Many doctors don't like to work in pediatrics. On the one hand, pediatrics is complicated, which is equivalent to half a general practitioner. Children who can't speak or can't speak clearly make it difficult to judge the condition. The so-called mute It is also.
On the other hand, it is also well known that family members in pediatrics are increasingly demanding blame.
Of course, the main problem is the low income of pediatrics, and the high work intensity. In the world of pediatrics where there are few prescriptions and few operations, the income of pediatricians in most hospitals is only less than half of that of internists. In hospitals that have been reformed by medicine, the pediatric department is only half of the surgical department.
However, these problems are not a problem to Ling Ran.
If there is a choice, Ling Ran would rather the patient not know how to speak, so that the patient would not keep talking, handing over notes, leaving phone calls, adding WeChat...
Accusation and low income are not a problem for Ling Ran.
In this world, some people grew up in bitter water, some were born with a golden spoon, and some were born with big diamonds.
"What symptoms does the child have?" Ling Ran stood behind an intern and asked.
The intern was going to bandage the child's wound, but he was taken aback for a moment, but when he looked back at Ling Ran, he became even more nervous.
Interns are like little pets in the hospital, some are cute, some are sensible, some are like husky, some are ugly and annoying... However, interns have one thing in common, they are just like the pets at home, they are always sensitive judge the distribution of power in the family.
In the current emergency center, Ling Ran is in charge of more than half of the beds, and he is not a talkative doctor. The new interns who follow up, when they meet Ling Ran, are a little bit trembling. They are more talkative than Director Tao and other old directors. fear.
The intern's fingers trembled twice before he whispered, "A 3-year-old boy broke the skin on his leg while playing. The wound is very small. It is going to be bandaged after disinfection..."
"Oh... I think the blood has flowed to the feet." Ling Ran put on the gloves casually, took a look at the child's legs, and found that there was indeed no need for stitches.
If you don't stitch it up, nothing will happen to Ling Ran.
Ling Ran scrubbed the area around the wound, and said strangely: "Such a small wound, so much blood. Have you checked the blood?"
"It's just accidentally broken, so don't draw blood." It's not the first time for the father who brought his child to see a doctor to come to the hospital, and he knows how troublesome it is to draw blood for a child.
"Looking at it now, the bleeding speed is not fast, uh... almost froze, there is no reason to bleed so much..." Ling Ran was a little tangled.
"You don't have a child." The child's parent smiled: "This child broke his leg and it hurts a lot. He cried and made a fuss for a while, and the wound broke again just a little bit, which is normal."
Ling Ran let out a "huh" and asked, "How long has it been broken?"
"Two or three hours." The child's father said: "I was brought to the hospital because I couldn't stand it because of him. You bandage it, and we can go home and rest. I also know that in your hospital Busy, don't waste your time."
"It's not that busy." Ling Ran motioned for the parents to sit down, and he sat opposite.
Although a little reluctant, the parents sat down with their children in their arms.
In just such a short period of time, the child who was originally ignorant suddenly frowned and cried in pain.
"Don't cry, don't cry." The father was in a hurry, hugging and coaxing, shaking and saying: "I guess I hurt him again. Dad was careless, I'm sorry, don't cry, don't cry." …”
Ling Ran coughed twice, recalling the etiquette that Huo Congjun taught him to meet the patient's expectations, and then said politely: "Your surname."
The parents were a little flustered by the doctor's politeness, "Ah..." and hurriedly said: "Miangui's surname is Niu."
"Mr. Niu." Ling Ran nodded slightly, and said, "You were injured before, did such a small wound hurt for two or three hours?"
The parents were stunned for a moment, hesitated for a moment, and said, "No, but we were all skinny kids back then. When I was a child in the village, we were not as spoiled and pampered as today's kids."
"The mechanism of pain belongs to human beings." Ling Ran said.
"Huh?" The parents didn't understand.
Ling Ran cleared his throat again, straightened his words, and said, "I mean, even if you are spoiled, your child shouldn't cry for so long, so I suggest you do a few more checkups."
