Section 18

"Where is the patient for consultation? Take me there to have a look."

The doctor who came for consultation from the Department of Nephrology was named Bai Tang. He was an attending physician and he was said to be taking the exam for deputy director soon.

Chen Fang understood and quickly took people to the emergency room.

"A 53-year-old patient reported that he had left lower back pain for a week, which worsened and was accompanied by chills for one day. Two hours ago, the pain in his lower back and abdomen worsened and he was admitted to the emergency department."

"In the past, I had a history of open left renal parenchymal incision and lithotomy ten years ago, and a history of extracorporeal shock wave lithotripsy three years ago. I had elevated blood sugar one year ago, and I have never been to a regular hospital for treatment. Currently, I have done CT and B-ultrasound. , the test results will come out immediately.”

In front of the emergency bed, a male patient was lying on his side on the hospital bed, groaning in pain.

Another emergency doctor, Xu Yuanjian, reported Bai Tang's situation.

After listening to Xu Yuanjian's report, Bai Tang immediately nodded and began to conduct some basic consultation and palpation on the patient.

In Zhang Yi's sight, the patient's admission situation this time was far more than just a relapse of an old disease.

Although only the left side had abdominal pain, stones appeared in both kidneys, accompanied by water accumulation, and there was obvious gas accumulation in the renal pelvis.

If Zhang Yi remembers correctly, this should be a very typical emphysema-type pyelonephritis.

Ureteroscopy and left ureteral stent placement need to be performed immediately. The air and water must be evacuated, otherwise the patient will be in danger!

"It's probably stones and inflammation. Just bear with it for a while. You can go to the operating room when the test results come out." Bai Tang comforted the patient on the bed.

"I think you need to notify the urology department. The severe pain he has is probably caused by stones and requires surgery."

Just when Chen Fang was about to call the urology department, Zhang Yi stood up and said: "Mr. Chen, I see that this patient has not only relapsed, but the relapse is not so serious. I feel like he has developed pyelonephritis!"

"ah?"

Chen Fang was stunned for a moment, then watched Zhang Yi walk to the patient's side and stretched out his hand to press on the left side of the patient's abdomen.

"It's very hard, not like palpation of stones." Zhang Yi said while pressing: "It's probably due to gas accumulation!"

"Gas accumulation? You mean emphysema-type pyelonephritis?" Bai Tang was the first to react.

At this time, the patient's examination report also came out.

B-ultrasound: double kidney stones, left hydronephrosis, left upper ureter dilation.

Blood routine: white blood cells 24.3×10^9/l, neutral ratio 84%.

Urine routine: white blood cells++.

Blood sugar: 15.6mmol/l.

A trace of surprise flashed in Bai Tang's eyes: "It's really emphysema-type pyelonephritis!"

Chen Feng, who was following Bai Tang, was also stunned for a moment, and then held his mouth in disdain.

Hey, what's so great about it?

Isn't it just a matter of guessing the disease?

I can fuck me too!

Zhang Yi glanced at Chen Feng's expression and knew what he was thinking.

Too lazy to care about this lunatic, he quickly asked the nurse to get the surgical kit for ureteral stent placement.

Generally, this kind of minor surgery is performed directly in the emergency department, and then goes to the operating room after the operation. It can serve as a drainage and prevent postoperative urine leakage in patients.

The nurse worked very quickly and got the things over in less than a minute.

Although Zhang Yi is just an uncertified doctor, no one in the department knows that he is awesome, and his doctors and nurses are all ears.

"Dr. Zhang, the surgery bag is here!"

Seeing this scene, Chen Feng felt unbalanced again.

Obviously they are all interns turned graduates, why is it that Zhang Yi can order the nurses so easily?

He asked the nurses in the nephrology department to help him or something, but the nurses were still hesitant, otherwise they would have to ask Bai Tang for their opinion again.

Unexpectedly, this Yi is doing quite well in the emergency department, right? !

