I'm really an intern

Chapter 42 Is there really no way?

The 8 beds are separated from the doctor's office by a nurse's station.

Zhang Tianyang rushed over, causing the nurses in the nurse's station to frown.

"Who?"

"Don't you know that you can't run away if there is no emergency in the hospital! It's so unruly!"

The new nurse followed out and saw Zhang Tianyang's back, "Is he new here? He looked quite young just now."

"New here, hum." The head nurse was operating on the computer, and snorted coldly, "It must be a five-year program. I have heard that this year's interns are pitted."

"By the way, little classmate, you are also a newcomer, so don't imitate him!"

Zhang Tianyang didn't know that his running caused the nurse's criticism.

Even if I knew it, I didn't have time to take care of it.

Now he only hopes that it will not be like what he feared.

"Bed 8, is that you?"

Stopping hurriedly in front of Bed 8, Zhang Tianyang finally saw this uncle clearly.

"Doctor, are you here for rounds?"

Uncle Ah wasn't lethargic and comatose like it was written in the medical history record, and he still took the initiative to say hello to Zhang Tianyang.

But Zhang Tianyang did not relax his vigilance at all.

For some patients, everything is normal when you see him one second, and he can die for you the next second.

What's more, although this uncle seems to be able to move his upper body freely while sitting on the bed, his complexion is really not good.

Zhang Tianyang doesn't know Feng Shui and doesn't know how to tell fortunes, but he sees more patients in the clinic, and he has a premonition somewhere.

The moment he saw this uncle, he remembered four words:

Yintang is black!

"Doctor, can I stop breathing this oxygen?"

Uncle Ah was holding the oxygen tube that he had torn off by himself, and he was bargaining with Zhang Tianyang.

"Look at me now, I'm still short of breath, it doesn't seem to help."

The buddy next to him who looks very similar to Uncle is also adding.

"Yes, yes, my dad has been like this since last night. He has shortness of breath, and he can't sleep well. He sits up in the middle of the night and gasps for breath."

"Do not talk!"

Zhang Tianyang interrupted them directly, picked up Uncle's hospital gown and began to auscultate.

Normally, he would have listened to the medical history in detail, but now the situation is urgent and there is no time to waste.

Shortness of breath, orthopnea in the middle of the night, coupled with the prerequisite of liver failure and the medical history of hepatic encephalopathy, everything made Zhang Tianyang feel very bad.

What's more, this patient had a critical illness two days ago!

The stethoscope landed on Uncle's left chest, starting from the heart.

"Heart rate is so fast and irregular."

The reaction in the stethoscope is similar to the number on the monitor, which is more than 1 times per minute.

The ideal heart rate of a normal person should be controlled at 55-70 beats per minute. Doctors will try to control the heart rate if it exceeds 85 times, let alone more than 100 times!

Listening to the lung again, Zhang Tianyang almost trembled.

The lungs are full of wet rales!

The breathing rate is 32 breaths per minute!

Almost twice the normal breathing rate!

Uncle is having difficulty breathing with the naked eye, and the blood oxygen saturation on the monitor has been below 95%, and the patient said that oxygen inhalation is useless!

Press the foot again

Not to mention the feet, there is a big pit all the way down to the knees.

Severe pitting edema of both lower extremities!

Damn it, how dare you leave your post just because you're assigned to such a patient!

Zhang Tianyang cursed in his heart, and immediately decided to call the superior doctor over.

In this situation, he couldn't stand it, and Senior Brother She couldn't stand it either!

"Family don't leave! Wait for me to come back!"

Before the words finished, Zhang Tianyang had disappeared outside the ward.

"Get ready for computer rounds!"

In the doctor's office, Professor Zhu prepared the Zhu group's exclusive shift form, and greeted several white coats to prepare for computer rounds.

"There are a few patients who need to pay attention. First of all, who is in charge of the 8 beds?"

"it's me."

Brother She didn't know when he came back after "going to the toilet", so he responded at this time.

"Yes, this patient is a bit difficult to deal with, Xiao She, Dr. She, how is his condition?"

Just as Professor Zhu was about to ask about his condition, he heard a creak beside him.

The rude way of opening the door made the doctors working inside frown.

Zhang Tianyang leaned in with half of his body, and Professor Zhu and the white coat behind him were all expressionless.

"Doctor Zhang, what are you doing?"

