Section 8: Professional Ethics

On this day, Qi Buyang was on the night shift to inspect the ward, and a panicked young couple suddenly appeared in the corridor, the woman was holding a baby in her arms, and when she saw Qi Buyang in a doctor's white coat, she walked towards him as if she saw a savior.

The man spoke up: "Doctor! ”

Qi Buyang asked, "What's the matter?" ”

"My child had a high fever last night, this morning I came to the hospital to see a doctor, I hung the fluid, the fever went down, the doctor prescribed some medicine for us to go home and take it on time, it was fine in the evening, and the child began to have a fever again at nine o'clock, it seems to be a very bad fever......"

The woman didn't wait for her husband to finish speaking, she looked very anxious, and added: "We have given the child medicine on time, and we haven't let the child catch a cold, why did the child burn again?" ”

Qi Buyang glanced at the tightly covered child in the woman's arms, young people nowadays generally lack common sense, the more the child has a fever, the more it can't be covered too tightly, so that the child's body is more difficult to dissipate heat, and asked out loud: "How old is the child?" ”

The woman replied, "It's been almost seven months." ”

Qi Buyang glanced at the child, the little guy actually grinned at him, and Qi Buyang said, "The child looks in good spirits." ”

The woman responded: "I ate it, and my mental state was the same as usual, but my forehead was too scary, we measured it, and it was almost 39.5 degrees." ”

Qi Buyang said: "Don't worry, I'll take you to the pediatric duty room to find the doctor on duty to have a look." ”

The man said: "We came from the pediatric duty room, and there was no one in the pediatric duty room, so we found here, doctor, take a look, what's wrong with the child?" There is no need to continue slinging. ”

Qi Buyang hesitated, he was not a pediatrician, and it seemed a bit unruly to do so, but the young man said anxiously: "Doctor, you speak." The tone was already faintly angry.

Qi Buyang said: "Sir, don't worry, come with me to the duty room, and I'll take a look at the child in detail." ”

The husband and wife immediately nodded and followed Qi Buyang to the duty room.

The duty room is not an examination room, so Qi Buyang moved a table, asked the woman to put the baby on the table, and said: "The child has a fever now, don't cover too many clothes, and untie the swaddling clothes first." ”

The woman asked, "If you untie the swaddling clothes, will the child catch a cold from the wind?" ”

Qi Buyang said: "No, you see, I have closed the doors and windows." ”

The husband and wife felt that the young doctor was quite careful, and there were many dissatisfaction with the hospital in their hearts, which would be a lot of dispersal.

Qi Buyang touched the child's forehead with his hand, and felt really burning, and the man said: "I measured the child with a mercury thermometer, and the temperature was as high as 39.5." ”

Qi Buyang didn't answer, and after examining the child's hands and feet, mouth, and eyeballs, he was diagnosed: "Don't worry, the child is not an ordinary fever and cold, but a rash of young children." ”

When the husband and wife heard this, they said in unison: "What is the rash of young children?" Yan zhΓ²ng is not strict zhΓ²ng? ”

Qi Buyang said with a smile: "This disease is a viral infectious disease caused by most babies under the age of one, and it is very common, but before the symptoms are fully manifested, doctors are easy to misdiagnose it as a respiratory infection. ”

The man immediately said: "Yes, yes, the doctor in the morning said that the child may have a high fever caused by a respiratory infection." ”

The woman asked anxiously: "Doctor, is this infectious disease strict zhΓ²ng not strict zhΓ²ng?" ”

Qi Buyang said: "You don't have to worry, the rash of young children is different from ordinary viral infectious diseases, after the rash appears, the fever will naturally subside, and there will be no sequelae." ”

The man asked the fox: "Doctor, you mean that you don't have to worry about it like this, but this high fever has not gone away, but what is good?" ”

The woman said: "Doctor, I want you to arrange for the child to be slinged now, the fever will subside, and the big stone in the hearts of our husband and wife can also fall." ”

Qi Buyang said: "The child is still young, with fine skin and tender meat, don't you feel distressed when you look at this scalp sling, besides, it is a toddler's rash, and the sling can reduce fever for a while, and it will be high fever after a while." ”

The couple asked, "What then?" ”

Qi Buyang should not, but grabbed the child's hand and foot joints and pinched them, I don't know if it hurt the child or what, the child suddenly cried, although the husband and wife looked distressed, but also calmed down and watched patiently, only to feel that the young doctor's calmness gave them a very believing, reassuring feeling.

