I'm really an intern

Chapter 126 Tips for seeing a doctor

Chapter 126 Tips for seeing a doctor

"You try to take another step forward?"

Zhang Tianyang's tough attitude was put on, and the three of them immediately became honest.

It may be mainly because the white meat shield next to Zhang Tianyang has a greater visual impact

"Calm down, speak well, whose family are you?"

Although under the deterrence of force, the three family members seemed to be able to communicate. Zhang Tianyang couldn't help but heaved a sigh of relief, and began to ask questions in a pleasant manner.

No wonder he reacted violently.

In fact, as soon as he came up today, there was a family that made him extremely uncomfortable. He couldn't let himself repeat the same mistakes.

The three family members were blocked for a while, and their emotions were a little less excited, but their voices still trembled.

"I, my mother, she just felt tightness in her chest today, I, I didn't care, but she just called me and said, what about mezzanine, said, she might die, I, I woo woo woo woo"

Alright, now Zhang Tianyang knows who they are looking for.

"Family members, don't cry, you go in like this, do you want the patient to be stimulated by seeing you, is it more dangerous?"

Zhang Tianyang's words suppressed the woman's desire to go in immediately, sobbed for a while, forced herself to stop crying, wiped her face, and looked up at Zhang Tianyang.

The man was hugging the woman next to him, and the boy was hugging his mother beside him. The three of them had patient expressions on their faces, almost crying.

Zhang Tianyang sighed.

"Family members are stronger than patients. If you are like this, nothing will happen to you. Maybe something will happen because of your appearance.

Stabilize your emotions. It's not time for visits now, and you don't look suitable to go in. Let me introduce the condition to you. "

Zhang Tianyang found a corner to discuss with the family members. Soon, the family members calmed down, and signed a copy of the authorization letter and other documents that had not been signed before.

"Considering that the old lady came here by herself, although it's not time to visit now, I can let you go and see her."

"Listen to me, only one person can go in, and be calm, don't irritate the patient, don't make a fuss, don't make too much noise, who do you see going in?"

In the end, the one who followed Zhang Tianyang was neither the old lady's own daughter nor the old lady's own grandson, but the old lady's son-in-law.

After all, adult men are sometimes much more reliable than women and children in terms of emotional control.

Zhang Tianyang brought the man to the old lady's side, then observed it, and found that it would not affect other patients before going about his own business.

The white meat shield once again completed his mission, watched the whole communication between Zhang Tianyang and his family members, and felt that he seemed to have discovered some rules.

He leaned over to Nurse Ouyang, "Well, brother, are the patients and their families in the emergency department more difficult to deal with than those in other departments?"

Nurse Ouyang was entering the data, and the labor force came to the door by himself, so of course he couldn't let it go.

Grabbing the white meat shield to help with the work, Ouyang finally freed his mind and was free to chat with the big man.

"It's like this. If you have rotated in other departments, you will feel that most of the patients and their families are still very reasonable."

"But in the emergency department, the probability of encountering strange patients and their families will be greatly increased."

While learning to work, the white meat shield asked, "Why? Isn't everyone a patient? Why is there a high probability of encountering strange patients in the emergency department?"

Ouyang is earnest.

"Think about it, what kind of patients usually go to the clinics of various departments?

That is because you have symptoms, and you have a certain understanding and expectation of your disease, so you can be sure of it, so you can understand the doctor's diagnosis and treatment better.

Those who have already been hospitalized should know that their illness is so serious that they need to be hospitalized, so it is generally easier to communicate.

We generally call them, ordinary patients. "

The white meat shield started quickly, "Who is the emergency patient?"

"Patients in the emergency department are what we call: patients under stress.

Symptoms in the emergency department are often acute in onset, unclear in etiology, and rapidly evolving.In this state, patients and their families are in a state of extreme agitation, anxiety and even fear.

So it is difficult to maintain normal thinking and judgment.

