I'm really an intern

Chapter 134 Brother, you may not be able to leave (thanks to the boss of Yunyan)

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

After all, this is his only "holiday".

He will stay in the emergency department for a week, a total of six shifts.

There is a big night shift on Monday, and it ends on Tuesday morning, so you can rest from noon to night on Tuesday.

The day shift on Wednesday and Friday is equivalent to the normal work of other departments.

Small night shift on Thursday and Saturday, get off work at eleven o'clock in the evening.

Sunday is another big night shift, which lasts until [-]:[-] a.m. next Monday, seamlessly connecting with the next department.

Professor Yang and Senior Brother Deng can rest after the big night shift on Sunday, and they can rest for three full days.

Unfortunately, the holidays are all theirs, and Zhang Tianyang has nothing.

"You are too miserable, right?"

Brother Deng felt sympathetic when he heard about Zhang Tianyang's typesetting and the department rotation plan for next week.

"So you can't sleep from Sunday night until Monday afternoon?"

"How about you work halfway through the big night shift on Sunday night until three or four o'clock, and then leave the department directly?"

Brother Deng was afraid that Zhang Tianyang would die suddenly from exhaustion, so he thought about giving him a few hours to sleep.

But Zhang Tianyang shrugged, "Do you think the two of you on the night shift can do it?"

"I think it's enough."

Brother Deng sighed, "Professor Yang is quite dark, and I am also a little dark. I heard that you are also dark, brother. How can you be free from the night shift?"

"Oh, junior brother, you should be blessed!"

"Doctor! The hematology hospital is always here for consultation!"

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

"Okay! I'm coming!"

Zhang Tianyang responded, grabbed the consultation records that had been printed out earlier, with the patient's basic information and various important examination results, and went to see the patient with the inpatient of the hematology department.

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

In the emergency room, the equipment of doctors and nurses is still the same as that of the big night shift on Monday.

A head doctor, Professor Yang, and two follow-up doctors, 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 boy with hemophilia who stayed for several days, and the old lady Sun Wei who was intubated by Zhang Tianyang on Monday night, the other patients are all new faces.

The diseases are similar, nothing more than common conditions such as cerebral infarction, high blood pressure, severe infection, and unconsciousness.

In addition to symptomatic treatment and stabilization of the condition, a major role 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.

After all, the emergency room is actually a large transfer station.

Therefore, inpatients from various departments are always frequent visitors here.

The inpatients in the hematology department are always a little fat brother, and this time he came to the consultation with an intern behind him.

The intern's chest looked like Xiaobai who had just entered the clinic not long ago. At this time, he was following behind the head of the hospital, poking his head, and he was not at all calm.

This time there was only one patient who needed a consultation. Zhang Tianyang led the inpatient of the hematology department to the bedside of the boy with hemophilia who had lived in the emergency department for a long time.

"Yo, familiar face."

The head of the hematology department greeted the boy with hemophilia, then took the consultation form from Zhang Tianyang to check his latest test results.

Zhang Tianyang briefly reported the patient's basic situation and recent development.

"In the past three days, factor eight has been supplemented twice a day, and now the APTT has dropped significantly, and the pain in both knee joints complained by the patient has also improved recently."

"Stop supplementing the eight factors first, and observe for another day. If the index does not rise again, he can be discharged from the hospital."

The inpatient of the hematology department nodded and chatted with the patient, "The situation has obviously improved. After another day of observation, you can go home if the indicators are still good."

"I've seen you back and forth three or four times. It's not easy. After leaving the hospital, pay attention to rest to avoid injury. I'll come back to supplement the eight factors after three weeks."

"Okay, thank you doctor."

The painful expression on the boy's face with hemophilia was much better than when Zhang Tianyang saw him for the first time. Looking at his knees again, the swollen and purple-red appearance before had slowly subsided.

All in all, good news.

In fact, the consultation is basically over here.

The rest is to occupy a computer, type in the consultation opinion, and then type out the consultation sheet and sign it.

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

"Teacher, I have a question."

"Huh? What's the problem, let's talk."

There were two dimples on the grinning face of the inpatient of the hematology department. At this time, he was going to answer the questions of the interns while typing his opinions.

"Well, why does the eighth factor have to be replenished twice a day? Didn't it mean that even severe hemophilia should be replenished once every three weeks?"

Seeing the eyes of the chief resident brother suddenly become sharp, the intern doctor's voice unconsciously lowered, and finally, he simply shut up.

The hospital manager suddenly lost the mood to type, "Didn't you read the book I asked you to read yesterday?"

"Look, that's what it says"

"You only look at the type, don't you look at the symptoms? In severe cases, it's true that you usually get supplements every three weeks, but you didn't see the two red and swollen knees of this patient? Shouldn't you have emergency supplements?"

After being teased for a while, the intern doctor looked embarrassed, but he still insisted on asking, "Then why, you need to make up twice a day."

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

Obviously it is something that can be understood by looking up the information, but insisting on asking the superior doctor directly here, isn't this a rush to expose ignorance and clean up?

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

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

While explaining the intern doctor's problem, he also secretly reminded the senior brother to work quickly.

The chief resident brother looked better, and just about to type, unexpectedly, the intern students began to persevere in questioning again.

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

Now it's all right, the Chief Resident Brother is completely unhappy.

He smiled at the intern doctor, "Come on, classmate, shake your head."

The intern doctor complied with a dazed expression.

"Did you hear the sound of water swaying in your head?"

He was stunned again, the intern student hadn't realized that he was being stupid, Zhang Tianyang was the one who solved it.

"The beds in the hematology department are very tight, and they are mainly used to give chemotherapy to patients, who must stay in the hospital for observation.

For this kind of hemophilia patients, the main treatment is to supplement the eight factors, which can be supplemented anywhere, so there is no need to waste the beds in your department. "

"It's really just a matter of maximizing resource utilization."

Hearing Zhang Tianyang's easy-to-understand explanation, the head of the hematology department raised his eyebrows, "Hey, you're not bad, young man."

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

"You are also an intern classmate? Why are you an intern classmate, and I didn't catch you?"

"Doctor! There's a new patient here, come and take a look!"

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

The head of the hematology department looked at Zhang Tianyang's back quickly disappearing outside the emergency room and sighed for a while, then turned his head and glared at his intern classmate, and then continued to write consultation opinions.

Three minutes later, the freshly released consultation form was printed out and signed with the name of the hospital chief.

Zhang Tianyang also rushed into the rescue room in a hurry at this moment.

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

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

"Brother! You may not be able to leave!"

　Thanks to Baibu Huanyang and Xinxuan for their rewards~Thanks to other cuties for their support, I love you all!

　　

　

(End of this chapter)