I'm really an intern

Chapter 11 I'm His Daughter!

"Feel sorry."

The despair on the little nurse's face made Zhang Tianyang feel a little guilty.

But what patients need is what they need. Whether it is a doctor or a nurse, no matter whether it is getting off work or not, they must do the same work.

"Bed 41, male, 55 years old, with severe pitting edema in both lower limbs, please establish a peripheral venous channel for him, and also urgently check blood routine, liver and kidney function, and ion six items, the doctor ordered me to prescribe it immediately."

"Please prop up the patient's lower limbs a little bit. In addition, the patient's right leg has a rupture and seeps. It is best to pad something to prevent the bed sheet from getting wet."

Zhang Tianyang glanced at the clock hanging above the nurse's station while talking.

"At 28:[-], if albumin is reopened at this point, the pharmacy outside will be closed, and the family members may not be able to buy it.

The hospital pharmacy does not deliver medicines at night, so they can only check if Corey has them in stock.

If it doesn't work, I can only borrow it from other patients. "

Patients in the Department of Nephrology generally have mild edema of both lower limbs, and many patients keep two or three bottles of albumin with them, which can always be borrowed.

"Okay, I see, is there anything else?"

"It's gone for now, the rest is our doctor's job."

The little nurse put away the despair on her face, quickly got into the mood, and sneaked into the dispensing room to prepare things.

There are only two nephrology machines in the CRRT next to the bed, which are high-end equipment. Professor Liu can only contact them, and Zhang Tianyang can't intervene.

Performing their duties, he quickly found a computer, logged into Professor Liu's account, and opened the urgent blood tests first.

After briefly completing the current medical history, he non-stop wrote a series of documents such as the power of attorney, the bedside CRRT consent form, and the consent form for the use of human albumin (blood products), and quickly printed them out.

"Senior Sister! Have you got in touch?"

When rushing into the ward again in a hurry, there was a woman in red beside Senior Sister Liang, and Senior Sister Liang seemed to be explaining something to her.

"Ah, Junior Brother."

Senior Sister Liang took the document from Zhang Tianyang, checked for any omissions, and signed her name on the "Doctor" column.

"I just contacted Professor Liu, and he also helped us make an appointment for the bedside CRRT equipment. The nurse there will push the machine over in about half an hour."

"But Professor Liu has a very important meeting tonight, so he probably won't be here tonight."

The implication is that the treatment of this patient depends on the two of them!

Fortunately, the patient's condition is not as critical as the 40th bed last night.

As long as the bedside CRRT is performed within today, the edema of his lower limbs will gradually relieve.

"Let's sign the consent book first."

It took at least half an hour for Zhang Tianyang to sort out several consent forms. It was not that urgent. He was going to explain each item to the patient.

"Uncle, here are a few consent forms that you need to sign..."

"What consent form, show me!"

As soon as the document was handed over to bed 41, an arm suddenly stretched out diagonally from behind and snatched the document away.

Zhang Tianyang turned his head, frowned, and looked at the woman in red who snatched the document, "Who are you?"

"I am his daughter!"

The woman in red looked about 27 or [-] years old, she looked like a strong woman, and her frown was deeper than that of Zhang Tianyang.

"Why so many consent forms!"

"Power of attorney, well, I'm his daughter, this can be signed."

"Bedside CRRT? Isn't that what dialysis is? Chongshan Hospital said my father didn't have kidney failure, so why did he need dialysis?"

The eyes of the woman in red behind the glasses were extremely sharp, with scrutiny and questioning, "Are you suspected of excessive medical treatment?"

Senior Sister Liang's complexion was not very good-looking, but she still opened her mouth and tried to explain.

"The Chinese of bedside CRRT is called bedside continuous renal replacement therapy, also known as bedside hemofiltration. It is..."

"Kidney replacement, blood filtration, isn't it just dialysis!" The woman in red directly and rudely interrupted Senior Sister Liang's explanation, continuing to be aggressive.

"Chongshan Hospital told me that my father didn't have kidney failure at all. I checked the information myself and found that kidney failure requires dialysis, and my father doesn't need it at all!"

"It was fine at Chongshan Hospital. How come you have kidney failure without checking anything? Is there any reason?"

I don't know what the real job of this woman in red is, but she is full of aura now, and a sense of oppression is coming to her face.

The little nurse who was slapping the veins on the back of the patient's hand was so stunned that she didn't dare to speak, and Senior Sister Liang's face darkened visibly.

"We didn't say he had kidney failure..."

"Why do you need dialysis if you don't have kidney failure!"

"Point-of-care CRRT doesn't have to be dialysis..."

"The doctor at Chongshan Hospital said..."

"Chongshan Hospital, Chongshan Hospital, then you are staying at Chongshan Hospital, why did you transfer to our hospital!"

Senior Sister Liang couldn't take it anymore and yelled back.

She has a straight temper, and she has rich clinical experience, and her former patients and family members are willing to trust her, so how can she stand such nonsense grievances.

The woman in red was startled by Senior Sister Liang's roar, her eyes widened, "What's your attitude! Where's your superior doctor! I want to complain!"

Zhang Tianyang's heart was beating wildly, and he quickly grabbed the equally excited senior sister, and firmly held down the sentence she almost blurted out, "Complain, just complain!"

"Senior sister, calm down, calm down!"

The woman in red showed the momentum of baring her teeth and claws.

The image of this woman perfectly fits what the teacher called a "difficult patient" in his last class before going to the clinic.

He has a great aura, an intellectual, and may occupy a high position in daily life.

I have a superficial understanding of medical related knowledge, but not a deep understanding, I believe in my own judgment, and I am more inclined to solve problems by myself, such as asking Du Niang.

He clearly remembered that when talking about this passage, the teacher on the podium had a serious face and a heart full of guilt.

"Students, when you encounter such patients or their family members, you must be more careful.

Because they are likely to interfere with the patient's treatment process by questioning the doctor's decision, thereby affecting the patient's condition and causing unpredictable consequences.

In the end, they will question you with the changes in the patient's condition.

So when you meet this kind of person, please don't be brave and face it alone, you must report it to your superior doctor.

They are more experienced than you, and their theoretical knowledge can crush family members, so it will be easier to solve.

Remember to remember, must report! "

What the teacher said actually makes sense.

If Professor Liu with half-white hair was here today and said that patients need bedside CRRT, it is estimated that there would not be so many moths coming out.

But now, Professor Liu can't come.

Senior Sister Liang has already entered the "enraged" state, and she can't count on it.

He was alone.

Zhang Tianyang took a deep breath, and activated the active skill "Calm +1".

When facing the woman in red again, his tone became a little tougher.

"If you have any complaints about our doctors, the hospital has a special complaint box. Please don't make a lot of noise in the ward and affect other patients."

"Our suggestion is to treat the patient with bedside CRRT immediately. Do you believe that our judgment is your own right, but your father's leg is so swollen that you really don't want to deal with it?"

"If you insist on doubting our medical standards."

Zhang Tianyang gently pulled the stack of documents out of the hand of the woman in red, and found the one he deliberately placed at the end.

"Then sign this."

A thin piece of A4 paper was handed to the woman in red.

　I considered whether to write this paragraph, and finally wrote it.

　　Why, because there was a real quarrel, the senior sister was really angry, and the patient's family members did even more excessive things.

　　In clinical practice, I can really meet all kinds of people, the unexpected and the understandable, the incomprehensible...

　　Would you like to see all kinds of beings with me?

　　

　

(End of this chapter)