Chapter 283: The Weight of the White Coat
Time flies so fast, but Zihan's mood is not good at all!
What kind of knowledge has been popularized on Love Teeth Day every year?
In any case, it is necessary to cultivate the good habit of patients seeking medical treatment in a timely manner, but there are many people who avoid medical treatment!
Sitting at his desk, Zihan slowly took notes. Pen × fun × Pavilion www. biquge。 info
All successful clinical experiences are summed up in the lessons of blood.
Therefore, as the original record of the occurrence, development and prognosis of the disease, the medical record is the most valuable raw material in clinical practice.
In doctor-patient disputes, there have been family members who stole the doctor's medical records, made copies, and came to make trouble at any time.
As a hospital that settles the situation, sometimes there is no fault, and it has to give subsidies to comfort the family.
For a long time, some people who love the whole thing and are afraid that the world will not be chaotic will set their sights on such a sacred place.
Every year, a large number of medical students change careers or lose their careers.
The contrast between ultra-high risk and income asymmetry is also the reason why many young doctors cannot stop.
Those who can stay must be carefully cultivated, and their hardships can only be known to themselves.
Medicine, as a lifelong education, must be examined and assessed every year, and seniority is ranked, which can be understood by looking at the big rounds.
The first must be the most skilled, and the rest will slowly descend according to their qualifications, and the last in line are the new doctors and interns who have just been admitted to the hospital.
The doctor's uniform is not too particular, and the nurse's uniform is based on a few bars on the swallow-tailed hat to determine the qualification, just like the captain, squadron leader, and squad leader in the Young Pioneers.
She writes down the special cases she encounters in the outpatient and emergency department for future follow-up.
So, in general, she asks patients to leave their numbers, which is already a habit.
The next patient is very non-stop, a toothache for a while, a migraine for a while, a fish bone for a while, a mouth on fire for a while, are some inconspicuous but very troublesome masters, it took a lot of spitting Xingzi not to say, the patient is still relying on the treatment chair and refuses to move, Zihan was a little anxious at the time, and when the patient left, he suddenly understood, no, it was Chiffon's kid who did it, right?
The director has left at some point!
Finally, a patient with an intermittent infection came, that guy, the body temperature is so high that it is frightening!
Zihan didn't care about 3721 and gave him a fever reduction injection.
Similarly, the prescription was returned by the pharmacy.
Another fucking anti-bird flu!
"Do you raise pet chickens at home?" Zihan asked the child's parents.
"Doctor, how is that possible? My child is only eight years old, and he is in school every day, but recently he has a broken tooth, and he is fine and has no hand to pick it, and his face is swollen! "The mother's face is anxious.
"The tooth is broken, why don't you take him to see it? Do you know how dangerous this is! We don't have vein valves on our faces, it's like a faucet without a switch, you think about the water dripping down every day, you can drip through the stones, the blood vessels on the face are so rich, the bacteria spread everywhere, to the brain, what do you say? Now, the child's high fever does not go away, and it is not easy to use medicine, okay! I'll get rid of your child's teeth for now! Zihan felt a fire in his heart.
"I thought it would change!" The child's mother was a little scared.
"I can't change it, this one grows the earliest, see for yourself, what is the difference between it and other teeth, the second set of teeth is yellower than the first set of teeth, and more wide and firm, the color of the baby teeth is white and petite, you mother ......" Zihan scolded softly while treating the child.
This lower left 6, (taking the permanent teeth as an example, with the tongue-tie as the center, the upper and lower jaws are divided into four areas, namely the central incisors, lateral incisors, canines, first premolars, second premolars, first molars, second molars, and third molars.) Namely: 1, 2, 3, 4, 5, 6, 7, 8. The lower 6 has five cusps. The baby teeth, on the other hand, have only twenty, and there are five in total, that is, the one behind the second baby molar, which is generally not difficult to identify. It has been damaged into a black hole, and there is pain at the root, indicating that the root tip has been inflamed, and the child is only 8 years old, and it is a pity to pull it out, so it is necessary to do a good job in the treatment of the diseased tooth, incision and drainage and anti-inflammatory treatment.
When it comes to anti-inflammatory, we have to mention antibiotics, because clinically or patients think they love anti-inflammatory drugs, so that bacteria are becoming more and more resistant.
Sometimes, in order to obtain high profits and returns, some doctors do not consider the needs of patients at all, and directly take high-grade antibiotics, so that they are helpless when they encounter serious infections.
Therefore, the high clinical level of antimicrobial abuse has always been a matter of attention to the higher authorities.
Generally, such acute infections are more common with Staphylococcus aureus or streptococcus, and the penicillin family is the best, and now it is an emergency department, and the patient needs to do a skin test, while in general, the skin test is carried out in an outpatient setting, and for the sake of insurance, it can only be changed to other types.
