Chapter 253: Night Shift Emergencies
Liu Qingqing got up in the middle of the night and forgot to pretend to be old.
This phoenix eye is smart, a pair of slender jade hands are tender, and the family members see it, how can such a woman treat her child.
At that time, because Liu Qingqing didn't do anything excessive, the dissatisfaction of the family members was not too expressed, and they just muttered on the side: "In the middle of the night, why don't you have a doctor with a higher seniority." ”
Liu Qingqing didn't dare to be careless, and asked Xiao Weiwei: "I heard that this is a patient suspected of appendicitis?" ”
Xiao Weiwei said: "Yes, Hu Kang's condition is very serious, he has been suffering from abdominal pain and diarrhea at home for many days, he has been having a fever, and the inflammation cannot be controlled, so he has not been operated on." At the end, he added, "Hurry up and prescribe antipyretics." ”
Xiao Weiwei has a very high level of experience as a nurse, and she knows what fever patients generally need to give to fever-reducing methods, but because she does not have the authority to prescribe medical orders, she must find a doctor.
Liu Qingqing felt strange, "Why does appendicitis still have diarrhea?" ”
At that time, she lifted the child's quilt, palpated and examined the body of the little patient Hu Kang with her hands, and of course activated a clairvoyant superpower, probing his abdomen, and did not find much abnormality in the appendix.
However, there is a small amount of fluid in the abdomen, causing the intestinal tract to become blurred.
After Liu Qingqing finished the examination, he returned to the nurse's table, took out the medical records of the little patient Hu Kang, and checked Hu Kang's various checklists. The white blood cell count was originally very high, but after being hospitalized, it slowly decreased, and it seemed to be improving, but Hu Kang still had a fever and low blood pressure.
As for the results of ultrasound, the morphological observation of the appendix does not confirm appendicitis.
So, the diagnosis of the little patient is abdominal pain to be investigated, suspected appendicitis?
When Liu Qingqing looked at the medical records, Xiao Weiwei kept urging on the side, "It's okay to hurry up, I'm very busy." I have a fever to this extent, and if I don't deal with it, I will have febrile convulsions! ”
After a few minutes, she found that Liu Qingqing had not yet issued a medical order, Xiao Weiwei became impatient, "Will you give a medical order!" ”
Only then did he take a closer look at Liu Qingqing, "Oh, you're the new doctor, aren't you?" You're that undergraduate, aren't you? ”
Liu Qingqing said: "Yes." ”
Xiao Weiwei was annoyed: "Why did you let you work the night shift?" Her throat rang, "Where's the second-level doctor?" I'll find a second-level doctor! It's terrible to encounter a sound that doesn't make sense! ”
Xiao Weiwei went to find the shift book, and was about to call the second-level doctor, and suddenly found that Liu Qingqing was not the doctor on duty.
"So you're not a doctor on the night shift?"
Liu Qingqing said: "Well, I'm not." ”
Xiao Weiwei was angry and said: "You're not, why are you getting up, delaying my time, really!" "Hurriedly ran to the male doctor's duty room.
On night duty that day was the three groups of doctors under Chen Ziao, Jiang Ling.
Xiao Weiwei ran to find Jiangling in a hurry.
Liu Qingqing thought to herself, I have the ability to see, why can't I find where the lesions of this little patient are, she went to visit Hu Kang in the ward again, scanned it from beginning to end, and found that Hu Kang had a thick thorn stuck in his throat.
Liu Qingqing asked Hu Kang's father: "Did the child eat fish before he became ill?" ”
Hu Kang's father originally had a distrustful attitude towards Liu Qingqing, and straightened his neck and said: "How is it possible, my child doesn't like to eat fish, never eats fish!" ”
Liu Qingqing said strangely: "But I think he should be stuck with a fish bone." ”
Hu Kang's father shouted: "Impossible, we did have a family dinner that day, and we ate a little more, maybe something was eaten badly, and we had diarrhea." But there is absolutely no fish to eat, it is impossible to get stuck fish bones. You little doctor don't understand, don't talk nonsense! Don't you have any older doctors here? "I'm going to go to the nurse's desk and find the nurse.
At this time, Xiao Weiwei came in with Jiangling.
