Professor Ho's movements were fast.

When he went to work in the afternoon, Zhang Tianyang had already seen the case of the 41-bed uncle disappear from Professor Liu's account.

When I went to see the 40-bed eldest brother on the ward rounds, I happened to see the woman in red who was pulling the attending sister of Professor He's group and clamoring to be discharged from the hospital.

After all, the senior sister is an experienced attending doctor, and she is not used to her, so she agreed in one bite.

"Okay, I'm going to give you a temporary discharge now, and you can go when you're done with the bedside CRRT. ”

When Zhang Tianyang returned to the doctor's office after helping Senior Sister Liang's patient change the medicine, the situation changed to the woman in red asking the attending senior sister to show her father again.

However, the attending sister was unmoved.

"But we've already got in touch with the next patient.

Your dad now has significantly improved the edema of the lower limbs and can be discharged from the hospital.

Our next patient was transferred from the ICU and was much worse than your father.

Beds are so tight right now.

We can't help it!"

Zhang Tianyang silently passed by them.

Wave your sleeves and don't bring up a cloud.

He also sympathized with that uncle, but who doesn't deserve sympathy for the patients who come to the hospital to see a doctor?

......

On Thursday, the patients in Professor Liu's group were in stable condition, and the group was peaceful.

One patient will be discharged from the hospital today, plus the 41-bed uncle who was thrown to Professor Liu's group yesterday, correspondingly, two new patients will be admitted.

The patient who was about to be transferred from the ICU to bed 41 was a 68-year-old lady who was still under the name of Professor Liu.

Considering that Zhang Tianyang had dealt with the critical situation of two seriously ill patients in a row in the past two days, Professor Liu also seemed to feel the subtle blackness on his face.

As a result, the 41-bed new patient was returned to Senior Sister Li, who now has only one patient left in her hands.

Another patient in the general ward was naturally assigned to Zhang Tianyang's name.

At 3:10 p.m., just after the start of work, the new patient was already in place.

This made Zhang Tianyang a little excited.

It's finally time to get off work without getting stuck!

This must be a lovely patient!

Senior Sister Li is more miserable.

Because the woman in red has been making trouble, the 41-bed uncle who was supposed to be discharged from the hospital after doing the bedside CRRT on Wednesday night was stunned and was not discharged until this afternoon.

The old lady, who was supposed to turn around last night, was forced to lie in the ICU for an extra day.

And looking at that, the woman in red still wanted to continue dragging down, just waiting for the people from the medical department to bring security guards to deter her.

With such a toss, it is estimated that it will be four or five o'clock in the afternoon to get out.

Even if the old patient is gone and the new patient comes in as soon as he arrives, it will have to wait until six or seven o'clock in the evening.

Deal with it again, write about the case, and if you don't pay attention, it's nine o'clock.

What's even more bitter is that Senior Sister Li is on duty this Sunday.

Today is obligated to work overtime and is on duty normally on Sunday, which is equivalent to spending two days and two nights in the hospital.

In this regard, Zhang Tianyang could only send a sympathetic look.

"Senior brother, don't be too happy. ”

Senior Sister Li is petite, fair-skinned and beautiful, and intimidates Zhang Tianyang with a thin and soft voice.

"I'm on duty on Sunday, and I'm not in Corey after the night shift next Monday afternoon, and then my patients will be in your hands!

You seem to have a bit of a dark face, but don't let me do anything!"

"What is black?"

Zhang Tianyang pretended to be stupid.

It is impossible to admit it, it is impossible to admit it in this life.

Whoever says that his face is black, he will be in a hurry!

I don't know if the three of them have become a tiger!

......

The new patient is 37 beds, and Zhang Tianyang opened Professor Liu's account as usual to look at the patient's past medical records.

"37 beds, female, 12 years old, kidney failure regular dialysis for two months......"

"Huh, a 12-year-old girl?"

Zhang Tianyang was stunned for a moment and confirmed the patient's age again.

"It's really 12 years old......"

Looking at the medical history again, "I have had protein in urine since I was one and a half years old...... After many years of treatment, the kidney still failed, so I started dialysis two months ago......"

The mood that was still a little happy suddenly became gloomy.

The 37-bed girl is also an old patient in the nephrology department of Dongfang Hospital, and she has repeatedly recorded more than a dozen visits in the past ten years.

Zhang Tianyang carefully flipped through the last few copies and sighed.

The history is clear.

The little girl has been on dialysis for two months, and has been using the internal jugular vein channel, which is very inconvenient and wants to make an arteriovenous fistula on her hand.

This is a very reasonable request.

Because internal jugular vein catheterization only creates a temporary passage for dialysis patients, the longer this passage is in place, the greater the risk of infection.

Patients who need long-term regular dialysis, for convenience and safety, will choose to have an arteriovenous fistula on their hands.

In layman's terms, it is to suture the artery near the wrist of the forearm and the adjacent vein, so that arterial blood flows in the anastomosed vein.

The blood vessels of the arteriovenous fistula can provide sufficient blood for hemodialysis treatment and ensure the adequacy of dialysis treatment.

Moreover, arteriovenous fistulas are less susceptible to infection than temporary conduits in the internal jugular meridians;

It can also be used for a longer period of time, which can reach 4-5 years;

It will not affect the normal life of the patient, as long as the patient pulls down his sleeve, no one would have imagined that he would have to go to the hospital every week behind his back.

This is especially true for little girls.

After all, people are only twelve years old, which is the age when they care most about other people's opinions.

The request is reasonable.

The difficulty is that the blood vessels in the little girl's hands are too thin.

The doctor at the local hospital said that such a thin blood vessel could not make an arteriovenous fistula, but the little girl and her parents wanted to struggle a little more, so they came to the Oriental Hospital.

"Let's go see the patient first. ”

Zhang Tianyang pulled the white paper and walked to the door of the 37-bed ward, and saw the little girl inside at a glance.

It looks so small!

The twelve-year-old girl, with a little baby fat and a fleshy face, was lying on the bed, talking to her mother next to the bed with dimples.

Why did you get sick?

Zhang Tianyang sighed silently, pushed open the door, and walked in.

"37 beds? I'm going to ask about the history and the situation. ”

"The doctor is here, quick, sit down. ”

The little girl's mother looked very polite, and while urging the little girl to sit upright, she smiled apologetically at Zhang Tianyang.

"The child is too young to be polite, so I'm embarrassed. ”

"Good daughter, you see that the doctor's brother has come to see you, why don't you say hello?"

The little girl sat up from the bed and smiled at Zhang Tianyang, "Hello doctor, brother." ”

"You're okay too. ”

Zhang Tianyang felt that he was about to be melted by the little girl's dimples, and a smile involuntarily appeared on his face.

He bent down slightly, so that the little girl didn't have to look up to see him, and his tone was gentle.

"Is there anything uncomfortable about this hospitalization?"

The little girl's voice was soft and glutinous, and she pointed to her neck.

"It's not comfortable here. ”