On Saturday, Professor Liu's group completed their ward rounds early.

Zhang Tianyang found Senior Sister Liang.

"Senior sister, I'll make a patient with you. ”

Up to now, Zhang Tianyang only has the old lady who was newly admitted to the hospital on Wednesday.

Proteinuria + edema of both lower limbs + cerebral infarction came in, and after a few days of diuretic and hormone therapy, the old lady's condition was stable.

It is conservatively estimated that he will be discharged from the hospital next Tuesday.

So far, Zhang Tianyang's two-week rotation in the Department of Nephrology has come to a successful conclusion.

Looking back, he handled a total of 5 patients.

40-bed big brother with hypertensive emergency + hyperkalemia;

Severe edema of both lower limbs, a 41-bed uncle with a strange family;

a polite and lovely little girl with a 37-bed bed;

Urine protein + edema of both lower limbs + old lady with cerebral infarction;

There was also the 41-bed ICU old lady who temporarily took over and frightened him by the blood-colored fountain.

There is no danger, and the result is quite satisfying.

Such a result, placed on any intern who has just gotten out of clinical practice, is enough to show off on Moments for a month.

"Successfully passed the course, Xiao Zhang!"

Professor Liu walked over with a smile and sent an invitation to Zhang Tianyang.

"How about it, last Friday's dinner was lost, I invited everyone to dinner tonight, just to see off Dr. Xiao Zhang!"

After Professor Liu finished speaking, he suddenly felt that something was wrong.

After thinking about it carefully, I added another sentence.

"Yes, Xiao Wang is also out of the department this week, and Xiao Li, is it time to be out of the department next week?

Senior Sister Li's skin was pale and weak, and she nodded with a smile.

Senior Brother Wang hid to the side and burst into tears.

"The professor finally didn't forget about me!"

"But why, do you always think I'm a head?"

......

On Saturday night, Zhang Tianyang, led by a group of senior brothers and sisters, walked into the Huiqiao Building of the East Hospital for the first time.

"This is also a ward?"

No wonder Zhang Tianyang was shocked, Huiqiao Building is nominally a ward, but it looks like a star-rated hotel.

There is a "service desk" on each floor, and the nurse lady in it can be used as a model by pulling out one of them.

It has become instinct for nurses in ordinary wards to scold doctors in a hurry.

The nurses here are never in a hurry, and even if you do something wrong, they will only smile and tell you:

"Doctor, you forgot to prescribe xx examination~"

"Doctor, you xx prescribe the wrong one~"

"Doctor, your xx bed patient has been looking for you all morning~"

In the whole Oriental Hospital, you will not find such a gentle nurse anywhere else.

The wards in the general ward are all four-person or even eight-person rooms, and the wards here are all single rooms.

When you go in, it's like staying in a hotel, with two beds, a desk and a sofa, and your own toilet and bathroom.

There is even a restaurant on the ground floor and a place like a hotel reception next to it.

"This is a ward for overseas Chinese?"

Zhang Tianyang is not afraid to expose his ignorance.

Isn't it normal for an intern who has just gotten out of clinical practice to be unfamiliar with the structure and departments of the hospital?

However, Professor Liu was stunned for a while before he reacted.

"I'm almost forgetting that you're a clinical intern!"

Professor Liu, who has always regarded Zhang Tianyang as a senior director, introduced him with a smile.

"There are three buildings in the Overseas Chinese Department of our hospital, Qiao Yi is on the top two floors of the digestive building, Qiao Er has been renovating recently, and this is Qiao San. ”

"It was indeed for overseas Chinese to live a long time ago, but now, it is mainly provided to patients who are relatively wealthy and have high requirements for a medical environment. ”

Senior Sister Li is a graduate student of this school, and she pays more attention to these, so she can't help but add to them.

"Living in Qiaoke, every day is not treatment or nursing, and the hospitalization fee alone costs 460. ”

"Understood. ”

Zhang Tianyang sighed, "If you have money, you can do whatever you want." ”

"Then the patients here, wouldn't it be more scientific when prescribing tests and medicines, and don't worry about the financial burden of the patients?"

This is Zhang Tianyang's heartfelt sigh.

In fact, in many cases, there are better options for the treatment of diseases, but due to the patient's financial foundation, they cannot use it as they want.

When he first came to the kidney, Zhang Tianyang followed Senior Sister Liang to make rounds, and he saw a very helpless patient.

Because of economic problems, I can't take hormones, so I only choose conservative treatment.

After checking the room, when Zhang Tianyang asked Senior Sister Liang, she didn't say anything, just shook her head.

And in places where he can't see, there are more such patients.

If they have enough financial support, they may be able to choose more expensive but clearer tests, and perhaps they will be able to detect the presence of the disease earlier.

If they have enough financial foundation, they may be able to choose more expensive but more effective treatment options, and they may be able to live longer and with better quality.

In the future, the patients of Qiaoke should not have too many financial constraints, and the diagnosis and treatment process will be smoother and more efficient.

"That's right. Professor Liu nodded, "But don't feel easy. ”

"The patients here are not embarrassed by various examinations and medications, and they usually wave their hands and 'do it' when they are told what to do!"

"But they'll ask you, doctor, why do I get this disease?"

"Doctor, why am I getting this disease?"

Zhang Tianyang didn't think there was anything, but Senior Brother Wang next to him had a cold war.

"This kind of question is simply straight to the soul!"

For diseases with clear pathological mechanisms, there are often dozens of causes, and they vary from person to person.

Some people have healthy living habits, don't smoke, don't drink, don't stay up late and exercise reasonably, but he is sick.

Some people smoke, drink, and stay up late to reach the full level, but he is strong.

Who do you go to?

If the pathological mechanism is not clear, let alone the disease!

If I can figure out why you're sick, I'll win a Nobel Prize!

So, after staying in the clinic for a long time, I think, why are you sick?

"It's fate!"

......

The dinner place was in the restaurant on the first floor of the Overseas Chinese Branch, and Professor Liu specially asked for a spacious private room.

"Senior brother, Professor Liu is very optimistic about you!"

Senior Brother Wang secretly explained to Zhang Tianyang,

"In the Department of Nephrology, there are many opportunities to eat, and it is usually the medical representative who asks the professor to give a lecture and recommends his company's drugs by the way. ”

"Just like the dinner that was scheduled last Friday, there was also a medicine agent who paid for it. ”

"But today it's just us, and the professor is inviting you to dinner at his own expense!"

Zhang Tianyang blinked and said modestly, "Senior brother, you are also out of the department." ”

Senior Brother Wang is very self-aware, "I'm just an additive, okay...... And you see, Professor Liu's wife is also here. ”

Professor Liu's wife works in the medical record room, which is relatively easy and well maintained.

At this time, he was looking at Zhang Tianyang with a kind face.

She is married to Professor Liu's husband and wife, so it is naturally easy to see her husband's intentions.

This little Dr. Zhang looks ordinary on the outside, but at most he is quite clean.

But when you are a doctor, your appearance is far less important than your strength.

When was the last time Professor Liu was so optimistic about a student?

It seems that more than ten years ago, that young man is now in the provincial doctor, and he is in the middle of now.

Is this Dr. Zhang so good?

The master looked at Zhang Tianyang, and her eyes became more and more kind.

Professor Liu is also more direct and does not engage in those false things.

As soon as I finished ordering, I went straight to the point with a smile.

"Xiao Zhang, you are a fifth year this year, and you will graduate next year. ”

"Well, what are your plans for the future?"

"Which department do you want to go to?"

Professor Liu smiled heartily, "Do you want to consider nephrology?"