Plague Doctor

Although it is a New Year's Eve festival, it is not a statutory holiday, and it is Tuesday, and hospitals open their doors all year round.

Nanxiang Third People's Hospital, emergency department personnel, visiting patients and family members occupied the waiting hall, the electronic call system kept ringing.

There's a superstition in the hospital that the paramedics don't stand Flag at night and say, "I don't think I'm busy tonight." “I'm busy tonight." Someone in the department said that, and then something happens, and then I go over the sky.

There have also been experiments with this in foreign institutions, selecting different departments of different hospitals to have two groups, and the usual workload is basically the same, one being the standing FLAG group and the other not standing FLAG group. The results show that the standing FLAG group will indeed become a little busier, and it is unclear what the abnormal force is.

But in the emergency department, even if they didn't stand up for this kind of FLAG, the paramedics were busy.

Especially on the emergency paediatric side, which has barely stopped since dusk until almost dawn.

“Observe after injection.” Liu Guolin, one of the attending physicians on duty, has just finished seeing a seven-year-old boy with a fever of 38.3 degrees.

In fact, he does not recommend retreating the fever needle. The child's fever of 38.3 degrees is just low fever. This patient also has no symptoms such as cough, sputum, etc. The condition is very light. This condition uses ice bags to physically cool down the temperature, take some antipyretic pain medicine, drink more water, and the fever will normally go away soon. If the fever does not return, it will also increase from medium to high fever, and the fever needle will be considered no later.

This fever needle is not a treasure, there are too many side effects, symptoms such as allergic shock are still mild, severe or even fatal.

Although it is generally not a big problem to have a skin test first, any physician with professional skills would not recommend a random injection.

But the boy's parents were more excited, demanded the fever needle back more often, and urged him to hurry, not to delay the child's illness.

Due to the complex doctor-patient relationship environment and the lessons learned over the years of employment, Liu Guolin complied with their intentions.

“Alas.” When the parents walked out of the emergency room with the child, Liu Guolin shook his head and sighed, “Parent Bear. ”

Their doctors often have such complaints privately, and some patients and their families in other countries have too many claims, preferring to believe in unprofessional knowledge for which they have no origins, or to look online and not trust doctors, or even treat doctors as enemies.

They say it's expensive to see a doctor, rebate or something, but they don't know who's in charge of pricing and purchasing drugs at all. Is that their doctor's decision?

What their doctors can do with their consciences is, at most, when they give the patient a drug, the production process and therapeutic effect of imported and manufactured drugs are exactly the same, and they are not advanced drugs, but 100 yuan for imported drugs and 30 yuan for domestically manufactured drugs, at this time, the patient is given a domestic drug.

However, this would result in lower revenues for the section and fewer bonuses for itself, and some section chiefs would be dissatisfied with the next import.

For two reasons, revenue is just one of them.

Another reason is that in the event of an accident, the patient's family often curses, so why don't you use imported medication? What the hell are you doing? Did you get a rebate on a domestic drug?

So in the end, if something goes wrong, the backup pot is still with the doctor, whether you have a conscience or not.

Pediatrics, especially pediatrics, children often have difficulty telling their illnesses clearly. Each child is the heart and soul of their parents. Parents can calm down when not crying. If they cry painfully, parents can easily lose their senses... The pediatric environment is complicated.

After graduating from undergraduate school, Liu Guolin has been a doctor for five years. From the beginning, he will explain and even argue with his parents. Until now, it is often OK. If you want to inject, then inject... He also knows that he is socialized and wants to become the type of person he hated, but sometimes, there is really no way...

He's not Gu Jun, he's not a NASA officer, he's just a powerless little doctor, he needs to take care of himself first.

Since she was slapped by an excited mother, Liu Guolin doesn't want to cause any more trouble...

And he's working late, and he's off by midnight, not to mention making trouble at this moment.

At this time, Liu Guolin had just removed his mask, picked up the thermos cup and drank a sip of water. The next patient came in, and a pair of parents in their early thirties walked into the emergency room with a five- or six-year-old girl worried.

“Call Dr. Liu quickly.” The mother pushed the little girl, and the little girl screamed politely: "Hello, Dr. Niu. ”

“Good evening.” Liu Guolin looked at the medical records handed over by the father of the little girl. The child is 6 years old and has no major medical history. This time it is not a common pediatric emergency such as colds, fever, abdominal pain, etc. Now it is normal to look at the patient. If she does not cry, she does not cry, she does not call for pain. Liu Guolin asks about the diagnosis. What is this?

The mother's face was bitter and her tone was quite exciting: “Dr. Liu, my daughter didn't know what to do tonight. She kept winking and sometimes wrinkling her nose. It didn't seem right, but the strangest thing was that I had just put her to sleep and she made a strange sound... I couldn't learn it, it was a strange sound...”

“We were all scared.” The father is also very nervous, "that kind of voice is not naughty to make, see what the problem is? ”

“Oh, um.” Liu Guolin nodded and looked at the normal face of the little girl, shooting the light in her eyes and looking at her mouth and throat.

