I'm really an intern

Chapter 241 I Have a Conjecture

For the sake of his own face, the director of the ICU is a little bit high.

But the attending doctor and resident doctor next to him are not on top!

When this question was asked, their expressions couldn't help but change again and again.

Their director has been targeting Zhang Tianyang, and they have already seen it.

But you can't target too much!

All kinds of questions are fine.

Asking off-the-wall questions in textbooks and clinical questions that require experience in practical applications can be understood as supporting the younger generation.

But if you ask questions that no one has figured out, this is a bit too much!

A dignified chief physician, making it difficult for an intern.

Say it, drop the price!

The attending doctor frowned, trying to make the director change his mind.

"Director, is this a problem?"

Unexpectedly, the ICU director who got on top gave him a cold look.

"Why, do you have any opinion on this matter?"

The attending doctor was choked directly.

He has been struggling with this patient for several days. If he has any ideas, can he wait until Meiping Wangu to come together?

Seeing that the attending doctors were being bullied, the three residents who wanted to talk lowered their heads immediately.

Eyes, nose, nose, heart.

They are not the ones being questioned anyway, they don't see anything, they don't know anything

The little white coats in the outer circle subconsciously took another small step back.

Their moods are much more complicated than those white coats standing in the middle.

Grateful from time to time, after all, Zhang Tianyang was their shield.

Sometimes pity, this junior was so pitifully targeted.

From time to time, I am amazed that he can answer any questions.

Sometimes not angry, this director is a bit too much.

With anticipation, I hope that Zhang Tianyang can open his mouth again and slap the director in the face.

But he hesitated, what if the director pointed the finger at them after Tianyang slapped his face.

All of a sudden, there were mixed feelings on the faces of the little white coats.

Zhang Tianyang, who was in the center of everyone's eyes, didn't put all his attention on the ICU director who was pressing on him every step of the way.

His eyes were drifting to the side intentionally or unintentionally.

The bed 79 next to it is also a patient in a coma.

He was also on a ventilator, and even underwent a tracheotomy, and is now doing nebulization.

Generally speaking, the configuration is similar to that of a tattooed man with 78 beds.

The little nurse who just operated on bed 78 and was driven to bed 79 because of rounds is now changing various fluids in bed 79.

Including but not limited to enteral nutrition preparations for patients, and various liquids that need to be pumped by infusion pumps, including propofol.

And he stared at it for a while, and found that the liquid was almost gone to the bottom.

"Is it replaced after the fight?"

A vague guess gradually formed in his mind.

Next to him, the director of ICU who raised the question waited for a long time without Zhang Tianyang's answer. After the energy in his head cooled down, he gradually calmed down.

It seems that his own targeting is indeed a bit obvious.

Although he wanted to earn back the face he lost with Professor Liu.

But the more he asked, the more he felt that Zhang Tianyang was indeed a good seed.

I have repeatedly targeted it, it seems that it is indeed a bit of a villain boss.

The director of the ICU calmed down, learned from the painful experience, and vaguely began to cherish his talent again.

After all, it is a good seedling. Although it is said that it has an owner, after all, the contract has not been signed yet, and everything is possible.

Do you want to try to stay?

With this in mind, the director of the ICU made a decision.

After this question, Zhang Tianyang was no longer in trouble.

At the same time, I will catch a few more students later to cover up.

So he cleared his throat and started laughing at the same time.

"Ahem, it seems that Xiao Zhang doesn't have any ideas. But Xiao Zhang can answer so many questions, it's very good, everyone should learn from him!"

"Let me introduce the situation of this patient. He has been here for a long time and has had many lumbar punctures, all of which indicated that the intracranial infection is improving, but the results of the blood test showed that the infection index is very high, and conventional antibiotics are difficult to control. "

"For the time being, it is under control with Meiping and Wangu, but the source of the infection has not been found yet."

"When you are free, come to help think about it and find out the reason."

Finally rounded up the issue.

Saying it this way not only explained the difficulty of this problem, but also showed how much I valued Zhang Tianyang, and called on more people to think together, which really killed three birds with one stone.

The director of the ICU explained to himself happily that he was about to change the patient, but Zhang Tianyang, who had been silent beside him, suddenly spoke.

"I have some ideas."

Zhang Tianyang frowned slightly and looked at the ICU director.

Of course he could see the changes in the director in front of him in just one minute.

I wanted to embarrass him before, but now I want to win him over.

What a normal psychological change this is!

Zhang Tianyang, who has abilities that don't match his status as an intern, has experienced too many similar things in the short few months since he entered the clinic.

If he hadn't noticed the little nurse, then of course he would be happy to go with the flow now, and one more thing is worse than one less thing.

But, after having that conjecture in my mind, the more I think about it, the more likely it becomes.

For the sake of the patients in bed 78, and for the sake of the middle-aged man who only had his son in his eyes through the glass yesterday afternoon, Zhang Tianyang felt that he had to speak out.

Therefore, even if you say your guess now, it will seem a bit slap in the face of the director of ICU.

He still spoke.

"Director, may I ask, is the enteral nutrition preparation used by this patient domestic or imported?"

The director of the ICU was stunned for a moment, wondering why Zhang Tianyang suddenly asked such a question that had nothing to do with his illness.

But with the mind of cherishing talents, he still explained seriously.

"It should be domestically produced. Imported enteral nutrition preparations are several times more expensive than domestically produced ones. Therefore, if there is no special request from the family, domestically produced ones are generally used by default."

Zhang Tianyang nodded, and then continued to ask, "I remember the domestically produced enteral nutrition preparation, the most recommended time limit for use is less than four hours?"

After all, the director of the ICU is a professional, so this kind of "common sense" question will naturally not trouble him.

"Yes, the domestic use time limit is four hours, and the imported one is six hours."

Up to now, he still didn't understand why Zhang Tianyang suddenly asked these questions.

But the next moment, Zhang Tianyang stepped forward slightly, pointing in the air at the head of bed 78, which had consumed 80% of the enteral nutrition preparation that was still dripping slowly.

"Director, at this rate, I'm afraid it won't be finished in four hours?"

The director of the ICU nodded unpreparedly, "Indeed, at this rate, it is estimated that it will take seven or eight hours to drip."

Halfway through the speech, he suddenly froze.

Yup!

(End of this chapter)