Chapter 366: Emergency Pediatrician

Although today is the Lantern Festival, it is not a statutory holiday, and it is Tuesday. Naturally, hospitals open all year round are naturally open.
In the Third People's Hospital of Nanxiang City, people from the emergency department are coming and going. The patients and family members who come to the hospital fill the waiting hall, and the electronic call system is constantly ringing.
There is a superstition in the hospital, that is, the medical staff should not stand in the evening, saying, "It seems to be not busy tonight" and "It's quite busy tonight", which department has someone say this, then something will happen soon, and then busy It's been a day.
There were also foreign institutions that had experimented on this, and selected different departments in different hospitals to set up two groups. The usual workload is basically the same. One is a standing group and the other is a non-establishing group. The results show that the standing group will indeed change. To be a little more busy, it is unclear what anomalous force this is.
But in the emergency department, even if this is not the case, the medical staff are busy turning over.
Especially in the emergency department of pediatrics, from the evening to the early morning, basically have not stopped.
"Observe after the injection." Liu Guolin, one of the attending physicians on duty, had just seen a seven-year-old boy with a fever of 38.3 degrees.
In fact, he does not recommend the antipyretic injection. The child has a fever of 38.3 degrees but only a low fever. This patient has no symptoms of cough and sputum. The condition is very mild. In this case, the physical cooling of the ice pack is used, and some antipyretics and analgesics are taken. Drink more water, and the fever will usually go away soon. If you can't get rid of the fever like this, it will increase to medium to high fever, and it is not too late to consider the fever.
This antipyretic needle is not a baby. There are too many side effects. Symptoms such as anaphylactic shock are still mild. In severe cases, it is even fatal.
Although the general problem of doing a skin test first is not a big problem, any professionally qualified doctor will not recommend random injections.
But the parents of the little boy were more excited. They took the initiative to request a fever-reducing injection and urged him to hurry up, so as not to delay the child's condition.
Due to the complicated environment of doctor-patient relationship and the experience and lessons of employment for several years, Liu Guolin took their mind.
"Alas." When the parents took the children out of the emergency room, Liu Guolin shook his head, "Parent Bear."
Their doctors often have such complaints in private. Some Chinese patients and their families have their own opinions. They would rather believe their unprofessional knowledge for no reason, or search the Internet for a look, and do n’t believe the doctor. Some even put the doctor Treated as an enemy.
Say that doctors are expensive and rebates, but they don't understand who is responsible for drug pricing and purchases. Can their doctors make the final decision?
Those whose doctors have a conscience can do at most when using a medicine for patients. The production process and efficacy of imported medicines and domestic medicines are exactly the same, nor are they advanced medicines, but 100 imported medicines, 30 domestic medicines. At this time, the patients are prescribed domestic medicines.
But this will make the department's income less, and their own bonus will be less, and some directors will be dissatisfied, saying that the next time to open imports.
There are two reasons, and revenue is just one of them.
Another reason is that once something goes wrong, the patient's family will often scold, why don't you import medicine? What are you doing? Did you take the rebate of domestic medicine?
So if something happens in the end, it ’s the doctor who cares about it, whether you have a conscience or not.
In pediatrics, especially in pediatrics, it is usually difficult for children to tell their own feelings. Each child is the heart of his parents. When they are not crying, parents can still calm down. If they cry in pain, parents will It ’s easy to lose your mind ... The pediatric environment is very complicated.
Liu Guolin has been working as a doctor for five years after graduating from undergraduate level. From the beginning, he will explain to parents and even fight according to reason. Now it is often okay. If you want to get an injection, then give it. He also knows that he is being socialized. , To become the kind of person you once hated, but sometimes there is really no way ...
He was not Gu Jun, not a member of the Tianji Bureau, but a little doctor with no power. He had to take care of himself first.
Ever since she was slapped by an excited mother, Liu Guolin did n’t want to cause trouble anymore ...
What's more, he was on the evening shift, and he got off work at 0:00, and he didn't want to cause trouble at this moment.
At this time, Liu Guolin had just taken off his mask and took a sip of water from the thermos cup. The next patient came in. A pair of parents in their early thirties walked into the emergency room with a little girl of five or six years old.
"Hurry up and call Dr. Liu." The mother pushed the little girl, who cried politely: "Dr. Niu is good."
"Okay, good evening." Liu Guolin looked at the medical record handed in by the little girl's father. The child is 6 years old and has no major medical history. This is not a common pediatric emergency such as cold, fever, and abdominal pain. , No crying, no noise, no pain, Liu Guolin asked the doctor, what's wrong?
The mother's face was bitter and her tone was quite excited: "Dr. Liu, my daughter doesn't know what tonight, she always blinks, sometimes wrinkles her nose, and it looks wrong, but the strangest thing is that I Just after coaxing her to sleep, she suddenly made a strange sound ... I can't learn it, it sounds strange ... "
"We are all scared." The father was also very nervous. "That kind of voice can not be naughty, you can see what is the problem, Dr. Liu?"
