I'm really an intern

Chapter 205 As long as I am fast enough, the feeding technique cannot catch up with me

The doctor in charge hesitated.

The operation of waist piercing is inherently difficult.

It requires puncture in the intervertebral space from lumbar 2 to sacral 1 (mainly lumbar 3-4) to accurately penetrate the dura mater and reach the subarachnoid space.

Only then can the cerebrospinal fluid be released.

To find the gap between the two vertebral bodies and insert the needle accurately requires not only the doctor's technique and feel, but also the cooperation of the patient.

Because in the normal posture, the vertebral bodies are like overlapping tiles, one layer after another.

The gap between the vertebral bodies can be exposed only when the patient lies on his side, holds his knees with his hands, and bends his back as hard as he can, like "holding a wax gourd".

At the same time, it is also necessary for the patient to keep quiet and relax, as tense muscles will also affect the insertion of the needle.

This operation is as dangerous as chest puncture among the four major punctures.

They are all operations that will affect the life safety of patients in case the technology fails.

Normally, interns are not qualified to do this kind of operation.

So the doctor in charge didn't talk to his two intern classmates at all.

Thinking on your knees, you know that both of them can't do it!

Even for experienced in-service doctors, it often happens that they do it for a long time because the body position is not set up properly, or the hand feels wrong.

What's more, now this patient

He is writhing.

he is still singing

An already difficult operation is made even worse in this situation.

The doctor in charge was very conflicted, and couldn't help but look at Zhang Tianyang, and opened his mouth tentatively.

"How about you come?"

As a doctor in the emergency department, he rarely encounters situations where he needs to do a lumbar puncture himself.

After all, this kind of operation is more common in the Department of Hematology and Neurology, but it is not a routine operation for the Emergency Department.

If a normal patient comes, he still has a little confidence that he can do it.

but this patient

With difficulty, he took his eyes off the little yellow chicken on the patient's underwear, and then looked expectantly at Zhang Tianyang.

Zhang Tianyang looked at the head doctor and decided to tell the truth.

"I would, but teacher, I'm still an intern."

Zhang Tianyang actually paid attention to this point.

As a trainee doctor, he cannot independently make a diagnosis or prescribe a doctor's order independently.

That's why Zheng Hualiang and Dr. Chen had clearly become two salted fishes, but they still wanted to help Zhang Tianyang take a look at his treatment, and then nodded.

This is why, in fact, this patient Zhang Tianyang can handle it by himself, but he has to inform the head doctor before making any judgments.

He can do endotracheal intubation, he can do abdominal puncture, and other interns can also do it.

But waist piercing, although he thinks he can do it, he still needs to make it clear in advance.

Sure enough, the doctor in charge hesitated.

Now he is the biggest, in case something happens, he will be responsible!

So, his expectant eyes gradually turned to Lin Ke'an next to him.

This female doctor also looks very reliable, maybe she can?

"You are"

Lin Kean raised the same smile as Zhang Tianyang.

"I'm also an intern."

The doctor on duty felt a momentary suffocation.

On the one hand, it was the surprise that these two interns could be so experienced and reliable.

On the other hand, it was a shock that these two reliable white coats were just interns.

It seems to be a bit contradictory.

But at this moment, the doctor in charge still thinks so.

So, involuntarily, he kept his brow furrowed and fell into a stalemate.

Finally, he let go.

"Okay, then I'll do it. You help me press the points."

He accepted the task like catching a duck on the shelves, and the doctor in charge was ready to fight a protracted war.

Looking at the appearance of this patient, waist puncture is difficult!

But in a blink of an eye, there was an iron shelf in front of him, which was full of tools.

The doctor on duty glanced over.

"Punch bag, sterile gloves, syringe, gauze, anal iodine"

"When did you get ready?"

Zhang Tianyang shrugged, and next to him, Lin Kean raised the lidocaine he just got in his hand.

Ever since it was judged that the patient was going to have a lumbar puncture, Perverted Zhang and Xue Ba'an had silently prepared the items.

Now, it's just taking out the things that were prepared before.

"Put yourself in position!"

When things were ready, Zhang Tianyang gave orders naturally.

Lin Ke'an responded naturally, and turned to the other side of the patient.

The two little white cats also naturally came up to help.

The doctor in charge was still immersed in the "magic" that everything was ready in a blink of an eye, and when he turned his head again, the posture was almost ready.

The patient's physical condition is very soft, and it stands to reason that the knee-hugging posture will be very easy.

But now he is extremely excited, subconsciously reacting against the external stimuli.

Therefore, this knee tuck position is based on the mandatory basis of four people and eight hands, plus restraint belts.

Even so, the patient was still writhing.

But this is already the best state.

Zhang Tianyang and Lin Ke'an split into two groups.

Over there, Lin Ke'an put his hands on the patient's shoulders, trying to coax the patient to calm down like a child.

Here, Zhang Tianyang stood still next to the doctor in charge, and quickly set up the chair and iron platform needed for the operation.

Then Zhang Tianyang first stood at the operating position, put one hand on the patient's back, and prepared for positioning.

He quickly found the intersection of the iliac crest line and the posterior midline, pressed his thumb down, felt the contour of the spine, and found the soft part in the middle of the two hard pieces.

It is here.

The nails were cut off, and a cross was made at the predetermined puncture point.

"Teacher, would you like to see?"

The doctor in charge responded blankly, and also touched it at Zhang Tianyang's request.

The location is right, the feel is right, this is it.

He subconsciously glanced at Zhang Tianyang.

Zhang Tianyang nodded at him naturally, "Let's start then?"

For a moment, the doctor in charge felt that he was back in the beginning, when Xiaomeng was new.

In a trance, it seems that a superior doctor is taking me to do a lumbar puncture.

The doctor in charge didn't respond, so Zhang Tianyang assumed that he acquiesced.

He walked to the position where there was an iron platform separated from the head doctor and stood still, and he began to prepare the items.

With a wrong hand, the waist bag was torn open.

Holding the outer wall of the inner layer of wrapping, spread out the waist bag.

Then open Aner iodine and pour it in.

Open the syringe and pour.

Prepare lidocaine, check label, but not prescribed yet.

A pair of size 7.5 unopened sterile gloves was handed over to the dazed head doctor.

It was obvious that the doctor on duty paused for two seconds.

It was the output of Zhang Tianyang's big feeding technique that made him feel even more that Zhang Tianyang was a superior doctor and he was an intern!

After calming down, the head doctor's eyes gradually became resolute.

I am in charge!

This is my home field!

What a shitty feeding technique.

As long as I'm fast enough and strong enough.

His feeding skills can't catch up with me!

　very hungry, want to eat meat

　　

　

(End of this chapter)