Li Jingsheng quickly opened the retractable door outside, and saw a young mother in her twenties and nineties walking in quickly with a little boy in her arms.
The child's father or other family members were not seen.
The woman was in a hurry when she left. She might have been holding someone in her arms, so she staggered and almost fell.
Fortunately, Li Jingsheng had quick eyes and quick hands to help him quickly.
"Slow down, slow down!"
Li Jingsheng comforted her.
When I touched her just now, I could feel her hands trembling.
The little boy he was holding opened his eyes in fear, looking at his mother with tears in her eyes.
"Today my sister-in-law came to visit with her two children. While they were playing, her eldest son pushed my son, causing him to fall and hit the TV cabinet. I got a nosebleed on the spot. I thought it was the child. My aunt said it was caused by children playing, so she didn’t say anything. I thought it would be easy to stop the bleeding, but it didn’t stop after more than half an hour, so I got a little scared.
Hurry up and bring your child to your clinic for treatment.
Later, the bleeding was successfully stopped with you. The sister-in-law also left with the child.
Who would have thought that he just sneezed and started bleeding again, and it couldn't stop at all. I have no choice but to trouble you as I am alone at home with my children. "
It was indeed not easy for her.
As I talked, I felt aggrieved and scared, my nose felt sore, and I started to shed tears.
Li Jingsheng quickly reassured her, "It's okay, it's okay. Let's put the child on the bed and let him lie down." He looked tired from holding her.
The child was lying in a reclining position reading a book, not daring to move.
Look at how honest this little guy is now. Why doesn't he think about being afraid when he is playing around?
Li Jingsheng observed that the amount of bleeding was not large, but it kept bleeding out.
In this case, it is best not to lie flat, otherwise the blood will flow back into the deep nasal cavity and it is easy to choke.
Ou Qinglan also came over to help.
"Qinglan, use a small flashlight to help me shine his nasal cavity."
"Where's the little flashlight?"
She was unfamiliar with the items in the clinic.
Li Jingsheng had no choice but to go over and take out a small flashlight from the drawer and take a look at the child's nasal cavity.
There were blood scabs inside, and there was still a lot of blood dirt.
But you can still see fresh blood flowing out.
After repeated inspections, he was basically sure that it was just superficial bleeding.
Try to press the side of the child's nose to slowly stop the bleeding.
But after I let go, it started bleeding again.
Li Jingsheng asked Ou Qinglan to bring an ice pack and try to apply ice to the child's nose.
This is done to constrict the blood vessels, thus helping to stop bleeding.
Some effects.
"Kid, hold it down with your hands."
Li Jingsheng said to the child.
The little boy obediently pressed the ice pack with his right hand.
At this time, Li Jingsheng saw an ecchymosis on the back of the child's hand, which was lavender.
His eyes narrowed slightly, and he pointed at the bruise and asked, "Did you get it when you fell?"
"No! It was there two days ago."
The little boy said timidly.
"My cub is usually a bit naughty, so it's common for me to accidentally get bruises like this."
The child's mother felt distressed and helpless.
As a child, naughtiness is inevitable, and bruises and falls are unavoidable.
But Li Jingsheng felt that things were not that simple.
"Kid, do you have bruises like this anywhere else on your body?"
"Yes! It's on my feet!"
Children can't lie. Li Jingsheng took off his shoes and socks, and sure enough he saw bruises on the insteps.
If it is a bruise or knock, it will normally appear blue and purple.
But the bruises on this child's body were all lavender.
Li Jingsheng looked at his family members.
"I, I have never punished him corporally!"
The child's mother clearly misunderstood.
Li Jingsheng did not suspect that the child was harmed.
Seeing the child's nose bleeding, the young mother cried anxiously. How could she be willing to abuse her child?
Li Jingsheng has relatively rich experience in treating children. He can basically easily tell whether parents really love their children.
"That's not what I meant. I want to ask, how long has he had these bruises on his body?"
"It seems like it just appeared recently! Sometimes it suddenly appears. I always criticize him for being more and more naughty."
"Did he get injured or bleed during this period?"
"I bit my tongue once when I was eating, and it bled for a long time. I recovered later. No other injuries or bleeding occurred."
After listening to the child's mother's description, Li Jingsheng became more certain that the little boy's situation was not simple.
There were ecchymoses on the limbs, and they were all purple, and the areas where they appeared were not easily injured.
In both injuries, the bleeding was difficult to stop.
The tongue is also rich in blood vessels.
Any bite will bleed.
"Kid, open your mouth and let me see your mouth!"
Li Jingsheng already had a certain diagnosis direction in his mind, but he was still not sure.
The little boy opened his mouth and you could see blood blisters on his tongue.
There are also blood blisters on the oral mucosa.
Seeing this, there is almost no need to check further.
"After your child broke his nose, the bleeding may not be caused by a serious injury. Instead, he may have a disease called ITP. If he has never had difficulty stopping bleeding before, it should be acute ITP. . In children, it is generally related to viral infection."
