"The patient fainted without muscle rigidity, without tongue bites, and woke up on his own after fainting for 10 seconds.

Look at this hemoglobin again, it's probably because of anemia!"

Senior Sister Chen agreed with Zhang Tianyang's judgment.

I consulted Senior Brother He, and he also agreed with the judgment that "anemia causes transient syncope".

"You can apply for blood from the blood transfusion department first, the results on my side have not come out yet, maybe the patient will be discharged from the hospital automatically. You have two consent forms ready. ”

The background on Senior Brother He's phone was noisy, and he could vaguely hear the shouts of the young man who had made trouble before.

It looks like it's going to be a while before things are resolved.

......

Senior Brother He was responsible for solving this matter, leaving Senior Sister Chen and Zhang Tianyang to make rounds.

The bed of patients who went out and didn't return is still out and hasn't returned, and the good news is that the phone call is through.

He said he was rushing to the hospital.

The two went to see Senior Sister Chen's 51 bed first.

Bed 51 was a young man who looked to be in his twenties and thirties, with dull skin, sunken eyes, a thin body, and a very unenergetic look.

"Doctor, the doctor is here. ”

The young man in bed 51 saw the two white coats at the door at a glance and pulled the clothes of his family members.

There are two family members, namely the young man's brother and sister.

At this time, he quickly sat up from the bed and made way for the two white coats.

Zhang Tianyang's eyes swept across the faces of the three of them, and he felt that something was wrong.

The eyebrows and eyes of the three people are indeed somewhat similar, and the brothers and sisters are all very normal, with normal faces and normal figures.

But the corners of the 51-bed young man's mouth are slightly crooked, his eyes are focused, and he looks a little ...... Silly.

"You had a fever last night, how many degrees did it get?"

Senior Sister Chen began to ask about the situation last night, and the young man with the 51st bed was indeed a little sluggish.

He opened his mouth wide, ahhhhh

"Does it hurt when you have a fever, does it hurt in your muscles?"

"Ahh ”

Zhang Tianyang looked at it for a while and sighed silently.

Taking advantage of Senior Sister Chen's consultation, he lifted the clothes of the young man in bed 51 and gave him a physical examination.

The two family members stood by with worried faces, and the 51-bed young man sometimes couldn't answer, so they hurriedly added.

"Doctor, my brother has been suffering from a fever for a long time, a month or two. ”

"Yes, every time it burns in the middle of the night, he will cover a lot of quilts, but it is still cold, and he will break out in a cold sweat. ”

"You have to take Motrin, that's how it was yesterday, the doctor let us give him Motrin, and the temperature dropped......"

The two white coats glanced at each other, and Zhang Tianyang spoke, "Go out and talk." ”

Avoiding the patient himself, the two family members stood across from the white coat with worried expressions.

"Doctor, what the hell is my brother ......"

Zhang Tianyang thought about it and summarized the patient's information.

"The patient was emaciated, and according to his medical history, he lost more than 20 pounds in half a year.

Ecchymosis at the lower end of the left anterior chest, a sunken abdomen, palpable spleen, and mild edema of both lower extremities.

The blood routine showed a decrease in the trilineage, and the hypoalbuminemia was ......"

He paused, looked at Senior Sister Chen, "Consider...... Blood diseases?"

Chen Shishi nodded, "Yes, I think so too." ”

"What blood disease?"

The family's expressions were a little flustered, but they quickly adjusted, and looked at the two white coats with anticipation and a little request.

But Senior Sister Chen's words directly broke such a gaze.

"Now consider that the patient may have a blood disease, in layman's terms, that is, blood cancer. ”

There was a long silence between the two men, who looked at each other and seemed to make eye contact.

Senior Sister Chen and Zhang Tianyang are also very patient, and the condition must be told to their families, but they also have to give them time to accept it.

For about half a minute, the male family members blocked the female family members behind them, and cautiously asked Zhang Tianyang, who seemed to be more reliable.

"Doctor, that, I don't understand, what kind of blood disease are you talking about, is it leukemia?"

"Leukemia is a type of blood system disease, but your brother is not necessarily this kind of disease, because there are hundreds of blood system diseases.

It is necessary to go through a series of tests to confirm the diagnosis. ”

"This, that'......"

The family was a little hesitant, Zhang Tianyang couldn't bear it, and comforted him.

"In fact, there are malignant and benign blood diseases, if you are lucky, it is M3, you may be cured within 100,000 yuan.

It has not yet been confirmed which one it is, so don't be too pessimistic.

Today we're going to do a bone piercing for him and contact the hematology department.

You'd better be financially prepared, at least 100,000. ”

The female family member was emotional for a moment, but was held down by the male family member.

"I'm sorry, my sister is a little excited. ”

The male family tried their best to squeeze out a smile, "Doctor, do whatever you need to do and use whatever medicine you want, as long as you can cure my brother." ”

This reaction made Zhang Tianyang can't help but look at the clothes and shoes they are wearing, and then his heart is clear.

