Chapter 134: Chapter 131

Chapter 134 Chapter 131
When Zhang Fan entered pediatrics, it was not the time when there were most pediatric patients. Winter was the season for large-scale outbreaks of pediatric diseases, but even if it was not the outbreak season, there were many children who saw the doctor.
He Fang, graduated from the Medical College of Stone Town. She entered the pediatrics crying that year, but after a few years, she was really impressed by Tang Liuhong's medical technology and human life. She has learned everything and worked hard in her studies. For a few years, it has become the leader of the younger generation of pediatrics.
She had already planned to send her to study, but she was pregnant, which dragged her down. In summer, pediatrics are mainly diarrhea. One by one, the small people have thin yellow muscles, and it makes people feel sad.
Children have poor resistance and do not know how to defend. Parents who encounter delicious food often eat braces if they do not pay attention. And now they are all one-child families, and they care too much for children. They are afraid that they will not develop better than other children. They are constantly feeding various foods, have poor gastric motility, and are not sick. I am sorry for those added nutrients!
Zhang Fan and He Fang are on duty. He Fang is a nice person. She wants to feed her children and her husband delivers them from home. These days, because Shao Hua's dad is going to see the decoration and quietly go to practice the car, Shao Hua has to go to work every day, Zhang Fan hasn't let the delivery of food anymore, and the old lady can't get busy alone!
As long as he was on duty, He Fang would ask her husband to bring an extra meal to Zhang Fan. Zhang Fan was embarrassed to eat and was a bit unable to eat. However, He Fang knew that Zhang Fan was not a local. Everyone came from the department. No matter what Zhang Fan said on duty, he would bring an extra meal.
Nursing rice, rich in nutrition! Zhang Fan was very embarrassed. He Fang's husband sat watching contentedly as they ate, only milk can be eaten! The fat son at home can be full!
In the afternoon, there was a sick person in a county. Boy, half a year old, no obvious cause of diarrhea 1 week ago, solution of yellow stools, usually 6-7 times / day, up to more than 10 times / day, often accompanied by mucus, bloodshot, no egg-like watery stool, no pus Blood, no obvious stench, no abnormal crying, no vomiting, no fever, no abdominal distension.
Seeing no improvement in the local hospital for a week, the parents took the child to the Maternal and Child Hospital. The maternal and child doctors saw that all the drugs that should be used in the county hospital were not available. The child was taken to the pediatric department of the city hospital.
The examinations were basically normal, that is, the occult blood test was positive. Zhang Fan looked at the child. The child had no energy to cry, her lips were slightly dry, and her little hand was dancing to find her mother! Smart eyes also lost their due shine.
The medicine in the county hospital is also suitable, and there are no special abnormalities. What is the problem? Zhang Fan is thinking hard. Although the textbooks of pediatrics have been turned many times, the textbooks are only the basics. Really, Zhang Fan still lacks clinical experience.
"Receive hospitalization first, you don't need breastfeeding anymore." Then said to Zhang Fan: "Give your child some fluid to replace the lost body fluids, other medicines are not used for the time being, and then open a bottle of amino acid milk powder."
Parents of children are particularly anxious. They have had diarrhea for a week, and there is no way for county hospitals, nor for women's and children's hospitals. When I arrived at the city hospital, the doctor did n’t even use the medicine, and the tone of the speech was very loud: "Doctor! The child has been dragged for a week. Can you please ask your experts to see it, and you can't delay it anymore."
The child's mother blushed, and the child's father blushed. Anxious to get angry. He Fang, a mother, has a special understanding of their mood, and didn't care about their tone. "Don't worry, the child is not a big problem. This is infantile allergic proctitis. Weaning the child and changing to amino acid milk powder will heal. Can't drink milk. "
"My baby grew up on my milk from a young age. It's half a year old. Why didn't this happen before? Is your diagnosis wrong?" The child's mother didn't understand, she thought the doctor's diagnosis should be wrong.
"Trust me, I'm more professional than you, and I'm also a mother. Go to the hospital and watch for two days. The child should stop diarrhea." It's very powerful to speak slowly and hurriedly. The power of knowledge or experience calms parents' anxiety in a few words.
Zhang Fan nodded secretly. He Fang's tone, expression, and action gave parents a potential comfort and assurance. Although there was no verbal assurance, it was this tone and expression that calmed the parents of the anxious child.
Zhang Fan's mind kept repeating He Fang's speaking rhythm, tone, and expression, as well as technology. The doctor-patient relationship became more and more tense, and sometimes it was not because of therapeutic factors that caused disputes. Most of the time, it was because of speaking. .
When a child comes to see a doctor, there are usually two family members, a little more than three, exaggerating that the whole family is dispatched. At one o'clock in the morning, Zhang Fan finished writing his medical record and was holding He Fang's encyclopedia of pediatric diseases.
The knowledge in the textbook can no longer satisfy Zhang Fan. Moreover, there are too many too many critically ill children in general hospitals in one area. Zhang Fan has been cluttered and confused for a week. Too much knowledge to master.
Although it is a general pediatric, children from three months to thirteen-year-old children can come to see pediatrics. The children have not eaten well recently.
The night was quiet and He Fang had rested. Zhang Fan was going to read an hour's book and rest. The nurses are still coming and going in the corridor, taking temperature, changing the bit, the front-line nurses in pediatrics can not do it a little older, too boring, a night shift, a girl with flowers, can be five years old ~!
"Oh!" The door was pushed open, Zhang Fan turned his head, and five or six adults took a child into the department. "Doctor, hurry, the child has a high fever and they are starting to smoke. Hurry!"
He Fang also got up and went out. The duty is to take a nap and want to sleep for a while, which is delusional.
Zhang Fan touched the child's head, hot. And the children smoked one by one. "Child, how long has it been twitching," He Fang asked.
"It's been about ten minutes. I had a high fever in the afternoon, took antipyretics, and then started to have fever again in the evening. Think of a way, doctor." The mother cried.
"Intramuscular injection of phenobarbital sodium, rapid blood test. Anal plug of acetaminophen, physical cooling, low flow of oxygen." He Fang gave an oral medical order. He said to the parents, "Go to the hospital. The child's breathing is a little short, and he must be hospitalized." After speaking, Zhang Fan had already opened a hospital bill.
After half an hour, the blood routine report showed that the white blood cells and neutrophils increased. "Infected! It is time to use antibiotics. I will explain the illness to the parents and you will get a doctor's order."
An hour later, the child's temperature was controlled and she was infused on the bed. Children don't pretend to be sick. Discomfort is uncomfortable, and comfort is comfortable. After a while, the body temperature dropped, and the spirit came. Parents worried that staying up late would be a little tired.
As a result, an inadvertent needle of the infusion set was run and the child started to cry. The pediatric night shift is usually an old nurse with two young nurses who go to treat the children in other beds.
The new nurse, Xiao Li, was called by the parents to the ward.
(End of this chapter)