I'm really an intern
Chapter 237
Chapter 237
At 55:5 on Tuesday morning, Zhang Tianyang sat in the neurology department office [-] minutes early.
Arriving early has always been his good habit.
There are not too many white coats in the office, and they are all hurrying to do their own things.
Zhang Tianyang occupied a computer and looked at the vital signs of the three patients at night.
Surprisingly good.
Especially for the old lady in bed 76, after the cerebrospinal fluid was injected yesterday afternoon, the drainage tube was almost clamped all night.
It was only opened briefly for half an hour at twelve o'clock in the middle of the night, a small amount of cerebrospinal fluid was released, and then clamped again.
Up to now, the clamping time has exceeded seven hours.
However, there were no symptoms of increased intracranial pressure.
There was no rescue record in the middle of the night.
Really happy.
White coats came in hurriedly one after another, many of them in a hurry, panting and wiping their sweat.
The originally empty office suddenly became crowded.
Zhang Tianyang took advantage of the last 2 minutes to look at his phone.
Chatted with Xiao Linlin for a few words, and then clicked on the dialog box of the gastroenterology brother.
I sent a message yesterday, and the other party replied this morning.
"I'll ask."
There is no text yet.
"The shift is over, the shift is over!"
At the big table in the middle of the office, the secretary of neurology clapped his hands and greeted him.
Beside the table, the chief director of the Department of Neurology pushed back his chair and said in a deep voice, "Everyone stand up!"
The office, which was still a little noisy, fell silent in an instant.
Scattered in every corner of the office, the white coats sitting in front of the computers all stood up as promised.
Zhang Tianyang had never seen this kind of battle, but he also stood up.
The atmosphere suddenly became solemn.
There are several white coats around the big table, and they are all old doctors in their 40s and above.
Except for the two on-duty doctors and two on-duty nurses, those who can be on the table are all chief physicians and deputy chief physicians.
They are also standing.
Zhang Tianyang was a little uncertain about the situation.
It stands to reason that shift shifts should be done sitting down.
Not only the on-duty doctors and nurses who are in charge of shifts are sitting, but also the directors and deputy directors attending residents are also sitting.
Even the interns, as long as they come early, will sit if they can find a seat.
Only those who come late and have no seats will stand near the door.
But what's going on now?
The whole office was standing.
Who is this dead, or who is alive?
To commemorate, or to commend?
Such a big fight?
Zhang Tianyang subconsciously looked at the faces of the surrounding white coats, and found that their expressions were normal.
"Cough cough!"
Before he could think any more, the teaching secretary began to shout again.
"Thank you to the colleagues who were on duty last night, you have worked hard!"
In the next second, the white coats standing in all directions spoke in unison.
"You have worked hard!"
No. 30 people spoke together, and the office had its own echo effect, which immediately shook Zhang Tianyang.
The next moment, the white coats around were all a head shorter, and they were actually bowing to the doctor on duty.
Even the chief physician and deputy chief physicians standing beside the table lowered their heads.
Zhang Tianyang was shocked, and bowed along with everyone.
"Let's start the shift."
Until then, the normal shift process begins.
"General ward shift. Existing patients in general ward"
The nurse on duty began to hand over the situation of the patients in the general ward.
Through the gap between the heads in front of him, Zhang Tianyang looked at the four officers on duty who were at the midpoint of the intersection of everyone's eyes.
The voice of the little nurse who was changing shift was visibly trembling, and the face of the other little nurse was also very red.
The two doctors on duty were both men, and they seemed to be a little calmer, but Zhang Tianyang could still see their red ear tips, and the degree to which the handover papers in their hands were trembling in the air.
Obviously, very excited.
The most dreaded shift in the hospital is the night shift, and after a busy and anxious night, it should be very exciting to get such a "hard work", right?
After all, what doctors want most is approval.
Whether from patients or colleagues.
Zhang Tianyang finally understood why the shifts in neurology were standing.
Involuntarily, he praised the person who designed this rule in his heart.
"Doctors in general wards shift"
"Nurses in the ICU Ward Shift"
"Doctors in the ICU Ward Shift"
Zhang Tianyang listened carefully to the situation of the three patients belonging to Song Changkong.
Sure enough, just like what he saw on the computer, it was stable overnight.
is good news.
Soon, after the report was over, everyone's eyes gathered around the table.
