"Are you free?" the endoscopy room needs you, come quickly!"

The call was from Senior Brother Qiu Ming.

It is required to be straightforward and concise.

Zhang Tianyang asked instinctively.

"Did something happen to the patient who was transferred to general surgery?"

There was silence on the other side for a long time, and then a "yes" was replied.

"Ahh

Hanging up the phone, Zhang Tianyang sighed silently.

I knew it!

It's definitely not going to be a good day!

He turned his head to look at the nurse aunt.

"I'll trouble you to get out of bed with your family later, I still have something to do. ”

What can I do if something happens?

I can only ask the director for a leave, and then sneak to the endoscopy room of the Department of Gastroenterology to see if I can help.

"Ahh

On the other side of the phone, Qiu Ming also sighed silently.

I knew it!

The matter must have something to do with Senior Brother Zhang!

He stared at the computer screen for a few seconds.

Senior Brother Zhang is really awesome, really powerful.

But it seems that the feng shui around me is not very good.

"Whew-"

In the next second, his whole body was reinvigorated.

"I went to change my clothes first and waited in the endoscopy room. ”

......

Zhang Tianyang came quickly.

Thanks to the previous thought, he is still wearing a surgical gown.

As soon as he stopped in the locker room of the endoscopy room, as soon as he took off his white coat, he even arrived at the operating table a little earlier than Senior Brother Qiu Ming.

"What's the situation?"

"I'll bring you up the medical records, you say while looking at me. ”

There was no superfluous greetings, and the two tacitly got straight to the point.

This patient was one of three patients who came to the emergency department last weekend, and the patient reported vomiting blood several times in the past three months, and vomited blood again an hour before admission, about 15ml. ”

"But you have also seen the results of emergency gastroscopy and colonoscopy, and it is clean and clean, and there is nothing. ”

"Since this week, the patient has undergone gastroscopy and colonoscopy again, and still no bleeding points have been found, but the patient continues to have black stools. ”

Later, at the strong request of the patient and his family, he was transferred to the Department of General Surgery for laparotomy and exploration, but just after the news from the operating room, the patient suddenly vomited blood before going on stage, and the amount was quite large. ”

"It's ...... to come to you"

Zhang Tianyang nodded, "I'm afraid that his stomach is full of blood and he can't see things, right?"

"Yes. ”

Qiu Ming didn't refute either.

In front of Senior Brother Zhang and Teacher Zhang, there is no face.

He quickly glanced at his phone, "The patient is almost here, I'll pick it up." ”

"Hmm. ”

Zhang Tianyang did not rush to follow, but sat in front of the computer, squinting and quickly browsing the patient's medical records.

There are many causes of vomiting blood, and sometimes hemoptysis can be misdiagnosed as vomiting blood.

But Zhang Tianyang believes that doctors in the Department of Gastroenterology will not make a mistake in this simple identification.

Patients occasionally vomit blood, often have melena, hemoglobin is persistently low, and the possibility of gastrointestinal bleeding is very high.

However, gastroscopy and colonoscopy have achieved nothing.

Even a capsule gastroscopy that specifically looked at the small intestine didn't catch anything.

These three tests can cover the entire digestive tract, from the esophagus to the anus.

There is no reason for such an outcome.

But it just appeared.

And the patient vomited blood again.

Here, there must be a problem.

There must be something that hasn't been noticed.

Zhang Tianyang wrinkled his brows, and the thoughts in his heart turned sharply.

"Bang Bang"

Outside the gastroscope, the flat cart has already pushed the patient over.

"Senior brother, you still need my help...... Why are you here?"

Chen Jiajie was shocked to find that his roommate had appeared in the gastroscopy room across the distance of the department.

But without waiting for him to continue asking, Senior Brother Qiu Ming directly pushed him out.

"You are not needed here, you can go back and write medical records!"

"Boom!"

The screen door closed mercilessly before my eyes.

Because of the reason for running just now, the sweat on Chen Jiajie's forehead is still slowly oozing.

