There was vomit on the floor and the nurse hadn't had time to clean it up. She was busy cleaning the little patient's mouth over there to prevent aspiration of vomitus, which could lead to secondary pneumonia.
The emergency pediatrician also rushed to the emergency room and began to perform symptomatic treatment.
Zheng Ren was not wearing white clothes. He came to the remains of vomit like a crowd watching the excitement and squatted down to take a closer look.
The vomit was indeed filled with the stench of feces, as well as a faint smell of sulfur dioxide and alkane gases.
"It's feces. Could it be that it's really intestinal obstruction? It's impossible. If it's intestinal obstruction, Zhou wouldn't be able to see it." Su Yun also squatted next to him, carefully examining the vomit.
"Q-tip." Zheng Ren said.
Su Yun glared at him, stood up and went to the treatment room where the door was not closed to get two sterile gloves and a pack of cotton swabs.
If the head nurse of the emergency department were here, he would definitely curse again.
One or two cotton swabs are enough, but he actually wants to take a pack. This is a waste, a typical waste. But Su Yun never cared about waste, and fussing over everything was not his style.
Zheng Ren put on sterile gloves and first dipped a cotton swab in some vomit to observe carefully. It looks and smells like feces and looks weird.
Su Yun simply put on sterile gloves and dipped his fingers in some vomit, then put it in front of Zheng Ren's eyes and said mischievously: "Boss, take a closer look."
"..." Zheng Ren frowned, "It's so disgusting, stay away from me."
"When I was in school, I was joking with the boss of our dormitory. I dipped my finger in salt and put it in my mouth."
"Did you put another finger?"
"Are you sure?"
"Such a little trick... The little patient's vomit doesn't look right. Let me go take a look at him." Zheng Ren stood up, took off his gloves, threw them into the trash can in the treatment room, and then strode to the rescue room. .
A young and delicate woman under thirty years old was holding a child with red eyes. She gently patted the child in her arms, apparently coaxing the child to sleep.
"Doctor, is everything okay?" the child's mother asked.
"There's a problem. I think it's intestinal obstruction." Zhou Litao frowned and said, "Take the child for a X-ray first."
After saying that, he arranged for the emergency pediatrician to go with him for the examination. He was afraid that a similar situation would happen again on the way to the examination. If it was not handled properly and aspiration occurred, it would be a disaster.
Soon, the doctor in the emergency department of pediatrics hurriedly left with the child and the child's mother carrying a first aid box.
"Mr. Zhou, who is the patient?" Su Yun asked.
"The first time I came to see a doctor six months ago, there was a trauma on my arm. It was said that I accidentally scratched the child. I gave him two stitches and went back after treatment." Zhou Litao said.
"So careless?" Zheng Ren frowned and said to himself.
"Who knows, the child's mother seems to be a careful person and cares about the child, but she always gets injured or sick for some reason." Zhou Litao sighed, "I'm used to it."
"How many times has this happened?" Zheng Ren looked at the direction the patient was leaving and asked with a frown.
"There was one trauma, and the rest was diarrhea, vomiting and the like. I asked her to take the child to the pediatric hospital for a thorough examination. But she was hospitalized and checked, but nothing was found wrong."
"It's going well this time. Last time... One night three months ago, when I was the hospital manager, the child was vomiting and almost suffocated. I rescued him and sent him to the pediatric hospital for treatment."
"Did you find anything out?" Su Yun asked.
"No, he got better the next day. It is said that he was discharged from the hospital and went home on the fourth day." Zhou Litao said, "No one has a particularly good solution for congenital gastrointestinal dysfunction. I have taken all the medicines I need to take and have all the tests I need to do. All done.”
Zheng Ren's brows furrowed even more tightly, and his eyes narrowed with confusion.
"Boss, what are you thinking about?" Su Yun asked from behind.
"Let's take a look at the test results. I don't know if there is intestinal obstruction." Zheng Ren said solemnly.
Su Yun seemed to hear something strange, and he asked doubtfully: "Boss, do you think there is no intestinal obstruction?"
"Didn't I just say that I wanted to see the test results? Didn't you hear?" Zheng Ren said.
"Tch, the tone of your words doesn't sound like you are expecting the test results. Do you have your own judgment?" Su Yun said disdainfully.
"Well, I think intestinal obstruction is unlikely." Zheng Ren said.
As he spoke, his tone became erratic.
Zhou Litao was a little confused. This time the little patient was very ill. He judged that he had acute gastroenteritis accompanied by acute intestinal obstruction. He had already asked the emergency pediatrician to send the patient directly to the pediatric surgery department if there was intestinal obstruction.
The pediatric surgical skills of 912 cannot be said to be too strong, but they are not weak either. There is no problem in dealing with intestinal obstruction in a child over 20 months old.
But how did Boss Zheng judge the condition? Why does it say it doesn't look like intestinal obstruction? !
Zhou Litao was full of doubts.
"Mr. Zhou, come to the office and tell me about the patient's condition." Zheng Ren was also thinking about things, and his voice was a little erratic.
Nurses are still handling the battlefield, picking up trash and sweeping the floors. If a place like the emergency department is not cleaned regularly, it will be filled with blood and vomit, making it impossible to see.
Once it's summer and there are blood stains in the corridor, swarms of flies will swarm in and they won't be able to chase them away.
"The first time the patient came, he was 13 months old. He suffered minor trauma and was sutured and was discharged from the hospital. The second time he came, he was 13 and a half months old, with influenza and pneumonia; the third time... "
Zhou Litao was really capable, or he was very impressed with this patient, and he dictated the patient's medical records over the past six months without looking at the information.
At first, his illness was relatively complicated, including trauma and influenza, but later the disease became mainly concentrated in the digestive system.
Vomiting, diarrhea, etc., mainly acute gastroenteritis.
The last time I came to the emergency department was half a month ago. I also had acute gastroenteritis, and my condition was mild. I was discharged after a few days of intravenous medication, fluid rehydration, and symptomatic treatment.
After finishing speaking, Zhou Litao sighed, "The mother of the child looks so pitiful. I feel like she has been ruined by all the stress in the past six months."
"You have to bear the consequences of raising a child. You can't treat the disease by yourself at home." Su Yundao said, "This is quite good. When she knew the child was sick, she brought her to the hospital. She didn't seem to be bored at all, and she was pretty good to the child. "
Zheng Ren hugged his arms and pondered, not commenting on what Su Yun and Zhou Litao said.
Su Yun was slightly startled when he saw Zheng Ren's heavy-minded expression. He felt that something was wrong and began to ponder the whole incident.
The air in the consulting room suddenly became strange.
Zhou Litao looked at Zheng Ren and Su Yun with some confusion. The obvious condition meant that there was no possibility of misdiagnosis. What are Boss Zheng and Brother Yun thinking about