My medical skills add experience

Chapter 324 Dereliction of duty parents, this is not a cold

Especially some less serious chronic diseases.

The willingness of family members and patients to treat is sometimes very low, which belongs to the mentality that it can be cured or not cured.

The family economic situation of this sanitation worker is definitely not very good.If he had money, he would have given it to the child for treatment.There is no need to wait until the child's mother has worked outside the home for more than a year to save enough treatment expenses before taking the child to see a doctor.

The child's father died in a car accident and may not have received any compensation.

Or the compensation is only enough to cover rescue and funeral expenses.

For a family with a very poor economic situation, some diseases can be delayed.

Today, two patients have been seen, and they are all by name, rushing to Zhou Can for consultation.It made him feel a little fulfilled.

You should know that in the pediatric outpatient system, there are five levels of doctors who attend consultations.

They are special needs experts, well-known experts, chief physicians, deputy chief physicians, and general outpatient clinics.

Unfortunately, he is the last general outpatient physician.

Even so, he still has the glory of many attending physicians.

In Tuya Hospital, it is extremely difficult for residents to open a clinic number.Only a few exceptionally lucky ones like him are eligible for this.Although there are no explicit regulations, but the minimum level of attendings is required to apply for outpatient qualifications. This is an unspoken rule that all doctors in the hospital know.

Because the vast majority of senior resident physicians have been queuing up after applying for outpatient consultation qualifications.

Even some resident physicians who performed quite well had to wait in line for three or four years before they were promoted to attending physicians before they were opened.

In addition, opening the outpatient clinic qualification does not mean that you will be able to sit in the clinic.

The hospital will evaluate the doctors themselves, and the quality of outpatient services is not good, and the rate of bad reviews is relatively high, which is a bit unfortunate.The outpatient number will not drop you, but you will find that the appointment registration column is gray.

This is basically the key to falling into the cold palace.

I heard that if you don't 'pick up' for more than a year, the name will disappear.However, the name can still be found in the doctor's file in the outpatient system.

As for when it will be released next time, many people say it is a mystery.

Zhou Can was promoted this time out of the ordinary and directly qualified him as an outpatient clinic. In addition to his excellent performance, he also had a reason for being on the TV news.

The top management of the hospital must put interests first.

It is impossible to let this opportunity of drainage and realization go to waste.

Maximizing the benefits is one of the important reasons why Dean Zhu decided to make an exception and open a clinic number for Zhou Can.

And it can also be used to reward Zhou Can, the hospital does not need to pay any cash or give Zhou Can additional rewards such as promotion.

It can be said to serve multiple purposes.

The kid with macrodactyly had just left when someone pushed the door in again.

Zhou Can was overjoyed for a while, it seems that today will not be too miserable.

Right now the momentum is good.

"Doctor, please take a look at my child. I don't know why he keeps having a fever and he keeps complaining of chest pain." A couple came in. The man's hair was fluffy and messy like a bird's nest, his jeans were full of dirt, and his The white short T-shirt is even more unappetizing to look at.

His hands are fairer, and his nails are as long as those of Lafayette in costume dramas.

When he opened his mouth to speak, his mouth was full of yellow teeth.

The woman also looked a bit sloppy, her hair was just tied in a casual bun and coiled on the back of her head.A lot of messy hair leaked everywhere, but she didn't care.In addition, the woman's feet were wearing a pair of slippers, which were dirty and looked a little ridiculous.

Generally, women who don't pay attention to their image will dress more or less neatly in public.

After the two came in, they sat down without needing Zhou Can's greeting.

"How old is the child?"

Zhou Can asked while observing the child's body shape and expression.

"More than three years old, it seems to be almost four years old!"

The man turned his head to look at the woman uncertainly.

As a biological father, he didn't know how old his son was.

The woman rolled her eyes and thought about it seriously, then nodded and said, "It looks like three years and seven months old!"

"Does the child usually drink milk?"

"We never drink those!"

The man rushed to answer.

"Is it normal for the child to eat?"

Zhou Can continued to ask.

Without assistants and nurses, he can only record the consultation information by himself while asking.

"It's okay. It's still guaranteed to eat two meals a day." The man's words made Zhou Can a little angry.But the couple didn't look like serious people at first sight, and he wasn't going to meddle in their own business.

Just gently persuaded, "The child is still so young, it is not enough to eat only two meals a day. You see that he is so thin, you have to let him eat more. If possible, you can cook some dishes that the child likes to eat, the best nutritional combination Be more balanced. Meat, fish, eggs, beans, and fresh vegetables can all be prepared in different ways for children to eat!"

He said this to the child's mother.

Usually it's the women who cook.

"Okay, okay, we will pay attention. Please let the doctor show my son what's wrong! There's still something to do in a while!" The man urged impatiently.

Zhou Can began to measure basic data such as body temperature for the child.

"How long has the child had a fever?"

