Chapter 44: An Unexpected Surprise

Senior Brother He and Zhang Tianyang took the newly opened examination list to communicate with the patient, and the door of the doctor's office creaked shut.

Senior Brother She, who was fully engaged in writing medical records, was shocked.

"Hmm, what about Senior Brother He? He hasn't lectured yet!"

"We're gone! Our new classmates look pretty reliable!"

Senior Sister Chen was happy in her heart, but she felt that the future was bright, and she happily accepted new patients.

Leaving Senior Brother She stunned at the screen.

"Doesn't this new chief like lecturing?"

......

After writing the admission record and the first course of illness record, Zhang Tianyang fell into a state of idleness.

There is only one newly admitted patient in hand, and the various examinations have not yet been released, and nothing can be done, can you not be idle?

Senior Brother He is more Buddhist, and seeing that there is nothing wrong, he just sent Zhang Tianyang back to eat at half past eleven.

It is a waste of time to stay here, it is better to go back and rest.

At three o'clock in the afternoon, go to work on time.

Zhang Tianyang finally caught the 82-bed uncle who went for an examination all morning and couldn't see anyone in the ward.

Then I got a not-so-good news.

"Doctor, I'm going to do that B-ultrasound, and the doctor below told me that the machine is broken!

Then I was asked to go to some clinic to do it, but there were a lot of people over there, and I was scheduled for tomorrow.

If you do it a day late, it should be fine, right?"

A day late......

Zhang Tianyang was silent.

Just wait for the results of abdominal ultrasound to come out and give the position of the puncture point.

Be sure to release ascites today.

B-ultrasound can only be done tomorrow, which means-

He's going to blind the patient.

......

To appease the patient, Zhang Tianyang called the outpatient B-ultrasound room without giving up.

"Hello, I'm from the Liver Disease Center, we have a patient here with ascites and fever, and I have to put ascites on my abdomen today, can you let him do B ultrasound first?"

"What's going on with you guys today?"

On the other side of the phone was a female doctor with a bit of a short temper.

"They all called and said that the patient was very serious, this one was serious and that was serious, how do you let me discharge!

Don't you have your own ultrasound room in the liver disease center?

Zhang Tianyang tried to struggle, "There is a problem with our B-ultrasound machine...... That, this patient is really in a hurry......"

"Hurry, everyone's hurry!

The other side hung up the phone directly, and Zhang Tianyang was helpless at the busy sound of "doodoo".

However, today is Monday, and there are many new patients admitted to the hospital, and it is true that B ultrasound is routinely done.

It's just strange, I'm not very lucky, there are a lot of serious patients today......

But looking at the situation of the 82-bed uncle, if you delay it until tomorrow and then put ascites, I don't know what will happen.

"Senior brother. ”

Zhang Tianyang didn't find Senior Brother He, so he could only call him to tell him the bad news.

"Maybe it's going to be blind, and the B-ultrasound room can't be lined up. ”

"Ahh

Senior Brother He sighed on the other side of the phone, "I have two surgeries this afternoon, and I can't go back!"

"In this way, you let your senior brother and sister take you to wear it!"

"I also looked at the 82 bed in the morning, the belly is so big, there is not much risk of penetrating the intestines. ”

......

The time was just 3:15, and Senior Brother She hadn't come to work yet.

Zhang Tianyang had no choice but to trouble Senior Sister Chen.

"Okay, okay, I'll go with you. ”

Senior Sister Chen Shishi was very talkative, and took Zhang Tianyang to the treatment room to prepare things with a smile.

"Senior brother, do you know what to prepare for abdominal piercing?"

"Yes. ”

Zhang Tianyang bent down and began to rummage, little by little, he found all the items including the puncture bag, disposable urine bag, lidocaine, heparin cap, cotton swab and other items, and showed them to Senior Sister Chen for examination.

Chen Shishi flipped the things in Zhang Tianyang's hand, her eyes brightened.

"It's okay, junior brother, there is something, go, do abdominal wearing!

By the way, you're going to do a belly puncture, right?"

Zhang Tianyang said modestly, "I have practiced." ”

"I knew you could!" Chen Shishi took the lead and walked to the ward.

