I'm really an intern

Chapter 230 It’s boring for a while

"It really came out!"

"Success!"

"The old lady is saved!"

The three white coats around couldn't control their emotions for a moment.

One or two laughed like it was Chinese New Year.

Song Changkong is the old lady's bed doctor. He is not only happy for the old lady, but also happy for the old man who is anxiously waiting outside the ICU ward.

The attending doctor was also happy for the patient, but he was even more happy for the fact that he decisively brought Zhang Tianyang over.

Sure enough, I am wise!

Lin Ke'an was also laughing.

His eyes stared at Zhang Tianyang, shining brightly.

Only Zhang Tianyang remained calm, his brows were even slightly furrowed.

He adjusted the entry depth of the needle core, thereby controlling the flow rate of the old lady's cerebrospinal fluid.

Then, just like a normal lumbar puncture, he began to take CSF samples of various biochemical microorganisms and general conditions.

But everyone present would not think that this is just an ordinary waist wear.

This is a waist piercing related to the fate of the old lady.

After wearing it out, the old lady has a high chance of living.

If you can't wear it, you can basically prepare for the funeral.

"Did it come out?"

The nurse station and the bed nurse went back and forth, with surprise in their tone.

But when it was clear that the person who had the waist piercing was not the attending doctor, but the little doctor just now, the tone of the nurse's station became frightened.

"Why, why did it come out? Didn't everyone get used to it yesterday? Why did it happen today?"

The head nurse has always been not afraid of doctors at the attending level, and she has nothing to stop her from speaking.

The attending doctor's face was a little embarrassing.

I was too happy just now, and I was too busy thinking about how to trick Zhang Tianyang into staying in the Department of Neurology.

He didn't realize it for a while, Zhang Tianyang's injection penetrated the cerebrospinal fluid, and it hit his face!

But he soon laughed again.

"That means Xiao Zhang is amazing!"

It's a good thing that a doctor of the younger generation can produce a terrific pervert!

Song Changkong Director Song silently observed everyone present, continued to hold the old lady's half body dutifully, and vowed not to participate in the discussion.

Talk less, talk less, say one more sentence, maybe you will be punished

Lin Ke'an has been staring at Zhang Tianyang with bright eyes. He was afraid of affecting his operation before, but now he can't wait.

"Zhang Tianyang, don't you want to explain?"

In an instant, the attending doctor, who was laughing with the head nurse, fell silent.

Song Changkong also raised his ears and cheered up.

Not only Lin Ke'an was curious, but they also wanted to know why Zhang Tianyang got the waist pierces that so many doctors hadn't worn them.

The needle was already in place, and the cerebrospinal fluid was dripping out slowly.

Zhang Tianyang's heart was also relieved, and his face was no longer as serious as before.

"Maybe it's luck."

He smiled and explained, "Didn't the old lady suddenly drop her blood oxygen saturation yesterday, and finally found out that the drainage tube was clamped for too long and the intracranial pressure increased?"

"I'm thinking, if it's really blocked by a clotted blood clot, the intracranial pressure that was so high yesterday has pressed the respiratory center, so it should be able to be flushed away, right?"

It seems to make sense.

The attending doctor nodded frequently, and the self-doubt in his heart gradually faded.

Song Changkong continued to watch his nose, nose and heart.

Lin Ke'an didn't believe it at all, and directly confronted her.

"Then you adjusted it so many times, why are you pumping it around with a 20ml syringe!"

The little yellow chicken man who just cooked last night is still lying next to it!

She witnessed with her own eyes that Zhang Tianyang hit the cerebrospinal fluid with two needles when the patient was extremely uncooperative and kept twisting his body.

The old lady in front of her can't resist, and her muscles are underdeveloped. It stands to reason that it will be easier to wear than the little yellow chicken man.

But Zhang Tianyang acted cautiously, and adjusted the needle repeatedly several times, and even used the syringe to inhale twice before passing out the normal cerebrospinal fluid.

If it was really because the increased intracranial pressure washed away the blood clot in the morning, did he need to go to such trouble?

That is definitely a hit!

Zhang Tianyang chuckled, avoiding the serious and taking the light.

He can pull it out, of course it is also related to his technique and feel!

But isn't it an offense to say this?

So he just explained his actions.

"After adjusting the position of the puncture needle, I saw blood-colored liquid, but it flowed out extremely slowly, and it barely moved."

"So I guessed that there might be blood clots blocked up and down the puncture site, so I took a syringe. After the blood clot came out, the cerebrospinal fluid went smoothly."

"If you don't believe me, bring gloves, you can pick up the syringe just now and have a look."

The attending doctor was skeptical, put on his gloves, and picked up the syringe from the trash can that had only been drawn shallowly.

In order to see what was inside, he looked around, and finally chose to go to the sink and continue to pump some water into the syringe.

With the transparent liquid as a backdrop, the contents of the syringe quickly appeared before the eyes.

In addition to the red cerebrospinal fluid that quickly merged into the liquid, there were also a few long and thin red threads made of blood coagulated floating in the middle.

Thinking about it, Zhang Tianyang pulled it out. It turned out to be a blood clot blocking the passage of cerebrospinal fluid.

"I see."

The three white coats nodded in unison.

Zhang Tianyang seemed a little violent when he was sucking the blood clot, which made the attending doctor a little excited.

Now it seems that without violence, the blood clot cannot be drawn out.

But who would dare to do this if he didn't have a plan in mind?

Zhang Tianyang kept moving his hands, and after collecting three tubes of cerebrospinal fluid step by step, he handed the three small test tubes and triangular cardboard holders to the attending doctor next to him.

And the attending doctor who had just washed his hands took it naturally, and then helped him cover and stick the label.

After he subconsciously finished these "assistant's work", he suddenly reacted.

Wait, no, am I not the attending?

But Zhang Tianyang has already frowned and issued orders.

"A 50ml syringe and two vials of water for injection are required."

It was too late to worry about who was the superior doctor, and the attending doctor subconsciously responded again, and then frantically searched for the corresponding thing.

After the things were in place, Zhang Tianyang did not forget to explain to him.

"Now that the lumbar puncture is successful, I will draw some cerebrospinal fluid to lower the intracranial pressure, and then inject it with water for injection and rinse it later to replace the blood as much as possible."

Only when there is no blood in the cerebrospinal fluid to clot and block the reabsorption of the arachnoid granules, can the old lady's condition be improved.

Song Changkong was shocked when he heard this.

Zhang Tianyang's tone didn't seem to be asking for instructions, but giving orders!

How could a subordinate doctor dare to talk to a superior doctor like this!

But the attending doctor didn't feel upset at all, and even nodded in agreement.

"Yes, I think so too."

In his mind, perhaps Zhang Tianyang was no longer an intern, but a colleague and comrade in the same class as him.

Zhang Tianyang continued to talk about his follow-up treatment plan, and the attending doctor also continued to agree.

"The drainage tube can not be withdrawn first, but continue to be clamped."

"Yeah, I agree."

"Then in the next two days, I plan to do a lumbar puncture twice a day to see if it works, and then withdraw it if possible."

"Okay, that's it, please."

The two of them were like this, the intern gave orders, and the attending doctor said ok.

It's extremely inconsistent, but it seems very natural.

Beside them, two white coats that had lost their sense of existence looked at each other.

Then slowly look away.

Eye to nose, nose to heart.

All of a sudden, I just feel dull

　An'an is still burning. By the way, I saw a lot of scumbags from the comments. Did you eat anything? Go to bed early, and have a meeting today; wear more, drink hot water, that girl is my sister or something

　　

　

(End of this chapter)