Chapter Eighty-Eight: Lung Problems
The medical team saw a lot of people in the morning, but they were usually minor illnesses, and Guo Xiang and they didn't help much.
Finally idle, Ji Changlin asked Guo Xiang to pour them some water to drink, and Lesi asked Guo Xiang, "Are you usually busy with the health center?" Isn't that the case? ”
Guo Xiang nodded, "Generally, I am not too busy, and I have more free time." ”
Huang Ling on the side looked disdainful, "That's natural, what can you do in the countryside?" Isn't it just a cold and fever, and if you have a serious illness, you have to go to the town hospital, can you delay here? ”
Guo Xiang glanced at her and didn't want to talk to her.
Lacey was a little overwhelmed, "Huang Ling, don't say that." ”
"What? Am I wrong? What kind of disease can she see as an apprentice of a barefoot doctor? Why don't you just get a shot and get a medicine or something. Huang Ling pouted.
Guo Xiang rolled his eyes, I offended you, arranging people like this?
"Then you are busy, I won't bother." Guo Xiang said, I'm too lazy to help you, I still have something to do.
Guo Xiang returned to the health center to read her exam book, when Zhang Lifang, the eldest daughter-in-law of the old man Liu in the west of the village, hurriedly ran over with a three- or four-year-old child in her arms.
"Doctor, doctor, help me take care of the child."
"What's the matter?" Lacey stood up.
Zhang Lifang hugged the child over, "The child has a fever and cough, and he has been for a while." ”
"Didn't you see a doctor?" Lacey asked.
"I saw it, I went to the town hospital to see it, I also got injections and took medicine, I got better for a few days, and after two days I had a fever again, and it took a while to go back and forth." Zhang Lifang said.
"Could it be pneumonia?" Huang Ling next to him said.
Lacey touched the child's forehead, it was a little hot.
took the stethoscope and put it on the child's chest to listen, it seemed that there was no noise, and then took the thermometer, wiped it with alcohol and asked Zhang Lifang to clamp the child under the armpit, "At least five minutes." ”
After five minutes, I took out the thermometer and looked at it, 38 degrees 9, which is not high, but not low either, there must be inflammation.
I asked the child to open his mouth again and shine a flashlight on it, and the throat wall was a little red, which should be caused by this.
"Give the child an injection to reduce fever first, and prescribe some anti-inflammatory drugs to take back!" Lacey said.
After speaking, he wrote the medical record, prescribed injections and medicines, and asked the nurse next to him to give the child a shot.
"Haven't you seen it at the clinic here?" Huang Ling asked Zhang Lifang.
"Uh...... That time, I happened to go to the town to buy something, so I took the child to see it, and then I heard that I don't want to change a doctor, so I didn't see ...... here, but the medical skills of Dr. Ji in our village are also very good......" Zhang Lifang glanced at Dr. Ji and them a little embarrassed.
It doesn't matter if Guo Xiang hears it, everyone has a choice, people are willing to go to the town to see, that is her freedom.
After the injection, Zhang Lifang took the child back.
At noon, the medical team had dinner at the village committee, and Le Xi invited Dr. Ji and Guo Xiang together, but they all politely declined.
There are obviously fewer people who see a doctor in the afternoon, and the village is not big, and there are not many people who get sick, but because it is free, someone will come to see it, and there will be no problem.
In the evening, Zhang Lifang came in a panic with the child in her arms, "Doctor, doctor, my son has a fever again, and the fever is worse than before, what do you think?" ”
Lacey hurriedly asked her to bring the child over, and listened to it with a stethoscope, it was very strange in her lungs, she couldn't tell what it was, and it didn't look like pneumonia, and then she looked at the throat wall, it was still the same, and it didn't seem to have changed.
"Has the child taken the medicine? I'll take a look at it after taking the medicine in the evening. Huang Ling said, "There is also a process of seeing a doctor, and it does not mean that you can get better immediately after getting an injection." ”
Guo Xiang heard the movement and walked over, "Let me see!" ”
"This ......" Zhang Lifang looked at Le Xi and Huang Ling, they were from the county hospital, would it be too disrespectful to let Guo Xiang see them?
"It's not the first time that the child has a fever, and they all say that it has come and gone, and if the injection and medicine are useful, isn't it early?" Guo Xiang said.
"It's normal for a child to have a fever that recurs, and throat inflammation has been bad, so of course there will be a fever." Huang Ling said.
"Then why is throat inflammation always bad? Maybe it's because it's wrong. Guo Xiang said.
"You're saying I'm prescribing the wrong medicine? You know what! Huang Ling became angry, an apprentice of a barefoot doctor dared to say that he couldn't see a doctor, where did she get the courage?
"There is a problem." Lessi on the side thought thoughtfully, "If it is really a simple throat inflammation, it is impossible for the doctors in the town not to see it, and it is impossible for it to get better and keep recurring, there must be a reason." ”
"Then, little Doctor Guo, please ......" Zhang Lifang was also anxious, they didn't see it well, maybe Guo Xiangxing? Yesterday, she also saved the mother and son of the Yang family, and she was saved when she heard that the child was out of gas.
Guo Xiang nodded, hugged the child, and first took a thermometer and put it under the child's armpit to measure the body temperature.
Then pick up the child's palm and look carefully, the child's small pulse is not accurate, but looking at the palm prints can see the corresponding viscera, Guo Xiang saw that the child's ring finger and the corresponding lung area under the little finger are a little green and red, which is very strange.
I took the stethoscope and put it on the child's chest, this hearing frowned, the left lung is normal, and there is no murmur in the right lung, but it is very strange, the right lung has no sound at all, there is no lesion and there is gasping sound, but the right lung has no sound at all, as if the stethoscope is broken.
But when I move to the left lung, I can hear it, how can it be so strange?
Guo Xiang lowered his eyes and took the opportunity to open the perspective, which was taken aback.
The child's right lung is empty, and a lung page is missing!
Could it be that the child was born with a missing right lung? No, the child's mother said that this symptom has been for a while in the morning, which means that it was only recently, and it didn't happen before?
Guo Xiang raised his head, "Sister-in-law, how has the child been since he was a child?" Do you pant for breath when you run or jump or something? ”
"No......" Zhang Lifang shook her head and thought for a while, "It has always been normal before, but it has been like this since last month, fever and cough, and it will happen again, and it will be repeated." ”
Guo Xiang nodded, if this is the case, it is not congenital, but acquired, and it was caused by a certain opportunity last month.
But what causes the lungs to be gone? That's weird, isn't it?
Guo Xiang took out the thermometer and saw that it had burned to more than 39 degrees, no, it couldn't be delayed any longer.
Guo Xiang stood up, "The child has a problem with his lungs and needs to be sent to the hospital for examination immediately, otherwise the child will not be better." ”
It seems that it has been delayed for too long, and this time it burns more than before, which means that the problem is serious.
"Why do you say that the child is pneumonia, there is no murmur at all." Huang Ling also stood up.
"I didn't say the child had pneumonia, I just said there was a problem with the lungs." Guo Xiang glanced at her.
"It's not pneumonia, what else could it be? You are a barefoot doctor in the countryside, don't talk nonsense if you don't understand. Huang Ling looked disdainful.