"Oda, from today onwards, you will start to be in charge of patients. ”

The next morning, after finishing the shift, Leng Yan called Tian Lu over, handed over a stack of materials and said: "I'll give you one first, this is a patient transferred from Shennai, who has been diagnosed with spinal ependymoma and lives in fourteen beds." ”

Tian Lu nodded, and hurriedly took the information in Leng Yan's hand.

Actually, yesterday was supposed to be the first official day of Tian Lu, but because it was the night shift, the first patient in charge was handed over today. In this regard, he was still a little excited in his heart, but he still didn't look at the information at hand first, and said in a cold voice: "Director, are you free at this time? ”

Leng Yan nodded and said, "I don't have surgery today, I'm free, you can come to the office with me." ”

The two went to the office of the chief neurosurgeon together, and after sitting down, they asked with a cold smile, "Tell me Xiaotian, is there anything wrong?"

"Director, that's right, I went to the Institute of Neurobiology yesterday。。。。。。 ”

Tian Lu recounted the plan discussed with Tong Xiangyang yesterday to Leng Yan, and finally asked: "My establishment is in our department, and it should be no problem to be their part-time professor, right?"

"Of course no problem!"

Leng Yanxi said: "As long as it does not affect the normal work, Corey completely agrees, and besides, the Second Affiliated Academy and the Research Institute belong to the same university, what is the reason for opposition?"

As soon as Leng Yan said this, the last bit of worry in Tian Lu's heart suddenly disappeared without a trace.

"Actually, I would be surprised if he didn't hire you, Lao Tong!"

Leng Yan continued: "The last time I went, he was bent on saying that you would switch to their research institute, so he didn't offer this condition, but I thought at the time, sooner or later he would think of this trick, haha, I just didn't expect it to be so fast, don't worry, do it well!"

It is also an honor for the doctor in his department to be able to serve as an adjunct professor in the research institute, and of course Leng Yan will not object, and it can even be said that he still has to support it strongly!

"Then thank you, Director. ”

Tian Lu also smiled and nodded.

After congratulating Tian Lu, the cold topic changed, and then said: "But Xiao Tian, the materials for your promotion to deputy chief physician must also be prepared." The final submission date is October 20th, although you have three heavyweight articles as bargaining chips, but after all, it is basic research, I am afraid that the review committee will take this card for you! Be well prepared, it is best to prepare the evaluation materials from San Francisco, as well as the surgical records and other materials when you were doing residency training, and hand them in together. ”

"Okay, I'll be ready. ”

Tian Lu nodded.

Compared with the things on the research institute, Tian Lu's application for promotion to deputy chief physician is the most important, especially if he wants to do difficult surgery, this title is very necessary.

Surgery, now implemented by the grading system.

Like any other surgical procedure, neurosurgery is divided into four levels based on difficulty, risk, and other factors. The grading system divides physicians into several grades, such as resident physicians with low seniority and high seniority, attending physicians with low seniority and senior seniority, and associate chief physicians with lower seniority and senior seniority.

Neurosurgeons of different grades can only perform neurosurgery of the corresponding level.

For example, Tian Lu, because it belongs to the returnees, the qualifications refer to the time of work. So if it's just about the years, now it's barely a senior attending physician. According to the regulations, senior attending physicians can only preside over tertiary and lower surgeries, and only junior deputy chief physicians can carry out fourth-level surgeries under the on-site guidance of senior physicians!

That's a big difference!

Just like the patient that Leng Yan just handed over to Tian Lu, it is an intramedullary tumor of the spinal cord, and if it is resected, it is a tertiary operation, which happens to be an operation that Tian Lu can preside over independently. But if you want to do the transsphenoidal pituitary tumor resection that you are already proficient in San Francisco, Tian Lu must at least get the title of deputy chief physician!

Therefore, both Leng Yan and Tian Lu attach great importance to the upcoming title review, which is directly related to what kind of position Tian Lu can occupy in neurosurgery! Not to mention anything else, the deputy director that Leng Yan and Tian Lu said a few days ago is also based on the premise of Tian Lu's successful promotion!

And Tian Lu's application for deputy chief physician is not a foregone conclusion.

According to Tian Lu's qualifications, years are not enough, and he is now an exceptional application, relying on the evaluation data from San Francisco, the video of the surgery he has done, and the three articles he has published.

Of course, if you are in a graduate school, even if you are applying for a senior professor, if you have those three articles, it will definitely be appropriate, and there will be no problems. However, in the application of deputy chief physician in neurosurgery, the role of the three basic articles will be weakened a lot, and the key depends on the attitude of the final review committee.

"Be prepared. ”

stood up and patted Tian Lu on the shoulder, and said coldly and half-jokingly: "Let's strive for a one-time application, I still expect you to take the lead in neurosurgery!"

