Medical road

When Zhang Fan entered the pediatrics department, it was not the time when there were the most pediatric patients. Winter was the season for large-scale outbreaks of pediatric diseases, but even if it was not the outbreak season, many children were seen.

He Fang graduated from the medical school in Stone Town, and entered the pediatrics department crying back then. However, after a few years, she was truly convinced by Tang Liuhong's medical skills and life. She has a good example, and she works hard with peace of mind. In a few years, he has become the leader of the younger generation of pediatrics.

She was going to study, but she was pregnant, which dragged it down. The summer pediatrics is mainly about diarrhea. Each of the villains has yellow and thin faces, which makes people feel heartache.

The child's resistance is poor, and he still doesn't know how to defend. If parents don't pay attention when they encounter delicious food, they will often support themselves.And now they are all one-child families, they are too caring for the children, for fear that they will not eat well and develop worse than other children, constantly feeding various foods, poor gastric motility, and I am sorry for those added nutrients if you don't get sick!

Zhang Fan and He Fang are on duty. He Fang is a nice person. Because she wants to breastfeed her children, her husband sends meals from home.In the past few days, because Shao Hua's father was going to see the decoration, Jing Shu went to practice the car, Shao Hua had to go to work every day, Zhang Fan did not let the food delivery, the old lady was too busy!

As long as he is on duty, He Fang will ask her husband to bring an extra meal to Zhang Fan. Zhang Fan is embarrassed to eat and can’t eat it. But He Fang knows that Zhang Fan is not a local. No matter what Zhang Fan said on duty, he would bring an extra meal.

Breastfeeding rice, rich in nutrition!Zhang Fan was very embarrassed to eat. He Fang's husband sat and watched contentedly at the dinner. Only if he can eat, he can get milk!Only the fat son of the family can eat!

In the afternoon, a sick number from a county came.Boy, six months old, had no obvious cause of diarrhea 1 week ago, relieved yellow and loose stools, usually 6 to 7 times a day, up to more than 10 days, often accompanied by mucus, bloodshot, watery stool without eggs, no blood, No obvious fishy smell, no abnormal crying, no vomiting, no fever, no abdominal distension.

After a week of treatment at the local hospital, the parents took their children to the women’s and children’s hospital. The maternity and children’s doctors found that the county hospital had used all the medicines that should be used. The child was taken to the pediatrics department of the city hospital.

The examinations were basically normal, that is, the stool occult blood test was positive.Zhang Fan looked at the child. The child had no strength to cry, his lips were slightly dry, and his little hand was dancing to find his mother!The agile eyes also lost their lustre.

The medicine in the county hospital was also suitable, and there was no special abnormality. What was the problem? Zhang Fan thought hard in his mind. Although the pediatrics textbook has been turned over many times, the textbook is only the basis, and Zhang Fan still lacks real clinical experience.

"Let’s be admitted to the hospital first. You don’t want to breastfeed anymore." Then he said to Zhang Fan, "Prescribe some fluids for the child to replenish the lost body fluids. Do not use other drugs for the time being, and then open a bottle of amino acid milk powder."

The parents of the child are particularly anxious. The child still has diarrhea after a week. The county hospital can't help it, and the women's and children's hospital can't help it.When I arrived at the city hospital, the doctor didn't even use the medicine, and he said, "Doctor! The child has been on the drug for a week, can you ask your expert to see it? No more delay."

The child's mother blushed, and the child's father flushed.Anxious to get angry.He Fang, who is already a mother, particularly understands their mood, and doesn’t care about their tone of voice. “Don’t worry, the child is not a big problem. This is infantile allergic proctitis. If the child is weaned and changed to amino acid milk powder, he will be cured. Can't drink milk."

"My baby grew up eating my milk. It's half a year old. Why didn't this happen before? Did you make a wrong diagnosis?" The mother of the child didn't understand, she thought the doctor's diagnosis should be wrong.

"Believe me, I am more professional than you, and I am also a mother, go to the hospital, and observe for two days, the child should stop the diarrhea." Speaking is not hurried, it is very powerful. The power of knowledge or experience, a few words calmed the anxiety of parents.

Zhang Fan nodded secretly. He Fang's tone, demeanor, and actions gave parents a kind of potential comfort and assurance. Although there was no verbal guarantee, it was this tone and demeanor that calmed the parents of the anxious children.

Zhang Fan kept repeating the rhythm, tone and expression of He Fang’s speech just now in his mind. It is also technical. The doctor-patient relationship is getting more and more tense. Sometimes disputes arise not because of treatment factors, but most of the time because of speech. .

A child comes to see a doctor, usually two family members, three more, the exaggeration is that the whole family is dispatched.At one o'clock in the morning, Zhang Fan finished writing his medical records and looked at He Fang's pediatric disease encyclopedia.

The knowledge in textbooks can no longer satisfy Zhang Fan.In addition, there are too many critically ill children in a general hospital in a region. Zhang Fan has been in a hurry for a week.There is too much knowledge to master.

Although it is a general pediatric department, children from three months old to thirteen-year-old children can go to the pediatric department. It is too cumbersome for children to eat well recently, and also to look at them by holding them and grinding their teeth.

In the dead of night, He Fang had already rested, and Zhang Fan was going to rest after reading an hour's book.Nurses are still coming and going in the corridor, taking their temperature and changing drips. The first-line nurses in pediatrics can't do it if they are a little older. They are too boring, and a girl with flowers like a night shift can be five years old~!

"Hey!" The door was pushed open, Zhang Fan turned his head and saw that five or six adults carried a child into the department."Doctor, soon, the child has a high fever, and he starts to smoke. Come on!"

He Fang also got up and went out. On duty, he was sleeping for a while. It was a delusion that he wanted to sleep full.

Zhang Fan touched the child's head, hot.And the children smoked."Child, how long have you been convulsing?" He Fang asked.

"It's been ten minutes. I have a high fever in the afternoon. I took antipyretics, but I started to have a fever again in the evening. Think of a solution, doctor." The child's mother cried.

"Phenobarbital sodium is injected intramuscularly and blood is drawn for quick examination. Anal plug paracetamol, physical cooling, low flow oxygen inhalation." He Fang gave an oral doctor's order.He also said to the parents: "Go to the hospital, the child is breathing a little bit short, and must be hospitalized." With that said, Zhang Fan has already issued the hospitalization slip.

Half an hour later, the results of the blood test report showed that both white blood cells and neutrophils were elevated, "Infected! Antibiotics are needed. I will explain the condition to the parents, and you will get the doctor's advice."

An hour later, the child's body temperature was controlled, lying on the hospital bed for infusion.The child does not pretend to be sick, uncomfortable is uncomfortable, and comfortable is comfortable.After a while, the body temperature dropped, and the spirit came. The parents worried that staying up all night would be a little tired.

As a result, a needle from the infusion set ran away, and the child started to cry.The pediatric night shift usually involves an old nurse with two young nurses, and the old nurse goes to treat the children in other beds.

The new nurse, Xiao Li, was called into the ward by his parents.