Chapter 350: Rectal Cancer, Bladder Invasion?
Zhang Tianyang withdrew from the ward.
He was afraid that if he stayed any longer, his eyes would be moist.
He remembered what he had heard in the infectious disease department, the desperate cry that spread throughout the corridors.
In contrast, the silent tears of the 33-bed family members are quieter, but they are even less quiet.
Hidden beneath the oppressed voice, hidden in the closed eyes, is an even more indescribable sorrow.
"Alas. ”
Sighing softly, Zhang Tianyang stood in place and slowed down, before calming down.
Even if I see more stories, I still feel uncomfortable when I encounter them again.
Maybe it would be better to tell them the news in a few days?
An idea suddenly popped up, but it was quickly extinguished by Zhang Tianyang.
How can it be so easy to hide.
After already having two rounds of consultations with Senior Brother Meng and Sun Yu, I went to ask them about the symptoms of their digestive system today, which would definitely attract their attention.
And such a typical symptom can be easily diagnosed by casually going to the gastroenterology department to register.
The reason why it was delayed until now and was discovered by myself was just because of a coincidence-
A week ago, the patient went to the simple outpatient clinic to make an appointment for gastroscopy directly, and wanted to wait for the results to come out before going to the gastroenterology department.
During this time, the patient is admitted to the hospital when the cystoscopy is regularly reviewed and the bladder cancer has recurred.
The urology doctor subjectively thinks that the patient must have gone to the gastroenterology department first after making an appointment for a gastroscopy.
And the patient may have gotten used to it because of many disasters, and he didn't even mention it to them in such an uncomfortable situation......
But even if there is no Zhang Tianyang, this kind of thing will be discovered sooner or later.
The patient had a CT of the lower abdomen with contrast the day before yesterday, but the results were not displayed on the computer until noon.
However, there are 33 beds in the afternoon consultation for difficult cases, and the big guy in the imaging department will definitely take a closer look at it at that time.
Then, at the end of the consultation, the patient and family members are communicated......
It's just a few hours of sadness now.
......
Look at the time, it's more than two fifty, almost.
took out his mobile phone, Zhang Tianyang called directly.
The first call was made to Senior Brother Meng and he briefly described the situation.
Senior Brother Meng quickly agreed on the opposite side, and it was expected to arrive at the battlefield in five minutes.
The second call was made to the bald head to teach Yang.
Brother Yang's tone changed from the beginning to serious, and he hung up the phone after saying "I'll be there soon".
He didn't forget to send Sun Yu a WeChat message.
After all, the 33-bed patient is Sun Yu's patient, and he is actually a bit overstepping.
At three o'clock, Senior Brother Meng, Brother Yang, and Sun Yu arrived at the scene together.
Without tossing the patient again, Zhang Tianyang briefly described the symptoms to everyone according to the notebook he remembered.
"So this is Tenesmu!"
Sun Yu couldn't hold back and exclaimed, but soon covered his mouth and silently retreated to reduce his sense of existence.
Senior Brother Meng and the bald brother glanced at her and did not scold.
After all, Sun Yu has too little clinical experience to recognize it, which is normal.
In fact, interns may all be like this, and they won't recognize them even if they meet them.
The top day is to repeat the original words in the medical record, and then be scolded by the senior doctor for "verbose".
But Zhang Tianyang ......
Senior Brother Meng and the bald brother glanced at each other, and then silently withdrew their gaze.
Zhang Tianyang is a pervert, not an intern.
Neither of them had an opinion on Zhang Tianyang's diagnosis.
"Change in bowel habits, diarrhoea, progressive thinning of stools, tenesmus ......"
"There are also symptoms of bloating, abdominal pain, decreased feeding, incomplete intestinal obstruction......"
When Mr. 33 bed said himself, he used the vernacular, and after Zhang Tianyang summarized it into medical terms, the process of disease progression became clear.
Listening to Zhang Tianyang's narration, Sun Yu could even think of the situation on the patient's rectal wall, where a mass changed from small to large, slowly bulging out, squeezing out the normal excretory passage little by little, and eventually completely blocking the passage.
"It feels like it should be. ”
The bald head taught Brother Yang to make a judgment based on his years of clinical experience.
"Such a typical symptom, coupled with his previous history of bladder and stomach cancer......"
Zhang Tianyang sighed lightly and completed the second half of Brother Yang's sentence.
"There are many possibilities for the recurrence of bladder cancer, it may be that his last surgery was incomplete, leaving a root, or it is possible that it was metastasized from another place.
Rectal cancer is indeed very easy to invade the bladder......"
"For malignant cancer, surgery can't be done. ”
Senior Brother Meng bowed his head silently, writing down something in the small notebook, his eyes drooping, making it difficult to see his eyes.
Sun Yu still didn't react.
Or maybe they don't want to react.
"33 bed that uncle, he, he looks pretty good, and, and ......"
How could such a decent and bookish gentleman be......
"Just do a digital anal examination. ”
Zhang Tianyang sighed, and then looked at the bald brother who taught him, "Is the consultation about to start?"
"Xiao Zhang, do you know how to do a digital anal examination?"
The bald head taught Brother Yang did not answer immediately, but asked rhetorically.
Zhang Tianyang hesitated for a moment and nodded, "Yes, I've practiced before." ”
Although I haven't done it for patients, I think it's okay to practice it in a real simulation in the system space, right?
"Then do it now!"
The bald head taught Brother Yang without the slightest hesitation.
"Xiao Meng and I will go to the conference room to debug the instrument first, and you can take the little junior sister to do it.
I asked Xiao Meng to talk about his patient first, and the two of you will hurry up and change the introduction of the condition, and then hurry over. ”
As soon as these words came out, Senior Brother Meng was a little stunned.
"Brother Yang, you ......"
Are you so relieved of Senior Brother Zhang?
Although the consultation will be a big man, it must be done immediately, and the time is very tight.
But that can't let Zhang Tianyang take the little junior sister to do a digital anal examination alone!
Both of them are interns!
He didn't mean to despise Zhang Tianyang at all, after all, he had already seen Zhang Tianyang's power.
But if I have never done a digital anal examination, but have only practiced, what if I miss it?
What should I do if I miss a diagnosis?
"It's fine. ”
The bald head led Brother Yang to see Senior Brother Meng's thoughts at a glance, but his attitude was firm.
Just kidding, he just learned from the director this morning that Zhang Tianyang, a pervert, had done something before.
can penetrate deep veins, can resist machetes, and a digital anal diagnosis is considered a fart.
"Your Senior Brother Zhang may be much more powerful than you, he said yes, then he will. ”
The words fell, and the bald head taught Brother Yang had already walked far away.
When he turned around, he found that Senior Brother Meng was still in a daze, his eyebrows were crossed, and his tone was not good.
"What are you doing in a daze!"
"Oh, oh!"
Senior Brother Meng hurriedly followed, and before leaving, he left a worried look.
Sun Yu looked at the back of the two of them leaving blankly, and then turned his head to look at Zhang Tianyang, still a little unable to accept the reality.
Mr. 33 Bed looks good......
"Don't be stunned. ”
Zhang Tianyang sighed softly.
"You go and bring the patient to the dressing room, and I'll prepare. ”