At 4:20, Zhang Tianyang changed into a white coat and appeared in the ICU ward of the Department of Neurology.

is different from the appearance of Xiao Transparent when he first came, and now he is a famous figure in the ICU.

Walking all the way from the lounge, the oncoming white coat will greet him politely.

There were also several people who wanted to ask questions with small notebooks, but Lin Ke'an, who hurriedly followed, stepped in and glared away with their eyes.

Seeing Lin Ke'an driving away the other white coats fiercely, and then changing to a pitiful expression in the next second, Zhang Tianyang was also helpless when he looked at him.

"If you want to ask anything, ask. ”

"That's it, I didn't understand too much about the questions the director asked you in the morning......

After a brief explanation, Song Changkong also walked over.

"The vital signs of bed 76 are very good, the cerebrospinal fluid test results are out in the morning, you can see, it is much better than before. ”

"The other two beds were nothing special. ”

After briefly explaining the three-bed patient under his hand, Song Changkong naturally mentioned Zhang Tianyang's new patient.

"The previous patient of the bed you were about to take has already gone out, and the phone has been called, and your patient is on his way. ”

"Huh, on the way?"

Zhang Tianyang keenly captured the key words.

"Aren't new patients coming in from the emergency department?"

There are two main sources of new patients in neurology.

One is the neurology outpatient clinic, where the professors will assess the patient's condition and the availability of the hospital bed in their own hands, and arrange for the patient to be admitted as appropriate.

The other is to be transferred directly from the emergency department.

When Zhang Tianyang was rotating in the emergency room, there were not ten but eight patients in the neurology ward a week.

The neurology ICU is a little more special.

Most of the patients here are admitted from the emergency department, but there are also patients from the general ward who are transferred after they become more serious.

It is rare to encounter patients admitted to outpatient clinics.

Often, a patient is sent in as soon as there is a patient, and it is rare for the patient to be notified of which day to come, as other departments do.

Therefore, the words "on the way" will not appear.

"Your new patient is transferred from a lower-level hospital. ”

Song Changkong was not irritable, and explained to Zhang Tianyang carefully.

"This patient is an old patient, and he has been going back and forth several times in our ICU and the ICU ward of the neurology department of Yanling Hospital, and this time he was sent directly from the ward over there. ”

"Oh. ”

Zhang Tianyang nodded, indicating that he understood.

"Well, the people haven't come yet, and the information hasn't been pulled in.

In this way, I'll look through your previous medical records, she should have a record in our system. ”

Suspecting that the oral introduction was not comprehensive, Song Changkong simply found a computer, logged in to the doctor's workstation, and directly searched for the previous records of the new patient.

Soon, three lists of hospitalizations came into view.

"This is the record of her coming to our hospital three times before, you can take a look at it first. ”

"If nothing else, the patient will arrive in about an hour, and it should be in Area A by then. ”

Zhang Tianyang nodded, and at the same time had a rough assessment in his heart.

Among the five wards of ABCDE in the entire ICU ward, zone B is the heaviest, zone C has drug-resistant bacteria, and zone A is the third most serious area.

The condition should be much milder than that of the old lady with a 76-bed bed.

He stopped talking, starting with the first list, clicking on the patient's past medical records.

Dense records of the course of the disease, various consent forms, and various operation records are presented in front of you.

Zhang Tianyang looked at the ten lines at a glance, and only when he saw the important turning point did he go back and look at it carefully, and after reading all three lists once, he went back and looked at it again from the very beginning of the record.

Song Changkong stood beside him, looking at the way he was familiar with the patient's condition, and nodded silently in his heart.

At this time, Zhang Tianyang had already sorted out a rough idea in his heart.

The patient, Li Qianmin, is a middle-aged woman and 49 years old.

Three months ago, the patient underwent uterine curettage surgery at a local hospital due to irregular uterine bleeding after menopause, and suddenly had respiratory and cardiac arrest after the operation.

Breathing and heartbeat are restored after cardiopulmonary resuscitation.

But the patient has since fallen into a coma.

On the third day of the accident, the patient was transferred from the local hospital to the Oriental Hospital and admitted to the ICU ward of the neurology department.

This is her first admission record.

The diagnosis recorded in the system is "ischemic-hypoxic encephalopathy".

The doctor here gave hyperbaric oxygen therapy and symptomatic treatment.

The patient was hospitalized in the ICU ward of the neurology department of the East Hospital for a full month.

When he was transferred to the hospital, he was awake, but his body could not move.

In the next two months, the patient went back and forth between Dongfang Hospital and Yanling Hospital two or three times.

When I came to Dongfang Hospital for the third time, there was an extra "falling pneumonia" in the diagnosis.

The last time I was transferred out, the physical examination in the summary showed that the patient was able to do some light activities.

"Overall, the patient's condition is improving. ”

After reading the three-point hospitalization medical records, Zhang Tianyang made a summary, and also raised his own questions.

"It stands to reason that it's okay to keep the supportive care, so why do you want to turn back this time?"

"I don't know. ”

Song Changkong said that he couldn't help, "When the doctor over there sends him over, let's go and hand it over together." ”

"Well, it's time to ask. ”

Zhang Tianyang nodded, and then asked casually.

"What about her family? Are you here? The family should know about her condition, right? I'm going to ask?"

The words fell, and there was silence next to him.

Zhang Tianyang turned his head a little strangely, and found that Song Changkong's face next to him was a little complicated.

"What's wrong?"

"This patient, her family didn't come. ”

"The family didn't come?"

The brow gradually twisted.

Zhang Tianyang subconsciously felt that something was not right.

Although family members are not allowed in the ICU ward, there are fixed visiting hours every day.

Many family members may not be able to find anyone on a regular basis, but they will always be at the door when they visit every day.

Even if I'm really busy, I'll come every once in a while.

For something as big as a hospital transfer, family members must be eager to stay with the patient at all times.

But the patient's family didn't come?

"Is it temporary?"

Song Changkong paused.

"It's not temporary, well, it should be a regular thing. ”

“？？？”

"It's a bit complicated to say. ”

Song Changkong had already written the word "complicated" on his face.

"This patient is a middle-aged woman who has a husband and a son.

Her husband is about the same age as her, and her son is already in college.

But she was hospitalized three times back and forth at the Oriental Hospital, and the doctors and nurses here barely saw them. ”

Zhang Tianyang opened his mouth.

Judging from the medical records, the cumulative length of hospitalization of this patient in Dongfang Hospital was at least one and a half months.

For such a long time, didn't the family show up a few times?

That's a bit too much!

Song Changkong shook his head and didn't say much.

Zhang Tianyang was also a little helpless.

I thought of the old lady in bed 76, who helped her copy a lot of A4 paper, and the middle-aged man who held a mobile phone to talk to the young man in bed 78.

I feel even more helpless.

He was about to open his mouth and continue asking, "What ......?"

"Bang!"

A loud bang interrupted him.

The door next to the ICU room was rarely pushed open roughly.

The attending doctor flashed in hurriedly.

"Who is that! The bed in Zone A hasn't come yet!"

Before Zhang Tianyang could react, Song Changkong, who was next to him with the skill of "Welcoming the Call of Senior Doctors", had already rushed out.

"Ah, here it is! The patient hasn't come yet. ”

"If you don't come, let her not come yet!".

The attending doctor has an anxious temperament.

"Is the hospital bed ready? There is a patient temporarily transferred to the emergency department, quickly clean it up!"