I'm really an intern
Chapter 135 Is It So Powerful?
Chapter 135 Is It So Powerful?
Zhang Tianyang grabbed the arm of the chief inpatient of the hematology department and walked out passively.
The intern hurriedly followed behind in panic, opening his mouth to reprimand Zhang Tianyang not to do this, but he dared not speak.
Hematology admissions are always busy.
After all, the hematology department of Dongfang Hospital is also one of the best in Guangdong Province. Patients with blood diseases in the whole Guangdong Province and some surrounding small provinces will come here especially.
The hospital always arranges inpatients every day, and also has to run up and down the hospital for various consultations, so he is so busy that his feet don't touch the ground.
The interns have only been following this point for two and a half days, but they have already deeply realized it.
In such a busy situation, if a doctor bothered the chief inpatient with a patient who didn't need to be consulted, the senior would scold him directly.
Not to mention the situation where a patient has just arrived, and the chief inpatient is asked to read the consultation form without writing it down.
The other party who doesn't scold is bloody, that's not the general style of hematology hospitalization.
What's even more frightening is that after the chief resident brother scolded the doctor in charge of the bed, he would often still be angry and scold him, an innocent intern, too!
too difficult!
So during the short distance of more than ten meters, the trainee vividly wanted to stand up and scold Zhang Tianyang several times, but in the end he didn't say a word.
This Senior Brother Zhang looks like a senior doctor, he dare not scold him!
Along the way, the interns have been waiting for the total explosion in the hospital to start scolding.
But what surprised the interns was that until Zhang Tianyang ran to the side of the new patient with the chief inpatient, the chief inpatient didn't show a trace of impatience.
Not to mention scolding "Call me after the consultation record is written".
He didn't even resist Zhang Tianyang's hand holding his arm!
Finally, several white coats saw the patient.
The patient had just been carried out of the ambulance. At this time, he was lying on the flat car, wrapped in a quilt, and he could only see a painful expression on his pale face.
"what's the situation?"
As soon as the chief inpatient asked, Zhang Tianyang had already started to report his condition consciously.
"A patient transferred from a lower-level hospital, a 28-year-old male, was admitted for 3 hours because of unconsciousness.
In coma, fever, chills, anemia on physical examination, subcutaneous hemorrhages in the abdomen and part of the chest.
The infection index checked by the lower-level hospital is high, the blood routine shows that the three lineages are reduced, the proportion of lymphocytes is increased, and the neutrophils are less than 0.5*10^9. The reticulocyte test has been supplemented but the result has not yet come out, and the bone wear has not yet Do. "
Quickly and concisely stated the condition, as well as important symptoms, signs and examination results related to the hematology department.
Zhang Tianyang stuffed the stack of checklists in his hand to the chief inpatient of the hematology department, and then helped push the patient to the emergency room.
The intern's reaction was half a beat slow, and he was glared at and kicked by the head of the hematology department before he could react, and hurried to help.
The chief inpatient then focused on the stack of checklists in his hand, and raised his eyebrows.
These are basically all inspection and test results, and the lower-level hospitals may not be at ease, so they directly check the patient's entire set, and the items are complicated.
What is even more desperate is that the lower-level hospitals did not summarize the results of these tests!
But wasn't Junior Brother Zhang very organized when he reported his condition and important inspection indicators to himself just now?I have heard all the results I want to hear, and there are no results that I don't need to care about.
The senior inpatient was puzzled, "Could it be that he summed it up by himself in such a short period of time?"
"I remember he was just an intern classmate? Is it similar to my intern classmate?"
Was it so powerful?
"Goooooooooooooooo"
The scooter made noise when it came into contact with the ground, but this was an emergency, and no one thought it was wrong, so everyone took the initiative to avoid it.
There seemed to be a few people on the right who wanted to stop the car, but they were pulled back for some reason.
All the way fast without hindrance, Zhang Tianyang and a doctor from a lower-level hospital sent the new patient to the emergency room together with the doctor who came by car.
The intern was a little too late, and was caught by Nurse Ouyang, who was directly stuffed with the data cable for ECG monitoring.
Seeing the intern stunned, Nurse Ouyang started yelling, "Help me!"
"I"
Where have the interns seen the race against time in the emergency room?Straight away.
Two white coats and Nurse Ouyang were busy helping the patient pass the bed;
The nurse sister grabbed the patient's right foot to see where the venous access could be established;
The chief inpatient of the hematology department was frowning as he browsed through the various examination results and medical records brought by the lower-level hospital;
Professor Yang and Senior Brother Deng gathered around the bedside of another patient who had a problem;
Everyone seems to be busy and the atmosphere is tense, only he can't do anything by himself!
