I'm really an intern

Chapter 164 Doctor, Please!

Zhang Tianyang stayed outside the emergency room for a while.

It was really because the old lady's mood was a little unstable, and he didn't finally get away until the medical duty arrived.

Doctor Chen from the emergency internal medicine department saw him from a distance in the consulting room, and directly grabbed him to help.

It was only ten minutes before we got off work at noon. After admitting several critically ill patients one after another, the new patients were all relatively mild. Zhang Tianyang took care of several of them in a few clicks.

But he was still thinking about another patient in the emergency room who was rescued with a three-chamber two-capsule tube, so he found an excuse and slipped back.

Before, he wanted to ask Professor Yang about the specific situation of this patient, but he was offended by Professor Yang's hypoglycemia and hyperthyroidism, so he didn't have time to ask.

But even if he only looked at the appearance, Zhang Tianyang could almost guess what was going on.

It is nothing more than advanced liver cirrhosis, esophageal and gastric varices rupture and bleeding, and then the three-lumen two-capsule tube is compressed to stop the bleeding.

Just don't know how long it's been bleeding?

How much hemoglobin is left?

What is the basic condition of the patient?

What about the degree of cirrhosis?

How many times have you had cardiac arrest before?

Is there any need for rescue?

And how feasible is rescue?

This patient, in the hands of other doctors, is absolutely hopeless.

After all, having a three-chamber and two-capsule tube means doing your best and obeying the destiny.

But his eyesight is extraordinary.

Just like a superhero in a movie, with extraordinary abilities, he always wants to do something.

When he walked to the door of the rescue room, Zhang Tianyang saw Professor Yang surrounded by a group of family members.

Zhang Tianyang's eyes were good, and he could still see her face turning pale, and her figure swaying slightly when standing there.

The family members seemed to have noticed this too, and handed over their small chairs, but Professor Yang refused.

Zhang Tianyang really wanted to force Professor Yang to sit down, but he swept his eyes aside.

The black plastic bags and gold ingots that the group of family members occupied were just scattered there.

Even Zhang Tianyang could see a few gold ingots that had just been folded in half, scattered beside the black plastic bags.

Come to think of it, this group of family members must have been folding gold ingots before, and Professor Yang called their names, and surrounded them before they even had time to pack their things.

He could understand the eagerness of the family members to know the patient's news.

At this time, the medical staff must stand.

So Zhang Tianyang didn't insist on anything, but silently pushed aside the crowd and walked behind Professor Yang, listening to her explaining her illness, while being ready to support her from behind at any time.

Sure enough, it was exactly as Zhang Tianyang expected.

The patient is male, 65 years old, with a history of liver cirrhosis for 20 years. Several years ago, a gastroscope showed severe varicose veins in the esophagus and gastric fundus, and he also underwent ligation.

The patient is afraid of death, and the family members are also afraid of his death. They usually pay attention to eating and so on, and quit smoking and drinking.

But cirrhosis is a disease that cannot be reversed and can only be delayed. Even if you are careful, it is still progressing slowly in the past 20 years.

The fact that the old man was admitted to the hospital this time was because the old man’s new granddaughter-in-law was not aware of the old man’s condition, so in order to preserve his health, he made red dates, American ginseng and chicken soup for him.

The old man had been eating soft food before, because he was afraid that food that was too hard would scratch his stomach and cause hemorrhage.

This is what the family members have been warned repeatedly by doctors after years of repeated hospitalizations.

So even if it was chicken soup, he was not allowed to eat the chicken with bones in it.

But it's a good thing to die, the red dates have not been pitted.

The old man was used to the pitted red dates made by his family, so he swallowed them in one gulp.

After swallowing it, I discovered that it had a nucleus.

This is all right, the whole family jumped up and down.

The old man was rushed to the hospital.

But there is no reliable large hospital near their home. The nearest tertiary hospital is Dongfang Hospital. It took an hour in traffic jam on the road, and they vomited a mouthful of blood when they arrived at the entrance of the hospital.

When hematemesis just started, he quickly had an emergency gastroscopy, but when the probe was probed down, the inside was already red.

He was bleeding profusely and fell into a coma.

In the end, the gastroscopy doctor could only put a three-chamber two-capsule tube, hoping to stop bleeding by compression.

But there is no way, the patient's condition has been deteriorating, and the hemoglobin has dropped sharply. This morning, there were still more than 7g, but now it has dropped to 5g.

The patient came at around [-] o'clock last night, because of the turbulent bleeding. From last night to now, counting the one just now, there have actually been two apnea and cardiac apnea.

Professor Yang tried his best to explain, "Although they have all been pushed back, it is only temporary."

"Now the patient's bleeding cannot be stopped, and there is a risk of re-breathing and cardiac arrest at any time."

"If you stop it next time, you really may not be able to rescue it."

The family members surrounded the two white coats.

It can be clearly seen that their emotions are very excited, but they are also very restrained.

Three men, one woman, and a few children, gritted their teeth, pinched their hands, and grabbed the corners of their clothes.

Suppressing tears, but also restraining his voice not to be too loud.

The most "excessive" one was only the female family member, tightly holding Professor Yang's hand, her voice trembling, almost begging.

"Please, save him."

But sometimes, doctors are helpless in the face of death.

Professor Yang really doesn't want to talk about some things with his family, but now it seems that it has reached the point where he has to talk.

"Where is your home? Otherwise, send it back quickly, or if it's later, you might not be able to leave."

After saying this, the female family member holding Professor Yang's hand suddenly lost his voice.

Tears welled up from his eyes in an instant.

The three male family members were quite sensible, but their eyes turned red involuntarily.

"We're not going back."

It seemed that the largest male family member tried to keep his voice calm, "Doctor, you try your best to treat it, if it doesn't work, if it doesn't work, you will die in the hospital."

As he spoke, the tears in his eyes couldn't help streaming down, and he turned around to wipe them away.

Then with red eyes again, he came back and grabbed Professor Yang's hand.

"We know that the possibility is unlikely, but we still ask you to work hard. Now that you go home, there is really no hope at all."

"We are not unreasonable people. If it is not possible, we will admit it."

"What medicine to take, what inspection to do, what to sign, we all obey the arrangement."

"Don't worry about the money. Although we are poor, we will definitely pay it back. You see, we have been working hard to exchange gold and ingots."

"Doctor, please!"

The man held Professor Yang's hand and lowered his head.

Around him, a group of family members also lowered their heads with tears in their eyes.

"Please!"

"Please doctor!"

"Save him!"

　There is a serious illness in the front, and a sharp knife in the back, so I don't want to comment, I can only be a recorder.

　　In addition, friends, pay attention to protection. You can’t buy n95 masks. Ordinary medical masks with two layers can also play a role. Don’t go to crowded places and don’t contact with friends who have been to Wuhan.If you are in Wuhan, or have been to Wuhan, please pay more attention to your own safety, wear a mask, wash your hands frequently, do not run around, and seek medical treatment in time if you have symptoms such as cough, fever, dyspnea, and fatigue.

　　Good luck

　　

　

(End of this chapter)