"Professor, go and see the 8th bed, I think the patient is not well!"

Zhang Tianyang interrupted Professor Zhu directly and rudely.

Professor Zhu was rarely interrupted directly like this, but he reacted quickly after only being stunned for half a second.

"Go, go and see!"

Zhang Tianyang turned and ran, followed by Professor Zhu.

Although the body is five or sixty years old, when the patient has an accident, he is not lost to young people at all.

Senior doctor He, the attending doctor, and Senior Sister Chen, the doctor of Guipei, followed without saying a word.

Senior Brother She reacted a little too late, he didn't want to believe it from the bottom of his heart.

"Isn't the 8th bed my patient? It's not very good? Is it not?

Can an intern judge accurately?

Eighty percent of the cases are due to insufficient clinical experience, which makes all the fuss. "

Having said that, Senior Brother She did not slow down much, he only stepped into the ward 5 seconds later than Zhang Tianyang and the others.

Professor Zhu moved faster than Zhang Tianyang. He glanced at the monitor that was alarming on Didi, and touched Uncle's body with a stethoscope in his hand.

Zhang Tianyang was anxious behind.

Uncle's condition is extremely critical.

The disease has progressed to such a point that Zhang Tianyang has no way to reverse it.

His great hope and hope that Professor Zhu can do something.

But Professor Zhu focused on auscultation, and his smiling face was already as cold as ice, so serious that people dared not make a sound.

The family member is the son of an uncle in bed 8. At this time, he seemed to feel something, and his eyes slowly turned red.

After a minute of careful auscultation and a physical examination, Professor Zhu slowly put the stethoscope back into his pocket.

She deliberately slowed down her voice, and bent down so that she was on the same plane as the eight-bed uncle.

"It's okay, just a little problem."

Then, she patted uncle on the shoulder, turned her head, and winked at the family members.

"The family members come out."

The family members followed Professor Zhu, and a group of white coats followed the family members, and they re-entered the doctor's office in silence.

There were not many empty chairs in the doctor's office. Instead of letting a group of white coats sit down, Professor Zhu moved a chair for the family member.

"sit."

The younger brother, who had never been treated like this before, had eyes so red that they were about to bleed, he stood there in a daze and paused for a long time before uttering a word.

"Doctor, my dad"

"very bad."

Professor Zhu directly gave the result he least wanted to hear.

Obviously, the family members and the white coats standing behind were all breathless at this moment.

"Doctors"

The little brother's voice trembled.

He has been accused twice of being critically ill, and his father has indeed survived the first two reports of being critically ill. Now he is even awake and can still talk and eat.

But the first two times, the doctor just told him tactfully, "Your father's condition is not very good now."

现在

The family members refused to sit down, and Professor Zhu didn't sit down either. He just stood there and stared into my little brother's eyes.

"Are you the only family member? Where are the other family members?"

"Also, and my mother, she just went shopping for food"

"Hurry up and call back."

As soon as Professor Zhu said these words, the little brother's body shook visibly to the naked eye.

"It's really impossible that he clearly woke up."

The little brother gritted his teeth, resisted, trying to control his emotions and expressions.

But Zhang Tianyang saw his trembling hands tightly clenched.

"Back to the light, have you heard?"

Professor Zhu is calm and serious, and even seems a little "cold" to some extent.

But such is the duty of the doctor.

Healing diseases and saving lives, at the same time, let them see the cruel reality.

The little brother was speechless.

Professor Zhu patted him on the shoulder and gave him a business card.

"If you can call it back, call it quickly. The patient is awake now, and it won't be sure after a while."

"If the home is not far away, let's see if I can send it back."

"No matter how late it is, it may not be delivered."

The family brother left, and there was silence in the doctor's office.

"OK OK."

Professor Zhou clapped his hands vigorously to attract everyone's attention.

"Xiao She, Dr. She, hurry up and get a critical illness notification letter out, and sign it for the family members.

The rest of the people are ready for computer rounds. "

Senior Brother She went to get the notice of critical illness, Zhang Tianyang watched from behind, his fists tightened and then loosened, loosened and tightened again.

Although the knowledge reserve had told him the answer, he still couldn't hold back.

Finally, I asked that sentence, what the family members didn't say.

"Professor, 8 beds, is there really nothing we can do? We can't do anything?"

　This chapter is very difficult to write, and I also hope that the development of medicine can save them

　　

　

(End of this chapter)