"Let's let the nurse call the number directly in the order of priority!"

After Zhou Can finished speaking, he ignored the woman and went directly into the consultation room.

The guide nurse is still Zhou Yanqing, and she is an old acquaintance with Zhou Can.

The two have been cooperating for a day or two, and Zhou Can can understand it with a single look.

"No. 1, Tang Juxiang!"

"It's us, it's us!"

A young woman resting on a bench hurriedly picked up her child and entered Clinic 17.

At this moment, there is no family member who can speak for the shrewd woman who scolded the woman on the street. There is a pole in the hearts of the people, although everyone does not say it, but they see the merits of the matter in their eyes and shine in their hearts.

Everyone's compassion is not so easy to use.

"Doctor Zhou, please help me take a look, the child doesn't know why he suddenly stopped feeding."

The woman's husband and family members were not accompanied.

Judging by how she dresses, the economic conditions should not be bad.

"The child looks quite young, not long after birth?"

Zhou Can began to observe the child's condition.

I saw that the child was pale, cyanotic around the mouth, and breathing was not regular, which was very similar to neonatal jaundice. The disease itself is also highly prevalent.

"Today is exactly twenty-one days old, and the moon is not yet full! Since yesterday, he has not been breastfeeding much, and he seems very restless, always crying, and has a very big temper. ”

The woman described the child's condition.

"Is it breastfeeding or cow's milk?"

"I've been breastfeeding since birth. At first, I was worried about the lack of milk, but the confinement lady I invited seemed to be quite professional, and made me some pig's trotter soup, rice wine boiled eggs and other food, and the milk became more and more sufficient. After my child eats it, sometimes there is still leftover, and I feel bloating pain. But since yesterday morning, when breastfeeding, the child seems to be a little resistant. The confinement lady told me to take the child to the hospital for a check-up. ”

The woman looked at the baby in her arms, full of the radiance of maternal love.

The greatness of a mother's love begins from the moment she conceives a child. After ten months of pregnancy, the burden of maternal love will not only not be reduced, but will be increased. It is necessary to put the child to sleep, breastfeed, clean up the feces and urine......

The fact that this woman can afford to hire a confinement lady means that her economic conditions are good.

Because the confinement sister-in-law of this year has at least started with 5,000. A little better, it is common to get a gimmick of a gold medal confinement lady, asking for more than 10,000 yuan.

"Do you usually take care of the children with your confinement sister-in-law?"

"That's right!"

"Does your family help take care of them? For example, parents, mothers-in-law, husbands. ”

"Why do you ask that? It doesn't seem to have anything to do with the condition! ”

Her words flickered, and she refused to answer.

"Don't get me wrong, I'm just trying to rule out possible problems in the child's rearing process." Since the family members were unwilling to answer, Zhou Can did not interrogate these again.

In these years, some women give birth to children, maybe she is just a junior.

An illegitimate child can't see the light, and he must cover up the identity of the child's father.

"I don't think the child's spirit is very good, even if he hasn't eaten for a day, it shouldn't be like this. Is there any water feeding? Zhou Can asked.

"There's water, but he doesn't drink much."

"When breastfeeding, does the child suck strongly?"

"Much weaker than usual, looking weak."

"Is there a bowel movement? Do you have diarrhea? ”

"Had diarrhea. It seems that since the third day of birth, I have been having diarrhea, and the confinement lady told me that this is normal. When the child is older and has a large belly, he will not have diarrhea again. ”

"How's your child's sleep?"

"It's very easy to wake up. Crying at every turn, especially at night. Last night, almost every once in a while, I was going to make a fuss, punching and kicking, and crying a lot. I can't coax it. ”

"Was that how it used to be?"

"No, just from the night before. But the night before was fine. ”

……

After Zhou Can asked about the child's basic situation and medical history, he took the child's body temperature, which was normal.

When the child's abdomen is examined, it is evident that the abdomen is very hard.

Indicates the presence of bloating.

"Let's go for two check-ups first! If your child has urine or stool, some can be taken for laboratory tests. For the time being, check the three major routines first, and after the results come out, you come to the outpatient clinic to find me for further diagnosis. ”

Zhou Can quickly opened the inspection application.

The three rules are sometimes basically mandatory.

"Doctor Zhou, I heard from a friend that your medical skills are very good, your medical ethics are noble, and you are very responsible for the patient's condition. Is my son's condition serious? Could it be a small problem such as a cold at night? ”

When the woman said this, she naturally wanted to get closer to Zhou Can.