After a while, the child broke out in a hot sweat, and Qi Buyang stroked the back of the child's ear and coaxed: "Obediently, don't cry." ”

Strangely, the child really stopped crying.

Qi Buyang said to the man, "Did you bring a towel?" ”

"Yes, yes, yes." As he spoke, the man pulled out a toddler's towel from the bag he had been carrying.

Qi Buyang took the towel, lifted the child's clothes, leaned inside to wipe the child's sweat, and said, "Talcum powder." ”

The man immediately handed over the talcum powder, Qi Buyang rubbed the powder on the child again, and the nurse who wanted to professionally care for infants and young children was hungry when he was skilled, which made the couple feel more relieved, and they only felt that although the doctor was young, he was very professional.

The woman reached out and touched the toddler's forehead and said in surprise; "It's not burning."

The man said excitedly: "Really? The fever has subsided, doctor, you are really capable. ”

Qi Buyang said; "This fever is only temporarily subsided, the fever will come and go back in the past two days, and you don't have to panic too much at that time, just cool the child physically, such as wiping the child's body with warm water, and then applying thick powder."

The husband and wife nodded trustingly.

Qi Buyang instructed: "In the morning, the doctor diagnosed a respiratory tract infection, then he must have prescribed antibiotic medicine, don't take this medicine, the child is too young, and it is not appropriate to take antibiotics casually." ”

This made the couple feel that this is a good doctor who is responsible for the patient.

Qi Buyang said again: "About two days later, the child will have a rash, and the fever will subside, if you are not at ease, take the child to the hospital to have a look, presumably the doctor will be able to make an accurate diagnosis by then." ”

"Okay, thank you so much, doctor." The husband and wife nodded hurriedly, and the big stone in their hearts finally fell.

Before leaving, the man said, "Doctor, why don't you leave the phone number for me, and if the child has any fever and cold in the future, I will come directly to you." ”

Qi Buyang said: "I'm not a pediatrician, and it's illegal to see a child today." ”

"Ahh The husband and wife exclaimed.

Qi Buyang said with a smile: "You see how energetic the child is, healthy and healthy, don't worry too much." ”

The husband and wife thanked them again and again before leaving.

When he was at Stanford University medical school, although he had the right to use equipment that was casually worth millions of dollars, he was a poor professor, in addition to daily consumption, most of his salary was donated to charity, and he usually used his bicycle as a means of transportation when commuting to work.

Suddenly, a little girl shouted from behind him: "Uncle, your things have fallen." ”

Qi Buyang stopped, and when he turned around, he saw a little girl about ten years old bending over and picking up the manuscripts on the ground one by one.

The little girl picked them all up, ran to Qi Buyang in a hurry, and panted, "Uncle, your things." ”

Qi Buyang smiled and took the manuscript she handed over, "Thank you, the little girl is so good." Suddenly, she saw that her face was pale and her breath was short, and she secretly thought in her heart: "Heart disease!" ”

At this moment, a woman in her thirties ran over nervously, "Zhenfang! Don't run! How many times have you been told sΓΉ, don't run! Walk slowly! ”

Her words deepened Qi Buyang's judgment.

The little girl said, "Mom, my uncle's things have fallen, and I'm afraid he will be left behind." ”

The woman's expression was stern and she said, "No matter what happens, you are not allowed to run anymore, remember?" ”

The little girl hung her head, "I remember." ”

Qi Buyang praised: "What a good girl who is polite and sensible." ”

The woman casually replied, "If you were sensible, you wouldn't fail to remember what I said."

Qi Buyang said to the woman: "Eldest sister, is this your daughter?" ”

The woman nodded, but did not speak.

