I'm really an intern

Chapter 56 Doctor Zhang, You Are Very Good

"Junior Brother, I believe in you!"

Chen Shishi waved her fist to show her encouragement, and she quickly looked away when she met Professor Zhu's eyes.

"Junior brother, come on, I support you mentally, but in action hehe"

Zhang Tianyang didn't need it, he just sat down in the seat that Professor Zhu stepped aside, and began to give everyone the results of various inspections.

"This patient is very young, only 27 years old, and he had an enlarged spleen so early, and it feels like a differential diagnosis is needed.

First of all, liver cirrhosis can lead to splenomegaly, which is also the cause of most of our patients' splenomegaly, but this patient is too young to feel it is possible.

Of course, screening is still to be done, so he was prescribed a liver stiffness scan.

Then, I mainly think about blood system diseases, schistosomiasis, and hepatolenticular degeneration. "

"In the case of blood system diseases, his blood routine showed that the three lines (white blood cells, hemoglobin, and platelets became three lines) were slightly lower, especially the hemoglobin, which is indeed a possibility of blood system diseases.

But an enlarged spleen itself can also cause this condition. "

Zhang Tianyang thought for a while, "I'm going to give him a bone piercing today to check for blood system diseases."

He looked up at Professor Zhu, got a nod and continued to narrate.

"The indicators of liver function are also a bit high, but not much high, which is in line with my guess. This young man's splenomegaly should not be caused by conventional alcoholic liver, fatty liver, or liver cirrhosis caused by hepatitis B virus like other patients."

"Ceruloplasmin is used to screen for genotypes of hepatolenticular degeneration, a disease that is often hereditary, causes abnormalities in copper metabolism, and develops at a young age.

I asked about the patient's family history, and the patient said he didn't have it, but he still checked.

The ceruloplasmin does not seem to be high now, but it still depends on the results of the patient's ophthalmology consultation and urine copper quantification. "

Half of the explanation of the extra inspection was already explained. Professor Zhu just nodded and never made any comments.

While watching, Senior Brother She was beating drums in his heart.

Maybe maybe not?

It's just an intern

It's okay, and the most expensive inspection has not been explained, let's see what he said.

Zhang Tianyang pointed to the item on the screen, "This schistosomiasis antibody is for screening patients for schistosomiasis."

"Because the patient is from Yixing, Jiangsu Province, which happens to be a schistosomiasis-endemic area, schistosomiasis will also cause his situation.

Our hospital does not have this project, and we need to send blood samples to KingMed for examination, so we ordered an enhanced CT of the upper abdomen. "

"If you can see obvious pattern changes, you can diagnose schistosomiasis."

After explaining all the inspections, Zhang Tianyang looked back at Professor Zhu.

Professor Zhu didn't speak, but looked back at Senior Brother She.

"Doctor She, do you have any questions?"

"I don't have any."

Although he was extremely unwilling to believe it, but the facts were in front of him, Senior Brother She had no choice but to bow his head.

"sorry"

"You said sorry to me?"

When Professor Zhu just listened to Zhang Tianyang's explanation, his slightly relaxed face turned gloomy again, staring at Senior Brother She's body trembling.

"Junior Brother, I'm sorry!"

Only then was Professor Zhu slightly satisfied, and sat down again in the seat Zhang Tianyang made way for, and started the formal computer rounds.

"The 77-bed is the old man who had a fever for 2 months, and various hospitals did not find out what the disease was for a long time. His family members are a bit difficult to deal with."

Professor Zhu specifically mentioned Sister Chen's bed 77, "Dr. He went to take care of it yesterday, but I think his son may still have some troubles. Dr. He and I are not often here. You should be careful recently."

"Okay, the other patients are fine, let's go and see."

Professor Zhu took the lead and walked out, followed by three white coats step by step.

Brother She didn't know what he was thinking, and silently floated to the back.

The whole ward round process was also absent-minded. When his patients were found, Professor Zhu had to yell several times before he reacted.

It made Professor Zhu's complexion more and more ugly.

The last bed checked was bed 79, and Senior Brother She lowered his head the whole time.

At eleven o'clock in the morning, the rounds ended.

Professor Zhu drove Zhang Tianyang and Chen Shishi to work in the doctor's office, but left Senior Brother She behind.

Finding a quiet corner, Professor Zhu decided to have a heart-to-heart talk with him.

"Doctor She, what are you thinking?"

"I, I..." Senior Brother She felt that his mind was in a mess, and he could only say the only thing that came to his mind, "I think it's rare to have a patient who obeys the doctor's orders like this, and he can't be hurt by more examinations."

"Really?" Professor Zhu suddenly started to ask, "Do you know what is the main problem of this patient?"

"Enlarged spleen?"

"Yes, enlarged spleen, when did you know?"

"last night."

"That's good." Professor Zhu stared straight into Senior Brother She's eyes, "I didn't comment on whether the reason for the splenomegaly that Dr. Zhang said this morning was right or wrong, so now you can tell me whether he is right or not. precise?"

"I..." Senior Brother She was taken aback, "Maybe I'm right."

After all, what you said is justified

"Maybe?" Professor Zhu sighed, "You found out yesterday that he has a large spleen. Since you care so much about him and don't want him to undergo unnecessary examinations, have you checked the literature to find out the cause of the enlarged spleen?"

Senior Brother She lowered his head.

"Okay, no." Professor Zhu sighed again, "Answer me again, what do you think?"

"I..." Senior Brother She resisted stubbornly, "I just think that Junior Brother is an intern. Maybe, maybe the judgment is not so accurate."

"What's wrong with the interns?" Professor Zhu's eyes became sharper. "Clinically, capable people occupy high positions, so what about interns? If you don't understand what others know, you have to learn from others!"

"Look at the doctors in the clinic. There are some who are old enough to still be in charge, and some who have been rated as professors at a young age. Do they rely on seniority? They rely on ability!"

Senior Brother She was scolded to the point of embarrassment, but felt that it was very reasonable, so he could only keep apologizing, "I'm sorry, I'm sorry."

"You shouldn't have told me that you're sorry." Professor Zhu was a little more gentle at this time.

"You should tell Dr. Zhang that you are sorry, because you communicated with his patients privately without his permission and without reporting to the superior doctor. This is causing trouble for him."

"You should tell yourself that you are sorry. Modesty makes people progress, admit your own shortcomings, and learn from excellent people, so that you can become more and more capable."

"Okay, learn more from your junior brother in the future, and ask him for advice if you have anything to do. You go back first, and then call Dr. Zhang over."

Professor Zhu didn't continue to cause trouble, and put Senior Brother She back.

Brother She felt even more guilty, and when he saw Zhang Tianyang, he didn't dare to look at him.

Although Zhang Tianyang didn't complain about him from the beginning to the end, he felt his face was hot, as if he had been slapped several times.

Zhang Tianyang came to Professor Zhu in a daze.

Then Professor Zhu only said a few words to him.

The first sentence is: "Doctor Zhang, you are very good."

The second sentence is: "Teach Dr. She more in the future, and tell him about it."

Zhang Tianyang: "???"

Looking at the back of Professor Zhu leaving neatly, Zhang Tianyang blinked.

That's it, upgrade?

　The Floating Moonlight boss has been upgraded to a Dharma protector~ Let’s add an update~ Hehe

　　

　

(End of this chapter)