Starting at noon on Tuesday, Zhang Tianyang had a good rest all day.

After all, this is his only "vacation".

He spent a week in the emergency department, six shifts in total.

The Monday night shift lasts until Tuesday morning, so you can rest from noon to evening on Tuesday.

The day shift on Wednesdays and Fridays is equivalent to the normal work of other departments.

Thursday and Saturday night shift, 11 p.m.

On Sunday, it was another big night shift, and I worked until 8 o'clock next Monday morning, and I was directly connected to the next department.

Professor Yang and Brother Deng can rest after the Sunday night shift, which is enough for three days.

It's a pity that the holidays are all theirs, and Zhang Tianyang has nothing.

"You're too miserable, aren't you?"

After hearing about Zhang Tianyang's typesetting and next week's department rotation plan, Senior Brother Deng looked sympathetic.

"Won't you be able to sleep from Sunday night until Monday afternoon?"

"Or, you will be halfway through the night shift on Sunday night, and you will be like three or four o'clock, and then you will go straight out of the department?"

Senior Brother Deng was afraid that Zhang Tianyang would die suddenly from exhaustion, so he wanted to squeeze out a few hours of sleep for him.

But Zhang Tianyang shrugged, "Do you think it's okay for the two of you to work the night shift?"

"I think it's enough. ”

Senior Brother Deng sighed, "Originally, Professor Yang was quite dark, and I was also a little dark, I heard that Senior Brother you are also black, how can you be idle on the night shift?"

"Alas, junior brother, you ask for more blessings for yourself!"

"Doctor, the hematology inpatient is here!"

The door of the emergency room opened, and a white coat walked in, and soon Nurse Ouyang called the doctor at the top of her voice.

"Okay! I'm coming!"

Zhang Tianyang answered, grabbed the consultation record that had been printed out a long time ago, with the patient's basic information and various important examination results, and followed the general manager of the hematology department to see the patient.

Senior Brother Deng sighed, shook his head, and continued to work.

In the emergency room, the doctors and nurses are still equipped with the same equipment as on Monday's night shift.

One is the head doctor, Professor Yang, and the two follower doctors, Senior Brother Deng and Zhang Tianyang.

A nurse team leader, Nurse Ouyang, a senior nurse sister, two intern nurses, and a white meat shield with soy sauce.

The patients have changed, except for the hemophilic boy who has been living for several days, and the old lady Sun Wei, who was intubated by Zhang Tianyang on Monday night, is still living, the other patients are all new faces.

The diseases are much the same, nothing more than cerebral infarction, high blood pressure, severe infection, and unconsciousness.

In addition to symptomatic treatment and stabilization of the condition, one of the major functions of the emergency room is to contact the inpatients of each department for consultation and see if they can be transferred to the corresponding department for follow-up treatment.

At the end of the day, the emergency room is actually a large transfer station.

Therefore, the hospitalization of various departments is always a frequent visitor here.

The hematology department is always a brother with some baby fat, and this time he came to the consultation with an intern.

At first glance, the intern's chest was Xiaobai, who had just been clinically discharged for a short time, and at this time, he was not calm at all when he followed the probe behind the hospitalized general to probe his brain.

There was only one patient who needed to be consulted this time, and Zhang Tianyang led the general inpatient of the hematology department to the bedside of the hemophilia boy who had been in the emergency department for a long time.

"Yo, familiar faces. ”

The general manager of the hematology department said hello to the hemophilia boy, and then took the consultation sheet in Zhang Tianyang's hand to check his latest test results.

Zhang Tianyang briefly reported the basic situation and recent development of the patient on the side.

"In the last three days, I have supplemented factor 8 twice a day, and now the APTT has decreased significantly, and the pain in both knees complained of by the patient has also improved recently. ”

"Stop making up the eight factors first, and then observe for another day, if the index does not rise again, you can discharge him. ”

The general manager of the hematology department nodded and chatted with the patient, "The situation has improved significantly, and if you observe for another day, if the indicators are okay, you can go home." ”

"I've seen you back and forth three or four times, it's not easy, pay attention to rest after being discharged from the hospital, avoid injury, and come back to make up for the eight factors after three weeks." ”

"Okay, thank you, doctor. ”

The painful expression on the face of the hemophilic boy was much better than when Zhang Tianyang first saw him, and looking at his knees again, the swollen and purple appearance before had slowly subsided.

