I'm really an intern
Chapter 231 Do You Want To Make A Deal?
Chapter 231 Do You Want To Make A Deal?
The old lady's 99% death situation seemed to have changed after Zhang Tianyang's three injections.
After specifying the treatment plan, the attending doctor left first.
The overall situation has been decided, and the rest of the operation is not difficult, it just takes time, and it doesn't make much difference whether he is present or not.
Song Changkong took it upon himself to communicate with the old lady's family.
After all, Zhang Tianyang just came here today, and Song Changkong was responsible for the old lady's illness before, so it was easier for him to communicate.
Besides, Zhang Tianyang couldn't leave.
Although the most difficult step he has crossed over.
But the subsequent operations will take a long time, which has nothing to do with his own speed, but with the old lady's physical condition, and he can't speed up either.
As time passed, other doctors in the ICU ward also appeared in the ward one after another.
Some checked the patient's condition, some occupied the computer and typed, and some, like Zhang Tianyang, prepared to perform various operations on the patient.
Most of the white coats paid attention to Zhang Tianyang intentionally or unintentionally for a long time.
The sudden incident of the old lady in bed 76 in the morning made them more or less aware of the old lady's condition.
I don't want to say how much I know, but everyone knows that because the lumbar puncture has not been able to get out the cerebrospinal fluid, in the eyes of the attending doctor, this old lady has been sentenced to death.
Even if you say you want to gamble your life, everyone knows that the probability of winning the bet is very small.
And now, it looks like he is saved?
There was a trainee doctor who was more familiar with Song Changkong, and secretly communicated with him.
"Which teacher wore it?"
Song Changkong didn't exaggerate, but he didn't hide it either, "No, it was worn by that little classmate sitting there."
Between coming and going, Zhang Tianyang vaguely felt that the eyes of many people looking at him seemed to have subtly changed again.
But he doesn't care much about these.
He is working seriously.
First of all, the old lady's cerebrospinal fluid was extracted steadily at a speed that would neither cause brain herniation too quickly nor cause intracranial pressure to rise too slowly.
Then, use water for injection three times, injecting 20ml each time.
Let the water for injection fully mix with the bloody cerebrospinal fluid in the subarachnoid space, then open the lumbar puncture, and draw out the mixed cerebrospinal fluid again.
In short, the purpose is to dilute the bloody cerebrospinal fluid and extract as much as possible the blood clot that may block the subarachnoid particles.
The rest is left to the old lady's own self-healing ability.
Zhang Tianyang performed the operation meticulously, carefully paying attention to the vital signs of the old lady.
Next to him, Song Changkong was already busy with his own affairs, only Lin Ke'an was still helping to hold the old lady's body, maintaining the waist-wearing position.
Different white coats came and went, paying attention to the two of them from time to time.
And Lin Ke'an, who had secretly observed Zhang Tianyang from the beginning, gradually became upright.
At noon, she still vaguely felt that it was a bit embarrassing for her to be inferior to Zhang Tianyang.
So when she was almost caught looking at his medical records, she felt a little embarrassed.
After all, she is the eight-year student, and she is the pillar of the best major of Oriental Medical University.
As for Zhang Tianyang, if he broke the sky, he also had a five-year system.
This is the same as the difference between noble and commoner in ancient times.
However, at noon, Xiao Linlin told her a lot about Zhang Tianyang's previous legendary experiences in various departments.
She suddenly realized something.
Zhang Tianyang is a pervert with extremely bad luck, a very dark face, who can encounter all kinds of weird emergencies, but can rely on his own ability to turn danger into good luck again and again, he is really powerful.
It's not the kind of power in the nest, it's powerful in various senses.
There is no shame in losing to the strong.
The people who are ashamed are those who refuse to admit their inadequacies, are complacent, and are unwilling to improve.
Therefore, during the process of Zhang Tianyang injecting cerebrospinal fluid to the old lady, Lin Ke'an, who had been staring at him, gradually became firmer.
"Zhang Tianyang."
"how?"
"Can I ask you a few questions?"
Lin Ke'an changed from his previous quiet appearance.
A pair of eyes stared at Zhang Tianyang like a searchlight, and the shyness that was still there at noon was gone now.
All kinds of questions burst out of his mouth like a cannonball.
"It seems to me that the position of the waist piercing you chose is a bit higher than what they usually choose? Why?"
"Can I withdraw the needle core immediately after feeling empty, or should I continue to push in?"
"I know that sometimes operation injuries can also make the color of cerebrospinal fluid red, so how to distinguish whether it is subarachnoid hemorrhage or operation injury?"
I have to say that Lin Ke'an's questions are very good compared to other interns.
What she asked was not the kind of question that could be found in a textbook.
More questions are related to clinical experience and specific operation steps.
There are many questions that I really can't answer without some experience.
So Zhang Tianyang couldn't simply tell her, "You can check XX's textbook for this question."
Instead, he had to explain it to her in detail.
