I'm really an intern

Chapter 49

"The patient had no muscle stiffness or tongue bite when he fainted, and he woke up on his own ten seconds after fainting.

Looking at the hemoglobin again, it is probably due to anemia! "

Sister Chen agreed with Zhang Tianyang's judgment.

Brother He was consulted, and he also agreed with the judgment that "anemia causes transient syncope".

"You can apply for blood with the blood transfusion department first. The results from my side have not yet come out. Maybe the patient will be discharged automatically. You should prepare the two consent forms first."

Brother He's phone was noisy in the background, and he could vaguely hear the shouts of the young people who had made trouble before.

Looks like it will be a while before things get resolved.

……

Senior Brother He is responsible for solving this matter, leaving Senior Sister Chen and Zhang Tianyang to make rounds.

The patient who went out and did not return still went out and did not return. The good news is that the phone was connected.

Said to be rushing to the hospital.

The two first went to see Senior Sister Chen's bed 51.

Bed 51 is a young man in his 30s or [-]s, with dull skin, sunken eyes, thin body, and looks very listless.

"Doctor, the doctor is here."

The young man in bed 51 saw the two white coats at the door and pulled the family members' clothes.

There are two family members, namely the young man's brother and sister.

At this time, he quickly sat up from the bed and made room for the two white coats.

Zhang Tianyang's eyes flicked across the faces of the three of them, feeling something was wrong.

The eyebrows and eyes of the three people are indeed somewhat similar. The elder brothers and sisters all look normal, with normal faces and normal figures.

But the corner of the boy's mouth on bed 51 was slightly skewed, his eyes were unfocused, and he looked a little... silly.

"Did you have a fever last night? How high is it?"

Sister Chen began to ask about the situation last night, and the boy in bed 51 was really slow to respond.

He opened his mouth wide, and after a while, he answered slowly, "I have a fever, yes, the top of my head is very hot, and the bottom of my head is very cold!"

"Do you have a headache when you have a fever? Do your muscles hurt?"

"Ah, I, I don't remember, just, cold."

Zhang Tianyang watched for a while, then sighed silently.

Taking advantage of Senior Sister Chen's consultation, he lifted the clothes of the young man in bed 51 and gave him a physical examination.

The two family members stood by with worried faces. Sometimes the young man in bed 51 couldn't answer, so they hurriedly added.

"Doctor, my younger brother has had a fever like this for a long time, probably for a month or two."

"Yes, every time it burns up in the middle of the night, he will cover a lot of quilts, but he is still cold and sweats."

"Merrill must be taken. That was the case yesterday. The doctor asked us to give him Merrill, and the temperature dropped..."

The two white coats looked at each other, Zhang Tianyang said, "Go out and talk."

Avoiding the patient himself, the two family members stood opposite each other in white coats with worried faces.

"Doctor, what is my brother..."

Zhang Tianyang thought for a while and summarized the patient's information.

"The patient was thin, and according to the medical history, he lost more than 20 catties in half a year.

Ecchymosis was seen at the lower end of the left front chest, the abdomen was sunken, the patient's spleen could be touched by palpation, and both lower extremities were mildly edematous.

Routine blood test showed a decrease in three lines, hypoalbuminemia..."

He paused for a moment, then looked at Senior Sister Chen, "Thinking about... blood system diseases?"

Chen Shishi nodded, "Yes, I think so too."

"What blood system disease?"

The family member's expression was flustered, but he quickly adjusted, looking at the two white coats with anticipation and a little request.

But Senior Sister Chen's words directly broke this gaze.

"Now consider that the patient may have a blood system disease. In layman's terms, it is blood cancer."

The family members were silent for a long time, and the two looked at each other, as if they were communicating with their eyes.

Sister Chen and Zhang Tianyang are also very patient. They must tell their family members about their condition, but they must be given time to accept it.

For about half a minute, the male family member kept the female family member behind him, and cautiously asked Zhang Tianyang, who seemed more reliable.

"Doctor, that, I don't understand, what kind of blood disease are you talking about? Is it leukemia?"

"Leukemia is a type of blood system disease, but it is not certain whether your brother is the same type, because there are hundreds of blood system diseases.

Which one is specific, have to go through a series of tests to confirm the diagnosis. "

"This, that's it..."

The family members hesitated, Zhang Tianyang couldn't bear it, and comforted him.

"Actually, there are both malignant and benign diseases of the blood system. If you are lucky and have M3, you may be able to cure them within 10 yuan.

It is not yet confirmed which one it is, so don't be too pessimistic.

Today we will give him a bone piercing, and then contact the hematology department.

You'd better be prepared financially, at least one hundred thousand. "

The female family member was emotionally excited for a moment, but was held down by the male family member.

"Sorry, my sister is a little excited."

The male family member tried his best to squeeze out a smile, "Doctor, you can do whatever examination you want, and you can take whatever medicine you want, as long as it can cure my brother."

This kind of reaction made Zhang Tianyang couldn't help but look at the clothes and shoes they were wearing, and then he understood.

"If there is no necessary inspection, we will not do it. We will try our best to choose a more cost-effective solution."

