I'm really an intern

Chapter 329 Bad Start, Zhang · Black Face · Tianyang (two in one chapter)

As we all know, the majesty of the God of the Night Shift cannot be violated.

Although it is daytime, the reason is the same.

Zhang Tianyang glanced at the time helplessly.

It is four o'clock in the afternoon.

The patient on the third station is still awake, and the patient on the fourth station is still on the way.

There is still an hour and a half before the normal off-duty time.

It stands to reason that this time should be more than enough.

After all, the procedure for the next operation is very simple. It is to poke a cystoscope in, break up the large stone in the bladder little by little, and finally flush out the broken stone with water.

The whole process is only one step away from the cystoscopy done in the ward on Monday afternoon.

There is no need for general anesthesia, and there is no need to wait for the patient to wake up after the operation, and can be sent away directly.

If it is fast, maybe the time taken for the spinal anesthesia in the front and the time for sending the patient back may be included, and it will not even take half an hour.

From four o'clock to 05:30, one and a half hours is definitely enough for them to send patients back to the ward, and even find time to write a few more medical records.

However, this is only in theory.

When Sun Yu said, "I can get off work on time today!", the end time of the fourth surgery has become a mystery.

"Ho ho ho"

Beside him, the patient in the third operation suddenly began to tremble all over.

"The patient is awake!"

The doctors in the anesthesia recovery room were very calm, and rushed over immediately, held down the struggling patient, and shouted loudly in his ear.

"Don't move, don't remove the endotracheal tube! You are in the operating room now, just finished the operation!"

The two anesthesiologists worked together to appease the patient quickly, and then let him breathe on his own.

The two little white cats hid aside to make room for the anesthetist.

Soon, under the invitation of the anesthesiologist, he signed his name behind the anesthesia record.

Now the two of them are also "advanced newcomers" who have taken two surgical patients, and they are "clear" about the subsequent procedures.

The rest is just to follow the car and send the patient back to the ward with the nurse and auntie.

Sun Yu looked very happy.

Although strictly speaking, she just came in to observe today, she basically didn't get started.

However, after a day of surgery, I had been standing and watching. The pre-operative preparation and post-operative delivery of patients were also very cumbersome. I didn’t sleep at noon, and the surgical meal tasted like pig food. It was still very hard work.

Thinking of getting off work soon, Sun Yu felt elated.

Even when she was waiting for the elevator with the nurse aunt in the exchange area, she took out her mobile phone, clicked on Meituan, and happily chose dinner.

Zhang Tianyang was standing next to her, watching her die, it was too late to stop her.

"Ugh."

He sighed softly, took out his mobile phone, and turned to Xiao Linlin's chat box.

"There's another operation, I guess I can't eat with you anymore."

Soon, there was a reply from the other side.

"Is it a complicated operation?"

Zhang Tianyang thought for a while, but didn't know how to answer for a while.

In the end, just be honest.

"It's actually a very easy operation, but the doctor in the same group just set up a flag, and I feel a bit uncomfortable now."

The other side was silent for a while, and then sent four words.

"I am sorry for your loss"

Setting up a flag in a hospital is really a pain in the heart of every doctor and nurse...

"Meal delivery time, when should I choose... 05:30? Six o'clock?"

Next to him, Sun Yu had already chosen his dinner, and began to worry about the delivery time.

Zhang Tianyang couldn't hold back in the end, and kindly reminded her.

"I suggest you better not order takeaway."

"What?"

Sun Yu was puzzled, "Will there be a dinner party later?"

"It's not."

Zhang Tianyang sighed, "If you take out the food so early, aren't you afraid that you won't be able to get off the operating table later, and you'll kill the delivery boy?"

"Isn't it?"

Sun Yu retorted instinctively, "The last operation is very simple, and it won't take that long."

Zhang Tianyang shrugged and stopped persuading.

Although he couldn't figure out what kind of problems would arise from such a simple operation.

But the sixth sense in the dark seems to be bouncing.

Sun Yu hesitated for a while, and finally ordered takeaway decisively.

Then set the arrival time at [-]:[-] pm.

"It will be delivered at six o'clock, and it will take two hours. Why don't you go back to the ward after the operation?"

After a few beeps, she cheerfully clicked "Payment".

……

At [-]:[-] in the afternoon, the two little white cats returned to the operating room after seeing off the patient.

"doctor!"

As soon as he entered the door, there was a voice from the right, and Sun Yu was startled suddenly.

Zhang Tianyang felt that the voice was somewhat familiar, and turned his head to see that it was indeed Li Yueban who was squinting with a smile.

"Hey, doctor, you look handsome in this outfit! I recognized you immediately!"

Li Yue greeted Zhang Tianyang with a half smile, and there was even a hint of "asking for credit" in her tone.

After all, everyone in the operating room wears the same surgical gowns, with hats and masks.

