Chapter 441: Beware of Neonatal Sepsis, There is No Real Fairness
"Let the nurse call the numbers in order!"
After Zhou Can finished speaking, he ignored the woman and went straight into the consulting room.
The guiding nurse was Zhou Yanqing again, who was an old acquaintance of Zhou Can.
The two of them have been cooperating with each other for a long time, and she can understand what Zhou Can means with just a glance.
"Number 1, Tang Juxiang!"
"It's us, it's us!"
A young woman who was resting on a bench hurriedly picked up the child and went into outpatient room No. 17.
At this moment, no family member spoke up for the shrewish woman. The common people have a scale in their hearts. Although they don't say it, they see the right and wrong of the matter with their own eyes and in their hearts.
People's sympathy is not so easy to exploit.
"Doctor Zhou, please help me take a look. I don't know why my child suddenly stopped breastfeeding."
The woman was not accompanied by her husband or family members.
Judging from the way she is dressed, her financial situation should be pretty good.
"The child looks quite small. He must have been born not long ago, right?"
Zhou Can began to observe the child's condition.
The child was pale, had cyanosis around the mouth, and irregular breathing, which were symptoms very similar to neonatal jaundice. This disease itself is also highly prevalent.
"Today is exactly the 21st day since his birth, not even a month yet! Since yesterday, he has stopped feeding and seems to be very restless, crying all the time and having a bad temper."
The woman described the child's condition.
"Breastfeeding or milk feeding?"
"I have been breastfeeding since birth. At first, I was worried about insufficient milk. The confinement nanny I hired seemed quite professional and made some pig's trotter soup, rice wine boiled eggs and other foods for me. My milk became more and more abundant. Sometimes there is still some left after the baby eats, and I feel bloated and painful. But since yesterday morning, the baby seems to be a little resistant when breastfeeding. The confinement nanny asked me to bring the baby to the hospital for a check-up."
The woman looked at the baby in her arms, her eyes full of maternal love.
The greatness of maternal love begins from the moment you conceive. After ten months of pregnancy, the burden of maternal love not only does not lighten, but becomes heavier. You need to coax your child to sleep, breastfeed, clean up his feces and urine...
The fact that this woman can afford to hire a confinement nanny shows that she is financially well off.
Because the starting price for a confinement nanny these days is at least 5,000 yuan. The better ones, with the gimmick of being a gold medal confinement nanny, often charge more than 10,000 yuan.
"Do you and your nanny usually take care of the child together?"
"yes!"
"Does your family help take care of the baby? For example, your parents, mother-in-law, or husband."
"Why are you asking these questions? It seems to have nothing to do with the condition!"
Her words were evasive and she refused to answer.
"Don't get me wrong, I just want to rule out possible problems in the child's breastfeeding process." Since the family members were unwilling to answer, Zhou Can did not ask any more questions.
Nowadays, some women give birth to children, but they may just be mistresses.
An illegitimate child cannot be seen in public, and the identity of the child’s father must be kept strictly secret.
"I think the child doesn't seem to be in good spirits. Even if he hasn't eaten for a day, he shouldn't be like this. Did he give him water?" Zhou Can asked.
"I gave him water, but he didn't drink much."
“Did the baby suck strongly during breastfeeding?”
"A lot weaker than usual, looking powerless."
"Did you have a bowel movement? Did you have diarrhea?"
"I have diarrhea. It seems that I have had diarrhea since the third day after birth. The confinement nanny told me that this is normal. When the baby is older and his stomach is full, he will no longer have diarrhea."
“How is the child sleeping?”
"She wakes up easily. She cries easily, especially at night. Last night, she would make a scene almost every once in a while, punching and kicking, crying loudly. No matter how we console her, she wouldn't stop."
"Was it like this before?"
"No, it started the night before yesterday. But the night before yesterday was not so bad."
…
After Zhou Can asked about the child's basic condition and medical history, he took the child's temperature, which was normal.
When examining the child's abdomen, it can be clearly felt that the abdomen is very hard.
This indicates abdominal distension.
"Let's go get two tests first! If the child has urine and stool, we can take some samples for testing. For the time being, check the three major routine tests first. When the results come out, come to the outpatient department to see me for further diagnosis."
Zhou Can quickly applied for an inspection.
The three major routine items are sometimes basically must-check items.
"Doctor Zhou, I heard from a friend that you are a very good doctor with high medical ethics and are very responsible for the patient's condition, so I made an appointment with you. Is my son's condition serious? Is it just a minor problem like catching a cold at night?"
The woman said this because she naturally wanted to get closer to Zhou Can.
