Chapter 366: Emergency Pediatrician [Asking for a Monthly Pass, Asking for a Subscription]

Although today is the Lantern Festival, it is not a legal holiday, and it is a Tuesday, so the hospital is naturally open all year round.

In the Third People's Hospital of Nanxiang City, the emergency department is full of people, patients and their families who come to see the doctor fill the waiting hall, and the electronic calling system is constantly ringing.

There is a superstition in the hospital, that is, the medical staff should not set up a flag at night, saying "it doesn't seem to be busy tonight" or "tonight is very idle", which department someone said so, and then something will happen soon, and then the sky will be busy.

There have been experiments on this by foreign institutions, and some different departments of different hospitals have been selected to set up two groups, and the usual workload is basically the same, one is the flag group, and the other is not the flag group, and the results show that the flag group will indeed become a little busier, and it is not clear what anomalous force this is.

But in the emergency department, even if this kind of flag is not established, the medical staff are busy.

Especially in the emergency pediatric department, from the evening to the early hours of the morning, it basically hasn't stopped.

"Observe after the injection." Liu Guolin, one of the attending physicians on duty, had just seen a seven-year-old boy with a fever of 38.3 degrees.

In fact, he does not recommend taking fever injections, the child's fever of 38.3 degrees is just a low-grade fever, this patient does not have cough, phlegm and other symptoms, the condition is very mild, this situation is physically cooled with ice packs, take some antipyretic analgesics, drink more water, and the fever will generally go away soon. If the fever does not go away in this way, and it worsens to moderate to high fever, it is not too late to consider fever reduction injections at that time.

This fever reduction injection is not a treasure, there are too many side effects, and the symptoms such as anaphylactic shock are still mild, and even fatal if severe.

Although it is generally not a big problem to do a skin test first, any doctor with professional quality will not recommend random injections.

However, the parents of the little boy were more excited, and repeatedly took the initiative to ask for fever injections, and urged him to hurry up and not delay the child's condition.

Due to the complex doctor-patient relationship environment, as well as the lessons learned in the past few years of employment, Liu Guolin complied with their wishes.

"Ugh." When the parents walked out of the emergency room with their children, Liu Guolin shook his head and sighed, "Parent Xiong." ”

Some Chinese patients and their families have their own opinions, and they would rather believe in their own unexplained lack of expertise, or search the Internet for a while, rather than believe doctors, and some even treat doctors as enemies.

Saying that it is expensive to see a doctor, a rebate or something, but they don't know who is responsible for the pricing and procurement of drugs, is that what their doctors can say?

The most that their doctors can do with a conscience is to use a drug for a patient, the production process and efficacy of imported drugs and domestic drugs are exactly the same, and they are not advanced drugs, but 100 yuan of imported drugs and 30 yuan of domestic drugs, and at this time they prescribe domestic drugs to patients.

But this will make the department's income less, their own bonuses will be less, and some department directors will be dissatisfied, saying that the next time they will open imports.

There are two reasons for this, and revenue is just one of them.

Another reason is that once something happens, the patient's family will often scold, why don't you import medicine? What are you doing? Did you take a kickback for domestic medicine?

So at the end of the day, if something happens, it's the doctor who is responsible, whether you have a conscience or not.

Pediatrics, especially pediatrics, it is often difficult for children to explain their illness, each child is the heart and soul of their parents, parents can calm down when they are not crying, if they are wailing in pain, parents can easily lose their minds...... The pediatric setting is complex.

Liu Guolin has been a doctor for five years after graduating from his bachelor's degree, and he will explain to his parents from the beginning, and even argue with reason, until now, it is often okay, if you want to get an injection, then get an injection...... He also knows that he is being socialized and wants to become the kind of person he once hated, but sometimes, there is really no way to ......

He is not Gu Jun, he is not a member of the Tianji Bureau, he is just a powerless little doctor, he has to take care of himself first.

Since he was slapped by an excited mother, Liu Guolin didn't want to cause trouble anymore......

And he works the night shift, and he gets off work at midnight, and he doesn't want to cause trouble at this moment.

At this time, Liu Guolin had just taken off his mask, picked up a thermos cup and took a sip of water, when the next patient came in, and a pair of parents in their early thirties worriedly walked into the emergency room with a little girl of five or six years old.

"Hurry up and call Dr. Liu." The mother pushed the little girl, and the little girl called out politely, "Doctor Niu is good." ”

"Okay, good evening." Liu Guolin looked at the medical records handed over by the little girl's father, the child is 6 years old, has no major medical history, and this time it is not a common pediatric emergency such as cold, fever, abdominal pain, etc., and now it is normal to look at the patient, no crying, no fuss, no pain, Liu Guolin asked about the diagnosis, what is wrong?

The mother had a bitter face, and her tone was quite excited: "Doctor Liu, my daughter doesn't know how tonight, she always blinks, sometimes she wrinkles her nose, and it looks wrong, but the strangest thing is that I just coaxed her to sleep, and she suddenly made a strange noise...... I can't learn it, it's weird......"

"We're all scared." The father was also very nervous, "That kind of voice can't be made naughtily, Dr. Liu, what is the problem?" ”

"Oh, yes." Liu Guolin nodded in response, looked at the little girl's normal complexion, shone a flashlight on her eyes, and then looked at her mouth and throat.

