I'm really an intern

Chapter 118 Difficult family members (1000 order plus update)

Zhang Tianyang clicked on the name of the old lady, and then saw a blank medical record.

This old lady had never been treated at Dongfang Hospital before, but this time she came here in a hurry, she was sent directly to the emergency room for intubation, and she didn't have time to write a single word in the medical record.

But Zhang Tianyang now needs to ask the patient's family to sign two documents, one is called a power of attorney, and the other is called a critical illness notice.

The power of attorney means that when the patient cannot decide whether to receive treatment by himself, he will authorize his immediate family members to decide whether to receive treatment.

This is quite simple, all you need is a signature and ID number.

But the notice of critical illness must fully inform the family members of the patient that the patient's condition is critical, which needs to be combined with the medical history.

He turned to look at Professor Yang.

"Mr. Yang, why don't you briefly write about the situation of the Sun Wei family?"

"Okay, I'm writing."

Professor Yang stared at the screen and typed characters one by one.

The senior brother waiting quietly behind her greeted Zhang Tianyang.

"Hello. From now on, both of us will follow Professor Yang, your name"

The senior brother looked at Zhang Tianyang's badge, "Brother Zhang."

Zhang Tianyang also saw his brother's badge clearly.

Deng Wenqi, rotating doctor.

"Brother Deng, I'm only staying for a week."

"Only a week?"

Deng Wenqi was surprised, and then carefully looked at Zhang Tianyang's badge, "Then you are the first round of rotation in the whole hospital? An intern who just graduated from the clinic this year?"

"Yes."

"Then you're amazing!" Senior Brother Deng didn't hesitate to praise himself, "Just now, seeing your condition, you are much more reliable than me. I thought you were at least a rotating doctor!"

"Those who are clinically capable can fly very fast, Junior Brother Zhang will take me with him in the future!"

Senior Brother Deng was full of praise when he came up, and the smile on his face could be seen from the heart.

When Zhang Tianyang was questioned, his heart was usually calm, but he was a little embarrassed to be praised like this.

"I was too anxious just now, I just wanted to insert the endotracheal tube as soon as possible, and I didn't think so much."

He smiled, and changed the subject a little bluntly, "By the way, brother, why don't you tell me about the transition of these patients? I think several vital signs of them are still very problematic."

"it is good."

There are a total of 11 beds in the emergency room, and two or three more beds can be placed in the corridor, so there are 14 beds in total.

These 14 beds have a high turnover rate.

After all, the emergency department is actually a place where patients are diverted to various departments after emergency treatment. Many patients can't stay in the emergency room for two or three days, and they will be directly transferred to the corresponding department, or into the emergency ICU further inside.

Zhang Tianyang and the others were lucky when they took over. At present, there are only 6 beds with patients.

Brother Deng and Zhang Tianyang, both in white coats, looked at each other with their shift sheets.

The old lady in bed 1 was suffering from a hypertensive emergency. When she came, her blood pressure was 230, but after taking medicine, it dropped to 180. The doctor on the previous shift had already called the bedside CRRT. Zhang Tianyang and the others needed to follow up.

The uncle in bed No. 2 has complications after cerebral infarction. He has already contacted the chief resident of the Department of Neurology and is waiting for consultation.

3 bed is an uncle

4 bed is a big mom

Bed 5 is a middle-aged man in his 50s

Bed 6 is the only one who looks young. He is only 18 years old and suffers from hemophilia. This time, he came in with severe pain in both knees. The hematology department was unwilling to admit him, so he had to live in the emergency room.

Looking at his medical record, he has been in the emergency room for 14 days.

Bed 7 is the newly admitted old lady. She has no problem breathing after intubation, but it does not mean that her other conditions will recover.

It's just that no examinations have been done now, and there is no way to judge the condition.

The intravenous channel has been established, and now a bottle of saline is hung to keep the channel smooth, and other medicines can only be taken after the family members pay for the medicine and come back.

The little nurse in the emergency room has already drawn the old lady's blood. The items include routine blood test, liver and kidney function, six items of ion, troponin, two items of infection, four items before operation, etc., all of which are routinely required items.

To the naked eye, the patients in the emergency room are all similar. Only with the results of blood tests and various other examinations can we determine the cause of the patient and treat the symptoms accordingly.