"Oh, um." Liu Guolin nodded and looked at the girl's normal complexion. She took a flashlight and looked at her eyes, and then looked at her mouth and throat.
There are no abnormalities in the mouth, no inflammation of the tonsils, and the eyes respond normally to light, and everything is normal.
Liu Guolin has already made a preliminary judgment in his heart. This should be another kind of oolong case of excessive nervousness of the parents: the child is okay, just awkward, or just a little skin trauma, the parents are anxious and the child is taken Come to the hospital to crowd the emergency department.
But he didn't say these words naturally, but continued to ask questions. The girl's mother said that her blinking symptom only appeared today. It was particularly frequent at night, and she also made that kind of strange noise, only once for the time being.
"Little girl, your mother said you blinked today, what's wrong, is it uncomfortable?"
Liu Guolin asked the 6-year-old little patient, letting his voice sound gentle, otherwise some patients at this age would not cooperate.
"Um ..." the little girl shyly shook her head. "I just want to blink."
"Then don't you want to blink now?" Liu Guolin asked with a smile. It's been 3 minutes since they entered. The little girl didn't blink too much.
"I don't want to blink now." The little girl nodded.
"So ... is it like tickling?" Liu Guolin thought for a while, "I want to scratch when itchy, and don't need to scratch when it's not tickling."
"Hmm!" The little girl agreed. Her parents looked at each other, still very nervous, not understanding what this meant.
"Then the same kind of sound you made?" Liu Guolin asked again. "It's like sneezing. You want to hit, so you make a sound."
The little girl nodded again.
"Can you hold back then?" Liu Guolin asked. "Can you hold back when you want to blink and make a sound?"
"I don't know ..." The little girl shook her head this time and looked at her parents. "I didn't think about that ... I don't know."
Asked about this consultation, Liu Guolin had basically confirmed his previous judgment, picked up the pen, and scribbled a few pens on the medical record book.
This child is okay. Let his emotions scare his parents. He looked at it and felt that the father was relatively calm, so he let the mother go out with the child first, and then organized the rhetoric, paying attention to the diagnosis result without irritating the other party.
"The child should be fine." Liu Guolin said slowly, and would stop as soon as there were improper signs. "At her age, children will attract parents' attention through this means. You pay attention to her emotions. Go back and give her a good rest ... "
"Dr. Liu!" The father was immediately excited, even more excited than the mother just now, and Guozi face turned red. "It's not such a problem! My daughter is usually very good, our family is very harmonious, she won't make trouble It ’s awkward, and the sound is really weird, it ’s not like a human voice at all ... Dr. Liu, do n’t you have that supernatural power now, will this be the kind of thing ... "
Liu Guolin murmured in my heart, I am not a doctor of the celestial bureau, even if it is supernatural power, I can't see it.
But he really didn't think it was, the little girl was so healthy, and this parent's concern was just chaos.
"Uh." Liu Guolin looked at the patient's name in the medical record book, Guo Qinying.
"Mr. Guo, do n’t worry. I did n’t say that your child is making troubles. She might have been making a joke with you, but she did n’t dare to tell you if she was anxious. She would be blamed by you now. Do n’t blame her. If you continue to experience the same symptoms, look at it again.

"But ..." Mr. Guo was still anxious. "But the weird noise is really scary ... like repeating two words, like calling for something."
Liu Guolin really wanted to laugh, some parents had a particularly rich imagination, especially since the advent of the heaven and earth, some parents can simply go to play as a screenwriter, the child coughing a cough may be a new legionnaire's disease, the child dreams grinding Ge Ya said a dream and was afraid of hitting evil spirits.
Some children are so special that they do n’t go to school, to avoid scolding and other reasons, sometimes they make up their illness, stomach pains, and some are made especially fake. In the past, no parents would believe, but now , And have to bring the hospital to make a fuss.
The work of these grassroots doctors is really getting harder and harder.
"Mr. Guo, can you call the Tianji alarm hotline? Because if it is really a matter of supernatural power, then I can't help it."
Liu Guolin wouldn't say that this must have anything to do with supernatural powers ~ EbookFREE.me ~ The seniors have taught it, he has experience already, and the doctor can't talk like that.
Any judgment before you have to add a possibility, maybe, or, consider, should ... This is the doctor's way of speaking.
"Oh ..." Mr. Guo scratched his head.
Fortunately, Mr. Guo is a man who understands the affair and did not continue to make trouble. Instead, he took the medical record book out.
Liu Guolin ’s judgment is not wrong. After listening to her husband ’s words, Mrs. Guo went into the emergency room and asked him to prescribe anti-inflammatory drugs and injections. At least do she do something? Liu Guolin was really powerless to vomit, so what kind of anti-inflammatory drugs were prescribed.
Finally, Mrs. Guo was persuaded by her husband.
The couple took their daughter to stay in the waiting hall to observe her daughter's situation, but Xiao Qinying did not continue to show symptoms, and they did nothing.
At zero o'clock, Liu Guolin handed over the work to his colleagues who were connected to the midnight shift. When the white coat took off, he went back to the hospital's dormitory to sleep.