I'm really an intern

Chapter 149 Battle Preparation!Severely ill again!

Zhang Tianyang pricked up his ears and waited for Brother Deng to report the results, and his subordinates didn't stop at all.

Under the shocked eyes and slightly opened mouth of the B-ultrasound doctor, he held the probe and accurately found the position of the little brother's right kidney.

The right side is the healthy side, so it is natural to see a normal image.

But clinically, no matter whether you do a physical examination or look at the healthy side, you often look at the healthy side first, just for bilateral comparison.

The B-ultrasound doctor closed his mouth with his hands, and after thinking about it, he still stayed where he was, ready to step forward to seize control of the machine at any time.

As a B-ultrasound doctor, he must follow the B-ultrasound machine. There is actually only one reason why people never leave the machine and the machine is very expensive.

Moreover, the B-ultrasound machine cannot be operated by just looking for a doctor.

The use of electrocardiogram machines is a compulsory course for every doctor, but the use of B-ultrasound equipment is only a compulsory course for imaging departments.

Although the male doctor in front of him seems to be able to use it, what if it goes wrong?

Zhang Tianyang knew that the B-ultrasound doctor was watching him, but he couldn't control that much.

Scanning the black and white image on the screen into his eyes, he moved his wrist and pressed the probe on the left side of the brother's abdomen.

Swipe up, down, left, and right to find the angle.

This is where the left kidney is.

The moment he saw the image clearly, Zhang Tianyang let out a soft breath.

Next to him, Professor Yang, like him, couldn't help but breathe a sigh of relief.

Judging from the image on the screen, the problem is not big.

There is mild hydronephrosis, but it is not much different from the healthy side.

Normal people can see mild hydronephrosis when doing B-ultrasound when holding back urine.

If there is no obvious expansion of the liquid dark area, the possibility of septic shock is much smaller.

Over there, Senior Brother Deng has already found the blood test results of my younger brother.

"ProCT 0.075ng/ml."

"CRP 2.45 mg/L."

Hearing Brother Deng's report, Zhang Tianyang's heart was completely swallowed.

These two indicators are specific indicators of bacterial infection, and now it seems that the problem is not big.

The full name of ProCT is called procalcitonin, and the normal range is 0-0.05. The result of this item is slightly higher, but not much.

The full name of CRP is called C-reactive protein, and the normal range is 0-5. The result of my brother falls within the normal range.

When a normal person has a cold and a fever due to a bacterial infection, these two items will also increase, so a little higher is not a serious matter.

If it is doubled by ten times, ProCT is as high as 7.5, and CRP is as high as 24.5, then it is estimated that the performance of a few white coats is another scene.

It can't be described as chicken and dog jumping.

"Septic shock can be ruled out."

Zhang Tianyang made a judgment.

After excluding septic shock, the greatest possibility of brother shock is excessive pain.

Zhang Tianyang has never had kidney stones, so he doesn't understand what kind of torture this pain is.

But judging from the patient's performance seen through various channels, the pain is still very severe.

The pain was so painful that he went into shock, probably this little brother Li Yueban must have endured it for a long time before coming to the hospital, right?

The rehydration and volume expansion that should be carried out has already been done, and the symptomatic treatment for shock is also online.

Medication for pain relief has been given.

The little brother has a slight infection, and there is no need to withdraw Suppu after using it deeply.

All that's left is to wait for him to slowly recover.

Alert lifted.

Although the emergency room was still quiet and the monitor was still beeping one after another, the tension in the air dissipated in an instant.

Wipe the probe, put it back next to the machine, and adjust the B-ultrasound machine back to its initial state. Zhang Tianyang smiled apologetically at the B-ultrasound doctor.

"Sorry, I was in a hurry just now, and the machine will be returned to you."

"it's okay no problem."

The B-ultrasound doctor was frightened for a long time, but luckily the machine was returned intact, so there was no reason to be angry.

"Teacher, please wait a moment, I will get you the list!"

Zhang Tianyang typed out the B-ultrasound examination form and the bedside additional charge list, and handed them to the B-ultrasound doctor, and then helped him move the machine out of the house.

The condition of each patient in the emergency room was quite stable, and the three white coats were finally able to sit down and rest for a while.

Involuntarily, the three of them took out their phones one after another.

After all, in this day and age, mobile phones are the mainstay of social interaction.

Zhang Tianyang has a lot of unread messages. After opening them one by one, he found that they were mainly messages from the various group chats of the Eastern Hospital that he had added before.

