When Zhang Fan entered the pediatric department, it was not the time when there were the largest number of pediatric patients. Winter is the season when large-scale disease outbreaks occur in pediatrics. However, even if it is not the outbreak season, there are still many children seeing the doctor.
He Fang, who graduated from medical school in Stone City, entered the pediatrician field with tears in her eyes. However, after a few years, she was really impressed by Tang Liuhong's medical skills and way of life. She followed suit and studied hard with peace of mind. , has become the leader of the younger generation of pediatrics in a few years.
She was originally planning to let her go to further studies, but she got pregnant, which delayed it. In summer, pediatrics mainly deals with diarrhea. Each little person has a sallow complexion and thin muscles, which makes people feel heartbroken just to see them.
Children have poor immunity and don't know how to defend themselves. If parents don't pay attention to delicious food, they will often overeat. And now we are all one-child families, and we take too much care of our children. We are afraid that if they don’t eat enough, they will be less developed than other children. They keep feeding them all kinds of food, and their gastric motility is poor. Even if they don’t get sick, they won’t be able to afford the added nutrients!
Zhang Fan and He Fang were on duty. He Fang was a nice person. Because she had to breastfeed her child, her husband brought her meals from home. In the past few days, because Shao Hua's father had to go to see the decoration, Jing Shu went to practice driving, and Shao Hua had to go to work every day, Zhang Fan didn't let Zhang Fan send food anymore. The old lady couldn't handle it all by herself!
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 and everyone has transferred here. No matter what Zhang Fan says when on duty, he will always bring an extra meal.
Breastfeeding rice, nutritious! Zhang Fan was very embarrassed while eating. He Fang's husband sat aside and watched the two of them eating with satisfaction. Only when they eat can they have milk! Only then can the fat son at home be fed!
In the afternoon, a patient from the prefecture and county came in. A boy, half-year-old, had diarrhea without obvious triggers 1 week ago, with yellow and loose stools, usually 6 to 7 times/day, up to more than 10 times/day, often accompanied by mucus and blood streaks, watery stools without egg drop, and no pus. Blood, no obvious fishy odor, no abnormal crying, no vomiting, no fever, and no abdominal distension.
After a week of treatment at the local hospital, no improvement was seen. The parents took their children to the Maternity and Children's Hospital. The women's and children's doctors saw that all the drugs that should be used in the county hospital were used. The child was taken to the pediatric department of the city hospital.
All examinations were basically normal, including a positive fecal occult blood test. Zhang Fan looked at the child. The child no longer had the energy to cry. His lips were slightly dry and his little hands were waving to find his mother! The smart eyes also lost their due brightness.
The drugs at the county hospital were suitable and there were no special abnormalities. What was the problem? Zhang Fan thought hard in his mind. Although he had read the pediatric textbook many times, the textbook was only the basics and Zhang Fan still lacked real clinical experience.
"Let's admit him to the hospital first. Don't breastfeed anymore." Then he said to Zhang Fan: "Give the child some liquid to replenish the lost body fluids. Other medicines will not be used for the time being. Then I will prescribe a bottle of amino acid milk powder."
The child's parents are particularly worried. It's been a week since the child still has diarrhea. The county hospital can't do anything, and the maternal and child hospital can't do anything either. When we arrived at the city hospital, it turned out that the doctor didn't even give any medicine, and spoke in an angry tone: "Doctor! The child has been having diarrhea for a week. Can you please ask your experts to take a look? We can't delay any more."
The child's mother's eyes were red, and the child's father's face was red. Anxious to get angry. He Fang, who is already a mother, understands their feelings very well and does not care about their tone. "Don't worry, the child's problem is not serious. This is infant allergic proctitis. Weaning the child and switching to amino acid milk powder will cure it. It will probably be cured in the future." Can’t drink milk.”
"My baby has been feeding on my milk since he was a child. He is already half a year old. Why didn't this happen before? Did you make a wrong diagnosis?" The child's mother didn't understand. She thought the doctor's diagnosis should be wrong.
"Please believe me, I am more professional than you, and I am also a mother. Go to the hospital quickly. After two days of observation, the child will stop having diarrhea." He spoke slowly and without haste, which made people feel powerful. The power of knowledge or experience, a few words can help parents calm down their anxiety.
Zhang Fan nodded secretly after hearing this. He Fang's tone, demeanor, and actions all gave parents a potential comfort and assurance. Although there was no verbal guarantee, it was this tone and demeanor that calmed the anxious parents of their children.
Zhang Fan kept repeating in his mind the rhythm, tone, and demeanor of He Fang's words just now. The doctor-patient relationship was becoming more and more tense. Sometimes the disputes were not due to treatment factors. Most of the time, they were just because of the words. .
When a child comes to see a doctor, there are usually two family members, sometimes three, or even the whole family. At one o'clock in the morning, Zhang Fan finished writing the medical records and was reading He Fang's Encyclopedia of Pediatric Diseases.
The knowledge in textbooks can no longer satisfy Zhang Fan. Moreover, there are too many critically ill children in a general hospital in a region. Zhang Fan has been in a hurry for a week and has no clue. There is so much knowledge to master.
Although it is a general pediatrician, children from three-month-old infants to thirteen years old come to the pediatrician for treatment. The child has not been eating well recently, and it is too cumbersome to hold and see the child and grind his teeth while sleeping.
It was late at night, He Fang had already rested, and Zhang Fan was going to read for an hour before resting. Nurses are still coming and going in the corridor, taking temperatures and changing intravenous drips. The front-line nurses in pediatrics will not be able to work anymore if they are a little older. It is too tiring. A girl like a flower after the night shift can look five years older~!
"Bang!" The door was pushed open. Zhang Fan turned around and saw five or six adults carrying a child into the department. "Doctor, hurry up, the child has a high fever and is starting to convulse. Hurry up!"
He Fang also got up and went out. She only took a nap for a while on duty. It was a delusion to want to sleep soundly.
Zhang Fan touched the child's head and it felt hot. And the child is twitching all the time. "Child, how long have you been having convulsions?" He Fang asked.
"It's been about ten minutes. I had a high fever in the afternoon. I took antipyretics, but the fever started again at night. Think of a solution quickly, doctor." The child's mother cried.
"Intramuscular injection of phenobarbital sodium, quick blood test, anal plug of acetaminophen, physical cooling, and low-flow oxygen inhalation." He Fang gave oral medical instructions. Then he said to the parents: "Go to the hospital. The child is a little short of breath and needs to be hospitalized." As he spoke, Zhang Fan had already issued a hospitalization order.
Half an hour later, the blood routine report showed that white blood cells and neutrophils were elevated. "It's infected! We need antibiotics. I'll explain the condition to the parents, and you can take the doctor's orders."
An hour later, the child's temperature was under control and he was given an infusion while lying on the hospital bed. Children don't pretend to be sick. If they feel uncomfortable, they feel uncomfortable. If they feel comfortable, they feel comfortable. After a while, the body temperature dropped, and the energy came back. Parents were worried that they would be a little tired after staying up late.
As a result, the needle of the infusion set slipped accidentally, and the child began to cry loudly. The pediatric night shift usually involves one old nurse and two young nurses. The old nurse goes to treat the children in other beds.
The new nurse Xiao Li was called into the ward by her parents.
