I'm really an intern

Chapter 432 It's over, Xiao Zhang will be scolded!

At 02:30 on Monday afternoon, the director Da Ma Jindao sat in front of the big desk in the office.

Spread out on the table is a list of existing patients, the new patients who have not been seen by the chief director, and the patients who will be operated on tomorrow, are all carefully marked by the bald teacher Yang Ge.

"Are these six beds the new ones?"

The chief director squinted his eyes, and with a bald head and a teacher, he came up to him automatically and consciously, and introduced the situation of the six new patients to the chief director one by one.

Zhang Tianyang and Senior Brother Meng also came over and were responsible for making supplements when the chief director asked carefully.

Brother Yang with a bald head and a belt is considered a small boss, and he must understand the general conditions of all patients.

But when it comes to each patient's daily condition changes, various examination results, and the requirements of patients and their families, only the doctor in charge of the bed knows these.

"This, this, and this, surgery on Thursday. This, continue to improve the inspection, have you done urodynamics? There is no rush, let's put it to surgery next week. This"

The follow-up arrangements for six patients and five patients were quickly finalized. When it was the turn of the 35th bed, the director obviously paused.

"director"

Zhang Tianyang just wanted to speak, but the chief director turned his head directly.

"Bed 35 belongs to Xiao Zhang? How about it, Xiao Zhang, what do you think about this patient?"

Ok?

Instead of directly arranging, they asked Zhang Tianyang's opinion instead?

The bald headband taught Brother Yang to reach out to hold Zhang Tianyang's hand, and immediately drew a circle, and finally patted himself on the head lightly.

The shock that flashed across his face froze for a moment, then was quickly replaced by blankness, and was quickly covered up by a smiling expression.

This is not right.

The director usually arranges directly, when will he take the initiative to ask the doctor's opinion below?

Only when the doctors below raised obvious questions, the director would ask them what they were thinking, and then start teaching, or scold them.

Why didn't you say anything this time and just asked?

Is it because Xiao Zhang's expression on what he wants to say is too obvious?Could it be because the director asked this because he was angry?

Do you want to say something nice to Xiao Zhang?

The bald head taught brother Yang to turn his mind sharply, while winking at senior brother Meng.

[Hurry up, when the director of the meeting is going to get mad, call me out! 】

Brother Meng accurately understood what the bald headband meant to teach Brother Yang, frowned, and also winked at him.

[Won't this make the director even more angry! 】

【Won't!listen to me!I'll cover you later! 】

[Then why interrupt? 】

[Use your patients!Come up with a reason!You talk to Sun Yu, let her hold Xiao Zhang when we rush up! 】

Over there, the bald band taught Brother Yang and Brother Meng flirting.

Here, Zhang Tianyang blinked his eyes, not thinking so much.

But he still remembered the advice of the two before.

So after a pause, Zhang Tianyang showed a smile that met social expectations.

"I wonder what you think of this patient, Director?"

"Hahahaha!"

The director smiled and shook his head, "Don't worry about my opinion, I want to hear your thoughts."

Mom!

He even laughed!

And resolutely refused to speak their minds!

Don't listen to Xiao Zhang's ideas!

The bald-headed brother Yang and brother Meng were instantly excited, and their eye contact became more frequent.

[The big things are not good, the big things are not good!The director definitely has a problem today! 】

【Then what to do! 】

[Have you thought about your reason yet!Come on! 】

"director"

In desperation, Senior Brother Meng rushed half a step forward, but it was already too late.

Zhang Tianyang has already taken out the small notebook in his pocket and placed it in front of the chief director.

"Director, I think so."

"The main symptom of this patient was chyluria, and based on the medical history and the patient's usual place of residence, previous filariasis infection was suspected.

However, the patient's filariasis-related examinations have been negative in recent years, and the samples sent out after admission are also negative.

Moreover, the patient had undergone an operation in 04, and chyluria reappeared six months after the operation, and did not continue the treatment. "

So far, Zhang Tianyang has only talked about the patient's medical history. While the bald headband taught Brother Yang and Brother Meng to get angry, they desperately winked at Zhang Tianyang.

【Okay, stop talking!Just tell the director the details of the patient!Next, ask the director for follow-up treatment!Don't say ah ah ah ah ah! 】

However, Zhang Tianyang stared at the chief director and did not receive their signal at all.

