I'm really an intern

Chapter 228 Waiting for a Drop of Miracle

In the neurology ICU ward at [-]:[-], there were not many white coats left behind.

Except for the dedicated nurses shuttled around the beds of different patients, the whole ward seemed a bit empty.

There are only four white coats beside the bed of the 76-bed old lady.

The attending doctor, Director Song Changkong, Zhang Tianyang, and Lin Ke'an who came to learn the operation skills.

In fact, according to the normal process, the attending doctor will not come so early.

His time is far more precious than these junior doctors.

So he couldn't wait here and wait for them to make preparations and position themselves.

He would be busy with his own affairs in his office, and then he would not come until someone called him and said everything was ready.

But today the old lady's condition does not allow it.

The waist wear bag and other items have been prepared long ago and placed in the treatment cart for backup.

Zhang Tianyang pinched the drainage tube extending from the skull of the old lady at the head of the bed, and gestured to the attending doctor.

"Let's get into position and get ready for clipping."

"Crack!"

With a soft sound, the drainage tube was clamped shut.

The four of them immediately became busy.

The stable position of the old lady's vital signs is supine, with the head of the bed tilted up 30 degrees.

For lumbar puncture, you need to lie on your side, bend your knees, bend your neck, and arch your back.

During moving and moving, in order to prevent the drained cerebrospinal fluid from flowing back and causing infection due to gravity, the drainage tube must be clamped.

But the bloody case caused by clamping the drainage tube for half an hour in the morning is still vivid.

Within half an hour, they had to drain the cerebrospinal fluid.

Otherwise, you can only take the road of "gambling your life".

There is not much time left for them!

shake the bed, lift the quilt, turn over, bend the knee

He hurriedly arranged the position of the old lady who was actually not heavy, and separated two people to stand in front of the old lady to help fix it.

When the old lady's entire back was arched and exposed in front of her eyes, Zhang Tianyang could clearly see the remaining needle holes on it.

Roughly counting, there are more than a dozen.

It seems that before today, in order to extract the old lady's cerebrospinal fluid, the doctors really made efforts again and again.

Unfortunately they all failed.

After wiping with hand sanitizer, Zhang Tianyang pressed his palm on the old lady's back, carefully looking for the puncture point.

Press the pads of the fingers on the spine, slide up and down, and press down gently.

Feel the alternation of hardness and softness, and find the best point for needle insertion.

Zhang Tianyang has always been very fast in operations. After all, speed is the most important thing in a soldier, and a later delay may affect the prognosis.

But this time, it took a full minute just to determine the puncture point.

After making the cross, he turned to look at the attending doctor.

"Teacher, let me come?"

The attending doctor subconsciously wanted to refuse.

But looking at Zhang Tianyang's appraisal eyes, he swallowed back the words that came to his lips.

His eyes fell on the puncture point where Zhang Tianyang pressed his fingers.

There were more than a dozen needle holes that hadn't healed yet, and they were faintly bluish-purple.

In the eye of these needles, there is his share.

In fact, to be honest, his waist piercing technique is absolutely reliable.

According to past experience, the probability that he fails to do it the first time and succeeds the second time, or that others succeed in doing it again, is less than one percent.

So today, in fact, he came to give the old lady another waist piercing with the attitude of doing his best and obeying the destiny.

To put it bluntly, it is to try one last time, and then start using anticoagulants.

Looking at Zhang Tianyang's attitude, think about the rumors he has heard about this magical intern in front of him.

The attending doctor quickly made a decision.

"Okay, you try first."

But he still couldn't be completely relieved, so he hastily added a sentence.

"But I only give you 10 minutes, a chance for three shots."

"If you can't wear it, I will do it. The chance I give myself is 10 minutes, three needles."

"We couldn't wear it out, so we informed our family members, and then we took anticoagulants."

In any case, before the clamping time of the drainage tube reaches half an hour, the old lady must be allowed to return to her normal position and the drainage tube should be reopened.

"it is good."

Zhang Tianyang nodded calmly to the attending doctor, then closed his eyes, took a deep breath, and adjusted his state.

In fact, the choice of attending physician is strictly speaking not in compliance with the regulations.

For a difficult operation, there is no reason for the intern doctor to do it after a doctor of this level failed once.

But in the white coat present, Song Changkong didn't want to offend anyone.

In the eyes of the attending doctor and Lin Ke'an, Zhang Tianyang was no longer an ordinary intern.

Song Changkong and Lin Ke'an fixed the limp old lady with one shoulder and one leg.

The attending doctor was about to help Zhang Tianyang prepare the items, but before his hand reached the waist bag, Zhang Tianyang suddenly opened his eyes.