He stared at the screen door for a moment.

A sour feeling suddenly came up.

I don't have any credit, but I also have hard work......

How could he be so completely disgusted?

And......

Why did Lao Zhang appear in the gastroenterology department when something was obviously wrong!

......

Ignoring Chen Jiajie, who was thinking about everything outside the door, inside the screened door, two doctors and a nurse were already ready for gastroscopy.

The patient automatically and consciously climbed onto the operating table, and without the guidance of doctors and nurses, he took the initiative to lie down on the left side.

"Senior Brother Zhang......"

"Come on, I'll watch. ”

Zhang Tianyang washed his hands, but did not pick up the mirror handed by Senior Brother Qiu Ming.

He always felt as if something had been overlooked.

The patient was lying quietly on the operating table, with faint black blood stains on the corners of his mouth and hospital gown, looking like a normal person.

That's right, after he vomited a few mouthfuls of blood, he seemed to be fine again.

But the doctors in the room didn't think he was really fine.

"And here I go?"

Senior Brother Qiu Ming's voice was inquiring.

Obviously, he is the attending physician of a higher level, but at this moment, Zhang Tianyang, the intern, is the main one.

"Let's start, if it's all blood, I'll take over. ”

Zhang Tianyang didn't think there was anything wrong, and replied seriously.

The little nurse who played the cooperation didn't know Zhang Tianyang, but she could distinguish the word "young" written all over Zhang Tianyang's face.

I don't know where you got the foreign help......

It looks really young, young and promising, I don't know if I have a girlfriend?

......

"Got in. ”

On the screen, the screen shakes a few times.

This gastroscope still wanted to explore the bleeding point, so Senior Brother Qiu Ming looked very carefully.

There were scattered bands of blood hanging on the wall of the esophagus, but after looking around, it was indeed not broken.

The mirror continues to go deeper.

Soon, the stomach lining appeared in front of me.

The imaginary situation of a sea of blood in the stomach did not appear.

This made Senior Brother Qiu Ming, who was trembling, breathe a sigh of relief, cheer up, and began to look for bleeding spots.

Under the gastroscope, there are also a lot of blood stains hanging on the stomach wall.

This is evidence of just active bleeding.

If there really is such a bleeding spot that is difficult to find, now is the best time to find it after active bleeding.

However, as time passed, the mirror went around the entire stomach and went down to the duodenum to look for it carefully.

However, no bleeding spots were found.

"No! I just bleed!"

Senior Brother Qiu Ming was a little frustrated and crazy.

He turned his wrist and controlled the gastroscope in and out, trying to find the "hidden" bleeding spot by looking again.

Zhang Tianyang had been watching from the side, and his brows were furrowed at this time.

Seeing that Senior Brother Qiu Ming had already started the third inspection, Zhang Tianyang slowly took his eyes off the screen, and then fell on the patient.

Something is very wrong.

There's no reason to just bleed, but now you can't find the bleeding point.

The patient vomited a lot of blood in the operating room, and it was sent in time, and there was no reason for the bleeding point to heal so quickly.

So, what went wrong?

Zhang Tianyang stared at the boy, and his thoughts began to diverge.

The patient was lying on his side on the operating table, because the Department of Gastroenterology of Dongfang Hospital used to use the left side of the head to perform gastroscopy.

Looking at his face, he didn't look very painful.

Wait.

Zhang Tianyang was suddenly stunned.

When the patient came in, there was no one to instruct him how to lie down, he obediently lay on his left side!

Although he said that he had done gastroscopy twice before, he ......

Zhang Tianyang suddenly stopped Senior Brother Qiu Ming, who was a little fried.

"Senior brother, do you remember the first time the patient had a gastroscopy, did you teach him how to lie down, or did he lie down by himself?"

————————————

Surprised, surprised~

Gollum~

Thank you Yu Zige for the ten thousand rewards~ The big guy is awesome!

Stealing incense