"We won't do it if we don't have the necessary checks, and we'll try to choose a more cost-effective option. ”

"Thank you, doctor, thank you!"

Zhang Tianyang followed Senior Sister Chen upstairs, ready to check the next bed.

Behind him, two family members argued.

"100,000! That's 100,000! And you agreed?"

"What if you don't agree?

"But so much money, can we take it out! All these years......

The sound faded away.

Zhang Tianyang looked up at the senior sister who was walking in front, she walked and walked, and suddenly paused.

Looking back and looking in the direction where the family had left, Senior Sister Chen had an inexplicable emotion in her eyes.

"Senior Sister ......"

Chen Shishi's gaze swept over Zhang Tianyang's face, turned her head neatly, and walked up directly.

Zhang Tianyang was stunned for a moment and hurriedly followed.

......

82 beds routine fever.

Patients and families are more calm than doctors.

"It's been like this lately! I also have a fever at home and drink Motrin here, and here I have a fever and drink Motrin, the same!

By the way, doctor, please prescribe an extra bottle of Merrill Lynch, we're done drinking our own!"

The family members crackled and said, and they couldn't laugh or cry what Zhang Tianyang said.

"If the temperature does not exceed 39.0 degrees Celsius, try not to drink Motrin.

In addition, yesterday's blood test was found to be high in infection indicators, and there were more than 4,600 white blood cells in the ascites, which confirmed that it was infected.

Today I will give you antibiotics and an injection. ”

"Injections, okay, okay, I'll listen to you. ”

The old man of bed 82 was very cooperative, smiled in response, and then pointed to his stomach.

"Doctor, I put ascites yesterday, my stomach is not so swollen, and it is much more comfortable!"

"It's comfortable, isn't it? ”

The patient was happy, Zhang Tianyang was also happy, and knocked on the patient's stomach and found that there was still a lot of ascites in it.

"I'll put you in ascites later, and then I'll wait for the nurse to come and give you an injection." ”

"Okay, thank you, doctor!"

After bidding farewell to bed 82 and returning to the doctor's office, Zhang Tianyang cautiously poked Senior Sister Chen's shoulder.

"Senior sister, are you angry?"

After watching the 51-bed young man, Senior Sister Chen didn't say a word, and when her eyes met Zhang Tianyang, she didn't forget to face Zhang Tianyang with the back of her head.

"Humph!"

Chen Shishi snorted coldly, turned her head and ignored him.

Zhang Tianyang moved the stool to the other side, "Senior sister, what did you encounter that made me happy?"

"Humph!"

Chen Shishi snorted coldly again, operated on the computer by herself, and gave medical advice to her patients.

Zhang Tianyang looked at the back of her head, sighed at her sister's thick hair, and then calmed down and learned from the pain.

Although I don't know how to provoke my senior sister, it's always right to fulfill her wishes.

He thought for a moment and pretended to be unconscious flipping the paper in his hand.

"Alas, my sister ignored me.

Originally, I thought that my sister was a girl and couldn't be too tired.

I want to take all kinds of treatment operations for my sister's patients on my own.

It's a pity......"

Chen Shishi quickly turned around and forcibly hooked Zhang Tianyang's hand hanging in the air.

"Deal!"

Seeing a flower bloom on Chen Shishi's face at a speed visible to the naked eye, Zhang Tianyang was helpless.

"Senior sister, you're too real!

But why are you angry?"

"I ......"

As soon as Chen Shishi spoke, she was interrupted by the nurse who pushed the door open.

"Is the 59-bed tube bed doctor here?"

"Yes, what's wrong. ”

Zhang Tianyang answered for Senior Sister Chen, and saw a flash of impatience on the face of the nurse.

"Bed 59 is back, it's been urging all morning, and it's finally back, so go and see it!

"What's going on?"

The two of them didn't care about whether they were angry or not, so they hurriedly took paper and pen and rushed to the 59-bed ward.

"Good morning, old man!"

"It's early, it's noon! You're comfortable, you ran home in the middle of the night, and I'll see how the doctor will scold you when he comes!"

"Hey, hey. ”

The 59 and 58 beds are double rooms, and two people live in one room.

At that time, considering that the two old men were both alcoholic cirrhosis and were of similar age, and asked to live together, they were assigned a ward.

At this time, the two old men, one in civilian clothes and the other in a hospital gown, greeted each other.

The 59-bed old man's hospital bed was surrounded by four or five family members, who looked like sons and daughters.

Zhang Tianyang and Chen Shishi wasted a lot of strength before squeezing in.

There was a subtle smell in the air.

Zhang Tianyang sniffed, and his face changed.

"Family, which of you has been drinking?"

"No, 59 beds, you've been drinking??!"

————————

There was something going on, and I didn't get home until ten o'clock to start coding words.

Let me tell you something...... Your dear author may probably be paralyzed (•̥́ˍ•̀ू)

After I came home last night, I felt numb, and now in addition to my face, the top of my head and the back of my head don't feel like mine......

Hand: Dear face, I'm touching you.

Face: I'm sorry, I don't feel it.

Huh