Being able to recognize Zhang Tianyang with only half of his face and a pair of eyes is indeed true love.

Zhang Tianyang also greeted him with a smile, and at the same time looked at him.

This little brother Li Yueban was wearing a large blue and white striped hospital gown that he had just changed into, and his whole body was sunk in the wheelchair, filling up the space.

Because there is too much flesh on the body, it still looks a bit crowded.

There was an "exaggerated" smile on the little brother's face, and his two small eyes narrowed into two slits.

It looks very "heart-hearted", and it seems that there is no "anxiety" about the upcoming operation.

Sun Yu was amazed to see it, and when Zhang Tianyang walked into the operating room, guessing that the patients at the door would not be able to hear him, he quietly sighed a few words.

"Is this your patient? It looks so calm. The patients who underwent the three operations today were terrified before the start."

Zhang Tianyang looked back silently at Li Yue who was at the door, and shook his head slightly.

"Actually, he's also afraid."

After all, it is the old patient who has been handled for the second time, so I can feel it thoroughly.

Zhang Tianyang still remembers the experience of seeing Li Yueban in the emergency department.

This little brother suffered from ureteral calculus pain to the point of shock, and the first thing he cared about after waking up was "Are my kidneys still there?"

How can such a little brother not panic when he enters the operating room?

You can see it just by looking at his fist that has not let go of the handle of the wheelchair!

"But it looks really calm"

Sun Yu, who was confused by Li Yueban's appearance, still insisted on his own judgment.

"Stop chatting, come and help me!"

The exasperated voice of the equipment nurse sounded not far away, Zhang Tianyang shrugged his shoulders, sprinted his feet, and dodged past.

The first three surgeries in this operating room were performed laparoscopically. Although the surgical sites are different from left to right, the placement of various instruments does not need to be changed.

The fourth operation is cystoscopy. The layout of the entire operating room needs to be changed, and the instruments used are also different.

Therefore, the idle hands in the entire operating room became busy.

The operating table was rotated 180 degrees, and the laparoscopic instruments were removed and pushed into the corners of the operating room.

The instruments and display screen of the cystoscope are pushed out and placed on the right side of the operating table, near the door.

There is also a laser knife specially used for cutting stones, and the half-person-high instrument is also pushed out and placed on the left side of the operating table, toward the inside of the operating room.

Some teachers in the audience have already shuttled between different instruments and started to connect various plug-ins.

After helping to push the instrument to the designated position, Zhang Tianyang had no chance to intervene.

There are teachers in the audience who specialize in equipment, and it is better to let professionals do it professionally.

Over there, the patient Li Yueban has been pressed on the operating table by the anesthetist, ready to connect the monitor, and then start spinal anesthesia.

Zhang Tianyang looked left and right to see if there was any work, so he simply picked up a few for him.

"DiDi! DiDi!"

Soon, the monitor started beeping.

"Buzzing—"

The cuff on the right arm was also started to measure pressure.

Brother Li Yueban was lying flat on the operating table, calm and expressionless.

On the monitor, the heart rate soared to 100-110 beats per minute, and the blood pressure also rose to 142/90mmHg.

Much higher than his normal heart rate and blood pressure!

Sun Yu stared at the monitor, then looked at brother Li Yueban's face as if nothing had happened, slightly surprised.

"Yo, are you nervous?"

The anesthesiologist raised his mouth with a smile, but Li Yueban's mouth was stiff, "I don't have it, it's just a gravel, I'm not nervous!"

"DiDi! DiDi!"

On the monitor, the heart rate broke through 110 in an instant.

Several doctors laughed.

"It's okay, don't be nervous, this is a minor operation for you, and it will be over soon."

"Manly man, why are you afraid of such a thing!"

The anesthetist began to relieve him carelessly, but Li Yueban's heart rate and blood pressure did not improve, and there seemed to be a vague tendency to beat faster.

"Don't be nervous, this operation is very simple."

Brother Meng, who came out of nowhere, also participated in the consolation, pointing to his face and asking Li Yueban.

"Do you recognize me? I'm your doctor in charge of the bed. Brother Yang will do the surgery for you later, don't be afraid."

"Recognize."

Li Yue poked her neck halfway and nodded stiffly.

The calmness on his face showed signs that he couldn't maintain it.

The temperature in the operating room was constant, and it was even a little cold, but he felt hot all over and wanted to sweat.

There is no way, the first time he entered the operating room, he panicked!

When he was just sitting in the wheelchair, he could still look at Zhang Tianyang's busy back and suppress his wild thoughts.

But now lying on the bed, he couldn't help thinking, what if something goes wrong in the operation later?

What to do in case of massive bleeding?

In case of dystocia

Hey, wait a minute, why did I substitute childbirth into my operation?

Things seem a little tricky.

Patients generally feel panic before the operation, and doctors will routinely comfort them.

