"Come on, come on, round the room!"

The attending doctor went and returned, standing in the middle of Area A and greeting.

Director Song was the first to come over and help call people.

Soon, the white coats scattered to all corners of the ICU ward reunited.

Although I have just experienced the devastation of computer rounds, the mental adjustment ability of each white coat is still very good.

Isn't it just being scolded by a senior doctor!

What a normal thing!

Who hasn't been scolded 180 times in clinical practice?

Besides, although it's uncomfortable to be scolded, it's also tiring to scold!

I've been scolding for an hour and a half, and I shouldn't be tossing anymore in the future.

With such a thought, the expressions on the faces of each white coat were quite relaxed.

They were also relieved by the performance of the attending doctor.

Maybe he was tired of scolding just now, but the attending doctor was bored and didn't like to talk much.

Three residents followed, slightly strangely.

Today, there is a new intern, according to the previous personality of his own director, he should give a lecture during the ward rounds.

The three eyes fell on Zhang Tianyang's body on the periphery, and then turned around on Lin Ke'an's body, and finally retracted it.

It's weird.

The other white coats were happy.

Except for the doctor in charge of the bed who introduced the condition at the bedside, reported the latest data, and recorded the physical examination, the rest of the white coats hid at the end of the bed, surrounded a circle of the boss, and kept quiet.

For fear of breaking such a calm and attracting the attention of the attending doctor.

Zhang Tianyang still occupies the back, but his eyes are good, and he can still see the movements of the attending doctor.

The first patient is a little yellow chicken man with an unloveable face.

In the ICU ward of the neurology department, he lost even the protection of the last little yellow chicken.

Connected to a ventilator on top, with a urinary tube and a fecal bag below, he was lying naked on the bed, and his body was covered by the nurse with a bedding.

The last wave of nurses had just "turned over" him and "massager massage" to prevent bedsores.

"Manipulative muscle activity" to prevent muscle atrophy.

and operations such as "changing urine bags" and "fecal bags".

Now, the attending doctor began to get his hands on him again, groping and touching him, listening and knocking.

From time to time, I also asked, "Do you feel it", "Does it hurt", "Move", "Move that way".

There was also a white coat around him, staring intently.

The little yellow chicken and the big man have nothing to love, so he rolls his eyes.

"It's okay, continue to use the current medicine, observe for another two days, and see if the intubation can be removed." ”

The attending doctor gave a relatively optimistic judgment.

"I just saw the emergency treatment, thanks to the lumbar puncture results and administration over there, it was very timely. ”

The attending doctor said as his eyes wandered, and he found Zhang Tianyang in the crowd and looked at him twice.

That's what happens in the emergency department.

Around the white coats, they looked at the attending doctor who obviously meant something, and then looked at Zhang Tianyang, who was full of modestty.

Then the eyes look at the nose, the nose looks at the heart, and does not express an opinion.

The treatment of the emergency department has always been in the mouth of the attending doctor with only one word, "pit"!

Before that, when did he boast about the emergency department!

This is obviously exaggerating the skyyang!

Can't be provoked, can't be provoked!

......

Zhang Tianyang also remained silent, but his steps were staggered, and when the attending doctor walked to the second hospital bed and was about to start, he quietly stopped him.

"What's wrong?"

The attending doctor raised an eyebrow.

"Teacher, I think I might need to ask for a psychiatric consultation for the patient in the bed just now. ”

Zhang Tianyang controlled his voice and didn't let the little yellow chicken man on the opposite bed hear it.

"He did a striptease in the emergency department last night, his classmates saw it, and today he didn't look right in his mood either. ”

The attending doctor glanced back.

The little yellow chicken man was looking up at the sky at this time, and there was a suspicious light flashing in his eyes.

"It's really necessary. ”

The attending doctor nodded, and then in the blink of an eye, he assigned the task to Senior Brother Guipei, who was in charge of the bed.

"Did you hear what Xiao Zhang said just now? Go and ask for a psychiatric consultation, and make a phone call to trouble the doctor over there to come and have a look. ”

People hide behind the crowd, and pots come from the sky.

Senior Brother Gui Pei felt a grievance in his heart, but nodded with a smile on his face, "Okay." ”

"If you don't understand anything, just ask Xiao Zhang. ”

Senior Brother Gui Pei was stunned, smiling on the surface, and tears flowed down his heart.