Zhang Tianyang originally wanted to inject the water for injection into the old lady's body, and then wait for the mixing time to enter the system space to learn something.
It's all gone now.
In a daze, he suddenly remembered that when he first entered the nephrology department, Senior Sister Liang was cold and indifferent.
He suddenly understood Senior Sister Liang.
After all, the levels are different. You think the question asked by the other party is common sense, but the other party just doesn’t understand, so you have to be patient and explain
He looks at Lin Ke'an now, maybe it's the way Senior Sister Liang looked at him back then?
Thinking about it this way, I seem to be at a loss?
Zhang Tianyang suddenly missed the shy Lin Ke'an at noon.
That Lin Ke'an who wants to catch up with him, but is afraid that he will find out that she is secretly learning his knowledge.
Although it's a bit of a dead end, it's better than being quiet!
It's not like now, it seems that the shameless switch is suddenly turned on
After thinking about it, Zhang Tianyang suddenly said something between her questions.
"Do you want to make a deal?"
"Ok?"
Lin Ke'an was taken aback.
Zhang Tianyang, who felt that he had suffered a disadvantage, looked at this small question bank very seriously.
"Otherwise, in the future, I can often help you answer questions, but at the same time, you also have to be my assistant.
what do you think? "
He came up with this idea after careful consideration.
After all, Lin Ke'an, a non-nerdy academic master, will inevitably have many questions after going to the clinic. If she gets entangled with him, even for Xiao Linlin's sake, she will have to answer no matter what.
It's better to treat it as a transaction.
Anyway, as an intern, he often had to do everything by himself.
Including but not limited to asking medical history, writing medical records, prescribing medical orders, communicating with patients, performing various operations, etc.
After all, I always regard the superior doctor as an assistant, and I don't care about it once or twice. What happens after more times?
When he was in the emergency department last night, he cooperated with Lin Ke'an once.
The effect feels pretty good.
Since this girl has a tendency to gradually develop in the direction of [-] whys, wouldn't it be the best of both worlds for him to propose a fair deal as a matter of course?
In the future, he will be responsible for answering Lin Ke'an's questions, and the system will take care of those who cannot answer.
Then Lin Ke'an was responsible for helping him with some things that he didn't have to do by himself, such as writing medical records, such as signing consent forms.
perfect!
Lin Ke'an stared at Zhang Tianyang in a daze, is there such an operation?
But after thinking about it, it seems to be a good look?
"I think so!"
"So it's settled then?"
"A word is settled!"
Thanks to Null_Liang, Foodie Leader, Pain Town for the rewards~ Meow Meow Meow
(End of this chapter)
The old lady's 99% death situation seemed to have changed after Zhang Tianyang's three injections.
After specifying the treatment plan, the attending doctor left first.
The overall situation has been decided, and the rest of the operation is not difficult, it just takes time, and it doesn't make much difference whether he is present or not.
Song Changkong took it upon himself to communicate with the old lady's family.
After all, Zhang Tianyang just came here today, and Song Changkong was responsible for the old lady's illness before, so it was easier for him to communicate.
Besides, Zhang Tianyang couldn't leave.
Although the most difficult step he has crossed over.
But the subsequent operations will take a long time, which has nothing to do with his own speed, but with the old lady's physical condition, and he can't speed up either.
As time passed, other doctors in the ICU ward also appeared in the ward one after another.
Some checked the patient's condition, some occupied the computer and typed, and some, like Zhang Tianyang, prepared to perform various operations on the patient.
Most of the white coats paid attention to Zhang Tianyang intentionally or unintentionally for a long time.
The sudden incident of the old lady in bed 76 in the morning made them more or less aware of the old lady's condition.
I don't want to say how much I know, but everyone knows that because the lumbar puncture has not been able to get out the cerebrospinal fluid, in the eyes of the attending doctor, this old lady has been sentenced to death.
Even if you say you want to gamble your life, everyone knows that the probability of winning the bet is very small.
And now, it looks like he is saved?
There was a trainee doctor who was more familiar with Song Changkong, and secretly communicated with him.
"Which teacher wore it?"
Song Changkong didn't exaggerate, but he didn't hide it either, "No, it was worn by that little classmate sitting there."
Between coming and going, Zhang Tianyang vaguely felt that the eyes of many people looking at him seemed to have subtly changed again.
But he doesn't care much about these.
He is working seriously.
First of all, the old lady's cerebrospinal fluid was extracted steadily at a speed that would neither cause brain herniation too quickly nor cause intracranial pressure to rise too slowly.
Then, use water for injection three times, injecting 20ml each time.
Let the water for injection fully mix with the bloody cerebrospinal fluid in the subarachnoid space, then open the lumbar puncture, and draw out the mixed cerebrospinal fluid again.
In short, the purpose is to dilute the bloody cerebrospinal fluid and extract as much as possible the blood clot that may block the subarachnoid particles.
The rest is left to the old lady's own self-healing ability.
Zhang Tianyang performed the operation meticulously, carefully paying attention to the vital signs of the old lady.
