Song Changkong had some inexplicable expectations in his heart.

Although the classmate Xiao Zhang in front of him is indeed just an intern.

But once you get in touch with him, no one will think that he is a simple intern.

Although he is the director, what is the use of the director of a lower-level hospital?

Let's just say that this Xiao Zhang, the attending doctor can't wear the waist wear, isn't he still wearing it?

Zhang Tianyang pondered for a moment, "Did you have any ideas before?"

Song Changkong shook his head.

"This patient has nothing to do except for Shangmei Ping Wangu, and the teacher. ”

This statement was expected by Zhang Tianyang.

Song Changkong quickly added.

"The professor came to see and asked us to control the infection and look for the cause of the disease, but we haven't found it yet. ”

Zhang Tianyang nodded in understanding.

Song Changkong was still full of expectations for Zhang Tianyang, and asked again, "Do you have any ideas?" ”

Zhang Tianyang smiled and shook his head, "Teacher Song said that he laughed, by the way, you said that you were going to study this afternoon, what are you going to study?"

The sudden change of topic made Song Changkong stunned for a moment, and subconsciously replied.

"I was going to go to the respiratory department to see how they use bronchoscopy. ”

I see.

Zhang Tianyang nodded knowingly.

Neurology is mostly attended by patients with intracranial infections, and a significant number of them will be complicated by lung infections.

At the same time, there are many patients who need to be put on ventilators and tracheostomy.

Bronchoscopy is occasionally used.

Besides, Dongfang Hospital is a large hospital, and the division of departments is relatively detailed, and the division of functions of each department is also very detailed.

But other hospitals are not so good.

Some lower-level hospitals, community hospitals, and even outpatient clinics are only divided into internal medicine and surgery, which is like the East Hospital, which is also divided into kidney, infection, blood, heart, respiratory, digestive, and so on.

Perhaps, in the subordinate hospital where Song Changkong is located, the neurology department will also be in charge of part of the responsibilities of the respiratory medicine department?

Taking a step back, there are multiple technologies and multiple paths, if Song Changkong can seize the opportunity to study in the East Hospital and learn a few skills that no one else in their hospital knows, wouldn't it be fragrant?

It is no wonder that Song Changkong, a chief physician, behaved so actively.

Zhang Tianyang remembered Song Changkong's courteous appearance this morning, when the attending doctor called for ward rounds, and then looked at his kind face now, and his mood was a little complicated.

After thinking about it, he asked.

"Teacher Song, the waist wear has been completed, if you go now, is it too late?"

Song Changkong was stunned.

He had already decided to give up this afternoon's study to have a good relationship with Zhang Tianyang.

But when I think of the learning opportunities that I have managed to connect with......

He quickly glanced at the time.

It's 3:50 p.m., if it's past now......

Maybe it's too late!

In an instant, his expression management was a little unable to keep up.

Zhang Tianyang immediately understood.

"Teacher, hurry up, the condition of the three patients here is quite stable, it's really not okay to have me. ”

"This ......"

Song Changkong was obviously struggling.

"It's okay, let's go. There may be two or three bronchoscopes in the afternoon, and if it is later, it will really not be able to catch up. ”

Zhang Tianyang pushed again, and Song Changkong wavered.

"Then I'll briefly hand over the condition of 80 beds to you. ”

Song Changkong breathed a long sigh of relief, quickly explained his condition, did a good job of handing over the three patients, and left in a hurry.

Lin Ke'an looked strange next to him.

"Why is Teacher Song so nervous?"

She couldn't figure it out.

"Isn't it possible to see the bronchoscope in the respiratory department at any time if you want to see it? ”

Zhang Tianyang shook his head, "Don't forget, we are students of Eastern Medical University. ”

Lin Ke'an still didn't understand.

"What happened to the students?"

Zhang Tianyang sighed.

"Dongfang Hospital is a tertiary hospital, and we are students of our university, so naturally we can have a lot of time to study here, but those doctors who are studying for further studies will have to pay for them to come in. ”

"Like him, who needs to stick to the ICU ward, where does he usually have time to sneak out to see?"

"Besides, it's very different from just following behind, and someone who is willing to teach you while doing it. ”

Explained in a few words, Lin Ke'an instantly understood.

No wonder Song Changkong cares so much about today's study.

Thinking about the white hair on Director Song's sideburns, she was a little unbearable.