In addition to handing over yesterday's condition, the early shift also has another purpose, which is to allow the chief and deputy chief physicians to quickly understand the conditions of each patient, and to provide some treatment advice for some patients whose conditions are not changing properly.
In neurology, this purpose is particularly important.
Those in the general ward are fine, but the conditions of the patients in the ICU ward are unpredictable, and they often have to struggle with these patients for a long time when they turn over early.
Today is no surprise.
The chief physician in charge of the ICU ward stood and took notes while listening to the shift, and named several patients whose conditions were not changing properly.
"The 63 beds"
"65 beds"
"75 beds"
Soon, he asked about Song Changkong's patient.
"The 78 beds, how about the infection indicators?"
The doctor on duty couldn't cover everything, so Song Changkong, as the doctor in charge of the bed, hurriedly reported.
The director of the ICU ward wrote down the specific data in his notebook and pondered for a moment.
"Although infection indicators are declining, the cause of blood infection still needs to be investigated and should not be underestimated."
After explaining a few words, he remembered something again.
"By the way, the old lady you mentioned before had a cerebral hemorrhage and couldn't do the lumbar piercing. Why didn't I hear that?"
"Has it been sent away?"
The director of the ICU ward flipped through his small notebook, frowning.
He was very impressed with the old lady.
Counting a few days ago, he ordered the doctor below to do a lumbar puncture for the old lady, but every time he reported the result, the lumbar puncture would not come out.
Yesterday's early shift also specifically talked about this patient. At that time, it was estimated that the risk of death was very high.
Unexpectedly, this patient was not mentioned today.
I'm afraid it's not already sent home.
Song Changkong had a respectful attitude and quickly explained.
"Director, it's bed 76. It was mentioned just after the shift. Yesterday afternoon, a lumbar puncture was successfully performed and the cerebrospinal fluid was released. The intracranial drainage tube was clamped all the time last night, but the condition is stable."
"Huh? Is it?"
The director of the ICU ward's eyelids twitched a few times, a little surprised.
"How did you make the waist piercing? Didn't you say it was difficult? Who made yesterday's waist piercing? You?"
He subconsciously looked at Song Changkong who was in charge of the report.
(End of this chapter)
At 55:5 on Tuesday morning, Zhang Tianyang sat in the neurology department office [-] minutes early.
Arriving early has always been his good habit.
There are not too many white coats in the office, and they are all hurrying to do their own things.
Zhang Tianyang occupied a computer and looked at the vital signs of the three patients at night.
Surprisingly good.
Especially for the old lady in bed 76, after the cerebrospinal fluid was injected yesterday afternoon, the drainage tube was almost clamped all night.
It was only opened briefly for half an hour at twelve o'clock in the middle of the night, a small amount of cerebrospinal fluid was released, and then clamped again.
Up to now, the clamping time has exceeded seven hours.
However, there were no symptoms of increased intracranial pressure.
There was no rescue record in the middle of the night.
Really happy.
White coats came in hurriedly one after another, many of them in a hurry, panting and wiping their sweat.
The originally empty office suddenly became crowded.
Zhang Tianyang took advantage of the last 2 minutes to look at his phone.
Chatted with Xiao Linlin for a few words, and then clicked on the dialog box of the gastroenterology brother.
I sent a message yesterday, and the other party replied this morning.
"I'll ask."
There is no text yet.
"The shift is over, the shift is over!"
At the big table in the middle of the office, the secretary of neurology clapped his hands and greeted him.
Beside the table, the chief director of the Department of Neurology pushed back his chair and said in a deep voice, "Everyone stand up!"
The office, which was still a little noisy, fell silent in an instant.
Scattered in every corner of the office, the white coats sitting in front of the computers all stood up as promised.
Zhang Tianyang had never seen this kind of battle, but he also stood up.
The atmosphere suddenly became solemn.
There are several white coats around the big table, and they are all old doctors in their 40s and above.
Except for the two on-duty doctors and two on-duty nurses, those who can be on the table are all chief physicians and deputy chief physicians.
They are also standing.
Zhang Tianyang was a little uncertain about the situation.
It stands to reason that shift shifts should be done sitting down.
Not only the on-duty doctors and nurses who are in charge of shifts are sitting, but also the directors and deputy directors attending residents are also sitting.
Even the interns, as long as they come early, will sit if they can find a seat.