The intern blushed.
"I won't even this"
"Let me do it."
Zhang Tianyang had just passed the patient over the bed and sent away the doctors who came from the lower-level hospital. At this time, he took the things directly and skillfully connected them to the patient.
The intern breathed a sigh of relief, and hurriedly hid beside the chief resident of the hematology department, only to see him frowning tightly, holding the thick stack of checklists and walking to Zhang Tianyang.
"Brother, look at the bruises on his abdomen and chest."
Zhang Tianyang took a look at the chief inpatient, pulled off the patient's quilt and clothes, and showed him the patient's abdomen.
"Purple ecchymosis scattered throughout the abdomen and part of the chest, with a diameter of about 5mm to 1cm."
After thinking about it, Zhang Tianyang continued to talk about his thoughts.
"In addition to the anemic face, the symptoms are unconsciousness, fever, chills, blood infection indicators increased, three lineages decreased, the proportion of lymphocytes increased, and neutrophils decreased. It is considered severe aplastic anemia."
"Ok?"
The chief inpatient of the hematology department raised his eyebrows, "A diagnosis from a lower-level hospital? I don't seem to have seen anything like a discharge summary."
Zhang Tianyang shook his head, "No, it's my judgment."
He pulled off the patient's clothes again, covered the quilt, and pointed to the stack of materials in the hands of the chief inpatient of the hematology department.
"These are the only things that the lower-level hospital brought over. They are all inspection and test results. According to the paperwork, there is only one emergency admission, and there is no course record and summary. But I think the evidence is sufficient. It should be this diagnosis."
The chief inpatient of the hematology department nodded, and then looked carefully at the results that Zhang Tianyang had just mentioned.
At the same time, Zhang Tianyang was not idle, and was already back in front of the computer, ready to type doctor's orders.
Clicking on the patient information, Zhang Tianyang thought for a second, then raised his head and urged the chief inpatient of the hematology department.
"Brother, this patient is treated symptomatically at most here. It can only fight infection, reduce fever, and stop bleeding. It would be better if he could apply for blood transfusion, but now the blood is tense, I think it's too bad."
"So, do you accept aplastic anemia?"
(End of this chapter)
Zhang Tianyang grabbed the arm of the chief inpatient of the hematology department and walked out passively.
The intern hurriedly followed behind in panic, opening his mouth to reprimand Zhang Tianyang not to do this, but he dared not speak.
Hematology admissions are always busy.
After all, the hematology department of Dongfang Hospital is also one of the best in Guangdong Province. Patients with blood diseases in the whole Guangdong Province and some surrounding small provinces will come here especially.
The hospital always arranges inpatients every day, and also has to run up and down the hospital for various consultations, so he is so busy that his feet don't touch the ground.
The interns have only been following this point for two and a half days, but they have already deeply realized it.
In such a busy situation, if a doctor bothered the chief inpatient with a patient who didn't need to be consulted, the senior would scold him directly.
Not to mention the situation where a patient has just arrived, and the chief inpatient is asked to read the consultation form without writing it down.
The other party who doesn't scold is bloody, that's not the general style of hematology hospitalization.
What's even more frightening is that after the chief resident brother scolded the doctor in charge of the bed, he would often still be angry and scold him, an innocent intern, too!
too difficult!
So during the short distance of more than ten meters, the trainee vividly wanted to stand up and scold Zhang Tianyang several times, but in the end he didn't say a word.
This Senior Brother Zhang looks like a senior doctor, he dare not scold him!
Along the way, the interns have been waiting for the total explosion in the hospital to start scolding.
But what surprised the interns was that until Zhang Tianyang ran to the side of the new patient with the chief inpatient, the chief inpatient didn't show a trace of impatience.
Not to mention scolding "Call me after the consultation record is written".
He didn't even resist Zhang Tianyang's hand holding his arm!
Finally, several white coats saw the patient.
The patient had just been carried out of the ambulance. At this time, he was lying on the flat car, wrapped in a quilt, and he could only see a painful expression on his pale face.
"what's the situation?"
As soon as the chief inpatient asked, Zhang Tianyang had already started to report his condition consciously.
"A patient transferred from a lower-level hospital, a 28-year-old male, was admitted for 3 hours because of unconsciousness.
In coma, fever, chills, anemia on physical examination, subcutaneous hemorrhages in the abdomen and part of the chest.
