Plague Doctor

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Although today is the Lantern Festival, it is not a statutory holiday, and it is 2 weeks, and the hospitals that are open all year round naturally open the door.

People’s Emergency Department of Nanxiang No. 3 People’s Hospital, people coming, people going, patients and family members who came to the hospital filled the waiting hall, and the electronic system called continuously.

There is a superstition in the hospital, that is, the medical staff should not set up a Flag at night, saying, “It seems to be not busy tonight” and “It is quite busy tonight”, which department has someone say this, and then something will happen soon, and then busy It turned upside down.

There have been experiments conducted by foreign institutions on this occasion. There are two groups in different departments of different hospitals. The workload is basically the same. One is the Flag group and the other is the Flag group. The results show that the Flag group It will indeed become a bit busier, and it is unclear what anomalous force this is.

But in the emergency department, even if this kind of Flag is not established, the medical staff are busy turning over.

Especially in the emergency department of pediatrics, from the evening to the early morning, basically have not stopped.

“Observe after the injection.” Liu Guolin, one of the attending physicians on duty, had just seen a 38.3-year-old boy with a fever of 7 degrees.

In fact, he does not recommend antipyretic injections. The small child with a fever of 38.3 degrees is only a low fever. This patient has no symptoms such as cough and sputum. The condition is very mild. Drink more water, and the fever will usually go away soon. If you can’t get rid of the fever like this, it will increase to a medium to high fever, when the time comes It is not too late to consider the fever.

This antipyretic needle is not a baby. There are too many side effects. Symptoms such as anaphylactic shock are still mild. In severe cases, it is even fatal.

Although it is generally not a problem to do a skin test first, any professionally qualified doctor will not recommend random injections.

But the parents of the little boy were more excited. They repeatedly asked for an antipyretic injection and urged him to hurry up, so as not to delay the child’s condition.

Due to the complicated environment of doctor-patient relationship and the experience and lessons of employment for several years, Liu Guolin took their mind.

“Alas.” When the parents took the child out of the emergency room, Liu Guolin shook his head, “Xiong Family long.”

Their doctors often have such complaints in private. Some Chinese patients and their families have their own claims. They would rather believe their unprofessional knowledge for no reason, or search the Internet for a look, and they do n’t believe the doctor, and some even regard the doctor as a doctor. The enemy views it.

It is said that seeing a doctor is expensive, rebates and so on, but does not understand who is responsible for the pricing and purchasing of medicine. Is that what their doctor can say?

Those people whose doctors have a conscience can do at most when using a medicine for patients. The production process and efficacy of imported medicines and domestic medicines are exactly the same, nor are they advanced medicines, but 100 imported medicines, 30 domestic medicines. At this time, the patients are prescribed domestic medicines.

But this will make the department’s income less, and their own bonus will be less, and some directors will be dissatisfied, saying that the next time to open imports.

There are 2 reasons, and revenue is just one of them.

Another reason is that once something goes wrong, the patient’s family will often scold, why don’t you import medicine? What are you doing? Did you take the rebate of domestic medicine?

So if something happens in the end, it ’s the doctor who cares about it, whether you have a conscience or not.

In pediatrics, especially in pediatrics, it is often difficult for young children to express their feelings. Each child is the heart of his parents. When they are not crying, parents can still calm down. If they cry in pain, parents will It ’s easy to lose your mind … The pediatric environment is very complicated.

Liu Guolin has been working as a doctor for 5 years after graduating from undergraduate. From the very beginning, he will explain to parents and even strive for reason. Until now, it is usually okay. If you want to get an injection, then you will get an injection … He also knows that he is being affected by society To become the kind of person you once hated, but sometimes there is really no way …

He is not Gu Jun, not a member of the Tianji Bureau, but a little doctor with no power. He must take care of himself first.

Ever since she was slapped by an excited mother, Liu Guolin did n’t want to cause trouble anymore …

What’s more, he was on the evening shift, and he got off work at 1:1, and he didn’t want to cause trouble at this moment.

At this time, Liu Guolin just took off his mask and took a sip of water from the thermos cup. The next patient came in. A pair of parents in their early thirties entered the emergency room with a 30-5 year old girl worried.

“Hurry up and call Dr. Liu.” The mother pushed the little girl, who cried politely: “Dr. Niu is good.”

“Okay, good evening.” Liu Guolin looked at the medical record handed in by the little girl father. The child is 6 years old and has no major medical history. This time is not a common pediatric emergency such as a cold, fever, and abdominal pain. It is normal to see the patient now. , No crying, no noise, no pain, Liu Guolin asked the doctor, what’s wrong?

The mother was grimacing and excited. “Dr. Liu, my daughter doesn’t know what tonight. He always blinks and sometimes wrinkles his nose. It looks wrong, but the strangest thing is that I Just after coaxing her to sleep, she suddenly made a strange sound … I can’t learn it, it sounds strange … “

“We are all scared.” The father was also very nervous. “That kind of voice can be made without being naughty. Doctor Liu, what are the problems?”

