Chapter 115: Congenital diaphragmatic hernia

Cathy wore a thick coat, and the dog's teeth had bitten her sleeves and left two lines of tooth marks of varying shades on her thin arms.

If the skin is not broken, wash it with soapy water and water, and at most apply a little disinfectant.

However, there were two canine tooth marks that were slightly deeper, and Cathy was bleeding a little.

Murphy asked, "Do I need a rabies vaccine?" ”

Cathy was stunned: "You're a doctor, you ask me?" ”

Murphy frowned and said, "You can fight or not." The stray dog should have been vaccinated before. ”

Cathy groaned and said, "I'd better choose to fight!" ”

Murphy said: "If you want to get 8 shots, and it's more expensive!" ”

"How much?" Cathy was not convinced, and said that my pension is very high!

Murphy said, "800! ”

added another sentence: "After the medical insurance has been deducted, and you are given a preferential price." ”

She meant well, but somehow, when it came out of her mouth, it was infuriating. It's better to see a doctor first, don't tell the price, wait for the doctor, and then send you a bill two days later.

This is still the effect of wearing a strange flower sachet for a while.

If it was before, the words should be more concise, more difficult to communicate, and expressionless and cold. The kind that will make the patient angry immediately, or even angry!

Cathy pouted and said, "I thought it was too much, I had to fight!" What if something happens? How could I be willing to leave her alone in the world? ”

After these days of getting along day and night, Cathy has developed a deep affection for Danielle!

Murphy called Elena and told her to buy the vaccine at a pharmacy not far away.

Although the iris clinic has a pharmacy with some common medicines, there is really no rabies vaccine.

In fact, many small clinics and small hospitals do not have pharmacies, because the number of patients is not large, it is not cost-effective to build a pharmacy, which is a cost-effective problem, after all, there are too many types of drugs and too miscellaneous!

However, in large hospitals in European and American countries, there are pharmacies under the pharmacy department, which are usually divided into inpatient pharmacies and outpatient pharmacies.

Some people say that hospitals and clinics in the United States do not have pharmacies, so how is that possible?

Oh, I need first aid, I need surgery, and I'm going to buy it temporarily? Is it in time?

You're lying in the ICU and you're dying, Doctor: I'm sorry, you didn't go buy medicine, I can't save it.

It's just that the large hospitals in the United States have a small number of outpatients (all of them are shunted to primary clinics), so the scale of outpatient pharmacies is small.

However, the larger the number of patients hospitalized in large hospitals, the size of inpatient pharmacies is correspondingly larger.

The proceeds of these drugs go to the hospital itself. It's also a big piece of cake! It's impossible for the hospital to give up!

Zhou Qiao and his aunt are both Chinese, and hoarding medicine is nature!

Is it reasonable to open your own clinic and not stock up on medicine?

Ordinary people who don't open clinics are crazy about grabbing medicine and hoarding medicine whenever there is a stir!

Not to mention medicines, even salt and toilet paper have to be stocked up! Canned sugar water is going to be snatched up!

Murphy cleaned Cathy several times before applying the potion.

Soon, Elena got the vaccine back, and Murphy gave her a shot first. A few other shots, and I'll do it later.

Then, the police came to the door!

In the rest area of the Iris Clinic, the police questioned Cathy about the incident and the dog's physical characteristics.

Cathy asked, "Are you going to kill the dog if you find it?" ”

"Rest assured, if we confirm that this dog is a stray and aggressive, we will kill it on the spot," the police officer said. ”

Cathy expressed her gratitude, and then said very fearfully: "If it wasn't for a kind person who rescued me in time today, my daughter and I may have unimaginable consequences!" ”

The police expressed sympathy and said that the dog would be found as soon as possible! And then left.

Cathy was surprised, why didn't she hear Danielle's cry? She took a look and hurriedly came to Zhou Qiao's consultation room.

Sure enough, it was Dr. Zhou who made a move!

Zhou Qiao was caressing the little guy, the fear in the little guy's heart was gone, and he was grinning, and he seemed to be very happy.

Cathy couldn't help but be frustrated, and said in her heart, I can't coax it well, Dr. Zhou laughed after a few casual touches, alas~, I'm really a failure, maybe it's really not suitable for raising children!

Ava beckoned to her and said, "Cathy, come and learn together, Joe uses a very clever baby touch technique, which can effectively relieve the anxiety, tension, and fear of babies...... All kinds of negative emotions. ”

"Is that so?" Cathy suddenly came to her senses, if there was this technique, she learned it, and she could appease little Danielle every day in the future, and she didn't have to trouble Dr. Zhou.

