It is said that women are the most cautious human creatures in the world, and my predecessors did not deceive me.

Zhou Can offended her to death, and now he wants to repair the relationship between the two and apologize to her, I'm afraid it won't be easy.

As the news was broadcast on the projection screen of the big advertisement, some family members and patients discovered Zhou Can.

"Look, isn't that young doctor the Dr. Zhou who was just reported on the news?"

"He seems to be quite idle now! Husband, let's hurry up and register our daughter and go to Dr. Zhou to see a doctor! ”

After reading the news report, a young couple who were dressed quite well left directly from Du Leng's waiting line.

Then he quickly ran to the registration window and hung up Zhou Can's diagnosis number.

Anyway, it's free to register an expert number, and changing the number has no effect on them at all.

"Without surgery or hospitalization, the child's broken arm was easily cured, is it true?" An old man with his grandson for treatment looked up at the big screen of the advertisement, hesitating in his heart.

After the battle between heaven and man for more than ten seconds, he decisively hugged his grandson to the window and hung Zhou Can's number.

Zhou Can was originally unattended, but with the blessing of the aura of news reports, the situation was immediately changed.

One after another, some patients began to take the initiative to call his number and see him.

Looking back and thinking about it, no one called him before this, mainly because there was no clear field of medical specialization.

His personal introduction only writes that he is good at acute and miscellaneous treatment.

This presentation is very general and lacks clear and clear recognition for patients and family members. In the case of a better choice, the family will definitely be the first to consider listing another expert number.

For example, if a pregnant woman has severe stomach pain after receiving a cold, her illness is either an emergency or an obstetric and gynaecological disease.

Then she ran to Xinxiang Women's and Children's Hospital to take a look, and among the experts sitting in the consultation, Director Zhang Bihua's introduction said that she was good at treating gynecological and obstetric diseases.

The patient immediately thinks that she is carrying a baby in her belly, which must be an obstetric condition.

She will subconsciously ignore that this is an emergency.

In addition, Director Zhang is nearly 60 years old, and he is an experienced old expert at a glance. Look at Zhou Can again, a young frizzy young man, this must be a novice doctor, don't even think about it.

So she will immediately decisively hang up Director Zhang's number, even if she waits in a long line.

The cold in the consultation forced Zhou Can to think about these problems.

He is still only in the regular training stage, and in more than a year, he will end the regular training and become a full-fledged resident. At that time, you will definitely need to face independent consultation.

Setting up an area or two of specialization can help him create a personal business card.

"Hello Dr. Zhou, can you please help my daughter take a look?"

"You may be seated! What's wrong with her? ”

Zhou Can saw that a patient finally came, and hurriedly cheered up to deal with it.

"My daughter has not been very energetic since last week, and then she has a fever, shivering all the time, sometimes shouting about leg pain, and sometimes talking about hand pain." The family gave a general description of the girl's symptoms.

Looking at this little girl, she was only two years old, her eyes were ignored, her face was flushed, her breathing was heavy and rapid, and she looked sick.

Pediatrics is called dumb.

This is because most children are silent when they are sick and do not talk about their symptoms or how they have developed the disease.

Basically, it's up to the doctor to guess for himself.

This will undoubtedly make it more difficult for doctors to diagnose.

"It has been several days since she became ill last week, so why don't you take her to the hospital for treatment in time?"

Looking at the couple's financial situation, it should not be bad.

The child is sick like this, so it is too irresponsible to take her to the doctor.

"We thought it was just a common cold at first. We read in the general education books that if the child has the common cold, do not rush to take the child to the injection and infusion, which will lead to the child's drug dependence, and will also make the child lose a chance to enhance immunity. She had a cold before, and we all fed some brown sugar ginger juice to let her drink more warm water, pay attention to keeping warm and resting, and soon got better. ”

"I didn't expect to be so sick this time. And her condition progressed very quickly, two days ago she was only a little feverish, and in the middle of the night she suddenly cried cold, clenched her teeth, and shivered. We took her to the community health post overnight to see a doctor. After the doctor saw it, he also said that it was a cold and prescribed a box of cold medicine for children. ”

"I went home and took medicine, but the next day there was still no improvement. We rushed to the big hospital with the child for treatment. I happened to watch TV, and it was said that Xinxiang Women's and Children's Hospital was carrying out free expert consultation, so I came over. ”

After listening to the family's description, Zhou Can didn't say anything more.

Start giving your child some necessary tests.

Ji You helped measure the child's body temperature, heart rate, blood pressure and other physical data.

Zhou Can found that the little girl's hands and feet were cold, and her face was slightly cyanosis, and these most superficial symptoms indicated that the child was suffering from acute illness. It's not just an ordinary little cold.

"What kind of medicine is it given to your child?"

"Oh, we specially brought it, it's this little Chai Gui antipyretic granules."

This medicine is a proprietary Chinese medicine and has fewer side effects.

The doctor at the community health post may be trying to help the patient get rid of the fever first.

