Chapter Fifteen: The Ambitious Student

  Just after finishing the ward rounds in the morning, the nurses in the emergency department started to get busy. Tang Xiao Feng was about to return to the doctor's office when he was called by Director Zhu to go to his office.

  Tang Xiaofeng followed Director Zhu into the director's office, Director Zhu had already arranged his work during the ward round this morning, and now he didn't know why he was called to the office. Maybe every intern doctor dreams of being able to practice with a director, because following an experienced director will definitely make oneself gain a lot. But Tang Xiaofeng didn't think so, although Director Zhu had started seeing patients and handed over the cases to Tang Xiaofeng for responsibility, but every time he wrote a prescription, he had to run to ask the director to sign it, which made Tang Xiaofeng feel inexplicably uncomfortable.

  Tang Xiaofeng saw Director Zhu enter the office and didn't say a word, lowering his head to look at the materials on the desk. Tang Xiaofeng decided to take the initiative, but couldn't show it too obviously, and asked respectfully: "Teacher, do you have something to ask me?"

  Director Zhu smiled and pointed to the chair in front of him: "Don't stand, sit down."

  Just as Tang Xiaofeng sat down, Director Zhu got a cup of tea from the water dispenser and handed it to Tang Xiaofeng before sitting down across from him, sizing him up without saying a word.

  To be honest, no matter which hospital it is, interns have the lowest status. They are usually at the mercy of doctors and even some nurses don't give them a good look. Director Zhu suddenly poured himself a glass of water and offered him a seat, making Tang Xiaofeng feel honored. It's worth noting that Director Zhu is a heavyweight leader in the hospital, although he is his teacher and is usually kind and approachable. However, since starting the internship at the hospital, this behavior has never happened before.

  I really don't know what Director Lao wants to do, Tang Xiaofeng sat a bit uncomfortably, he couldn't help but probe: "Teacher, if there's nothing else I'll go back and write the medical records."

  "No rush, have a cup of tea first." Director Zhu stopped Tang Xiao Feng, with a warm smile on his face. It's rare for the teacher to pour himself a cup of tea, so he didn't decline and picked it up, blew on it, and started drinking. Hmm, not bad, green tea has beauty and anti-aging effects, can prevent cancer, and is one of the best health drinks. Drinking 3-5 cups of green tea a day can provide enough vitamin C; also, the high fluoride content in tea can help prevent tooth decay, protect teeth, and strengthen them. The caffeine in tea also has the effect of refreshing the mind, relieving fatigue, and promoting digestion. Looks like this teacher knows a thing or two about health.

  "Xiao Feng ah." Director Zhu drew out his voice and said, "You don't mind me calling you that, do you?" Since he had come, Tang Xiao Feng put down his teacup and replied calmly, "Whatever the teacher likes."

  Director Zhu said with a smile, "Hehe, you are the most outstanding student in your college this year." Tang Xiao Feng nodded slightly, "Your college is a good school, and all the students who come out of it have great prospects. Xiao Feng, what do you plan to do after your internship ends?"

  Tang Xiao Feng shook his head, thinking to himself "What's the point of all this? I'm still worried about that old man Tang's family matters. It's already morning and I've received four calls from him, what era is this where we're still doing arranged marriages? This old man really has a traditional mindset. What's the point of asking me these things? I'm just eating my fill with nothing better to do, chatting with him about these annoying things, it's simply a waste of time. Taking advantage of the remaining time, he took a few more sips of green tea and once again reluctantly asked: "Director, if there's nothing else, I'll go back and fill out the medical records."

  "Don't be in a hurry, yes, there's something!" Director Zhu asked Tang Xiao Feng to sit down again, then patted his head and made excuses for himself: "I'm getting old, my memory is not good, I always get sidetracked, talking with you and forgetting the main thing."

  "Do you have any other instructions?" Hurry up and finish your words, don't torture me, this intern, anymore. Tang Xiaofeng rolled his eyes in frustration. "Mm, let's get to the point. Xiaofeng, didn't you bring in a food poisoning patient yesterday?" Director Zhu asked. "Yes, I was eating when I encountered it, and since it was moderate poisoning, I did an on-site emetic." "Oh, what is the mechanism of organophosphate poisoning?" Tang Xiaofeng looked at Director Zhu in surprise, wondering why he would ask this question, then thought for a moment - could it be that his diagnosis was wrong? No way. Looking at Director Zhu's inquiring eyes, Tang Xiaofeng cleared his throat and said: "The mechanism of organophosphate poisoning is generally believed to inhibit the activity of cholinesterase, causing an accumulation of acetylcholine in tissues, resulting in a disturbance of cholinergic receptor activity, which leads to dysfunction of organs with cholinergic receptors. Symptoms caused by the excitement of smooth muscles, glands, and sweat glands are similar to those caused by mushroom poisoning, so they are called 'mushroom-like symptoms'. Symptoms caused by abnormal activity of sympathetic nerve ganglia and striated muscle are similar to those caused by nicotine poisoning, so they are called 'nicotine-like symptoms'. Organophosphate poisoning can enter the body through the skin. During spraying, aerosols can be inhaled; if ingested, it is absorbed through the digestive tract. The latent period also varies depending on the route of poisoning. For oral ingestion, symptoms appear within 5-20 minutes, starting with nausea and vomiting, followed by coma; for inhalation, the latent period is about 30 minutes, during which respiratory irritation symptoms occur, such as difficulty breathing and blurred vision, followed by systemic symptoms; for skin absorption, the latent period is longest, about 2-6 hours, after which symptoms such as dizziness, restlessness, sweating, decreased muscle tone, and ataxia appear." After finishing his explanation of the poisoning mechanism, Tang Xiaofeng looked at Director Zhu again, still unable to understand why he had asked this question.

  "So how did you determine that the patient had organophosphate poisoning?" Director Zhu looked at Tang Xiaofeng and continued to ask. Tang Xiaofeng thought to himself, "I'm still puzzled, I don't believe I made a wrong diagnosis." He then replied: "The patient was dizzy, weak, sweating on his face, abdominal pain, stumbling gait, pupils significantly constricted, and there were many secretions with a 'garlic-like' smell in the mouth and respiratory tract."

  Tang Xiaofeng looked at Director Zhu and said: "What's wrong, Director? Did I make a wrong diagnosis?"

  "Not bad, Xiaofeng is very good, not disappointing as my student," Director Zhu smiled and stood up, patted Tang Xiaofeng on the shoulder. "This morning, the patient's family member called me to thank you."

  Tang Xiaofeng thought to himself: "What kind of thanks was that? It's almost like investigating a medical accident." He just wanted to ask what was going on, but suddenly there was a knock at the door outside, and he dismissed the idea.

  Come in.

  The door opened and a spirited old man with some white hair on his temples walked in, greeting Director Zhu as soon as he entered: "Old Zhu." "Haha, it's early morning and you're already rushing to my place." Director Zhu went forward to welcome him, pulling the visitor along as they walked inside.

  At this time, the pager of Tang Xiaofeng standing aside rang again, interrupting their conversation. Tang Xiaofeng touched his head somewhat awkwardly and said: "Director Zhu, I have something to do, I'll go out first." After finishing speaking, he didn't wait for Director Zhu's reaction and quickly left.

  "Where is Old Zhu?"

  "That's the one from just now."

  "Oh, it's not bad at all."

  "Yes, this young man is really good!"

  "Really? Tell me..."

  ……

  Vote, recommend, recommend, recommend, recommend, recommend, recommend, recommend, recommend, collect, collect, collect, collect, collect, collect, collect, collect.

  ———————————————————————————————