Chapter 238: I accidentally got a little fan brother
At 10:50 in the morning, Zhang Tianyang had already made preparations and was ready to make a waist piercing for the 76-bed old lady.
It's been at least ten hours since the drain was opened in the middle of the night last night.
However, the old lady's vital signs were fine, and she did not have the typical symptoms of increased intracranial pressure.
That's a good thing.
"There haven't been any accidents yet, does it mean that there are signs of improvement?"
Opposite Zhang Tianyang, Lin Ke'an asked.
Next to her, there was also a white coat.
It is the graduate student who once won the gold medal in the clinical skills operation competition.
At this time, he took the initiative to help fix the old lady's body.
As for Song Changkong, he was very relieved to hand over the old lady's waist to Zhang Tianyang, and then went to knock on the medical records himself.
Even if he is the chief physician of the outer hospital, he can study in the East Hospital, if he doesn't want to trouble Zhang Tianyang, he still has to do the hard work of writing medical records.
"It's hard to say. ”
Casually replied, Zhang Tianyang refocused his attention on the old lady.
The position has been set, the old lady is lying on her left side, her hands are on her knees, and her entire back is fixed in an arched position by two white coats.
In the middle of the waist is the dressing left after yesterday's waist piercing.
Zhang Tianyang tore it open and found that the skin underneath was a little bruised.
This is normal.
After ordinary blood drawing, there will be a bruise under the skin due to blood oozing, not to mention lumbar puncture.
The graduate student poked his head over and looked at it, his brows furrowed.
"This, it will increase the difficulty, right?"
Some hard hematoma masks will cover the soft touch between the two bones, which will indeed make it more difficult to puncture the lumbar puncture.
But Zhang Tianyang just shook his head slightly, "It's not in the way." ”
Now that the old lady's lumbar puncture access has been opened, no matter how difficult it is, it is only difficult to enter the needle, and it will not be worse than yesterday's situation.
The graduate student stared at Zhang Tianyang twice and pouted quietly.
Although Zhang Tianyang's questions and answers with the director of the ICU today really made him admire, it was only the basics.
Talking on paper is shallow, and there are many people who pull their hips as soon as they get started.
In the end, the operation is the real thing.
He was a little unaccustomed to Zhang Tianyang, the junior brother who said "not in the way" when he opened his mouth.
This old lady's waist wear, and the graduate student, as a former gold medalist in the clinical skills competition, has naturally also been able to get started.
Obviously, the operation steps are correct, and he obviously feels a sense of frustration in his hands, but he knows better than anyone the despair of not being able to wear out the cerebrospinal fluid.
How can this kind of difficult waist wear be said to be "out of the way"?
But think about it, he didn't follow him to see Zhang Tianyang, the intern who helped prepare items, but to see the "great god" who wore cerebrospinal fluid out of the old lady.
So although he couldn't get used to it, the graduate student still endured it.
With a somewhat hostile look in his eyes, he was ready to wait and see.
In fact, yesterday he came late and missed the lumbar puncture scene, and until now, he still doesn't know which doctor made the lumbar puncture.
Is it Director Song Changkong?
Or the attending doctor?
Or go to the general ward to ask for foreign help?
No matter what the graduate student thinks, Zhang Tianyang is still carrying out his work in an orderly manner.
Lin Ke'an automatically and consciously helped Zhang Tianyang prepare items, but she obviously couldn't keep up with Zhang Tianyang's speed.
She had just prepared one-third of the things, and the remaining two-thirds of the things Zhang Tianyang had already prepared by herself, and even put on sterile gloves and picked up the syringe.
Therefore, after just a dozen seconds, this place became a special session for Zhang Tianyang to operate alone.
Lin Ke'an pinched the lidocaine that had been opened in his hand and paused, inexplicably a little irritable.
The graduate student was watching carelessly, but Zhang Tianyang's movements were too fast, and the speed was dazzling.
The graduate student brother looked at it, and a serious expression appeared on his face.
Because he found that this junior brother is not only fast, but also very skilled, very standard, and very ...... A bowl of cherries!
Seeing that Zhang Tianyang had made all kinds of preparations, disinfection, laying towels, and anesthetics, he directly picked up the puncture needle......
"Huh!"
The graduate student couldn't help but remind, "Did you do it? Didn't the teacher do it yesterday?"
Zhang Tianyang raised his head, glanced at him a little strangely, and asked while keeping his hand in his hand.
"What teacher?"
"It's the teacher who successfully made the old lady's waist piercing yesterday. Eh, how do you just ...... Hmmm......"
The eager accusation only had time to be said halfway, and the second half of the sentence was swallowed by the graduate student.
Because Zhang Tianyang simply but quickly went down with a needle, and the cerebrospinal fluid came out.
It's as easy as eating and drinking.
The graduate student was immediately choked on the spot.
Zhang Tianyang carefully identified the color of the cerebrospinal fluid, and then answered casually while holding the tube for measuring pressure.
"I did it yesterday. ”
"......"
The graduate student has a stomach full of things to say.
How can such a difficult lumbar piercing be done by an ordinary-looking junior disciple?
I tried hard and found that the cerebrospinal fluid that couldn't come out no matter what, how could it come out with a single injection?
Let's have fun!
But looking at Zhang Tianyangyun's breezy expression, and smooth operation, and the female doctor next to him was not surprised at all.
He quietly swallowed all the doubts again.
In my heart, because of the arrogance that I had won the gold medal in the clinical skills operation competition, unconsciously, little by little began to be consumed by Zhang Tianyang's calmness.
The puncture needle is in place, and all that remains is a simple process of taking a cerebrospinal fluid sample, extracting excess cerebrospinal fluid, and then rinsing it with sterile water for injection.
Seeing that the pressure of the old lady's cerebrospinal fluid today was much lower than yesterday's, and the color was one degree lighter than yesterday's, Zhang Tianyang's heart was even more relaxed.
It seems that it is indeed improving.
The frequency of lumbar punctures twice a day may be reduced to once a day.
Zhang Tianyang operated with ease, and also divided a little mind to answer various questions from the two white coats next to him.
"Senior brother, if you encounter a patient who can't wear it at all, do you have any good methods and suggestions?"
"Well, it mainly depends on the feel, it's like this when I do the waist piercing......"
There was a hint of consideration in the tone of the graduate student brother at first.
But with Zhang Tianyang's casual answer, the graduate student suddenly recognized the reality.
When he spoke again, there was no trace of arrogance in his tone.
After explaining a few questions, he seemed to have regarded Zhang Tianyang as a senior doctor.
Even the "junior brother" didn't dare to call it, and directly called the "great god".
Zhang Tianyang pumped cerebrospinal fluid step by step and answered questions casually.
I didn't realize that I was inexplicable, and I seemed to have another little fan brother.
I won't realize that when the little fan brother and the little fan sister meet together, what kind of competition for favor will evolve.