"Hmm...... It's hard to say for the time being. However, according to some of the child's current symptoms, it is likely that it is not optimistic, and it must not be delayed. In fact, you should have taken your child to the hospital for treatment as soon as possible yesterday. Babies are not like adults, they progress particularly rapidly and are much less tolerant. The systems of the body are not fully developed and are relatively more fragile. ”

Zhou Can was originally reluctant to say these serious words.

Seeing that the young mother didn't seem to take her child's condition too seriously, he had to remind her.

"It's going to be fine, right? What can I do? I was hesitant to come to the hospital yesterday, and I was to blame, what should I do! When the woman heard this, she became anxious.

"Let's go check it out first! You're in the first place, and the blood routine results should be available in a maximum of two hours. If it's just neonatal jaundice, it's easier to treat. I'm afraid that neonatal sepsis will be troublesome. Therefore, after the blood test results come out, you must come to me in time and cannot delay. Also, try not to feed your child anything other than breastfeeding and watering. ”

Based on his personal diagnostic experience, Zhou Can highly suspected that the child was likely to have neonatal sepsis.

It is usually most common in babies between three days and six months of age.

It took 21 days for the child to become ill, and his resistance should be good. Or the child has already developed the disease, but the child's mother is not alert.

Neonatal sepsis is a systemic infectious disease caused by bacterial invasion of the blood circulation.

Because the central nervous system of newborns is immature, the body's response is weak, the skin, mucous membranes and gastrointestinal defenses are low, and the local lymph nodes are highly permeable to bacteria, and the infection lesions are often not confined to a relatively small range.

Instead, it spreads rapidly and eventually becomes sepsis.

At present, the child's mental state is very poor, and he has not eaten for a day and a night, which makes Zhou Can very worried.

In the face of a terrible disease, a living life can easily pass away.

According to Zhou Can's instructions, the woman hurriedly took the child for an examination.

Zhou Can originally wanted to ask why the child's father didn't come?

Because this woman has just given birth for 21 days, her body is still in the recovery period, and she is running around with her child, which is very easy to have some adverse effects on her body. and even left behind what is commonly known as confinement disease.

Since ancient times, China has had the habit of confinement and recuperation.

This is by no means the squeamishness of Chinese women, but the medical wisdom of the nation. It is also a manifestation of the heritage of traditional Chinese medicine.

Women abroad don't have these rules.

They think that they don't need to be confined, they dare to take all kinds of baths just after giving birth, and they don't eat and drink. It is even now popular to have a baby in the water. It can only be said that the benevolent see the benevolent, and the wise see the wise.

Even if the body immune mechanism of foreign women and Chinese women is different, but so tossing the body, once left with confinement disease, it is often accompanied by life.

The pain and bitterness in it can only be experienced by themselves.

The patients were one after another, and Zhou Can's processing speed was faster. When encountering some difficult cases, he often needs to spend a long time to investigate and conduct comprehensive research and judgment. It is even necessary to consult with a pediatric specialist to discuss the condition.

Overall, his cure rate is very high, whether it is an ordinary common disease or an incurable disease, the cure rate has been high.

He has been in the pediatric clinic for about two years, and in his first year, his CMI reached 3.2.

You must know that the CMI value of many chief physicians in pediatrics is about 1.5.

Naturally, it is very powerful, and some people even reach 6.0 or above.

CMI value refers to the case combination index, which is internationally recognized as representing the technical difficulty of treating diseases and the comprehensive ability of hospitals to treat difficult and severe diseases.

This is even directly linked to the amount of prepaid health insurance available to hospitals.

Moreover, more and more attention is paid to the CMI value of doctors in China, which directly reflects the level of a doctor's medical skills.

If ordinary doctors usually admit ordinary cases, this CMI value will naturally be very low.

This year's CMI value has not yet come out, and Zhou Can estimates that it will be no problem to reach more than 4.0 this year.

This is also because he is involved in the treatment of many diseases, especially when performing major surgeries. If he is directly asked to complete it as the chief surgeon, and there are some difficult cases of consultation, if he is the chief patient, this CMI value will be frighteningly high.

In terms of real strength, he should not be inferior to some of the 'big bulls' in this court.

Of course, this is not to say that his medical skills have reached the top level, but a more objective evaluation.

There is still a lot of room for improvement in his medical skills.

Whether it is academic or clinical medicine, it is far from the top.

The vast majority of first-level directors, top experts, say that medicine never ends. The more I learned, the more I felt that medicine was vast.

Human cognition and research on the human body are at most fur.

The woman with the child's severed left arm soon entered the consultation room.

Because Zhou Can did not agree to let her cut the queue and give priority to seeing a doctor, she could feel that she was obviously hostile.