Qi Buyang praised: "It's really cute and clever." ”

The woman looked down at the little girl, but her expression was dark.

Qi Buyang squatted down and said to the little girl, "Little sister, are you sick?" ”

The little girl nodded and said, "Yes, my mother said I was sick, so she brought me to the hospital to see a doctor." ”

The woman suddenly looked a little panicked, took the little girl's hand, and was about to leave in a hurry, as if Qi Buyang was a bad person.

She has been hiding her daughter's illness and refusing to let her know.

Qi Buyang led the car and chased after him, "Sister, you wait, wait!" ”

The more Qi Buyang shouted, the faster the woman pulled the little girl away.

The little girl panted and said, "Mom, I'm a little uncomfortable! ”

The woman stopped, but suddenly felt a sinking of her hand, and her daughter's hand hung down heavily, and the whole person fainted.

The woman's face turned pale with fright, "Zhenfang! Zhenfang! Instinctively, he pushed and shook his motionless daughter.

Qi Buyang chased after him from behind and shouted, "Don't shake her!" As he spoke, he quickly approached, grabbed the woman's hands, and controlled the excited woman, looked directly at the woman, and said with a serious expression: "Sister, let me come!" ”

At this moment, the woman didn't know whether she was at a loss or saw confidence in Qi Buyang's eyes, and nodded.

Qi Buyang squatted down, pinched the little girl's neck, didn't react to the pain, unconscious, grabbed her wrist, had a pulse, but was unsteady, lowered his head to probe her snort, no breathing, and moved his ear to her heart, no heartbeat!

According to these conditions, Qi Buyang immediately made corresponding rescue, broke the little girl's mouth, and then clenched his fist and struck the heart position of her left chest hard, after percussion two or three times, there was no response, the fist was raised by 30 centimeters, mastered the power of percussion, and punched the little girl's heart, this method of stimulating cardiac resuscitation Non-professional ambulance personnel generally do not dare to try lightly, according to the patient's physical age to master the force of this percussion, the force is small and has no effect, delaying the rescue time, If the force is too great, it will cause physical harm to the patient.

When the woman saw Qi Buyang punching her daughter in the chest as if she was beating someone, she screamed in shock, "You madman! Just as she was about to pull Qi Buyang away, the unconscious little girl hiccuped, and the woman's expression became stunned again.

Qi Buyang lowered his head again to listen to the little girl's heartbeat, there was a heartbeat, but it was still very weak! Immediately put the little girl on mouth-to-mouth artificial respiration, and then do cardiopulmonary compressions, four times in a row, until I saw the little girl began to breathe on her own, the pulse was beating, opened her eyelids, saw that the pupils began to shrink, and her face improved, then she stopped performing cardiopulmonary resuscitation.

After some shock, the frightened woman's face gradually returned to normal, and Qi Buyang breathed a sigh of relief and said, "It's okay!" You don't have to worry anymore. "In the eyes of doctors, every life is precious, and it is a doctor's dereliction of duty to let death take the life of a patient.

The woman gratefully, "Thank you, I don't know what I would have done if it weren't for you." ”

Qi Buyang said: "She can't run fast, just now she suddenly fainted because she couldn't catch it in one breath, you must know that her heart function is not as good as ordinary people." ”

The woman nodded and said, "I know, I forgot about it for a while." As he spoke, he was going to bend over and pick up his daughter, who was lying on the ground.

Qi Buyang stopped: "Don't move her for the time being, she will wake up on her own in a while." "Right now, her body is doing respiratory oxidation, and she is gradually recovering from the lack of oxygen due to her inability to breathe, so it is best not to touch her and stimulate her body.

The woman immediately retracted her hand, looked at Qi Buyang, looked at him for a while, and asked, "Are you a doctor?" ”

Qi Buyang nodded.

The woman looked at his young age and asked with some suspicion, "Cardiologist?" ”

Qi Buyang didn't answer and asked, "Eldest sister, can you show me your daughter's chest X-ray?" ”

The woman sighed, and hurriedly took out the chest X-ray from her bag and handed it to Qi Buyang.

