I'm really an intern

Chapter 45 Unexpected surprise

Brother He and Zhang Tianyang took the newly opened checklist to communicate with the patient, and the door of the doctor's office closed with a creak.

Brother She, who was devoting himself to writing the medical records, was shocked.

"Huh? Where's Senior Brother He? He hasn't given a lecture yet!"

"It's already gone! Our new classmate looks very reliable!"

Sister Chen was overjoyed, she just felt that the future was bright, and she went to accept new patients happily.

Senior Brother She was left staring blankly at the screen.

"Doesn't this new attending like giving lectures?"

After writing the admission record and the first course record, Zhang Tianyang fell into a somewhat idle state.

There is only one newly admitted patient in hand, and all the examinations have not yet come out, so I can't do anything, can you not be free?

Brother He is more Buddhist, and seeing that there is nothing wrong, he just drove Zhang Tianyang back to eat at 11:30.

The euphemistic name is: staying here is a waste of time, it is better to go back and have a good rest.

At three o'clock in the afternoon, go to work on time.

Zhang Tianyang finally caught the 82-bed uncle in the ward who had been going for check-ups all morning.

Then got a bad news.

"Doctor, I'm going to do some B-ultrasound, and the doctor below told me that the machine is broken!

Then I was asked to go to some outpatient clinic, but there were a lot of people there, and I was scheduled until tomorrow.

Do it one day later, it should be fine, right? "

one day late

Zhang Tianyang was silent.

Just wait for the results of the abdominal B-ultrasound to give the position of the puncture point.

Must put ascites today.

B-ultrasound can only be done tomorrow, which means——

He was going to blind the patient.

After comforting the patient, Zhang Tianyang called the B-ultrasound room of the outpatient clinic without giving up.

"Hello, I'm from the Liver Disease Center. We have a patient with ascites and fever. Today, he needs to perform abdominal paracentesis. Can he have a B-ultrasound first?"

"What's going on with you today?"

On the other side of the phone is a female doctor with a bit of a grumpy temper.

"Everyone calls and says the patient is very serious, this one is serious and that one is also serious, how do you ask me to sort it out!

Doesn't your liver disease center have its own B-ultrasound room?No matter what, bother me! "

Zhang Tianyang tried to struggle, "There is something wrong with our B-ultrasound machine, this patient is really in a hurry"

"Hurry up, hurry up, hurry up, everyone! First come, first served!"

The other person directly hung up the phone, and Zhang Tianyang was helpless to the busy tone of "beep beep".

However, today is Monday, and there are a lot of new patients admitted to the hospital, and it is true that they all need routine B-ultrasound.

It's just a blame, luck is not very good, there are a lot of serious patients today

But looking at the situation of the 82-bed uncle, if the ascites is delayed until tomorrow, I still don't know what will happen.

"Brother."

Zhang Tianyang couldn't find Brother He, so he could only call to tell him the bad news.

"Maybe I have to go blind, I can't line up in the B-ultrasound room."

"what!"

Brother He sighed over the phone, "I have two surgeries this afternoon, so I can't go back!"

"Well, let your senior brother and senior sister take you to wear it!"

"I also looked at bed 82 in the morning. The stomach is so big, and the risk of piercing the intestines is not great."

It was just [-]:[-], and Senior Brother She hadn't come to work yet.

Zhang Tianyang had no choice but to trouble Senior Sister Chen.

"Okay, okay, I'll go with you."

Senior Sister Chen Shishi seemed to be very talkative, and she took Zhang Tianyang to the treatment room to prepare things with a smile.

"Junior brother, do you know what to prepare for belly piercing?"

"know."

Zhang Tianyang bent down and began to rummage, and found all the items including the puncture bag, disposable urine bag, lidocaine, heparin cap, cotton swab, etc., and showed them to Senior Sister Chen for inspection.

Chen Shishi turned over the things in Zhang Tianyang's hands, her eyes were bright.

"It's ok, junior brother, I have something, let's go, do abdominal puncture!

By the way, you know how to do belly piercing, right? "

Zhang Tianyang said modestly, "I have practiced."

"I knew you could do it!" Chen Shishi led the way to the ward.

"Junior brother rushes the duck!"

"Uncle, I'll do a abdominal paracentesis for you and put ascites on you."

