My medical skills add experience

Chapter 551 I took the medicine to the wrong place, the newborn baby who refuses to eat

"The root of the problem is not in the heart, and heart replacement should not have much effect. You will be treated here for about a week, and if the condition continues to improve, you will be discharged from the hospital. When the time comes, you will go home and keep exercising, using this electric massager Tool-assisted therapy will do.”

The atrophy of the gastrocnemius muscle in the patient's legs is quite serious, and it is unrealistic to expect to return to normal by exercising in a short period of time.

It is an ideal way to get through this difficult period with the help of electric tools or manual massage to assist the blood flow of the legs.

Seeing that the patient's condition has improved significantly and there is hope for a cure, Zhou Can is also in a good mood.

Back in the emergency department, he quickly threw himself into the intense surgical work.

Just after two operations, a nurse came running outside to ask him for help.

"Boss, the pediatric department called just now, saying that a three-day-old newborn has severe heart failure. The situation is very critical. I would like to ask you to come over for consultation."

Ma Xiaolan ran in to spread the word.

"Okay, I'll rush over right away."

Zhou Can has a close relationship with pediatrics, he can be regarded as half a pediatrician.Now that there are critically ill patients in the pediatric department, he has the obligation to help.

If the problem is not serious, he will not ask for help.

The strength of pediatrics is still quite strong.

There are not only a group of re-employed pediatric experts, but also a large number of chief and deputy chief doctors aged 60 to [-].The newly recruited young doctors are basically starting with postgraduates and masters, and the proportion of undergraduates is already very low.

Only some outstanding undergraduate medical students may be admitted.

Compared with the situation when Zhou Can entered Tuya Hospital a few years ago, it is now at least several times more difficult for undergraduates to enter Tuya Hospital.

In the past, as long as you obtained Tuya's general training qualifications and were under the age of 35, you could basically get the opportunity to work in the hospital after completing the training.Now I am basically stuck on the academic qualification line of graduate school.

Those with less than a graduate degree and no recommendation letters from major hospitals or prestigious schools will be directly screened out by the Human Resources Department when applying for training qualifications.

After several years of hard work, Tuya's comprehensive strength and ranking have indeed improved a lot compared to previous years.

In particular, outstanding young doctors like Zhou Can grew up rapidly and gradually became the backbone of Tuya's various departments.

Further enhance the comprehensive strength and ranking of the hospital.

In the past, Tuya's biggest pain point should be the small number of academic papers, and there are very few influential high-quality papers.Also, doctors are less educated.There are even some older doctors who graduated from technical schools.

Medical technical schools were a unique product of that era.

In the past, a college student had a terrific education.Vocational high school students who graduated from medical technical schools basically belong to the mainstream education among doctors.Later, it was gradually upgraded to the junior college level, which is regarded as a high degree of education.

Then ten years ago, the undergraduate degree was popular.

Nowadays, postgraduate masters are not very popular, and a doctoral degree or even a postdoctoral degree is required.

The progress of the times is too fast.

Under the leadership of President Zhu, Tuya Hospital has carried out drastic reforms in many aspects, emphasizing talents and scientific research, and has made great progress in recent years.After the comprehensive strength and ranking went up, the business volume of each department continued to skyrocket.

This also makes it have the capital to absorb high-level talents.

Now even if the academic qualifications are above the master's degree, there are still a lot of medical students who want to get in.

Zhou Can greeted Dr. Xu and hurried to the pediatrics department.

Saving lives is definitely more important.

Neonates with severe heart failure have a very high mortality rate.Mostly congenital heart disease.

Neonatal heart failure, which leaves so many pediatric specialists at a loss, must be tricky.

Zhou Can subconsciously quickened his pace.

Tuya Hospital is very large. From the emergency department to the pediatric department, you need to go through the internal medicine building, and then bypass the surgery building No. 8 to get there.It takes at least seven or eight minutes to walk, and you have to walk fast.

Along the way, the soles of Zhou Can's feet were really like the wind.

When passing through the corridor of the internal medicine department, the person facing him looked familiar.Zhou Can raised his eyes to take a closer look, and couldn't help showing a playful expression that seemed to be a smile but not a smile.The middle-aged man holding a long payment receipt in his hand was none other than Brother Wei.

At this moment, Brother Wei has obviously discovered Zhou Can.

