"Ghost bleeding?"

Zhang Tianyang turned his head, his brows furrowed slightly, "What is ghost bleeding?"

"It is a patient who has symptoms of gastrointestinal bleeding, such as vomiting blood and melena, but no suspicious bleeding point can be found under gastroscopy and colonoscopy. ”

Senior Brother Qiu Ming explained while clicking on the patient's electronic duodenoscopy results.

The mouse wheel slid, and several pictures flashed in front of the eyes of the two of them.

"Sure enough. ”

Senior Brother Qiu Ming spoke softly and clicked on the patient's electronic colonoscopy results.

Zhang Tianyang watched clearly from the side.

Whether it is a gastroscopy or a colonoscopy, the photos shown in the examination results are very "clean".

Both the stomach and intestinal walls have a healthy flesh color, with uniform color and natural gradients.

No polyps were seen, no ulcers were seen, and the bare blood vessels did not appear to be there.

No matter how you look at it, it feels like a normal healthy person's gastrointestinal tract.

"Did this patient really vomit blood?"

Zhang Tianyang went through all the photos again and confirmed that there were really no suspicious bleeding spots.

Reasonable doubts were then raised.

"Are you sure it's hematemesis, not hemoptysis, and if your digestive system is fine, you should check your respiratory system, right?"

"Yes, that's what we think too. ”

The cold Tang Zhizhi expressed his opinion while cleaning up the mess.

"According to the patient's description, it is indeed more like vomiting blood.

And this is not the first time he has had symptoms of gastrointestinal bleeding, he has had black stools before, and he did gastroscopy and colonoscopy in another hospital at that time, which is similar to what we saw, and the report is normal. ”

He approached the computer and opened the patient's examination interface for Zhang Tianyang.

"For the sake of conservatism, the patient still had a chest x-ray, but there was no obvious mass and cavity, and it is unlikely that lung cancer would cause hemoptysis. ”

"Hmm. ”

Zhang Tianyang stared at the chest X-ray that had been clicked on the screen and looked at it intently.

"I really don't see anything wrong with this chest x-ray. ”

"That's ghost bleeding. ”

Senior Brother Qiu Ming took over the conversation, "We have also encountered this kind of patient before, it may be a bleeding point in the small intestine, and the mirror on both sides cannot be seen. ”

"So this patient still needs to have a capsule gastroscopy?"

Zhang Tianyang reacted quickly.

When the colonoscopy and gastroscope can't find the bleeding point, the capsule gastroscope is a small prop that swallows from the mouth, follows the peristalsis of the digestive tract all the way, and takes pictures all the way, which is very useful.

"It's already open. ”

The cold Tang Zhizhi concisely agreed with Zhang Tianyang's statement, and Senior Brother Qiu Ming took the opportunity to throw an olive branch to Zhang Tianyang again.

"Senior Brother Zhang, you are very familiar with the process and inspection of our digestive building, and the mirror is also good, otherwise you should consider coming to our digestive department after a round of rotation?

I'm in charge, I can open the stage independently, the surgeon will write my name, and the operation will be all for you!"

"And this good thing?"

Zhang Tianyang felt Senior Brother Qiu Ming's enthusiasm and laughed haha.

Since the three emergency patients had been completely processed, the atmosphere in the endoscopy room began to be cheerful again.

Nurse Xiao Xu had already packed her things, but she was pestle next to the operating table and was reluctant to move.

Just with a smile, I watched the two directors and one intern there, laughing like an old friend.

"Dr. Zhang is really amazing......"

Nurse Xiao Xu actually didn't know very well what the technical content of Zhang Tianyang's surgery was.

But she can compare.

Senior Brother Qiu Ming and Senior Brother Tang are both attending physicians, and the patients they can't save can be saved by Zhang Tianyang!

In the situation that they are helpless, Zhang Tianyang has the ability to save the scene!

What's more, in the Department of Gastroenterology, the attending physician is usually able to drive the existence of a medical team.

