Plague Doctor

Although today is the Lantern Festival, it is not a legal holiday, and it is a Tuesday. Naturally, hospitals open year-round.

At Nanxiang Third People's Hospital, people were coming and going in the emergency department. Patients and their families who came for treatment filled the waiting hall, and the electronic call system kept ringing.

There is a superstition in the hospital, that is, medical staff should not put up a flag at night and say something like "it doesn't seem to be busy tonight" or "it's quite free tonight". If someone in any department says this, something will happen soon, and then it will be busy. Turned upside down.

Some foreign institutions have done experiments on this. They selected two groups from different departments in different hospitals. The usual workload is basically the same. One is the flag group and the other is the non-flag group. The results show that the flag group is better. It does get a little busier, but it's not clear what unusual force is causing this.

But in the emergency department, even if this flag is not set, the medical staff are still very busy.

Especially in the emergency pediatric department, there has been basically no stop from evening to almost early morning.

"Observe after the injection." Liu Guolin, one of the attending physicians on duty, had just examined a seven-year-old boy with a fever of 38.3 degrees.

In fact, he does not recommend taking antipyretic injections. A child's fever of 38.3 degrees is just a low fever. This patient has no symptoms such as cough or sputum, and his condition is very mild. In this case, use ice packs to physically cool down and take some antipyretic and analgesic drugs. Drink more water and the fever will usually subside quickly. If the fever cannot be relieved by this and worsens to a moderate to high fever, it is not too late to consider antipyretic injections at that time.

This antipyretic injection is not a treasure. It has too many side effects. Symptoms such as anaphylactic shock are still mild, and in severe cases, they can even lead to death.

Although it is generally not a big problem to do a skin test first, any doctor with professional qualifications will not recommend casual injections.

However, the little boy's parents were very excited and repeatedly asked for fever-reducing injections. They also urged him to hurry up and not delay the child's condition.

Due to the complex environment of the doctor-patient relationship and the lessons learned during his several years of employment, Liu Guolin complied with their wishes.

"Oh." 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 this kind of complaint in private. Some Chinese patients and their families have too many opinions of their own. They would rather believe their unfounded unprofessional knowledge or search online instead of trusting doctors. Some even treat doctors as Treat as an enemy.

They say that medical treatment is expensive and there are rebates, but they have no idea who is responsible for drug pricing and procurement. Is it their doctor’s final say?

The most that those doctors with conscience can do is to give patients a kind of medicine. The production process and efficacy of imported medicines are exactly the same as domestic medicines. They are not advanced medicines, but imported medicines cost 100 yuan. Domestic medicine costs 30 yuan. At this time, domestic medicine is prescribed to patients.

But this will reduce the department's income and reduce their own bonuses. Some department directors will be dissatisfied and say that they will use imported ones 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 often scolds them, "Why don't you use imported drugs?" What are you doing? Did you get rebates from domestically produced drugs?

So in the end, if something happens, the doctor will be blamed, regardless of whether you have a conscience or not.

Pediatrics, especially pediatrics, it is usually difficult for children to explain clearly how they feel sick, and each child is the heart and soul of their parents. Parents can remain calm when they are not crying, but if they are wailing in pain, parents will 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 his undergraduate degree. From the beginning, he would explain and even argue with his parents. Now, he often says, "Okay, if you want to get an injection, then just get an injection..." He also knows that he is being socialized. , to become the kind of person you once hated, but sometimes, there is really no way...

He is not Gu Jun, nor is he a member of the Tianji Bureau. He is just a powerless little doctor. He must take care of himself first.

Ever since he was slapped by an excited mother, Liu Guolin didn't want to cause any more trouble...

Moreover, he works the night shift and will get 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, picked up the thermos cup and took a sip of water. The next patient came in. A pair of worried parents in their early thirties walked into the emergency room with a little girl of five or six years old.

"Hurry up and call Doctor Liu." The mother pushed the little girl, and the little girl politely called out: "Hello, Doctor Niu."

"Okay, good evening." Liu Guolin looked at the medical record 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 common pediatric emergencies such as cold, fever, abdominal pain, etc. The patient looks normal now. , neither crying nor fussing, nor complaining of pain, Liu Guolin asked the doctor, "What's going on?"

The mother made a sad face and said in an excited tone: "Doctor Liu, I don't know what happened to my daughter tonight. She kept blinking her eyes and sometimes wrinkled her mouth and nose. She looked wrong. But the strangest thing is that I Just after I put her to sleep, she suddenly made a strange sound... I can't imitate it, the sound is very strange..."

"We were all scared." The father was also very nervous, "That kind of sound can't come from being naughty. Doctor Liu, what's the problem?"

