"I just want you to call me Master. ”

"What are you thinking? ”

Is he that kind of person?

Zhang Tianyang raised his face, waved his hand, and followed the ward round.

Jokes are jokes, but in the process of taking Lin Ke'an to do a waist piercing, he did feel a little bit of being a teacher.

It's a bit of a novelty.

After all, it's a new experience in life.

......

Wednesday's ward rounds, the atmosphere was unexpectedly harmonious.

There are no more bells and whistles such as any problems and difficulties, and the whole process is very calm, which makes the little doctors who are not ready feel a little at ease.

The five patients directly and indirectly managed by Zhang Tianyang are all in stable condition.

The old lady with 76 beds has just finished doing a lumbar puncture, the effect is very good, Zhang Tianyang asked the attending doctor for the opinion of the attending doctor during the ward round, and decided to observe for another day, and officially remove the old lady's intracranial drainage tube tomorrow.

While the attending doctor went to check on the next bed, Zhang Tianyang and Song Changkong called the fans to assign tasks.

"Tomorrow's waist wear will still be done by Lin Ke'an, and I will watch from the side. ”

"Senior brother, please call the neurosurgery department later, we can't pull out this drain, we have to pull out the doctors who did their surgery. ”

"Teacher Song, what do you think ......?"

"I think it's very good, I'll write the medical records. ”

As soon as this fatal tube for curing the disease is pulled, the old lady's follow-up condition should be stable.

It can be regarded as giving an explanation to the uncle who looked forward to it day and night outside the ward, and copied several copies of A4 paper.

When we talked in the morning, the uncle had already begun to copy and write outside.

I don't know if I'm still there, but if I sit down and rest for a while.

......

The 78-bed young male is still in a coma, with vigorous saliva production and periodic tremors all over his body.

However, judging from the results of lumbar puncture and the latest blood test results, the infection is clearly under control.

The attending doctors, Song Changkong, and Zhang Tianyang discussed at the bedside.

In the end, it was decided to use the treatment regimen of Meiping Wangu for another two days, and after two days, if the infection indicators did not rebound, it would be downgraded and a weaker drug would be used.

Of course, before the hospital bed, I was instructed again that enteral nutrition preparations must be replaced in time.

Zhang Tianyang didn't handle this patient much.

It's just that I once had an idea and noticed a possible source of infection.

He was very happy to see the patient's condition improve.

"How many days has he been with us?"

The attending doctor also sighed a little.

Compared with Zhang Tianyang, who has just been here for three days, he has been "getting along" with this patient for more than a month, and he touches the patient's whole body every day during ward rounds......

What's the matter, it's a little emotional!

"The patient came on the 8th of last month. ”

Song Changkong seriously answered the questions casually asked by the attending doctor, while recording the treatment plan discussed by the attending doctor and Zhang Tianyang in his notebook.

The attending doctor sighed, "Hey, it's been so long. I feel like the patient has lost a lot of weight. ”

"That's not it, come to our ward to sleep for a month or two, and you can lose weight. ”

The head nurse who passed by casually replied, echoing and laughing.

The attending doctor seems to be in a good mood now, and after the physical examination, he specially opened the tattoo of the 78-bed young man and took a look.

"If you look at this tattoo, you can't tell what it is, but this word, when the patient first came, it looked like a 'little green', and now it can be seen that it is a 'love'. ”

The white coat, which was closer, couldn't hold back its curiosity, and poked its head on tiptoe to take a look.

It's true!

Although the word "love" still looks a little fatter, it can finally see the shape.

As the white coats looked at each other, the front of the hospital bed was suddenly filled with a cheerful atmosphere.

Zhang Tianyang subconsciously turned his head and glanced in the direction of the window.

Thick curtains block the glass from the inside and also separate the ICU ward from the outside world.

But he knew that every afternoon, after the curtain was opened, there would be a middle-aged man who looked a little vicissitudes and sloppy standing there.

Hurry up.

......

