I'm really an intern
Chapter 67
Chapter 67
"Yo, those dark circles!"
Professor Zhu seemed to be in a good mood, and made fun of Senior Brother He and Zhang Tianyang's dark circles.
"There were a lot of things yesterday, Dr. He, Dr. Zhang, you worked hard!"
Professor Zhu opened the doctor's workstation with a smile, "Our two doctors have worked hard, so we will make a quick round of the ward today, finish the treatment earlier, and let them go back to rest earlier."
Say it's fast, it's really fast.
Briefly report on the condition, give advice quickly, and then change the bed.
The rounds on Monday were extraordinarily quick.
"Bed 82, whose patient is this?"
"mine."
Zhang Tianyang stood up, "The results of the enhanced CT of the upper abdomen came out, and the area of the spleen plug was 70.00%"
"No wonder you keep having a fever."
Professor Zhu nodded, and Senior Brother He was also stunned.
Splenic embolism surgery itself will have absorption heat, and the area of the embolus is so large, the absorption heat must be more serious.
"Continue to live, knock on the stomach every day, release ascites, and release it after the body temperature stabilizes."
"Ok."
Zhang Tianyang nodded.
In fact, the body temperature of the 82-bed man on weekends is not as high as before. Although he still has a fever, he can clearly see a trend of improvement.
"Professor, his temperature list is here, can the antibiotic regimen be downgraded?"
Zhang Tianyang handed over the temperature sheet that he had copied earlier. Professor Zhu glanced at it and nodded, "Okay, make up your mind, I don't worry."
As a "rare doctor", Professor Zhu is randomly refreshed at a specific location.
She rarely appeared, but it didn't mean she was unaware of the situation in the ward.
Senior Brother He, as the attending physician, would report the patient's condition to her every day, and he did not forget to exaggerate Tianyang after the report.
Her ears were calloused.
Especially this morning, when she was chatting with Senior Brother He, she heard a bunch of exaggerated Tianyang words.
Zhang Tianyang continued to introduce the situation of the patients in charge of the bed.
"In bed 83, the person who came here to put the ascites, the basic condition is all right now, the patient and his family said that his symptoms have improved and he wants to be discharged from the hospital. Will he be discharged tomorrow?"
"Okay, you decide. If you release it tomorrow, it's just right. You go back to rest today, release one tomorrow, and take another one."
Professor Zhu nodded, and did not raise any rebuttals from the beginning to the end, even when it came to the young male patient with splenomegaly in bed 79.
"At bed 79, splenomegaly was diagnosed. Hematological diseases and hepatolenticular degeneration have been ruled out. The results of enhanced CT have not yet been reported, but Brother He and I looked at the images, and there is no typical geographic change of schistosomiasis."
Zhang Tianyang paused, "The patient had a history of umbilical cord infection when he was young, and now he is considering an idiopathic splenomegaly. He still needs a liver puncture for examination, and he should be able to confirm the diagnosis later."
"But his three lines are all low, and his platelets are only 41. Even if he needs a puncture, he should not be able to do it directly. It is estimated that he must use a domestic vein."
Professor Zhu listened carefully, and finally nodded, "Xiao Zhang is fine."
The young man in bed 79 left Professor Zhu's relationship, the purpose is to ask Professor Zhu to take care of him, to find out the cause of the disease, and see how to treat it.
Professor Zhu originally wanted to take care of him, but he found that there was no room for him.
All possibilities and inspections have been arranged by Zhang Tianyang.
Clear thinking and clear purpose.
Sometimes she even felt that Zhang Tianyang could make his own decision without reporting to the superior doctor.
She thought for a moment.
"In this way, you can talk to your family members about whether you would like to have a puncture, and talk about the advantages and risks of the two types of puncture. If you don't do it, you will be discharged from the hospital. If you want to do it, you can go to the Zengcheng branch."
"Ok."
After checking all the patients, Professor Zhu led a group of white coats out of the ward, and waved to others to go back and do their own work, except for Zhang Tianyang.
Looking at Professor Zhu's gradually gloomy face, Zhang Tianyang felt a thump in his heart.
After all, I still didn't escape!We will be held accountable for what happened yesterday!
"Come on, find a quiet place to talk to you."
Professor Zhu led Zhang Tianyang to the corner, passing a group of family members who were hesitant to speak.
Zhang Tianyang saw the granddaughter of the 8-bed uncle who had the accident yesterday. At this time, the little girl's eyes were still red, and she was staring at Zhang Tianyang in a daze, but the sadness of last night was gone on her face, and there was a faint mark of dimples on her face.
It seems that the 8-bed old man is out of danger in all likelihood.
Zhang Tianyang was a little happy in his heart. Thinking about it this way, the coming scolding later seemed not so unbearable.
"Xiao Zhang, Doctor Zhang."