In fact, the level of the hospital basically determines the level of the doctor. Just like a hard-working and gifted child who can be admitted to a key university for further study, a child who does not work hard or has poor talent fails the high school entrance examination and college entrance examination, and is eventually shunted to a vocational school or a junior college, a third-rate university, or even a pheasant university.

The hospital has become more stringent in terms of talent screening.

Many of those with poor academic qualifications or mediocre medical skills will work in township health centers, community health service stations, and private clinics.

It's not that they don't want to work in big hospitals, it's that they can't.

The child's condition will worsen, and the doctor at the community health post will actually have some responsibility. If you can find out in time that your child's illness is not a common cold, and you can pay enough attention to it, you may be able to get your child to be treated effectively in time.

At the very least, the family can be persuaded to take the child to a major hospital for examination and laboratory tests to find out the cause.

"Doctor Zhou, can children take this medicine?"

The family apparently has more trust in the doctors at the big hospitals, and they are worried that the medicine prescribed by the doctors at the community health posts will not work.

"Normally, if it's this type of cold, you can take this medicine. But judging by your child's current symptoms, it's likely not a common cold. ”

Zhou Can's words frightened the family members.

The woman's face turned white with fright on the spot.

"Doctor, what is my daughter's disease? It's going to be okay, right? "She was very scared that there was something big wrong with the child.

"The specific cause needs to be further investigated, you can look closely at her face and fingers, there is a certain degree of cyanosis, which indicates that the child is likely to start to have a certain degree of hypoxia."

Cyanosis of the face and fingertips is usually the most direct manifestation of hypoxia.

When the blood oxygen concentration is below 90%, the typical symptoms of hypoxia such as cyanosis of the face, lips, and nails will appear.

After Zhou Can's reminder, the little couple stared at the child and watched carefully, isn't it!

The child's face and nails do have some cyanosis and purple.

They couldn't help but panic even more.

"Doctor, please save my child!" Women's psychological tolerance is often worse than that of men, and the child's mother is already crying. She was so frightened that she was left without a master, and her heart panicked.

"Don't worry, she's only progressing to a severe illness right now, and it's not getting to a very bad level. As long as the cause of the disease is identified in time and the symptoms are treated, there will be no major problems. ”

While comforting the family, Zhou Can continued to examine the child.

"Doctor Zhou, the child's armpit seems to have induration and lumps!" Ji You took the child's temperature and found an abnormality.

Small children take their temperature, and old doctors in the past liked to measure the temperature of the anus.

It is not hygienic, and the child will also feel a certain degree of discomfort. It is not easy to cooperate with the doctor's examination.

Today's pediatricians are smart enough to take their children's armpit temperatures.

There is a lot of data, and there is not much difference between the medical reference significance and the direct measurement of the anus.

Because of the difficult conditions of the older generation of doctors, the examination methods at that time were far less abundant and advanced than they are now, so the requirements were stricter. Measuring the temperature of the anus is more accurate.

Sometimes, even a difference of just 0.1 degrees can have a big impact on the doctor's diagnosis.

Low heat and high heat are two completely different concepts.

Zhou Can stretched out his hand and touched it, then raised the child's arm again and looked at it.

"She had swollen lymph nodes in her armpits."

Zhou Can gave a conclusion.

The child's parents became more panicked when they were confronted with one sign after another of the lesions.

"High fever 40.3 degrees."

Ji You read out the results of the child's temperature measurement.

In order to avoid errors, the body temperature needs to be measured at least twice. Usually a responsible nurse or doctor will take the temperature three times.

It must be mentioned here that measuring the temperature of the anus is not so troublesome, just once.

In fact, measuring the body temperature of the mouth can also get very accurate results.

Just put a thermometer in the child's mouth, and the family will reject it first. It definitely feels unhygienic. The doctor's thermometer is reused, and after putting this child's mouth into another child's mouth, even if there is disinfection and cleaning in between, people still have a great rejection of this method of measuring body temperature.

Another point is that if the child bites the thermometer, the mercury in it is poisonous.

This is too risky.

Therefore, doctors and nurses take into account various factors, and now basically measure the temperature of the child's armpits.

I'd rather work hard and measure two more times.

"Is the child's bowel and bowel movements normal for the past two days?" Zhou Can continued to ask for some key information.

"The stool seems to be relatively normal, but I haven't urinated much in the past two days. Especially today, the child has not yet been relieved. The child's mother's answer made Zhou Can's face change.

This is an extremely bad sign.

In the intensive care unit, as long as any patient does not urinate for two days, the family can basically be notified to prepare for the funeral.

"Let's get her blood tested first! The child's condition is serious, do it urgently! ”

After Zhou Can asked for some basic information, he prescribed the most ordinary examination.

He didn't like many novice doctors, as long as he could get on top of the examination items, he didn't leave any of them behind, and he prescribed them all to the patient.

It can not only generate income for hospitals and departments, but also avoid unnecessary troubles as much as possible.

To put it bluntly, it is trouble-free, and many risks can be avoided.

When an expert opens an application for examination, it is the opposite.

The higher the level of specialists, the more streamlined the application for inspection. Highly targeted.

