"What is this?"

The momentum of the woman in red was shaken, and she looked at the handwriting on the A4 paper.

"What do you mean?"

It seemed that Zhang Tianyang didn't expect Zhang Tianyang to hand over this thing at all, and the woman in red was a little stunned for a while, and vaguely had a tendency to want to explode.

Zhang Tianyang is calm and calm.

"The current situation is that I, my senior sister, and Professor Liu, who just called my senior sister, agreed that the patient now needs to have bedside CRRT.

However, you, as a family member, refused our treatment.

So, if you don't want us to treat your father, you bookmark this consent.

It's up to you whether you want to give up treatment or take your father to another hospital.

What do you think?"

"I didn't say I would give up treatment!"

The woman in red panicked a little.

The starting point of her habitual questioning is also to get the correct treatment for her father, and now when she heard Zhang Tianyang's meaning, it seemed that they were dying, so she quickly explained.

"I mean, you don't have to ...... dialysis?"

"We think it's necessary!"

"But it's all said on the Internet......"

Zhang Tianyang directly and firmly interrupted her words.

"Again, it's necessary!

The senior sister next to me has more than five years of medical experience in nephrology.

Professor Liu, who has just called his sister to ask for instructions, has been working in the Department of Nephrology for more than 30 years.

Even I have spent at least five years studying medicine.

Do you think that in the medical field, our combined judgments are not as good as the results you get from searching on Du Niang for half an hour?"

The woman in red opened her mouth, "But the doctor at Chongshan Hospital also said ......"

"Did you give us a chance to explain? Are you so sure that our reasons must be in conflict with the doctors at Okiyama Hospital?"

The woman in red was interrupted and irritable, but Zhang Tianyang was justified and well-founded, and her momentum was not weak.

Her face was full of unwillingness, she clasped her arms with her hands, and hummed dissatisfiedly, "Then you say." ”

"First of all, according to the results of your father's most recent kidney function test, the creatinine level is elevated, but it does not meet the criteria for kidney failure.

Your father needs bedside CRRT, or bedside continuous renal replacement therapy, not because of kidney failure, but because of edema of his lower extremities.

As you can see, he is not only uncomfortable, but also has the risk of aggravating the heart and causing secondary symptoms, so it is necessary to deal with it. ”

Zhang Tianyang observed the face of the woman in red, and felt that his passive attribute of "reliable +1" was taking effect.

"There are generally three types of treatment for lower extremity edema, diuretics, albumin transfusions, and hemofiltration.

Considering that your father's edema is severe, we recommend the latter two-pronged approach. ”

He lowered his voice a little, and his face was still full of "professional".

"Let me explain to you the bedside CRRT again.

Its main function is to remove excess water, metabolic wastes, toxins from the blood, and correct water and electrolyte imbalances.

At the same time, transfusion of human albumin can correct hypoproteinemia, increase the protein content in the blood, increase osmotic pressure, and allow water in the interstitial space to return to the circulatory system.

In this way, your father's edema is quickly relieved.

Therefore, these two treatments are symptomatic and necessary.

Do you understand what I'm saying?"

Zhang Tianyang pressed down the professional terms, and the woman in red listened to it with half understanding, and wanted to refute it, but she didn't know where to refute it.

Seeing this, Zhang Tianyang switched to the Huairou policy.

"Don't worry, your father's leg looks scary, but it will ease quickly when it is treated. We've dealt with a lot of more serious situations than that. ”

"That's it, I testify. The 40-bed eldest brother who had eaten melons for a long time couldn't help but help beside him.

"When I came here yesterday, it was much worse than that, and my brain was dizzy at that time, and he also treated me.

You see, how energetic I am now!"

The 40-bed brother added drama to himself, and deliberately stood up and took a turn, but unfortunately the data cable connected to the monitor on his body did not give him face.

He turned back on his own and persuaded him bitterly.

"Big sister, this is a hospital, you have to trust the doctor when you come. How can we still be more professional than doctors?

Just listen to the doctor!"

A living example is that the attitude of the woman in red gradually softened.

"Well, well, I'll sign it. ”

She reached out to get the stack of consent forms in Zhang Tianyang's hand, but she was empty.

"You can't sign it. ”

Zhang Tianyang pulled back along with the "Consent Form for Refusal of Treatment" in her hand, and leaned on one side between her and Uncle 41.

"The patient is sober and can only sign by himself, and it is useless for you to sign. ”

"I just explained to you, just because you have the right to know. ”

As he spoke, he faced the 41st bed lying on the bed, and his expression eased significantly, "Uncle, is it okay to sign a consent form?"

The woman in red who was secretly stunned was in a disorder for a while, but she didn't take advantage of it, so she could only snort coldly, and used the excuse to go out to breathe to avoid embarrassment.

The 41-bed uncle looked a little guilty.

"I'm sorry, doctor, but my daughter is spoiled and doesn't have a good temper.

I'm old, I can't talk about her, I'm sorry to cause you trouble!"

The patient's attitude is good, and Zhang Tianyang's attitude is of course good, smiling and drawing on the paper.

"Come on, just sign here. ”

Soon, the consent forms were collected.

When he left the ward, Zhang Tianyang saw the woman in red looking at the sky outside the door of the ward.

He stopped.

By the way, next time you really want to know about medicine, it will be more reliable to look up relevant papers.

Foreign literature, especially articles with high SCI scores, are also more credible.

You can also look for professional guidelines for diagnosis and treatment.

As for the things on Du Niang, just take a look at it, don't take it seriously, so as not to delay the patient's treatment. ”

The woman in red stared at Zhang Tianyang and paused for two seconds, "Okay, thank you for the advice." ”

Although it seems to be a kind inform, but I feel despised for what's going on!

It's so angry!

Senior Sister Liang witnessed Zhang Tianyang's performance throughout the whole process, and her mood gradually changed from being angry with her family members to inexplicably happy and relieved.

Following Zhang Tianyang back to the doctor's office, she couldn't help but speak.

"Senior brother, well done! Such a family member should be sent back!"

"Also, how did you come up with the idea of typing the consent form for refusal of treatment? I see that the family's faces changed when you handed it over!"

Zhang Tianyang just accepted the thumbs of the little nurse next to him and turned his head, "Just be prepared." ”

But then, his face turned serious.

"Senior sister, the matter is not over yet. ”

Senior Sister Liang was stunned.

"I just looked at the patient's neck and groin and he doesn't have deep venous access!

If you have CRRT at the bedside, the teacher downstairs probably won't come up to do a jugular catheter for him. ”

Zhang Tianyang turned his head to look at Senior Sister Liang while calling up the medical records of 41 beds on the computer, quickly filling out the "Consent Form for Internal Jugular Vein Catheterization" and printing it.

"Are you coming, or am I coming?"