Medical road Qingyun
Chapter 114
Of all the departments, pediatrics is one hell of a department.
Don't look at dealing with children every day, but for doctors, it's quite tricky.
If a doctor can do a good job in pediatrics, his future is no less than that of a surgeon.
There is so much to learn about pediatrics.
First of all, if a child has a headache and brain fever, he will run to the hospital, and the patient base is huge, even in Tianhua Hospital, there is a shortage of pediatricians.
Secondly, because of their age, children cannot express their illness, they can't say where they are uncomfortable, the development of organs in the body is not sound enough, there are many contraindications, and they must be cautious in checking and taking medicines. If you can't do math, you can't go to pediatrics, and a dose conversion will force you to lose your hair all day.
Also, if emergency surgery is like a noisy bazaar, then pediatrics is like a dozen bazaars all together.
The emergency surgery wards are at least quiet, but pediatrics is confronted with high-decibel noises of "wah-wah-wah" at all times.
In addition, pediatrics is also the department that is most prone to medical trouble. Adults will not lose their minds and mess around because they have a headache and brain fever, but adults will not see any grievances from their children because of their deep affection for licking calves. When a child is sick, the nerves of parents are particularly fragile, and sometimes a look from a medical staff can often lead to a war.
Of course, there is another important reason why pediatricians are not welcomed, and that is that pediatricians have no money.
There's a joke about two resident doctors who have been working for three years, chatting while eating in the cafeteria.
"Brother, which department are you in
?" "Emergency, what about you?"
"Pediatrics. Then
the two of them hugged each other and cried.
This is the current chain of contempt in hospitals, pediatrics and emergency are on the margins, and there are few pediatricians who take the initiative to become pediatricians, most of them are desperate, and accept this position with tears in their eyes.
Pediatrics is divided into neonatology, pediatric internal medicine, pediatric surgery and other departments, and Qin Yang is in charge of pediatric internal medicine.
She gets along with her colleagues, is vigorous and resolute, and is like a kind female bodhisattva in the face of little patients.
Qin Yang moved a chair and sat behind Zhao Yuan, seeing that Zhao Yuan was methodically examining the patient and giving medical orders, he would nod from time to time.
Qin Yang knew Zhao Yuan's level and did not treat him as an ordinary resident doctor.
Zhao Yuan has a good habit of not doing examinations, judging by physical examination, minimizing examinations, and trying not to use drugs when he can do them, and using physical methods to deal with them as much as possible.
According to reason, Zhao Yuan is a dry surgeon, and his personality should be like Xie Changtian's black face all day long.
Zhao Yuan went to pediatrics, and he had a smile on his face all day long, which made people feel comfortable to watch.
The condition of ordinary pediatric patients is relatively concentrated, but many of them have viral cold, which is slightly contagious, so doctors should pay attention to protecting themselves.
Many people take their children to the hospital to see a doctor, and when they find out that the doctor is also sick, they will secretly slander themselves. In fact, where doctors want to get sick, although they wear masks and pay attention to personal hygiene and protection, they will inevitably be infected during the high incidence period of the virus.
This season happened to be the time of a large-scale outbreak of pediatric diseases, and if it were an ordinary person, he would have been busy and overwhelmed, but Zhao Yuan behaved calmly and freely, which made Qin Yang feel very surprised.
At three o'clock in the afternoon, a woman who was still breastfeeding walked in with her baby in her arms.
The woman's expression was haggard, but the baby in her arms was quite well-behaved and quiet, and her eyes closed seemed to be sleeping.
"Doctor, my daughter has been bloodshot in her poop since a month ago, and she has been examined and treated at the county hospital and the city hospital, but it has not improved.
Zhao Yuan walked over and took the child from the woman's hand, the child was very sensitive, and when he left the woman's arms, he cried wow-wow-wow.
Qin Yang thought that Zhao Yuan would be at a loss, but he didn't expect Zhao Yuan to pat his back gently, and after a few efforts, the baby girl quieted down.
The woman was slightly surprised, "The doctor in Tianhua Hospital is really powerful, my daughter usually recognizes her life, and no one can take her away, I didn't expect to be so well-behaved now."
Qin Yang was surprised, because she knew that Zhao Yuan had not graduated and had not been a parent, how could she know how to comfort the baby?
Zhao Yuan squeezed his eyebrows and diverted the child's attention while giving the child a physical examination, "Have you done any examinations before?"
The woman hurriedly took out the report.
Zhao Yuan finished the examination, returned the child to the woman's arms, and studied the previous hospital cases and report sheets.
