I'm really an intern

Chapter 18 I'm Not Feeling Here

Professor He moved quickly.

When he went to work in the afternoon, Zhang Tianyang had already seen the 41 cases of Uncle Uncle disappear in Professor Liu's account.

During the independent ward rounds to see the 40-bed elder brother, I happened to see the woman in the red dress dragging the attending senior sister of Professor He's group and yelling that she was going to be discharged from the hospital.

After all, the senior sister is an experienced attending doctor, so she agreed without being used to her.

"Okay, I'm going to give you a temporary discharge from the hospital now, and you can leave after the bedside CRRT is done."

When Zhang Tianyang returned to the doctor's office after changing the medicine for Senior Sister Liang's patient, the situation changed to the woman in red asking the senior sister in charge to show her father again.

However, the attending senior sister was unmoved.

"But the next patient on our side has already been contacted.

Your father's lower extremity edema has improved significantly, and he can be discharged from the hospital.

Our next patient was transferred from the ICU, and his condition is much worse than your father's.

Beds are so tight right now.

There is nothing we can do! "

Zhang Tianyang passed by them silently.

Wave your sleeves without bringing up a cloud.

He also sympathizes with that uncle, but who doesn't deserve sympathy for the patients who come to the hospital to see a doctor?

On Thursday, the patients in Professor Liu's group were in stable condition, and there was peace in the group.

One patient will be discharged today, plus the 41-bed uncle who was given to Professor Liu's group yesterday, and two new patients will be admitted accordingly.

The patient who was going to be transferred from the ICU to bed 41 was a 68-year-old lady, and she was still under the name of Professor Liu.

Considering that Zhang Tianyang has dealt with the critical situation of two serious patients in a row for the past two days, Professor Liu seemed to feel the subtle blackness on his face.

Therefore, the new patients in bed 41 belonged to Senior Sister Li, who now has only one patient left.

The other patient in the general ward was logically assigned to Zhang Tianyang.

At [-]:[-] in the afternoon, just after starting work, the new patients were already in place.

This made Zhang Tianyang quite excited.

It’s finally time to get off work without getting stuck!

This must be a lovely patient!

Senior Sister Li was even worse.

Because the woman in red has been making trouble, the 41-bed uncle who was supposed to be discharged from the hospital after finishing the bedside CRRT on Wednesday night was delayed until this afternoon.

The old lady who was supposed to turn over last night was forced to lie in the ICU for an extra day.

And looking at it like that, the woman in red wanted to continue dragging down, waiting for the people from the Medical Administration Office to bring security to frighten her.

After such a toss, it is estimated that it will take four or five in the afternoon to get out.

Even if the new patient comes right after the old patient leaves, it will have to wait until six or seven o'clock in the evening.

Let's deal with it again, write and write the case, if you don't pay attention, it will be nine o'clock.

What is even more difficult is that Senior Sister Li is on duty this Sunday.

Today, I have to work overtime and I am on duty on Sunday. This is equivalent to spending two days and two nights in the hospital.

For this, Zhang Tianyang could only give a sympathetic look.

"Junior brother, don't be too happy."

Senior Sister Li is petite, fair-skinned and beautiful, threatening Zhang Tianyang with her soft voice.

"I'm on duty on Sunday, and I won't be in Corey after the night shift next Monday afternoon, then my patients will be under your care!

You seem to have a dark face, but don't get me involved! "

"Black face? What black face?"

Zhang Tianyang pretended to be stupid.

It is impossible to admit it, and it is impossible to admit it in this life.

Whoever says that his face is black, he will be in a hurry with whoever!

Don't you know that three people make a tiger, and a crowd makes a fortune!

The new patient had 37 beds. Zhang Tianyang opened Professor Liu's account as usual, and first looked at the patient's past medical records.

"Bed 37, female, 12 years old, regular [-]-month dialysis for renal failure"

"Huh? A 12-year-old girl?"

Zhang Tianyang froze for a moment, and reconfirmed the patient's age.

"It's really 12 years old"

Looking at the medical history again, "I have had proteinuria since I was one and a half years old. I have been treated for many years, but my kidneys are still failing, so I started dialysis two months ago."

The originally happy mood suddenly turned gloomy.

The little girl in bed 37 is also a long-term patient of the Nephrology Department of Dongfang Hospital. She has visited more than ten times in the past ten years.

Zhang Tianyang carefully flipped through the most recent copies, and sighed.

The medical history is clear.

The little girl had been undergoing dialysis for two months, and she had been using the internal jugular vein channel, which felt very inconvenient, so she wanted to make an arteriovenous fistula in her hand.

This is a very reasonable request.

Because the internal jugular vein catheter only creates a temporary channel for dialysis patients, the longer this channel exists, the greater the risk of infection.

Patients who need long-term regular dialysis will choose to have an arteriovenous fistula in their hands for convenience and safety.

In layman's terms, it is to suture the artery near the wrist of the forearm and the adjacent vein so that arterial blood flows in the vein after the anastomosis.

The blood vessels of the arteriovenous fistula can provide sufficient blood for hemodialysis treatment, and guarantee the adequacy of dialysis treatment.

Moreover, compared with the temporary conduit of the internal jugular meridian, the arteriovenous fistula is less prone to infection;

The usable time is also longer, which can reach 4-5 years;

It will not affect the normal life of the patient. As long as the patient pulls down his sleeves, no one would have thought that he would secretly go to the hospital every week.

Even more so for little girls.

After all, he is only 12 years old, which is the age when he cares most about what other people think. If you let someone have a tube inserted in his neck, he will not be mentally healthy.

The request is reasonable.

The difficulty is that the blood vessels in the little girl's hands are too thin.

The doctor at the local hospital said that arteriovenous fistula cannot be done with such a thin blood vessel, but the little girl and her parents wanted to struggle again, so they came to Dongfang Hospital.

"Let's go see the patient first."

Zhang Tianyang pulled the white paper and walked to the door of the 37-bed ward, and saw the little girl inside at a glance.

It looks really small!

A 12-year-old girl with a bit of baby fat and a fleshy face was lying on the bed, talking softly to her mother beside the bed with dimples.

Why did you get sick?

Zhang Tianyang sighed silently, pushed open the door, and walked in.

"37 beds? Let me ask about the medical history and situation."

"The doctor is here, hurry up and sit down."

The little girl's mother looked very polite, and while urging the little girl to sit upright, she smiled apologetically at Zhang Tianyang.

"The child is too young to be polite. I'm sorry."

"Good girl, you see that the doctor's brother is here to see you, why don't you say hello to him?"

The little girl sat up from the bed, and smiled at Zhang Tianyang, "Hello, brother doctor."

"You are fine too."

Zhang Tianyang felt that he was about to be melted by the little girl's dimples, and a smile couldn't help but rise on his face.

He bent down slightly so that the little girl didn't have to look up to see him, and his tone was gentle.

"Is there any discomfort in this hospitalization?"

The little girl's voice was soft and waxy, and she pointed at her own neck.

"It's uncomfortable here."

　Three cases of plague have been confirmed in Beijing, and one has died, said to have developed after a trip to NMG.

　　Friends in Beijing and NMG pay attention to protection

　　

　

(End of this chapter)