(Chapters 40-43 can be jumped directly)

"I don't know if you've heard of a very powerful buddy at your level who caused a lot of trouble for the professors. ”

"Of course, I know you're not him. ”

Despite this, the attitude of the teaching secretary is still obvious.

Undisguised disgust.

It's completely different from the kindness when I communicated with the doctors before.

"Let's talk about the ugly things ahead. ”

"If you are unsure, inform the senior doctor immediately.

Don't take your own ideas and cause trouble, you can't afford it!"

The warning was almost vicious, and the faces of a group of classmates changed.

But the role of an intern keeps them from speaking.

When in school, teachers and counselors have the right to score and control the lifeblood of students.

During the internship at the hospital, this right was transferred to the teaching secretary of each department.

Once they remember it, they don't have to want to stay in the Oriental Hospital in the future.

The 5 classmates dared to be angry but did not dare to speak, so they could only bow their heads to show their obedience.

The teaching secretary made an inspection and was quite satisfied, but when his eyes fell on Zhang Tianyang, he found that he was looking directly at him.

"What, do you have an opinion?"

"Nope. Zhang Tianyang was very stable and even smiled.

"I think what you said is very right, teacher, in the spirit of being responsible for the patient, you should consult the senior doctor when you encounter something that you can't handle. ”

That's what he said, and that's what he did.

When he was in the Department of Nephrology, even though Professor Liu had already recognized him very much, he remained humble.

Ask for advice before making every decision.

It's just that because of the solid foundation, it has never been rejected or revised.

The teaching secretary frowned.

Although the words of the student in front of him were very good, why did he always feel that he was scared when he looked at his calm expression?

Maybe it's a hidden thorn?

He looked at Zhang Tianyang's badge and wrote down his name.

Then he continued to unleash the "Great Taunt Technique" at the rest of the classmates.

"Of course, I've also communicated with the professors, and you'll have fewer patients, one or two at most, in two weeks. ”

"It's going to be easier, you guys should be happy, right?"

"Alright, now let's group you ......."

......

After the group was completed, the teaching secretary left the sentence "You can find your own professors" and left in a hurry.

I don't want to stay for a minute.

The five fifth-year classmates looked down at their feet and didn't whisper until he was far away.

"It's a dismount when you come up...... How can the teaching secretary of the Department of Infectious Medicine be like this?"

"What are you doing, overturning a boatload of people with a rod?"

"Before we even came in, we thought we were going to make a mistake?

"It doesn't matter what the patient is doing in the clinic?

"A little angry......"

......

Spit and complain, and a few five-year classmates only dare to whisper.

Zhang Tianyang was very calm.

He noticed the teaching secretary staring at his badge, but he didn't care.

When he was in the nephrology department, he had already been questioned many times because of his status as an intern, including but not limited to the woman in red.

So what?

Clinical is where it's easy to see the real strength.

If you have strength, you will have the right to speak.

The face is earned by oneself, not given by others.

That's right!

......

Soon, Zhang Tianyang reported to the office.

"Hello Professor Zhu, I am an intern assigned to this group in the past two weeks. ”

Professor Zhu is a very delicate old lady.

Although he is about the same age as many patients lying in hospital beds, he looks very energetic.

The hair looks dyed and has a black color, but the top of the head is slightly thin.

There is always a smile on his face, so that the corners of his mouth have deep laugh lines, like (√).

"Eh, we've got a new classmate!"

Just one sentence brought back Zhang Tianyang's impression that the Department of Infectious Medicine was not very good.

"Your name is ...... Xiao Zhang, Dr. Zhang, come on, get to know other friends. ”

The Department of Infectious Medicine has just undergone a major blood exchange, and the last batch of interns and trainees have just been discharged, and Zhang Tianyang has just come in.

A lot of things need to be handed over.

It's like Professor Zhu's group, except for Professor Zhu, everyone below has changed again.

The new attending doctor's surname is He, and he knows that he must be experienced when he looks at his somewhat vicissitudes of life.

The new Dr. Guipei's surname is Chen, and she is a cute senior sister with an explosive head.

Senior Brother She, a graduate student who looked a little greasy, was there, but he only came a week earlier than Zhang Tianyang.

