God's special intern!

The little nurse was not happy on the spot.

"If you don't want to tell me, you don't have to find this reason to bluff me!"

What is an intern?

Interns just don't know what to ask, they are at a loss when something happens, and they are in a hurry when they come to the stage.

The guy who sent the emergency patient outside, blushing and not figuring out who was who, was an intern.

Can you say that Zhang Tianyang is an intern?

"Huh!"

The little nurse sneered.

Just rely on Zhang Tianyang's calmness to distinguish the authenticity with his hands before, as well as the skillful temperament from just now to the present.

She didn't believe him when he said he was a resident doctor!

What resident doctor can talk and laugh so calmly when facing an attending doctor like Qiu Ming?

But Senior Brother Qiu Ming stood on Zhang Tianyang's side this time and nodded at the little nurse.

"Senior Brother Zhang is really an intern. ”

Well, yes, it's an intern.

It's just an intern who comes to give lectures......

"If you don't say it, forget it!"

The little nurse lost her temper, rolled her eyes and pouted, "Hmph!"

There was another loud ding, and the little nurse was not angry, "Ready, hum!"

"I ......"

Of course, Zhang Tianyang felt the temper of the little nurse, but he was helpless.

How can no one believe the truth?

Senior Brother Qiu Ming saw that Zhang Tianyang didn't defend himself, so he didn't defend either, and watched the play with a smile.

The woman lying on her side on the operating table struggled to lower her head, looked left and right, and felt that she saw something.

So she clutched her stomach, endured the pain, and quietly did not speak.

What is a stomachache?

Eating melons is the most important thing!

It's cool to eat melons for a while, and it's always cool to eat melons all the time!

"Alright, let's get started. ”

Zhang Tianyang was helpless, no longer explained, and prepared to start the operation.

"Let's go, let's go, let's go!"

The little nurse hummed and chirped, but she quickly prepared the patient.

That's a good point.

Zhang Tianyang nodded silently, carrying the colonoscope and preparing to dry.

"Senior brother, have you had a colonoscopy?"

Senior Brother Qiu Ming put his hands behind his back, and he didn't plan to wear gloves, so he was very relieved to let Zhang Tianyang get started, so he asked casually.

Then I got the expected answer - "I have practiced." ”

It's damn practiced again!

Where did you go as an intern to practice gastroscopy, hey!

The mirror is so expensive, I won't let you get started when you're idle!

I'm afraid your family didn't open a private hospital!

Qiu Ming complained frantically in his heart, still smiling on the surface.

"There is no anesthesia, it may be a little uncomfortable, so bear with it a little. ”

Emergency gastroscopy generally does not have anesthesia, and it doesn't matter if the consciousness is unclear or not, this consciousness is clear, but it can't wait for the anesthesiologist to come for consultation.

Zhang Tianyang explained, carried the colonoscope, put on the lubricant, and sent it forward-

"Huh?"

Zhang Tianyang sighed lightly, and Senior Brother Qiu Ming hurried up.

"What's wrong?"

Zhang Tianyang gently flipped his wrist and whispered while continuing to send the colonoscope in.

"Feeling, it's easy to get in?"

He did a lot of gastroscopy and colonoscopy in the system space, and I felt that there was still a big difference between the two when they entered.

The obstruction of gastroscopy is the gag reflex, and the obstruction of colonoscopy is the anal sphincter.

The first one at least on entry allows the patient to open his mouth on his own, and the gag reflex, although nausea is caused, is generally well tolerated.

But the anal sphincter is different.

You can control it to shrink, but you can't make it wide!

Therefore, colonoscopy requires lubricants, and without anesthesia, the patient will experience a sour struggle, and there are also requirements for the doctor's technique.

But this woman ......

"Maybe it's because I've had a colonoscopy before?"

Qiu Ming discussed with Zhang Tianyang in a low voice, "If you look at the medical history, she recently had a colonoscopy in a local hospital, and it seems that she also cut polyps, but there is no specific report, and I am not sure what is going on inside." ”

"Well, probably. ”

Zhang Tianyang nodded lightly.

But...... There's really not a lot of resistance from your fingertips......

This patient, should there be anal sphincter relaxation, right? Is it neurogenic ?

Would you like to explain it to her bed-keeper and investigate this problem?

Zhang Tianyang thought about something in his heart, and his subordinates gently pushed, and the long black tube of the colonoscope slowly went deeper and deeper.

"Hmm......"

The woman on the operating table made a muffled noise, and her body writhed slightly.

Zhang Tianyang paused, "Is it uncomfortable?"

After a few seconds of pause, the woman responded weakly.

"It's okay......"

"There is no anesthesia, it is more uncomfortable, bear with it a little, let's solve it quickly. ”

Zhang Tianyang comforted softly, and continued to push forward the gastroscope in his hand.

A clear image is already displayed on the screen.

The patient had a simple enema in the emergency department before he came, and he basically didn't eat normally in the past few days, and he ate a liquid diet, so the intestinal wall looked quite clean.

In the flesh-colored background, a trace of blood is particularly obvious.

"It should be lower gastrointestinal bleeding. ”

Zhang Tianyang made a judgment, and while carefully turning the camera to ensure that the 360-degree intestinal wall was not missed, he slowly continued to push up.

"Hmm-"

The woman began to hum unconsciously again, it should be uncomfortable.

Senior Brother Qiu Ming automatically and consciously acted as a tool man, reaching out and pressing the woman's crotch to control the amplitude of her twisting, so as not to lose control of Zhang Tianyang's mirror.

He deliberately paid attention to the monitor next to him, as well as the expression on the woman's face, and then nodded at Zhang Tianyang.

"And go on. ”

"Hmm. ”

Zhang Tianyang nodded lightly and continued to push up, rotating and observing.

"The bleeding spot should still be on it. ”

His hand controlled the colonoscope to go deeper, and the frequency of blood stains in his field of vision also increased significantly.

"It should be almost there. ”

"Uhh

In the non-anesthetic state, the in-depth stimulation of the colonoscopy made the woman's whole face wrinkled, and she kept making strange sounds.

Zhang Tianyang could only speed up his efforts to try to end the patient's suffering as soon as possible.

"Wait! Wait......"

The woman's eyes were closed, her hands grabbed the clothes on her body and the sheets next to her, she shouted in her mouth, and her body writhed unconsciously.

Senior Brother Qiu Ming almost didn't hold her down.

"Bear with me a little, soon, soon!"

Zhang Tianyang tried to reassure the patient, but his eyes were firmly fixed on the screen, and there was more and more blood in his field of vision, according to experience, the bleeding point should be nearby!

He spun the camera quickly, and finally, spotted a suspicious spot at the edge of his field of view.

Steady control of both hands continued to penetrate the camera 3 centimeters, and an area with a yellow bottom and a blood-red surface that was significantly different from the normal intestinal wall appeared in the center of the screen.

"It's here!"

Zhang Tianyang snorted lightly, and just wanted to give the next instruction-

The woman on the operating table writhed her body suddenly.

"Ahh

Her eyes were closed, her head was raised, and she suddenly shouted loudly and loudly.

"Husband doesn't want it!"