The Department of Nephrology is going out for dinner again, and the Department of Infectious Diseases has a lecture tonight, and so on.

The secretary of the emergency department also called everyone in the emergency rotation group, saying that there will be a big round of wards tomorrow morning.

But Zhang Tianyang has the final say, he should be at work when the rounds are held tomorrow.

According to my own color, maybe maybe maybe I can't enjoy the explanation of the rounds of the emergency department director.

There were also a lot of unread messages in the small group of four in the dormitory, and I flipped through them casually, mainly because Ji Gaojie, a scumbag, was complaining about the progress of his relationship with Ms. Mianshan.

The best Ji Gaojie in the world: "Do you know, I have never met such a difficult girl!"

"This girl looks like a scumbag."

"It's like meeting opponents at chess, and meeting good talents, do you know that!"

"Suddenly started to get excited!"

"I must take her down!"

Zhang Tianyang couldn't help laughing, but the corners of his mouth couldn't curl up when he smiled.

I always feel that something seems to be missing these two days.

what is it then?

By coincidence, he subconsciously clicked into WeChat and found the chat interface with Lin Lin.

The chat history still stays on Monday.

"A little tired, no appointment."

"it is good."

After that, no more contact.

Fingers moved unconsciously on the keyboard, and writing appeared in the chat box.

"You haven't come to see me these days."

delete.

"How are you doing these days?"

delete.

"I've been a little dark these days."

delete.

It feels inappropriate to post anything.

Zhang Tianyang felt restless, and with a flick of his finger, he clicked on Lin Lin's note.

Input: "scum girl"

delete.

Input: "unfeeling woman"

delete.

Type: "damn cute"

delete.

"what!"

Zhang Tianyang looked serious, but suddenly a chuckle came from beside him.

He turned off the screen, turned his head, and saw Professor Yang holding the phone with an uncontrollable smile on his face.

Brother Deng also came over, "What's so happy about it, Mr. Yang?"

"Ah, it's my son."

When Professor Yang laughed, even the crow's feet at the corners of his eyes curved.

"It's because I'm usually too busy and have to clean the room. I'm too tired, so I bought a sweeping robot for me."

"But I didn't call him back just now, and he got angry again and threatened me to recall the courier."

Brother Deng smiled and replied, "Isn't he really angry? I remember he understands you quite well. As a doctor, it's normal not to reply to messages."

After all, who knows which patient will give you an instant adrenaline rush the next moment?

"Yeah, he understands me quite well. He was easy to lose his temper when he was a child, but he is sensible when he grows up."

Professor Yang has a kind of tenderness when facing patients, and another kind of tenderness when talking about his son.

Zhang Tianyang put away his mobile phone, looked at Professor Yang's smiling face, and was a little lost in thought.

But he quickly recovered.

A patient was treated urgently and he needed to be slowed down.

Now that you've calmed down, you have to get on with your work.

After greeting Professor Yang and Senior Brother Deng, he passed through countless patients and their family members, and squeezed into the emergency room of the internal medicine department.

Without his speed bonus and the order maintenance of the white meat shield, Dr. Chen couldn't control the patients and family members rushing in.

The emergency internal medicine clinic was once again overcrowded.

After finally "inviting" the patients and their family members out to wait in the back row, Zhang Tianyang was finally able to sit down in front of his computer.

On the opposite side, Dr. Chen was already sweating profusely again, but he didn't even have time to wipe off the sweat, and he was exhausted seeing patients.

Zhang Tianyang didn't say hello to him and disturb him, but consciously clicked on the doctor's list.

A piece of patient information is displayed in front of you.

"Ok?"

Zhang Tianyang was stunned.

Something is wrong.

If he remembers correctly, the sorting of this list has been updated!

Zhang Tianyang treated two patients, and Dr. Chen treated three patients himself, but the list of visits changed from 12 to 13.

Moreover, he obviously remembered that there was a familiar name that was originally ranked among the bottom two.

After Dr. Chen treated three patients, he ranked third instead!

Two strange names appeared in front of him!

Zhang Tianyang reacted instantly.

It was the nurse at the guiding desk who pulled the two new patients up!

Explain that they think these two patients are very heavy!

"Call the next one!"

The white tank let in the next patient.

"What's the name, the medical card, what's wrong with it!"

While throwing out the daily triptych, Zhang Tianyang set his sights on the new patient.

Immediately, he sat up straight.

Here comes the sick man!

(End of this chapter)