"Then the 76-bed waist piercing, didn't it delay him a lot of time?"

Zhang Tianyang shook his head, "That can't be helped, 76 beds are his bed." And, actually, I'm fast. ”

It's not that he brags.

If you change it to the attending doctor to wear it, you may not wear it out.

His eyes swept in the direction Song Changkong left, and he bowed slightly.

Song Changkong gave him a very good impression, and he could also find a chance to repay him.

The opportunity to learn bronchoscopy was rare for Song Changkong, but it was not so difficult for him.

There is a chance to find a resident doctor, or the attending brother, and spend half an hour to teach.

Even he can teach it himself.

Although he will not do this operation with bronchoscopy now.

But there is a system in place, and in two days he will be.

"That's right. ”

Lin Ke'an no longer bothered about Song Changkong's affairs, and instead pointed to the infection index of bed 78 and asked Zhang Tianyang.

"Isn't this infection indicator already under control? I think it's been declining for the past five days. But why does it feel like it's still a big problem when you listen to what you said before?"

Zhang Tianyang looked at Lin Ke'an, who was humbly seeking advice, did not answer directly, casually clicked on the patient's cerebrospinal fluid test results, and then asked.

"You look at his cerebrospinal fluid exam, what it finds. ”

Lin Ke'an looked at it carefully for a while, and his brows gradually furrowed.

"It looks like the intracranial infection is getting better. ”

Zhang Tianyang secretly said that the children could be taught, and threw out another question.

"Guess what, the patient has been in the ICU for a month and a half, antibiotics have been on it, the intracranial infections are almost cured, and the infection indicators in the blood have been high?"

"It means that they have not found the cause!"

Lin Ke'an blurted out.

"Congratulations, you've learned to answer. ”

Zhang Tianyang laughed at her, and then his face gradually became serious.

In fact, many diseases are like this, if you find the cause, it is easy to treat, and if you can't find the cause, you will be blind.

It's like the girl with a fungal infection in the Department of Internal Medicine.

Once the right treatment is found, the disease that has dragged on for five years will still get better quickly.

The same is true for this patient.

Zhang Tianyang slowly opened his mouth and explained to Lin Ke'an.

"This patient, although the infection index is elevated, the bacterial culture results and drug susceptibility results are all available, which is a very definite bacterial infection. ”

"But even if it's a bacterial infection, there's a reason. ”

"If you can't find this reason and don't get rid of it, even if you control it for a while, you won't be able to control it for a lifetime. ”

Lin Ke'an understood.

As he nodded, his brow furrowed.

This patient should have a channel of continuous infection that has not been discovered by everyone for the time being.

For example, if the body is a pool, there is clear water in it.

The reason is like a sewage pipe, which continuously discharges black pollutants into the pool.

Antibiotics are like bleaching powder, and the continuous addition of antibiotics can bleach those stains.

But as long as that sewage pipe is not blocked for a day, the water in the pool cannot become clear.

Zhang Tianyang re-clicked the patient's infection index data.

"Meiping Wangu, meropenem and vancomycin are almost the strongest antibiotics routinely used in the Oriental Hospital. ”

"On this strongest combination, I barely controlled it, and once it rebounded, I couldn't suppress it anymore. ”

Thinking about the consequences described by Zhang Tianyang, Lin Ke'an couldn't help but shudder.

"The key now should be to figure out the channels of infection. ”

As she spoke, she subconsciously turned her head to look at Zhang Tianyang, "Do you have an idea?"

But what she received was a white eye from Zhang Tianyang.

"If only there was an idea!"

Zhang Tianyang glanced at her, "Who do you think I am! The reason why so many big guys in the neurology ICU have been tossing and turning for a month and not figuring it out, I can know it at a glance?

"Oh. ”

Lin Ke'an pursed his lips, and stopped talking on the surface, but he said secretly in his heart.

"I believe you're a ghost!"

She just wanted to continue asking something.

saw Zhang Tianyang's movements.

I saw his brow furrowed.

"Did you hear anything?"

"What's the sound?"

Lin Ke'an was also stunned for a moment, and then he noticed a "creaking" sound in his ears.

"What ...... happened"

Before she finished her words, she saw Zhang Tianyang, who was still standing in front of the computer just now, instantly turned into a silver carp.

With a "whoosh", he skipped in front of her.