Professor Zhu finally brought Zhang Tianyang to a corner, avoiding the group of family members of the patients who were probing their heads in the distance.
It's time to come.
Zhang Tianyang sighed, bowed his head and admitted his mistake, "I'm sorry, Professor, I shouldn't have acted rashly."
Professor Zhu's breath stagnated, and he couldn't continue speaking what he wanted to reprimand.
She was a little helpless.
Having supervised so many interns, regular trainees and other students, when they make mistakes, they either keep their heads down and remain silent, or subconsciously make excuses.
There are not many students like Zhang Tianyang who admit their mistakes straight away, and even clearly know where they went wrong.
The one-stop scolding was interrupted, and Professor Zhu couldn't be fierce for an instant, so he could only sigh.
"You really know you're wrong?"
"I know." Zhang Tianyang stood at attention and was beaten, "I violated the regulations and performed invasive operations without my doctor's qualification certificate and the permission of the superior doctor. I was wrong."
After Zhang Tianyang finished speaking, he waited for Professor Zhu to continue scolding.
Professor Zhu felt a little helpless looking at the white coat with his head down.
Why don't you justify yourself?
At least the patient was brought back from a certain death situation!
Professor Zhu touched his face and suddenly felt a toothache, "Do you have anything else to say?"
"If you do something wrong, you are doing something wrong. No matter how good the original intention is, it is still wrong. I accept the punishment."
Zhang Tianyang had a correct attitude, which made Professor Zhu laugh helplessly.
"Then let me ask you, next time this happens, will you still make your own claims?"
Zhang Tianyang thought for a moment, then suddenly raised his head, "Human life is at stake."
After thinking about it, I added another sentence, "When you have the ability, you save people, and when you don't, you harm people."
Professor Zhu shook his head, the gloomy expression on his face could no longer be maintained.
"You understand quite well. You know that when you are capable, you can save people, and when you are not capable, you can harm people."
Professor Zhu took a deep look at Zhang Tianyang, "After all, it is a violation. You still have to write a review. But clinically, there are clear rewards and punishments. If you violate the regulations, you will be punished. If you save someone, you will be rewarded. I will personally tell the Academic Affairs Office about this matter." of."
That is to say, she took this matter down and wrote a review, even if it was turned over, there might be rewards in the future.
Zhang Tianyang smiled, "Thank you Professor."
"Aunt Doctor!"
A weak voice suddenly came in, and the two white coats turned their heads, and saw the little girl in school uniform with red eyes.
(End of this chapter)
"Yo, those dark circles!"
Professor Zhu seemed to be in a good mood, and made fun of Senior Brother He and Zhang Tianyang's dark circles.
"There were a lot of things yesterday, Dr. He, Dr. Zhang, you worked hard!"
Professor Zhu opened the doctor's workstation with a smile, "Our two doctors have worked hard, so we will make a quick round of the ward today, finish the treatment earlier, and let them go back to rest earlier."
Say it's fast, it's really fast.
Briefly report on the condition, give advice quickly, and then change the bed.
The rounds on Monday were extraordinarily quick.
"Bed 82, whose patient is this?"
"mine."
Zhang Tianyang stood up, "The results of the enhanced CT of the upper abdomen came out, and the area of the spleen plug was 70.00%"
"No wonder you keep having a fever."
Professor Zhu nodded, and Senior Brother He was also stunned.
Splenic embolism surgery itself will have absorption heat, and the area of the embolus is so large, the absorption heat must be more serious.
"Continue to live, knock on the stomach every day, release ascites, and release it after the body temperature stabilizes."
"Ok."
Zhang Tianyang nodded.
In fact, the body temperature of the 82-bed man on weekends is not as high as before. Although he still has a fever, he can clearly see a trend of improvement.
"Professor, his temperature list is here, can the antibiotic regimen be downgraded?"
Zhang Tianyang handed over the temperature sheet that he had copied earlier. Professor Zhu glanced at it and nodded, "Okay, make up your mind, I don't worry."
As a "rare doctor", Professor Zhu is randomly refreshed at a specific location.
She rarely appeared, but it didn't mean she was unaware of the situation in the ward.
Senior Brother He, as the attending physician, would report the patient's condition to her every day, and he did not forget to exaggerate Tianyang after the report.
Her ears were calloused.
Especially this morning, when she was chatting with Senior Brother He, she heard a bunch of exaggerated Tianyang words.
Zhang Tianyang continued to introduce the situation of the patients in charge of the bed.
"In bed 83, the person who came here to put the ascites, the basic condition is all right now, the patient and his family said that his symptoms have improved and he wants to be discharged from the hospital. Will he be discharged tomorrow?"
"Okay, you decide. If you release it tomorrow, it's just right. You go back to rest today, release one tomorrow, and take another one."
Professor Zhu nodded, and did not raise any rebuttals from the beginning to the end, even when it came to the young male patient with splenomegaly in bed 79.