Next to him, Song Changkong was already busy with his own affairs, only Lin Ke'an was still helping to hold the old lady's body, maintaining the waist-wearing position.
Different white coats came and went, paying attention to the two of them from time to time.
And Lin Ke'an, who had secretly observed Zhang Tianyang from the beginning, gradually became upright.
At noon, she still vaguely felt that it was a bit embarrassing for her to be inferior to Zhang Tianyang.
So when she was almost caught looking at his medical records, she felt a little embarrassed.
After all, she is the eight-year student, and she is the pillar of the best major of Oriental Medical University.
As for Zhang Tianyang, if he broke the sky, he also had a five-year system.
This is the same as the difference between noble and commoner in ancient times.
However, at noon, Xiao Linlin told her a lot about Zhang Tianyang's previous legendary experiences in various departments.
She suddenly realized something.
Zhang Tianyang is a pervert with extremely bad luck, a very dark face, who can encounter all kinds of weird emergencies, but can rely on his own ability to turn danger into good luck again and again, he is really powerful.
It's not the kind of power in the nest, it's powerful in various senses.
There is no shame in losing to the strong.
The people who are ashamed are those who refuse to admit their inadequacies, are complacent, and are unwilling to improve.
Therefore, during the process of Zhang Tianyang injecting cerebrospinal fluid to the old lady, Lin Ke'an, who had been staring at him, gradually became firmer.
"Zhang Tianyang."
"how?"
"Can I ask you a few questions?"
Lin Ke'an changed from his previous quiet appearance.
A pair of eyes stared at Zhang Tianyang like a searchlight, and the shyness that was still there at noon was gone now.
All kinds of questions burst out of his mouth like a cannonball.
"It seems to me that the position of the waist piercing you chose is a bit higher than what they usually choose? Why?"
"Can I withdraw the needle core immediately after feeling empty, or should I continue to push in?"
"I know that sometimes operation injuries can also make the color of cerebrospinal fluid red, so how to distinguish whether it is subarachnoid hemorrhage or operation injury?"
I have to say that Lin Ke'an's questions are very good compared to other interns.
What she asked was not the kind of question that could be found in a textbook.
More questions are related to clinical experience and specific operation steps.
There are many questions that I really can't answer without some experience.
So Zhang Tianyang couldn't simply tell her, "You can check XX's textbook for this question."
Instead, he had to explain it to her in detail.
Zhang Tianyang originally wanted to inject the water for injection into the old lady's body, and then wait for the mixing time to enter the system space to learn something.
It's all gone now.
In a daze, he suddenly remembered that when he first entered the nephrology department, Senior Sister Liang was cold and indifferent.
He suddenly understood Senior Sister Liang.
After all, the levels are different. You think the question asked by the other party is common sense, but the other party just doesn’t understand, so you have to be patient and explain
He looks at Lin Ke'an now, maybe it's the way Senior Sister Liang looked at him back then?
Thinking about it this way, I seem to be at a loss?
Zhang Tianyang suddenly missed the shy Lin Ke'an at noon.
That Lin Ke'an who wants to catch up with him, but is afraid that he will find out that she is secretly learning his knowledge.
Although it's a bit of a dead end, it's better than being quiet!
It's not like now, it seems that the shameless switch is suddenly turned on
After thinking about it, Zhang Tianyang suddenly said something between her questions.
"Do you want to make a deal?"
"Ok?"
Lin Ke'an was taken aback.
Zhang Tianyang, who felt that he had suffered a disadvantage, looked at this small question bank very seriously.
"Otherwise, in the future, I can often help you answer questions, but at the same time, you also have to be my assistant.
what do you think? "
He came up with this idea after careful consideration.
After all, Lin Ke'an, a non-nerdy academic master, will inevitably have many questions after going to the clinic. If she gets entangled with him, even for Xiao Linlin's sake, she will have to answer no matter what.
It's better to treat it as a transaction.
Anyway, as an intern, he often had to do everything by himself.
Including but not limited to asking medical history, writing medical records, prescribing medical orders, communicating with patients, performing various operations, etc.
After all, I always regard the superior doctor as an assistant, and I don't care about it once or twice. What happens after more times?
When he was in the emergency department last night, he cooperated with Lin Ke'an once.
The effect feels pretty good.
Since this girl has a tendency to gradually develop in the direction of [-] whys, wouldn't it be the best of both worlds for him to propose a fair deal as a matter of course?
In the future, he will be responsible for answering Lin Ke'an's questions, and the system will take care of those who cannot answer.
Then Lin Ke'an was responsible for helping him with some things that he didn't have to do by himself, such as writing medical records, such as signing consent forms.
perfect!
Lin Ke'an stared at Zhang Tianyang in a daze, is there such an operation?
But after thinking about it, it seems to be a good look?
"I think so!"
"So it's settled then?"
"A word is settled!"
Thanks to Null_Liang, Foodie Leader, Pain Town for the rewards~ Meow Meow Meow
(End of this chapter)
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