Not to mention interns, not to mention those chaotic graduate students, trainees, and advanced students, even if they are resident doctors, they dare not speak out loud in front of the attending physician.

When there is a disagreement, it always starts with the sentence "You are right, how is it, but I have a little doubt".

It's like Zhang Tianyang, talking about patients, as if everyone is at the same level.

Even, in some details, Nurse Xiao Xu felt that she even saw the "respect" of the two attending physicians to Zhang Tianyang.

For example, let Zhang Tianyang sit in front of the computer, and Qiu Ming and Tang Zhizhi personally clicked on various examination results for him......

"Dr. Zhang is really amazing......"

Nurse Xiao Xu's eyes were full of little stars, and the more she looked at it, the more she felt that Zhang Tianyang was pleasing to the eye.

"Dr. Zhang is so tall......"

"Dr. Zhang's side face is really handsome......"

"If Dr. Zhang is still in the internship stage, he should be very young, right?"

So Dr. Chang...... It should, probably, perhaps, estimate...... Don't have a girlfriend?"

......

Thinking about these things randomly, Nurse Xiao Xu's face gradually became red, her eyes were bright, and she stared at Zhang Tianyang without blinking.

"Okay, it's almost there, I need to go back. ”

When Zhang Tianyang finally proposed to leave, Nurse Xiao Xu made a "rub" and took the lead in rushing out.

Nurse Xiao Xu, who hurriedly changed into civilian clothes, for fear that Zhang Tianyang would leave early, ran out of the door of the endoscopy center out of breath.

"Hmm......"

Outside the door, the waiting area was empty, except for a girl who looked like a family member sitting on a chair and playing with her phone.

Nurse Xiao Xu's eyes quickly swept over the other party, and instantly listed the characteristics of the other party with the talent of a woman.

Good figure, nine points good-looking, huh? It seems that there is no makeup?

But how can you look so good without makeup!

It must have been done semi-permanently!

The hair is thick and supple, not so dark in color, and in the light of the light it is a pale brown with a gold edge.

Some of the slightly natural curls hang down and sit softly over the shoulders and sweep over the delicate collarbones.

Ah, her hair is beautiful too!

Is it the color of dyeing? But why is the hair quality so good after dyeing the hair?

The clothes, beige skirts, simple design, and soft fabrics make you feel so high-end at first glance!

Hmm, this kind of skirt is expensive, right?

Is she a family member of a wealthy patient?

Could it be that the patient who came in through the relationship of the director?

"Huh, what's wrong?"

Sensing that Nurse Xiao Xu was looking at herself, the girl blinked, pinched her phone, and stood up from her chair.

"Oh, oh! I ......"

Nurse Xiao Xu suddenly came back to her senses, although she was very envious of the other party's appearance and family, she did not forget her purpose.

"I want to ask. ”

Nurse Xiao Xu stretched out her hand and pointed to the door behind her, "Did a doctor just come out of it?"

"How long has it been?"

The girl tilted her head, "A few doctors should have come out ten minutes ago, and this will not be there yet." ”

"Oh, oh, that's great!"

Nurse Xiao Xu waved her fist, unable to suppress the joy on her face.

Dr. Zhang hasn't come out yet!

Hurry up now!

Nurse Xiao Xu raced against time to dig out lipstick and mirrors from her bag, trying to add points to herself.

"Huh?"

With the soft sound of the door of the endoscopy center, Zhang Tianyang pushed the door and walked out, and couldn't help but sigh lightly.

"Why are you here?"

Nurse Xiao Xu, who had just finished wiping the last bit of lipstick, couldn't help but tremble.

Dr. Zhang spoke to me!

A quick smile appeared on her face, and she turned her head and opened her mouth—

"Eh, Nurse Xiao Xu is also there. ”

Zhang Tianyang smiled, said hello to Nurse Xiao Xu, and then walked straight to Xiao Linlin's side.

"You ......"

Nurse Xu's smile froze on her face.

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It's an effort to renew Ann! Thank you for the master's reward~