At half past two o'clock in the afternoon of Monday, the director of the big director sat at the big desk in the office.

Spread out on the table is the existing list of patients, the new director has not seen the patients, and the patients who will be operated on tomorrow are all intimately marked out by the bald head and the elder brother.

"Are these six new beds?"

The director squinted, and the bald head taught him very automatically and consciously came up and introduced the situation of the six new patients to the director one by one.

Zhang Tianyang and Senior Brother Meng also came over and were responsible for supplementing the director when he asked carefully.

The bald head teaches Brother Yang to be a small boss, and he must understand the general situation of all patients.

However, when it comes to the daily changes in each patient's condition, various examination results, and the requirements of patients and their families, these are only known to the doctor in charge.

"This, this, and this, surgery on Thursday. Well, let's continue to improve the examination, have you done urodynamics? This is not in a hurry, let's wait for surgery next week. This ......"

The follow-up arrangements for six patients and five patients were quickly finalized, and when it was the turn of the 35th bed, the chief paused significantly.

"Director ......"

Zhang Tianyang just wanted to speak, but the director turned his head directly.

"Bed 35 belongs to Xiao Zhang? How about it, Xiao Zhang, what do you think of this patient?"

Well?

Instead of directly arranging, he asked Zhang Tianyang's opinion?

The bald head led Brother Yang to stretch out and wanted to hold Zhang Tianyang's hand, so he drew a circle, and finally patted his head lightly.

The flickering shock on his face stiffened for a moment, then quickly replaced by a blank look, and quickly masked by a smiling expression.

This is not right.

The director usually arranges it directly, when will he take the initiative to ask the following doctors for their opinions?

It was only after the doctors below had obvious questions that the director asked them what they were thinking, and then began to teach, or scolded them.

Why didn't you say anything this time and just ask?

Is it because Xiao Zhang's expression of what he wants to say is too obvious? Could it be that the director asked like this, could it be because he was angry?

Do you want to say good things to Xiao Zhang?

The bald head taught Brother Yang's mind to turn sharply, while giving Senior Brother Meng a look.

[Quick, when the director of the meeting is about to go crazy, make a mistake!]

Senior Brother Meng accurately understood the meaning of the bald head to teach Brother Yang, his brows furrowed, and he also glanced at him.

[Won't this make the director even angrier!]

[No!Listen to me!I'll cover you later!]

[What is the reason for interrupting then?]

[Use your patient! Think of a reason! You talk to Sun Yu, when we rush up, let her hold Xiao Zhang!]

......

Over there, the bald head led Brother Yang and Senior Brother Meng to frown.

Here, Zhang Tianyang blinked his eyes and didn't think about it so much.

But he still remembered the advice of the two before.

So after a pause, Zhang Tianyang showed a smile that met social expectations.

"I wonder what you think of this patient, Director?"

"Hahahaha!"

The eldest director shook his head with a smile, "Don't worry about my opinion, I want to hear your thoughts." ”

Damn!

I even laughed!

And resolutely refuse to say what he thinks!

You have to listen to Xiao Zhang's thoughts!

The bald head taught Brother Yang and Senior Brother Meng to be excited in an instant, and their eye contact became more and more frequent.

[It's not good, it's not good, it's not good!, the director definitely has a problem today!]

[What should I do then!]

[Have you figured out your reason!Hurry up!]

"Director ......"

Senior Brother Meng was in a hurry and rushed forward half a step, but it was too late.

Zhang Tianyang had already taken out the small notebook in his pocket and put it in front of the director.

"That's what I think, Director. ”

"The presenting symptom in this patient is chyluria, and based on the history and the patient's usual place of residence, a previous filariasis infection is suspected.

However, in recent years, the patient's filariasis-related tests have been negative, and the samples sent out after admission have also been negative.

Moreover, the patient had already undergone an operation in 04, and celituria reappeared half a year after the operation, and there was no follow-up treatment. ”

Up to now, Zhang Tianyang has been talking about the patient's medical history, and while the bald head is teaching Brother Yang and Senior Brother Meng to be anxious, they are desperately glaring at Zhang Tianyang.

[It's okay, don't say it again!Just tell the director the details of the patient!Then ask the director for follow-up treatment!Don't say it yourself!]

However, Zhang Tianyang stared at the chief director and did not receive any signal from them.

