Chapter 222 Meet Zhang Tianyu again

The next day, Zhang Reed, director of the Department of Internal Medicine, brought an intern, and soon spread throughout the Department of Internal Medicine, and even other departments had heard of it. Many people were surprised by this, and many people were extremely suspicious of this matter.

Because interns usually only have a attending doctor to teach, but there are very few cases where the deputy chief physician teaches.

As for the situation where the department director leads the intern, in the appendix, there has never happened before, let alone the department director.

So after this incident came out, many people didn't believe it; however, several doctors on duty in the internal medicine department yesterday all swear to say that Director Zhang did take an intern to the department to see the patient. And it was either a round or a simple one to take the intern to see the patient.

Moreover, these doctors said mysteriously: "This intern's reputation has been very famous in Affiliated One recently, the one who used a knife to perform a tracheotomy on the patient..."

What the doctors said was so vivid and that the doctors from several departments said this, naturally no one did not believe it.

So the doctors and nurses at the affiliation were also curious. Who is Xu Ze? He is the director of the Department of Internal Medicine, who has always been above the top, and it is really curious.

However, most of the people who know Xu Ze's real situation are the directors of various departments of internal medicine. The impact of the original topic competition is still there, and it is related to the appearance of the internal medicine department. Naturally, they will not reveal Xu Ze's situation.

Director Qu in the emergency department and a few doctors are the only ones who know Xu Ze’s true situation except those in the internal medicine department. However, Xu Ze worked in the emergency department with the sign of a rotary doctor; but now Xu Ze is an intern who has not graduated from Star University.

Who dares to reveal Xu Ze’s background? Otherwise, if the emergency department actually lets an ungraded student hang the sign of a rotary doctor, I’m afraid even Director Qu will be in trouble.

Therefore, Xu Ze is now extremely well-known among the medical staff in the First Affiliated University of Star University. Many people want to see who this boy named Xu is. He is so awesome, even making Zhang Reed, the director of the Department of Internal Medicine, so eye-catching.

Even on the Star University campus, the students who saw Xu Ze and Zhang Reed teach one-on-one.

This incident also caused a big sensation in the Clinical Medical College of Xingda University. Especially these senior students who are also interns in the senior year naturally know what it is to be taught by the director of the internal medicine department of Xingda University No. 1 Affiliated University. At this moment, I couldn't help but admire Xu Ze more and more.

This person on the top of the list is indeed extraordinary. He will be extremely noticeable no matter where he goes...

Xu Ze, who was at the center of the storm, naturally didn't know much about it, because he was following Zhang Reed and was sitting in the internal medicine clinic in the outpatient building.

As the director of the internal medicine department of Xingda Affiliated First Affiliated University, Zhang Reed is naturally very famous in Xingcheng area. He is in the expert clinic of the cardiovascular department. He will take the outpatient clinic for two afternoons every week. At this time, there will be a long queue at the entrance of his clinic, and hundreds of patients are waiting for him to see the doctor or follow up every day...

Xu Ze was sitting next to Comrade Zhang Reed at this time, helping to see the patient. Of course, sitting there was not just helping to measure blood pressure, or something. The nurses at the door were all checked. All he had to do was to wait for Zhang Reed to finish reading the patient after reading the medical record, and then he continued to take a look. Mei said his name: Learn...

Xu Ze first felt extremely confused about how Zhang Reed could see more than 100 patients every afternoon, but he quickly understood why Zhang Reed had such a speed.

When a patient came, Zhang Reed briefly asked about the situation, he listened slightly and targetedly, for up to ten seconds, and then he would give the relevant test form to the patient and ask the patient to do the examination. Then he continued to see the next patient, and such efficiency was naturally extremely high.

However, since Xu Ze came to study on the name, he would naturally take a look at it carefully. Whenever the patient had an examination and got the results, and Zhang Reed was performing another patient's examination, Xu Ze would take a look first.

At this time, Xu Ze was holding a patient's examination report and frowned. The patient was a patient with chest pain. He had been suffering from chest pain for two days, and the chest pain attack was very severe.

Zhang Reed has prescribed electrocardiograms and chest radiographs on the patient. These examination reports of the patient show that the electrocardiogram has myocardial ischemia and coronary heart disease is considered; while the chest radiograph shows no abnormalities.

However, Xu Ze always felt something was wrong when he looked at the patient's condition. Although the patient had chest pain, it looked like angina pectoris caused by urgent ischemia, but the patient's chest pain was continuous, sometimes mild and sometimes severe, not like simple myocardial ischemia.

