Although today is the Lantern Festival, it is not a statutory holiday, and it is Tuesday, so the hospital is open all year round.
At the Third People's Hospital of Nanxiang City, people came and went from the emergency department. Patients and family members who came to see the doctor filled the waiting hall, and the electronic calling system kept ringing.
There is a superstition in the hospital, that is, the medical staff should not stand up at night, saying something like "I don't seem to be busy tonight" or "I'm quite busy tonight". Someone in any department said that, and then there will be an accident soon, and then they will be busy. Turned upside down.
Some foreign institutions once conducted experiments on this, and selected different departments of different hospitals to set up two groups. The usual workload is basically the same. One is the fg group, and the other is the non-fg group. It does get a bit busier, it's unclear what anomalous force is responsible for that.
But in the emergency department, even if this kind of fg is not established, the medical staff will be overwhelmed.
Especially in the emergency department of pediatrics, from the evening to the early morning, it has basically never stopped.
"Observe after the injection." Liu Guolin, one of the attending physicians on duty, had just completed a consultation for a seven-year-old boy with a fever of 38.3 degrees.
In fact, he does not recommend taking antipyretic injections. A child with a fever of 38.3 degrees is just a low-grade fever. This patient has no symptoms such as cough or sputum, and his condition is very mild. Drink plenty of water and the fever will usually subside soon. If the fever cannot be relieved in this way, and the fever is still aggravated to moderate to high, it will not be too late to consider antipyretic needles at that time.
This antipyretic injection is not a treasure. There are too many side effects. Symptoms such as anaphylactic shock are still mild, and severe cases may even cause death.
Although it is generally not a big problem to do a skin test first, any professional doctor will not recommend random injections.
But the little boy's parents were more excited, and repeatedly asked for anti-fever injections, and urged him to hurry up so as not to delay the child's condition.
Due to the complex doctor-patient relationship environment and the experience and lessons learned in the past few years of employment, Liu Guolin complied with their wishes.
"Sigh." When the parents walked out of the emergency room with their children, Liu Guolin shook his head and sighed, "Parent Xiong."
Their doctors often have such complaints in private. Some Chinese patients and their families have their own opinions too much. They would rather believe their unprofessional knowledge for no reason, or search the Internet, and do not believe doctors. Treat it like an enemy.
They talk about expensive medical treatment, kickbacks, etc., but they don't know who is responsible for drug pricing and procurement. Is it their doctor's final say
The most that their doctors with conscience can do is to give a patient a drug. The production process and curative effect of the imported drug and the domestic drug are exactly the same, and it is not an advanced drug, but the imported drug costs 100 yuan. The domestic medicine is 30 yuan. At this time, the patient is prescribed domestic medicine.
But this will reduce the income of the department, and the bonus will also be reduced. Some department directors will be dissatisfied and say that they will open the entrance next time.
There are two reasons, and revenue is only one of them.
Another reason is that once something goes wrong, the patient's family members will often scold, why don't you use imported medicine? What are you doing? Did you take kickbacks from domestic medicines
So in the end, if something happens, the doctor is responsible, regardless of whether you have a conscience or not.
Pediatrics, especially in pediatrics, it is usually difficult for children to express their feelings clearly, and every child is the heart and soul of their parents. Parents can calm down when they are not crying. It's easy to lose your mind... The pediatric environment is complex.
Liu Guolin has been working as a doctor for five years after graduating from a bachelor's degree. From the beginning, he would explain to his parents and even argue with reason. Now he is usually okay. If you want to get an injection, you can get it... He also knows that he is being socialized. To become the kind of person I once hated, but sometimes, there is really no way...
He's not Gu Jun, he's not a member of the Tianji Bureau, he's just a little doctor with no power, he has to take good care of himself first.
Ever since he was slapped by an excited mother that time, Liu Guolin didn't want to cause trouble anymore...
What's more, he works the night shift, and he gets off work at midnight, and he doesn't want to cause trouble at this moment.
At this time, Liu Guolin had just taken off his mask, took a sip of water from a thermos, and the next patient came in. A pair of parents in their early thirties brought a five or six-year-old girl into the emergency room worriedly.
"Hurry up and call Dr. Liu." The mother pushed the little girl, and the little girl called out politely: "Hello, Doctor Niu."
"Okay, good evening." Liu Guolin looked at the medical records handed over by the little girl's father. The child is 6 years old and has no serious medical history. This time it is not a common pediatric emergency such as a cold, fever, or abdominal pain. Now the patient looks normal. , No crying, no fuss, no pain, Liu Guolin asked the doctor, what's the matter
The mother had a bitter face, and her tone was quite excited: "Doctor Liu, my daughter didn't know what happened tonight, she kept blinking her eyes, sometimes she wrinkled her mouth and nose, and she looked strange, but the strangest thing was that I Just when I put her to sleep, she suddenly made a strange sound... I can't learn it, that sound is very strange... "
"We were all scared." The father was also very nervous, "That kind of voice can't be made just by being naughty. Doctor Liu, what's the problem?"