“Oh, um.” Liu Guolin responded nodded, looked at the little girl’s normal complexion, took a flashlight and looked at her eyes, and then looked at her mouth and throat.

There are no abnormalities in the mouth, no inflammation of the tonsils, and the eyes respond normally to light, and everything is normal.

Liu Guolin has already made a preliminary judgment in his mind. This should be another kind of oolong case of excessive nervousness of the parents: the child is okay, just awkward, or just a little superficial wound, so the parents are in a hurry, with the child Come to the hospital to crowd the emergency department.

But he didn’t say these words naturally, but continued to ask questions. The girl’s mother said that her blinking symptom only appeared today. It was particularly frequent at night, and she made that kind of strange noise, which was only issued once.

“Little girl, your mother said you blinked today, what’s wrong, is it uncomfortable?”

Liu Guolin asked the 6-year-old little patient, letting his voice sound gentle, otherwise some patients at this age would not cooperate.

“Um …” the little girl shyly shook her head. “I just want to blink.”

“Then don’t you want to blink now?” Liu Guolin asked with a smile. It’s been 3 minutes since they entered. The little girl didn’t blink too much.

“I don’t want to blink now.” The little girl was nodded.

“So … is it like tickling?” Liu Guolin thought for a while, “I want to scratch when itchy, and don’t need to scratch when it’s not tickling.”

“En!” The little girl agreed. Her parents looked at each other in blank dismay, still very nervous, and did not understand what this meant.

“Then the same kind of sound you made?” Liu Guolin asked again. “It’s like sneezing. You want to hit, so you make a sound.”

The little girl is nodded again.

“Can you hold back then?” Liu Guolin asked. “Can you hold back when you want to blink and make a sound?”

“I don’t know …” The little girl shook her head this time and looked at her parents. “I didn’t think about that … I don’t know.”

Asked about this consultation, Liu Guolin had basically confirmed his previous judgment, picked up the pen, and scribbled a few pens on the medical record book.

This child is okay. Let the emotions scare his parents. He looked at it and felt that the father was relatively calm, so he let the mother go out with the child first, and then organized the rhetoric. Pay attention to the diagnosis results without irritating the other party.

“Child should be fine.” Liu Guolin said slowly, and would stop when there are inappropriate signs. “At her age, children will gain parents’ attention through this method. Please pay attention to her emotions and go back.” Give her a good rest … “

“Dr. Liu!” The father was suddenly excited, even more excited than the mother just now. Square-faced was a little bit red. “It’s not such a problem! My daughter is usually very good, our family is very harmonious, she won’t It ’s awkward, and the sound is really weird, simply not like human voice … Doctor Liu, is n’t there any supernatural power now, will this be the kind of thing … “

Liu Guolin murmured in my heart, I am not a doctor of the celestial bureau, even if it is supernatural power, I can’t see it.

But he really doesn’t think that little girl is so healthy, and this parent’s concern is just chaos.

“Uh.” Liu Guolin looked at the patient’s name in the medical record book, Guo Qinying.

“Mr. Guo, do n’t worry, I did n’t say that your child is making troubles. She might have been joking with you, but she did n’t dare to tell you if she was anxious. She might be blamed by you now. Do n’t blame her, if the symptoms continue to appear, then the time comes and look again. ”

“But …” Mr. Guo was still anxious. “But the weird noise is really scary … It’s like repeating 2 words, like calling for something.”

Liu Guolin really wanted to laugh, and some parents were particularly rich in imagination. Especially since the advent of the heaven and earth, some parents can simply go to play as screenwriters. The little child coughs and is afraid of new Legion disease. The little child dreams and grinds Ge Ya said a dream and was afraid of hitting evil spirits.

Some of the children are very special ghosts. In order not to go to school, in order to avoid scolding and other reasons, sometimes they make up their own illness, stomach pain and so on, and some are made especially fake. In the past, no parent would believe it, but Now, we have to bring the hospital to another scene.

The work of these grassroots doctors is really getting harder and harder.

“Mr. Guo, can you call the Tianji alarm hotline? Because if it is really a matter of supernatural power, then I can’t help it.”

Liu Guolin would not say that this must have anything to do with supernatural powers. Seniors taught him, he also has experience himself, and doctors cannot talk like that.

Any judgment before you have to add a possibility, maybe, or, consider, should … This is the doctor’s way of speaking.

“Oh …” Mr. Guo scratched his head.

Fortunately, Mr. Guo is a sensible person. Not at all continued to make trouble, but instead took the medical record book out.

Liu Guolin’s judgment is not wrong. After listening to her husband’s words, Mrs. Guo went into the emergency room and asked him to prescribe anti-inflammatory drugs, injections and so on, at least do something? Liu Guolin was really powerless to vomit, so what kind of anti-inflammatory drugs were prescribed.

Finally, Mrs. Guo was persuaded by her husband.

The couple took the daughter to stay in the waiting hall to observe the daughter, but Xiao Qinying did not continue to show symptoms, and they did nothing.

At zero o’clock, Liu Guolin handed over the work to his colleagues who were connected to the midnight shift. When the white coat took off, he went back to the hospital’s dormitory to sleep.