I looked at the patient's blood pressure just now, and it seemed normal.

Looking at the patient's pale face, Xu Ze frowned. After thinking about it, he was still worried. Then he took another blood pressure gauge and measured the patient's blood pressure.

The blood pressure on the patient's left arm was basically the same as the blood pressure recorded by the nurse on the medical record, both 110/70mmhg, which is normal; but after the test, Xu Ze always felt something was wrong, and then his mind moved, so he asked the patient to stretch his right arm up and measure it again.

At this time, the patient always looked at Zhang Reed and waited for Zhang Reed to see him. He was extremely impatient with Mr. Xu Ze's examination here. However, because Zhang Reed had not finished the patient's treatment, and it was not his turn yet, so he had to patiently ask Xu Ze to examine him.

He helped the impatient patient to roll up his sleeves and then carefully checked it again. When he heard the blood pressure he had tested this time, Xu Ze couldn't help but raise his eyebrows. Sure enough, something was wrong... The patient's blood pressure on his right arm was actually very different from that of his left arm. The blood pressure on his right arm was only 90/50mmhg, and the pulse pressure difference was 20 mmHg.

Thinking of the pulse pressure difference, Xu Ze's heart flashed with inspiration, as if he felt that there was a big problem in the middle, but he couldn't remember any symptoms of the disease, but it seemed to be mild and severe, and he was not sure...

At this time, Zhang Reed happened to finish the patient he was seeing, and the patient Xu Ze was already a little impatient. Seeing that Zhang Reed had already dealt with the patient, it was his turn. He quickly grabbed the medical record and examination results in Xu Ze's hand, sat down to Zhang Reed, and said enthusiastically: "Director Zhang...My results have come out, please help me..."

Xu Ze looked at the patient who sat down to Zhang Reed and stopped talking because although he felt that there was a problem, he didn't know where the patient's problem was. So he had to watch Zhang Reed examine the patient to see if he would see any problems.

Zhang Reed took the patient's medical record and test results, flipped it quickly, and then gave it to the patient, nodded and said, "You should have coronary heart disease, myocardial ischemia... I still have chest pain, so I suggest you be hospitalized for treatment..."

"It's really coronary heart disease..." The patient was stunned when he heard this. After thinking about it, he said to Zhang Reed: "Director Zhang... It's really inconvenient to live here. I wonder if you can prescribe some medicine for me. I'll go back to our local area for treatment. I don't know if it's OK?"

Zhang Reed was not surprised at all about the patient's request. After all, there were many patients coming to Xingda Affiliated First Affiliated Hospital from other places and several subordinate counties. Nearly 50% or 60% of the patients did not want to be treated in Affiliated Hospital after they were confirmed to have the disease, but wanted to go back to the local area.

Zhang Reed was very experienced and nodded immediately and said, "Your disease is still quite serious. It is best to treat it in our hospital and do some related examinations... It is okay to go back to your local treatment, but relatively speaking, it is naturally not as safe as possible..."

The patient thought for a while and continued to insist: "Director Zhang, I still want to go back to our place for treatment. The People's Hospital near us is more convenient. As long as the diagnosis is clear and I will go there for treatment, I think there should be no big problem..."

"Okay...this is up to you..." Zhang Reed naturally would not force such a patient. He immediately wrote a few strokes in the medical record book and handed it over to the patient, letting him leave and look at the next patient.

The patient took the medical record, thanked Zhang Reed for a few words, and then planned to leave. At this time, after thinking for a long time, Xu Ze finally remembered that the patient's condition was quite consistent with the manifestation of a very serious disease. Zhang Reed just looked at the blood pressure measured by the nurse on the medical record, and should not have noticed that the blood pressure on the patient's arms had this pulse pressure difference.

Thinking of this, Xu Ze immediately anxiously said to the patient who stood up and was about to leave, "You still have to wait..."

The patient was stunned when he heard Xu Ze's scream. He was first examined by Xu Ze for a long time, but he was impatient with Xu Ze. Now he was stopped by this boy, but he looked at Xu Ze with some impatient words: "Doctor, what else do you have?"

Seeing that the patient had stopped, Xu Ze quickly came to Zhang Reed's ear and said, "Director Zhang, this patient has a pulse pressure difference between his hands... The blood pressure on his right arm is only 90/50mmhg. I think he may have other problems..."

"Twenty different?" Zhang Reed frowned, then smiled and said, "Some people with coronary heart disease have a little pulse pressure difference, which is normal..."

