I'm really an intern

Chapter 74 Tragic Chest CT (Salute to Seniors)

Back at the doctor's office, Senior Sister Chen came up first.

Although she knew that this patient had an intractable disease that she hadn't seen for five years, Sister Xianyu didn't want to participate, but it didn't mean she didn't want to learn new knowledge.

After diligently moving the chairs for the three white coats, Senior Sister Chen sat down on another chair, propped her head up and was ready to listen to the lecture.

Brother She had already finished typing the medical records at this time, and was holding a book of Infectious Diseases to read. Seeing this, he hesitated for a moment, but slowly leaned over.

Five people formed a circle, and the attending physician next to him also stretched his head over to join in the fun.

A large box of past medical records was placed on the ground, and a group of white coats picked and picked head to head inside.

"How did I find the 14-year medical records? Did this patient keep all the past medical records?"

Senior Sister Chen stared at the date of the medical record in her hand, a little surprised.

Many patients are old patients who have been hospitalized many times. When they come here, they will not remember to bring their previous medical records. They must be urged many times by the doctor before they come here slowly.

"The family members of this patient must be very concerned about her."

Senior Sister Chen was a little dazed, Zhang Tianyang raised her head and reminded her, "Remember to put it back in the original place after flipping through. It's not easy to organize so many, the family members have already worked hard enough."

"Good good!"

Senior Sister Chen nodded vigorously, a little bit embarrassed.

Senior Brother She paused, and silently rearranged the medical records he had just read.

Brother He looked up at Zhang Tianyang.

"Xiao Zhang, I saw that the family member looked indifferent at first, but it seems that after you discovered the lesion in the little girl's throat, she became a little emotional."

"Well, I see it too."

Zhang Tianyang shook his head, "I'm afraid that some hope just now will be extinguished by her again."

As he spoke, he took out a hard paper bag made of kraft paper, "This is the chest CT scan she took at the local hospital a month ago."

Hearing this, several white coats came over.

Zhang Tianyang carefully pulled out the film inside, raised his hand to point the film to the light.

"Fuck! My eyes!"

The attendant of the next-door group had tried his best to restrain himself, but he still couldn't hold back and yelled at Professor Zhu directly.

Brother She's reaction was not that big, but his whole face was also wrinkled together. This film caused him physical discomfort.

Senior Sister Chen turned her head aside after just one glance.

This kind of film is really torture for her intensive phobia!

But after a pause of two seconds, she suppressed her nausea and turned her head to stare at the film again.

In the face of medicine, intensive phobia can also be tolerated!

Brother He and Professor Zhu looked very serious.

Zhang Tianyang's face was also very serious, he stared at the film without blinking his eyes.

This film is mainly about the girl's lungs.

In professional terms, it is multiple small nodules in both lungs.

In layman's terms, the white plates are like the water ants that spread all over the floor after the summer rainstorm in Guangdong Province, crowding together layer upon layer, filling her lungs.

If you look closely, a quarter of the girl's left lung is useless, and the right side is worse, and nearly half of the lung has no intact tissue.

In the doctor's office, there was a rare silence.

Zhang Tianyang silently handed the film to Senior Brother He, then lowered his head to search, and quickly found the girl's film from a year ago.

Comparing the two, everyone found that the disease progressed rapidly.

A year ago only one-fifth of the area on the left could not be seen, and almost one-quarter on the right.

In just one year, it has become like this.

Then find out the previous films, two years ago, three years ago, and compare them one by one.

"The development is getting faster and faster. If this continues, by this time next year, all the lungs will probably be unusable."

Brother He gave his opinion based on the development of the disease.

But this is an idealized estimate. In fact, it is impossible to wait for all the lungs to fail. In a few months, the girl may not be able to hold on.

In layman's terms, it seems that she has less than half a year left in her life

"so hard"

Senior Sister Chen swallowed, feeling a little hopeless.

"Is there really no cause for it?"

"Look, try to find it."

Professor Zhu didn't give a definite answer, so he took a few pictures against the light and posted them in the professor group.

The group of professors today is very active. In the morning, two professors shared films of intractable diseases, and several professors from the imaging department jumped out to conduct a remote consultation. At this time, the discussion was intense.

But as soon as Professor Zhu's video was posted, the group fell silent.

After 5 minutes, a professor of imaging department sent a message.

"Whose film is so tragic?"

The group of professors finally became active again, discussing that this film was too much, and several professors of the imaging department watched it again and again, but they didn't expect what kind of disease would cause this.

"Is it tuberculosis?"

"I have been on anti-tuberculosis drugs for a year, and my condition is still getting worse."

"Any antibiotics?"

"I used it earlier, but it didn't work."

After discussions and discussions, there were no results. After learning that this was a film of a patient who will be consulted by the whole hospital tomorrow, several professors of the imaging department said that they would go back and check the literature to see if there were any similar medical records.

"Xiao Zhang, Doctor Zhang."

Professor Zhu specially instructed Zhang Tianyang.

"Write the medical history well, write the auxiliary examination in detail, and then classify the information to the professors in the corresponding departments during the consultation."

Finally, another word of relief.

"You can check the literature to see if there are any similar cases before, but you don't need to be too stressed. You can't manage the patient's affairs yourself. The main thing is to read the consultations this afternoon and tomorrow to see what the professors think .”

"When the time comes, you should write it down carefully. If there is any treatment method that can be implemented, you can try it."

It's not that Professor Zhu's words are harsh, but that's the truth.

How could an intern like Zhang Tianyang be able to yell at such intractable diseases?

As a bed doctor, it is enough for him to do his job well, be familiar with the patient's medical history, make a report, and take good notes.

Professor Zhu disappeared at the door of the office with the wind under his feet. Senior Brother He took off his white coat and was about to go home. Senior Sister Chen patted Zhang Tianyang on the shoulder.

"Junior brother, please keep writing. You have a consultation this afternoon. You have to work overtime at noon. I'm going to attend the class now, and I'll get you an extra meal later~"

Senior brother She also went to attend lectures and eat, and took a look at Zhang Tianyang before leaving.

Zhang Tianyang actually read the meaning of "sorrow and change" from his eyes.

"Ugh."

There seemed to be a lot of opportunities to sigh today. Zhang Tianyang silently ordered a bunch of examinations for the 8-bed girl, plus additional charges at the bedside, and a bunch of urgent blood tests.

After thinking about it, he created a word document and began typing the course of the 8-bed girl's illness.

Although he didn't have a clue yet, at least he had to make preparations and provide enough information to the professors.

At 45:[-] noon, Zhang Tianyang finally typed up a document.

After thinking about it, I always feel that something is wrong.

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

This case is indeed the one from Xiehe. In reality, the doctor who found the cause of the patient is Wang Peng, a doctor from the Laboratory Department of Xiehe Hospital.

Pay tribute to her here.

Hope she is well in heaven.

The seniors can't arrange it at will, so they didn't write her into the book, but gave this case to the protagonist.

Here is a special explanation. In reality, there is a doctor who is even better than the fictional protagonist. Her name is Wang Peng.

　(Little cuties who know this case don’t spoil it, listen to me and finish the story, and pay more attention to protecting yourself. Love you!)

　　

　

(End of this chapter)