The 33-bed patient came earlier than Zhang Tianyang expected.

As soon as the gloves and paraffin oil for lubrication were ready, Sun Yu walked into the treatment room with Mr. 33.

"Dr. Zhang. ”

He greeted Zhang Tianyang with a smile, looking calm.

Zhang Tianyang noticed his salutation.

The other party even asked Sun Yu for his name on the way over.

Does he really not care?

Zhang Tianyang took a breath lightly, and also wanted to pull the corners of his mouth, but found it a little difficult.

So he could only keep a straight face, nod, and then turn around and put on the mask.

After Sun Yu brought the patient in, he stood in place and was stunned.

In some of the small treatment rooms, the atmosphere was a little somber.

"Don't be so serious. ”

Two doctors, one patient, and three people, but the patient opened his mouth to adjust the atmosphere.

"You're all still students, right?

Obviously, the other party is only in his fifties, which is not very old, and he does not have the bonus of being full of gray hair.

But inexplicably, Zhang Tianyang seemed to see a trace of kindness in the eyes of Mr. 33 Bed.

And so it is.

Mr. 33 looked at the two little white cats as if he saw his own students.

One by one, they are not deeply involved in the world, but they still maintain that innocence, that impulse, and that empathy.

Sometimes, that's a good thing.

But they're doctors.

In the future, I will have to face so many lives and deaths.

It's better to be mature, slippery, and calm.

"Well, it's an intern. ”

Zhang Tianyang responded briefly, restraining his emotions.

Sun Yu took two steps closer, stared at Mr. 33, and bit his lower lip.

Because of her strong figure, everyone usually even subconsciously thinks that she is a boy.

But now, the delicate and soft heart that belongs to the girl is crying silently.

"Sure enough, it's an intern, haven't you seen many patients?"

Although the reaction of the two little white cats was not positive, Mr. 33 Bed didn't care and still smiled softly.

"My body, I know it in my own heart, you see, I don't have anything to do with myself. ”

"You haven't graduated yet, and you'll see a lot in the future, do you want to do it every time?"

"Eh, life, everyone has to come to such a ......"

There is no complaining, no scolding, it is like an elder chatting with the younger generation cordially.

But Sun Yu's lower lip was instantly bitten deeper by his teeth.

Zhang Tianyang, who has the attribute of joint stability, couldn't help but shake his fingertips.

He bowed his head slightly, hiding his eyes.

"Loosen the belt, lie down, head to this side, face the wall, knees. ”

"Hehe, okay. ”

Mr. 33 was still happy, and lay down as he said.

"Whoa, la, la—"

The green curtain around the bed was pulled up, and Mr. 33's pants were half-removed and he was in a pose.

When the digital rectal examination began, Mr. 33 suddenly fell silent.

Zhang Tianyang looked from behind and could see his frowning brow.

He's enduring it.

Digital rectal examination is very uncomfortable.

The gloves were stained with lubricant, but when I put my fingers in, I still ran into obstacles.

The warm feeling came from his fingertips, and Zhang Tianyang turned his wrist to feel the inner wall of his rectum.

Soon, he touched the bad thing.

Just on the left, go about 4 centimeters.

There's a hard hard thing.

The normal inner wall should be soft.

But my fingertips clearly felt it, something the size of a pebble, slightly hard, round.

No surprises.

That's it.

Zhang Tianyang silently withdrew his hand.

Perhaps a more rigorous diagnosis would require a sample to be taken and sliced.

But empirically, the diagnosis can be confirmed.

He turned his head and looked at Sun Yu who was in a daze behind him.

"Are you coming?"

Sun Yu looked away from the patient in a daze and looked at Zhang Tianyang.

Her lips were bitten and bleeding.

There is unbearability written all over his face, and his eyes are full of rejection.

But she quickly nodded firmly.

The force was so great that Zhang Tianyang wondered if she would break her cervical vertebrae.

"Come on. ”

Zhang Tianyang stepped out of the way.

Sun Yu silently put on gloves and silently smeared paraffin oil.

Her fingertips trembled visibly and violently.

But she took a deep breath, pinched the wrist of her right hand with her left hand, forced herself to compose, and then, leaning in, stretching out her fingers.

"On the left, a little deeper. ”

Zhang Tianyang reminded him, and three seconds later, he saw an instant collapse on Sun Yu's face.

She touched it.

Then in her heart, she was also diagnosed.

Mr. 33 Bed closed his eyes and was silent.

Silently endured the despair that had tormented him for two weeks, and two more unbearable shocks.

The surroundings are quiet.

He knew that the two interns behind him must be having a hard time now.

So he tried to stretch his brow, and the corners of his mouth hooked into a smile.

"It's okay......"

......

What is felt on digital anal examination can almost announce the outcome of the patient.

Zhang Tianyang revised the brief introduction of the medical record written by Sun Yu, adding the key points of the examination and the results of the digital anal examination.

When I rushed to the conference room, the first patient's consultation had just ended.

Sun Yu's lower lip had tooth marks and was a little congested.

The bald brother stared at her for a while, and silently greeted Zhang Tianyang.

"Xiao Zhang, will you report this 33-bed case?"

"Good. ”

After experiencing the whole hospital consultation, this kind of pediatric treatment is not difficult for Zhang Tianyang.

He did it beautifully.

You can even insert two sentences of your own thoughts in the gap between the discussions of the bigwigs and get approval.

This kind of performance is quite rare among new interns.

So Zhang Tianyang was naturally praised.

When the director of urology left, he nodded and smiled at him with satisfaction.

Zhang Tianyang also nodded, but there was no fluctuation in his heart.

Because several bigwigs finally agreed on the situation of the 33-bed patient:

There are two possibilities.

First, bladder cancer invades and invades the rectum, resulting in rectal cancer.

Second, rectal cancer invades the bladder, creating the illusion of recurrence of bladder cancer after surgery.

As for the isolated occurrence of three types of cancer, it was passed at the first time.

How can there be so many coincidences.

And either of these possibilities indicates that the patient's cancer has entered an advanced stage.

You don't have to do the surgery, and it's useless to do it.

Whether radiotherapy and chemotherapy should be done or not, and whether there is any point in doing it, still need to be discussed with the oncology department.

But it doesn't matter if you do it or not.

"The 33-bed patient estimate is not much time. ”

It's hard, but it's also realistic.

Sun Yu was in a trance the whole time.

After the consultation, Brother Yang criticized Sun Yu lightly, saying that she did not ask about the medical history carefully.

However, clinically, we only look at the results, not the process.

Zhang Tianyang remedied it in time, and Brother Yang's tone was not too heavy.

Sun Yu nodded in a trance.

Zhang Tianyang always felt that she might not have heard what Brother Yang had just said clearly.

Senior Brother Meng stood on the side of the two little white cats and comforted the little sister intimately.

"It's okay, the end result is that there are no missed diagnoses, no useless surgeries, and now you can go and cancel tomorrow's surgery plan.

Brother Yang just hopes that we will have a snack and pay attention next time. ”

But Sun Yu was still in a trance.

"You ......"

Senior Brother Meng stopped talking and sighed and left.

He may not realize that his comfort is in the wrong direction.

Sun Yu was not sad at all because she was scolded for missing the diagnosis, she was sad that Mr. 33's condition was so serious.

There was silence in the conference room.

Zhang Tianyang silently walked to Sun Yu's side, pulled out a chair, and sat down.