Zhang Tianyang greeted the 82-bed uncle gently, and invited the family members out again.

Turning around, I found that Senior Sister Chen was playing with her nails beside the hospital bed with her head down, not intending to disinfect the towels in the slightest.

"Senior sister, you?"

"Ah." Chen Shishi replied with a smile, "Junior brother, you do it, and I will hold the line for you."

Zhang Tianyang was stunned.

So rest assured, am I really okay?

Chen Shishi had another thought in her mind.

"It's hard to catch a reliable junior, so don't wait any longer!"

"What's more, my mother is tired of doing this kind of operation, but the intern has never done it!

Every year, so many five-year intern students cry and want to do the operation by themselves! "

"Look at the other interns, their senior sisters are definitely not as good as me, and they are so generous to give them the opportunity to operate!"

"Ah~ I'm such a peerless senior sister!"

Chen Shishi crooked frantically in her heart, and the corners of her mouth couldn't help but curl up.

Zhang Tianyang, who had already set his position and was dismantling the piercing bag, saw it out of the corner of his eye, and his heart trembled.

Senior sister, senior sister, pay attention to your expression management!

I complained silently in my heart, but my hands were not slow at all.

Open the puncture bag and open it by pinching the outer layer of fabric.

Put on the sterile gloves quickly and start sorting out the items in the puncture bag.

Over there, Senior Sister Chen rubbed her hands, her eyes lit up, and she was ready to test the quality of this junior.

The next moment, she used the big feeding technique, and her hands moved quickly.

Remove the sterile hole towel and throw it away.

Open Aner iodine, pour.

Aspirate the heparin solution and pour.

Both sides check lidocaine, unscrew and pour.

Disassemble the 5ml syringe and throw it away.

Zhang Tianyang didn't panic at all, he quickly checked the tee tube and filled it with heparin.

Connect the syringe and puncture special syringe, and adjust the guide wire.

Disinfect quickly and spread towels.

Over there, Senior Sister Chen finished dismantling all the things to be dismantled, quickly put on the sterile gloves, and was ready to help Zhang Tianyang.

But at first glance, he had already prepared everything.

Even the drainage tube has been cut!

A normal drainage tube has only one opening and is left in the abdominal cavity. Once the patient's body position changes, it is difficult to drain ascites.

Therefore, in many cases, the operating doctor will temporarily use a scalpel to make a side hole for the drainage tube.

In this way, even if the patient's body position changes and several drainage tube ports are blocked, other side holes can also play a role in drainage.

Chen Shishi pinched the drainage tube with six side holes in it, marveling.

"Junior brother, how did you know to open the side hole like this!"

In the next second, Zhang Tianyang snatched the drainage tube from her hand.

After being dazed for a moment, Chen Shishi was shocked to find that Zhang Tianyang had finished the previous steps and was about to put in the drainage tube.

"real or fake?"

Chen Shishi blinked.

Injecting anesthesia, puncturing and withdrawing, inserting a guide wire, and expanding the skin, all four steps, did he complete it in a blink of an eye?

Thinking back to the time when I took the intern students to do abdominal puncture, those students were in a hurry and made mistakes, and looking at Zhang Tianyang, Chen Shishi's eyes became brighter and brighter.

Seeing Zhang Tianyang's hands moving quickly, he put in the drainage tube, pulled out the guide wire, and connected the urine bag. The light yellow liquid was slowly drained from the patient's stomach along the tube.

Chen Shishi waved her fist.

"Junior brother is amazing!"

And in her heart, a small Chen Shishi looked up to the sky and laughed.

"Hahaha! I found a treasure!"

I secretly liked it for a long time, until Zhang Tianyang cleaned up the mess and explained the precautions to the patient.

Chen Shishi followed him to the treatment room.

"Brother, let me discuss something with you."

"what happened?"

Chen Shishi tried her best to put on a pitiful look, and bit her lip.

"Don't follow Dr. She, okay? He doesn't pay much attention to you."

"then me"

Chen Shishi couldn't control her expression anymore, her eyes lit up instantly.

"Follow me!"

　Ah~ Sacrificing the lunch break, I should have finished the previous one, and coded a new chapter.

　　I'm going to die suddenly

　　

　

(End of this chapter)