Chapter 51: Incurable Diseases
"Bed 79 is coming?"
Senior Brother She stood up next to him at this time.
"I'll go collect it. ”
He is also a young doctor in Professor Zhu's group, and he feels a little isolated.
After only one day, that junior brother was actually familiar with everyone, which made him feel a little surprised.
In particular, the junior brother was supposed to be doing chores under him, but it turned out to be more popular than him.
Senior Sister Chen's little biscuits, she didn't give them to me!
Senior Brother She felt that staying in this office for an extra second would be tormenting.
Fortunately, there are new patients.
Who knows, as soon as he walked to the door, he was stopped by Senior Sister Chen.
"Eh, Senior Brother She!"
Senior Sister Chen's face had a rich expression, "I'm sorry, I'm sorry, I forgot about you just now, what's that!",
She dug into her bag and pulled out a box of cookies.
"Now, this is for you!"
"For me?"
Senior Brother She was a little stunned.
"Yes, for you. Don't dislike me for making it delicious!"
Chen Shishi directly stuffed the small biscuit into his hand, and then called Zhang Tianyang to go out together.
"By the way, Senior Brother She, this patient Professor Zhu said that he wanted to give it to Xiao Zhang, let's go and collect it first~"
Chen Shishi dragged Zhang Tianyang and disappeared at the door of the office, and Senior Brother She was stunned holding a box of small biscuits.
For a while, there was both the feeling of being remembered, and the disbelief of being robbed of the patient.
There is also doubt that an intern like Zhang Tianyang can really manage patients well.
"Forget it, forget it, with Senior Sister Chen watching, it should be fine. ”
Senior Brother She worked hard to build his mind, but after a few seconds, he was declared broken.
"But, he's just an intern......"
......
The 79 bed, as Professor Zhu said before, is very young.
The 27-year-old young man actually looks not much older than Zhang Tianyang and Chen Shishi.
Up to the age of ten, it's pretty much the same.
"You're a patient?"
Zhang Tianyang stared at the young man sitting on the hospital bed but not wearing a hospital gown, and looked at it again and again, a little unconvinced.
It's really that this guy's face is as usual, at most, his skin is a little whiter, and he doesn't look like he's sick.
After two days in the Department of Infectious Diseases, I went around upstairs and downstairs, and many patients had obvious "liver disease faces".
Among the faces of liver disease, the two-bed buddies in a ward in the next group were the most serious.
Zhang Tianyang deliberately went to see these two buddies in their forties, they were no longer "black-faced", they were dark cyan all over their bodies.
If the two of them go to the set to play zombies, it is estimated that they don't need to wear makeup, and they can go to work with a yellow paper on their heads.
In addition to liver disease, there are several "yellow-stained all over the body".
Zhang Tianyang also went to see it, and the whole person was as yellow as a mango......
Even if there is no liver disease and no yellow staining of the whole body, the faces of other patients can be more or less obvious that something is wrong.
Can this 79 bed ......
"yes, I am. ”
The young man raised his left hand, on which was the wristband of the hospital, with the bed number and the patient's name written on it.
"Shang An'an. ”
Zhang Tianyang checked it, and it was indeed the name of the 79-bed patient.
Even if he really didn't seem to be anything wrong, since he had already arrived at the hospital, there must be something wrong.
Chen Shishi stood far behind and swept the formation, and Zhang Tianyang took out a blank A4 paper and began to ask for a consultation.
"How is it uncomfortable?"
"There's nothing uncomfortable either. ”
The young man with bed 79 shrugged his shoulders, "When I found out that my spleen was enlarged during the physical examination, I came." ”
Splenomegaly at 27 years old?
Zhang Tianyang frowned, "Are there no symptoms?"
"No, I don't. I didn't get tired, I didn't feel sick to my stomach or anything like that. ”
The young man pondered and meditated, "Oh yes, I had a blood in my stool a year and a half ago, and I was so scared that I came straight to the hospital, and I did a gastroscopy, saying that I had something, a vein or something, and there was no varicose." ”
"Esophageal and gastric varices?"
"Yes, yes, this is the vein!"
Shang Anan nodded, "Doctor, is my condition serious?"
"You lie down first, and I'll touch you. ”
Zhang Tianyang motioned for Shang An'an to lie down and gave him a set of physical examinations.
On inspection, the young man's sclera was not yellowish, his skin was pale, his abdomen was flat, and there was nothing abnormal.
Palpation reveals a giant spleen.
No ascites in the abdomen and no edema in both lower extremities......
"Doctor, what is my disease?"
"It's hard to say. ”
Zhang Tianyang pondered for a while.
"Generally, older and middle-aged men are more likely to get cirrhosis, which can lead to giant spleen, but you are only 27 years old......
You were admitted to the hospital to find out the cause, right?"
"Yes, yes, that's what my dad told me, he's a classmate of your Professor Zhu. ”
Shang Anan nodded, "Doctor, I'm ......."
"There are many possibilities. ”
Zhang Tianyang's breath was calm.
"There are many causes of megaspleen, cirrhosis is one of them, and in addition to this, it can also be a blood disorder.
If your hometown is in an endemic area, schistosomiasis is possible.
If you are so young, if someone in your family has a similar situation, it is also possible that there is a genetic disease, a disease called Wilson's disease. ”
"There may be many causes, you need to do some tests to find evidence, you let me tell you what the disease is now, I can't be so irresponsible, right?"
Zhang Tianyang's explanation made Shang Anan's eyes light up.
"Doctor, are you the attending physician or?"
"I'm not, I'm an intern. Zhang Tianyang smiled, "I will report your situation to Professor Zhu, don't worry." Okay, let me ask you again, where is your home?"
"No, no, I definitely believe you! My hometown is Yixing, Jiangsu Province, and now I am in Guangdong Province. ”
Shang An'an's face was full of smiles, he had to answer all questions, and he knew everything and said everything.
His father had a good relationship with many doctors, and he taught him a little bit of skill before he came.
Of course, Professor Zhu is trustworthy, but the professor will not deign to manage the bed, and even the attending physician in the East Hospital will not care about the bed.
These are all "senior doctors", who lead the overall situation and formulate treatment plans during ward rounds every day, and also command and arrange rescue in case of any emergency.
But if you want to know the patient's condition best, you have to see the doctor in charge.
Most of the doctors in charge of beds are interns, graduate students, trainees, and advanced students from other hospitals.
These doctors, when under the guidance of senior doctors, can really explain the patient's condition.
But if you come in and ask him what he thinks about the disease just after asking about the medical history, you can say one, two, three, four and there is still a reason, and there is often a brush.
Shang Anan replied while thinking about it, observing this doctor who became more and more reliable the more he looked at it, and his heart was calm.
The Department of Infectious Diseases of Dongfang Hospital is really awesome, and any intern is so reliable.
With him as his own bed doctor, his own safety must be guaranteed!
Chen Shishi, as a melon eater throughout the whole process, saw that the smile on the face of the young man in bed 79 became more and more intense, and she couldn't help but be amazed.
"Senior brother is really different from ordinary people!"
"The patient was so relieved and even so happy to know that he was an intern......
"Senior brother is really a genius!"