I'm really an intern

Chapter 202 An Extremely Difficult Patient

Zhang Tianyang has just been replaced from one of the chair movers.

Not sweating, but slightly panting.

He glanced at Lin Ke'an, and instead of making a judgment immediately, he began to state what he knew.

"The patient's main symptom is a sudden change in consciousness."

"The onset of the disease was rapid."

"Extremely hyperactive and unable to control his speech and behavior."

"According to the description of the person at the same table, the patient has a very good drinking capacity, and he didn't drink much today."

"The patient usually has no bad habits."

"The previous mental performance was also normal, and this situation has never happened before."

After speaking, he looked up at the other party.

Lin Ke'an nodded quickly, and began to state the news that he had just received from the group of girls who were like frightened birds, who revealed everything they knew when they asked.

"The patient had a 'cold' recently."

"Before drinking today, the patient used to use cephalosporin as a reason to stop drinking. But he didn't take any medicine."

"At the same time, the patient once reported a headache."

The two looked at each other and nodded in agreement.

Zhang Tianyang began to describe the physical examination he had just done.

"The patient is pale."

"There are food residues left in the corners of the mouth and in the mouth, which looks like vomit. He vomited before we passed."

"The extremities are clammy and hot, and the forehead is hot. It is initially estimated that he is in a state of fever."

"There is a sense of resistance in the neck, but the patient's consciousness has changed now, and it is uncertain whether it is rigid or intentional."

The scattered medical history was gradually pieced together through the mouths of different classmates.

Just like a detective investigating a case, collect all the evidence bit by bit.

Coupled with the evidence of the patient's own physical signs.

An answer suddenly came to mind.

The two looked at each other again.

Zhang Tianyang smiled.

"Let's talk together?"

"Okay."

"3"

"2"

"1"

"Intracranial infection!"

"meningitis!"

Seemingly different answers.

In fact, meningitis is a kind of intracranial infection.

One is wider and the other is more precise.

So the two also laughed.

Several male students in the same company did not major in medicine.

They struggled to carry their sick classmates.

While enduring his disjointed singing voice.

Listening to the two "doctors" speaking words that I didn't understand.

Then suddenly laughed again.

I just feel that the flyover in front of me is not a flyover, but a natural moat.

I just feel that the blue sky in front of me is not a blue sky, but a mockery.

"Doctor, what's wrong with him?"

Zhang Tianyang glanced at him and sighed when he saw the sweat dripping from his forehead.

"Let me do it."

Taking over the position of the frail male classmate, Zhang Tianyang looked serious.

"In layman's terms, it's an infection in the brain."

"Usually it's caused by bacteria entering the bloodstream and then infecting the brain."

"The initial judgment is an intracranial infection. It may be encephalitis, meningitis, brain abscess, etc. Which one needs further inspection."

"If it is purulent meningitis, it may die."

"Other intracranial infections may also lead to epilepsy, limb paralysis and other consequences"

The boy was obviously frightened and slowed down a few steps.

Zhang Tianyang suddenly turned his head and glanced at him faintly.

"It's too late to run now. The surveillance video is there. Guess if something goes wrong, his family members find that other students are there, but you are not there."

The boy shuddered suddenly, and quickly took two steps to keep up.

Zhang Tianyang looked at him seriously.

"So, you must explain it to his family members. We may participate in the rescue after he is sent in. You have to appease his family members, you know?"

This is an early vaccination.

In critical situations, the cooperation of family members is very important.

One minute later, it may affect the prognosis of the patient for a lifetime.

It would be great to have someone to help with persuasion.

Zhang Tianyang yelled when several people hurriedly carried the chair with the bound person to the door of the emergency department.

"I suspect an intracranial infection and need to go to the emergency room!"

"Here! The flat car is here!"

Dr. Chen is on the day shift today, and he is actually off work at this point.

But Zhang Tianyang made a phone call, and he waited at the door with his classmates who are currently on duty in the emergency room. At this time, he rushed over directly pushing the flat car.