All in all, good news.

In fact, the consultation is basically over here.

All that remains is to occupy a computer, type in the consultation opinion, and then type out the consultation form for signature.

The hematology resident was just about to go to the computer, but the intern who had been following him cautiously spoke.

"Teacher, I have a question. ”

"Hmm, what's the problem, let's talk about it. ”

The general manager of the hematology department had two dimples on his face with a smile, and he was ready to answer the questions of his intern classmates while knocking on his opinions.

"Well, why do you want to make up for Factor 8 twice a day? It's not that even if you have severe hemophilia, you should make it up once every three weeks...... Why......"

Seeing that the eyes of the chief senior brother in the hospital suddenly became sharp, the intern's voice unconsciously lowered, and finally, he simply shut up.

The hospitalized always suddenly lost the mood to type, "You didn't read the book you read yesterday?"

"Look, that's what it says ......"

"Do you only look at the type, not the symptoms? It is true that severe cases are usually made up once every three weeks, but this patient is so big and has two red and swollen knees, don't you see it?

After being stunned, the intern doctor looked dumbfounded, but he still insisted on asking, "Then why, I have to make up twice a day." ”

Zhang Tianyang shook his head, this intern deserved to be scolded.

It's obviously a matter that can be understood by checking the information, but I insist on asking the senior doctor directly here, isn't this a rush to expose ignorance and clean up?

Seeing that the hematology hospitalization would delay the consultation of his own patients, Zhang Tianyang couldn't help it.

"The half-life of factor eight in the cycle is 10-12 hours, so it is best to supplement 2-3 times a day. Brother, can't you find the patient's information? I'll find you, na, this is the consultation form. ”

While explaining the problem of the intern, he also secretly reminded the senior brother to hurry up and work.

The chief brother of the hospital looked better, and just wanted to type, but the intern began to ask persistently again.

"This patient has been in the emergency department for a long time, why didn't he receive our department?"

It's okay now, the hospitalized chief brother is completely unhappy.

He squeezed out a smile at the intern, "Here, this classmate, you shake your head." ”

The intern did so with a bewildered expression.

"Do you hear the sound of water shaking in your head?"

was scolded again, and the intern didn't realize that he was making a stupid mistake, but Zhang Tianyang was able to solve the siege.

"The beds in the haematology department are very tight, and they are mainly used to give chemotherapy to patients, and chemotherapy must be kept in the hospital for observation.

And for patients with this kind of hemophilia, the main treatment is to supplement factor eight, which can be replenished anywhere, and there is no need to waste beds in your department. ”

"It's really just a matter of maximizing the use of resources. ”

Hearing Zhang Tianyang's easy-to-understand explanation, the general manager of the hematology department raised his eyebrows, "Yo, the young man is good." ”

Looking at Zhang Tianyang's badge, his eyebrows raised even higher.

"You're also an intern, aren't you?" Why are you all interns, so I didn't catch you like this?"

"Doctor, there's a new patient, come and see it!"

Nurse Ouyang suddenly shouted, Zhang Tianyang got up instantly, smiled apologetically at the head of the hematology department, and then ran out with a "boom".

The general manager of the hematology department looked at Zhang Tianyang's back and quickly disappeared outside the door of the emergency room and sighed for a while, turned around and glared at his intern classmates, and then continued to write consultation opinions.

Three minutes later, the freshly baked consultation sheet was printed out and signed with the name of the general inpatient officer.

Zhang Tianyang happened to rush back into the rescue room at this time.

"By the way, junior brother, this is your patient's consultation form......"

Zhang Tianyang grabbed the arm of the hospitalist in the hematology department and walked out.

"Senior brother, you may not be able to leave!"

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Stealing incense