Chapter 368

Although today is the Lantern Festival, it's not a legal holiday, and it's a Tuesday. Naturally, hospitals open all year round.

Nanxiang Third People's Hospital, the emergency department of people come and go, come to see patients and their families occupied the waiting hall, the electronic calling system is constantly ringing.

There is a superstition in the hospital, that is, medical staff should not set up a flag at night, saying "it seems that I'm not busy tonight" or "I'm quite free tonight", which department has said that, and then there will be an accident soon, and then they will be busy.

Some foreign institutions have done experiments on this, and selected different departments of different hospitals to set up two groups. The workload is basically the same. One is to set up a flag group and the other is not to set up a flag group. The results show that the flag group will become busier. It is not clear what kind of abnormal force is responsible for this.

But in the emergency department, even without the flag, the medical staff are busy.

Especially in the emergency department of Pediatrics, from the evening to the early morning, basically did not stop.

"Observe after injection." Liu Guolin, one of the attending doctors on duty, has just finished seeing a 7-year-old boy with a fever of 38.3 degrees.

In fact, he doesn't recommend taking antipyretic injections. The child has a fever of 38.3 degrees, which is just a low fever. The patient has no cough, expectoration and other symptoms. The patient's condition is very mild. In this case, he should use ice bags to cool the body, take some antipyretic and analgesic drugs, and drink more water. Generally, the fever will soon subside. If the fever does not subside in this way, and the fever is aggravated to moderate to high fever, it is not too late to consider the antipyretic needle at that time.

This antipyretic needle is not a treasure. There are too many side effects. The symptoms such as anaphylactic shock are mild or even fatal.

Although it is not a big problem to do a skin test first, any doctor with professional quality will not recommend random injection.

But the little boy's parents are more excited, many times to take the initiative to take fever injection, but also urged him to hurry up, do not delay the child's illness.

Due to the complicated environment of doctor-patient relationship and the experience and lessons of employment for several years, Liu Guolin followed their wishes.

"Alas." When the parents took their children out of the emergency room, Liu Guolin shook his head and sighed, "bear parents."

Their doctors often have such complaints in private. Some Chinese patients and their families have their own opinions. They prefer to believe their unprofessional knowledge, or search the Internet for a look, rather than trust doctors. Some even treat doctors as enemies. What has the final say,

, is expensive, kickback, but it doesn't know who is responsible for drug pricing and purchasing. Is that what their doctors can say?

What their doctors have conscience can do is that when they give a drug to a patient, the production process and curative effect of imported medicine and domestic medicine are exactly the same. They are not advanced drugs. However, imported drugs cost 100 yuan and domestic drugs 30 yuan. At this time, domestic drugs are prescribed to patients.

But this will make the Department's income less and their own bonus less. Some department directors will be dissatisfied and say that they will open the import next time.

For two reasons, revenue is just one of them.

Another reason is that once something goes wrong, the family members of patients often scold them. Why don't you use imported drugs? What are you doing? Did you get a rebate for domestic medicine?

So in the end, if something goes wrong, it's the doctor who carries the pot, whether you have conscience or not.

In pediatrics, especially in pediatrics, it is often difficult for children to explain clearly their feelings of illness. Every child is the heart of their parents. When they don't cry, parents can calm down. If they howl in pain, parents will easily lose their senses The pediatric environment is very complex.

Liu Guolin has been working as a doctor for five years after he graduated from university. From the beginning, he would explain to his parents and even argue with them. Now, it's always OK. If you want an injection, you should have an injection He also knows that he is being socialized and wants to become the kind of person he once hated, but sometimes, there is no way

He is not Gu Jun, not a member of the Tianji Bureau, but a powerless little doctor. He has to take care of himself first.

Liu Guolin didn't want to cause any more trouble since she was slapped by an excited mother

And he is on the night shift, to zero he left work, do not want to make trouble at the moment.

At this time, Liu Guolin just took off his mask, picked up the thermos cup and drank a sip of water. The next patient came in. A pair of parents in their early 30s were worried and took a five or six-year-old girl into the emergency room.

"Call Dr. Liu quickly." The mother pushed the little girl, and the little girl called politely, "good doctor Niu."

"Good evening." Liu Guolin looked at the medical records from the little girl's father. The child was 6 years old and had no history of serious diseases. This time, it was not a common pediatric emergency such as a cold, fever, or abdominal pain. Now the patient's appearance is very normal. He doesn't cry, he doesn't cry, he doesn't cry, he doesn't cry, he doesn't cry, he doesn't cry. What's the matter?

The mother's face was bitter and her voice was quite excited: "Dr. Liu, my daughter doesn't know what's wrong with her eyes tonight. Sometimes her mouth and nose are wrinkled. It's not right to look at it. But the most strange thing is that I just coaxed her to sleep when she suddenly made a strange noise I can't learn it. The sound is very strange... ""We were all scared." That father is also very nervous, "that kind of voice is not mischievous can make out, Dr. Liu, what is the problem?"