The nurse will take whatever she says to take?

You didn’t even ask the teacher for his opinion?

The more he thought about it, the angrier he became, and the more Chen Feng looked at Zhang Yi, the more he disliked him.

Zhang Yi, on his side, took the surgical bag over and began to use gloves to remove the surgical bag and prepare for drainage immediately.

Chen Fang just stood behind Zhang Yi and looked at him. Chen Feng couldn't help but ask: "Dr. Chen, Zhang Yi hasn't obtained the certificate yet. You... can you just trust him to operate?"

I saw Chen Fang saying with a relieved face: "It's just a stent inserted, so why not worry about it? Besides, I'd like to see Zhang Yi's operation more."

Zhang Yi can do heart valve replacement, but what is a mere urinary catheter stent?

This sentence seemed to give Chen Feng a blow in the head.

What's going on? !

Aren’t they all interns who have just become regular employees?

Why would Zhang Yi be treated like this? !

Not only the nurses, but also his teachers are willing to listen to him? !

Of course, if Chen Feng knew that Zhang Yi had achieved good results now, he might be even more angry.

Stent placement is a small emergency operation in the emergency department, a little more complicated than catheterization, but Zhang Yi has done it many times in school and in the emergency department for more than a month.

Therefore, even if you have not practiced in a simulated operating room, you can still complete it with familiarity.

"Okay, it's done. Let's give the patient anti-inflammatory drugs first. The white blood cells and neutrophils are so high, the inflammation must be serious."

Zhang Yi ordered while taking off his gloves.

Chen Fang nodded, turned to the nurse and told the nurse: "Taineng 1.0 once every six hours."

"OK."

After a while, the doctor from the urology department came over. After checking the situation, he admitted the patient to the urology department and arranged for follow-up surgery.

On the way back to the Nephrology Department, Bai Tang couldn't help but ask: "Chen Feng, is that Zhang Yi a trainee-turned-trainee?"

"Yeah, what's wrong?"

"Well, I think that guy is pretty good. He can actually feel that there is gas in his stomach."

Chen Feng was speechless immediately.

Are you kidding me?

Why are they praising Zhang Yi? !

The more others praise him, the more he hates him.

When he thought about the fact that Zhang Yi's family lost 100,000 yuan, and his own brother lost his job, Chen Feng wanted to kick Zhang Yi out of the hospital.

"By the way, we are on night shift tonight."

Looking at Chen Feng's thoughtful look, Bai Tang patted his shoulder and reminded him.

"Oh, okay, I know."

...

At noon, Zhang Yi and several colleagues from the emergency department came to the cafeteria to eat, and turned on their mobile phones to have some fun.

Suddenly, Zhang Yi found that Wang Haiqing had bombarded him with several WeChat messages.

Zhang Yi clicked on it and took a look.

"Brother, check the group!"

"Is Liu Zifei sick? What do you mean you should stop bothering her?"

"Hey, I have a bad temper! Hurry up and scold her back in the group!"

"Why don't you reply to the message? Are you at work?"

Zhang Yi slowly sent a question mark, and then he opened the classmate group.

The messages in the classmate group are usually too noisy, so Zhang Yi usually blocks them.

When he opened it, he found that after he sent the message wishing her a happy marriage, she actually replied to him!

Chapter 20: Useless Chen Feng, in the end he still has to rely on Zhang Yi

Liu Zifei: " x-on:Zhang Yi, thank you for your blessing, I am living a good life now, I hope you don't bother me anymore!"

Liu Zifei sent this sentence directly to the group!

You can imagine how much information this is!

Those who don't know would think that Zhang Yi has been bothering her since she broke up with him!

But in fact, since Liu Zifei said she broke up, Zhang Yi has never contacted her again.

On the contrary, Liu Zifei had visited Zhang Yi twice.

Once, she asked for an anatomy book that she had left with Zhang Yi, and asked Zhang Yi to send it to the imperial capital.