern Hospital, which also includes kidney, infection, blood, heart, breathing, digestion, and so on.

Maybe, in Song Changkong's lower-level hospital, the Department of Neurology should also be in charge of part of the Department of Respiratory Medicine?

Taking a step back, there are multiple skills and multiple paths. If Song Changkong can seize the opportunity to study in Dongfang Hospital and learn a few skills that no one else in their hospital knows, wouldn't it be good?

No wonder Song Changkong, a dignified chief physician, behaved so positively.

Zhang Tianyang thought of Song Changkong's courteous look when the attending doctor called for rounds this morning, and looked at how pleasant he was to him now, and his mood was a little complicated.

After thinking about it, he asked.

"Mr. Song, the waist piercing has already been done. If we go now, is there still time?"

Song Changkong was taken aback.

He had already decided to give up his study this afternoon in order to build a good relationship with Zhang Tianyang.

But when I think of the learning opportunities I finally found

He quickly glanced at the time.

It's [-]:[-] p.m., if it's past now

Maybe it's still too late!

In an instant, he couldn't keep up with his expression management.

Zhang Tianyang understood immediately.

"Teacher, hurry up. The three patients here are all in stable condition. It's really impossible to have me."

"This"

Song Changkong was obviously struggling.

"It's okay, let's go. There may be only two or three bronchoscopes in the afternoon. If it is later, it will really not be able to catch up."

Zhang Tianyang pushed again, and Song Changkong was shaken.

"Then let me briefly explain to you the condition of Bed 80."

Song Changkong breathed a sigh of relief, quickly explained his condition, handed over the three patients, and left in a hurry.

Lin Ke'an looked at it strangely.

"Why is Teacher Song so nervous?"

She couldn't figure it out.

"Bronchoscopies in the respiratory department, can you go to see them anytime you want? They do them every day anyway."

Zhang Tianyang shook his head, "Don't forget, we are students of Oriental Medical University."

Lin Ke'an still didn't understand.

"What happened to the students?"

Zhang Tianyang sighed.

"Dongfang Hospital is a third-class hospital. We are students of this school, so we can naturally have a lot of time to study here, but those doctors who are in training need money to come in."

"For someone like him who needs to stay in the ICU ward, where does he have time to sneak out and watch?"

"Besides, it's very different from simply following behind and watching someone willing to teach you while doing it."

Lin Ke'an instantly understood the explanation in a few words.

No wonder Song Changkong cared so much about today's study.

Thinking of Director Song's white hair at the temples, she couldn't bear it.

"Didn't the waist wear on bed 76 waste a lot of his time?"

Zhang Tianyang shook his head, "That can't be helped, he is in charge of bed 76. Besides, I'm actually pretty fast."

Not that he was bragging.

If it is replaced by the attending doctor, it may not be possible to wear it out.

His eyes swept across the direction Song Changkong was leaving, and he nodded slightly.

Song Changkong had a good impression on him, and if he reciprocated, he could find a chance to repay him.

The opportunity to learn bronchoscopy is very rare for Song Changkong, but it is not that difficult for him.

If you have a chance, you can find a resident doctor or attending senior doctor through your relationship, and spend half an hour teaching it.

He can even teach himself.

Although he does not know how to operate bronchoscopy now.

But with the system in place, he will be there in two days.

"correct."

Lin Ke'an no longer entangled with Song Changkong's matter, and instead pointed to the infection index of bed 78 to ask Zhang Tianyang.

"Isn't this infection index under control? I think it has been declining in the past five days. But why do you still feel that the problem is still big after hearing what you said before?"

Zhang Tianyang looked at Lin Ke'an, who was humbly asking for advice, and did not answer directly. Instead, he opened the patient's cerebrospinal fluid test results and asked questions.

"Look at his cerebrospinal fluid test and what you found."

Lin Ke'an looked at it carefully for a while, and gradually frowned.

"It seems that the situation of intracranial infection has been improving."

Zhang Tianyang secretly thought that children can be taught, and asked another question.

"Guess what, the patient stayed in the ICU ward for a month and a half, and the antibiotics have been used all the time. The intracranial infection is almost gone, but the infection index in the blood has remained high. What does this mean?"

"It means that they have not found the cause!"

Lin Kean blurted out.

"Congratulations, you have learned to answer quickly."

Zhang Tianyang teased her, and then his face gradually became serious.

In fact, many diseases are like this. If the cause is found, it will be cured very well. If the cause cannot be found, it will be blind.

Like the girl with the fungal infection in internal medicine.

Once the correct treatment and treatment ideas are found, the disease that has been dragging on for five years will still recover quickly.

The same is true for this patient.

Zhang Tianyang opened his mouth slowly and explained to Lin Ke'an.

"In this patient, although the infection index is elevated, the results of bacterial culture and drug susceptibility are all there, so it is a clear bacterial infection."

"But even if it's a bacterial infection, there's a reason."

"If you can't find this reason, if you don't get rid of it, even if you can control it for a while, you won't be able to control it for a lifetime."

Lin Ke'an understood.

Nodding while frowning.

This patient should have a channel of continuous infection that has not been discovered by everyone yet.

For example, if the body is a pool with clear water inside.

That reason is like a sewage pipe that continuously discharges black pollutants into the pool.

And antibiotics are like bleaching powder, adding antibiotics continuously can bleach those stains.

But as long as that sewage pipe is not blocked for a day, it is impossible for the water in the pool to become clear.

Zhang Tianyang re-pointed out the patient's infection index data.

"Meiping Wangu, meropenem and vancomycin are almost the strongest antibiotics routinely used in eastern hospitals."

"With this strongest combination, I can barely control it. Once it rebounds later, I can't suppress it anymore."

After thinking about the consequences described by Zhang Tianyang, Lin Ke'an couldn't help but shudder.

"The key now should be to figure out the channel of infection."

While talking, she subconsciously turned her head to look at Zhang Tianyang, "Do you have an idea?"

But what she received was a blank stare from Zhang Tianyang.

"If only I had an idea!"

Zhang Tianyang gave her a sideways look, "Who do you think I am! The reason why so many big bosses in the neurology ICU have been tossing around for a month and haven't figured it out, I know it at a glance? It's impossible to know!"

"Oh."

Lin Ke'an curled her lips, on the surface she stopped talking, but she thought inwardly.

"I believe you a ghost!"

She just wanted to continue asking something.

But he saw Zhang Tianyang pause.

I saw him frowning.

"Did you hear anything?"

"What sound?"

Lin Ke'an was also taken aback for a moment, and only then did he notice a "creaking" sound in his ears.

"what happened"

Before she finished speaking, Zhang Tianyang, who was standing in front of the computer just now, instantly turned into a silver carp.

With a sound of "咻", it skipped in front of her.

　Ask for a monthly pass, ask for a monthly pass!Beep!

　　

　

(End of this chapter)