The parents looked at Ling Ran suspiciously, and looked down at his nameplate before hesitatingly said: "Well, Doctor Ling, it's not that I feel sorry for the money, but I don't want children to suffer again. Let's just draw blood, if it can be done once Forget it, the last time our child drew blood, he got needles four times in a row, I am so distressed... the child cries when he sees the needle now, look... what are you worried about now?"
"Then let me do a physical examination first." Ling Ran stood up and said, "Put you on the bed, and I'll take a look."
Ling Ran has never been an outpatient, and he has not participated in many consultations. As far as diagnosis is concerned, he is relatively inexperienced.
However, the foundation of Ling Ran's diagnostics is still very solid.
In school, his grades in diagnostics were ranked No. 1 all year round, and after obtaining a specialized physical examination technique, in theory, sitting in a small outpatient clinic should be no problem.
In fact, Ling Ran has been wandering in the treatment room and rescue room of the emergency department for a long time, and the diagnosis he made is not old or young, but it is not based on the judgment of the outpatient department.
If it is really necessary to make a diagnosis, Ling Ran's master-level MRI (extremity) ability, professional-level B-ultrasound, and perfect-level X-rays can still play a considerable role.
However, physical examination is obviously easier for parents to accept than video examination.
Ling Ran watched the child lie on the flat bed, and did not follow the usual sequence of physical examinations. Instead, he stretched out his palms that had been warmed in his pockets immediately, lifted the little patient's clothes, and placed them on the On his stomach, he pressed twice lightly.
Wow…
Without hesitation, the child burst into tears immediately, without giving any noodles.
"Oh... what is this... what is this for?" Even the father would cry.
"I'll touch it again." Ling Ran teased the child's face with his other hand, like teasing a big orange cat.
The child was still crying, but the crying was not so miserable.
Ling Ran took the opportunity to put his hand on the child's stomach again, and pressed again.
Even though the child's gaze was attracted by Ling Ran, he hesitated for two seconds before continuing to cry.
"It hurts, right? It'll be fine soon, it'll be fine soon." Ling Ran didn't let go immediately, but continued to press a few times.
His physical examination is only at the professional level, but it is enough.
On the other hand, 100 abdominal dissection experiences can bring him a huge amount of information at this time.
According to the degree of softness and hardness of the abdomen, and even the degree of the child's crying, Ling Ran can draw some conclusions.
However, the child's crying was so loud that the father couldn't bear it any longer. He grabbed Ling Ran's sleeve and said, "Doctor, the baby is crying like this. What are you..."
"But you're not crying because your leg hurts." Ling Ran turned to him and asked him, and then pressed a few more times.
The father was taken aback, this is a simple logical question, but it is not easy to answer.
"If it's not the leg pain, what's the reason?" Dad's heart trembled.
"It might be intussusception." Ling Ran didn't hide it, and said, "I'll give you a B-ultrasound, go check it now. It's not too late."
"Oh... yes... okay..." the parent became panicked in an instant: "that... what is intussusception?"
"To put it simply, it's the intussusception of a child's intestines, as if one section of intestine has been poked into another. This is a common disease in infants and young children, and it's a dangerous disease." Ling Ran saw that the parents really didn't understand. , it is quite obvious.
"Is it dangerous?" The parent swallowed, wanting to check quickly, but couldn't help asking: "But, why did you suddenly have intussusception?"
"Because a child's intestines are only six to seven meters long, and the space in the abdominal cavity is small, the intestines are easily folded into the wrong position. For example, it may happen when they first start eating complementary foods. Generally, intussusception in children occurs Under 2, 3 is a little less likely to happen, so...you get checked first."
"Okay, okay..." The father took two steps with the child in his arms, stopped again, turned his head again, and said hesitantly, "Tell me, does it have something to do with our liking to play with it?"
"What does it mean to like to play around?"
"That's right, my son likes me to lift his feet and then swing them around in the air." When Dad was speaking, there was an awkward smile on his face, and he said, "Every time I lift him up and swing him, he giggling giggling…”
After finishing speaking, the father looked at Ling Ran anxiously: "Could it be?"
Ling Ran: ￣□￣... His father also liked to play with him like this when he was young...