"For more than two years, it seems that I have been having a fever since weaning. When it is severe, my face will be flushed."

"Have you seen a doctor?"

"Who goes to see a doctor if there is nothing wrong! Once you enter the hospital, you will be paid."

The man muttered.

It's a bit speechless to meet such parents.

"Oh, the fever is quite severe. It's 39 degrees 8, and it's almost 40 degrees." After Zhou Can took the child's temperature, he couldn't help but feel worried about the child's condition.

According to his clinical experience, having a fever for a long time, whether it is a low fever or a high fever, is basically a serious disease.

It is really heart-wrenching to see severe and serious diseases befalling such a young child.

"Isn't it a bad fever, do I need to go to the hospital to see you? Register a number, and the cheapest one costs ten yuan. It's really easy for you to make money."

The man was quite polite when he first came in.

After getting in touch with him for a while, I immediately discovered the inferiority of this person carved in his bones.

"Little friend, let uncle see where your chest hurts!"

Zhou Can lifted the little boy's clothes, only to find that the child's abdomen was obviously abnormal.

He was obviously skinny, with all his ribs showing.

But the child's abdomen is swollen, especially the upper abdomen is extremely obvious.

This part belongs to the liver area.

Reminiscent of a little boy with chest pain symptoms that lasted for a long time.Zhou Can reacted almost instinctively, thinking that something might be wrong with the patient's liver.

"My son hasn't eaten for two days."

The woman suddenly said something.

"drink water?"

Zhou Can's heart tightened when he heard this, what kind of devil parents are these!The child has not eaten for two days, has had a fever for two years, and still has chest pains. He has never taken the child to see a doctor.

Register a number, ten yuan is too expensive.

The general outpatient numbers of large hospitals are basically at this price now.It is also the lowest price.

The deputy chief physician number at the head starts with a minimum of 50 yuan.Ordinary ones are half the price, only 25 yuan.

But the market is so evil, the cheaper it is, the less you want it.For the registration fee of 50, all appointments within three days are gone.

"Drinking water is fine. On the way to the hospital just now, I saw other children drinking yogurt, and he asked for it! I bought him a bottle and drank it all up."

The woman replied nonchalantly.

"Take your child to have a routine blood test first, and then a B-ultrasound of the chest and abdomen."

Zhou Can gave them two inspections.

Originally, other inspections were required, but I didn't dare to do more.Look at the irresponsible attitude of this pair of parents. If you drive too much, it may scare people away.

"Where do we pay the fee?"

"On the hospital's APP, or take the receipt to the manual billing window, and swipe the ID card on the self-service payment machine, it's all fine." Zhou Can patiently guided them to pay.

The man took out his mobile phone to operate it, and then shouted like someone dug up a piece of his meat, "It costs 120 yuan, why is it so expensive?"

A black line appeared on Zhou Can's forehead, which is already very cheap.

Thoracoabdominal combined CT has not been opened yet.

After checking the B-ultrasound, check the situation. If the situation is not good, you must have a CT scan.At that time, it will cost several hundred yuan for the inspection fee, and this man is afraid that he will smash the table.

The seniors in pediatrics really didn't lie to him. On the first day of his independent consultation, he met two such wonderful family members.

"All diagnosis and treatment fees are set by the higher authorities, and every charge in our hospital is clear and transparent. After you take your child for the examination, remember to come back to me with the results."

Zhou Can felt that he was not suitable to deal with such difficult family members.

It feels like people have to live a few years less.

“Too expensive to charge!”

The man cursed and seemed to still be operating the phone to hand over the money.

It was just the expression on his face when he handed over the money, as if he was cutting his flesh.

"You little prodigal son, you just spent 130 yuan for me, don't you know?" The man yelled at his son after paying the money.

At this moment, his cell phone rang.

Looking at the number, the man became excited.

"Hello! One of the three is missing, right? Okay, I'm taking my son to see a doctor in the hospital. Come here right away. Wait for me, wait for me!" The man hung up the phone and looked at the woman. "I'm leaving first, you take your child to see a doctor! The examination fee has been paid."

After he finished speaking, he left without looking back.

The woman stamped her feet and called him from behind, but ignored him.

In the end, the woman took the child for an examination alone.As he walked, he scolded the child, "You bastard, you are a villain..."

Zhou Can's teeth ached when he heard it. It was really hateful for the parents to be fathers and mothers in vain.

Take a deep breath and calm your inner anger.

Without a strong heart, you really can't be a doctor.

At this time, another family member came in with the patient.

"Doctor Zhou, my granddaughter suddenly vomited after eating in the past two days. She has no strength and is dizzy. Please show me!" The old lady who came in was very well-dressed, and her hair should have been dyed.

Because the old lady has deep crow's feet and age spots on her face, and the skin on the back of her hands is even more wrinkled, but her hair is black and shiny.

Not a single gray hair could be found.