In an instant, everyone felt that something was different.

The next moment, Zhang Tianyang started to move.

He directly reached out and pulled the treatment cart, and glanced at the items on the cart.

Quickly stuffing everything except the waist-puncture bag into the hands of the attending doctor, he tore open the waist-piercing bag with a wrong hand.

Bounced away swiftly.

As soon as he stretched out his hand, he had already squeezed out the Aneriodine from the attending doctor's hand, opened the cover, and dumped it into the fixed position in the waist bag.

He casually put the useless half bottle of Aneriodine on the small table beside the bed.

As soon as he stretched out his hand, he pulled out several large and small syringes from the attending doctor's hand.

Quickly opened the bag and volleyed it into the piercing bag.

As soon as I reached out, I took the sterile gauze in the hands of the attending doctor

I reached out again and took the sterile gloves again.

But within ten seconds, the attending doctor had just recovered, and only a small bottle of lidocaine was left in his hand.

This anesthetic needs to be checked by both parties, and it is the only thing that can only be extracted with the assistance of a second person.

As for the others, Zhang Tianyang took care of it all by himself.

Watching Zhang Tianyang quickly put on gloves, load the syringe, check the puncture needle, and place the glass tube, he seemed to see afterimages of his fingers in a daze.

"Teacher, lidocaine?"

It wasn't until Zhang Tianyang frowned to remind him that the attending doctor woke up like a dream, and hurriedly checked the lidocaine label, then opened the cap, tilted the bottle, and asked Zhang Tianyang to suck it with a syringe.

Soon, the items are ready.

Zhang Tianyang's movements slowed down again.

Disinfected three times, repositioned, local anesthetized, and then picked up the puncture needle.

In fact, his speed is still much faster than normal people, but compared with the speed he showed before, it is obviously slower.

Shows his earnestness and prudence.

The needle tip enters the skin along the passage of the anesthetic, and then slowly penetrates vertically.

On the opposite side, two white coats seriously fixed the old lady's body, and Song Changkong even used his knees.

The patients in the ICU ward are all bedridden for a long time, so in order to largely avoid the occurrence of bedsores, the mattresses here are all air mattresses.

Of course, there are many benefits in normal times, but for the operation of waist piercing, it is not a good thing.

Because the air mattress is too soft, it is not easy to fix it.

But Zhang Tianyang's heart was as sinking as water, his hands as steady as a mountain, and the tip of the needle moved forward according to the established route.

Soon, the tip of the right finger that was sending the needle felt a hindrance.

The tip of the needle hit the bone.

Zhang Tianyang's hand paused, his expression remained normal, he slowly pulled out the needle, and the needle tip was withdrawn.

This is a very common situation.

Although the fingers are soft when pressed, it may be just an illusion in many cases.

Because the sunken place is not necessarily a "gap" where the needle can be inserted, it is more likely to be a deep bone.

He looks normal.

But after all, the first injection has failed.

Then, the second stitch.

The position and angle of the needle were slightly adjusted, and soon, the right fingertip felt the obstacle again.

But not bones.

Pushing hard with his fingertips, the needle tip continued to push in, and soon, Zhang Tianyang felt the long-lost feeling of being lost.

Bengpi's left hand fixed the needle body submerged in the skin, and his right hand gently pulled out the inner core of the puncture needle.

Did you make it?

The other three white coats surrounding the hospital bed subconsciously held their breath.

It can be a second.

two seconds.

three seconds.

No fluid comes out of the needle tail.

Disappointed colors appeared on the three faces.

What followed was indeed helpless.

They subconsciously hoped for Zhang Tianyang, but they had to know that this patient had tried many times before him, and even the attending doctor hadn't pulled out the cerebrospinal fluid himself.

The current situation seems to be expected.

"Is it really necessary to take anticoagulants?"

Helpless choices emerged in the minds of the three of them.

After all, Zhang Tianyang has already failed two injections, and if he fails again, it can almost announce the beginning of the old lady's life gamble.

The needle core was sent back, Zhang Tianyang held the needle in his right hand, and pressed the skin again with his left hand.

"Going to pull out the needle and try a third time?"

The three white coats thought subconsciously.

But Zhang Tianyang's face was sullen, and his right hand was slightly exerted.

The needle was not pulled out, but went in a little bit.

The subtle touch blossomed at the fingertips, and he stopped again.

Pull out the needle core.

Keep your eyes on the tail of the needle.

Waiting for that drop of miracle.

　Hey, my brain hurts, it's so uncomfortable

　　

　

(End of this chapter)