The infection index checked by the lower-level hospital is high, the blood routine shows that the three lineages are reduced, the proportion of lymphocytes is increased, and the neutrophils are less than 0.5*10^9. The reticulocyte test has been supplemented but the result has not yet come out, and the bone wear has not yet Do. "
Quickly and concisely stated the condition, as well as important symptoms, signs and examination results related to the hematology department.
Zhang Tianyang stuffed the stack of checklists in his hand to the chief inpatient of the hematology department, and then helped push the patient to the emergency room.
The intern's reaction was half a beat slow, and he was glared at and kicked by the head of the hematology department before he could react, and hurried to help.
The chief inpatient then focused on the stack of checklists in his hand, and raised his eyebrows.
These are basically all inspection and test results, and the lower-level hospitals may not be at ease, so they directly check the patient's entire set, and the items are complicated.
What is even more desperate is that the lower-level hospitals did not summarize the results of these tests!
But wasn't Junior Brother Zhang very organized when he reported his condition and important inspection indicators to himself just now?I have heard all the results I want to hear, and there are no results that I don't need to care about.
The senior inpatient was puzzled, "Could it be that he summed it up by himself in such a short period of time?"
"I remember he was just an intern classmate? Is it similar to my intern classmate?"
Was it so powerful?
"Goooooooooooooooo"
The scooter made noise when it came into contact with the ground, but this was an emergency, and no one thought it was wrong, so everyone took the initiative to avoid it.
There seemed to be a few people on the right who wanted to stop the car, but they were pulled back for some reason.
All the way fast without hindrance, Zhang Tianyang and a doctor from a lower-level hospital sent the new patient to the emergency room together with the doctor who came by car.
The intern was a little too late, and was caught by Nurse Ouyang, who was directly stuffed with the data cable for ECG monitoring.
Seeing the intern stunned, Nurse Ouyang started yelling, "Help me!"
"I"
Where have the interns seen the race against time in the emergency room?Straight away.
Two white coats and Nurse Ouyang were busy helping the patient pass the bed;
The nurse sister grabbed the patient's right foot to see where the venous access could be established;
The chief inpatient of the hematology department was frowning as he browsed through the various examination results and medical records brought by the lower-level hospital;
Professor Yang and Senior Brother Deng gathered around the bedside of another patient who had a problem;
Everyone seems to be busy and the atmosphere is tense, only he can't do anything by himself!
The intern blushed.
"I won't even this"
"Let me do it."
Zhang Tianyang had just passed the patient over the bed and sent away the doctors who came from the lower-level hospital. At this time, he took the things directly and skillfully connected them to the patient.
The intern breathed a sigh of relief, and hurriedly hid beside the chief resident of the hematology department, only to see him frowning tightly, holding the thick stack of checklists and walking to Zhang Tianyang.
"Brother, look at the bruises on his abdomen and chest."
Zhang Tianyang took a look at the chief inpatient, pulled off the patient's quilt and clothes, and showed him the patient's abdomen.
"Purple ecchymosis scattered throughout the abdomen and part of the chest, with a diameter of about 5mm to 1cm."
After thinking about it, Zhang Tianyang continued to talk about his thoughts.
"In addition to the anemic face, the symptoms are unconsciousness, fever, chills, blood infection indicators increased, three lineages decreased, the proportion of lymphocytes increased, and neutrophils decreased. It is considered severe aplastic anemia."
"Ok?"
The chief inpatient of the hematology department raised his eyebrows, "A diagnosis from a lower-level hospital? I don't seem to have seen anything like a discharge summary."
Zhang Tianyang shook his head, "No, it's my judgment."
He pulled off the patient's clothes again, covered the quilt, and pointed to the stack of materials in the hands of the chief inpatient of the hematology department.
"These are the only things that the lower-level hospital brought over. They are all inspection and test results. According to the paperwork, there is only one emergency admission, and there is no course record and summary. But I think the evidence is sufficient. It should be this diagnosis."
The chief inpatient of the hematology department nodded, and then looked carefully at the results that Zhang Tianyang had just mentioned.
At the same time, Zhang Tianyang was not idle, and was already back in front of the computer, ready to type doctor's orders.
Clicking on the patient information, Zhang Tianyang thought for a second, then raised his head and urged the chief inpatient of the hematology department.
"Brother, this patient is treated symptomatically at most here. It can only fight infection, reduce fever, and stop bleeding. It would be better if he could apply for blood transfusion, but now the blood is tense, I think it's too bad."
"So, do you accept aplastic anemia?"
(End of this chapter)
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