(Thanks to my friend Yuwo monthly pass for encouragement)

Although this patient is a little worried about money, after all, there are a lot of related costs in the absence of medical insurance. However, this is also a matter related to his life, and after simple persuasion, he also went for a biopsy.

"Some headaches, if there is no medical insurance, it is really malignant, I am afraid that this patient will give up treatment. Liu Banxia pinched his eyebrows.

"Actually, there are a lot of such patients, some of them are changing jobs, and some of them are freelancers. Shi Lei said.

"There is really nothing we can do about this matter, what we can do is to diagnose the condition and do our best to treat the patient. ”

"Eh, Dr. Chen from the Department of Pediatrics, looking this way, are you looking for you? Hold back your temper, you are now hospitalized, I guess I want to see you. ”

Liu Banxia looked up, and Chen Hongyang really looked at his side. After a slight hesitation, he walked straight over.

"Dr. Liu, I have a case here that needs to be consulted. Chen Hongyang said.

"What's the situation?" asked Liu Banxia in a calm tone.

"A 4-year-old boy with a long-term nosebleed. After a short recovery, another nosebleed today. In the summer, I had an allergic reaction and a rash on my arm, and I have it today. Chen Hongyang said.

"I still have cough symptoms when I went to the doctor for physical examination today, and after observing the mouth, I found that I had posterior nasal drip symptoms. The body temperature is slightly higher, 38.3 degrees Celsius. The child's mother had a tantrum when she was eating breakfast, and she should have felt uncomfortable at that time. ”

"My judgment was that it was an allergic reaction, and after a blood test, it was found that the number of urea nitrogen, creatinine, and white blood cells was elevated, and I judged that I had symptoms of dehydration. ”

"Combined with the elevated white blood cell count, postnasal drip, and persistent cough, I judged it to be bacterial sinusitis. However, the child's parents resisted the use of antibiotics and were given saline. ”

"After discovering that the child's wheezing was severe and his body temperature had risen by 0.2 degrees Celsius, he was given a chest X-ray, which was negative, and blood and sputum cultures were also given to the child. Now the child's parents are somewhat resistant to testing and also to medication. ”

Listening to what Chen Hongyang said, Liu Banxia was also worried.

It is clear that now the child's condition has not been diagnosed, and the child's parents have lost confidence in the diagnosis.

He experienced a child with a nosebleed once, and that time he made a joke. This time the child is a little different, and the situation seems to be more serious and complicated.

Task release: Chen Hongyang's consultation request

The child was still diagnosed after a long period of diagnosis, and pediatrician Chen Hongyang asked the host to assist in the consultation. Task rewards will be awarded based on the diagnosis results

Looking at the task prompt, Liu Banxia was slightly stunned, it had been a long time since he had released such an indirect task. That is, when you have just obtained the system, the system has only had a good learning attitude for yourself.

It seems that the system is really comprehensive in its own training, not only in terms of medical skills, but also in terms of interpersonal relationships and management skills.

A good doctor may also need to improve in all aspects of these aspects.

"Dr. Chen? Is this child's condition complicated? I'll take a look first. Then I talked to the parents of the children and hoped to persuade them. Liu Banxia said after putting aside the messy thoughts in his mind.

"What is the first disease in your mind about this child? The child's temperature is more than 38 degrees? Already a little dangerous? We really have to hurry. ”

"My first judgment was pneumonia, and the auscultation voice was not very good. But the chest X-ray hasn't been taken yet? Makes me suspicious of myself. ”

"Did you have an endoscopy?" asked Liu Banxia.

Chen Hongyang shook his head, "Parents are very resistant to invasive examinations? And they care about their children's health? In many cases, children are not given medicine except for vaccinations. ”

"In the child's three meals, there are also a lot of immune-boosting foods. For example, fish oil chewable tablets, children's good storage tablets and so on. ”

"Is this really a headache? Surely your child's statement is inaccurate when he asks about his illness? Endoscopy is not allowed. I'd better communicate with the child's parents first and see if it can have some effect. Liu Banxia said with a wry smile.

Chen Hongyang nodded, he really had no choice, otherwise he wouldn't have asked Liu Banxia for help.

At present, the biggest difficulty is that the child's parents resist the examination, and it is better to draw blood? I did a lot of work during the chest X-ray.

When Liu Banxia walked in, he saw that the child's parents were not in a very good mood.

"Hello two? This is Liu Banxia, the chief resident of the emergency center, and I invited him to come over for a consultation. Chen Hongyang introduced.

"Dr. Chen? No matter which doctor you call, can you give us a good look at our family's illness. The child's father said.