The treatment and drainage of local lesions are still very important, but the high fever that cannot be reduced for a while makes Zihan have a headache for a while.
She called the emergency pharmacy directly, and the answer she got was that there was no internal medicine consultation to confirm, and we didn't dare to give fever-reducing medicine.
She hung up the phone angrily, lay the child flat on the desk, and then took a medical alcohol cotton ball diluted to 30% and began to scrub.
"Doctor, is that okay?" The child's mother began to be anxious!
"Inflammation will affect the brain, and similarly, high fever will also affect the brain, the child's mother, you go to get the medicine first, and I will cool him down first!" Zihan said quickly and urgently.
"Auntie, am I going to die?" The child's big clear eyes looked at Zihan innocently.
The face is red with a high fever and the lips are dry.
"No, of course not, remember, don't eat more sugar in the future, Auntie took out the little worm in your teeth! Just a little bit! Zihan said softly.
She has a nameless fire hidden in her heart, but she can only make a list for internal medicine consultation.
She remembered that she had a fever and fainted at that time, and Zixin described what she looked like when she described herself.
Now, she's just as anxious.
After a while, the parent came over with a heavy dose of medicine with a faint smile on his face.
"Doctor, she gave us antipyretics! Say yes, your director agrees! ”
Zihan breathed a sigh of relief gently.
Recheck your temperature, one degree less.
"You're alone with kids?" Zihan found that there was only one person before and after.
"His dad is out of town on a business trip! I couldn't catch up for a while, my parents were far away, and my parents-in-law lived in other provinces. The woman bowed her head.
"Have you brought all the potions?" Zihan counted the medicine bag in the hand of the child's mother.
The woman nodded.
Zihan turned his face to take the medicine, then grinded it with the yarn wheel, sucked the potion, and directly pricked the child's buttocks.
Then, the two bottles of potion were mixed and the mother of the child took the child down from the desk and sat down on the chair.
In front of the window, there is a hook, which is just right for dripping.
Director Duanmu was already standing at the door at some point, his face coldly locked on Zihan.
"This patient is very special, and there is no family to accompany her, I can be her temporary family member!" Zihan unceremoniously let his mother go to the chair next to him.
The child's veins are extremely thin, and the appearance is not visible at all, Zihan is stunned to hit the nail on the head with his touch.
Grandma, we were originally rushing to open a private club to practice nirvana!
Pediatric scalp acupuncture and intravenous acupuncture, we have all been trained.
As long as the child can achieve the fastest and best administration, we don't care about the rest!
The child's mother stared at Duanmu's cold face and stammered: "I, I, I'll take the child away!" “
"Mom, I'm not going, this aunt's injection doesn't hurt, I don't want them to get an injection!" The child is not cooperative.
The body temperature dropped a little, and there was a slight sweat on the child's face.
Zihan didn't speak, just stared at Duanmu faintly, and turned away.
In the middle of the night, a single woman runs all over the department with her child, is it appropriate?
"Don't forget your duties......" he glanced at Zihan coldly.
Zihan himself also felt that it was not quite right, yes, if there was another critically ill patient, he would inevitably be distracted.
But this woman is alone in the middle of the night, upstairs and downstairs, back and forth, it's not easy!
More than two hours passed like this.
Fortunately, there are no new patient numbers.
It was not until the dripping was completed that the mother of the child left with her child with great gratitude.
"Remember, it's going to be a few days of treatment! In the future, if you encounter a situation, you should seek medical attention in time! Zihan prescribed a prescription and gave a few words.
Gently made a record on the paper, Zihan once again felt that it was very important to popularize some common sense.
Even if it's a small flyer, it's worth it.
Sixi was originally a beautiful child, because of his mother's mistakes, he had experienced more than ten years of unsightly teeth inferiority, and the reverse jaw could be a brace when his teeth were not completely replaced, at least, let him change a new face four or five years earlier.
Sixi is still a cheerful child, and if he meets a sensitive child, it will hurt him psychologically.
As for the chronic ulcer caused by the root of rotten teeth, the malignant transformation caused by it is not uncommon in clinical practice.
People who love to smoke would rather hold on to their cigarettes than quit smoking for the sake of health.
Father Ye Yongcheng and grandfather Ye Xianda are just disobedient.
In fact, not all bad ways will have bad consequences, because there are many more deciding factors.
Also, adults have always thought that the baby's six-year-old teeth will grow, and they don't pay attention to the child's teeth, so they eat too much sugar and drink too many drinks.
Some data show that some children who drink for a long time have up to ten good teeth in their mouths, and the rest must be extracted!
Therefore, treatment and prevention should go hand in hand, which is the professional standard of a doctor.
Zihan felt more and more that the white coat on her body was much heavier......