I'm really an intern

Chapter 253 One Person Gets Sick, The Whole Family Is Miserable

In the ICU ward, although the uncle struggled all the way, he was affected a bit.

But with the help of the hardworking little nurses, things were soon returned to their original places, and calm was restored in the ward.

But outside the ICU ward, the situation is a little bit miserable.

10 minutes ago, only one uncle in this family was sick.

Ten minutes later, there were three more patients in the family and an innocent emergency doctor.

One knee of the family member who fell was significantly redder and swollen than the other.

It looks serious to the naked eye, and it is estimated that it will affect walking.

The faces of the two male family members were all stained.

The male family member with half a footprint left on his foot looked quite miserable. Although the nosebleed had been stopped, the front of his clothes was bright red, with many gray footprints mixed in between.

Well, he is still wearing a white shirt today.

The male family member with only a red mark on his face looked a little better, not so embarrassed, but judging from his painful expression, his situation was not easy.

He hit the patient's knee.

The lethality caused by this hard joint is much greater than that of the soles of the feet.

Lin Ke'an was diligently collecting patient information with a small notebook, so the four family members did not dare to run around.

The emergency doctor who came to the bed was calling the emergency department to see if it was necessary to take a film of the male family member who was hit by a knee, because he was worried that the bridge of the nose might be broken.

His other hand, which was not holding the phone, subconsciously rubbed his shoulder, which was also beaten by the patient.

A group of people counts as one, no matter how you look at it, it's miserable.

And all of this is due to the patient's aggravated change in consciousness in a short period of time.

In normal times, they would never have guessed that their elders would beat them like this even after thinking about it!

Seeing that Zhang Tianyang and the attending doctor came together, Lin Ke'an reacted first, stopped for consultation, and called "Teacher".

I don't know who I'm calling.

The family members also reacted quickly and stood up one after another.

Even the female family members with injured knees struggled to get up.

But from this point of view, Zhang Tianyang has a good impression of them.

Sure enough, the only female family member who was not injured looked guilty, "I'm sorry, doctor."

The emergency doctor who followed the bed also hurriedly hung up the phone, and came over to report the situation with Lin Ke'an.

Soon, Zhang Tianyang and the attending doctor presented the medical history summarized by the two young doctors.

The patient is a middle-aged male, 55 years old.

He started to have a fever four days ago, with a maximum body temperature of 40 degrees Celsius, accompanied by headache, chills, profuse sweating, dry mouth and numbness of the left hand.

After taking unknown "traditional Chinese medicine" and "cold medicine" by himself, the fever subsided for several hours, and then he had fever again, so he went to the local clinic for treatment.

Two days ago, the patient developed speech disorder and went to the emergency department of Dongfang Hospital. CT showed pneumonia.

This morning, the patient was emotional, dry and hot, and insisted on "going to the toilet barefoot" after removing his clothes. The symptoms were especially severe after seeing the doctor in a white coat.

At noon, the emergency department gave sedatives for sedation. In the afternoon, the patient's symptoms recurred, and he began to vomit fragrance.

After the general consultation in the Department of Neurology, it was believed that the patient had a change in consciousness, so he was sent up urgently.

Before I came here, I was just swearing indistinctly, but when I took the elevator, I started to have difficulty breathing and struggle with dancing arms.

Then, it was what Zhang Tianyang saw.

It sounds like the condition is progressing very rapidly and doesn't feel like it's being contained.

Returning to the ICU ward, I called up the CT scan of the patient's lungs taken two days ago, and it was obvious that both lungs of the patient had large areas of white fog.

"You guys also come and see."

The attending doctor regarded Zhang Tianyang as his peer, but the others still needed to learn.

He recruited several white coats, including Lin Ke'an and Song Changkong, and he explained the key points of CT scans to them through the patient's film.

"Normal lungs are filled with air, and here they should appear black."

"But look, this patient's lungs."

Several pairs of eyes were fixed on the place pointed by the attending doctor.

It can be clearly seen that the patient's left upper third lung and right upper half lung, which should have been clear and black, were covered with a thick layer of white mist.

"turned white"

The little white cats blurted out in a low voice.

"Consider infection."

Zhang Tianyang took over the conversation naturally.

The attending doctor nodded in agreement, "What do you think?"

Without hesitation, Zhang Tianyang spoke directly.

"This large area of ​​white, with a relatively uniform density, covers the entire lung lobe, and is usually an image after infection.

If you look at this range, the human lungs have the second left and the third right lung lobes, and this happens to have lesions in both the left and right upper lung lobes.

If it is a tuberculosis calcification, it should be a little whiter, and the texture will look more solid.

If it is a space-occupying lesion, there should be a vague or clear boundary, and sometimes lobular changes can be seen. "

After such an explanation, the little white cats were a little stunned and nodded hurriedly.

The attending doctor also nodded in agreement, Zhang Tianyang glanced at him, and continued to talk about his own judgment.

"If you look at the patient's medical history, there is high fever and chills, and the possibility of lung infection is considered high."

"After asking about the past history, there is no history of hypertension and diabetes, so the patient's consciousness changes and the possibility of intracranial infection is high."

The attending doctor continued to nod his head in agreement.

"Yes, I thought so too."

"This patient's lung infection is very serious, and secondary intracranial infection is entirely possible, and there is no evidence of other diseases for the time being, so this possibility is the highest."

"In terms of medication, any ideas?"

In fact, according to the usual way, the attending doctor should make a diagnosis directly at this time, and then arrange medication.

But now, he is seeking Zhang Tianyang's opinion.

Song Changkong was clearly aware of this, and while his heart trembled again, his expression remained unchanged.

Lin Ke'an obviously didn't realize this.

Maybe it's because Zhang Tianyang has always been like this in her eyes.

Didn't you see that in the emergency department, the attending brother was also very polite to Zhang Tianyang.

Zhang Tianyang's newly-promoted little fan, graduate student brother, also realized something, his eyes widened and his mouth opened slightly because he was not yet able to raise his energy well.

The remaining one, the regular training doctor, is not very sensitive to politics, but he also noticed that the atmosphere is a bit subtle.

Zhang Tianyang was thinking seriously.

Unlike before opening his mouth, he thought carefully for half a minute before opening his mouth this time.

"I think it may be used in combination with the United States and the world."

As soon as these words came out, the attending doctor couldn't help raising his eyebrows.

"Do you think you need such ruthless treatment?"

It is no longer the previous praise.

The attending doctor's tone was full of doubts at this time.

For the first time, differences arose between the two.

But Zhang Tianyang raised his head and looked directly into the opponent's eyes.

"Yes, I think it is necessary."

The attending doctor raised his eyebrows again.

"Oh? Then tell me, what do you think."

similar questions.

different tone.

Subtle atmosphere.

The little white cats watching subconsciously breathed lightly and observed carefully.

Song Changkong lowered his head, using a thick notebook as a cover.

Eyes, nose, nose, heart.

He sighed heavily in his heart.

In this case, whoever makes a mistake loses face.

Of course, everyone has an idea to speak out, it’s fine to correct the mistake, the patient is fine, and the two bosses are fine.

But this group of children still gathered together to watch the fun.

Careless, I really work in the future, and I don't know how to be hated by others.

do something

　That kid at the end of the last chapter, it's real

　　

　

(End of this chapter)