"Don't you worry? Since you came to us for treatment? The purpose of both of us is the same? It's about getting your child back to health. Liu Banxia said.

"I listened to Dr. Tan talk about the child's situation and there are a lot of contradictions in the performance right now. The child has allergies, sinusitis and pneumonia. May I ask, why do you care so much about these tests?"

"Every time you check it, it will cause damage to Shanshan's body. The child's mother said, impatient, and glanced at her phone.

"Last year, Shanshan had an ear canal infection, and the doctor prescribed amoxicillin to drink. After drinking it once, Shan Shan had a rash all over his body, and he was hospitalized for a long time before recovering. ”

"It's not that we don't believe in your medical skills, it's that some doctors are really indiscriminate. The child is already so sinned, what if there is another mistake?"

"Let's just say that today, come here early, how much time has it been. The cough didn't stop, the panting was still so hard, and the body temperature didn't go down. I ......"

"I understand your feelings, parents all over the world, although I don't have children yet, if my own children get sick, I will definitely be more worried. Liu Banxia intercepted the conversation.

"Dr. Chan is actually more anxious than you, he is the best pediatric specialist in our emergency center. Please also understand that we really do not diagnose the disease like Chinese medicine without detailed diagnosis and data support. ”

"This is also where we are inferior to Chinese medicine practitioners, can you wait patiently a little longer, and I will talk to Shanshan first?"

The child's parents looked at each other and nodded. Liu Banxia's posture was so low, they really didn't want to say anything more.

"Is your name Shanshan?" Liu Banxia sat on the hospital bed.

The little one nodded and coughed again.

"Shanshan, can you tell your uncle that your throat is itchy when you cough?" asked Liu Banxia as he checked the rash on the little guy's arm.

Shanshan shook his head, still not speaking.

"Can Shanshan tell your uncle why he didn't eat well at breakfast? I just heard your mother say that Shanshan is a very well-behaved child, and he eats big gulps every time he eats. Liu Banxia asked with a smile.

"It's not good. Shanshan spoke.

"Can you tell your uncle what's wrong with Shanshan?" Liu Banxia asked again.

Shanshan stretched out his small hand and pointed to his chest.

Liu Banxia also stretched out his finger and poked lightly on Shanshan's chest a few times, the little guy was a little itchy, and his little body also dodged a few times. However, because of this action, the little guy coughed again, and this time the cough lasted longer, more than ten seconds.

Liu Banxia took out the stethoscope again and listened carefully in Shanshan's lungs.

"Two, I know you care about Shanshan very much, so your idea is to avoid Shanshan from being examined by more instruments as much as possible. After throwing the stethoscope to Shanshan to play, Liu Banxia said.

"But just now when I was auscultating Shanshan, I found that there was an inspiratory wheezing sound in his trachea, and Shanshan also said just now that his cough was not caused by some itchy throat, and the appearance he showed when coughing was somewhat similar to choking. ”

"Based on the above conditions, I think there is a foreign body in the child's lungs or trachea. Don't worry, the foreign body is certainly not very large, but it may be attached to the wall of the trachea. ”

"These are sometimes not taken during chest X-ray, and the most direct method is endoscopy. During the examination, Shanshan will feel a little uncomfortable, but it can allow us to diagnose the condition as soon as possible and reduce the pain of Shanshan. ”

"Doctor, can't you use any other way? EndoscopeI know, Shanshan must be very uncomfortable. The child's father frowned.

"I think Shanshan is very strong, and when we eat, we occasionally suck food into our trachea, which is a bad feeling. Liu Banxia said.

"Yamayama has insisted on not crying until now, and I think he has behaved very well. Let's do an endoscopy, although it will be a little sinful, after all, we all want to make Shanshan's body return to normal as soon as possible. ”

"Well, doctor, don't let Shanshan suffer as much as possible. The child's mother spat out.

Liu Banxia breathed a sigh of relief, and the difficulties of pediatricians can be regarded as experiencing today.

When faced with patients who resist examination, sometimes you can go to scare. But what about the parents of the children? If you are scared, you may fight.

On the way to the endoscopy room, Chen Hongyang was also very emotional, and he couldn't hear the wheezing sound in the child's trachea. At this point, he has to admire Liu Banxia, he must be very weak, so he will be missed by himself.

But Liu Banxia heard it, this is the ability.

The children in Shanshan are indeed very cooperative, but looking at the examination interface on the endoscope, the expressions of both Chen Hongyang and Liu Banxia have become a little dignified.

It is not sinusitis or pneumonia, there are many tiny blood clots and inflammation points in the lungs and trachea of Shanshan, which are the culprits of Shanshan's fever and cough.