Chapter 64: I can't stop scolding
"Yo, these dark circles!"
Professor Zhu seemed to be in a good mood, and made fun of the dark circles under the eyes of Senior Brother He and Zhang Tianyang.
"There were a lot of things going on yesterday, Dr. He, Dr. Zhang, hard work!"
Professor Zhu opened the doctor's workstation with a smile, "Our two doctors have worked hard, so let's do the ward rounds quickly today, deal with it early, and let them go back to rest as soon as possible." ”
Say it's fast, it's really fast.
Brief debriefing, quick advice, and then a new bed.
Monday's rounds were exceptionally swift.
"82 beds, whose patient is this?"
"Mine. ”
Zhang Tianyang stood up, "The results of the enhanced CT scan of the upper abdomen have come out, and the area of the spleen plug is 70 ......."
"No wonder I have a fever all the time. ”
Professor Zhu nodded, and Senior Brother He was also stunned.
After splenic thrombosis surgery, there will be heat absorption, and the area of the thrombus is so large, the heat absorption must be more serious.
"Let's continue to live, knock on my stomach every day, release ascites if I have it, and wait for my body temperature to stabilize before I release it. ”
"Okay. ”
Zhang Tianyang nodded.
In fact, the body temperature of the 82-bed uncle on the weekend is not as high as before, although he is still feverish, but it is obvious that he can see the trend of improvement.
"Professor, his temperature list is here, can the antibiotic regimen be downgraded? ”
Zhang Tianyang handed over the temperature slip that he had copied earlier, Professor Zhu glanced at it and nodded, "Okay, you can take the idea, I don't worry." ”
Professor Zhu is a "Rare Physician" who randomly spawns at specific locations.
She shows up less, but that doesn't mean she doesn't know what's going on on on the ward.
As the attending physician, Senior Brother He would report the patient's situation 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 words about Tianyang again.
Zhang Tianyang continued to introduce the situation of the patients in charge of his bed.
"83 beds, come to put ascites, now the basic situation is fine, the patient and his family said that the symptoms have improved and want to be discharged, he will be discharged tomorrow?"
"Okay, you decide. If it comes out tomorrow, it's just right, you go back to rest today, and tomorrow you will come out with one, and you will receive another one. ”
Professor Zhu nodded, and did not make a rebuttal from beginning to end, even when it came to the patient with the spleen of the young man in bed 79.
"79 beds, splenomegaly chayin, blood system disease, Wilson's disease has now been ruled out, and the results of enhanced CT have not yet returned, but Senior Brother He and I looked at the images, and there is no typical map 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, and he still needs a liver puncture if he examines it, and then he should be able to confirm the diagnosis." ”
But his three lines are low, platelets are only 41, even if he has to do a puncture, he should not be able to penetrate directly, it is estimated that he has to use a domestic vein. ”
Professor Zhu listened carefully, and nodded at the end, "Xiao Zhang can do it." ”
The young man in bed 79 took the relationship with Professor Zhu, and the purpose was to let Professor Zhu take more care of him, investigate the cause of the disease, and see how to treat it.
Professor Zhu also wanted to take care of it, but found that there was no place for him at all.
All the possibilities and examinations were all arranged by Zhang Tianyang.
Clear thinking and clear purpose.
Sometimes even she thinks that Zhang Tianyang can make her own decisions without reporting to the senior doctor.
She thought for a moment.
"In this way, you talk to your family, if you are willing to have a puncture, talk about the advantages and risks of the two types of puncture, and then if you don't do it, you will be discharged from the hospital, and if you want to do it, you will go to the Zengcheng branch to do it. ”
"Okay. ”
After all the patients were checked, Professor Zhu led a group of white coats out of the ward, waving his hand to let others go back first to do their own work, leaving Zhang Tianyang alone.
Zhang Tianyang looked at Professor Zhu's gradually gloomy face, and sighed in his heart.
After all, we still haven't escaped! Yesterday's incident will be held accountable!
"Come, find a quiet place to talk to you. ”
Professor Zhu took Zhang Tianyang to the corner, passing by a group of family members who wanted to speak but stopped.
Zhang Tianyang saw the granddaughter of the 8-bed uncle who had an accident yesterday, at this time the little girl's eyes were still red, staring at Zhang Tianyang in a daze, but there was no longer the sadness of last night on her face, and there was a faint trace of dimples.
It seems that the old man with 8 beds is out of danger nine times out of ten.
Zhang Tianyang was a little happy in his heart, thinking about it like this, it seemed that the upcoming scolding was not so unbearable.
"Xiao Zhang, Doctor Zhang. ”
Professor Zhu finally took Zhang Tianyang to the corner, avoiding the group of patients' family members who were probing their brains in the distance.
What should have come is still coming.
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 to say what he wanted to scold.
She was a little helpless.
I have brought so many interns and trainees to various students, and when they make mistakes, they either keep their heads down and keep silent, or they subconsciously make excuses.
There are really few students like Zhang Tianyang who admit their mistakes and even clearly know where they are wrong.
The one-stop reprimand was interrupted, and Professor Zhu couldn't get up in an instant, so he could only sigh.
"Do you really know it's wrong?"
"Yes. Zhang Tianyang was immediately beaten, "I violated the regulations and did invasive operations without the permission of a doctor's qualification certificate and senior doctors, I was wrong." ”
After Zhang Tianyang finished speaking, he waited for Professor Zhu to continue scolding.
Professor Zhu looked at the white coat with his head down, but he was a little helpless.
You're trying to justify yourself, huh?
At least bring the patient back from a certain death situation!
Professor Zhu touched his face, and suddenly felt a toothache, "You don't have anything else to say?"
"To do something wrong is to do something wrong, even if the original intention is good, it is wrong, I admit punishment. ”
Zhang Tianyang's attitude was correct, which made Professor Zhu laugh helplessly.
"Then let me ask you, the next time this happens, will you still assert yourself?"
Zhang Tianyang thought for a moment, and suddenly raised his head, "Human life is at stake." ”
After thinking about it, he added, "When you have the ability, you save people, and when you don't have the ability, you hurt people." ”
Professor Zhu shook his head, and the gloom on his face could no longer be maintained.
"You get the idea. Knowing that when you have the ability, you can save people, and when you don't have the ability, you can hurt people. ”
Professor Zhu glanced at Zhang Tianyang deeply, "After all, it is a violation, and you still have to write a review." However, in clinical practice, the rewards and punishments are clear, violations will be punished, and saved people will be rewarded, and I will personally tell the Academic Affairs Office about this matter. ”
This means that she has carried this matter down, write a review, even if she turns the page, maybe there will be a reward in the future.
Zhang Tianyang smiled, "Thank you, Professor." ”
"Aunt Doctor!"
A weak voice suddenly interjected, and the two white coats turned their heads to see a little girl in a school uniform with red eyes.