"After your child broke his nose, the bleeding may not be caused by a serious injury. Instead, he may have a disease called ITP. If he has never had difficulty stopping bleeding before, it should be acute ITP. . In children, it is generally related to viral infection."
Li Jingsheng explained his diagnosis opinions to the family members.
"Is it the virus that caused the cold a month ago?"
This is all the family can think about.
"What kind of disease is ITP? I don't understand this. Can you please explain it in more detail?"
"Whether it is related to a cold, it's hard to say. Because my clinic has limited conditions, I can only make a preliminary diagnosis based on his symptoms, medical history and other information. I just suspect that it may be this disease. Because ITP disease is prone to appear on mucous membranes, limbs Extensive subcutaneous bleeding in distal and other parts of the body.
The full name of this disease is primary immune thrombocytopenia, which is an acquired autoimmune disease.
It mainly causes thrombocytopenia.
Because his disease has not appeared before, the possibility of problems with T cell abnormalities and anti-platelet autoantibodies is low. I suspect it may be related to viral infection. "
Li Jingsheng made it more clear this time.
But still didn't finish the sentence.
"Then can you treat him here? The child's father is studying and training in other places and is in an important period of promotion. I don't want to worry him because of this matter. I haven't told him about the child's injury until now."
The child's mother is a very good wife.
She works full-time at home to take care of her children, and she devotes herself to her husband's career and future.
This requires sacrificing one's own future.
A selfish woman generally cannot do this.
Because as women grow older, they must have their own careers. No woman dares to bet on her future destiny.
Without a career, there is a high risk of being rejected by your husband.
And it will be very passive.
If you have your own career, you don't have to ask your husband for money, and you will definitely have more dignity.
"I can give him globulin to try. This has almost no side effects, and whether it has any effect can be seen quickly. But the price is very expensive. It is better to have medical insurance, but it is not easy to pay for it all out of your own pocket."
Li Jingsheng truthfully communicated with his family members.
This disease is not difficult to treat and is relatively common clinically.
But gamma globulin is expensive.
The cost price of one tube is about 200, and when sold to patients, many hospitals charge 400 to 500.
Just take a few dozen, that's tens of thousands.
Sometimes it is common to spend 20,000 to 30,000 yuan to rescue gamma globulin.
Nowadays, the drug proportion is very strictly controlled. When encountering some ITP patients who are in urgent need of rescue, they can only use this drug.
But if you use it too much, you will be scolded by your superiors.
Usually it's the director who curses.
Sometimes, it is really not easy to be a doctor in a big hospital. Not only do you have to think about which medicine can cure the patient's disease, but you also have to control the proportion of medicines.
Expensive medicines cannot be used, so you need to think of other cheaper medicines.
In actual clinical treatment, when encountering patients who are in urgent need of rescue, it must be which drug has the best effect and has a high rescue success rate, which drug should be used!
Therefore, it is extremely difficult to be a doctor now.
"Neither my child nor I have purchased medical insurance! Only his father has purchased it."
"This gamma globulin requires four hundred tubes, and it can't be used for just one or two days. The treatment cycle will be very long. Do you think you should use it?"
"Use it! It must be about people. Once the money is used up, you can make more money! When the children are older, I will find a job."
She showed great maternal love.
Without any hesitation, I immediately agreed to use this expensive drug.
Decades later, when she falls ill and is hospitalized and needs rescue, I wonder if this brat will be willing to spend money on her mother?
The most common phenomenon Li Jingsheng sees in the hospital is that sons are unhappy if their parents spend more money.
They may even ask the doctor to extubate the tube.
He took gamma globulin and injected it into the little boy on the spot.
Hit two.
That's eight hundred dollars.
According to the dose, 1g of gamma globulin corresponds to one kilogram of body weight.
Li Jingsheng has helped his family save money on medication.
In order to achieve quick results, choose the intravenous drip method.
It was pretty good. After taking the medicine, the little boy's bleeding stopped.
It seems that Li Jingsheng's diagnosis is correct.
It's really acute ITP.
The child's mother was still a little worried and did not leave immediately.
After staying there for more than an hour and making sure there was no more bleeding, I took my son back home.
Her family lives not far from the clinic.
My husband is a local resident and my father-in-law and mother-in-law passed away early. Now she is left living at home with her children.
…
The next day, when Li Jingsheng was having a consultation in the clinic, the woman came again with her child.
The moment we met, he was all smiles.
And his expression is quite relaxed.
"Dr. Li, thank you so much for yesterday. After treatment, the child did not bleed again. I took him to take the medicine again today."
"You're welcome. As long as the child's bleeding has stopped, I will prescribe medicine for him. You can get a number first."
Li Jingsheng was also an acquaintance with her.
But don't jump in line.
The rules cannot be broken.
"Played C ball? Is it ITP?"
Dr. Shao has quite a lot of experience and he guessed the cause of the child's illness right away.
Sorry for the late posting of Chapter 2
(End of chapter)