It will also be like the family members of the old lady just now, who will have some extreme emotions and do some disgusting things.

In fact, after they calm down, they are still ordinary patients in essence. "

The white meat shield nodded, but soon remembered the family of the old lady who was intubated at the beginning.

"The family members of the first patient, shouldn't they be in a state of stress? I think there is something wrong with their three views."

"There is indeed a problem."

Brother Deng has temporarily finished his work, and now he is also involved.

After all, the night is long, and if you want to stay awake, the only thing you can do is chat besides food.

Brother Deng, as a doctor, has a better understanding of this matter, so he called Zhang Tianyang together at this time.

"Junior brother, what I'm going to say below are all life experience, so listen to it too."

"Patients in the emergency department are indeed in a state of anxiety, but it is true that there are also a lot of really weird patients.

Guess why? "

Nurse Ouyang rolled her eyes directly, "Don't tell me I'm working!"

"Hey! Tell me!"

Senior Brother Deng deliberately poked Zhang Tianyang, "Junior Brother, do you know that patients in other departments are actually selected?"

"Only the emergency department accepts all patients according to their orders, while other departments actually select patients."

Zhang Tianyang really didn't pay attention to this kind of thing, "How to say? What are the selection criteria?"

Brother Deng stretched out two fingers, "There are two selection criteria, those who can be saved, and those who can be saved."

Now the three rolled their eyes.

"Don't they all mean the same thing!"

"Different."

"The first one that can be saved refers to the situation that, from the perspective of contemporary medicine, there is hope for a cure, or for a patient to get better.

If you can't save your life even if you stay in the hospital, you might as well send it home directly. "

Zhang Tianyang blinked, and he remembered the first patient he sent away when he first went to the Department of Infectious Medicine.

When the recovery is exhausted, the patient should indeed be sent home directly.

"The second thing that can be saved refers to whether it is the patient's own wishes, family members' cooperation, or even economic conditions."

Brother Deng didn't expand on this point, but the medical staff present understood it.

Indeed, if the patient is unwilling to trust the doctor and follow the doctor's advice, it is better to go home quickly, lest everyone is unhappy.

In fact, after staying in the clinic for a period of time, I will more or less encounter such "subjectively hopeless" patients, and I have also had unpleasant experiences.

So except for the white meat shield, the mood of the rest of the medical staff fell down for a while.

"doctor."

Over there, the family members of the old lady with abdominal aortic dissection had finished communicating with the patient and called Zhang Tianyang outside to discuss countermeasures.

The reason why the surgery side was delayed was that the old lady had no family members. Now that the family members are in place, the hospital staff over there will soon be in place for evaluation.

After all, the old lady's house is near the Dongfang Hospital, and the neighbors are more or less related to the medical system. At this time, they called to find a connection, but they did not expect to find a hospital bed for them!

The surgery area was overcrowded, but there was no good food. There was a patient who was emotional 10 minutes ago and was discharged in the middle of the night, and a hospital bed happened to be vacant.

It can be considered that the old lady should not die.

The blood test was done urgently again, and the operation room was also notified. As soon as the result came out, the old lady could push it to the emergency department immediately.

After making countless phone calls, the family members finally held Zhang Tianyang's hand and expressed their gratitude.

But in fact, the happiest thing is the medical staff in the emergency room.

If the old lady's dissection ruptures, there is no chance of rescue. Watching the patient die in front of her eyes is the last thing medical workers want to face.

Now that the old lady is saved, they are happier than anyone else.

The matter of the patient in this bed had come to an end, and the door of the emergency room opened suddenly.

Zhang Tianyang looked up.

"Teacher Yang."

 Thank you for the floating moonlight, the wind returns to the crane, I return to you, and the wind blowing on the pine peak is so popular~ I also thank the other cuties for their encouragement~

  You guys have to work harder, the 5000 has not arrived yet, I don’t want to see cosplay in white coats

  

 

(End of this chapter)

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