It's all over the calf!

Senior Brother Deng was furious behind Zhang Tianyang.

The resentment towards the director of the cardiology department has skyrocketed.

This is obviously an emergency department, hey!

If you want to ask questions, is it bad to ask the doctor in your group during the cardiology rounds!

Why embarrass my junior brother!

I don't know if my junior brother is covered by me!

It can be judged that it is a heart problem caused by severe water and electrolyte imbalance and reduced circulating blood flow, and the junior brother is already very awesome, okay!

Also electrophysiological mechanisms?

Graduate students in cardiology have such high requirements!

Senior Brother Deng's eagerness to protect the calf overcame the fear in his heart, and he took a difficult and great step forward at that time.

His mouth was open, ready to find a reason to relieve his junior brother.

But Zhang Tianyang didn't wait for him to say the first word, and he had already given his own answer.

"I feel that the occurrence of ventricular electrical storm is mainly related to sympathetic overactivation, abnormal conduction of the Shipp system, and increased β receptor responsiveness. ”

"Of course, this is just speculation. ”

After Zhang Tianyang finished speaking, he found that Senior Brother Deng suddenly rushed to his side, and couldn't help but turn his head to ask.

"What's the matter, senior brother, there is another patient over there?"

"No, it's fine. ”

Senior Brother Deng replied a little stumblingly, only to feel that his head was a little stiff, and it took a long time to slowly, slowly, twist towards the director of the cardiology department opposite.

Human emotions are so strange.

When he saw the director of the cardiology department asking questions and wanting to make things difficult for his junior brother, he protected the calf and fought for the junior brother.

But when the junior brother successfully answered some words that he didn't understand, he was a little expecting that the director could deny the junior brother's statement, or further let the junior brother explain in detail.

He wondered why he had suddenly become psychologically dark.

But after thinking about it, he realized.

It's all because, he, doesn't understand!

In fact, the words of the junior brother mentioned a total of three key words.

Sympathetic nerveHe knows that the human body has two sets of nerves, one sympathetic and one parasympathetic.

The Shipp system, it should be Hiss beam and Purkinje fibers, right?

He also knows that this is an important part of the heart's electrical signal transduction.

β receptors, he also knows, aren't they the receptors on various muscles and vascular endothelial cells, he not only knows β receptors, but also knows α receptors.

But knowing what this is doesn't mean that he can figure out the logic behind it.

How can the junior brother only speak half of what he says like those senior doctors?

Is it interesting to just say one keyword?

He really wanted to ask, sympathetic overexcitation, and then what?

The Shipp system conducts abnormalities, and then what?

β receptor reactivity is elevated, and then what?

And then how does it lead to the death of the patient???

You're done!

Senior Brother Deng's madness is like sometimes knowing every Chinese character, but when combined, you just don't know what the other person is talking about.

In the final analysis, it's because he's too vegetable.

Therefore, Senior Brother Deng, who suddenly realized his "dish", looked at the director of the Department of Cardiology with anticipation, hoping that he could say that Zhang Tianyang had misjudged and then give a correct explanation.

But the moment he saw the other party's face, Senior Brother Deng was disappointed.

Although the director of the cardiology department wears a mask, the mask can cover the mouth, but it can't cover the corners of the bent eyes and the crow's feet at the corners of the eyes.

The crow's feet are all out!

The answer must be right!

Ah, a little angry!

Why can junior and junior be so good!

Why can the junior brother be praised by the director of the Demon King of the Department of Cardiology, but I can only ask three questions and be scolded in a corner!

Why is this happening, obviously I am the senior brother!

What the hell did I just want to mourn for my junior brother for three seconds?

These three seconds are obviously a moment of silence for myself!

Smash the table!

Seeing that one of the two white coats in front of him was kind and appreciative, and the other was calm and calm, Senior Brother Deng only felt that there was no taste in his mouth.

Hiss - this lemon is so sour!

"That's a good judgment, I think so. ”

Not noticing the subtle expression of Senior Brother Deng next to him, the director of the cardiology department praised Zhang Tianyang with a smile.

But he didn't say a word about Senior Brother Deng's heartfelt explanation.

After all, in the world of senior doctors, some things that junior doctors can't understand are actually common sense to them.

Since Zhang Tianyang can mention these key words without his guidance, he must have an accurate understanding of the occurrence and development mechanism behind them.

Naturally, there is no need to expand on the explanation.

At the same time, the director of the cardiology department was also a little surprised.

He just felt that the doctor's medical history report made him feel very comfortable today, and the question was completely subconscious.

After all, when he meets a junior who feels good about him, he always likes to ask more questions, and it doesn't matter if he can't answer them, he will also explain.

He asks questions every day during his rounds, and he has become accustomed to it.

In fact, the next moment he asked, he regretted it a little.

He is just a doctor in the emergency department, not a graduate student in cardiology.

Thinking of the danger of an unexpected situation, leave this patient behind.

And it was not easy to find ventricular fibrillation at the first time, and even miraculously save the patient back with some operation.

When I asked myself, I was a little suspicious of picking bones in eggs.

But before he could think of a way to break the siege, Zhang Tianyang had already given an answer that satisfied and surprised him.

It's really ...... That's great!

The director's eyes fell on Zhang Tianyang's face, and he really observed this very good young man.

"Are you a graduate student in our cardiology?"

"I'm not. ”

Zhang Tianyang said honestly, "I just got out of clinical practice last month, and I am an intern this year. ”

"A clinical intern?"

This statement is so familiar......

The director of the cardiology department was stunned for a moment, and some memories and pictures suddenly popped up in his mind.

He looked at Zhang Tianyang's slightly familiar face, and his eyes moved down and landed on his badge.

"Are you Zhang Tianyang?"

"The Zhang Tianyang who was on the stage for the consultation of the whole hospital of infectious medicine before?"

The director of the cardiology department was a little stunned, and even added a few words in his heart.

You are the Zhang Tianyang who caused a bloody storm in the group of professors some time ago?

Is that Zhang Tianyang who I asked a student to persuade you to choose cardiology, but was rejected neatly?

Zhang Tianyang didn't know the inner drama of the director of the cardiology department at all, but just blinked, "Yes, I am." ”

"Are you in the emergency room now?"

"That's right. ”

"How long is the turn?"

"A week. ”

"Where's the next department?"

"Neurology. ”

"When are you coming to our cardiology department?"

"It's coming. ”

......

Senior Brother Deng watched the conversation between the two in amazement.

Not to mention the explanation he had in mind, the content of the conversation now is not related to the patient!

The image of the director of the Department of Cardiology in his heart has always been that he is serious and serious, concentrating on academics, and is ruthless when scolding.

When did you speak so softly and talk so homely?

The point is, the junior brother is still calm and not flattered at all?

Hiss –

These two people, I'm afraid they don't have a leg!

Is the junior brother going to the cardiology department in the future?

Is the junior brother so awesome!

Senior Brother Deng's eyes widened, and he frantically began to make up for his inner drama, and froze directly in place.

And Zhang Tianyang, after calmly chatting with the director of the cardiology department, changed the topic back.

"By the way, director, do you accept this patient?"

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Stealing incense