"But..." After hearing Zhang Reed's words, Xu Ze felt a little relieved. This was indeed the case, but he was still a little worried. After thinking about it, he quickly looked at the patient standing in front of him, his heart part, and at the same time ordered the automatic reaction system: "Color B-type ultrasound starts, perform a cardiac color ultrasound examination..."

With Xu Ze's command, the system color b-started quickly and scanned the patient's chest and heart.

"I hope it's not a dissection aortic aneurysm... If this is true, then this patient will be in danger! And I have to convince the patient and Zhang Reed, which is really a big trouble." Xu Ze frowned and sighed inwardly.

In fact, he did not think of this disease at first, but in the virtual space, Xu Ze had seen such a case. In reality, there were very few such cases and they usually rarely occur, so many times most doctors would not think of this situation.

I thought about it for a while before I remembered this disease. Since Xu Ze had already doubted it, with his nature, he naturally would not let the patient leave like this, because if this is the case, then the patient is likely to be in danger of life at any time.

Seeing the patient's chest gradually appearing under his own color ultrasound function, the traces of the heart gradually appear, and then the colorful blood flow of the heart displayed through the valves.

Xu Ze was not very concerned about these things, but he quickly followed the position of his heart and looked up along the aorta. He wanted to see if there was a dissection aortic aneurysm, because such a pulse pressure difference and chest pain were present. Only this disease is the most serious. As long as it is not this, there is no need to worry...

However, Xu Ze's premonition has always been very effective. With the scanning of color b ultrasound, Xu Ze seemed to see a faint shadow in the upper part of the patient's aorta. However, since the aorta has penetrated into the diaphragm, the color b symmetry cannot be detected clearly.

However, with that shadow, Xu Ze already had more than 40% of the confidence in his heart. That shadow was a dissection aortic aneurysm. However, if this dissection aortic aneurysm is to be confirmed, it is necessary to undergo a nuclear magnetic resonance examination.

However, Xu Ze's current level is at least one or two levels away from activating the NMR function.

Combined with the patient's chest pain and pulse pressure difference, Xu Ze's confidence was 20% more, enough for 60% or 70% of it. Although it is not 100% certain, it is related to life and medical safety. Xu Ze looked at the patient with an impatient face and said, "You should wait a moment... you need to have a checkup..."

After saying that, he looked at Zhang Reed and whispered: "Director Zhang... I think he looks a bit like a dissection aortic aneurysm...why should we do an MRI for him?"

Seeing that Xu Ze always pestered this matter, Zhang Reed was naturally a little unhappy, but seeing that Xu Ze spoke about the dissection aortic aneurysm with anxiety on his face.

As the director of the Department of Internal Medicine, Zhang Reed naturally knew about this disease, but there were very few cases, so he did not consider this at the moment. When Xu Ze reminded him, his heart was thrilled. After thinking a little, he felt that this was a bit possible, but he was puzzled, how could Xu Ze look so sure?

However, since Xu Ze raised this question, Zhang Reed also paid attention to it. After all, this dissection aortic aneurysm is not fun. If this is true, then this patient will be in danger.

He said to the patient with an impatient face: "Yes...you should wait a moment, and then go for an MRI to confirm it so that there will be no other problems that have not been discovered."

The patient hesitated when he heard Zhang Reed's words and said, "Director Zhang, do you really need to do this examination?"

"Yes...it's more reassuring to do it!" Zhang Reed said with a smile.

Seeing that Zhang Reed was talking like this, the patient's impatient face had already disappeared. He just took the inspection form handed over by Zhang Reed with confusion, and then went out for a check again.

Xu Ze, who was next to him, had a happy and easy examination after seeing the patient being said by Zhang Reed, but he was extremely impatient when he told him. He had to sigh helplessly: "This person is really incomparable to people... The difference between what he said and Zhang Reed is indeed huge!"

After Zhang Reed took the patient for examination, he also let out a sigh of relief. He didn't expect what Xu Ze proposed just now. Now after being reminded by Xu Ze, he couldn't help but sweat a little. If this is really misdiagnosed, he would be afraid that his wisdom in this life will be destroyed inside.

Not long after, the patient sent the results of the MRI. After seeing the results, Zhang Reed's face turned dark and felt really gloomy. He said to himself, "Fortunately, Xu Ze reminded himself, otherwise there would be a big problem now!"

This patient is indeed a dissection aortic aneurysm. This aneurysm may rupture at any time. The thoracic aorta is the largest artery in the human body. If this artery ruptures and bleeding, the patient will die.

