Chapter 324 Neglectful Parents, This Is Not a Cold
Especially some chronic diseases that are not too serious.
The willingness of family members and patients for treatment is sometimes very low, and they have a mentality that the disease can be cured or not.
The sanitation worker's family must be in a bad financial situation. If they had money, they would have used it to treat the child long ago. There was no need for the child's mother to wait until she had worked outside for more than a year and saved enough money for treatment before bringing the child to see a doctor.
The child's father died in a car accident and it is possible that he did not receive any compensation.
Or the compensation is only enough to cover the rescue costs and funeral expenses.
For a family with extremely poor financial conditions, some illnesses have to be delayed as much as possible.
He had already seen two patients today, and both of them came specifically to see Zhou Can. This made him feel a little accomplished.
You should know that in the pediatric outpatient system, doctors are divided into five levels.
They are special experts, well-known experts, chief physicians, deputy chief physicians, and general outpatient clinics.
Unfortunately, he was the general outpatient physician at the end of the line.
Even so, he still benefits a lot from being the attending physician.
In Tuya Hospital, it was extremely difficult for resident doctors to get an outpatient number. Only a few lucky ones like him were eligible. Although there was no explicit regulation, the minimum level of attending physician was required to apply for outpatient qualification. This was an unspoken rule known to all doctors in the hospital.
This is because most of the senior residents have been waiting in line after applying for outpatient clinic qualifications.
Even some residents who performed quite well had to wait in line for three or four years and were promoted to attending physicians before the channel was opened.
Also, having the outpatient qualification does not mean that you will be able to see patients.
The hospital will evaluate the doctor himself. If the outpatient quality is not good and the negative review rate is high, it is a bit unfortunate. Your outpatient number will not be cancelled, but you will find that the appointment registration column is gray.
This is basically the rhythm of being banished to the cold palace.
I heard that if you don't see patients for more than a year, your name will disappear. But you can still find your name in the doctor's file in the outpatient system.
As for when it will be released next time, many people say it is a mystery.
Zhou Can was promoted exceptionally this time, and was granted outpatient qualifications beyond the norm. In addition to his own outstanding performance, it was also because he was on TV news.
The hospital's top management definitely puts profits first.
There is no way we can let this opportunity to attract traffic and realize profits go to waste.
Maximizing benefits is one of the important reasons why President Zhu decided to make an exception and open an outpatient number for Zhou Can.
It can also be used to reward Zhou Can, and the hospital does not need to pay any cash or give Zhou Can additional rewards such as promotions.
It can be said to kill two birds with one stone.
As soon as the child with macrodactyly left, someone else pushed the door open.
Zhou Can was delighted, thinking that today wouldn't be too bad.
The momentum is very good right now.
"Doctor, please help my child. I don't know why he has a fever and keeps complaining of chest pain." A couple came in. The man's hair was fluffy and messy like a bird's nest, his jeans were covered in dirt, and his white short T-shirt was even more disgusting to look at.
Her hands are relatively white, and her nails are as long as those of Karl Lagerfeld in ancient costume dramas.
When he opened his mouth to speak, he revealed a mouthful of yellow teeth.
The woman also looked a bit sloppy, with her hair tied up in a bun at the back of her head. A lot of messy hair was hanging everywhere, but she didn't care. In addition, the woman was wearing a pair of dirty slippers on her feet, which looked a bit shocking.
Generally speaking, no matter how little a woman cares about her image, she will dress neatly in public.
After the two came in, they sat down directly without any need for Zhou Can to greet them.
"How old is the child?"
Zhou Can asked as he observed the child's body shape and complexion.
"More than three years old, almost four, I think!"
The man turned his head and looked at the woman uncertainly.
As a father, I don’t even know how old my son is.
The woman rolled her eyes and thought about it seriously, then nodded and said, "About three years and seven months old!"
"Does the child drink milk?"
“We never drink those!”
The man answered quickly.
"Is the child eating normally?"
Zhou Can continued to ask.
Without an assistant or a nurse, he could only record the medical information as he asked questions.
"It's not bad. We usually have two meals a day." Zhou Can was a little angry when he heard the man's words. However, the couple didn't look like serious people, so he didn't plan to meddle in their affairs.
I just gently advised, "The child is still so young, it's not okay to eat only two meals a day. Look at how thin he is, you have to let him eat more. If conditions permit, you can cook some dishes that the child likes, and it's best to have a balanced nutritional combination. Meat, fish, eggs, beans, fresh vegetables, you can cook them in different ways for the child to eat!"
He said this to the child's mother.
Generally, women cook.
"Okay, okay, we will pay attention. Please ask the doctor to quickly check what disease my son has! We have other things to do later!" The man urged impatiently.
Zhou Can started to measure the child’s body temperature and other basic data.
"How long has the child had a fever?"
