I'm really an intern

Chapter 249 Patient Without Family Accompaniment (Additional Debt Repayment)

At [-]:[-], Zhang Tianyang changed into a white coat and appeared in the neurology ICU ward.

Different from the little transparent appearance when he first came here, he is now a well-known figure in the ICU.

Walking all the way from the lounge, the oncoming white coats would greet him politely.

There were several other people holding small notebooks who wanted to ask questions, but Lin Ke'an, who hurried over, stepped in and stared away.

Seeing Lin Ke'an fiercely driving away the other white coats, and then changing to a pitiful expression in the next second, Zhang Tianyang was also very helpless.

"Whatever you want to ask, just ask."

"That's right, I didn't quite understand the few questions the director asked you this morning."

After a brief explanation, Song Changkong also strolled over.

"The vital signs of bed 76 are very good. The results of the cerebrospinal fluid test in the morning came out. You can see that it is much better than before."

"The other two beds are nothing special."

After briefly explaining the three-bed patients under his control, Song Changkong naturally mentioned Zhang Tianyang's new patient.

"The previous patient in the bed you were going to accept just now has gone out. I called over there, and your patient is on the way."

"Huh? On the way?"

Zhang Tianyang keenly captured the key words.

"Isn't the new patient transferred from the emergency department?"

New patients in neurology come from two main sources.

One is the neurology outpatient clinic. The professors who go out to the clinic will weigh the patient's condition and the vacancy of the hospital bed in their own hands, and arrange the patient to be admitted to the hospital as appropriate.

The other is to transfer directly from the emergency department.

When Zhang Tianyang was rotating in the emergency room of the emergency department, eight or ten patients were sent to the neurology ward a week.

The neurology ICU is even more special.

Most of the patients here are admitted from the emergency department, and some patients from the general ward will be transferred in after getting worse.

It is rare to encounter patients admitted to outpatient clinics.

It is often sent urgently as soon as there is a patient, and it is rare to notify the patient when and where to come like other departments.

Therefore, the words "on the way" will not appear.

"Your new patient was transferred from a lower-level hospital."

Song Changkong was not irritable, and explained to Zhang Tianyang carefully.

"This patient is an old patient. He has been transferred between our ICU and the neurology ICU ward of Yanling Hospital several times. This time, he was sent directly from the ward over there."

"Oh."

Zhang Tianyang nodded, indicating that he understood.

"Well, the people haven't come yet, and the information hasn't been pulled in yet.

In this way, let me look through the previous medical records for you, she should have a record in our system. "

Feeling that the oral introduction was not comprehensive, Song Changkong simply found a computer, logged into the doctor's workstation, and directly searched for the new patient's previous records.

Soon, three hospitalization lists appeared in sight.

"This is the record of her coming to our hospital three times before, you can take a look first."

"If there is no accident, the patient will arrive in about an hour, and he should be placed in Area A by then."

Zhang Tianyang nodded, and at the same time had a rough assessment in his mind.

Among the five wards of ABCDE in the entire ICU ward, area B is the most serious, area C has drug-resistant bacteria, and area A is the third most serious area.

The condition should be much lighter than that of the old lady in bed 76.

He stopped talking, started from the first list, and clicked on the patient's past medical records.

The dense course records and various consent forms and various operation records are presented in front of you.

Zhang Tianyang looked ten lines at a glance, and only went back to take a closer look when he saw an important turning point. After reading all three lists, he went back and read the first record again.

Song Changkong stood beside him, seeing how he was familiar with the patient's condition, and nodded silently in his heart.

At this time, Zhang Tianyang had sorted out a general idea in his mind.

Patient Li Qianmin, middle-aged female, 49 years old.

Three months ago, the patient underwent curettage and curettage in a local hospital due to irregular postmenopausal uterine bleeding, and suffered a sudden apnea and cardiac apnea after the operation.

After cardiopulmonary resuscitation, breathing and heartbeat resumed.

But the patient has since fallen into a coma.

On the third day after the accident, the patient was transferred from the local hospital to Dongfang Hospital and admitted to the ICU ward of the Department of Neurology.

This is her first admission record.

The diagnosis recorded in the system was "ischemic hypoxic encephalopathy".

The doctor here gave hyperbaric oxygen therapy and symptomatic treatment.

The patient was hospitalized in the neurology ICU ward of Dongfang Hospital for a whole month.

He was already awake when he was transferred to another hospital, but he couldn't move his body.

In the next two months, the patient went back and forth between Dongfang Hospital and Yanling Hospital two or three times.

When I came to Dongfang Hospital for the third time, there was an additional item of "falling pneumonia" in the diagnosis.

When it was transferred out last time, the physical examination in the summary showed that the patient could already do some light activities.

"Overall, the patient's condition is improving."

After reading Sanfen's hospital records, Zhang Tianyang made a summary and also raised his own questions.

"It stands to reason that it is enough to maintain supportive treatment, why do you want to switch back this time?"

"I'm not too sure either."

Song Changkong said that there was nothing he could do to help him, "When the doctor over there sends him over, let's go and explain it together."

"Well, it's time to ask."

Zhang Tianyang nodded, and then asked casually.

"Where are her family members? Are you here? The family members should know the general condition, right? Shall I ask?"

The voice fell, and there was silence.

Zhang Tianyang turned his head a little strangely, and found that Song Changkong's face next to him was a bit complicated.

"what happened?"

"This patient, her family members did not come."

"The family members didn't come?"

His brows gradually wrinkled.

Zhang Tianyang subconsciously felt something was wrong.

Although family members are not allowed to enter the ICU ward, there are fixed daily visiting hours.

Many family members may not be able to find anyone at ordinary times, but they will definitely guard the door when they visit every day.

Even if you are really busy, you will come here every three to five times.

For such a big event as hospital transfer, the family members must wish to be by the patient's side all the time.

But the family members of this patient didn't come?

"Is there something temporary?"

Song Changkong paused.

"It's not a temporary event, um, it should be a frequent event."

"???"

"It's a bit complicated to say."

Song Changkong had already written the word "complex" on his face.

"This patient is a middle-aged woman who has a husband and a son.

Her husband is about the same age as her, and her son is already in college.

But she was hospitalized three times back and forth in Dongfang Hospital, and the doctors and nurses here basically never saw them. "

Zhang Tianyang opened his mouth.

According to the medical records, this patient has been hospitalized in Dongfang Hospital for at least one and a half months.

For such a long time, the family members have not appeared a few times?

This is a bit too much!

Song Changkong shook his head and didn't say much.

Zhang Tianyang was also a little helpless.

I think of the old lady in bed 76 who helped her copy many sheets of A4 paper, and I think of the middle-aged man talking with the young man in bed 78 with his mobile phone.

I feel even more helpless.

He just wanted to open his mouth to continue asking, "Then"

"Bang!"

A loud bang cut him off.

Rarely, the door next to the ICU ward was pushed open roughly.

The attending doctor came in hastily.

"Who is that! The bed in area A hasn't come to the patient yet!"

Before Zhang Tianyang could react, Song Changkong, who was next to him with the skill "Welcome the call of the superior doctor", had already rushed out.

"Hey! Here! The patient hasn't come yet."

"If she doesn't come, tell her not to come!"

The attending doctor had an anxious demeanor.

"Is the hospital bed ready? A patient was temporarily transferred to the emergency department, so hurry up and tidy up!"

　Why the rare third watch?Because I found out that my second eldest brother was abducted by Slag Liu!Beep!Forced to work hard.An An is so difficult!

　　

　

(End of this chapter)