Chapter 253: The ICU Doctor Is Away!
There are two types of blood tests in the inpatient department of East China Hospital.
Pingcha draws blood at 6 a.m. the next morning, and the results will come in two to four hours.
The emergency examination is to draw blood immediately after the doctor's order, and the results will be available on the same day.
Yesterday, the two new patients arrived, the uncle opened an urgent investigation, and the female patient prescribed a flat investigation.
So the next day, when Zhang Tianyang arrived at the department early, what he saw was the full set of results of the uncle, as well as half of the results of the female patient.
He spent ten minutes watching it carefully, and carefully compared the previous results of the two.
It's about the same as he had judged last night.
All the indicators that have come out of the female patient are improving, and the estimate that it has not come out will not be outrageous.
As long as you continue the treatment step by step, and then keep it.
He didn't understand why Yanling Hospital transferred the patient again.
Maybe it's for the sake of medicine?
And the uncle's situation is a little grim.
His condition was clearly more serious than the results of his examination two days ago, which was perfectly reflected in the results of yesterday's emergency blood examination.
The line chart of several infection indicators is soaring straight up.
It's like a demon suddenly cocking its tail into the sky, and it looks quite terrifying.
The specific number is more than 78 beds that the infection index floating in the sky of the young male has a fight.
And you must know that the infection index of 78 beds has risen all the way in a month and a half, and this uncle went up within two days.
Such a result made Zhang Tianyang's mood quite heavy.
"Nurse shift in general ward...... Doctor Shifts...... ICU ward nurse shift...... Doctor Shift ......"
The doctor who carried out the shift with dark circles under his eyes was the doctor in charge of the little yellow chicken.
His eyes widened, and he looked at the various shocking values on the handover sheet in his hand in horror, and his voice trembled a little.
As soon as he got the shift schedule, when he saw the patient's long-standing shift situation, he refused.
It's just a shift, do you need to write all the data in such detail? Is it a shift list written by an intern who is not on the road?
But now, he was afraid that he had missed a word.
It's not that he doesn't want to be concise, it's just that these data are too shocking, and he's afraid of missing any of them.
In case it affects the judgment of the senior doctor, if something happens, he can't run away.
And several doctors in the ICU ward did not look good.
This patient is nominally managed by Zhang Tianyang, but Song Changkong, as Zhang Tianyang's nominal mentor, is also responsible for the patient.
Further up, there is this group of resident doctors, that is, the hard-pressed residents who were burdened with half of the night shift without pay last night, and he also knows something about the patient's condition.
Not to mention the attending physician and ICU director.
Impressed.
The director of the ICU stared at the attending doctor with a solemn face, and the attending doctor also looked back at the director of the ICU with palpitations after finding a computer to see the patient's data clearly.
There was a hint of fear in his heart.
Such terrible data, fortunately, yesterday the director made a quick decision and agreed to Zhang Tianyang's medication suggestion.
If he had listened to himself and had not used a strong enough antibiotic in time, maybe this patient would have died in the middle of the night!
The menacing infection is also terrifying!
And the director of the ICU is a little entangled in his heart.
On the one hand, he was glad that he had made the right choice and used the right medicine.
When used in a combination of Meiping and Wangu, the patient's prognosis is definitely better than all other options.
If the patient is still not saved under this plan, it is estimated that no matter what kind of medicine is changed, it will not be saved.
On the other hand, he had a trace of regret.
Zhang Tianyang's two-week right to use this big baby flew away like this, it's a pity......
In view of the special situation of this patient, at the end of the shift, several directors did not leave, pinching the shift schedule and frowning, discussing the patient's condition.
The circle of little doctors standing around did not dare to leave, and they remained in place and were "forced" to participate in this impromptu "consultation".
"This plan is what you specified? ”
The chief director of the neurology department looked at the director of the ICU, and he couldn't see much expression on his face, but those who were familiar with him knew that he should be in a good mood now.
In the case that all indicators look quite normal, it does take a lot of courage to be able to take ruthless medicine.
And the director of the ICU subconsciously touched his semi-La Mediterranean, and did not take credit, and pointed at Zhang Tianyang casually.
"He brought it up, and I thought it made sense, so I agreed. ”
The director of the Department of Neurology raised his eyebrows slightly, and his eyes fell on Zhang Tianyang, "Oh?"
Zhang Tianyang was not stage frightened, and took a step forward, "I am the doctor in charge of the bed." ”
The expression on the face of the director of the Department of Neurology fluctuated slightly, as if he was a little surprised, but his eyes swept over Zhang Tianyang's breastplate, and it was another shock.
"Your name is Zhang Tianyang?"
"Yes. ”
"Oh. ”
When the director of the Department of Neurology, who was obviously a little excited, heard this, he suddenly seemed to be uninterested, and regained his composure, "Let's take a look at this patient." ”
It is said that he originally had a little bit of a desire to cherish his talents.
But who would have thought that this was the famous Zhang Tianyang?
What is the use of boasting about other people's students?
The eyes of several bigwigs swept over Zhang Tianyang, and they didn't show anything tacitly, and then continued to talk about the condition.
Zhang Tianyang, as the doctor in charge of the bed, answered the questions of the bigwigs one by one.
Five minutes later, the patient's follow-up treatment plan was finalized by the bigwigs.
Zhang Tianyang honestly took out a small notebook and made a record.
In his opinion, these drugs and treatment regimens are no problem.
After all, the people present are all big guys who have been infiltrated in neurology for more than ten or twenty years, and if he can see the problem, then there is a problem.
"Did the patient get a new CT yesterday?"
The big director thought of something and asked.
After learning that the results had not yet come out, he gave another instruction.
"The doctor in charge of the bed remember to call to urge him, and he must get the results before noon. ”
"Okay. ”
Zhang Tianyang nodded obediently.
"That's fine. ”
The big director looked around, ready to call out "adjournment".
"Knock knock!"
The door of the office, which was normally closed during the morning shift, was suddenly knocked on from outside.
A group of white coats inside the door subconsciously frowned slightly.
Which patient's family member, so unqualified, came to knock on the door early in the morning to find a doctor?
Don't know what's going on?
This kind of thing happens often, and they don't pay much attention to it, and they continue to wait for the director of the Department of Neurology.
But the knocking on the door outside grew more intense.
The little doctor near the door carefully twisted the doorknob, and as soon as it was screwed into place, the door was violently pushed open from the outside with a "boom".
In an instant, Zhang Tianyang saw through the crowd the face of a little nurse in the ICU.
"The doctor in the ICU is not here!"
The little nurse's voice was full of anxiety and urgency, and there was a vague feeling that she was about to cry.
"Go and see!"
"Bed 69 came yesterday, and he just pulled out the tracheal intubation himself!"
"I'm having trouble breathing now, I'm about to suffocate!"
"Go and ......"
Before she could finish speaking, a figure struggled to squeeze out of the pile of white in front of her, and flew past her in an instant.
Her "look......" was just uttered when the speeding wind hit her face.
Just now.
What has passed?