"In the past ten years, the patient has not developed the subsequent course of the disease due to the problem of chyluria, and the patient's family situation, as far as I know, is not very wealthy.

And it is also unknown whether the patient's age and physical condition can withstand the second operation......"

Zhang Tianyang continued to talk eloquently, and the bald head led Brother Yang to slap his head.

Finished!

Xiao Zhang is going to be scolded.

Harm......

Forget it, this Zhang Tianyang is not saved.

Don't struggle, don't struggle, let's watch the show.

The excitement and tension have all disappeared, and now what is pouring into the hearts of Brother Yang and Senior Brother Meng is indifference to the established facts, as well as sympathy for Zhang Tianyang, who is bent on "looking for death".

A good young man, why don't you listen to persuasion?

Look at the expression of the Great Director!

I was smiling just now, but now I'm already frowning!

The storm that will come will be very violent!

The bald head teaches Brother Yang and Senior Brother Meng to enter the theater mode.

Over there, Zhang Tianyang had already talked about the analysis of the condition from the medical history.

"The main reason why the patient was admitted to the hospital this time was because chyluria became chylous hematuria, which is actually the problem we should solve.

The common causes of hematuria in our urology are stones, tumors, and inflammation.

The film taken before she was admitted to the hospital clearly showed that there were no stones, and there were no suspicious space-occupying lesions, so I felt that inflammation was more likely. ”

Zhang Tianyang looked at the director's slightly frowning brows, took a deep breath, and still finished his opinion.

"I think that for this patient, we can first treat the infection, observe the progress or improvement of the hematuria, and if the hematuria persists, we can do a cystoscopy to see which side of the bladder is left, or the problem inside the bladder.

When the time comes, the cause of hematuria should be addressed symptomatically.

As for the patient's chyluria, we can actually ignore it, and only instruct the patient to eat normally and adjust his malnourished state. ”

After saying his opinion in one breath, Zhang Tianyang fell silent.

Because my advocacy boils down to "no surgery".

Because of the director's brows, from the beginning of his analysis of the condition, the wrinkles became deeper and deeper.

Big Director, will you really approve of your own ideas?

The few white coats next to him also couldn't help but get nervous.

Sun Yu had never experienced this kind of confrontation between superior and subordinate doctors, and subconsciously even held his breath, his hands were clenched into fists, his palms were wet, and he was nervous as if he was waiting to be scolded by himself.

Senior Brother Meng had dark circles under the boss's eyes, but he was not sleepy at all at this time, his eyes roamed over Zhang Tianyang's face and the face of the director, but his eyes were a little erratic.

He remembered that when he had just been clinically discontinued, and the newborn calf was not afraid of tigers, it seemed that he had disagreed with the director once because of a patient.

But that time, he just weakly raised questions after the director proposed a treatment plan, and later he was scolded very badly.

What the director said at the time, "Go back, give me the chapter of our urology book three times carefully, and then come back and tell me about it!"

The bald head led Brother Yang unconsciously coiled his bald head, and wanted to say something for Zhang Tianyang that "newcomers are not sensible", but he hesitated for a while, and finally coaxed.

The director is also his mentor, and he will not show mercy at all when he scolds.

I usually scold two sentences, but the teacher scolds the students, how normal it is!

But now these kids are ...... This old face...... It's a bit open-minded......

"So you think, 35 beds, no surgery, only anti-infective treatment?"

After being silent for a while, the chief director stared straight at Zhang Tianyang in front of him.

That look, that momentum, came from the pavement.

Sun Yu, who was standing behind Zhang Tianyang, was affected and subconsciously took a step back.

Zhang Tianyang stood firmly in place.

After reliving in his mind what he had just said, he raised his head slightly and looked at the director.

"Yes, that's what I thought. Please correct the officer. ”

It wasn't three o'clock in the afternoon, and the doctor's office was empty.

There seemed to be a hint of gunsmoke in the air.

There was wind blowing from the unrelated windows.

The A4 paper with the patient's list printed on the table was blown up, and it wanted to float away with two rattles.

Zhang Tianyang stretched out his hand and wanted to hold it.

But the big director's hands are faster.

He pressed one finger on the A4 sheet of paper and looked up slowly.

Then, suddenly, he laughed.

"Hahaha!

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Today is also a diligent Ann who strives to renew~

Stealing incense