"Senior brother rushes duck!"

......

"Uncle, make an abdominal puncture for you and put ascites. ”

Zhang Tianyang gently greeted the 82-bed uncle and invited the family out.

When I turned around, I found that Senior Sister Chen was bowing her head and playing with her nails beside the bed, without the slightest intention of disinfecting and laying towels to prepare for operation.

"Senior sister, you?"

"Ahh Chen Shishi responded with a smile, "Senior brother, you do it, I'll press you down." ”

Zhang Tianyang was stunned.

Is it really good for me to be so relieved?

Chen Shishi had another thought in her heart.

"It's hard to catch a reliable junior brother, so you don't have to wait any longer at this time!"

"What's more, the old lady is tired of doing this kind of operation, but the intern hasn't done it!

Every year, so many five-year interns cry and shout that they want to do it themselves!"

"Look at other interns, their senior sister is definitely not as good as me, so generous to give them the opportunity to operate!"

"Ah~ I'm really a peerless good sister!"

Chen Shishi was crazy crooked in her heart, and the corners of her mouth couldn't help but hook up.

Zhang Tianyang, who had already set his position and was debunking the piercing bag, swept his eyes and trembled in his heart.

Senior sister, senior sister, pay attention to your expression management!

complained silently in his heart, but his hands were not slow at all.

Unwrap the puncture bag and pinch the outer layer of fabric to open it.

Quickly put on sterile gloves and begin to organize the contents of the puncture bag.

Over there, Senior Sister Chen rubbed her hands, her eyes lit up, ready to try the quality of this junior brother.

The next moment, she used a big feeding technique, and her subordinates moved quickly.

Disassemble the sterile drapes and throw them away.

Kai Aner iodine, poured.

Draw heparin solution and pour.

Both sides check lidocaine, twist away, pour.

Disassemble the 5 ml syringe and throw it.

......

Zhang Tianyang was not in a hurry at all, and quickly checked the tee tube and filled it with heparin.

Connect the syringe and the puncture syringe, and adjust the guidewire.

Quickly disinfect and spread towels.

Over there, Senior Sister Chen finished dismantling all the things to be dismantled, quickly put on sterile gloves, and prepared to give Zhang Tianyang a hand.

But when he saw it, he had everything ready.

Even the drains have been cut!

A normal drain has only one orifice and remains in the abdominal cavity, making it difficult to drain ascites once the patient's position changes.

So many times, the doctor will temporarily use a scalpel to make a side hole in the drainage tube.

In this way, even if the patient's position changes and the drainage nozzle is blocked, the other side holes can also play a role in drainage.

Chen Shishi pinched the drainage tube with six side holes open, and was amazed.

"Senior brother, how do you know that you want to open a side hole like this!"

In the next second, the drainage tube in her hand was directly snatched away by Zhang Tianyang.

Stunned, Chen Shishi was shocked to find that Zhang Tianyang had finished the previous steps and was about to wear a drainage tube.

"Really?"

Chen Shishi blinked.

Injection of anesthetic, puncture and retraction, release of guide wire, skin expansion, a full four steps, a god will complete it for him?

Thinking about the previous time when I took interns to do abdominal puncture, those students were in a hurry and made mistakes, and then looked at Zhang Tianyang, Chen Shishi's eyes became brighter and brighter.

Seeing Zhang Tianyang's hands move quickly, he put the drainage tube, drew the guide wire, and connected the urine bag, and the light yellow liquid slowly drained out of the patient's stomach along the tube.

Chen Shishi waved her fist.

"Senior brother is so powerful!"

And in her heart, the trumpet Chen Shishi looked up to the sky and laughed.

"Hahaha! The old lady has picked up the treasure!"

I was secretly happy for a while, until Zhang Tianyang cleaned up the mess and explained the precautions to the patient.

Chen Shishi chased him to the treatment room.

"Senior brother, I have something to discuss with you. ”

"What's wrong?"

Chen Shishi tried her best to pretend to be pitiful and bit her lip.

"Don't follow Dr. She, you see, he doesn't pay much attention to you. ”

"Then I'm ......"

Chen Shishi couldn't control her expression anymore, and her eyes lit up instantly.

"Follow me!"