There was no abnormality in the oral cavity, no inflammation in the tonsils, normal eye response to light, everything was fine.

Liu Guolin already has a preliminary judgment in his heart, which should be another case of Oolong where the parents are nervous: the child is fine, it is just a mess, or there is only a slight skin trauma, so he gave the parents a sudden shock, and took the child to the hospital for emergency treatment.

But naturally, he would not say those words, but would continue to consult, and the girl's mother said that the symptoms of her blinking had only appeared today, particularly frequently at night, and made that strange noise, only once for the time being.

“Little girl, your mother says you're always winking today. What's wrong, are you uncomfortable? ”

Liu Guolin asked the 6-year-old patient to keep his voice gentle, otherwise some patients of this age would not cooperate.

“Well...” The little girl was a little shy and shook her head, "I just wanted to blink. ”

“Don't you want to blink now?” Liu Guolin smiled and asked, "It's been three minutes since they came in, and the little girl didn't blink much.

“I don't want to blink right now.” The little girl nodded.

“So... is it like tickling?” Liu Guolin thought about it, "You want to scratch when itching, you don't need to scratch when it doesn't. ”

“Mmm!” the little girl agreed. Her parents face each other and are still very nervous about what this means.

“Is that what you sound like?” Liu Guolin asked again, "Like sneezing, you wanted to hit, so you made a sound. ”

The little girl nodded again.

“Can you hold it?” Liu Guolin asked, "Can you stand it when you want to blink your eyes and make a sound? ”

“I don't know...” The little girl shook her head this time and looked at her parents, "I didn't mean that... I don't know. ”

Asked about this diagnosis, Liu Guolin has basically determined his previous judgment, picked up the pen, and wrote several copies on the medical record.

The kid's fine. He's in a mood to scare his parents. When he saw it, he felt that the father was calm, so he asked the mother to take the child out first, then organize the speech, and pay attention to the diagnosis while not irritating each other.

“Kids should be fine.” Liu Guolin slowly said that whenever there is something wrong with the seedling, it stops. “At her age, children will use this method to attract the attention of their parents. You should pay attention to her emotions and go back and give her a good rest...”

“Dr. Liu!” The father got excited, even more excited than his mother just now, and the face of the Chinese word rose a little, "that's not the problem! My daughter is usually very nice, our family is very harmonious, she won't make such a mess, and that voice is really very strange, it doesn't sound like a human voice at all... Dr. Liu, isn't there any supernatural power now, could this be that kind of thing...”

Liu Guolin muttered in his heart, I am not a doctor of the Sky Machinery Bureau, even if it is a supernatural force, I can't see it.

But he really didn't think so, the little girl was healthy, and the parents were just confused.

“Uh." Liu Guolin read the patient's name in the medical record, Guo Qin Ying.

“Mr. Guo, don't worry, I didn't say your child is just messing around. She may have been joking with you, but if you were in a hurry, you wouldn't dare to say it, you might blame her. Now, don't blame her. If you continue to have that symptom, you'll see it then. ”

“But...” Mr. Guo is still anxious, "but that kind of weird voice is really scary... like repeating two words, like calling something. ”

Liu Guolin really wants to laugh a little. Some parents' imagination is particularly rich. Especially since the situation of the celestial machine, some parents can literally be writers. Children cough and are afraid of the New Legion disease. Children dream and grind their teeth and say a dream and fear collision.

In order not to go to school, to escape scolding and other reasons, sometimes make up illness, stomachache or something, some make up special leave, no parents would have believed it before, but now, we have to bring another hospital scene.

It's getting harder and harder for these grass-roots doctors to do their jobs.

“Mr. Guo, why don't you call the sky machine alarm hotline? Because if it's really about supernatural forces, I can't help it. ”

Liu Guolin would not say that this definitely had nothing to do with supernatural forces. His predecessors taught him. He had experience himself, and doctors could not talk like that.

Any judgment needs to be preceded by a possibility, maybe, or, consider, should… This is what doctors say.

“Oh...” Mr. Guo scratched his head and stopped.

Fortunately, this Mr. Guo is kind of a person who understands the situation. He didn't continue to make a scene. Instead, he went out with his medical records like this.

Liu Guolin's watcher was still right. The Mrs. Guo walked into the emergency room after hearing what her husband had said. She asked him if he had prescribed anti-inflammatory drugs, injections or something. At least do something about it? Liu Guolin was really powerless to spit in the trough. He opened some anti-inflammatory drugs at the good end.

Finally, Mrs. Guo was persuaded by her husband.

The couple continued to stay in the waiting room with their daughters to observe the situation of their daughters, but Xiaoqing did not continue to develop symptoms, and they did nothing.

At midnight, Liu Guolin handed over the work at hand to his colleagues who had been working all night. After taking off his white coat, he went back to sleep in the hospital dormitory.