"In the past ten years, the patient did not develop the subsequent course of disease due to the problem of chyluria. As far as I know, the patient's family situation is not very rich.

Moreover, whether the patient's age and physical condition can bear the second operation is also unknown."

Zhang Tianyang continued to talk eloquently, and Brother Yang slapped himself on the head with his bald headband.

Finished!

Xiao Zhang will be scolded.

harm

Forget it, this Zhang Tianyang is hopeless.

Don't struggle, don't struggle, let's watch the play around.

All the excitement and tension disappeared, and now what came to the minds of Brother Yang and Brother Meng with the bald headbands was indifference to the established facts and sympathy for Zhang Tianyang, who insisted on going his own way to "court death".

A good young man, why doesn't he listen to advice?

Look at the director's expression!

I was smiling just now, but now I'm frowning!

Waiting for the storm, it will come very violently!

The bald-headed teacher Yang and brother Meng have already entered the mode of watching a movie.

Over there, Zhang Tianyang has already talked about the disease history from the medical history to the analysis of the disease.

"The main reason for the patient's admission this time is because chyluria has turned into chylus hematuria. In fact, hematuria is the problem we should solve.

The common causes of hematuria in our urology department are stones, tumors, and inflammation.

The film taken before she was admitted to the hospital showed that there were no stones, and no suspicious space-occupying lesions were reported, so I think the possibility of inflammation is relatively high. "

Zhang Tianyang looked at the chief director's frown slightly, took a deep breath, and finished his opinion.

"I think that for this patient, we can first treat the infection with anti-infection and observe the progress or improvement of the hematuria. If the hematuria persists, we can do a cystoscopy to see which side is the problem, or the problem inside the bladder.

At that time, symptomatic solution to the cause of hematuria.

As for the patient's chyluria, we don't need to deal with it. We just instruct the patient to eat normally and adjust his malnutrition. "

After expressing his opinion in one breath, Zhang Tianyang fell silent.

Because my proposition boils down to, "No surgery."

Because the director's brows became more and more wrinkled since he analyzed the condition.

Director, will you really recognize your own ideas?

The white coats next to them couldn't help becoming tense.

Sun Yu had never experienced this kind of confrontation between superior and subordinate doctors, subconsciously held his breath, his hands were clenched into fists, the palms were wet, and he was nervous as if he would be the one who would be scolded later.

Senior Brother Meng had dark circles under his boss's eyes, but he wasn't sleepy at all at this moment. His eyes lingered on Zhang Tianyang's face and that of the chief director, but his eyes were a little erratic.

He remembered that when he had just entered the clinic and the newborn calf was not afraid of tigers, he seemed to have disagreed with the chief director once because of some patient.

But that time, he only raised a question weakly after the chief director proposed the treatment plan, but he was beaten miserably later.

He still remembers what the chief director said at that time, "Go back and read this chapter of our Urology Collection carefully three times, and then come back and tell me about it!".

Brother Yang with the bald head belt unconsciously curled his bald head, and wanted to say something for Zhang Tianyang that "newcomers are ignorant", but hesitated for a while, and finally gave up.

The chief director is also his mentor, and he will not show mercy when scolding.

Usually, if you scold a few words, you will just scold. It is normal for the teacher to scold the students!

But now these children are a little hard to get rid of this old face

"So you think, 35 beds, no surgery, only anti-infection treatment?"

After being silent for a while, the director stared straight at Zhang Tianyang in front of him.

That look, that aura came from the front.

Sun Yu who was standing obliquely behind Zhang Tianyang was affected and took a step back subconsciously.

Zhang Tianyang stood firmly on the spot.

After going through what he just said in his mind, he raised his head slightly and looked at the director.

"Yes, I think so. Please correct me, Director."

Before three o'clock in the afternoon, the doctor's office was very empty.

There seemed to be a hint of gunpowder in the air.

The wind blew through the open windows.

The A4 paper with the patient list printed on it spread out on the table was blown up, and with two bangs, it wanted to float away.

Zhang Tianyang stretched out his hand, trying to hold it down.

But the big director's hand is faster.

He held down the A4 paper with one finger, and slowly raised his head.

Then, suddenly laughed.

"Hahahahaha! Good!"

--------------

Today is also Diligent An who is working hard to update~ and it is a big chapter~

(End of this chapter)