The emergency department is only one step away from the payment office and the pharmacy. After the family members pay for the blood samples, the results of the emergency blood test will be available soon, and then they will pay for the medicine, and the patient's condition will not be delayed.

It's just that her medical history seems a bit complicated. Professor Yang was still typing after Senior Brother Deng took Zhang Tianyang to visit the patients.

Zhang Tianyang glanced at the screen, and found that the old lady had a history of cerebral infarction, liver cirrhosis, and problems with the circulatory system, digestive system, and respiratory system.

Zhang Tianyang stared at the unfinished medical history that already filled half of the screen and thought for a while, "Mr. Yang, does this patient need a bedside X-ray?"

The patient is unconscious, so it is impossible to push her to do the examination, so the doctor can only push the machine to her bedside.

Yang Wen stared at the screen without turning his head, "I want it. I'll also call a B-ultrasound next to the bed."

"Okay, I'll call them now."

There are so many departments in the entire Eastern Hospital, and there are many patients who cannot move but need to be checked.However, there is only one machine, and the hospital is full of people, so it is necessary to make an appointment in advance.

Seeing that Zhang Tianyang, Professor Yang and even Senior Brother Deng were going to get busy, the team leader who had been waiting behind them couldn't help it.

"that"

Behind the two white coats, he clutched his right waist, his face dripping with cold sweat.

"Brother Yang, senior brother, teacher, can you also help me look at my waist?"

At this moment, the team leader only felt like crying but had no tears.

He was actually assigned to the emergency surgery department because he was tall and big, and he was ready to help lift his hand, resist his leg and so on when he was preparing for the operation.

Today, he was also assigned the big night shift, so this point appeared in the hospital.

Compared with the possible chaos in the emergency room at any time, the emergency surgery department is still busy at this point.Only in the dead of night, one or two, three or four o'clock, after everyone has drunk their heads, can the emergency department be opened easily.

Moreover, once the business is opened, it is extremely easy to prosper. Patients are not sent over one by one, but several together.

So before that, the teacher in charge of emergency surgery asked him to go around and learn a lot.

Unexpectedly, after this transfer, the transfer was opened, and the patient who opened the opening might be himself.

"How did you do it?"

Zhang Tianyang was calling to contact the bedside chest X-ray, Senior Brother Deng showed it to the team leader first and felt it.

"Twisted?"

"Yes, I got in the way when the patient came in just now, I flashed too fast and that's it."

"Just now the old lady's family members were about to come in. Didn't Brother Yang ask me to stop them? A man came up and pushed me, and then suddenly felt more pain."

"Pushed you?"

Yang Wen suddenly withdrew from the state of beating the medical records, and frowned, "Is there something wrong with this patient's family?"

"I'm not feeling well."

The team leader also frowned, half in pain and half in displeasure.

"The first-aid room cannot allow family members to come in, not to mention that your situation was so urgent just now, wouldn't it add to the trouble if you came in! But the family members felt that we would not let them see the patients, so they pushed me.

If it weren't for the fact that I'm still fairly strong, and I'm a bit aggressive, I probably still want to squeeze in. "

"so."

Yang Wen quickly finished typing the last bit of medical history, sorted out the critical illness notice and printed it out, and stood up.

"Xiao Zhang, this patient's family members may be a bit difficult to deal with. I will communicate with you later, and you may not be able to handle it."

"Xiao Deng, see if you need to contact the medical duty in the future."

Zhang Tianyang just hung up the CT call next to the bed and nodded.

To be honest, the only contact he had with the old lady's family was when he sent the patient into the emergency room.

But he always felt bad.

Maybe it was the fleshy face of one of the family members that made him uncomfortable, maybe it was their eyes that were wrong, anyway, he felt that he wanted to subconsciously stay away from them.

Professor Yang has been in the emergency department for so many years, and since he also judged that this group of family members is difficult, then there must be a real problem.

Professor Yang was holding two pieces of paper that needed to be signed, Zhang Tianyang was holding several tubes of drawn blood, and the two white coats walked out of the emergency room together.

The door had just opened, and the two of them hadn't had time to shout out the words "Sun Wei's family members".

The other family members turned their heads and just glanced this way. Their names were not called, and they didn't respond.

But the family members of the old lady, I don't know who shouted, "The doctor is out!"

In the next moment, a group of people came up in a huff.

　In fact, this chapter is 2600 words and I feel that I am at a loss.

　　

　

(End of this chapter)