I'm really an intern

Chapter 259 Is the doctor in the ICU here?

There are two types of blood tests in the inpatient department of Dongfang Hospital.

In the Pingcha, the blood is drawn at [-] o'clock the next morning. If it is fast, the results will be available in two to four hours.

Urgent investigation is to draw blood immediately after the doctor's order is issued, and the results will be available on the same day.

For the two new patients who arrived yesterday, the uncle prescribed urgent examination, and the female patient prescribed regular examination.

So the next day, when Zhang Tianyang arrived at the department early, what he saw was the full set of results from the uncle and half of the results from the female patient.

It took him 10 minutes to look at it carefully for a long time, and carefully compared it with the previous results of the two.

It was almost the same as his judgment last night.

All the indicators of the female patient who have come out are improving, and it is estimated that the ones that have not come out will not be outrageous.

Just continue to treat step by step, and then keep it.

He also didn't understand why Yanling Hospital transferred the patient again.

Maybe it's for medicine?

The uncle's situation is a bit more serious.

His condition is obviously more serious than the results of his examination two days ago, which is perfectly reflected in the results of the urgent blood test yesterday.

The line charts of several infection indicators are all soaring upwards in a straight line.

It seems that the devil suddenly raised its tail to the sky, which looks quite scary.

The specific value is comparable to that of the young male in bed 78 whose infection index is floating in the sky.

And you must know that the infection index of bed 78 has been rising all the way during the one and a half months of protracted recovery, and this uncle went up within two days.

Such a result made Zhang Tianyang feel quite heavy.

"Nurses in the general ward take over and doctors in the ICU ward take over and doctors take over"

The doctor who took over the shift with dark circles under his eyes was the training doctor in charge of the little yellow chicken man.

His eyes widened, and he looked at the shocking values ​​on the shift sheet in his hand with fear, his voice trembling a little.

When he just got the shift list and saw how old this patient was, he refused.

It's just a class, is it necessary to write all the data in such detail?Was it another handover form written by some unscrupulous intern?

But now, he was afraid that he might miss a word.

It's not that he doesn't want to be more concise, it's that the data are too shocking, and he's afraid of missing any.

In case it affects the superior doctor's judgment, he can't run away if something happens.

And the faces of several doctors in the ICU ward were also not good-looking.

The patient was nominally under Zhang Tianyang's care, but Song Changkong, as Zhang Tianyang's nominal tutor, was also responsible for the patient.

Further up, there is the resident doctor in this group, the hard-pressed resident doctor who was dragged into the night shift with half an extra salary last night, and he also has some understanding of the patient's situation.

Not to mention the attending doctor and ICU director.

deep impression.

The director of the ICU stared at the attending doctor solemnly, and the attending doctor also looked back at the director of the ICU with lingering fear after finding a computer to see the patient's data clearly.

There was a trace of fear in his heart.

With such terrible data, fortunately the director made a decisive decision yesterday and agreed to Zhang Tianyang's suggestion on medication.

If he had listened to himself and hadn't used strong enough antibiotics in time, maybe this patient would have died in the middle of the night!

Menacing infection is also very scary!

As for the director of the ICU, he was a little confused.

On the one hand, he is thankful that he made the right choice and used the right medicine.

The prognosis of the patient is definitely better than all other schemes when the combination of Meiping and Vanco is used.

If the patient is still not saved under this plan, it is estimated that no matter what medicine is used, the patient will not be saved.

On the other hand, he has a trace of regret.

It's a pity that Zhang Tianyang's right to use the two weeks of this big baby just flew away.

In view of the special situation of this patient, when the shift was over, several directors did not leave, holding the shift schedule and frowning, discussing the patient's condition.

A circle of young doctors standing around did not dare to leave, and stayed where they were, "forced" to participate in this impromptu "consultation".

"Is this plan specified by you? It's well used and courageous."

The chief director of the neurology department looked at the director of the ICU without much expression on his face, but anyone who knew him well knew that he should be in a good mood now.

When all the indicators seem to be quite normal, it really takes a lot of courage to be able to take the ruthless medicine.

And the director of ICU subconsciously touched his half-launched Mediterranean Sea, and without taking credit for it, he casually pointed to Zhang Tianyang.

"What he proposed, I thought it made sense, so I agreed."

The chief neurosurgeon frowned slightly, and his eyes fell on Zhang Tianyang, "Oh?"

Zhang Tianyang was not stage fright, he took a step forward, "I am the bed doctor."

The expression on the face of the chief neurosurgeon fluctuated slightly, as if he was a little surprised, but his eyes swept across Zhang Tianyang's badge, and he paused again.

"Your name is Zhang Tianyang?"

"Correct."

"Oh."

Hearing this, the director of neurology, who was obviously a little excited, suddenly seemed not interested again, and regained his composure, "Let's take a look at this patient."

In other words, he had a little thought of cherishing talent.

But who would have thought that this was the famous Zhang Tianyang?

What's the use of boasting about other people's students?

The eyes of several big brothers swept across Zhang Tianyang, and they did not show anything tacitly, and then continued to talk about the illness.

As the doctor in charge of the bed, Zhang Tianyang answered the questions of the bosses one by one.

Five minutes later, the patient's follow-up treatment plan was finalized by the bosses with a single glance.

Zhang Tianyang honestly took out a small notebook and made records.

In his opinion, these drugs and treatment options are all right.

After all, all those present are big bosses who have been in neurology for more than 20 or [-] years. If he can see the problem, then there is a problem.

"Did the patient take a new CT yesterday?"

The director thought of something and asked a question.

After learning that the result hadn't come out yet, he asked again.

"Remember to call the doctor in charge of the bed to remind you, and you must get the results before noon."

"Ok."

Zhang Tianyang nodded obediently.

"That's okay."

The chief director looked around, ready to call out "the meeting is over".

"Boom boom boom!"

The office door, which was normally closed during the early shift, was suddenly knocked hurriedly from outside.

A group of white coats inside the door frowned subconsciously.

Which patient's family member is so unqualified, knocking on the door early in the morning to find a doctor?

Don't you know you are in a meeting?

This kind of thing happened often, and they didn't pay much attention to it. They just continued to wait for the chief director of the Department of Neurology.

But the knocking outside became more and more intense.

The little doctor near the door carefully turned the doorknob. As soon as it was in place, the door was pushed open from the outside with a "bang".

For a moment, Zhang Tianyang saw a face belonging to a little nurse in the ICU through the crowd.

"Is the ICU doctor here?"

The little nurse's voice was full of anxiety and haste, and she felt like she was about to cry.

"Go and have a look!"

"The 69th bed who came yesterday, he just pulled out the endotracheal tube by himself!"

"It's hard to breathe now, I'm about to suffocate!"

"Go quickly"

Before she finished speaking, a figure struggled to squeeze out from the pile of white in front of her, and flew past her in an instant.

When the galloping wind hit her face, she had just said "Look" out of her mouth.

Just now.

What passed?

　Question: What is the experience of a patient who almost suffocated to death after pulling out his endotracheal tube?

　　

　

(End of this chapter)