He lowered his head in embarrassment, trying to pretend he didn't see Zhou Can.

The more he was like this, the more Zhou Can wanted to tease him.

"Hey, aren't you Mr. Lan's bodyguard? Why did you come to the internal medicine department?"

Zhou Can pretended not to know and took the initiative to greet this person.

"Ahem...I'll come over and get some medicine for Young Master Lan." Brother Wei looked embarrassed.

His force is very strong, but his IQ is really mediocre.

"Mr. Lan is hospitalized in the cardiothoracic surgery department. If you want to get the medicine, you have to go to the pharmacy or the cardiothoracic surgery department. You're so dazed, don't make a mistake. Why don't you let me look at the list for you!"

As Zhou Can spoke, he reached for the list in his hand.

"no, I'm fine!"

Brother Wei dared to let him see the payment receipt, so he dodged in a hurry.

Even Zhou Can taunted him for being dumbfounded.

"Really not?"

Zhou Can had a playful look on his face.

"No need! You go to work!"

While Brother Wei refused, he used an honorific title for Zhou Can for the first time.

This psychological change is very interesting.

From the beginning, he looked down on Zhou Can and disliked him, and now he admires Zhou Can's medical skills from the bottom of his heart.In the profession of a doctor, if you want to win the respect of others, you must speak based on your strength.

Everything else is false.

It is the most popular only if it can cure the patient's disease.

"Okay then, I'm leaving!"

In the end, Zhou Can did not expose the fact that Brother Wei came here to see his liver disease.After teasing a few words, I just laughed it off.

Adults are the most taboo to expose shortcomings and ugliness in person, and tearing one's face is an absolute taboo.

A few minutes later, he arrived at the Neonatology Department of Pediatrics.

Directors Tang Fei and Zhuang were already waiting for him anxiously, and Director Le from the Department of Cardiothoracic Surgery was also invited.Many directors in the consultation room were helpless in the face of the newborn's condition.

After a brief greeting, Zhou Can went straight to the topic.

"How is the patient?"

"The situation is very bad. The current main symptoms are not breastfeeding and not even drinking much water. It has been three days. Shortness of breath, crying as small as gnats, and the whole face is gray. If you can't think of a solution today If there is a way, I guess the child will be hanged."

Director Tang Fei introduced the situation with a hint of anxiety in his expression.

For her, the death of the child does not have much interest.

But she acted as anxious as the parents of the child. This doctor's sense of responsibility is very precious.

Judging from her description, the cause of the child's rapid death was not heart failure, but refusal to eat.

Zhou Can has been in pediatrics for more than two years, and he has accumulated rich experience in clinical diagnosis and treatment.

There are many reasons why children refuse to eat, the most common of which is difficulty breathing.

After the baby is born, it will naturally suck breast milk, which is a natural survival ability evolved by human beings.

But babies need a lot of force to suck, which can cause them to breathe heavily.If it is direct artificial breastfeeding, the baby's nostril on one side will be easily blocked by the mother's body when sucking.

At this time, they can only breathe through one nostril, which will become more difficult.

Out of the instinct of self-preservation, babies will choose to put themselves in a state of relatively easy breathing as much as possible.At this time, they will resist breastfeeding.

In the obstetrics inpatient ward, some babies often refuse to breastfeed after they are born.

They don't even drink milk.

At this time, we must be particularly vigilant. Basically, babies who do not eat for more than a day are sick in all likelihood.Mothers of newborns and their families should not be afraid to spend money, thinking that it is no big deal, and hiding it from doctors and nurses.

Because in the obstetrics departments of large hospitals now, basically, after giving birth, they can be discharged from the hospital in about two days.

Doctors and nurses are usually very busy, and may not notice whether the baby is eating or not, but simply ask the family and the mother herself to obtain relevant information.In this case, family members deliberately conceal the doctor, which is particularly prone to accidents.

Zhou Can met such a family member in the pediatric department.

He came to see a doctor with a baby who was just born a few days ago. He saw that the child was in a very poor state of mind, in a lethargic state, and his lips were dry.When asking the family members, the other party will squeak and ambiguous.

Upon examination of the baby, it was found to be in critical condition.

In this situation, I can only secretly scold the family members for being too ignorant.A living little life may die like this.

In the hospital, even if the baby refuses to eat, as long as the doctor and nurse respond in time, there are ways to save the baby's life.Such as direct intravenous delivery of nutrient solution.

