176 Shame on you
"Doctor, can I go back?" the little guy's mother asked curiously when she saw that Liu Banxia was still staring at her nostrils.
"Look, this is the cotton wool I just cleaned my nostrils of, and there's some fresh blood on it. You look at Hao Hao's nostrils again, and there is still some blood oozing out. Liu Banxia said.
"From now on, the child's bleeding time and clotting time are higher than the normal standard. I'm suggesting a blood count and a coagulation test, you see?"
"Doctor, could it be caused by Hao Hao's frequent movement on the way here? He is not honest, and he will often touch the toilet paper with his hand. Haohao's mother asked.
"There will be factors in this regard, but I think it's better to do a blood test. There are capillaries in the nose, and a simple fall is normal and will not produce so much blood. Liu Banxia said.
"It's not that difficult to check, just draw some blood, and see if you think that some kind of vitamin imbalance in the child's body is causing such a result. ”
"And I think that in the past, the child used to pick his nose a lot, not necessarily because he actively wanted to pick it. It may be that there is some strange feeling in the nasal cavity that makes him involuntarily pick at it. Think about it, how hard we can use to pick our nose under normal circumstances?"
Haohao's mother took a closer look at Haohao's nostrils again, and then nodded.
Drawing blood for children is also a technical job. Children are afraid of pain, you have to move quickly and accurately, otherwise it will be more difficult for you to operate the second time.
Similarly, Liu Banxia did not hand it over to others to do, but he came personally.
Even the bones can be felt, and the little guy's veins are not running. But it also requires people to distract the little ones, and the winning formula is the authentic Russian chocolate in the Chyokova's bag.
The little guy can be regarded as a VIP customer's enjoyment, Liang Xiaolin and Qing Kova are coaxing him here, who can have this treatment?
"Ah, Sister Li is here, and she will arrange for someone to send blood samples for testing, blood routine and coagulation tests. When I came outside, I happened to see Zhou Li.
"You're having a beautiful kid's day. Zhou Li said with a smile and blinked.
"What's beautiful, a handful of bitter tears, I'll report to you in detail when this patient is finished. Liu Banxia said with a wry smile.
"Bring some sauce bones, and I don't know if someone is playing happily with the beauty, and whether they like to eat it. Zhou Li quipped after handing over the blood sample to the other nurses.
"Hehe, I know you won't come empty-handed, we haven't finished eating. Liu Banxia said with a smile.
"Sister Li, you can't spoil Shoutian so much, we are your good sisters. Shen Lin came over.
"Stay on the side, you're all in pairs, and we're still alone in Shoutian. Are there any patients in the ward who need additional care?" asked Zhou Li.
"It's still those two, 2 beds in room 204 and 1 bed in room 206, both of which are our patients of Mr. Liu. Sister Li, you said that if our emergency department is really upgraded, how much can we raise our salary?" Shen Lin said with a smile.
"How do I know such a high-end thing, but I heard that in the future, our finances will be accounted for separately, and it will definitely be able to rise a little. Zhou Li said casually.
Liu Banxia here has already turned over the bones, but he didn't give them one by one, there were too many people. So he took Qingkova and Liang Xiaolin, and Xiao Haohao to gnaw together.
I have to say that this situation is also a bit unserious, but this matter is not a big deal if it is put on Liu Banxia. This sauce bone was also praised by Haohao, and he also ran out of the disposal room to express his gratitude to Zhou Li in person.
"Yo, you're here early enough. ”
At this time, Chen Jianxin and Wang Chao also walked in from outside, and Liu Banxia greeted him warmly.
"With Mr. Liu here, we don't dare to come late. Wang Chao said seriously.
"I can see the announcement, this batch is considered to have all become serious residents, perform well, I will write your evaluation. Liu Banxia also replied seriously.
"Bullying people, oppressing people with power, can't I go out to buy grapes? Wang Chao said helplessly.
"Haha, Dr. Wang is very sensible, this is what should be celebrated. Zhou Li said with a smile.
"Haven't eaten yet, hurry up and eat, Wang Chao and I are staring here." Chen Jianxin said.
"Wait a little longer, I have a small patient who has a bit of a long bleeding time and a bit of a clotting time, wait to see the results of the blood test. Liu Banxia said.
"Have you done a physical examination?" asked Chen Jianxin with a frown.
Maybe Haohao's mother doesn't know what the prolonged clotting time means, and his head can react to many diseases when he hears it.
For example, severe liver lesions, intestinal disorders causing vitamin K deficiency, disseminated intravascular coagulation, congenital prothrombin deficiency, and drug-induced ......
Liu Banxia said that he was a small patient, and now he really has to pay special attention to it.
"Not yet, I'm afraid of causing anxiety to the child's mother. Let's take a look at the results of the blood test, even if you do the next test, you have to be able to say one, two, three. Liu Banxia said.
