The first week of my urology internship was a thrilling one.

It's a new Monday again.

When the shift was handed over in the morning, Zhang Tianyang silently counted the days and showed a pleased smile.

I thought that surgery would be the kind of place where patients scream and blood flow, and then if you don't pay attention, you will be gone, and every day you will be nervous like a war.

Now it looks like it's okay.

It's a far cry from the daily routine in the emergency department.

The internship in the Department of Urology is only two weeks, and if nothing else, this week should be spent peacefully.

"Xiao Zhang!"

The bald head taught Brother Yang to specially say hello to Zhang Tianyang, and then called Senior Brother Meng, who had deep dark circles, to arrange the operation together.

Surgery is scheduled on Monday morning, which is the routine operation of the chief medical team.

"On Monday morning, the director went out of the outpatient clinic, and we lined up the ones who had already made a plan, and the few who came last weekend were slowed down first. ”

The bald head taught Brother Yang to count the number of surgeries to be performed tomorrow in the list of patients, and informed Zhang Tianyang at the same time.

A total of three patients came last weekend, except for a big brother who has difficulty urinating and does not need surgery, the remaining two are in Zhang Tianyang's hands.

"Okay. ”

Zhang Tianyang was as good as a stream, while watching the bald head teach Brother Yang to hook out four patients who needed Tuesday surgery, and at the same time went through the patients in his hands in his heart.

So far, I have handled a total of six patients.

In addition to Li Yueban's brother, who has been discharged from the hospital, there are two people who have already undergone surgery.

An upstart from the overseas Chinese family, who had surgery to remove his kidney, is expected to stay for a few more days before being discharged.

The other was the little boy with hydrocele who cried a lot when he saw him.

The little boy is expected to be discharged from the hospital on Tuesday and may have to change his medication and endure another torture of his eardrums today.

Among the newly admitted patients, the big brother who had difficulty urinating was separated, and the remaining 35 and 36 beds were still in Zhang Tianyang's hands.

The 36th bed is the eldest sister who opened her mouth and closed her mouth "Master Zhang", and also babbled that she wanted to change the ward.

Zhang Tianyang was very impressed with her, but her situation was relatively simple.

Hypertension and hypokalemia are typical, with imaging suggestive of adrenal mass lesions, and biochemical studies confirm the presence of primary aldosteronism.

For such patients, there is nothing to say, surgery to remove one adrenal gland is sufficient.

I will ask about my menstrual history, and there will be no problems and the surgery should be scheduled for Thursday.

Tricky is 35 beds.

Zhang Tianyang's mind flashed the face of the woman in the 35th bed.

The cheekbones are prominent, the complexion is yellowish, and the spirit looks average.

After all, her chyluria, which has been going on for more than a decade, has been suffering from long-term nutrient loss and food restrictions from the perspective of supportive treatment, resulting in her now being extremely nutriently deficient.

More critically, she had an operation before......

Zhang Tianyang's brows couldn't help frowning.

"Yo, look at this frown!"

The bald head taught Brother Yang that he had already hooked up the patient, and sent Senior Brother Meng and Sun Yu to work, turning his head and caring about Zhang Tianyang with a smile.

"Xiao Zhang, what are you thinking? Are you encountering any difficulties? Talk to me? The director told me yesterday to take good care of you. ”

The smile on the bald head and the smile on Brother Yang's face seemed to be a little too big, and his tone was also too kind.

This made Zhang Tianyang glance at him in surprise.

Why is it so enthusiastic all of a sudden?

Brother Yang encountered some big joy today, is he in a particularly good mood?

The irrelevant emotions were instantly left behind by Zhang Tianyang, and Zhang Tianyang turned out the medical records of 35 patients with chyluria.

"Brother Yang, you see, when she was 04 years old, she had an operation. Let's ...... this time."

"Oh~"

Brother Yang patted his bald head and instantly understood what Zhang Tianyang meant.

"You mean, it's difficult to enter the palace for the second time. ”

For surgeons, the first surgery is always the easiest.

Regardless of whether the specific structure of the patient's body is mutated or not, the inside of the first operation is "original".

Tissue is tissue, blood vessel is blood vessel, nerve is nerve, well-organized, and easy to separate.

The hardness and tactile feel of different tissues are different.

During the surgery, as long as you pay attention and pay attention carefully, the problem will not be too big.

However, for the second operation, what needs to be solved by the "second uterus" is not only the difficulty of the operation itself, but also the "sequelae" left over from the previous operation.

For example, various scars, adhesions.

Maybe as soon as you open the patient's belly, a huge scar tissue holds everything together.

When you go down, the touch is hard, but you don't know whether the tip of the knife is another piece of scar tissue or a wrapped artery behind this piece of scar tissue.

The difficulty of the operation and the risk of surgery are rising by the minute.

After all, you never know what will look like in the patient's belly after this abdomen.

In some smaller hospitals, the doctors directly refused to do the operation of the second uterus.

It's like the level of Oriental Hospital, but it can be done......

Zhang Tianyang hesitated for a moment, and finally raised his own question.

"Our doctors are definitely at the level of this surgery, but I'm thinking.

Is this surgery really necessary?"

The 35-bed woman, after the first operation in 04, had chylulus again after half a year, but she never had a second operation.

It wasn't until recently that he was seen again after he had chyle hematuria.

In this, for more than ten years, why didn't she deal with this chyluria?

Now, at her age, is it really necessary to bear the damage of a second operation?

Zhang Tianyang thought of a lot in an instant.

The bald brother also fell silent.

However, he quickly slapped himself on the head again.

"It's fine!"

"Huh?" Zhang Tianyang looked puzzled.

"Wait for the afternoon, ask the director. ”

The bald brother began to laugh again, patting Zhang Tianyang's shoulder and comforting him.

"If you think of it this way, since the patient has agreed to be admitted to our urology department, he must be ready for surgery.

Moreover, this patient was admitted by the chief outpatient clinic, and when he admitted the patient, he must have had a corresponding plan in mind.

You don't have to worry so much about yourself, ask the director what the patient is going to do in the afternoon, the patient will definitely give instructions if this situation is more complicated. ”

"Is that so......"

Zhang Tianyang thought for a while and bowed his head slightly.

Yes, the director must have an arrangement.

It's useless to dwell on yourself here.

Just listen to the arrangement.

Could it be that the director can still let himself decide the patient's follow-up treatment plan?

Zhang Tianyang, don't forget, you are an intern!

It's you who floated.

Or is the director unable to hold the knife?

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Today is also diligent efforts to renew Ann!