In the intensive care unit of the neonatal department, some premature babies may only be a few hundred grams when they are first born, as small as a frog.

After careful care and nursing by the medical staff, those who are generally in better condition can gain three to four kilograms in about a month.At this time, it basically develops into a normal newborn.

"Director Tang, after discussing with other directors, what disease do you think the child has?"

While checking the patient's information, Zhou Can asked the experts for their discussion results.

Because he was not present when these experts discussed before.

Diagnosing such difficult cases often requires the collective wisdom and wisdom of all people.

"Current diagnostic opinions are basically inclined to heart failure, but there is no unified theory on what exactly causes heart failure."

It is not the most difficult to diagnose what disease is based on the patient's symptoms, various examination results, and diagnosis and treatment experience.

The real difficulty is to find the cause of the disease.

There are many reasons for heart failure, such as hypertrophy of the heart, congenital heart disease, and even the difficult case that Zhou Can just solved not long ago, which was actually caused by the atrophy and relaxation of the gastrocnemius muscles in both legs, which caused heart failure.

A newborn's body is much more fragile than an adult's.

Many tests can be used directly on adults, but there is no way to test newborns.

Also, adults can accurately express where they feel uncomfortable and what symptoms they have.

But the baby can't tell the doctor anything, it's good to be able to cry a few times.

"Where is the patient now?"

"In Ward No. 7, let me take you there!"

Director Tang Fei, as the chief director of the Department of Pediatrics, is very busy and has a very distinguished status.

She personally brought Zhou Can there, which not only shows her respect for Zhou Can, but also shows that she attaches great importance to this child.

Follow Director Tang Fei to the neonatal ward.

On the third bed after entering the room, there was a woman who had just given birth two days ago, with a confinement belt tied on her forehead.

China attaches great importance to confinement, and believes that after childbirth, the bones of the whole body will be loose.

Tighten the head with a tie to facilitate postpartum recovery.

If it is not tied, it is easy to leave headache sequelae.

Although there is no scientific basis for this statement, the rules handed down from the older generation, the vast majority of people hold the idea that they would rather believe in something than nothing.Will choose confinement, and various maintenance.

For example, you can't use cold water, you can't take a bath, you can't wash your hair...

There are a lot of taboos.

The mother looks about 20 years old, very young.At this moment, he was holding the baby with distressed expression, trying to feed the baby some water.

It's a pity that the baby resisted very much. Either he didn't open his mouth, or he desperately pushed the pacifier out and spit it out.

Seeing a large number of doctors entering the ward, the mother and family members seemed a little restrained.

The family members even stood up and gave up the best position.

"Is the baby still refusing to drink water?"

Director Tang Fei stepped forward and asked with concern.

"That's right! I don't know why he just refuses to drink water, and he spits out the nipple of the bottle with all his strength every time." The mother looked worried and seemed very anxious.

The joy of becoming a new mother has not dissipated, and the abnormality of the baby made her feel deeply worried.

If it were an adult, he would have collapsed without eating or drinking for three days.

Not to mention a newborn baby.

"This is our famous pediatrician, Dr. Zhou Can. He is also good at pediatrics and cardiothoracic surgery and other fields. We specially invite him to come over for a consultation and try to find out the cause of the child."

Director Tang Fei introduced Zhou Can to the family.

It is indeed a great advantage to be good at multiple fields at the same time.

For example, when diagnosing this newborn, other doctors are helpless, but the young Zhou Can brings hope to everyone.

"Thank you, thank you! Please take care of Dr. Zhou!"

The pregnant women expressed their gratitude to the doctors again and again.

"Can I hold the baby?"

Zhou Can asked.

"Ok, Ok!"

The mother handed the baby to Zhou Can.

The family members watched from the sidelines, and they only felt that the doctor was very young.However, if this young doctor can be highlighted in front of so many older doctors, he must have a lot of real skills.

"Hey..."

The baby was held by a stranger, his eyes were open, and he let out a cry of fear.

But his cries were very small.

It's like a kitten meowing there.

Zhou Can has been carefully observing the baby, including his nasal cavity, mouth, complexion and so on.

"Has he not had milk or water for a long time?"

"Since I was born, I have been refusing to drink. My lips are dry, and I can only spit out the pacifier after drinking a sip of water at most." The mother said distressedly.

(End of this chapter)