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

Although she knew that this patient was an incurable disease that she had not seen for five years, Senior Sister Xianyu did not want to participate, but it did not mean that she did not want to learn new knowledge.

Attentively moved the chairs for the three white coats, and Senior Sister Chen sat down on another chair, supporting her head and preparing to listen to the lecture.

Senior Brother She had already finished typing the medical record at this time, and was holding a book of infectious diseases reading, and when he saw this, he hesitated, but slowly leaned over.

The five of them formed a circle, and the attending physician next to him also stretched out his head to join in the fun.

A large box of past medical records was placed on the floor, and a group of white coats were picking and sorting through it, head to head.

"How did I get 14 years of medical records? Is this patient keeping all of his past medical records?"

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

Many patients have been hospitalized many times, and they don't remember to bring their previous medical records when they come over, and they must be urged by the doctor many times before they can be brought over slowly.

"This patient's family must be very concerned about her......

Senior Sister Chen was a little stunned, Zhang Tianyang raised his head and reminded her, "Remember to put it back in the original place after turning it over, it's not easy to sort out so much, and the family is already hard enough." ”

"Okay, okay!"

Senior Sister Chen nodded vigorously, a little embarrassed.

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

Senior Brother He glanced up at Zhang Tianyang.

"Xiao Zhang, I see that the family member looked indifferent at first, but it seems that after you found the lesion in the throat of that little girl, she was a little emotionally fluctuating. ”

"Well, I can see that too. ”

Zhang Tianyang shook his head, "I'm afraid that I just had a little hope and snuffed her out again." ”

As he spoke, he pulled out a cardboard bag with kraft paper, "This is the CT of her chest taken at the local hospital a month ago." ”

Hearing this, several white coats came over.

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

"it!"

The chief of the next group had tried his best to restrain himself, but he still couldn't help but explode directly in front of Professor Zhu.

Senior Brother She's reaction was not so big, but his whole face was wrinkled together, and this film caused him physical discomfort.

Senior Sister Chen only glanced at it and twisted her head to the side.

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

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

In the face of medicine, intensive phobias can also be endured!

Senior Brother He and Professor Zhu both had serious faces.

Zhang Tianyang's face was also very serious, he stared at the film, his eyes did not blink.

This film is mainly about the lungs of girls.

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

In layman's terms, the white plates are like water ants all over the floor after a heavy rain in Guangdong Province in the summer, huddled together layer upon layer, crowding her lungs.

If you look closely, a quarter of the girl's left lung is no longer usable, and the right side is even more powerful, and almost half of the area is not 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 rummage through it, and quickly turned out the girl's film from a year ago.

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

A year ago, only a fifth of the left side could not be seen, and almost a quarter of the right side.

But in a year, it has become what it is now.

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

"It's getting faster and faster. If this continues, it is estimated that all the lungs will not be usable by this time next year. ”

Senior Brother He gave his views on the development of the disease.

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

In layman's terms, it seems that her life is less than half a year left......

"It's so hard......"

Senior Sister Chen swallowed her saliva, feeling a little desperate.

"Can't you really find the cause?"

"Look at it, try to find it. ”

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

Today's group of professors is very active, two professors shared a film of incurable diseases in the morning, and several professors from the imaging department jumped out to have a remote consultation, and the discussion was intense at this time.

But as soon as Professor Zhu's film was released, the group suddenly fell silent.

It took a full five minutes for a professor in the imaging department to send a message.

"Whose film is so tragic?"

The group of professors finally became active again, and it was too much to discuss this film, and several professors from the imaging department looked at it again and again, and they didn't think about what kind of disease could make it like this.

"Is it tuberculosis?"

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

"Did you use the antibiotic?"

"I used it for a long time, but it didn't work. ”

After learning that this was a film of a patient who was going to be consulted in the whole hospital tomorrow, several professors from 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 specifically instructed Zhang Tianyang.

"Write a good medical history, write detailed auxiliary examinations, and then classify the information to the professors of the corresponding departments during the consultation. ”

In the end, I was relieved.

"You can look up the literature to see if there have been similar cases before, but you don't have to stress too much. You can't take care of this patient's affairs yourself, but you still have to look at this afternoon's and tomorrow's consultation to see what the professors think. ”

"When the time comes, you should make a good note of what treatment you can try. ”

It's not that Professor Zhu speaks badly, but that's the case.

How could such an incurable disease be able to be roared at by an intern like Zhang Tianyang?

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

Professor Zhu disappeared at the door of the office, Senior Brother He took off his white coat and prepared to go home, and Senior Sister Chen patted Zhang Tianyang on the shoulder.

"Senior brother, come on and write, you have a consultation this afternoon, you have to work overtime at noon, I'm going to listen to the class now, and I'll help you get an extra meal~"

Senior Brother She also went to attend the lecture and eat, and glanced at Zhang Tianyang before leaving.

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

"Alas. ”

There seem to be a lot of opportunities to sigh today, Zhang Tianyang silently opened a bunch of examinations for the 8-bed girl who was admitted to the hospital, plus a bedside addition, and a bunch of urgent blood tests.

After thinking about it, he built a word document and began to knock on the course of the 8-bed girl's illness.

Although he doesn't have a clue for the time being, he must at least do his homework and provide the professors with enough information.

At 1:45 p.m., Zhang Tianyang finally typed out a document.

I thought about it, but I always felt that something was wrong.

——————————————————

This case is indeed the one of Xiehe, and the doctor who found the cause of the patient in reality is called Wang Peng, a doctor from the laboratory department of Xiehe Hospital.

Here's a tribute to her.

I hope she's okay in heaven.

The seniors couldn't arrange it at will, so instead of writing her into the book, they gave the case to the protagonist.

Let me explain here that there is a doctor in reality who is even more awesome than the fictional protagonist, her name is Wang Peng.