Qi Buyang just glanced at it and said, "Congenital heart disease, broken heart valves." ”

The woman nodded, Qi Buyang looked at the chest X-ray carefully, but her brows were furrowed, it was also a congenital heart valve defect, some people had a first-level heart function, the ventricular diameter was in the normal range, and did not need any treatment. In other words, her heart function is a fourth-level danger level, if she does not operate in time, time is short, but even if she operates, the mortality rate of this kind of patient is very high, and once she has to have surgery, she must do heart valve surgery and heart bypass at the same time, which can reduce secondary trauma, Qi Buyang has done heart valve surgery and heart bypass respectively, but to do heart valve surgery and heart bypass at the same time in one operation, the risk of surgery has increased geometrically.

The woman was silent, staring at Qi Buyang, who had a serious and stern expression.

Qi Buyang handed the chest X-ray back to the woman, "Eldest sister, your daughter must have surgery as much as possible!" ”

The woman's face was gloomy, and after a while, she said softly: "I know that the doctor has sued me, and I must do my best to do the operation, otherwise time is running out, but the doctor told me that my daughter's condition is more complicated and the risk is higher, and once the operation is not successful, my daughter will die immediately." ”

Qi Buyang has seen a lot, and can understand the complex contradictions of the patient's family, if you don't have surgery, you will definitely die, but you can live a few more days, and the operation may be successful, but you have to risk dying on the operating table, and asked: "Sister, what are you going to do?" ”

The woman shook her head and said, "I don't know, Dr. Zhang Guosheng, the chief physician of the cardiology department of the Provincial People's Hospital, told me that in order to prevent my daughter from causing secondary trauma, once she wants to have surgery, she must have heart valve surgery and heart bypass surgery at the same time. He shook his head and did not continue.

Qi Buyang asked, "Did Doctor Zhang say that he was somewhat sure?" ”

The woman replied: "Dr. Zhang told me that in view of my daughter's condition, the experts of the cardiology department of the hospital held a special meeting to discuss it, and the final decision was not to perform this operation in the Provincial People's Hospital, and he told me to take my daughter to the hospital in the capital to have a look." ”

Qi Buyang secretly said in his heart: "I'm afraid that he can't be sure, he can understand the difficulty of this operation, and Huaxia's medical technology and equipment are much worse than those in the United States." ”

At this moment, the little girl suddenly woke up and called softly, "Mom! ”

The woman suddenly hugged her daughter tightly and wept bitterly.

"Mom, what's wrong with you?" The little girl who was kept in the dark asked very curiously.

The woman did not answer a word, but caressed her daughter's hair lovingly.

Qi Buyang stood quietly aside, without making a sound, looking at this warm and touching scene, he couldn't help but gently stroke the little girl's hair.

After a while, the woman stopped crying, and her feelings gradually calmed down, and she said to Qi Buyang, "Doctor, thank you." ”

Qi Buyang responded: "Eldest sister, you don't have to be polite, my surname is Qi." ”

The woman said, "Doctor Qi, thank you." ”

Qi Buyang handed her a business card, "Eldest sister, let's do it, you bring the child to me tomorrow." ”

The woman's expression was stunned, "Doctor Qi, do you have a way?" ”

Qi Buyang smiled: "If you plan to operate on your daughter, I think I am more suitable than anyone else." "Cardiology used to be one of his specialties.

The woman looked at the young Qi Buyang in disbelief, and when Qi Buyang walked away, the woman felt that the young Doctor Qi was boasting about Haikou and joking with her daughter's life.

This can't be blamed on this woman, Qi Buyang's self-confidence because of her youth makes the woman feel that she is ignoring her daughter's life, even the most famous cardiologist in the province, Zhang Guosheng, needs to make a special trip to hold a special meeting for her daughter, and only after discussion can he dare to give her a proposal, and this Qi doctor just looked at her daughter's chest X-ray, and arbitrarily dared to say that she was operated on, how could this make the woman suspicious, the woman did not dare to be sloppy, because it was related to the lives of her children.