"At bed 79, splenomegaly was diagnosed. Hematological diseases and hepatolenticular degeneration have been ruled out. The results of enhanced CT have not yet been reported, but Brother He and I looked at the images, and there is no typical geographic change of schistosomiasis."
Zhang Tianyang paused, "The patient had a history of umbilical cord infection when he was young, and now he is considering an idiopathic splenomegaly. He still needs a liver puncture for examination, and he should be able to confirm the diagnosis later."
"But his three lines are all low, and his platelets are only 41. Even if he needs a puncture, he should not be able to do it directly. It is estimated that he must use a domestic vein."
Professor Zhu listened carefully, and finally nodded, "Xiao Zhang is fine."
The young man in bed 79 left Professor Zhu's relationship, the purpose is to ask Professor Zhu to take care of him, to find out the cause of the disease, and see how to treat it.
Professor Zhu originally wanted to take care of him, but he found that there was no room for him.
All possibilities and inspections have been arranged by Zhang Tianyang.
Clear thinking and clear purpose.
Sometimes she even felt that Zhang Tianyang could make his own decision without reporting to the superior doctor.
She thought for a moment.
"In this way, you can talk to your family members about whether you would like to have a puncture, and talk about the advantages and risks of the two types of puncture. If you don't do it, you will be discharged from the hospital. If you want to do it, you can go to the Zengcheng branch."
"Ok."
After checking all the patients, Professor Zhu led a group of white coats out of the ward, and waved to others to go back and do their own work, except for Zhang Tianyang.
Looking at Professor Zhu's gradually gloomy face, Zhang Tianyang felt a thump in his heart.
After all, I still didn't escape!We will be held accountable for what happened yesterday!
"Come on, find a quiet place to talk to you."
Professor Zhu led Zhang Tianyang to the corner, passing a group of family members who were hesitant to speak.
Zhang Tianyang saw the granddaughter of the 8-bed uncle who had the accident yesterday. At this time, the little girl's eyes were still red, and she was staring at Zhang Tianyang in a daze, but the sadness of last night was gone on her face, and there was a faint mark of dimples on her face.
It seems that the 8-bed old man is out of danger in all likelihood.
Zhang Tianyang was a little happy in his heart. Thinking about it this way, the coming scolding later seemed not so unbearable.
"Xiao Zhang, Doctor Zhang."
Professor Zhu finally brought Zhang Tianyang to a corner, avoiding the group of family members of the patients who were probing their heads in the distance.
It's time to come.
Zhang Tianyang sighed, bowed his head and admitted his mistake, "I'm sorry, Professor, I shouldn't have acted rashly."
Professor Zhu's breath stagnated, and he couldn't continue speaking what he wanted to reprimand.
She was a little helpless.
Having supervised so many interns, regular trainees and other students, when they make mistakes, they either keep their heads down and remain silent, or subconsciously make excuses.
There are not many students like Zhang Tianyang who admit their mistakes straight away, and even clearly know where they went wrong.
The one-stop scolding was interrupted, and Professor Zhu couldn't be fierce for an instant, so he could only sigh.
"You really know you're wrong?"
"I know." Zhang Tianyang stood at attention and was beaten, "I violated the regulations and performed invasive operations without my doctor's qualification certificate and the permission of the superior doctor. I was wrong."
After Zhang Tianyang finished speaking, he waited for Professor Zhu to continue scolding.
Professor Zhu felt a little helpless looking at the white coat with his head down.
Why don't you justify yourself?
At least the patient was brought back from a certain death situation!
Professor Zhu touched his face and suddenly felt a toothache, "Do you have anything else to say?"
"If you do something wrong, you are doing something wrong. No matter how good the original intention is, it is still wrong. I accept the punishment."
Zhang Tianyang had a correct attitude, which made Professor Zhu laugh helplessly.
"Then let me ask you, next time this happens, will you still make your own claims?"
Zhang Tianyang thought for a moment, then suddenly raised his head, "Human life is at stake."
After thinking about it, I added another sentence, "When you have the ability, you save people, and when you don't, you harm people."
Professor Zhu shook his head, the gloomy expression on his face could no longer be maintained.
"You understand quite well. You know that when you are capable, you can save people, and when you are not capable, you can harm people."
Professor Zhu took a deep look at Zhang Tianyang, "After all, it is a violation. You still have to write a review. But clinically, there are clear rewards and punishments. If you violate the regulations, you will be punished. If you save someone, you will be rewarded. I will personally tell the Academic Affairs Office about this matter." of."
That is to say, she took this matter down and wrote a review, even if it was turned over, there might be rewards in the future.
Zhang Tianyang smiled, "Thank you Professor."
"Aunt Doctor!"
A weak voice suddenly came in, and the two white coats turned their heads, and saw the little girl in school uniform with red eyes.
(End of this chapter)
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