"Well... it's hard to say for now. But based on the child's current symptoms, the outlook is probably not optimistic, so don't delay. In fact, you should have taken the child to the hospital yesterday. Babies are not like adults. Their illness progresses very quickly, and their tolerance is much weaker. The body's systems are not fully developed, so they are relatively more fragile."
Zhou Can was originally reluctant to say such serious words.
Seeing that the young mother did not seem to take her child's condition too seriously, he had to remind her.
"Is anything okay? What should I do? I was hesitating yesterday whether to come to the hospital or not. It's all my fault. What should I do?" After hearing this, the woman became anxious.
"Go get checked first! You're the first in line. The blood test results should be out in two hours at most. If it's just neonatal jaundice, it's easier to treat. But if it's neonatal sepsis, that's going to be troublesome. So, after the blood test results come out, you must come to me in time and don't delay. In addition to breastfeeding and feeding water, try not to feed your child anything else."
Based on his personal diagnostic experience, Zhou Can highly suspected that the child was likely suffering from neonatal sepsis.
This disease is usually most common in infants between three days and half a month old.
The child did not develop the disease until 21 days later, so his immunity must be good. Or he may have developed the disease earlier, but his mother did not take any precautions.
Neonatal sepsis is a systemic infectious disease caused by bacteria invading the blood circulation.
Because the central nervous system of newborns is immature, the body's response is weak, the skin, mucous membranes and gastrointestinal tract have low defense capabilities, and local lymph nodes are highly permeable to bacteria, the infection lesions are often not confined to a relatively small area.
Instead, it will spread rapidly and eventually become sepsis.
At present, the child’s mental state is very bad, and he has not eaten for a day and a night, which makes Zhou Can very worried.
In the face of a terrible disease, a life can easily be lost.
The woman followed Zhou Can's instructions and hurriedly took the child for a check-up.
Zhou Can really wanted to ask why the child’s father didn’t come?
Because the woman had just given birth 21 days ago and was still recovering, it was very easy for her to have some adverse effects on her body by carrying her child around, and even left her with what is commonly known as postpartum sickness.
Since ancient times, the Chinese have had the habit of recuperating after childbirth.
This is by no means the Chinese women's pampering, but the nation's medical wisdom. It is also a reflection of the traditional Chinese medicine heritage.
Women abroad don't have these rules.
They believe that they don’t need to observe confinement after childbirth, and they dare to take all kinds of baths right after giving birth, eat and drink as they please, etc. It is even popular to give birth in water. It can only be said that different people have different opinions.
A woman who has just given birth is weak in both Qi and blood. Even though the immune mechanisms of foreign women are different from those of Chinese women, if she suffers from postpartum diseases after such physical torture, they will often accompany her for life.
Only they themselves can understand the pain and bitterness.
Zhou Can treated patients one after another quickly. When encountering some difficult cases, he often needed to spend a long time to carefully examine and study them and make a comprehensive judgment. He even needed to consult with pediatric experts to discuss the condition.
In general, his cure rate is very high, whether it is common diseases or difficult and complicated diseases, the cure rate has remained high.
He has been practicing pediatrics for about two years. In the first year, his CMI value reached 3.2.
You should know that the CMI value of many chief physicians in pediatrics is only around 1.5.
The best ones are naturally very good, some even reached above 6.0.
The Cmi value refers to the case combination index, which is an internationally recognized indicator of the technical difficulty of a hospital in treating diseases and its comprehensive ability to treat difficult and serious diseases. The higher the Cmi value, the more serious the condition and the more difficult it is to cure.
This is even directly linked to the amount of prepaid medical insurance that the hospital can obtain.
Moreover, the country is currently paying more and more attention to the CMI value of doctors, which directly reflects the medical skills of a doctor.
If ordinary doctors usually treat ordinary cases, the CMI value will naturally be very low.
This year’s CMI value has not yet come out, but Zhou Can estimates that it will be no problem to reach above 4.0 this year.
This is because he treats many diseases, especially major surgeries, as a medical assistant. If he is directly asked to perform the surgery as the main surgeon, or if he is the main surgeon in consultations on difficult cases, the CMI value will be frighteningly high.
In terms of real strength, he should not be inferior to some of the "big guys" in this hospital.
Of course, this does not mean that his medical skills have reached the top level, but it is a relatively objective evaluation.
There is still a lot of room for improvement in his medical skills.
Whether in terms of academics or clinical skills, we are still far from reaching the top.
The vast majority of first-level directors and top experts say that medicine is endless. The more you learn, the more you feel that medicine is vast and boundless.
Human understanding and research of the human body is currently at best superficial.