A professor, an attending officer, a regular training, and a graduate student, all of whom are older than Zhang Tianyang.

He said hello one by one, and then memorized the names of his brothers and sisters.

"Alright, let's assign the patient!"

Professor Zhu smiled and glanced at the white coats under him.

"Dr. Ho is in charge of handling patients in my absence, and you three are in charge of the bed.

So, Xiao Zhang, Dr. Zhang, you ...... You are a junior brother, so let's follow Dr. Chen or Dr. She first.

Dr. Chan, Dr. Sheh, each of you has four patients, can you choose for yourself?"

Professor Zhu showed the list of more than a dozen patients under the account to the three white coats.

"2 beds, 8 beds...... 26 beds, 40 beds...... 83 beds ......"

Chen Shishi motioned to Senior Brother She to choose first, but Senior Brother She kept his head and didn't express his gratitude, so he directly began to point to the bed number on the computer.

Zhang Tianyang watched Senior Brother She's choice from the side, and suddenly found that this buddy also seemed to believe in metaphysics.

Take a look at the bed numbers: 8 beds, 18 beds, 26 beds, 82 beds.

Directly, all the ones with six and eight were picked up.

Chen Shishi was not angry, "Okay, junior brother will pick the rest and give it to me!"

However, Professor Zhu was surprised for a moment and looked at Senior Brother She.

After a pause, he quickly nodded, "Okay, then you quickly familiarize yourself with the patient's medical history, one of your patients is a bit difficult." ”

After assigning the bed numbers, Professor Zhu gave them 10 minutes to familiarize themselves with the medical history, and then began the computer rounds after 10 minutes.

Zhang Tianyang, as the "forgotten one", or rather, a person who was "deliberately left aside", did not have a single patient in his hands.

He silently approached Senior Brother She, ready to take a look at the medical history with him.

"Huh, you and me?"

Senior Brother She's face seemed to be a little unsightly, and he stood up directly.

"I'll go to the toilet. ”

Zhang Tianyang felt a hint of targeting, and he was a little inexplicable for a while.

"Senior brother, it's okay. ”

Chen Shishi turned her head and comforted Zhang Tianyang, "Senior brother play hard, I will give you the patient in two days!"

Why did Professor Zhu stop talking?

Why did Senior Brother She show dissatisfaction?

Why do you need to make good use of your talents?

Zhang Tianyang's mind flashed the face of the sect secretary for a moment.

Ah, it looks like I'm wearing small shoes......

And it's not aimed at him, it's that I feel that all the five-year systems are rubbish.

......

After asking Senior Brother He for the account password, Zhang Tianyang opened the list of patients, thinking about seeing what the situation of Senior Brother She's patients was.

It may not be familiar for a while, but at least you need to know what the disease is, right?

Random order of 8-bed cases.

At the top of the first course of the disease record, a line is clearly written:

Patient XXX, male, 55 years old, was diagnosed with hepatitis B for more than 30 years, with yellow staining of his eyes for 2 weeks, abdominal pain, fever, and lethargy for 2 days. "Admission. ”

Looking at the diagnosis at the top right of the screen, it is "acute-on-chronic liver failure"!

Cirrhosis, liver failure.

Drowsiness, hepatic encephalopathy.

The string in Zhang Tianyang's heart tensed.

Looking at the left side of the screen, it is densely packed with records of the course of the disease.

Admission records, disease course records, antibiotic use records, and abdominal puncture records are the daily routines of patients with infectious medical liver disease.

There are only a dozen of them in the sky.

But this patient, who was admitted to the hospital for less than two weeks, has 32 records of the course of the disease!

In particular, there are "critical value treatment records", "blood transfusion records", "organ intubation consent forms", and two "serious and critical illness notices".

Zhang Tianyang exploded in an instant.

It doesn't matter if this patient is actually a senior brother's or not his, since he sees the problem, he has to deal with it!

After quickly scanning the forty-twenty-thirty pages of records, he directly picked up the stethoscope and ran to the ward.

His instinct told him that he had to see the patient right away.

His intuition also told him that this time it might be a real problem.