There is no abnormality in the mouth, there is no inflammation of the tonsils, the eyes respond normally to light, everything is normal.

Liu Guolin has already made a preliminary judgment in his heart, this should be another oolong case of over-nervous parents: the child is fine, just awkward, or just a little skin trauma, so the parents are in a hurry, and they take the child to the hospital to rush to the emergency department.

But he naturally didn't say these words, but continued to ask for a doctor, and the girl's mother said that the symptom of her blinking only appeared today, and it was very frequent at night, and she made that strange sound, which was only issued once for the time being.

"Little girl, your mother said you blinked all the time today, what's wrong, are you uncomfortable?"

Liu Guolin asked the 6-year-old patient to make his voice sound gentle, otherwise some patients at this age would not cooperate.

"Hmm......" the little girl shook her head, a little shy, "I just want to wink." ”

"Then you don't want to blink now?" Liu Guolin asked with a smile, it had been 3 minutes since they came in, and the little girl hadn't blinked much.

"I don't want to blink right now." The little girl nodded.

"So...... Isn't it like tickling? Liu Guolin thought for a while, "I want to scratch when it's itchy, and I don't need to scratch when it's not itchy." ”

"Hmm!" The little girl agrees. Her parents looked at each other, still nervous, not understanding what that meant.

"And the same kind of sound you make?" Liu Guolin asked again, "It's like sneezing, you want to fight, so you make a sound." ”

The little girl nodded again.

"Can you hold back, then?" Liu Guolin asked, "Can you hold back when you want to blink your eyes and make a sound?" ”

"I don't know......," the little girl shook her head this time and looked at her parents, "I didn't want that...... I do not know. ”

After asking about this consultation, Liu Guolin had basically determined his previous judgment, picked up the pen, and made a few strokes in the medical record book.

This kid is fine, let's scare his parents with emotions. He looked at it and felt that the father was calmer, so he asked the mother to go out with the child first, and then organize the speech, taking care to state the diagnosis without provoking the other party.

"The kid should be fine." Liu Guolin said slowly, as soon as there is a sign of something wrong, he will stop, "At her age, children will use this method to win the attention of their parents, you pay attention to her emotions, go back and let her rest well......"

"Doctor Liu!" The father suddenly became excited, even more excited than the mother just now, and his face turned a little red, "It's not this kind of problem!" My daughter is usually very well-behaved, our family is very harmonious, she doesn't make such awkward noises, and that kind of sound is really weird, it doesn't look like a human voice at all...... Doctor Liu, isn't there some supernatural power now, could this be that kind of thing......"

Liu Guolin muttered in his heart, I'm not a doctor from the Tianji Bureau, even if it's supernatural power, I can't see it.

But he really doesn't think it's true, the little girl is so healthy, and the parents care about it.

"Ugh." Liu Guolin looked at the patient's name in the medical record, Guo Qinying.

"Mr. Guo, don't worry, I didn't say that your child was just making trouble, she might have been joking with you, but seeing that you were in a hurry, she didn't dare to say it, for fear of being blamed by you. Now let's take a look at it again, and don't blame her, if she continues to have that kind of symptoms, we'll see when the time comes. ”

"But......" Mr. Guo was still anxious, "but that strange sound is really scary...... It's like repeating two words, like calling for something. ”

Liu Guolin really wanted to laugh when he heard it, some parents' imagination is very rich, especially since the advent of the Heavenly Machine, some parents can simply become screenwriters, children cough for fear of the new army disease, children dream of grinding their teeth and talking in a dream for fear of colliding with evil spirits.

However, some children are very elvet, in order not to go to school, in order to escape scolding and other reasons, sometimes they will make up that they are sick, stomach pain or something, and some make up special fakes, in the past, no parents would believe it, but now, they have to bring it to the hospital to make a fuss.

The work of these grassroots doctors is really getting harder and harder to do.

"Mr. Guo, why don't you call the Tianji alarm hotline? Because if it's really a supernatural thing, then I can't help it. ”

Liu Guolin will not say that this must have nothing to do with supernatural powers, the predecessors have taught him, and he himself has experience, and doctors can't talk like that.

Any judgment must be preceded by a possibility, maybe, or, consideration, should be ...... This is the way the doctor speaks.

"Oh......" Mr. Guo scratched his head, and stopped talking a little.

Fortunately, this Mr. Guo is a reasonable person, and he did not continue to make trouble, but went out with his medical record book like this.

Liu Guolin's judgment is still not wrong, after listening to what her husband said, Mrs. Guo walked into the emergency room and asked him if he prescribed some anti-inflammatory drugs, an injection or something, at least do something? Liu Guolin really can't complain, what anti-inflammatory drugs are prescribed.

In the end, Mrs. Guo was persuaded by her husband to go out.

The couple continued to stay in the waiting hall with their daughter to observe their daughter's condition, but Xiao Qinying did not continue to show symptoms, so they did nothing.

At midnight, Liu Guolin handed over the work at hand to a colleague who was on the overnight shift, and as soon as he took off his white coat, he went back to sleep in the dormitory of the hospital.

Said the robot Vali

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