Ava said, "Yes! It's really amazing, I couldn't coax it just now, but Joe stroked it a few times, and the little guy laughed! ”

Zhou Qiao said: "You call Elena over, I just want to explain it to you!" ”

What he used was naturally a master-level baby touch technique that was exchanged from the system, which consumed 20 medical points.

This is not metaphysics, nor is it a fashionable activity, but a medical method with a relatively early origin!

It can be said that since there have been humans, there has been touch!

Touch has been associated with medical exploration since the beginning.

During natural childbirth, each newborn receives the special touch of the mother's birth canal contraction.

Natural delivery can also squeeze out the amniotic fluid inhaled in the respiratory tract to reduce aspiration or lung infections caused by childbirth.

In layman's terms, babies who have not been pinched by their mothers are at greater risk of getting sick after birth.

It doesn't matter if the hilum is clamped and long, because the baby's skull is soft and the fontanelle is open, and it will slowly reround after birth.

The skin is the largest sensory organ of the human body to receive external stimuli and is the extrinsic receptor of the nervous system. Early touch is to give appropriate stimulation to brain cells and nervous system during the critical period of infant brain development, promote the development of the baby's nervous system, and promote growth and intellectual development.

When Elena came over, Zhou Qiao explained the essentials while touching Danielle. What are the techniques, how much force needs to be used, what are the precautions, which parts can be touched, and which parts are best not to touch.

In simple terms, Elena and Ava listened with bright eyes and nodded again and again, but Cathy looked embarrassed, because she listened to it, but Zhou Qiao talked too much, she was old, and she couldn't remember it for a while!

"Doctor Zhou, can you help me write down all the steps, and I'll go back and follow the practice." Well, this fee can be included in the medical fee. Cathy said.

Zhou Qiao smiled: "It's just a gesture, why talk about money?" Danielle is also half my daughter, and I have always paid close attention to her. ”

After all, this poor little girl was delivered by his own hands, and she was the first to deliver a natural baby!

Despite the severity of desertion in the United States, her mother secretly ran away after giving birth to her, and I don't know if she was caught later.

But there is no news from the police, and it is estimated that it will be over. Perhaps, there was no effort to find it at all.

It is worth mentioning that even if it is found, it cannot be charged.

That's because, while state laws prohibit child abandonment, they also allow mothers to "safely abandon their newborn babies in a safe place, such as a church, hospital, or fire station."

This exception, known as the "Safe Harbor Act," is designed to protect the innocent lives of infants and to avoid, as far as possible, abortion, killing, or abandonment of infants.

California's Safe Delivery of Babies Act is one of them.

Little Danielle's biological mother was smart and left Danielle directly at the Iris Clinic, what a safe place. So, it's essentially a legal act.

Cathy took little Danielle home, and Zhou Qiao was afraid that she would be in danger again, so she asked her to go to the laundry next door to find Ariel.

Ariel sent a black girl to escort the old and weak pair back. Coincidentally, halfway through, I ran into the stray dog again.

It bared its teeth and rushed up again.

Ariel's black girl didn't get used to it, and wanted to pull out her gun and shoot it in the head, but two policemen appeared around the corner, and it was the same one who questioned Cathy earlier.

They were tracking the dog.

Hei Mei immediately withdrew her hand and kicked it out, hitting the stray dog's neck.

The stray dog whined and was kicked into the ditch.

However, this stray dog was quite fierce, and soon climbed up again, and it probably thought that the black girl was not easy to bully, so it turned its head and pounced on the two policemen!

I went, the police were taken aback, and one of them was relatively timid, so he immediately took out a pistol, "bang bang bang~", and shot three shots in a row!

The dog whimpered and fell to the ground.

Cathy finally breathed a sigh of relief, thanked Heimei, and said that she could go back for the rest of the journey.

Heimei said, I'll send you home.

Because they ran back halfway through, it was difficult for Ariel and Dr. Zhou to explain.

In fact, this kind of fierce biting stray dog, because it has no owner, even if it is not killed on the spot, will be sent to euthanasia. Gas poisoning is usually used. More than a million stray dogs are euthanized every year in the United States.

In the Americans' own words: "The reason is simple: without euthanizing unadopted dogs, there is no room for shelters to accommodate new dogs, and shelters cannot refuse dogs abandoned by their owners or stray dogs sent by the public." ”

As long as there are more abandoned dogs than adopted dogs, the problem of dog euthanasia will always exist. This is also the best way for humans to dispose of surplus stray dogs at present.

A mother with severe dark circles and listlessness in her arms held an eight- or nine-month-old baby who was crying incessantly, and entered the consultation room of internist Rachel, saying that the child had a fever and cough, and asked the doctor to help quickly.

After the consultation, physical examination and communication, Rachel comforted her mother: "Don't worry too much, it's mostly a common cold, I'll help her arrange a check-up." ”

Ava had just learned a new skill, and her forehand was itching, and she felt that she had nowhere to do it, so she hurried in and volunteered that I would coax her!

