The situation of the old lady's 99% death seems to have been changed after Zhang Tianyang's three stitches.

After the treatment plan was specified, the attending doctor left.

The overall situation has been decided, the rest of the operation is not difficult, it just takes time, he is not present, there is not much difference.

The matter of communicating with the old lady's family, Song Changkong took it on himself.

After all, Zhang Tianyang has just come today, and Song Changkong was responsible for the old lady's condition before this, and it was easier for him to communicate.

Besides, Zhang Tianyang couldn't leave.

Although the most difficult step he has already taken.

But the subsequent operation takes a long time, which has nothing to do with his own speed, and it has to do with the old lady's physical condition, and he can't increase his speed.

Time passed little by little, and other doctors in the ICU ward also appeared in the ward one after another.

Some check the patient's situation, some occupy the computer typing, and some are ready to perform various operations on the patient like Zhang Tianyang.

Most of the white coats paid attention to Zhang Tianyang for a short time, intentionally or unintentionally.

The sudden incident of the 76-bed old lady in the morning made them more or less hear about the old lady's condition.

I don't say how much I know, but everyone knows that because the cerebrospinal fluid has not been able to penetrate through the lumbar puncture, in the eyes of the attending doctor, this old lady has been sentenced to death.

Even if it is said that you want to gamble your life, but everyone knows that the probability of winning a bet is very small.

And now, it looks like you're saved?

There are doctors who are more familiar with Song Changkong, and they secretly communicate with him.

"Which teacher wore it?"

Song Changkong didn't exaggerate, but he didn't hide it either, "No, it's the little classmate sitting there who wore it." ”

Between coming and going, Zhang Tianyang vaguely felt that the gaze of many people looking at him seemed to have changed subtly.

But he didn't really care about that.

He's doing it in earnest.

First, the old lady's cerebrospinal fluid was steadily extracted at a rate that would neither cause herniation too quickly nor too slowly lead to an increase in intracranial pressure.

Then, inject 20ml of water for injection three times.

Allow the water for injection to mix well with the bloody cerebrospinal fluid in the subarachnoid space, and then open the lumbar puncture access to re-aspirate the mixed cerebrospinal fluid.

In general, the goal is to thin the bloody cerebrospinal fluid and try to remove blood clots that may be blocking the subarachnoid particles.

The rest is left to the old lady's own self-healing ability.

Zhang Tianyang meticulously carried out the operation, carefully paying attention to the old lady's vital sign data.

Next to him, Song Changkong was already busy with his own affairs, and only Lin Ke'an was left to help hold down the old lady's body and maintain the position of waist wear.

Different white coats came and went, saluting the two of them from time to time.

And Lin Ke'an, who secretly observed Zhang Tianyang from the beginning, gradually became bright and bright.

At noon, she vaguely felt that she was not as good as Zhang Tianyang, which was a bit embarrassing.

So when she was almost caught looking at his medical records, she felt a little embarrassed.

After all, she is the eight-year program, and she is the pillar of the best major in Oriental Medical University.

And Zhang Tianyang, who said that he is also a five-year system.

This is the same as the ancient aristocratic and commoner origins.

However, at noon, Xiao Lin Lin told her a lot of Zhang Tianyang's legendary experiences in various departments.

She suddenly realized something.

Zhang Tianyang's luck is extremely poor, his face is extremely dark, and he can encounter any strange emergencies, but he can rely on his ability to turn evil into good fortune again and again, which is really powerful.

It's not the kind of nest that is powerful, it's powerful in every sense.

There is no shame in losing to the strong.

What is a shame is a person who refuses to admit his own shortcomings, is self-contained, and is unwilling to progress.

Therefore, in the process of Zhang Tianyang putting cerebrospinal fluid on the old lady, Lin Ke'an, who had been staring at him, gradually became firm.

"Zhang Tianyang. ”

"How?"

"Can I ask you a few questions?"

Lin Ke'an changed his previous quiet appearance.

A pair of eyes stared at Zhang Tianyang as if he had pressed a searchlight, and the shyness that he had at noon was no longer visible at all.

All kinds of questions came out of his mouth like a cannon.

"I think you seem to have chosen a bit higher than the usual position for your waist wear? Why?"

"Can I withdraw the needle core immediately after I feel like I am disappointed, or do I want to continue to push it in a little bit?"

"I know that sometimes operant injuries can also make the color of cerebrospinal fluid red, so how can I tell if it's a subarachnoid hemorrhage or an operant injury?"

......

I have to say that Lin Ke'an's problems are very level compared to other interns.

She wasn't asking the kind of questions that you could look up in a textbook.

It's more about clinical experience and specific procedures.

There are many questions that I can't really answer without a certain amount of experience.

So Zhang Tianyang couldn't simply tell her, "You can check the XX textbook for this question." ”

Instead, I had to explain it to her in detail.

Zhang Tianyang originally wanted to take advantage of the injection water to inject into the old lady's body, and then wait for the time of mixing, so that he could enter the system space to learn something.

Now it's all in the soup.

In a trance, he suddenly remembered that when he had just entered the nephrology department, Senior Sister Liang looked cold and ignored.

He suddenly understood Senior Sister Liang.

After all, the level is different, and the questions asked by the other party think they are common sense, but the other party just doesn't understand, and you have to be patient to explain......

When he looks at Lin Ke'an now, it may be the way Senior Sister Liang looked at him at the beginning, right?

When you think about it this way, you seem to be at a loss, huh?

Zhang Tianyang suddenly missed Lin Ke'an, who was still shy at noon.

The Lin Ke'an who wanted to catch up with him, but was afraid that he would find out that she was secretly learning her knowledge.

It's a bit of a bull's horn, but it's quiet!

It's like now, as if the shameless switch was suddenly turned on......

Thinking about it, Zhang Tianyang suddenly said something in the middle of her question.

"Do you want to make a deal?"

"Huh?"

Lin Ke'an was stunned.

Zhang Tianyang, who felt that he had suffered a loss, looked at this small problem bank very seriously.

"Otherwise, in the future, I can always help you answer your questions, but at the same time, you have to be my assistant.

What do you think?"

He came up with the idea after much deliberation.

After all, Lin Ke'an, a non-nerdy scholar, will inevitably have a lot of questions after clinical practice, in case she gets entangled with herself, even if it is for the sake of Xiao Lin Lin's face, she will have to answer no matter what.

It's better to think of it as a deal.

Anyway, his status as an intern often makes him have to do everything by himself many times.

This includes, but is not limited to, asking medical history, writing medical records, prescribing medical orders, communicating with patients, doing various operations, and so on.

After all, they always treat senior doctors as assistants, and they don't care about them once or twice, but what about after more times?

When he was in the emergency department last night, he had a cooperation with Lin Ke'an.

The effect feels pretty good.

Since this girl has a tendency to gradually develop in the direction of 100,000 whys, it is logical for him to propose a fair deal, wouldn't it be the best of both worlds?

In the future, he will be responsible for answering Lin Ke'an's questions, and there will be a system to answer those who can't answer.

Then Lin Ke'an was responsible for helping him solve some things that he could do without having to do anything, such as writing medical records, such as signing consent forms.

Perfect!

Lin Ke'an looked at Zhang Tianyang in a daze, is there still this kind of operation?

But after thinking about it, it seems to be good?

"I think so!"

"So that's it?"

"It's a deal!"

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Stealing incense