"Oh, yes." Liu Guolin nodded in response, looked at the little girl's normal complexion, shone a flashlight into her eyes, and looked at her mouth and throat.
The oral cavity is normal, the tonsils are not inflamed, the eyes respond to light normally, everything is normal.
Liu Guolin already had a preliminary judgment in his mind. This should be another kind of oolong case where the parents are overly nervous: the child is fine, but just being awkward, or just has a little skin trauma, which makes the parents panic. Go to the hospital to squeeze the emergency room.
But of course he would not say these words, but continued to ask the doctor. The girl's mother said that the symptom of blinking her eyes only appeared today, and it was very frequent at night, and she also made that strange sound, which was only once for the time being.
"Little girl, your mother said that you blink a lot today, what's the matter, are you uncomfortable?"
Liu Guolin asked the 6-year-old patient, making his voice softer, otherwise some patients in this age group would not cooperate.
"Hmm..." The little girl was a little shy and shook her head, "I just want to wink."
"Then don't you want to blink now?" Liu Guolin asked with a smile. It has been 3 minutes since they came in, and the little girl didn't blink much.
"I don't want to blink now." The little girl nodded.
"So... is it like scratching an itch?" Liu Guolin thought for a while, "When it's itchy, I want to scratch it, and when it's not itchy, I don't need to scratch it."
"Yeah!" The little girl agreed. Her parents looked at each other, still very nervous, not understanding what this meant.
"Then the sound you make is also the same?" Liu Guolin asked again, "It's like sneezing. You want to sneeze, so you make a sound."
The little girl nodded again.
"Then can you hold back?" Liu Guolin asked, "Can you hold back when you want to blink or make a sound?"
"I don't know..." The little girl shook her head this time and looked at her parents, "I didn't think of that... I don't know."
After asking about this diagnosis, Liu Guolin has basically confirmed his previous judgment, picked up a pen, and scribbled a few strokes on the medical record.
The child is fine, he must have gotten angry to frighten his parents. He looked at it and felt that the father was calmer, so he asked the mother to take the child out first, and then organize the speech, paying attention to not irritating the other party while telling the diagnosis result.
"The child should be fine." Liu Guolin said slowly, and would stop if there was any sign of something wrong, "At her age, children will use this method to gain the attention of their parents. Please pay attention to her emotions. Go back and let her rest well..."
"Doctor Liu!" The father suddenly became agitated, even more agitated than the mother just now, his face flushed a little in Chinese characters, "It's not such a problem! My daughter is usually very good, our family is very harmonious, she won't make trouble This kind of awkwardness, and that kind of voice is really weird, it doesn't sound like a human voice at all... Doctor Liu, don't you have some kind of supernatural power now, could this be that kind of thing... "
Liu Guolin murmured in his heart, I am not a doctor of Tianji Bureau, even if it is supernatural power, I can't see it.
But he really didn't think so. The little girl was so healthy, but the parents cared about it and it was just chaos.
"Uh." Liu Guolin looked at the patient's name in the medical record, Guo Qinying.
"Mr. Guo, don't worry, I didn't say that your child is just making a fuss. She might have been joking with you, but seeing that you are in a hurry, she dare not say it, for fear of being blamed by you. Let's observe now. Don't blame her either, if you continue to have that kind of symptoms, we'll have a look at that time."
"But..." Mr. Guo was still anxious, "but that strange sound is really scary... It seems to be repeating two words, as if calling for something."
Liu Guolin really wanted to laugh when he heard it. Some parents have a very rich imagination, especially since the advent of the secret situation, some parents can almost become screenwriters. If a child coughs, he is afraid of Neo-Legion disease. A tooth talking in a dream is afraid of hitting evil.
But some children are very spirited. In order to avoid going to school, to avoid scolding and other reasons, sometimes they will make up their own illnesses, stomach pains, etc. Some of them are very fake. In the past, no parents would believe it, but now , I have to bring it to the hospital to make a fuss again.
The work of these grassroots doctors is getting more and more difficult.
"Mr. Guo, why don't you call the Tianji alarm hotline? Because if it's really about supernatural power, then I can't help it."
Liu Guolin would not say that this must have nothing to do with supernatural powers. His predecessors taught him and he himself has experience. Doctors can't talk like that.
Any judgment must be preceded by possible, perhaps, or, considered, should... This is the doctor's way of speaking.
"Oh..." Mr. Guo scratched his head, hesitant to speak.
Fortunately, this Mr. Guo is a sensible person, and he didn't continue to make trouble, but went out with his medical records like this.
Liu Guolin's judgment was not wrong. After hearing what her husband said, Mrs. Guo came to the emergency room and asked him to prescribe some anti-inflammatory drugs, get an injection, or at least do something? Liu Guolin was really powerless to complain, so he just prescribed some anti-inflammatory drugs.
In the end, Mrs. Guo was persuaded by her husband to go out.
The couple took their daughter to stay in the waiting hall to observe her condition, but Xiao Qinying did not continue to show symptoms, so they did nothing.
When it was midnight, Liu Guolin handed over the work to the colleague who was connected to the night shift. Once he took off his white coat, he went back to the hospital dormitory to sleep.
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