"Oh, um." Liu Guolin nodded in agreement, looked at the little girl's normal expression, shined a flashlight into her eyes, and then looked at her mouth and throat.

There is no abnormality in the mouth, the tonsils are not inflamed, the eyes react normally to light, everything is normal.

Liu Guolin already had a preliminary idea

Judging from this, this should be another oolong case where the parents are overly nervous: the child is fine, just making trouble, or just has a slight skin injury, so the parents become anxious and take the child to the hospital for emergency treatment.

But naturally he would not say these words, but continued to consult. The girl's mother said that her blinking symptoms only appeared today, and they were particularly frequent at night, and she also made that strange noise, which she only made once for the time being.

"Little girl, your mother said you kept blinking your eyes today. What's wrong? Are you feeling uncomfortable?"

Liu Guolin asked the 6-year-old patient, making his voice gentle, otherwise some patients in this age group would not cooperate.

"Well..." The little girl was a little shy and shook her head, "I just wanted to blink."

"Then don't you want to blink now?" Liu Guolin asked with a smile. It had been three 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, you want to scratch it. When it's not itchy, you 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 the same?" Liu Guolin asked again, "It's like sneezing. You want to sneeze, so you make the sound."

The little girl nodded again.

"Then can you hold back?" Liu Guolin asked, "Can you hold back when you want to blink your eyes and make a sound?"

"I don't know..." The little girl shook her head this time and looked at her parents, "I didn't mean that... I don't know."

After this consultation, Liu Guolin had basically confirmed his previous judgment. He picked up the pen and scribbled a few strokes on the medical record.

This child is fine. He is just throwing a tantrum to scare his parents. He looked at it and felt that the father was relatively calm, so he asked the mother to take the child out first, and then organize her speech, making sure not to irritate the other party while telling the diagnosis results.

"The child should be fine." Liu Guolin said slowly, stopping at the first sign of something wrong. "At her age, children will use this method to gain their parents' attention. Please pay attention to her emotions. Go back and let her have a good rest..."

"Doctor Liu!" The father suddenly became excited, even more excited than the mother just now, and his face turned red. "It's not a problem like this! My daughter is usually very well-behaved, our family is very harmonious, and she won't make trouble. It's so awkward, and the 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 muttered in his heart, I am not a doctor from the Bureau of Secrets, so even if it is supernatural power, I cannot see it.

But he really didn't think so. The little girl was so healthy, and it was just confusing for her parents to care.

"Uh." Liu Guolin looked at the patient's name in the medical record, Guo Qinying.

"Mr. Guo, don't be impatient. I didn't say that your child was just having trouble. She might have been joking with you, but seeing that you were impatient, she didn't dare to say it for fear of being blamed by you. Let's observe now. Don’t blame her, if the symptoms continue to appear, we’ll take a look at it when the time comes.”

"But..." Mr. Guo was still anxious, "But that strange sound was really scary... It seemed like it was repeating two words, like it was calling something."

Liu Guolin really wanted to laugh when he heard it. Some parents have very rich imaginations. Especially since the advent of Tianjiju, some parents can become screenwriters. If a child coughs, he is afraid of Legionnaires' disease. The child's dreams are endless. If I talk in my sleep, I'm afraid I might be evil.

Some children are particularly naughty. In order not to go to school, to avoid being scolded, etc., they sometimes make up stories about being sick or having stomachaches. Some of them are so fake that no parents would believe them in the past, but now , and I have to bring him to the hospital to make a fuss.

The work of grassroots doctors is becoming increasingly difficult.

"Mr. Guo, how about you call the secret police hotline? Because if it is really a matter of supernatural powers, then there is nothing I can do."

Liu Guolin would not say that this must have nothing to do with supernatural powers. His predecessors have taught him and he has experience himself. Doctors cannot talk like that.

Any judgment must be preceded by maybe, maybe, or, consider, should... This is the way doctors talk.

"Oh..." Mr. Guo scratched his head, still hesitant to speak.

Fortunately, Mr. Guo was a sensible person and did not continue to make trouble. Instead, he took the medical record and went out.

Liu Guolin's judgment was correct. After hearing what her husband said, Mrs. Guo walked into the emergency room and asked him to prescribe some anti-inflammatory drugs, an injection or something. At least she could do something, right? Liu Guolin really couldn't complain, so he just prescribed some anti-inflammatory drugs.

In the end, Mrs. Guo was persuaded by her husband to leave.

The couple continued to stay in the waiting hall with their daughter to observe her condition, but Xiao Qinying did not continue to show symptoms, so they did nothing.

When the time reached midnight, Liu Guolin handed over the work at hand to his colleagues who took over the midnight shift. As soon as he took off his white coat, he went back to the hospital dormitory to sleep.

Love the Plague Doctor.