"Senior brother, I believe in you!"

Chen Shishi waved her fist to show encouragement, and quickly took back Professor Zhu's eyes.

"Come on, junior brother, I support you spiritually, and I will ...... in action Hey hey ......"

Zhang Tianyang didn't need it, he sat down directly in the position that Professor Zhu got out of the way, and began to click on the results of various examinations for everyone.

"This patient is very young, only 27 years old, and he has an enlarged spleen so early, and it feels like a differential diagnosis is needed.

First of all, cirrhosis can lead to splenomegaly, which is the reason for the splenomegaly of most patients in our side, but this patient is too young to feel unlikely.

Of course, screening still had to be done, so he was given a liver stiffness scan.

Then, my main considerations were hematologic disorders, schistosomiasis, and Wilson's disease. ”

"In the case of hematologic diseases, his blood routine shows that the three lineages (white blood cells, hemoglobin, and platelets become the three lineages) are a little reduced, especially hemoglobin, which is indeed the possibility of blood diseases.

But splenomegaly itself can also cause this. ”

Zhang Tianyang thought for a while, "I'm going to do a bone piercing for him today to check for blood diseases." ”

He looked up at Professor Zhu, nodded his head, and continued his narration.

"The liver function indicators are also a bit high, but not much, in line with my guess, this young man's splenomegaly should not be caused by conventional alcoholic liver, fatty liver and cirrhosis caused by hepatitis B virus like other patients. ”

"Ceruloplasmin is used to screen for genotypes of Wilson's disease, which is often hereditary, causes abnormalities in copper metabolism, and develops at a young age.

I asked the patient about his family history, and the patient himself said no, but he still checked it.

Ceruloplasmin does not seem to be high at the moment, but it is still necessary to look at the results of the patient's ophthalmologic consultation and urine copper quantification. ”

Half of the explanation of the additional examinations was already explained, and Professor Zhu just nodded and never gave an opinion.

Senior Brother She watched and beat the drum in his heart.

It should probably be...... No way?

It's just an intern......

It's okay, and the most expensive test hasn't been explained, let's see what he says.

Zhang Tianyang pointed to the item on the screen, "This schistosomiasis antibody is to screen patients for schistosomiasis. ”

"Because the patient is from Yixing, Suzhou Province, which happens to be a schistosomiasis-endemic area, schistosomiasis can also cause him to do this.

Our hospital did not have this project, and we had to send blood samples to Jinyu for examination, so we prescribed an epigastric enhanced CT. ”

"If you can see obvious geographic changes, you can confirm the diagnosis of schistosomiasis. ”

After all the inspections were explained, Zhang Tianyang looked back at Professor Zhu.

Professor Zhu didn't speak, and looked back at Senior Brother She.

"Dr. She, do you have any questions?"

"I ...... I...... Without. ”

Although he was extremely reluctant to believe it, the facts were in front of him, and Senior Brother She had to bow his head.

"I'm sorry ......"

"You're sorry for telling me?"

When Professor Zhu had just listened to Zhang Tianyang's explanation, his slightly softened face became gloomy again, staring at Senior Brother She's body.

"Senior brother, I'm sorry!"

Professor Zhu was a little satisfied, sat down again in the position that Zhang Tianyang had left behind, and began the formal computer round.

......

"The 77-bed is the old man who has had a fever for 2 months, and various hospitals have not found out what the disease is for a long time, and his family is a little difficult to deal with. ”

Professor Zhu specifically mentioned Senior Sister Chen's 77 bed, "Yesterday Dr. He went to deal with it, but I think his son may still have some trouble, I don't often do it with Dr. He, you should be careful recently." ”

"Okay, the other patients are fine, let's go take a look. ”

Professor Zhu took the lead and walked out, followed by three white coats.

Senior Brother She didn't know what he was thinking, and silently floated to the back.

The whole ward round process was also absent-minded, and when he found his patient, Professor Zhu had to shout several times before he reacted.

Professor Zhu's face became more and more ugly.

The last bed was 79 beds, and Senior Brother She lowered his head the whole time.

At eleven o'clock in the morning, the ward rounds ended.

Professor Zhu drove Zhang Tianyang and Chen Shishi to the doctor's office to work, leaving Senior Brother She behind.

Looking for a quiet corner, Professor Zhu decided to talk to him.

"Dr. Sheh, what the hell do you think?"

"I, I'm ......" Senior Brother She felt a mess in his mind, and could only say the only thing he thought of in his heart, "I think it's rare to have a patient who listens to the doctor's advice so much, and I can't let him do more examinations and suffer a loss......."

"Really?" Professor Zhu suddenly began to ask, "Do you know what is the main problem of this patient?"

"Splenomegaly?"

"Yes, splenoid, when did you know?"

"Yesterday night. ”

"That's good. Professor Zhu stared straight into Senior Brother She's eyes, "I didn't evaluate whether what Dr. Zhang said about the cause of spleen enlargement this morning was right or wrong, so now you can tell me if what he said is accurate?"

"I'm ......," Senior Brother She paused, "Maybe that's right......"

After all, there is a reason for what he said......

"Maybe?" Professor Zhu sighed, "You knew about his spleen yesterday, since you care about him so much and don't want him to do extra tests, did you go back and check the literature to see the cause of the spleen?"

Senior Brother She lowered his head.

"Okay, no. Professor Zhu sighed again, "You answer me again, what do you think?" ”

"I ......" Senior Brother She resisted stubbornly, "I just think that Senior Brother is an intern, maybe, maybe the judgment is not so accurate." ”

"What's wrong with the intern?" Professor Zhu's eyes sharpened, "Clinically, there are capable people in high positions, but what about interns? If you don't understand what others understand, you have to learn from others!"

"If you look at the doctors in the clinic, there are those who are still attending when they are old, and there are also those who have evaluated professors at a young age.

Senior Brother She was scolded so embarrassed that he felt very reasonable, so he could only keep apologizing, "I'm sorry, I'm sorry." ”

"You shouldn't have told me that you're sorry. Professor Zhu was a little gentler at this time.

"You should tell Dr. Zhang that you are sorry, because you are making trouble for him by communicating with his patients without his permission and without reporting to his senior doctors. ”

"You should tell yourself that you're sorry. Humility makes people progress, admit their own shortcomings, and learn like excellent people, so that they can become more and more capable. ”

"Okay, learn more from your junior brother in the future, and ask him more if you have anything to do. You go back first, and then call Dr. Zhang. ”

Professor Zhu didn't continue to look for trouble and put Senior Brother She back.

Senior Brother She felt even more guilty, and he didn't dare to look at him when he saw Zhang Tianyang.

Although Zhang Tianyang didn't complain about him from beginning to end, he felt that his face was hot, as if he had been slapped several times.

Zhang Tianyang came to Professor Zhu with a confused expression.

Then Professor Zhu only said two words to him.

The first sentence is: "Dr. Zhang, you are very good. ”

The second sentence is: "Teach Dr. She more in the future and tell him about it." ”

Zhang Tianyang: "???"

Looking at the back of Professor Zhu leaving neatly, Zhang Tianyang blinked.

That's it, upgraded?