"More than two years, it seems like I've had a fever since I was weaned. When it's serious, my face gets a little flushed."
"Have you seen a doctor?"
"Who would go to the doctor if there's nothing wrong? Once you go to the hospital, you have to pay."
The man muttered.
It's really speechless to meet such parents.
"Oh, the fever is quite high, 39.8 degrees, almost 40 degrees." After measuring the child's temperature, Zhou Can couldn't help but worry about the child's condition.
According to his clinical experience, prolonged fever , whether low or high, is basically a serious illness.
It is heartbreaking to see such a young child suffer from a serious illness.
"I have a high fever, so why should I go to the hospital to see you? The cheapest appointment costs ten yuan. You make money so easily."
The man was quite polite when he first came in.
After spending some time with him, I immediately discovered the bad nature of this person.
"Little boy, let uncle see where your chest hurts!"
Zhou Can lifted up the little boy's clothes and found that the child's abdomen was obviously abnormal.
He was clearly skinny, with every rib visible.
However, the child's abdomen is bulging, especially the upper abdomen is very obvious.
This area belongs to the liver area.
Considering that the boy's chest pain symptoms lasted for a long time, Zhou Can almost instinctively thought that the patient's liver might have problems.
"My son hasn't eaten for two days."
The woman suddenly said something.
"Would you like some water?"
Zhou Can's heart tightened when he heard this. What kind of devilish parents are these? The child hasn't eaten for two days, has a fever for two years, and has chest pain all the time, but they have never taken the child to see a doctor.
Ten dollars is too expensive to make an appointment.
This is basically the price for regular outpatient appointments at large hospitals. It is also the lowest price.
The price of a doctor's appointment at the head doctor's office is 50 yuan, while the regular one is half that, only 25 yuan.
But the market is so wicked, the cheaper it is, the less people buy it. The 50 yuan registration fee has sold out all the appointments within three days.
"It's okay for him to drink water. Just now on the way to the hospital, I saw other children drinking yogurt, and he was clamoring for it! I bought him a bottle, and he drank it all."
The woman replied nonchalantly.
"Take the child to get a blood test first, and then get a chest and abdominal ultrasound."
Zhou Can ordered two tests for them.
We were going to order other tests, but we didn't dare to order more. Seeing the irresponsible attitude of this couple, ordering more tests might just scare the patient away.
"Where do we pay the fee?"
“You can use the hospital’s app, or take your receipt to the manual payment window, or swipe your ID card on the self-service payment machine.” Zhou Can patiently guided them in paying.
The man took out his phone and operated it for a while, then he yelled as if someone had dug a piece of his flesh out, "It's one hundred and twenty yuan, why is it so expensive?"
Zhou Can's forehead was full of black lines. This was already very cheap.
The combined thoracic and abdominal CT scan has not yet been performed.
After the B-ultrasound, if the situation is not good, a CT scan will be necessary. The examination fee will be several hundred yuan, and this man is likely to smash the table.
His pediatric predecessors did not lie to him. On the first day of his independent practice, he met two such strange family members.
"All medical expenses are set by higher authorities. Every charge in our hospital is clear and transparent. After you take your child to the hospital for examination, remember to come back to me with the results."
Zhou Can felt that he was not suitable to deal with such difficult family members.
It feels like people are living several years less.
“The fees are too high!”
The man cursed a lot but seemed to be operating his phone to pay the money.
But the expression on his face when he was paying the money was like he was cutting his flesh.
"You little prodigal son, you spent one hundred and thirty dollars of my money in one go, do you know that?" The man scolded his son after paying the money.
At this time, his cell phone rang.
As soon as he saw the number, the man became excited.
"Hello! Are you short of one? Okay, okay, I'm taking my son to the hospital for treatment. I'll be right over. Wait for me, wait for me!" The man hung up the phone and looked at the woman. "I'm leaving first. You take the child to the hospital. The examination fee has been paid."
After saying that, he left without looking back.
The woman stomped her feet and called out to him from behind, but he ignored her.
Finally, the woman took the child to get checked alone. As she walked, she scolded the child, "You are a jinx, a troublemaker..."
Zhou Can felt a pain in his teeth after hearing this. This couple of parents are not worthy of being parents. It is so hateful.
Take a deep breath and calm your anger.
Without a strong heart, you can't be a doctor.
At this time, another family member pushed the door open with the patient.
"Doctor Zhou, my granddaughter suddenly started vomiting after eating these past two days. She has no strength in her body and feels dizzy. Please take a look!" The old lady who came in was dressed very elegantly and her hair must have been dyed.
Because the old lady's face had deep crow's feet and age spots, and the skin on the back of her hands was even more wrinkled, but her hair was black and shiny.
Not a single grey hair could be found.
Under normal circumstances, people are likely to have white hair when they are over 30 years old.
