130 Pediatrics
Today is the day to report to the pediatrics.
got out of the car at the entrance of the hospital, Yu Ruyi waved to Zhang Yi and turned into the family hospital Dr. Zhou's house.
Dr. Zhou and Dr. Pu were having breakfast, and when they saw Yu Ruyi coming in, Dr. Pu smiled first: "Are you here to say goodbye to me today or report to Mother Zhou?" ”
"Kill two birds with one stone!" Yu Ruyi walked up to them with a grin and made an exaggerated ninety-degree bow, "Thank you Director Pu for your care, and I implore Director Zhou of Pediatrics to take care of you!" ”
"Eccentric!" Dr. Zhou beckoned Yu Ruyi to sit beside him and asked earnestly, "You haven't had breakfast yet, have you?" If you have bread at home, will Zhou's mother give you another cup of hot milk? ”
"I ate early!" Yu Ruyi urged Dr. Zhou, "Hurry up, don't be late!" ”
Doctor Pu deliberately teased Yu Ruyi: "It's not a small courage, should Zhou's mother take care of you or you should take care of Zhou's mother?" ”
Yu Ruyi salivated and said: "Mother Zhou listens to me at home, and I listen to Mother Zhou in the department!" ”
Seeing that Yu Ruyi was looking at the time again, Zhou's mother smiled and said, "It doesn't matter if you are late, my principle is that as long as you do your part well, everything else is easy to discuss." ”
"It's my first day to go to the pediatrics, so it's not good to be late."
Seeing that Dr. Zhou had finished breakfast, Yu Ruyi quickly stood up: "Daddy Pu is washing the dishes, let's go first." ”
Dr. Pu pretended to be very innocent: "What? I'm going to listen to you too? ”
"Yes." Yu Ruyi stuck out her tongue at Doctor Pu, "I'm going to take care of you for Yanzi!" ”
Pediatrics is on the third floor of the inpatient department.
As soon as she went upstairs, Yu Ruyi heard a noise from the doctor's office, "...... You think I don't have any money, do you? Beware of me smashing you with money! This is followed by "Smack!" There was a loud bang, like the sound of slapping a table or smashing a stool.
Yu Ruyi glanced nervously at Dr. Zhou, who quickened his pace and shouted as he walked, "What are you doing?" Who makes it that loud? Want to scare our kids to death? ”
"Director Zhou," the patient's family was quite respectful to Dr. Zhou, "We wanted to check the child's blood, but Dr. Huang didn't give it." ”
Dr. Zhou looked at pediatrician Huang Cheng.
Huang Cheng, who was sitting at the desk, was thin, with a small face, thin eyes, and thin hair lying on his head softly, although he looked only in his twenties, he had a wooden expression, and he spoke slowly and logically: "I said that our blood test only checks items related to the disease, but she asked for all the blood test items to be checked together." ”
The patient's family eagerly said to Dr. Zhou: "I thought that I had to draw blood anyway, and everything that could be checked would be checked by the way, and it would be regarded as a physical examination, and I would not give money!" ”
"That's your fault!" Dr. Zhou said to Huang Cheng, "People are not doctors, it is normal to not understand medical knowledge, as a doctor, you have the obligation to popularize this knowledge to others!" ”
"That's right." Dr. Zhou told the patient's family, "There are many items that can be tested in our hospital, and a large tube of blood is drawn for several items, and even if a part of the blood is checked, a large bottle of blood needs to be drawn......
"Forget it." The patient's family was a little sneering, "My child is so young, don't check it if you don't need it." ”
"Thank you for supporting our work." Dr. Zhou smiled and said to the patient's family, "Misunderstandings are inevitable, ask if you don't understand anything in the future, I'm afraid of scaring children." ”
"Okay, Director Zhou, I believe in you, we will check whatever you say."
Doctor Zhou smiled: "I really can't do this." I mainly go to the outpatient clinic, and I come to the ward every day just to check the room and have a consultation, your child is in the management of Dr. Huang, what should I do? How is it treated? He is the one who has the best say. ”
The patient's family was a little hesitant: "He is so young......"
