I'm really an intern

Chapter 12 Why Do You Feel So Annoyed?

"what is this?"

The aura of the woman in red was shocked, and she looked at the writing on the A4 paper.

"Refused consent for treatment? What do you mean?"

It seemed that Zhang Tianyang hadn't thought that Zhang Tianyang would hand over this item at all. The woman in red was a little dazed for a while, and had a vague tendency to explode.

Zhang Tianyang was calm and composed.

"The current situation is that I, my senior sister, and Professor Liu, who just called my senior sister, agree that patients need bedside CRRT now.

But you, as a family member, refuse our treatment operation.

So, if you don't want us to treat your father, sign the agreement.

As for whether you give up treatment or take your father to another hospital, this is your choice.

what do you think? "

"I didn't say to give up the treatment!"

The woman in red panicked a little.

The starting point of her habitual questioning was also to get the correct treatment for her father. Now when she heard that Zhang Tianyang meant that they were dead, she hurriedly explained.

"I mean, is your dialysis unnecessary..."

"We think it's necessary!"

"But the Internet says..."

Zhang Tianyang directly interrupted her firmly and resolutely.

"I'll stress it again, it's necessary!

The senior sister next to me has more than five years of experience in nephrology.

Professor Liu, who my senior sister called for instructions just now, has worked in the Department of Nephrology for more than 30 years.

Even I have spent at least five years engaged in the study of medical knowledge.

Do you think that in the medical field, our combined judgments are not as good as the results you can get from searching for half an hour on Du Niang? "

The woman in red opened her mouth, "But the doctor at Chongshan Hospital also said..."

"Did you give us a chance to explain? Are you so sure that our reasons must conflict with the doctors at Chongshan Hospital?"

The woman in red was irritated by the interruption, but Zhang Tianyang was well-founded and his momentum was not weak.

She was full of dissatisfaction, crossed her arms, and hummed dissatisfiedly, "Then you say."

"First of all, according to the results of your father's latest renal function test, although the creatinine level has increased, it does not meet the standard of renal failure.

Your father needs bedside CRRT, that is, bedside continuous renal replacement therapy, not because of kidney failure, but because of edema in his lower extremities.

You have also seen his appearance, not only uncomfortable, but also the danger of increasing the heart load and causing secondary symptoms, so it is necessary to deal with it. "

Zhang Tianyang observed the face of the woman in red, and felt that his passive attribute of "reliable +1" was taking effect.

"There are generally three treatments for lower extremity edema, diuretics, albumin infusion, and hemofiltration.

Considering that your father's edema is more serious, we recommend using the latter two two-pronged approach. "

He lowered the volume a little, but "professional" was still written all over his face.

"A little more about bedside CRRT.

Its main function is to remove excess water in the blood, metabolic waste, toxins, and correct water and electrolyte disorders.

At the same time, infusion of human albumin can correct hypoalbuminemia, increase the protein content in the blood, increase the osmotic pressure, and allow the water in the interstitial space to return to the circulatory system.

In this way, your father's edema can be relieved quickly.

Therefore, these two treatments are symptomatic and necessary.

Did you understand what I said? "

Zhang Tianyang suppressed the professional terms, and the woman in red didn't understand what she heard. She wanted to refute, but she didn't know where to start.

Seeing this, Zhang Tianyang switched to the Huairou policy.

"Don't worry, your father's leg looks scary, but it will be relieved quickly after being treated. We have also dealt with many more serious situations than this."

"That's right, I'll testify." The 40-bed elder brother who ate melons for a long time couldn't help but help.

"It was much worse when I came here yesterday, and I was dizzy at that time, and he also treated me.

You see, how energetic I am now! "

The 40-bed brother added drama to himself, and even stood up and walked around on purpose. Unfortunately, the data cable connected to the monitor on his body did not give him face.

He turned around in the opposite direction to himself, persuading him earnestly.

"Big sister, this is a hospital, you have to trust the doctor when you come here. How can we still be more professional than the doctor?

Just listen to the doctor! "

A living example, the attitude of the woman in red gradually softened.

"Then, that's fine, then I'll sign."

She reached out to grab the stack of consent forms in Zhang Tianyang's hand, but she missed it.

"You can't sign."

Zhang Tianyang withdrew the "Consent to Refuse Treatment" from her hand, and stood on one side, standing between her and the uncle in bed 41.

"The patient is sober and can only sign by himself. It is useless for you to sign."

"I just explained to you just because you have the right to know."

As he said that, he faced Bed 41 who was lying on the bed, and his expression softened obviously, "Uncle, can I sign a consent form?"

The woman in red who was secretly teased was out of breath for a while, but she didn't take it for granted, so she could only snort coldly, using an excuse to go out to breathe to avoid embarrassment.

The uncle in bed 41 looked a little guilty.

"Sorry, doctor, my daughter is spoiled and has a bad temper.

I'm old, and I can't say no to her. I'm sorry for causing you trouble! "

The patient's attitude was good, and Zhang Tianyang's attitude was of course also good, smiling and drawing on the paper.

"Come on, just sign here."

Soon, the consent forms were collected.

When leaving the ward, Zhang Tianyang saw the woman in red looking up at the sky outside the door of the ward.

He stopped.

"By the way, next time if you really want to learn about medical knowledge, it will be more reliable to find relevant papers.

Foreign literature, especially articles with high SCI scores are also more reliable.

You can also find professional diagnosis and treatment guidelines.

As for the things on Du Niang, just take a look, don't take it seriously, so as not to delay the patient's treatment. "

The woman in red stared at Zhang Tianyang and paused for two seconds, "Okay, thank you for your advice."

Although it seems to be a good intention to inform, but it feels like being despised!

So angry!

Sister Liang witnessed Zhang Tianyang's performance the whole time, and her mood gradually changed from being smoky with anger at the family to inexplicably happy and relieved.

Following Zhang Tianyang back to the doctor's office, she couldn't help but speak.

"Junior brother, you did a great job! Such family members should go back!"

"Also, how did you come up with the idea of ​​stamping the consent form for refusing treatment? I saw that the face of the family members changed when you handed it over!"

Zhang Tianyang just accepted the thumbs up from the little nurse next to him, and turned his head, "It's all about being prepared."

But then, his face became serious.

"Senior sister, the matter is not over yet."

Senior Sister Liang was taken aback.

"I just looked at the patient's neck and groin and he has no deep vein access!

For bedside CRRT, the teacher downstairs should not come up to put him in the jugular vein. "

Zhang Tianyang called up the medical records of bed 41 on the computer, quickly filled out the "Consent Form for Internal Jugular Vein Catheterization" and printed it, while turning his head to look at Senior Sister Liang.

"You come, or am I?"

　I guess there will be another chapter later today, what do you guess _§:з)))”∠)_

　　

　

(End of this chapter)