In many cases, one or two tests are done first, and a new test is prescribed after further diagnosis based on the results.

Zhou Can started from regular training, and basically followed the chief physician, and he was the chief physician at the top of the department. In terms of opening the examination application, he has inherited the characteristics of the chief physicians very well.

Never open the examination items indiscriminately, so that the patient suffers as little as possible, save the unnecessary expenses of the patient, and also shorten the patient's medical treatment time to the greatest extent.

If a patient is lazy and prescribes a bunch of tests, it may take a day or two for the patient to do the tests alone.

This is really not an exaggeration.

The vast majority of examinations in large hospitals are done in queues.

Why? Because there are many patients who seek treatment, there are also many doctors who prescribe a lot of examinations.

Dr. Chow ...... Let me state first of all that I am not questioning your level ha! Is my child just a blood test? The family members saw that Zhou Can only opened one examination, which was still the simplest blood routine, and immediately felt very uncomfortable.

"Or else? Give her a whole bunch of checks? ECG, routine bowel and bowel movements, chest and abdomen ultrasound...... Can you check all the inspections on the top? ”

Zhou Can raised his eyebrows.

"Ah...... Hehe, I'm just jokingly asking, don't be surprised. When the child's father heard this, his face turned bitter, and he hurriedly confessed with a smiling face.

The two family members took the child and rushed to have blood drawn for examination.

"Doctor, my grandson's foot is injured, can it be treated?"

The grandfather who took his grandson to see a doctor also sat at Zhou Can's consultation table after registering.

"I'll see!"

Zhou Can stood up, walked in front of the child, and squatted down to carefully examine the child's feet.

I saw that the little boy's right ankle was swollen several times, and there were bruises and purple patches under the skin. This is where a hematoma occurred.

"Let's go get an X-ray first! If a major fracture hadn't occurred, the problem wouldn't have been too big. However, because he has a subcutaneous hematoma and hemorrhage, the exact injury will not be known until the results of the examination are available. Now try not to touch his injured parts, let alone rub them. ”

Zhou Can gave the child an examination and told him what to do.

Many people don't understand medicine, and they hear the older generation say that where the swelling is, it can quickly reduce the swelling as long as it is massaged for a while.

This approach is not really advisable.

Ordinary hematoma can indeed activate the muscles and bones through massage, help the hematoma site to accelerate blood circulation, so as to achieve the purpose of rapid swelling and pain relief.

However, if a fracture occurs in this kind of foot injury, the injury will be aggravated by indiscriminate massage.

Originally, it was only a slight fracture, but after a vigorous massage, it directly caused a serious fracture, which was more than worth the loss.

Also, if the hematoma occurs in the head, especially some children are particularly prone to bruising and falling on the head because they are active and naughty. A big blob on my head is normal.

According to some folk methods, they like to rub oil or white wine on the swollen buns, and then knead the swollen buns vigorously.

It is very dangerous to do so.

Children's blood vessels are already very delicate, and the walls of the tubes are very thin.

In the event of a hematoma, massage the area vigorously to cause further squeezing of the congested blood vessels, which will only worsen the bleeding. It can even cause further rupture of the blood vessel wall, resulting in serious consequences of intracranial hemorrhage.

After applying for the examination of this child, several more patients came to Zhou Can's consultation table one after another.

It seems that the broadcast of TV programs has helped him a lot.

In particular, the news interview about him was broadcast on the large advertising screen in the outpatient hall, which was enough to push him to a high position.

Treating every patient he treats, Zhou Can is serious about diagnosis.

Today's luck is not bad, so far, a total of five patients have been treated, and all of them have relatively clear symptoms and are not particularly complicated.

At this time, the first child to do the blood routine came back with the results.

"Doctor Zhou, we have finished the blood test, please take the time to take a look."

The family's brows were filled with worry.

"White blood cells are elevated, the proportion of mesogranulocytes is also elevated, and the number of platelets is decreasing...... Has she been scratched by rusty nails or metal lately? ”

Zhou Can was also shocked when he saw the results of the blood routine examination.

"No! The child has been fine, I haven't heard of injuries! The child's mother shook her head.

"Who usually takes this child?"

Zhou Can asked.

He noticed that the child's mother said that she had not heard of the child's injury, not that she had not seen the child's injury.

It shows that she is definitely not the only one with children.

"My husband and I usually have to go to work, and during the day, the children's grandmother usually takes them with us. After work, there are Saturdays and Sundays, which is when we take the children. ”

Young people in cities are stressed out and need to work hard to earn money.

With children, it will indeed be much better to have the help of the elderly.

The couple can go to work to earn money, thus increasing the income of a family.

"Can you call and ask if your child has been stabbed by a rusty object recently?"

Zhou Can has already begun to examine the child's limbs and other exposed parts of his body.

Soon, he made a discovery.

There is a shallow red mark on the palm of the child's left hand. The little ones have a strong healing capacity and are full of vitality. Even skin injuries can heal quickly.

This area is likely to have been injured.

(End of chapter)