"What's wrong with being young?" Dr. Zhou said, "People are elites! Highly educated and experienced! Without diamonds, he can't do porcelain work, and he will take you as a patient if he doesn't know the bottom of his heart! ”
The patient's family immediately looked humble: "Doctor Huang, I'm sorry for your trouble!" ”
A medical conflict that was about to intensify was resolved. Yu Ruyi looked at Doctor Zhou adoringly: "Mother Zhou...... Director Zhou, you are amazing! ”
"There are hundreds of people, all kinds of people." Dr. Zhou said while putting on his work clothes, "After working for a long time, I will always meet a few people who are not very reasonable, so just be patient." ”
"That woman didn't listen to me just now." Huang Cheng was a little helpless, "As soon as I come, I don't have no money, let you check it!" I think I have a few dollars to be the uncle, and I'm annoyed! ”
"You really can't be annoyed." Dr. Zhou sat down with a smile and waited for the shift, "You have been exercising in pediatrics for a few years, and you can easily handle it when you meet a difficult mother-in-law in the future!" ”
"Mother-in-law?" When Wang Qiong walked into the office with a stack of medical record cards, she happened to hear their words, "Huang Cheng has a girlfriend?" ”
Wang Qiong is about thirty years old, small, wearing gold-framed glasses, and her black hair is casually tied in a bun at the back of her head, and everyone smiles when she sees her.
Huang Cheng was amused: "Can't you have it?" ”
"Who is it? Do we know each other? Wang Qiong sat down around the desk and looked at Huang Cheng excitedly.
"Waiting for your introduction!"
"Stinky boy! Dare to joke with the eldest sister! Wang Qiongyang raised the medical record card in his hand.
Mother Zhou saw that everyone had arrived, and said with a smile: "It's quiet, it's quiet, I still have to do things after the shift!" ”
Yu Ruyi silently estimated in her heart: The two doctors of pediatrics should get along very well, right?
After checking the room, seeing that Huang Cheng was going to do a waist puncture, Yu Ruyi volunteered and said, "I'll go and prepare a puncture kit!" ”
On the way to the ward, Huang Cheng still had the same wooden expression: "This patient suspects meningitis, do you know what kinds of meningitis there are?" ”
"Yes!" Yu Ruyi wrenched her fingers, "purulent, tuberculous, viral, ......"
"Don't carry it!" Huang Cheng frowned, "I have a headache as soon as I hear the endorsement." You remember that the vast majority are bacterial, unless there are specific signs of tuberculosis, as soon as meningitis is suspected, the best antibiotics should be taken immediately! The child's condition progresses quickly, and the slightest delay may lead to hanging! ”
Yu Ruyi looked at Huang Cheng suspiciously: "Since you are directly on antibiotics, then cerebrospinal fluid does not have to be checked?" ”
"Must check! Keep it for court evidence. Huang Cheng said justifiably, "Assuming that the patient hangs up and is sued by his family, you can take the report to prove your innocence and say that you did not use the wrong medicine." Suppose there is no such thing, why do people ask you to say meningitis? You say, it's based on experience - people are hanging, and people will still believe in your experience? ”
Yu Ruyi looked at Dr. Huang carefully, although he was only in his twenties, the exhaustion on his face made him look like a middle-aged man who had been weathered for a long time.
"It's again!" Wang Qiong, who passed by them, happened to hear their conversation, glanced at Huang Cheng, and said to Yu Ruyi with a smile, "He scared you, how could there be so many accidents?" The main purpose of the examination is to confirm the diagnosis and rule out special circumstances. ”
Huang Cheng smiled: "The doctors are all scared. ”
Walking into the ward, the child who was about to wear his waist was only four or five years old, lying on the bed with a languid expression, not crying or screaming.
Huang Cheng motioned for the family to wait outside the ward, and he gently turned the patient on his side, making it into a prone position, and then exposing the patient's back.
The patient cried out in fright, and the family members outside the door immediately nervously threw themselves at the window to peep.
Huang Cheng seemed to unintentionally block the patient's sight with his body, motioned for Yu Ruyi to hold down the patient, and whispered: "Try not to let the family members be present, so as not to be distracted...... Do you see the location? ”
Yu Ruyi nodded.
Huang Cheng slowly inserted the puncture needle after local disinfection: "There will be a sense of failure after the needle is inserted. ”
The needle core is withdrawn, and the clear liquid slowly oozes out.
