I'm really an intern

Chapter 32 There are many helpless places where you can't see

On Saturday, Professor Liu's team completed the rounds early.

Zhang Tianyang found Senior Sister Liang.

"Senior sister, let me hand over the patient to you."

Up to now, only the old lady who was admitted to the hospital this Wednesday is left in Zhang Tianyang's hands.

Proteinuria + edema of both lower extremities + cerebral infarction came in. After a few days of diuretic and hormone therapy, the old lady's condition was stable.

It is conservatively estimated that he will be discharged from the hospital next Tuesday.

So far, Zhang Tianyang's two-week rotation in the Department of Nephrology has come to a successful conclusion.

Looking back, he has handled 5 patients in total.

40-bed elder brother for hypertensive emergencies + hyperkalemia;

Severe edema of both lower limbs, a 41-bed uncle with wonderful family members;

Polite and lovely little girl with 37 beds;

An old lady with urinary protein + edema of both lower extremities + cerebral infarction;

There is also an old lady in the 41-bed ICU who took over temporarily and made him frightened by the bloody fountain.

There was no danger, and the result was quite satisfactory.

Such a result, on any intern who has just graduated from the clinic, is enough to show off on Moments for a month.

"Successful graduation, Xiao Zhang!"

Professor Liu came over with a smile and extended an invitation to Zhang Tianyang.

"How about it? Last Friday's dinner party was ruined. Tonight I will invite everyone to dinner, just to see off Dr. Zhang!"

After Professor Liu finished speaking, he suddenly felt something was wrong.

After thinking about it carefully, I added another sentence.

"Yes, Xiao Wang is also leaving the department this week, and Xiao Li, shouldn't he also be leaving the department next week? Let's practice together today!"

Senior Sister Li was pale and weak, and nodded with a smile.

Brother Wang hid aside and burst into tears.

"The professor finally didn't forget me!"

"But why do you always feel that I'm an extra?"

On Saturday night, led by a group of brothers and sisters, Zhang Tianyang walked into the Huiqiao Building of Dongfang Hospital for the first time.

"Is this also a ward?"

No wonder Zhang Tianyang was shocked. Huiqiao Building is a ward in name, but it looks like a star hotel.

There is a "service desk" on each floor, and the nurses inside can pull out any one and be a model.

It has become instinct for the nurses in the general ward to scold the doctor when they are in a hurry.

The nurses here are never impatient. Even if you do something wrong, they will just smile and tell you:

"Doctor, you forgot to prescribe xx examination~"

"Doctor, you prescribed xx wrong~"

"Doctor, your xx bed patient has been looking for you all morning~"

In the entire Eastern Hospital, you can't find such gentle nurses anywhere else.

The wards in the general ward are all four or even eight-person rooms, while the wards here are all single rooms.

When you enter, it is like staying in a hotel. There are two beds, a desk and a sofa, and it also has its own toilet and bathroom.

There is even a restaurant on the first floor, and there is a place similar to the hotel reception next to it.

"Is this a ward for overseas Chinese?"

Zhang Tianyang is not afraid of exposing his ignorance.

As an intern who has just graduated from the clinic, isn't it normal that you are not familiar with the structure and departments of the hospital?

Professor Liu was stunned for a while before reacting.

"I almost forgot that you are an intern classmate who just graduated from the clinic!"

Professor Liu, who had always regarded Zhang Tianyang as a senior official, introduced him with a smile.

"The Overseas Chinese Department of our hospital has three buildings. Qiao Yi is on the top two floors of the Digestion Building. Qiao Er is currently being remodeled. This is Qiao San."

"A long time ago, it was indeed for overseas Chinese to live, but now, it is mainly provided for patients who are relatively wealthy and have higher requirements for the medical environment."

Senior Sister Li is a graduate student of this school, so she pays more attention to these, so she can't help but add.

"Living in Qiaoke, every day is not counted as treatment or nursing care, and the hospitalization fee alone is 460."

"understood."

Zhang Tianyang sighed, "If you have money, you can do whatever you want."

"Wouldn't it be more scientific for the patients here to prescribe examinations and prescribe medicines, without worrying about the financial burden of the patients?"

This is Zhang Tianyang's sigh from the heart.

In fact, in many cases, there are better options for the treatment of diseases, but due to the patient's economic base, they cannot be used as they want.

When Zhang Tianyang first came to the kidney, Zhang Tianyang followed Senior Sister Liang to make ward rounds, and saw a very helpless patient.

Because of financial problems, I couldn't use hormones, so I only chose conservative treatment.

When Zhang Tianyang asked Senior Sister Liang after the house inspection, she didn't say anything, but just shook her head.

And where he can't see, there are more such patients.

If they can have a sufficient financial foundation, they may choose more expensive but clearer inspections, and they may be able to detect the existence of diseases earlier.

If they have a sufficient financial foundation, they may be able to choose more expensive but more effective treatment options, and they may be able to live longer and with better quality.

Thinking about it, patients of Qiaoke should not have too many financial constraints, and the diagnosis and treatment process will be smoother and more efficient.

"That's right." Professor Liu nodded, "But don't feel relaxed."

"Patients here don't have any difficulties with various examinations and medications. Generally, when I tell them what to do, they will wave their hands and 'do it'!"

"But they will ask you, doctor, why do I have this disease?"

"Doctor, why do I have this disease?"

Zhang Tianyang didn't think there was anything wrong, but Senior Brother Wang shivered beside him.

"This kind of question is simply touching the soul!"

For diseases with a clear pathological mechanism, there are often dozens of etiologies, and they vary from person to person.

Some people have healthy living habits, don't smoke, drink, stay up late and exercise reasonably, but they are sick.

Some people smoke, drink and stay up all night to reach the full level, but he is strong.

Who are you talking to?

Let alone diseases with unclear pathological mechanisms!

If I could figure out why you got sick, I could get a Nobel Prize!

So, after staying in the clinic for a long time, I think, why are you sick?

"It's fate!"

……

The place for the dinner was at the restaurant on the first floor of Qiaoke, and Professor Liu specially asked for a spacious private room.

"Junior Brother, Professor Liu likes you very much!"

Brother Wang secretly explained to Zhang Tianyang,

"In the nephrology department, there are actually a lot of opportunities to eat. Usually, medical representatives invite professors to give lectures and recommend their own company's medicines by the way."

"Just like the dinner that was scheduled last Friday, the drug agent also paid for it."

"But today it's just us. The professor paid for you to eat!"

Zhang Tianyang blinked and said modestly, "Brother, you are also a graduate."

Senior Brother Wang is very self-aware, "I'm just an extra...and look, Professor Liu's wife is also here."

Professor Liu's wife works in the medical record room. She is relatively relaxed and well maintained.

At this time, he was looking at Zhang Tianyang kindly.

She is an old husband and wife with Professor Liu, so it is easy to see her husband's intentions.

This little doctor Zhang looks ordinary in appearance, at most he looks quite clean.

But as a doctor, appearance is far less important than strength.

When was the last time Professor Liu was so optimistic about a student?

It seems that more than ten years ago, the young man is now in the provincial hospital, and he is doing well.

Is this Xiao Zhang doctor so good?

The teacher's wife looked at Zhang Tianyang with more kind eyes.

Professor Liu is also more straightforward and doesn't engage in those fake things.

Just after ordering, I went straight to the topic with a smile.

"Xiao Zhang, you are a fifth year senior this year, and you will graduate next year."

"Well, what are your plans for the future?"

"Which department do you want to go to?"

Professor Liu smiled happily, "Should I consider nephrology?"

(End of this chapter)