Then wait until the patient's mood is slightly relieved before starting anesthesia and a series of follow-up measures.

But if the patient is too nervous, it is also a trouble.

The surgeon frowned slightly, put away his smile, and continued to work hard.

"Don't be afraid, don't be afraid, come and take a deep breath with me, come, inhale-inhale-inhale-inhale-"

It can be seen that Li Yueban is taking deep breaths very hard, but his breath is still heavy and disordered, and his heartbeat has been fast.

"How can this be done?"

Zhang Tianyang couldn't help shaking his head slightly when he heard the anesthetist's whisper.

Sure enough, the fourth surgery got off to a bad start.

Even without anesthesia, he was stuck at the level of the patient's emotions.

Subconsciously, he also moved to Li Yueban's side, and stretched out his hands to press the muscles of the opponent's limbs.

It's very tight.

really nervous

"Doctor Zhang? Is it Doctor Zhang?"

As if feeling something, Li Yueban suddenly turned his head, chasing Zhang Tianyang's figure in a distorted posture.

"it's me."

Doctor Zhang could only agree quickly, and then his staff tightened up.

Li Yueban grabbed Zhang Tianyang's wrist with one hand, with a little strength, her arm trembled, and there was still sweat in her palm.

"Doctor Zhang, will you be here all the time?"

"I'm here."

Although Zhang Tianyang didn't like being touched by men, he didn't shake off the other's hand at such a time.

"Do you know Dr. Zhang?"

Brother Meng looked on in surprise.

The patient had been admitted to the hospital for a few days, and he was in charge of it before, so he only handed over the patient to Zhang Tianyang yesterday.

Why, looking at it today, it seems that the other party is a little more familiar with Zhang Tianyang than he is with himself?

Just a little curious, Senior Brother Meng didn't intend to inquire carefully, so he just followed Li Yueban's words.

"Doctor Zhang will be by your side until your operation is over, and he may even send you back to the ward."

"Is that right?"

Brother Li Yueban's eyes seemed to glow, and he still looked at Zhang Tianyang in that distorted posture, desperately wanting to get an answer from the other party.

"Yes, I'll be there."

Zhang Tianyang nodded to Li Yueban, trying to appease him.

"But you're too nervous, the operation can't start, come on, take a deep breath, try to calm down, inhale—exhale—"

Li Yueban nodded stiffly, and took a deep breath following Zhang Tianyang's rhythm.

Strange to say, the deep breathing led by the anesthesiologist just now had no effect on him, but following Zhang Tianyang's password, little brother Li Yueban really gradually relaxed.

The muscles of the limbs were no longer tense, and the hand holding Zhang Tianyang was also quietly released. Although the closed eyes were still wrinkled, it seemed that the strength was not as strong as before.

After 3 minutes, the numbers on the monitor changed significantly.

"The heart rate is 86 beats per minute, the blood pressure is 133/84mmHg, and the spinal anesthesia can begin."

The anesthesiologist reported the data, and then gave Zhang Tianyang a surprised look.

As one of the conciliators, he knew very well that his consolation was of no use at all, and neither was Brother Meng's.

On the contrary, Zhang Tianyang, who didn't do anything all day today and just stood by and watched, played a key role.

"Is it really an acquaintance?"

This is the only reason that can explain it, right?

Shaking his head, the anesthesiologist didn't say anything, and began to tidy up the items for spinal anesthesia silently.

Brother Meng also looked at Zhang Tianyang in surprise, and then gave him a thumbs up.

Regardless of whether the patient and Junior Brother Zhang know each other or not, it is great to be able to solve the problem.

Sun Yu stood by the side, looking at this and that, thoughtfully.

She watched the scene where little brother Li Yueban greeted Zhang Tianyang just now, and it didn't look like friends who knew each other at all.

It was more like the surprise of an anxious patient after seeing a doctor he trusted.

She often felt this feeling when she was rotating in internal medicine before.

Generally, when the director makes ward rounds, the patients will express their emotions when they hear that this is "Director XX".

Thinking about it this way, she came to a conclusion that surprised her.

"In this patient's mind, Zhang is more reliable than Senior Brother Meng?"

However, Zhang Tianyang only took care of this patient for one day!

How on earth did he do it?

Full of doubts, Sun Yu silently looked at Zhang Tianyang, only to find that Zhang Tianyang was also frowning.

At this moment, Zhang Tianyang's sixth sense began to faintly bounce again.

"At the beginning, the patient was emotionally unstable. What will happen later, resulting in prolonged operation time and unable to leave work on time?"

There seemed to be blood vessels throbbing in the temple, and Zhang Tianyang racked his brains, trying to analyze the "accident" that might happen later.

what?

Are you saying that there will be no accidents?

Ha ha.

Zhang, with a black face, and Tianyang looked up at the sky at 45 degrees.

　Is this chapter big enough~

　　

　

(End of this chapter)