"Thank you doctor, thank you doctor!"

Zhang Tianyang followed Senior Sister Chen upstairs, ready to check the next bed.

Behind them, two family members were arguing.

"One hundred thousand! That's one hundred thousand! Is that why you agreed?"

"What if you don't agree? My brother doesn't want it anymore?"

"But so much money, can we get it out! These years..."

The sound faded away.

Zhang Tianyang looked up at the senior sister who was walking in front, she suddenly paused as she was walking.

Looking back, looking in the direction where the family members left, Senior Sister Chen had an inexplicable emotion in her eyes.

"Sister..."

Chen Shishi glanced across Zhang Tianyang's face, turned her head neatly, and walked straight up.

Zhang Tianyang was stunned for a moment, and hurried to follow.

……

Bed 82 had a routine fever.

Patients and their families are calmer than doctors.

"It's been like this recently! I also drink Merrill when I have a fever at home, and I drink Merrill when I have a fever here. It's the same!

By the way, doctor, please prescribe another bottle of Merrill Lynch's, we've run out of our own! "

The family members clattered and said, making Zhang Tianyang dumbfounded.

"If the temperature does not exceed 39.0 degrees Celsius, try not to drink Merrill Lynch.

In addition, yesterday's blood test showed that the infection index was high, and there were more than 4600 white blood cells in the ascites, which proved to be an infection.

Today I will give you antibiotics and an injection. "

"Injection, okay, okay, I'll listen to you."

The old man on bed 82 was very cooperative, and responded with a smile, then pointed to his stomach.

"Doctor, I put ascites yesterday, my stomach is not so bloated, I feel much more comfortable!"

"It's comfortable, isn't it?"

The patient was happy, and Zhang Tianyang was also happy. He percussed the patient's stomach and found that there was still a lot of ascites inside.

"I'll put the ascites on you later, and then the nurse will come over and give you an injection later."

"Okay, okay, thank you doctor!"

After bidding farewell to bed 82 and returning to the doctor's office, Zhang Tianyang poked Senior Sister Chen's shoulder carefully.

"Senior sister, are you angry?"

After watching the boy in bed 51, Senior Sister Chen kept silent, and when her eyes met Zhang Tianyang's, she did not forget to point the back of her head at Zhang Tianyang.

"Humph!"

Chen Shishi snorted coldly, turned her head and ignored him.

Zhang Tianyang moved the stool to the other side, "Senior Sister, what unhappy things have happened to you? Tell me to make me happy?"

"Humph!"

Chen Shishi snorted again, and operated on the computer on her own, prescribing medical orders for her patients.

Looking at the back of her head, Zhang Tianyang sighed at the thick hair of the senior sister, and then he calmed down and learned from the pain.

Although I don't know how to offend my senior sister, but it is always right to satisfy her wish.

He thought for a while, pretending to flip the paper in his hand unconsciously.

"Oh, my sister is ignoring me.

Originally, I thought that the senior sister was a girl, so I couldn't be too tired.

I want to take all kinds of treatment operations of the senior sister's patients on myself.

such a pity……"

Chen Shishi turned around quickly, and forced a hook with Zhang Tianyang's hand hanging in the air.

"make a deal!"

Seeing a flower blooming on Chen Shishi's face at a speed visible to the naked eye, Zhang Tianyang was helpless.

"Senior sister, you are too real!

But why are you angry? "

"I……"

As soon as Chen Shishi opened her mouth, she was interrupted by the nurse who opened the door.

"Is the doctor in charge of bed 59 here?"

"Yes, what's the matter?"

Zhang Tianyang answered for Senior Sister Chen, and saw a flash of impatience on the nurse's face.

"Bed 59 is back. I've been urging her all morning and finally she's back. Go and have a look! Another disobedient patient!"

"what happened?"

The two of them didn't care about whether they were angry or not just now, so they hurried to the 59-bed ward with a pen and paper.

"Good morning, old man!"

"How early is it? It's already noon! You feel comfortable, and you ran home in the middle of the night. How can I scold you when the doctor comes later!"

"hey-hey."

Beds 59 and 58 are double wards, and two people live in one ward.

At that time, it was considered that the two old men had alcoholic liver cirrhosis, were similar in age, and asked to live together, so they were allocated wards.

At this time, two old men, one in casual clothes and the other in hospital gowns, greeted each other.

Four or five family members surrounded the old man's bed in bed 59, who looked like sons and daughters.

It took Zhang Tianyang and Chen Shishi a lot of effort to squeeze in.

There was a subtle smell in the air.

Zhang Tianyang sniffed, his expression changed.

"Family, which of you has been drinking?"

"No, bed 59, have you been drinking??!"

--------

I have something to do, and I didn't get home until ten o'clock to start coding.

Let me tell you something... Your dear author may have facial paralysis ()

Last night after I finished typing and came home, my face felt numb. Now, except for my face, the top of my head and the back of my head don’t feel like mine anymore...

Hand: Dear face, I am touching you.

Face: I'm sorry, I don't feel it.

嘤

(End of this chapter)