Seeing Director Zhang's face suddenly become dark and solemn, the patient's expression also became nervous. Xu Ze was on the side, just glanced at Zhang Reed's face and knew what the result was.

He looked at the patient and sighed softly, secretly praising the other party for being very lucky. If he hadn't thought of this, this person would have been really dead.

The patient saw that Xu Ze did not read the report, but looked at himself and sighed. Seeing Xu Ze's eyes showing sympathy, glory, and sighing, the patient became more and more nervous. He could see that Zhang Reed's face was not very good at this time, but he did not dare to disturb Zhang Reed who was thinking. Thinking of this examination, this little doctor insisted on doing it, he had to squeeze out a smile and ask Xu Ze flatteringly: "Little Doctor...Well, what's the problem with me?"

Seeing the patient's arrogant appearance at first and humbleness, a smile appeared on Xu Ze's face, and then shook his head and smiled at the patient, "I haven't seen the result yet... I'll tell you next..."

"Ah... Tell me, this is the examination you want to do, you will know..." The patient felt even more anxious when he saw Xu Ze refused to say it casually. He even used respectful words and begged as he looked at Xu Ze.

Xu Ze smiled indifferently. Just as he was about to speak, he saw that Zhang Reed had put down the report at this time, and then smiled and said to the patient: "Director Zhang has finished reading it, please ask him..."

After hearing that Director Zhang had finished reading, the patient hurriedly looked at Zhang Reed again and asked nervously: "Director Zhang, how about it?"

Director Zhang frowned slightly, sighed, and looked at the patient and said, "Your disease is very serious, you must be hospitalized for surgery immediately..."

"Ah?" The patient was shocked when he heard that he was about to undergo surgery and said in a daze: "Director Zhang, isn't this coronary heart disease? Is it still necessary to undergo surgery?"

"Yes... this is not a simple heart disease, it is a dissection aneurysm. You must undergo surgery immediately..." Zhang Reed looked at the frightened patient solemnly and said, "This disease may be dangerous at any time. You must undergo surgery as soon as possible to solve it..."

The patient was frightened by Zhang Reed's serious appearance. He nodded immediately, then took the hospitalization notice issued by Zhang Reed with a pale expression, and walked out of the clinic to go through the hospitalization procedures.

Seeing the patient go out, Zhang Reed glanced at Xu Ze beside him with complicated eyes, not knowing whether it was an exclamation or something...

The October wind has gradually brought a hint of coolness, and slightly yellow leaves have begun to slowly fall from the trees. Xu Ze, who is wearing a light yellow plaid long-sleeved shirt, slowly walked across the campus path with two books and walked towards the parking lot.

Today, Jiang Zhibo from the emergency department called early and asked Xu Ze for dinner. He said that he hadn't been together for a long time, but today everyone has time and plans to get together.

Xu Ze naturally knew that these guys were afraid they wanted to get together to drink again. Originally, Xu Ze didn't want to drink very much, but remembering that he hadn't been together for almost two months, he hadn't been together with them. Xu Ze was embarrassed to refuse, and he agreed immediately. Anyway, he couldn't get drunk, so going to have a few drinks was nothing.

So after class, Xu Ze took the book and walked out of the classroom, intending to go directly.

As soon as he walked out of the path, he saw two people walking in front of him. Xu Ze looked up and saw a very familiar beautiful back.

After a little stunned, Xu Ze recognized who was in front of him, smiled, and was about to speak out, but when he saw a boy beside her, Xu Ze frowned, he gave up the idea again and just walked behind gently without disturbing the two people in front.

Xu Ze looked at the two of them, but felt that the back of the boy in front of him seemed to be somewhat familiar, but he couldn't remember who it was.

Just when Xu Ze was curious, the boy's words in front attracted Xu Ze's attention.

When Xu Ze heard the boy's voice, he was stunned and frowned and said, "Zhang Tianyu? Why is this kid?"

"Yu Meng...I really like you, just be my girlfriend..." Zhang Tianyu followed Lin Yumeng closely, chatting constantly.

However, Lin Yumeng seemed to have no reaction to his words and continued to walk forward alone.

Seeing that Lin Yumeng didn't pay any attention to him, Zhang Tianyu continued to chase after him unwillingly and said, "Yumeng... Just believe me... so many girls like me, but I just like you... I dare to swear to the sky..."

Xu Ze sighed secretly when he heard Zhang Tianyu's words. Zhang Tianyu is not only good-looking, but also good at coaxing beautiful girls. No wonder he has been like a lantern in recent years when changing girlfriends.
Chapter completed!