"Oh, well." She nodded her head and looked at her mouth again.

There was no abnormality in the mouth, no inflammation in the tonsils, normal light response in the eyes, and everything was normal.

Liu Guolin has made a preliminary judgment in his mind. This should be another case of Wulong in which the parents are over nervous: the children have nothing to do, they just make a fuss, or they just have a little skin injury, which makes their parents anxious. They take their children to the hospital to squeeze the emergency department.

But naturally, he would not say these words, but continued to inquire. The girl's mother said that her blinking symptoms only appeared today. In the evening, it was very frequent, and also made that kind of strange sound, which was only made once for a time.

"Little girl, your mother says you blink your eyes all the time today. What's the matter? Are you uncomfortable?"

Liu Guolin asked the 6-year-old patient to make his voice and tone more gentle, otherwise some patients in this age group would not cooperate.

"Well..." A little shy, the little girl shook her head. "I just want to blink."

"Don't you want to blink now?" Liu Guolin asked with a smile. It has been three minutes since they came in. The little girl didn't blink much.

"I don't want to blink now." The little girl nodded.

"So Is it like tickling? " Liu Guolin thought, "when itching, you want to scratch, when you don't itch, you don't need to scratch."

"Well!" The little girl agreed. Her parents looked at each other, still nervous, not knowing what it meant.

"Is that the same with the sound you make?" Liu Guolin asked again, "it's like sneezing. You want to sneeze, so you make a sound."

The little girl nodded again.

"Can you hold back?" Liu Guolin asked, "can you hold back when you want to blink and make a sound?"

"I don't know..." The little girl shook her head and looked at her parents. "I didn't want that I don't know. "

Asked about the diagnosis, Liu Guolin has basically confirmed his previous judgment, picked up a pen, to the disease calendar scribbled a few.

The child is OK. Let's be in a mood to scare his parents. He looked at it and felt that the father was calm, so he asked the mother to take the child out first, and then organize his speech. He should pay attention to the diagnosis results and not provoke the other party.

"The child should be OK." Liu Guolin said slowly that he would stop whenever there was a sign of something wrong. "At her age, children will attract the attention of their parents by this means. You should pay attention to her mood and go back to let her have a good rest..."

"Dr. Liu!" The father was suddenly excited, even more excited than his mother just now. His face turned red and said, "it's not such a problem! My daughter is usually very good, our family is very harmonious, she won't make this kind of awkward, and that kind of voice is really very strange, it doesn't look like a human voice at all Dr. Liu, isn't there any supernatural power now? Is that the kind of thing... "

Liu Guolin murmured in his heart that I was not a doctor of Tianji Bureau. Even if it was a supernatural force, I could not see it.

But he really didn't think that the little girl was so healthy that the parents cared about it.

"Er." Liu Guolin read the patient's name in the medical history, Guo Qinying.

"Mr. Guo, don't worry. I didn't say that your child was making trouble. She might have been joking with you, but she didn't dare to say it because you were worried. I'm afraid you will blame you. Now we'll observe it first, and don't blame her. If you continue to have that kind of symptom, we'll have a look at it later. "

"But..." Mr. Guo is still anxious, "but that strange sound is really frightening It's like repeating two words, like calling something. "

Liu Guolin really wants to laugh. Some parents have a lot of imagination. Especially since the advent of the Tianji Bureau, some parents have been able to work as screenwriters. Children cough and cough are afraid of new army group disease. Children dream of grinding their teeth and talking in dreams are afraid of hitting evil spirits.

However, some children are very clever. In order to avoid going to school and avoid scolding, sometimes they make up their own illness, stomachache or something. Some of them make up a special fake. In the past, no parents would believe it, but now, they have to bring a scene to the hospital.

The work of these grass-roots doctors is becoming more and more difficult.

"Mr. Guo, can you call the Tianji alarm hotline? Because if it's really about supernatural forces, I can't help it

Liu Guolin would not say that this must have nothing to do with supernatural forces. His predecessors have taught him, and he has experience himself. Doctors can't talk like that.

Any judgment must be preceded by a possibility, maybe, or, consideration, should That's what doctors say.

"Oh..." Mr. Guo scratched his head, but he still wanted to say something.

Fortunately, this Mr. Guo is a reasonable person, and did not continue to make trouble, but went out with the medical record book.Liu Guolin's judgment was not wrong. After listening to her husband, Mrs. Guo went into the emergency room and asked him whether he should prescribe anti-inflammatory drugs, give an injection, or at least do something? Liu Guolin really can not make complaints about what antiphlogistic drugs are.

Finally, Mrs. Guo was persuaded out by her husband.

The couple stayed in the waiting hall with their daughter to observe her condition, but xiaoqinying did not continue to have symptoms, so they did not do anything.

When it was time to go to zero, Liu Guolin handed over his work to his colleagues who worked all night shift. As soon as he took off his white coat, he went back to the dormitory of the hospital to sleep.

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