"Ah, Brother Xu is also on duty tonight, so the relationship is good. Just after a while, there was a child who had been bleeding for a long time, waiting for the results of the blood test. ”
"Okay, I'll go change my clothes first. Xu Hui smiled and nodded.
After waiting for a while, the results of the blood test came out, which was beyond everyone's expectations. Liu Banxia was a little dumbfounded, what is the situation? How can it be normal?
It cannot be said that all of them are normal, the platelet value is slightly lower, and the white blood cells are slightly higher, which is only an abnormality in the index, but it is considered to be within the normal range after being combined into the human body.
"This is a bit of a fuck, am I going to lose face today?" After reading the inspection report, Liu Banxia asked with a wry smile.
"You tell me the details, and then we'll go in and talk to the child's mother. Xu Hui said.
Liu Banxia talked about the actual process of today's consultation, and also emphasized that the child had a history of nosebleeds, although the amount of bleeding was not large, but it was also very long.
"Combined with this situation, it is not reluctant to do a blood test and coagulation test, so have you carefully looked at the child's nasal cavity and how it behaves in the nasal cavity?" Xu Hui asked.
"There is a phenomenon of blood infiltration. Coupled with the fact that the bleeding took so long, my first reaction was actually leukemia. Liu Banxia said with a wry smile.
"When I was holding the child's head, I also felt that the child's body temperature was a little high, but there were not too many abnormalities in the nasal cavity. ”
"I don't think it has anything to do with other parts of the body, it may be caused by the nasal mucosa being too thin, but it's best to ask someone with ear, nose and throat to come and have a look. Xu Hui said.
Liu Banxia patted his head, yes, he thought about it so much, why didn't he think that it was a simple nose problem?
took out his mobile phone and dialed Du Fancheng directly.
"Banxia, what's the matter?, there's an adjustment on the patient's side?" asked Du Fancheng after answering the phone.
"Brother Du, it's not that patient, it's a new patient. Are you off work? Liu Banxia hurriedly said.
"Just walked to the parking lot, what about the emergency room? Wait for me to get there. "Du Fan is happy.
"Alright, I'll be waiting for you. Liu Banxia's heart was somewhat relaxed.
In less than five minutes, Du Fancheng walked over with a handbag.
"Dugo, there is an 8-year-old boy with a nosebleed. The bleeding was a bit long, and this is the result of a blood test I did. I misjudged it, thinking it was leukemia or some other malignant disease. Liu Banxia hurriedly handed over the test sheet.
"Let's check the nasal cavity first, I'll see first, if it doesn't work, I have to do a nasal endoscope." Du Fancheng said.
Liu Banxia nodded and hurriedly led Du Fancheng to the disposal room.
"This is Dr. Du from the Department of Otolaryngology of our Second Hospital, and I asked him to help Hao Hao look at his nasal cavity. Liu Banxia said.
"Doctor, what are the test results, is there something wrong?" asked Haohao's mother nervously.
"At present, the results of the blood test are only lower platelets and higher white blood cells, and I can't make an accurate judgment based on these, so I invited Dr. Du. Liu Banxia said stubbornly.
Haohao's mother didn't think much about it, but felt that Liu Banxia was very serious and responsible.
"Has the child ever had a stuffy nose or a runny nose?" asked Du Fancheng after a careful observation.
"I have a runny nose, but it's not a lot, and sometimes it gets a little runny when it's hot. Haohao's mother thought for a while and said.
"Judging from the current nasal performance, I recommend a nasal endoscopy, the child may have sinusitis. If it's not for the child who has had nosebleeds before, I wouldn't recommend it. Du Fancheng said.
"It's the most straightforward and easiest way to see the inside of the nasal cavity. The rest of the examinations, even if there are some manifestations, can only be used as an aid. ”
"Then do you have to do this nasal endoscopy, do you have to insert a tube into your nostrils? Hao Hao is so big, will it be broken?" Hao Hao's mother asked worriedly.
"As long as Hao Hao can obediently stay still, I will check it as soon as possible. Du Fancheng said.
"We sometimes encounter cases where children stuff small objects into their nasal cavities, and they are all picked up with endoscopes, and our experience in this area is still very mature. ”
"That'...... All right. Although there was some hesitation, Haohao's mother agreed.
This is the mind of parents, and they may not care at all, but when it comes to their children, they will be extra concerned in many cases.
"Hey...... , it's a shame to be a big deal today. Liu Banxia said with a wry smile.
"What, you still want me to comfort you? Doctor Liang, Shoutian has been handed over to you, do a good job of psychological counseling. Chen Jianxin quipped.
Even if Liang Xiaolin has grown a lot now, she is still a little shy when she hears Chen Jianxin's quip.
But Qingkova didn't care about these anymore, she was also hungry, and when she saw that there were so many doctors here, she directly dragged Liu Banxia to the cafeteria.