Only those who come late and have no seats will stand near the door.
But what's going on now?
The whole office was standing.
Who is this dead, or who is alive?
To commemorate, or to commend?
Such a big fight?
Zhang Tianyang subconsciously looked at the faces of the surrounding white coats, and found that their expressions were normal.
"Cough cough!"
Before he could think any more, the teaching secretary began to shout again.
"Thank you to the colleagues who were on duty last night, you have worked hard!"
In the next second, the white coats standing in all directions spoke in unison.
"You have worked hard!"
No. 30 people spoke together, and the office had its own echo effect, which immediately shook Zhang Tianyang.
The next moment, the white coats around were all a head shorter, and they were actually bowing to the doctor on duty.
Even the chief physician and deputy chief physicians standing beside the table lowered their heads.
Zhang Tianyang was shocked, and bowed along with everyone.
"Let's start the shift."
Until then, the normal shift process begins.
"General ward shift. Existing patients in general ward"
The nurse on duty began to hand over the situation of the patients in the general ward.
Through the gap between the heads in front of him, Zhang Tianyang looked at the four officers on duty who were at the midpoint of the intersection of everyone's eyes.
The voice of the little nurse who was changing shift was visibly trembling, and the face of the other little nurse was also very red.
The two doctors on duty were both men, and they seemed to be a little calmer, but Zhang Tianyang could still see their red ear tips, and the degree to which the handover papers in their hands were trembling in the air.
Obviously, very excited.
The most dreaded shift in the hospital is the night shift, and after a busy and anxious night, it should be very exciting to get such a "hard work", right?
After all, what doctors want most is approval.
Whether from patients or colleagues.
Zhang Tianyang finally understood why the shifts in neurology were standing.
Involuntarily, he praised the person who designed this rule in his heart.
"Doctors in general wards shift"
"Nurses in the ICU Ward Shift"
"Doctors in the ICU Ward Shift"
Zhang Tianyang listened carefully to the situation of the three patients belonging to Song Changkong.
Sure enough, just like what he saw on the computer, it was stable overnight.
is good news.
Soon, after the report was over, everyone's eyes gathered around the table.
In addition to handing over yesterday's condition, the early shift also has another purpose, which is to allow the chief and deputy chief physicians to quickly understand the conditions of each patient, and to provide some treatment advice for some patients whose conditions are not changing properly.
In neurology, this purpose is particularly important.
Those in the general ward are fine, but the conditions of the patients in the ICU ward are unpredictable, and they often have to struggle with these patients for a long time when they turn over early.
Today is no surprise.
The chief physician in charge of the ICU ward stood and took notes while listening to the shift, and named several patients whose conditions were not changing properly.
"The 63 beds"
"65 beds"
"75 beds"
Soon, he asked about Song Changkong's patient.
"The 78 beds, how about the infection indicators?"
The doctor on duty couldn't cover everything, so Song Changkong, as the doctor in charge of the bed, hurriedly reported.
The director of the ICU ward wrote down the specific data in his notebook and pondered for a moment.
"Although infection indicators are declining, the cause of blood infection still needs to be investigated and should not be underestimated."
After explaining a few words, he remembered something again.
"By the way, the old lady you mentioned before had a cerebral hemorrhage and couldn't do the lumbar piercing. Why didn't I hear that?"
"Has it been sent away?"
The director of the ICU ward flipped through his small notebook, frowning.
He was very impressed with the old lady.
Counting a few days ago, he ordered the doctor below to do a lumbar puncture for the old lady, but every time he reported the result, the lumbar puncture would not come out.
Yesterday's early shift also specifically talked about this patient. At that time, it was estimated that the risk of death was very high.
Unexpectedly, this patient was not mentioned today.
I'm afraid it's not already sent home.
Song Changkong had a respectful attitude and quickly explained.
"Director, it's bed 76. It was mentioned just after the shift. Yesterday afternoon, a lumbar puncture was successfully performed and the cerebrospinal fluid was released. The intracranial drainage tube was clamped all the time last night, but the condition is stable."
"Huh? Is it?"
The director of the ICU ward's eyelids twitched a few times, a little surprised.
"How did you make the waist piercing? Didn't you say it was difficult? Who made yesterday's waist piercing? You?"
He subconsciously looked at Song Changkong who was in charge of the report.
(End of this chapter)
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