"The most important thing is to be sterile, and we must not artificially mix in bacteria." Huang Cheng carefully extracted the cerebrospinal fluid while explaining, "Pay attention to fixing the needle and don't get too much." ”
After pulling out the needle, Huang Cheng quickly pressed the eye of the needle and instructed Yu Ruyi: "Send the specimen to the laboratory department immediately!" ”
When he came back from the laboratory department, Dr. Zhang had already gone to the outpatient department, and Huang Cheng was lying on the table watching the X-ray, he pointed to the dense dots on the film and said to Yu Ruyi: "It's like being swept by a machine gun." ”
Yu Ruyi leaned over curiously: "Miliary tuberculosis? Was it the patient who had just had the cerebrospinal fluid drawn? ”
Huang Cheng nodded: "You immediately call the patient's family to take pictures." I said that no matter how many days I used it, the antibiotics didn't work! Depend on! ”
"As far as the results of the examination are concerned, there is no major problem." Dr. Wang Qiong was patiently explaining to the family in the hallway.
The patient's family did not accept Dr. Wang Qiong's explanation: "It was all smoked that day!" ”
"It was a febrile seizure, which is very common for a child of this age."
"Common? How come he hasn't smoked before? ”
Dr. Wang Qiong said patiently: "Judging from the results of the current examination, your child is just a simple febrile seizure. ”
"Did you really check it out? I checked on the Internet, and the consequences of children's convulsions are very strict! ”
Dr. Wang Qiong still smiled: "Those are just possibilities, your child is indeed a febrile convulsion, if you question our test results, you can go to a higher hospital for further examination." ”
……
Back in the office, Dr. Wang Qiong spread out on the chair tiredly: "Little Ruyi, bring me a glass of water!" ”
After taking the cup and drinking it, Dr. Wang Qiong said hatefully: "I hate this kind of person the most, as soon as I encounter a problem, I go to the Internet to find the answer, and the association is very rich, I have not even entered the hospital to scare myself soft, and I can't listen to other people's opinions at all!" ”
Yu Ruyi glanced nervously outside the office, saw that there was no one outside, and said with a smile: "You had a pretty good attitude just now." ”
"It's okay, you can practice too." Wang Qiong pulled the corners of her mouth exaggeratedly, pulling out a strange face that was not smiling, "That's it, it's natural to practice often, Director Zhou asks for a smile service!" ”
Yu Ruyi couldn't help but laugh.
Huang Cheng raised his eyebrows: "I can't laugh anyway!" ”
"That's why there are always family members of patients complaining about you." Wang Qiong said with a smile.
Huang Cheng leaned back in the chair and said helplessly: "I hate dealing with patients' families the most!" ”
"Everyone hates family members like the one just now, and those people don't necessarily care so much about their parents." Wang Qiong complained.
"It's still a matter of character." Huang Cheng said slowly, "Some people are suspicious by nature...... I don't trust anyone, and I like to question everything. ”
"It's understandable to be skeptical, but the most basic trust should be!" Dr. Wang Qiong said angrily, "If you don't trust us, why do you still come here to see a doctor?" ”
Yu Ruyi looked at the angry and impatient Wang Qiong, and then at the tired and tired Huang Cheng, and said in confusion, "You all hate this job?" ”
"Who said that?" The two denied it in unison.
Yu Ruyi smiled, obviously not believing their words.
Huang Cheng crossed his legs: "Two years ago, I hated this job very much, I couldn't figure it out, a big man, why let me do pediatrics, I don't know how to do other subjects!" ”
"Are you hand-picked by Director Zhou?" Dr. Wang Qiong gloated, "She said that you are a chronic child, and you are not in a hurry no matter how urgent your family is, which is very suitable for the atmosphere of pediatrics." ”
"If you come, you will be safe!" A smile appeared at the corner of Huang Cheng's mouth, "Although some family members are unreasonable, but you really take care of their children's illness, that look, you will feel like God." ”
"Hmm." Wang Qiong also smiled: "The cleanest thing is the smiling face of the child, no matter how tired you are, when you see the child laughing and screaming lively, you will feel that every qiē is worth it." ”
Yu Ruyi was confused.