The woman whose child had a broken left arm soon came into the clinic.
Because Zhou Can did not agree to let her cut in line and see the doctor first, he could sense a hint of hostility from her.
After entering, the woman once again pretended to be pitiful.
"Doctor Zhou, my family is not well off and we have three children. You are such a great doctor and you have such a kind heart. Can you try to save some money on the medical treatment for my children?"
As she spoke, the woman squeezed out two tears and began to wipe them away.
If a novice doctor saw this situation, most of them would be overwhelmed with sympathy and try their best to meet this person's requirements.
Especially in pediatrics, many doctors are female.
They are more likely to be soft-hearted than male doctors.
"Raising three children is not easy. Don't worry, I will help you save whatever you can."
Zhou Can is now considered a veteran.
The answer was flawless.
He has extensive experience in dealing with various difficult family members.
If he really encounters the kind of family member who cries, makes a fuss, or threatens to commit suicide, he sometimes won't be able to cope with it.
But it doesn’t matter, Director Tang Fei of the Pediatrics Department has a good relationship with the Security Department.
On several occasions, when encountering family members who were deliberately causing trouble, the security department quickly took action and directly controlled the people.
It must be said that the security guards in the Security Department are employees hired by the hospital, not police officers, and they do not have law enforcement powers.
But when encountering danger, you can control the person .
Security guards are responsible for keeping the area safe. In the hospital, security guards have a lot of freedom to act. If a family member comes to the hospital with a knife and wants to kill someone, the most capable people in the security department will usually be dispatched.
They are also called the riot squad.
They were armed with steel forks, shields, electric batons and other weapons and attacked the attackers directly.
In this situation, as long as the person is not killed, basically no one will hold back.
Another point is that if a department or a doctor or nurse offends the head of the security department, when something happens, they will often wait until the angry family members beat the doctor or nurse before they intervene.
And even if they arrived at the scene in time, they would just roll up their sleeves and watch the show.
So, the water in the hospital is very deep.
Try not to offend the logistics personnel if you can. Many logistics personnel may have connections, and you never know who is standing behind them.
Another thing is that Zhou Can once heard a colleague complain that most of the hospital’s staff were given to the logistics department or other people with connections.
At that time, he did not understand that the educational level of the logistics staff was generally low and their contribution to the hospital was hard to describe.
How are these people able to snatch the extremely limited staffing quota?
After asking around, I found out that it broadened my horizons.
An unemployed young man, commonly known as a street urchin, has a beautiful sister. One day, his sister was spotted by a rich young man, and the two began to fall in love.
Not long after, his sister revealed that the young man she was dating was the son of the vice president of a certain hospital.
After hearing this, the unemployed brother's mind immediately became active.
I hang around on the streets all day, and even the heating is a problem. I heard that big hospitals are money-making monsters, and they bring in millions or tens of millions every day. If I get a job in a hospital, wouldn't it be like picking up money every day?
So the brother begged his sister to help him think of a solution.
The younger sister saw her brother hanging out with a bunch of bad friends all day long, and his parents couldn't control him at all. Seeing that he was already in his thirties and still hadn't started a family, she thought it would be a good thing to help her brother find a decent job.
It can also make parents worry less.
At that time, the vice-president's son was pursuing her passionately and was completely bewitched by her, so she found an opportunity to talk about this.
The young man was very straightforward in order to win the heart of the beautiful woman.
My future brother-in-law wants to find a job in a hospital. Isn’t this easy to do?
Just go find the vice-president’s father.
After asking, I found that my brother-in-law is really "excellent", basically a product without any qualifications. He has no education, no ability, and is incredibly lazy.
These days, hospitals generally require a bachelor’s degree as the minimum requirement for recruitment.
If you are applying for a doctor, you will need to start from a master's degree.
How can such a "three-no product" enter such a prestigious unit as a doctor?
This is not a problem for the young master's father. The vice president has a lot of imagination.
First, I outsourced my business to get a "three-no product" into the hospital and work as a security guard in the security department. After working for two years, I went through a personnel agency and got a formal identity.
Finally, one of the positions will be assigned to this "three-no product".
After a series of fancy operations, a street urchin was turned into a formal employee of the hospital and obtained a position in the hospital that countless graduate students, masters and even doctoral students were vying for.
Let me ask you, isn't it sad to see a street kid who hasn't even graduated from elementary school getting a stable job in a hospital, while those doctors who have studied hard for more than 20 years and worked hard in the clinical frontline are not as good as that street kid?
Although this is only an isolated case in Tuya Hospital, it is basically a common phenomenon in all hospitals.