But the moment he rushed to see the patient, Dr. Chen was still stunned.

"My Cao? Why are you tied up like this?"

Even if Zhang Tianyang told him on the phone that the patient was extremely hyperactive and difficult to subdue, he never thought that he could tie it to a chair and bring it here!

"Just send it in!"

Zhang Tianyang directly ignored the flat car next to him.

"You can't untie him! You can't hold him down! Sedation first!"

"Ah? Ah!"

Dr. Chen reacted for a second and made a quick decision.

"Listen to him!"

The intern under him was sent out by him with a confused face to take over the work of carrying the chair.

And Dr. Chen turned around and began to push the flat car to clear the way ahead.

Along the way, crowded patients and their family members gave way one after another.

Then he stared dumbfounded at a man in a white coat and a plainclothes, who was tied up on a chair and still sang, carrying sparks and lightning all the way into the door of the emergency room.

When the door was closed, it seemed as if the loud voice of the man inside could still be heard.

"I'm Cao! It's too noisy!"

Dr. Chen was sent out by Zhang Tianyang just after completing the task of clearing the way and opening the door.

"Senior Brother Chen! The patient's classmates are outside, holding the patient's ID card, you take them to register!"

"Nurse! Establish an intravenous line quickly!"

"It is suspected to be an intracranial infection, and it may be an acute onset of meningitis, but the patient just drank alcohol, remember not to take cephalosporin!"

"Nezha, Nezha! You are amazing! Oh! You are my dream! I am your dispensable person! Woooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooo!"

The man who was tied tightly to the chair was still singing loudly, and the heart rate and blood pressure of several old men and women in the emergency room rose to varying degrees.

The doctor in charge dealt with it helplessly, and wanted to drive out Zhang Tianyang, who was wearing casual clothes, by the way.

The little nurse who had eaten the snacks distributed by Zhang Tianyang stopped him.

"This is also a doctor! It's amazing!"

"Drip!"

The door of the emergency room opened, and Lin Ke'an, who had disappeared for half a minute, reappeared.

Not only was he wearing a white coat that was obviously too big, but Zhang Tianyang also made a suit.

"Whose is this?"

"Who cares, you wear it first!"

Over there, the sister nurse has just established the intravenous access for the patient who is singing at the top of his throat.

His singing voice is really horrible, causing her hands to tremble until she pierced the blood vessel twice.

"Patient needs sedation!"

Zhang Tianyang ran to the computer to write a doctor's order with ease.

While driving, it is also reported.

"I'm afraid the diazepam group won't be able to calm him down! Should we add promethazine and chlorpromazine?"

The doctor in charge was a little surprised.

"Go to the first group, observe and see!"

The doctor's order was issued quickly, and Dr. Chen led the patient's classmates outside the door to quickly pay for the medicine.

The drug enters the patient's body along the intravenous line.

After 5 minutes, the patient seemed to gradually calm down.

At least, no singing.

Without struggling, he just stared and tilted his head, looking at the white coats around him.

"Can I switch beds?"

The doctor in charge didn't know why he asked Zhang Tianyang for his opinion.

I don't know who borrowed the white coat this boy was wearing, so the badge doesn't belong to him.

The doctor in charge didn't know what the other party's title was.

Looking at the appearance, he is very young, like an intern.

But judging by his performance, he is very calm and experienced, at least at the level of attending?

Coupled with Dr. Chen's trust in Zhang Tianyang, and Zhang Tianyang's confident and affirmative tone.

The doctor in charge subconsciously regarded him as his peer or even his superior.

"Turn around."

Zhang Tianyang frowned.

Although I still feel a little inappropriate, it is not a problem to always tie the patient to the chair.

Among other things, at least all kinds of guardianship will not be available.

"Then untie it?"

But at the moment when the restraints were just released, the patient jumped up!

　Stuck in failure, self-defeating, blah blah

　　

　

(End of this chapter)