Bao Ma was already upset by the baby's noise, so she handed it to Ava and said, "Be careful! ”

Ava said, "Don't worry, I'm a professional!" ”

After picking up the baby and coaxing it a few times, he put it on the examination table and began to practice the child's hands and practice his newly learned baby touch.

It's just that she used all her techniques from beginning to end, and the child not only did not relieve, but cried more and more!

Ava couldn't hold her face and said, "I'll take her out for a walk." ”

Seeing Bao's mother nodding, Ava hurriedly hugged the child and came to Zhou Qiao's clinic.

"Joe, can you help me see what I'm doing wrong? Why did he cry all the time and couldn't be appeased at all? Ava said depressedly.

Zhou Qiao said: "I'll try!" ”

As soon as the master child pacifying technique was started, hey, it was strange to say, and the little one immediately stopped crying.

It's just that after less than ten seconds, the child started crying again!

Zhou Qiao frowned, feeling that something was wrong, and felt that this was not like an ordinary cold and fever. If so, his master-level child soothing technique would not have lasted only 10 seconds!

However, he carefully examined the child and found no particularly unusual symptoms!

"System, start auxiliary diagnosis!"

Soon, a golden virtual panel popped up in Zhou Qiao's mind:

[Sick child Hank Phos, the condition is: congenital diaphragmatic hernia.] Not obvious at birth, later in development, diaphragmatic disorders appear, delayed closure of the thoracoperitoneal hiatus, and premature transfer of the intestinal tube into the abdominal cavity. 】

[After the diagnosis is completed, 3 points of medical mystery points will be deducted!] Host Doctor Xuandian Account Balance: 283 points. 】

Zhou Qiao was shocked, and immediately came to Rachel's consultation room with the baby in his arms, and said, "Add a chest X-ray to this baby." ”

"Huh?" Rachel was stunned, as soon as she came up, she was going to take a chest X-ray? It's been less than a day since I had a fever, and it's unlikely that it will progress to pneumonia so quickly.

I can't help but feel that Zhou Qiao has made some fuss.

But after thinking about it, Rachel thought that Zhou Qiao might be trying to make more money.

While opening the order, she secretly said, okay, you are the boss, you have the final say!

Naturally, she will not disobey Zhou Qiao, whatever Zhou Qiao says is what she is.

This is her experience in the workplace for many years.

The child's mother looked at her in surprise, and Zhou Qiao explained: "I suspect that the child has other symptoms, not an ordinary cold and fever. To be on the safe side, it's advisable to make one anyway! ”

"Okay then." The child's mother also has no idea, she has long been exhausted by the baby's crying!

Because, the child cried all night last night and hardly slept much. She stayed up all night with it.

Sometimes, the child falls asleep briefly, but the child has a fever, and she is distressed, and keeps cooling the child physically, so basically she doesn't close her eyes.

As for the child's father, he slept like a dead pig! Then she went to work early in the morning, and she had to take the baby to the hospital alone.

At first, I went to the community hospital, but the nurse at the triage desk said that the doctor was not there, so let her come tomorrow!

She said my child has such a bad burn, why is it delayed until tomorrow?

The nurse shrugged: "I take the liberty of asking, will your child's life be in danger immediately?" ”

The child's mother hesitated and said, "Probably not." ”

"Isn't that all there is to it? Come back tomorrow! The nurse said to herself, I can't help it. If you're going to die soon, I'll be able to get in touch, but you're having a cold and fever......

There was no way, the child's mother had to hold the baby and came to the nearby iris clinic.

It may be a little more expensive, but it shouldn't make her wait.

As a result, the doctor suddenly said that she would do other tests, which immediately made her heart rise to her throat.

"Doctor, what disease do you suspect, can you tell me?" The child's mother asked.

Rachel looked at Zhou Qiao to see what he had to say. Xindao, if it were me, I would have to say, "Wait for the results of the examination first." ”

Zhou Qiao thought about it carefully, anyway, sooner or later, the other party will know, take a breath first, and let the other party be somewhat mentally prepared.

So he said: "I am thinking that there is a congenital diaphragmatic hernia, but it is not necessarily, and we will look at the examination report at that time." ”

"So what if it really is?" The child's mother asked worriedly.

"Then the only way to do that is to schedule surgery as soon as possible!"

The child's mother still wanted to ask, and Zhou Qiao said: "You should hurry up and take the child for an examination, there will be bad consequences if you delay it." ”

"Okay!" The child's mother frowned, took the letter from Rachel, and hurried out.

Zhou Qiao sighed lightly, there is a chance for surgery, and he can make a lot of money, but why is there a faint sadness in his heart?

(End of chapter)