The 80-bed uncle still shook his head from side to side from time to time and insisted on what he considered to be "rehabilitation exercises".

The attending doctor will say every day during his ward rounds, "Shaking your head will not really help you recover."

But the uncle still goes his own way.

The doctors and nurses who come and go are also used to it.

His condition is also improving, and during the physical examination today, it was found that his right hand can be moved parallel to the bed.

Although it only moved a short distance, it was a huge improvement for the uncle.

"Congratulations!

Song Changkong encouraged the uncle at the head of the bed, which made the uncle so excited that he began to shake his head from side to side again.

"Crunch, squeak, squeak......"

......

The director checked the new patients first, and the attending doctor simply put them last.

When standing in front of the 69-bed bed again, Zhang Tianyang calculated, this is the third time he has come over today.

Uncle 69's breathing is much faster than that of ordinary patients.

The respiratory rate of a normal adult is around 12-20 breaths per minute, and when a patient is put on a ventilator, this value is generally set between 18-20.

The same is true for the 69-bed uncle.

But the uncle held his tracheal intubation, breathed heavily, and breathed the respiratory rate on the monitor to 40-50 times a minute.

"Doctor, the patient's breathing rate is too fast. ”

The little nurse in charge of the bed looked worried, calling the doctor in her mouth, and her eyes were looking in the direction of Zhang Tianyang.

Song Changkong noticed this, but lowered his head quietly.

Zhang Tianyang and the attending doctor simply did not notice this detail at all.

"Is the blood gas analysis done?"

As soon as the attending doctor asked, Zhang Tianyang had already handed over the list of results stuffed by the little nurse during the ward round.

"The blood gas analysis uses arterial blood with a partial pressure of arterial blood pressure below 60 mmHg and a partial pressure of carbon dioxide above 50 mmHg, which meets the diagnostic criteria for type 2 respiratory failure. ”

The attending doctor took the list and looked at it twice, nodded, then looked at the patient who was breathing anxiously on the hospital bed, and shook his head again.

He looked at Zhang Tianyang, "Do you have any good ideas?"

Now, asking Zhang Tianyang has become his instinctive reaction.

But Zhang Tianyang could only shake his head.

"White lung" indicates that the patient's whole lung is diseased.

The respiratory failure that patients present with is essentially due to hypoxia and carbon dioxide retention due to alveolar hypoventilation.

The amount that can be used by the patient is only a fraction of what a normal person can use.

Otherwise, this breathing rate would have been an accident long ago on a normal person.

Keep taking a quick and deep breath for half a minute, and you can feel dizzy and swollen, if you don't believe it, you can try.

For the patient, this breathing speed is enough to maintain the oxygen consumption he needs to survive.

"If you want the symptoms to be lifted, you can only wait for the lung lesions to improve. ”

Zhang Tianyang shook his head silently, "At most, I will teach the patient breathing skills to make him feel better, but I still have to wait for the medicine to work." ”

The attending doctor was silent.

The patient was very uncomfortable, and he felt very uncomfortable when he looked at it, but he couldn't help it.

"Okay, get in the next bed. ”

Zhang Tianyang's last patient was the middle-aged female patient who was transferred from Yanling Hospital for the third time.

The attending doctor conducted a physical examination as usual, and the results were similar to the results of Zhang Tianyang's own physical examination yesterday.

All indicators are almost out now, although they are still outside the normal range, but compared with the indicators of the patient's previous admissions, it is obviously better.

"The medicine does not need to be adjusted for the time being, observe for two days, and if the situation is stable, it will be downgraded, and if it is possible, it will be transferred to continue treatment. ”

There is nothing special about this patient.

The attending doctor put away the stethoscope, glanced at the female patient who was lying quietly on the bed with a somewhat pale face, and asked casually.

"Did the patient's family come yesterday? Did you sign a consent form or something? I don't think I met her family. ”

"Teacher!"

Song Changkong's always honest expression suddenly changed, but it was too late to stop it.

"Ho!

On the hospital bed, the patient, who had been quiet, suddenly convulsed.