Under normal circumstances, people may grow gray hair when they are over 30 years old.

Especially the life pressure of modern people, staying up late and working overtime, all kinds of anxiety, it is easy for people to grow gray hair.

Zhou Can looked at the little girl, who looked seven or eight years old, her face was pale and bloodless, her lips were also pale, and her eyes were dull, like someone who hadn't woken up.

"Little girl, do you remember exactly when you started feeling uncomfortable?"

Zhou Can deliberately talked to the patient.

This has multiple purposes, such as diagnosing whether the patient is conscious, listening to whether the patient's voice is hoarse, lack of breath, and some patients may even cough if they have a disease such as a respiratory infection.

Doctors sometimes inadvertently make some small actions, but they are already secretly diagnosing patients.

"Uh... probably since I woke up the morning before yesterday, I felt a little dizzy and afraid of the cold, and then I felt even more uncomfortable at night. I always felt like motion sickness and seasickness, and my chest was congested. When it was time for dinner, I was even more uncomfortable. I felt comfortable, and finally I vomited it out. After I vomited, I felt better, but I didn’t want to eat. I just wanted to hide under the blanket and lie down. Grandma brought the food to the bedside to feed me. I didn’t eat a few mouthfuls and vomited again gone."

The little girl described the course of her illness.

"Later, my grandma went to the pharmacy overnight and bought me cold medicine. After taking it, I lay on the bed and slept. I slept until midnight, remembering that I hadn't finished my homework. I wanted to get up to do my homework, but I couldn't get up. Get up. I felt a little scared at the time, worried that I would die, so I started to cry. Later, grandma came and sat by the bed with me all night..."

I feel so lucky for this little girl to have such a wonderful grandmother.

It is more than a hundred times stronger than the previous couple of gambling ghosts.

"You are more caring as a grandmother than as a mother!" Zhou Can praised the old lady with a smile.

"Oh! That can't be helped. Her parents are very busy and often travel all over the country. I happen to be retired, so I will help take care of it! But my granddaughter has been very sensible since she was a child. Adults worry about it. If there is any delicious food at school or outside, she is reluctant to eat it herself, so she will keep it and bring it home for me to eat."

When the old lady talked about her granddaughter, she smiled all over her face.

Anyone with such a well-behaved and sensible child would be as virtuous as the old lady.

The little girl was so sick that she still wanted to get up to do her homework in the middle of the night.

It's really touching.

"Your granddaughter is a typical child of other people's family! I'm so envious!" Zhou Can had a pleasant communication with his family.

He began to take the little girl's temperature, blood pressure, breath count and so on.

It is also necessary to pay attention to whether there is phlegm sound when the patient breathes, other abnormal noises in the chest and abdomen, etc.

Some patients make a sound like rubbing ground glass with nails when breathing, or there are abnormal noises in the chest cavity, etc.

These all require vigilance.

In the eyes of patients, a cold is just a minor illness.But in the eyes of doctors, a cold is just the name of a syndrome, and the danger of many colds is not inferior to serious diseases such as cancer and leukemia.

Influenza kills more than 9 people every year in China alone.

For 14 billion people, 9 people are nothing.

But for any one family, 9 people die from colds, which means an unbearable disaster for [-] families.

The death of some children, in particular, can be almost devastating to a family.

Zhou Can found that the patient's body temperature was 38.7 degrees, which was already a fever.And it's medium heat.

医学上，通常把发烧分为四个等级。低热在37.1-38度之间，中度热是38.1-39度之间，高热主要是39.1-41度之间。如果体温超过41度以上属于超高热。

As long as you are a high fever patient, you must find a way to protect your head. It is more common to use physical cooling.

Mainly to prevent burning the brain.

Due to negligence or neglect of their children's fever, many parents do not take effective measures until their children have a high fever of 41 degrees or higher.Or because your child's fever usually occurs at night, you may want to wait until the next day before taking your child to the doctor.

These are very dangerous behaviors.

Some children turned from a smart and lively child to a fool because of a cold and fever.

What a pity.

Experienced parents usually put a wet towel on the child's forehead to cool down.This method is one of the effective methods commonly used in physical cooling.

But you must pay attention to changing a towel after a while.

Because the time of application is too long, even if the towel is wet, it will be heated to a certain temperature by body temperature.Its cooling effect will be greatly reduced.

The safest way is to send the child to the hospital in time and ask professional doctors and nurses to deal with it.

The little girl had symptoms of fever, vomiting, chills, dizziness, and fatigue, which were highly similar to those of a cold.But she took cold medicine and it didn't work, so she went to the hospital for treatment.

Zhou Can realized that the patient's symptoms seemed to be similar to a cold, but it was probably not a cold.

The old lady's eyes were red and swollen, as if formed after crying sadly.

It is estimated that seeing his granddaughter become so sick, he was too worried, so he secretly cried behind his back and his eyes swollen.

(End of this chapter)