Especially modern people are under great pressure in life, staying up late to work overtime, and various anxieties can easily cause people to grow gray hair.
Zhou Can looked at the little girl, who looked about seven or eight years old. Her face was pale and bloodless, her lips were also pale, and her eyes were lifeless, like someone who had not woken up yet.
"Little girl, do you remember exactly when you started to feel uncomfortable?"
Zhou Can deliberately talked to the patient.
This has multiple purposes, such as diagnosing whether the patient is conscious, listening to whether the patient's voice is hoarse, and whether the patient has sufficient energy. Some patients, if they have diseases such as respiratory infections, may even cough when they speak.
Sometimes doctors' unintentional small actions are actually secretly diagnosing the patient.
"Uh... I started feeling dizzy and cold the day before yesterday morning when I woke up, and then I felt even worse at night. I felt like I was carsick, and my chest was stuffy. When it was time for dinner, I felt even worse, and I ended up vomiting. After vomiting, I felt a little better, but I didn't want to eat. I just wanted to hide in the quilt and lie down. Grandma brought the food to the bedside to feed me, but I vomited again after just a few bites."
The little girl described how the disease happened.
"Later, grandma went to the drugstore overnight to buy me some cold medicine. After taking it, I lay down on the bed and fell asleep. In the middle of the night, I remembered that I hadn't finished my homework, so I wanted to get up to do it, but I couldn't get up. I felt a little scared at the time, worried that I would die, and I started crying. Later, grandma came over and sat by the bed with me all night..."
I feel so lucky for this little girl to have such a good grandmother.
They are a hundred times better than the gambling couple mentioned above.
"As a grandmother, you are more caring than a mother!" Zhou Can praised the old lady with a smile.
"Oh! There's nothing we can do. Her parents are very busy and often travel around the country. I happened to be retired, so I just helped take care of her! But my granddaughter has been very sensible since she was young. She never asks adults to worry about her when she does her homework or studies. If there is something delicious at school or outside, she will not eat it herself and will save it for me to eat at home."
The old lady's face was full of smiles when she talked about her granddaughter.
Anyone who has such a well-behaved and sensible child would behave like the old lady.
The little girl was so sick, but she still wanted to get up in the middle of the night to do her homework.
It's really touching.
"Your granddaughter is the typical child of other people's families! I'm so envious!" Zhou Can had a pleasant communication with the family members.
He began to measure the little girl's temperature, blood pressure, respiratory count, etc.
You also need to pay attention to whether the patient has gurgling sounds when breathing, other abnormal sounds in the chest or abdomen, etc.
Some patients make a sound like rubbing frosted glass with fingernails when breathing, or there are abnormal noises in the chest cavity, etc.
These all require vigilance.
In the eyes of patients, a cold is just a minor illness. But in the eyes of doctors, a cold is just the name of a complex disease, and the danger of many colds is no less than that of serious diseases such as cancer and leukemia.
Influenza kills more than 90,000 people every year in China alone.
For 1.4 billion people, 90,000 people are nothing.
But for any family, 90,000 deaths from colds means bringing unbearable disasters to 90,000 families.
Especially the death of some children, the damage to the family is almost devastating.
Zhou Can found that the patient's body temperature was 38.7 degrees, which was already a fever, and it was a moderate fever.
In medicine, fever is usually divided into four levels. Low fever is between 37.1 and 38 degrees, moderate fever is between 38.1 and 39 degrees, and high fever is mainly between 39.1 and 41 degrees. If the body temperature exceeds 41 degrees, it is considered hyperpyrexia.
As long as the patient has a high fever, he must find a way to protect his head, and physical cooling methods are more common.
Mainly to prevent brain damage.
Many parents neglect or do not take their children's fever seriously, and do not take effective measures until the child's fever reaches 41 degrees or above. Or because children usually have fever at night, they think of waiting until the next day to take their children to see a doctor.
These are all very dangerous behaviors.
Some children turn from a smart and lively child into a fool because of a cold and fever.
What a pity.
Experienced parents usually put a wet towel on the child's forehead to cool it down. This method is one of the commonly used and effective methods of physical cooling.
But be sure to change the towel after a while.
Because the towel is applied for too long, even if it is wet, it will be heated to a certain temperature by the body temperature, and its heat dissipation effect will be greatly reduced.
The safest way is to send the child to the hospital in time and ask professional doctors and nurses to treat it.
The girl had fever, vomiting, chills, dizziness, and fatigue, which were very similar to the symptoms of a cold. But the cold medicine she took didn't work, so she went to the hospital for treatment.
Zhou Can realized that the patient's symptoms seemed similar to those of a cold, but it was most likely not a cold.
The old lady's eyes were a little red and swollen, as if they were formed after crying sadly.
She was probably too worried when she saw her granddaughter was so sick that she cried secretly with swollen eyes behind her child's back.