The woman saw Zhao Yuan's brows tightened, "Is the condition serious?" Zhao Yuan
glanced at Qin Yang, Qin Yang took the report in his hand to study, and roughly understood the patient's condition, compared to those patients before, this patient's difficulty was much greater.
Just when Qin Yang thought that Zhao Yuan couldn't solve it.
Zhao Yuan began to explain the patient's condition.
"It's not very serious, it's just that it takes a lot of effort and effort to treat.
"Enteritis in children is caused by cow's milk protein allergy, and there is a high rate of clinical misdiagnosis. Hearing
the conclusion given by Zhao Yuan, Qin Yang on the side nodded slightly.
The woman's eyes widened, "My family has been breastfeeding all the time, and I don't drink milk!"
Zhao Yuan patiently explained, "Milk protein does not refer to milk, breast milk will also contain this element." The
woman was slightly stunned, "Then I should pay attention, is it okay not to eat milk products in the near future?"
Zhao Yuan saw that the woman planned to breastfeed, shook his head and said, "It's too late to avoid food in the short term, you must avoid it for two to three months." Eat amino acid milk powder for the time being, wait for two months and then breastfeed. "
Don't you need to do an examination?" the woman looked at Zhao Yuan in surprise.
Zhao Yuan crackled at the monitor and said, "No, prescribe some amino acid milk powder for you, it will have an immediate effect." "
Amino acid milk powder is also known as "allergy-free formula", allergenic means that the ingredients contained will not cause any possibility of allergies, mainly suitable for the dietary treatment of milk allergy or a variety of food protein allergies.
The woman took the list, thanked her repeatedly, hugged the child, and turned to leave.
The husband waited outside, picked up the child, put it in the cart, "How is it?" "The
doctor said, no need to take medicine, no need to check, take amino acid milk powder for a month. The woman smiled lightly.
The husband was relieved, "I have met a good doctor." "
For parents, they are afraid that their babies will have a lot of tests and take a lot of medicines. Because babies are too fragile to withstand tossing.
Qin Yang sighed secretly, Zhao Yuan was able to get Dean Chang's appreciation, and he still had real skills.
Outpatient clinics are empirical work, and even if the theory is learned well, there will still be deviations in actual combat.
Although the few medical students I brought with me were all good, which one was not in a hurry when I first started receiving treatment?
Don't look at dealing with children every day, but for doctors, it's quite tricky.
If a doctor can do a good job in pediatrics, his future is no less than that of a surgeon.
There is so much to learn about pediatrics.
First of all, if a child has a headache and brain fever, he will run to the hospital, and the patient base is huge, even in Tianhua Hospital, there is a shortage of pediatricians.
Secondly, because of their age, children cannot express their illness, they can't say where they are uncomfortable, the development of organs in the body is not sound enough, there are many contraindications, and they must be cautious in checking and taking medicines. If you can't do math, you can't go to pediatrics, and a dose conversion will force you to lose your hair all day.
Also, if emergency surgery is like a noisy bazaar, then pediatrics is like a dozen bazaars all together.
The emergency surgery wards are at least quiet, but pediatrics is confronted with high-decibel noises of "wah-wah-wah" at all times.
In addition, pediatrics is also the department that is most prone to medical trouble. Adults will not lose their minds and mess around because they have a headache and brain fever, but adults will not see any grievances from their children because of their deep affection for licking calves. When a child is sick, the nerves of parents are particularly fragile, and sometimes a look from a medical staff can often lead to a war.
Of course, there is another important reason why pediatricians are not welcomed, and that is that pediatricians have no money.
There's a joke about two resident doctors who have been working for three years, chatting while eating in the cafeteria.
"Brother, which department are you in
?" "Emergency, what about you?"
"Pediatrics. Then
the two of them hugged each other and cried.
This is the current chain of contempt in hospitals, pediatrics and emergency are on the margins, and there are few pediatricians who take the initiative to become pediatricians, most of them are desperate, and accept this position with tears in their eyes.
Pediatrics is divided into neonatology, pediatric internal medicine, pediatric surgery and other departments, and Qin Yang is in charge of pediatric internal medicine.
She gets along with her colleagues, is vigorous and resolute, and is like a kind female bodhisattva in the face of little patients.
Qin Yang moved a chair and sat behind Zhao Yuan, seeing that Zhao Yuan was methodically examining the patient and giving medical orders, he would nod from time to time.
Qin Yang knew Zhao Yuan's level and did not treat him as an ordinary resident doctor.