"Don't worry, Director!"

Tian Lu also stood up and said confidently.

。。。。。。

Coming out of the director's office, Tian Lu took the medical records in his hand and went directly to the fourth ward of the neurosurgery department and found his first patient in charge, Wu Dayong, who was in charge of the 14th bed.

After introducing himself first, Tian Lu chatted with the other party very patiently.

Wu Dayong is very young, but he is only in his twenties, and he was admitted to the hospital for more than 30 days due to numbness in his right foot for more than a year and weakness in his lower limbs. When he was admitted to the hospital for physical examination, his consciousness was normal, but he had sensory loss in the right upper limb, superficial sensory loss in the right lower limb, and muscle strength at grade 4.

On the MRI examination results, it was shown that T5~6 intramedullary mass of the spinal cord was secondary syringomyelia.

After learning about the patient's situation in detail, in the worried eyes of Wu Dayong and his family, Tian Lu smiled gently and comforted softly: "Don't worry too much, spinal ependymoma is a glioma, but it is benign in nature, and there is no need for radiotherapy and chemotherapy after the first stage of total resection, and the recurrence rate is relatively low." ”

"Doctor Tian, are you operating on me?" Wu Dayong's face was a little pale, and he asked in a low voice.

"Yes. ”

Tian Lu nodded and said, "If there are no accidents, I should have operated on you." ”

Wu Dayong pursed his lips and stopped talking, but like his parents beside the bed, there was a faint worry in his eyes, as well as a trace of distrust of Tian Lu.

This kind of gaze, Tian Lu has seen a lot as early as San Francisco, and he is not annoyed at the moment, his face is still a gentle smile, and he said lightly: "Don't worry, I have done many cases of this kind of surgery when I was studying in the United States, and I have a lot of experience, please believe me, I will do my best to do it!"

Originally, Tian Lu was reluctant to say that he had been a resident doctor in the United States, because in his opinion, it seemed to be just a boring show-off, but under cold persuasion, he still decided to use this way to give patients some comfort and confidence.

Sure enough, after listening to Tian Lu's words, the eyes of Wu Dayong and his parents immediately changed from just now!

"You're coming back from studying abroad?"

Wu Dayong's mother asked in surprise.

Tian Lu nodded and said, "Yes, I studied abroad for more than seven years after graduating from college." ”

After receiving confirmation from Tian Lu, the worries about his young appearance were suddenly swept away. Wu Dayong's parents naturally smiled happily, and even Wu Dayong's always gloomy face finally showed a ray of sunshine.

It seems that Tian Lu's resume has given them a lot of confidence.

It is very strange that instead of a sense of pride in Tian Lu's heart at this time, an inexplicable sense of heaviness rises.

After reading Wu Dayong's examination results in detail and initially forming an operation plan in his heart, Tian Lu comforted the patient a few more words and left the fourth ward with a smile on his face.

When he went out, the smile on Tian Lu's face disappeared immediately, and after a moment of silence, he turned around and entered the third ward next door.

Eleven beds, or Ling Feifei's bed.

The little girl lay on her back on the bed, staring at the snow-white ceiling expressionlessly, her eyes did not move, and no one knew what she was thinking in her little head. And her mother, Yue Hua, was holding a peeled apple at this time, holding it straight in front of her, with a helpless face.

"Doctor Tian, you're here. ”

Seeing Tian Lu, Yue Hua hurriedly stood up, and reluctantly squeezed out a smile on his face and greeted.

Tian Lu nodded and smiled: "Yes, I'll come and take a look." ”

Hearing Tian Lu's voice, Ling Feifei's eyes finally rolled, but she still didn't get up, she still lay on the bed in a daze, and didn't speak.

Yue Hua was in a hurry, and was about to scold her daughter, Tian Lu hurriedly waved her hand, and she swallowed back the words that came to her mouth.

After gesturing with his eyes again, Tian Lu bypassed Yue Hua and walked to Ling Feifei's bedside, and asked with a smile, "How do you feel today?"

Glancing at Tian Lu, Ling Feifei seemed to hesitate in her eyes, but Yue Hua next to her had already smiled and spoke: "Hehe, it's much better, especially the head, it's not so painful anymore, and the medicine prescribed by Dr. Zhang is still quite effective." ”

It seems that Yue Hua's trust in Zhang Jie is much stronger than that of Tian Lu, and he is beaming when he speaks, while Ling Feifei pouted on the bed, but she didn't object to it.

"That's right, Ms. Yue. ”

Tian Lu sighed in his heart, turned around and smiled: "Same as that day's outpatient clinic, I still want to communicate directly with Fei Fei, can you see it?"