Hu Kang's father glared at his blood-red eyes and said, "There are no doctors in your hospital left!" Inexplicably, I actually said that my child was stuck in fish bones! My kids never get stuck in a fishbone! ”
Jiang Ling glanced at Liu Qingqing, and hurriedly explained to Hu Kang's father: "I'm sorry, I'm sorry, I was in the emergency department just now to save the patient." Hu Kang has a high fever, right? Well, your child is indeed very sick, so I will prescribe antipyretics. Nurse Xiao, help me give him half an indomethacin. ”
Xiao Weiwei was satisfied: "That's right!" ”
Jiang Ling and Xiao Weiwei came out of the ward.
Liu Qingqing followed Jiang Ling and said, "Senior Brother Jiang, Hu Kang really has fish bones in his throat. Why don't you ask an otolaryngology specialist for a consultation? ”
Jiang Ling's eyes when he looked at Liu Qingqing were full of banter, maybe he felt that Liu Qingqing was too outrageous, and he also looked down on her a little.
"No kidding, he doesn't have any symptoms like that, and his dad said he hasn't eaten any fish. If you go to an otolaryngology consultation for no reason, not to mention that other otolaryngologists are not so available, the patient's family will definitely complain about your mess. ”
Liu Qingqing said: "This is not right, the patient complained of throat pain at first. ”
Jiang Ling said: "Don't be funny, I'm on night duty tonight, don't make things happen for me." ”
"That's it!" Xiao Weiwei said: "The hospital doesn't know what's going on, and admitted such a nerd who can't figure it out." Isn't that a delay! ”
But Liu Qingqing had obviously seen a foreign body in Hu Kang's throat, but looking at the current scene, it was definitely impossible to find an otolaryngology department for consultation, even if he was asked to go for a throat X-ray examination, there had to be a reason, and the patient's family would definitely not agree.
If you don't do it well, it's really easy to get into medical disputes.
However, is it not enough to look at the little patient with a thorn stuck in his throat?
The little patient did have some problems in his abdomen (a small amount of fluid accumulation), but Liu Qingqing felt that the little patient's constant fever was inseparable from the thorn in his throat.
In fact, the patient is so young, he may not be able to tell what happened that day, and it is easy to miss the diagnosis.
No, Liu Qingqing can't watch the little patient go on like this.
At this time, Xiao Weiwei had already taken half an indomethacin suppository to dispose of the patient.
Liu Qingqing still stayed at the nurse's desk and did not leave.
Suddenly, Xiao Weiwei was heard shouting loudly.
It seems to say that the little patient Hu Kang has febrile convulsions.
Liu Qingqing immediately went to the treatment room, pushed away the ambulance, took out the first-aid kit, and came to the little patient's bed, and sure enough, she saw the little patient Hu Kang lying on the bed trembling.
Hu Kang's father pressed Hu Kang, looking very flustered and anxious.
Liu Qingqing immediately shook off the head of the bed and pulled the bed away.
Open the first aid kit, take out sterile gloves and put them on, go to the head of the little patient's bed, lift the little patient's jaw with your right hand, open the patient's mouth with a laryngoscope, and press down the tongue.
Switch to the left hand and take the tweezers.
The position of this spine is still relatively deep, and if you change to an ordinary otolaryngologist, you may not be able to operate it, but Liu Qingqing fortunately has a perspective function, and she can see through her neck to the position of her tweezers.
Liu Qingqing's movements were very fast at that time, Xiao Weiwei didn't have time to stop them, and when she found out about Liu Qingqing's movements, Liu Qingqing had already put the tweezers into the throat of the little patient Hu Kang.
Xiao Weiwei shouted: "What are you doing?!" ”
Hu Kang's father was even more stunned, thinking that this little doctor was going to murder his son!
Father and son connected hearts, it was really not covered, for a while, he was angry and bloody, desperate, raised a kick and kicked Liu Qingqing.
Liu Qingqing received a heavy blow to her waist, but fortunately, she was at the head of the patient's bed at the time, and there was a wall behind her, so she didn't fall down.
At that time, there was a dull pain in his lower back, and the movements in his hands did not stop, and the tweezers in his left hand took out a piece of flesh and blood and put it in the curved plate.
"Take it out." Liu Qingqing said.