"Okay!"

......

Zhang Tianyang successfully retired and walked to the end of the crowd again.

The attending physician also continued to perform the physical examination.

Zhang Tianyang watched from behind.

It's really a full set of neurological exams.

The patients in Zone A are mostly awake, some can speak, some cannot speak.

Therefore, the scope of the physical examination also includes superficial sensation, deep sensation, muscle strength, muscle tone, and various neurological signs including Babinski's sign, Hoffman's sign, etc.

Many patients in Zone B are in a coma, so there is no way to do tests such as shallow sensation, deep sensation, muscle strength, etc.

However, the attending doctor still meticulously completed the rest of the physical examination.

Zhang Tianyang looked at it seriously and nodded secretly.

Sure enough, they all said that the neurology department of Dongfang Hospital was amazing.

In addition to the powerful theoretical system, it is enough to look at the detail that the attending doctor personally did all the physical examinations.

Although the other departments that Zhang Tianyang rotated to before also had physical examinations, they were often checked once on the first day of admission, and the second physical examination may be when he was discharged.

It is also at the time of infecting internal medicine, because it depends on the increase or decrease of ascites, and there may be several more mobile dullness.

But looking at the posture of the neurology ward round, as well as the unsurprising looks on the faces of other white coats, this full set of physical examinations is estimated to be done every day.

Maybe it'll be done several times a day.

Zhang Tianyang squinted at the attending doctor who did it himself.

He had just finished his work at the fifth bed, put away his special stethoscope, took off his old film gloves and put them on new ones.

With Zhang Tianyang's eyes, you can easily see the tiny beads of sweat oozing from his forehead.

For the sixth bed patient, the attending doctor is still serious.

stared at him for a while, Zhang Tianyang silently praised him in his heart.

......

If the hospital is like a small society, looking at patients and family members, you can see a kind of rice raising thousands of people.

The ICU ward of neurology is more like a slum full of despair.

Poverty is scarce in life, and despair is hopeless in healing.

Here, death is the norm.

Sometimes when a new patient is found lying on a familiar bed number, the attending doctor will subconsciously ask, "Where is the old lady and old man here?"

Occasionally, I would get a reply that I had been transferred to the next door, that I had been transferred to an outside general ward, or that I had been transferred to a lower level hospital.

But more often than not, the answers are "I didn't survive last night", "the family gave up", and "I was sent home".

The white coats present, except for Zhang Tianyang and Lin Ke'an, the two interns, are all qualified to be trained upward.

This means that they have been in the clinic for at least more than a year.

is used to seeing life and death, and has no extra time and energy to lament sadly.

In the face of the result that everyone knows, I can only sigh and continue to focus on the next patient's condition.

The dead are gone, and the living still need their efforts.

After checking all the way, Zhang Tianyang saw many positive signs that could not be detected in normal people.

also silently remembered the three patients in the hands of Director Song with him.

An old man, an old lady, and a young male in his twenties.

Minutes and seconds passed, and at 11:20 a.m., the large army finally found Area D.

Rounds are coming to an end!

Victory is at hand!

Many white coats have anxiety on their faces facing the dawn.

Zhang Tianyang followed behind everyone, quietly put on gloves on the patients he was interested in, and did a few more physical examinations by himself, and personally felt this kind of sign that could not be seen outside.

When I took off my gloves, I looked up to see that both handwashing stations in the DE area were occupied by nurses.

Glancing at the attending doctor who was still surrounded by many white coats, Zhang Tianyang hesitated for a second, and then walked back.

Passing through a door, the sink in Section C is empty.

After cleaning up with the seven-step handwashing method, Zhang Tianyang did not forget to draw a sterile paper towel to wipe the water stains.

"Didi"

"Didi!"

"Didi!!"

The sound in his ears that gradually changed from steady to rapid made his movements pause.

His eyes quickly scanned in the direction from which the voice came.

Soon, my eyes fixed on the monitor next to the bed of the 76-bed old lady in the B area next to the next door.

My heart tightened suddenly.

In the next second, he quickly threw himself towards the old lady's hospital bed.

At the same time, he yelled in the direction of the group of white coats.

"Someone's coming! Something happened to the old lady in bed 76!"

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