Ling Feifei's eyes, which had always been a little dull, suddenly flashed a hint of brilliance!

The expression on Yue Hua's face was suddenly suffocated, and he said with some embarrassment: "However, isn't Fei Fei's doctor in charge Dr. Zhang。。。。。。 ”

"Hehe, yes, her doctor in charge is Teacher Zhang Jie, but I just came to ask about some situations, and the two do not conflict. Tian Lu said lightly.

Tian Lu was wearing a white coat, in the hospital, this was a symbol of majesty, under the gaze of the other party, Yue Hua had no choice but to nod helplessly. Tian Lu turned around again and repeated the question just now: "How do you feel today?"

Without answering this question, the little girl just stared at Tian Lu in a daze, her eyes flickering, as if she was trying to think about something.

This time it was Taji's turn to be embarrassed.

To be honest, a fourteen or fifteen-year-old girl's mind is really elusive. Children of this age are different from when Tian Lu was a child, under the bombardment of TV and the Internet, he understands what he should understand, and he understands what he shouldn't understand, and his mind is still very sensitive, and it is easy to get into the tip of the horn if he is not careful.

Just when Tian Lu was desperately thinking about how to arouse the other party's interest in speaking, Ling Feifei suddenly spoke: "Doctor Tian, why are you willing to listen to me?"

The voice was very low, but Tian Lu could hear it clearly, so he couldn't help but be stunned.

"When I said that I always had a headache, no one believed me, and then I said that I didn't eat out and no one believed me, even when I was hospitalized, other doctors listened to what my mother said, and no one wanted to listen to me seriously. Dr. Tian, why would you want to listen to me?"

Yue Hua's expression became more and more embarrassed.

After frowning and thinking for a while, Tian Lu smiled and said softly: "I am a doctor, and you are a patient, and you are not a child who doesn't know anything, I don't listen to you, so you tell me, who should I listen to?"

Yue Hua's brows furrowed, faintly, and there was a hint of disapproval in her eyes, but her daughter Ling Feifei, looking at Tian Lu, finally came to life at this moment!

After her eyes flickered for a moment, Ling Feifei finally whispered: "Basically, I don't cough anymore, my throat doesn't hurt anymore, even the headache has been reduced a lot, overall, I feel good now." ”

At this moment, Yue Hua's eyes finally showed a look of surprise!

When Dr. Zhang Jie came to inquire about the condition, he often had to ask patiently for a long time to get an answer, why did this Dr. Tian pry open this girl's mouth so easily?

Is it because he is young and looks more delicate?

An extremely strange thought suddenly rose in Yue Hua's heart, and the eyes that looked at Tian Lu suddenly became a little guarded.

Indeed, Tian Lu's appearance belonged to the more attractive type, and in the case of being dressed in white, it brought his faint, seemingly somewhat elegant temperament to the extreme! At least in Yue Hua's eyes, this young doctor could be said to be quite attractive!

Of course, Tian Lu didn't know what Yue Hua was thinking at the moment, he was just a little relieved now, and after chatting a few words warmly, he began to ask about the details of Ling Feifei's previous illness.

Every time Ling Feifei answered a question, Tian Lu would nod, and then write and draw in his notebook, this solemn look made the expression on the little girl's face more and more lively, and her voice gradually became louder.

However, the evidence to support the diagnosis of Taro is clearly not so easy to find.

Ling Feifei's symptoms were not very many, just a headache and some less obvious neurological signs, and after asking in detail, and comparing them with the medical history recorded by the system one by one, Tian Lu shook his head with some disappointment in his heart.

With the existing theory, it is indeed difficult to find evidence from anyone who directly supports his diagnosis, and it is impossible to convince Leng Yan and Zhang Jie. Looking at Ling Feifei, who was looking forward to the next question at this time, Tian Lu smiled bitterly in his heart, and said helplessly: "Okay, let's talk about it here today, and then go back and continue, okay?"

Hearing that there was no need to continue asking, Ling Feifei's expression was obviously a little disappointed, but she still nodded obediently.

"If you think of anything special, I mean, anything, you can always tell me, okay?"

Before leaving, Tian Lu couldn't help but explain to Ling Feifei.

The little girl nodded vigorously and said, "Well, I will definitely try to think about it!"

That serious demeanor made Yue Hua stunned for a moment after seeing it, and his eyes when he looked at Tian Lu were obviously more vigilant!

After nodding to the two of them, Tian Lu walked out of the third ward quickly. After going out, Tian Lu's brow furrowed again.

Returning to the duty room to see that there was nothing to do for the time being, Tian Lu immediately entered the clinical medical record support system and rummaged through it。。。。。。

。。。。。。。。。。。。。。。。。。。。。

Ho, 100 chapters, 300,000 words!