Upon entering, the woman again pretended to be pitiful.

"Doctor Zhou, my family's economic conditions are not good, I have three children, your medical skills are so skillful, and your heart is good, can you try to save a little money for my children's medical treatment?"

As she spoke, the woman squeezed out two tears and began to wipe them.

If you are a novice doctor, most of them will be full of compassion and try to meet the person's requirements as much as possible.

Especially in pediatrics, many of them are female doctors.

They are more likely to be soft-hearted than male doctors.

"It's not easy to raise three children. You can rest assured, I will definitely help you save what you can save. ”

Zhou Can is now an old fritter.

The answer was watertight.

He has rich experience in dealing with all kinds of difficult family members.

In case he really encounters the kind of family members who cry, make trouble, hang themselves, hob meat, and play tricks, he sometimes can't resist it.

But it doesn't matter, Director Tang Fei of the Department of Pediatrics has a good relationship with the Security Department.

On several occasions, when confronted with family members who deliberately caused trouble, the security department quickly dispatched to directly control the people.

It must be said that the security guards of the security department are employees recruited by the hospital, not the police, and they have no law enforcement powers.

But when you encounter danger, you can control people.

Security is the safety of one party. On the hospital's one-third of an acre of land, security guards have a lot of freedom to act. Family members carrying sharp knives in the hospital want to kill people, and in this case, the security department is usually the most capable of killing.

They are also known as riot squads.

Armed with steel forks, shields, electric batons and other weapons, he directly greeted the assailant.

In this case, as long as you don't kill someone, you basically won't leave your hands.

Another point is that if a certain department or a doctor or nurse offends the head of the security department, when something happens, they will often wait until the angry family member has injured the doctor or nurse before they come forward.

And even if he arrived at the scene in time, he was watching the play with his sleeves up.

So, the water in the hospital is very deep.

If the logistics personnel can not be offended, they should try not to be offended. There are quite a few support staff, most likely related households, and you never know who is standing behind them.

One more thing, Zhou Can heard a colleague complain that most of the hospital's establishment is provided by logistics or other related households.

At that time, he didn't understand that the education of logistics staff was generally low, and their contribution to the hospital was also indescribable.

How can these people snatch away the extremely limited number of slots?

Later, when I inquired, it was an eye-opener.

A socially unemployed young man, commonly known as a street runner, he has a beautiful sister. One day, this sister of his was taken by a very rich son. The two fell in love.

Soon after, his sister revealed that the son-in-law who fell in love with her was the son-in-law of the vice president of a certain hospital.

When the unemployed homeless brother's brother heard this, his mind immediately became active.

On this day, I am fooling around on the street, and even a temperature protection is a problem. I heard that the big hospital is a gold-sucking monster, and there are millions or tens of millions of dollars in the accounts every day. If you get a job in the hospital, isn't it like picking up money every day?

So, the elder brother begged his sister to help find a way.

My sister saw her brother fooling around in society with a group of fox friends all day long, and her parents couldn't control it at all, seeing that they were in their thirties and hadn't started a family yet. She thinks it's a good thing to be able to help her brother find a serious job.

It can also make parents worry a little less.

Just when the vice president's son-in-law was chasing her hot, she was fascinated by her, so she found an opportunity to talk about it.

In order to get the heart of the beautiful woman, Brother Gongzi is very happy.

The future uncle wants to find a job in the hospital, isn't this a difficult thing to do?

Just go straight to the vice president's father.

After inquiry, the eldest brother is really 'excellent', basically a social three-no product. If you want to have a degree or not, you have no ability, and you are surprisingly lazy.

In recent years, hospital recruitment has basically started with undergraduates.

If you are applying for a doctor, you should start with a master's degree.

How can this 'three-no product' enter the tall unit of doctors?

This is not difficult for Brother Gongzi's father. The vice president of the family has a big brain.

First of all, in the way of business outsourcing, the 'three nos' products were brought into the hospital and entered the security department as a security guard. After working for two years, I went to the personnel agency, which can be regarded as having an official identity.

Finally, the compilation will be assigned to this 'three-no product'.

After a commotion operation, he was originally a street slicker, but he directly became a formal employee of the hospital, and obtained the quota for countless graduate students, masters, and even doctoral students.

Just ask, looking at the street slickers who didn't graduate from elementary school, they got the iron job bowl of the hospital, and those doctors who have studied hard for more than 20 years and worked hard in the clinical front line are not as good as a street slicker, isn't it sad?

Although this kind of thing is only an exception in Tuya Hospital, it is basically a common phenomenon in various hospitals.

(End of chapter)