Zhao Yuan has a good habit of not doing examinations, judging by physical examination, minimizing examinations, and trying not to use drugs when he can do them, and using physical methods to deal with them as much as possible.
According to reason, Zhao Yuan is a dry surgeon, and his personality should be like Xie Changtian's black face all day long.
Zhao Yuan went to pediatrics, and he had a smile on his face all day long, which made people feel comfortable to watch.
The condition of ordinary pediatric patients is relatively concentrated, but many of them have viral cold, which is slightly contagious, so doctors should pay attention to protecting themselves.
Many people take their children to the hospital to see a doctor, and when they find out that the doctor is also sick, they will secretly slander themselves. In fact, where doctors want to get sick, although they wear masks and pay attention to personal hygiene and protection, they will inevitably be infected during the high incidence period of the virus.
This season happened to be the time of a large-scale outbreak of pediatric diseases, and if it were an ordinary person, he would have been busy and overwhelmed, but Zhao Yuan behaved calmly and freely, which made Qin Yang feel very surprised.
At three o'clock in the afternoon, a woman who was still breastfeeding walked in with her baby in her arms.
The woman's expression was haggard, but the baby in her arms was quite well-behaved and quiet, and her eyes closed seemed to be sleeping.
"Doctor, my daughter has been bloodshot in her poop since a month ago, and she has been examined and treated at the county hospital and the city hospital, but it has not improved.
Zhao Yuan walked over and took the child from the woman's hand, the child was very sensitive, and when he left the woman's arms, he cried wow-wow-wow.
Qin Yang thought that Zhao Yuan would be at a loss, but he didn't expect Zhao Yuan to pat his back gently, and after a few efforts, the baby girl quieted down.
The woman was slightly surprised, "The doctor in Tianhua Hospital is really powerful, my daughter usually recognizes her life, and no one can take her away, I didn't expect to be so well-behaved now."
Qin Yang was surprised, because she knew that Zhao Yuan had not graduated and had not been a parent, how could she know how to comfort the baby?
Zhao Yuan squeezed his eyebrows and diverted the child's attention while giving the child a physical examination, "Have you done any examinations before?"
The woman hurriedly took out the report.
Zhao Yuan finished the examination, returned the child to the woman's arms, and studied the previous hospital cases and report sheets.
The woman saw Zhao Yuan's brows tightened, "Is the condition serious?" Zhao Yuan
glanced at Qin Yang, Qin Yang took the report in his hand to study, and roughly understood the patient's condition, compared to those patients before, this patient's difficulty was much greater.
Just when Qin Yang thought that Zhao Yuan couldn't solve it.
Zhao Yuan began to explain the patient's condition.
"It's not very serious, it's just that it takes a lot of effort and effort to treat.
"Enteritis in children is caused by cow's milk protein allergy, and there is a high rate of clinical misdiagnosis. Hearing
the conclusion given by Zhao Yuan, Qin Yang on the side nodded slightly.
The woman's eyes widened, "My family has been breastfeeding all the time, and I don't drink milk!"
Zhao Yuan patiently explained, "Milk protein does not refer to milk, breast milk will also contain this element." The
woman was slightly stunned, "Then I should pay attention, is it okay not to eat milk products in the near future?"
Zhao Yuan saw that the woman planned to breastfeed, shook his head and said, "It's too late to avoid food in the short term, you must avoid it for two to three months." Eat amino acid milk powder for the time being, wait for two months and then breastfeed. "
Don't you need to do an examination?" the woman looked at Zhao Yuan in surprise.
Zhao Yuan crackled at the monitor and said, "No, prescribe some amino acid milk powder for you, it will have an immediate effect." "
Amino acid milk powder is also known as "allergy-free formula", allergenic means that the ingredients contained will not cause any possibility of allergies, mainly suitable for the dietary treatment of milk allergy or a variety of food protein allergies.
The woman took the list, thanked her repeatedly, hugged the child, and turned to leave.
The husband waited outside, picked up the child, put it in the cart, "How is it?" "The
doctor said, no need to take medicine, no need to check, take amino acid milk powder for a month. The woman smiled lightly.
The husband was relieved, "I have met a good doctor." "
For parents, they are afraid that their babies will have a lot of tests and take a lot of medicines. Because babies are too fragile to withstand tossing.
Qin Yang sighed secretly, Zhao Yuan was able to get Dean Chang's appreciation, and he still had real skills.
Outpatient clinics are empirical work, and even if the theory is learned well, there will still be deviations in actual combat.
Although the few medical students I brought with me were all good, which one was not in a hurry when I first started receiving treatment?
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