Chapter 5: Explain patiently

Zuo Li divided his desk, and then registered his own account on the hospital's intranet, and finally had time to call his sister Yang Qiong.

Yang Qiong said very unhappily: "Why didn't you answer my phone and hung up?" ”

"On my first day at work, the director was next to me, so it was hard to answer the phone."

"Well, you have a point. My dad was included in the list of 100 old Chinese medicine doctors in the country, and I was very happy, and many people came to congratulate him, so I decided to hold a banquet after work tonight at the hot pot restaurant next to our hospital to thank you. Come and participate! ”

Zuo Li said in surprise: "Okay, did Master let me participate?" ”

"No, but I mentioned it to him, and he didn't object. So come on, be well-behaved when you come, no matter what my dad says, promise to come down first, don't go up with him. ”

"I know, in fact, I have never confronted Master."

"You don't talk about it, you just don't do what he says, can he not be angry? Well, I don't want to tell you that. Anyway, come early, go to the hospital and sit down with my dad first, say something good, and let him dissipate his anger. ”

"Understood, I'll tell the director to leave a little earlier."

Half an hour before the end of work. Zuo Li told the director that he was going to congratulate Master Yang Tianbao and wanted to ask for leave and leave early.

Chang Jianguo happily agreed, saying that he was familiar with the situation on the first day, and he went to congratulate the old Chinese medicine doctor Yang Tianbao and could leave early.

Zuo Li took off his white coat and went straight downstairs.

When he passed by the laboratory department, he saw an old lady in her sixties, holding a swaddling baby in her arms and a test sheet in her hand, begging a chubby young doctor in the laboratory department: "Doctor, tell me about it!" Please. ”

The fat doctor said: "We are only responsible for the examination, regardless of the explanation of the condition. You take the lab sheet and show it to the pediatrician, and they will explain it to you. ”

"I went, and the pediatrician said it was okay and let me go back. I said, how can it be okay? You can see my little grandson's face and body are turning yellow. She ignored me and only cared about other patients. I'm in a hurry, there's no place to ask, so I'll come back and ask you, can you show me what is going on with this test sheet? The little grandson is like this, and the doctor said it's okay, this is going to be a good thing, but what should I do? ”

The fat doctor propped his hand on the counter and said patiently: "Old man, this test sheet must be combined with the condition to explain, we are not pediatricians, and we don't understand your little grandson's condition, what if I explain it to you wrong?" So you better go to a pediatrician. ”

"I'm going to get off work soon, and the other doctors have patients, and the door is surrounded by three layers inside and three layers outside, so I can't squeeze in. Oops, I'm in a hurry. ”

Zuo Li saw that she was pitiful, so he walked over and looked at the baby, obviously just a few days after birth, his face was wrinkled, and sure enough, his skin was jaunded, so he said, "Auntie, why don't I help you take a look?" I am a doctor in the Department of Traditional Chinese Medicine. ”

The old lady was surprised and delighted when she heard this, but she saw clearly that it was a young man in front of her, and he was not wearing a white coat, and said with some suspicion: "You...... Is it Lang Zhong? ”

The old lady is old and likes to call the Chinese medicine practitioner Langzhong. Zuo Li smiled and replied, "Yes! My name is Zuo Li, and I am from the Department of Traditional Chinese Medicine. ”

"Traditional Chinese Medicine?" The old lady was even more uneasy, and asked suspiciously, "You Langzhong...... Do you also know how to read the test sheet? Didn't Lang Zhong only call the pulse and look at the tongue? ”

"Now in the University of Chinese Medicine, students who study Chinese medicine also have to study Western medicine, and we have studied all the main subjects of Western medicine, including laboratory tests. I can read the test sheets, and I can explain them for you, if you can trust them, of course. ”

Hearing him say this, the old lady hurriedly thanked her and handed the list to Zuo Li: "Then it's a trouble for you, Lang Zhong, my grandson was just a few days old, and yesterday I found that her skin was a little yellow, but the color was not dark." Today, however, the color is much darker. By noon, I felt that something was getting more and more wrong, so I took my grandson out to see a doctor. - My son, that is, the father of this little grandson, he went to work, and my daughter-in-law was confined at home, and I did not let her come out, lest she fall ill. So I came to the hospital alone with my grandson to see a pediatrician. The doctor asked me to have a blood test. After the test, I sent it to her, and she just glanced at it and said that it was okay, let me go home, and didn't say anything clearly, alas! ”

Zuo Li glanced at the test sheet, nodded, and asked, "Is your little grandson fed milk powder or breast milk?" ”

"It's breast milk, no milk powder."

"How's the milk?"

"It's good, and there's plenty of milk."

"How's the bowel and bowel movements?"

"It's fine, it's all normal."

"You put her in the chair and I'll check her out."

The old lady quickly put the baby on a row of chairs next to her and unwrapped it.

Zuo Li squatted down and carefully pressed the baby's small belly with his hand, but found no problem. I touched her little head again, and the front of her head was flat. The small belly button was checked, the umbilical cord was dry and there was no discharge, and no skin infection was found.

Zuo Li asked the old lady to wrap the child in swaddling clothes again, and said: "The pediatrician is right, don't worry, it's true, your grandson is physiological jaundice." The results of the laboratory test have ruled out pathological jaundice, and the child's serum bilirubin is only 11.5, less than 12.9, so it belongs to the range of physiological jaundice, and pathological jaundice will be considered only when it is greater than 12.9. ”

The old lady looked at him with a veiled expression.

Zuo Li explained in detail: "In other words, it is normal for your little grandson's skin to turn yellow. Let me tell you this, there is about half the probability of jaundice in newborns, which is mainly related to neonatal bilirubin metabolism. The production of bilirubin in newborns is relatively excessive, and the ability of plasma albumin to link bilirubin is insufficient, the ability of hepatocytes to process bilirubin is poor, and the intestinal and hepatic circulation increases, so jaundice is formed, which is a physiological normal phenomenon. ”

"Old man, you may not understand what I said, in a word, that is, for newborns, jaundice in a short period of time is a normal physiological phenomenon with a certain probability. It occurs about two or three days after birth, peaks on the fifth day, begins to subside in the next seven days, and fades completely in two weeks at the latest. - How many days has it been since your little grandson was born? ”

The old lady thought for a moment and said, "Five days." ”

"That's right, five days happens to be the peak of jaundice, so jaundice is a little more obvious. Don't worry, it's normal. Don't worry, just take your baby home. You can drink more warm water or glucose water, diuretic, can speed up the jaundice fade, do not need to do any other treatment, rest assured. ”

Zuo Li's clear and affirmative answer made the old lady very satisfied. nodded again and again with a smile on his face, and said, "Great, I'm relieved." Thank you, Zuo Langzhong, or our Chinese medicine Langzhong is patient and capable. ”

As he spoke, he rewrapped the child, thanked him repeatedly, and left with the test sheet.