Medical road Qingyun
Chapter 166
In the ENT department, I am not too busy, and I am mainly outpatient every day, and then I prescribe medicine.
The drugs of otolaryngology are relatively simple, there are only a few kinds of key drugs, although there are few types of key drugs, but the effect is very powerful, and the medicine can be eliminated in three to five days.
There are also surgeries in the otolaryngology department, but Zhao Yuan, as a rotation doctor, is not eligible to participate.
Gong Chaozhi Zhao originally went through the ENT department, so he usually didn't communicate much with him.
is also because of his busy work, facing so many patients every day, how can he have the kung fu to teach Zhao Yuan hand in hand.
Most doctors rely on themselves to learn and understand when they are in the rotation.
Zhao Yuan's performance is also peaceful, he goes to work on time every other day, gets along with people very politely, and is especially serious when writing cases, Gong Chao is quite satisfied with this.
Gong Chao's impression of Zhao Yuan is that he is a man with a fire and does everything in a hurry.
With this kind of person, although he will be busy like a spinning top every day, he has the advantage of keeping himself in a state of excitement all the time.
In addition, as a patient, I love to meet this kind of doctor.
Patients are most afraid of encountering the kind of doctor who beats the eggplant and can't make a fut for half a day. When the patient speaks for himself, he or she will occasionally say a few words of his or her own opinion. The patient may be particularly anxious and helpless.
Zhao Yuan passed by the hall.
A little girl evokes her own idea.
She sat in the corner, her head tilted, holding a plastic basin in her hand, and whenever there was blood coming out of her nose, she quickly lowered her head, and all the blood flowed into the basin.
The little girl looked to be eight or nine years old, with two pigtails on her head, double eyelids, and big eyes. Her eyes were fixed on the payment window not far away, where her mother was queuing up to register.
The little girl noticed a few drops of nosebleeds splashed on the ground, and quickly took out a piece of paper from her pocket and quickly wiped the blood on the ground.
The cleaning aunt walked over to the little girl, and the little girl hurriedly apologized, "I'm sorry, I didn't mean to."
The cleaner glanced at the basin in the little girl's hand, which had accumulated a lot of blood, and said in surprise: "Child, why did you shed so much blood?"
The little girl raised her chin and tilted her head slightly, "It's okay, my mother said, as long as you raise your head, the bleeding will stop after a while."
"This kid is too pitiful. The cleaner shook his head and sighed, and left silently.
The little girl's mother hung up, hurriedly walked over, took the little girl's hand, and asked softly, "Is it better?"
The little girl thought for a while and comforted: "It's still bleeding, but it's much less than before."
Zhao Yuan felt that the little girl's condition was not so simple, so he walked over and said to the two, "Have you registered?" "
Mom saw Zhao Yuan wearing a white coat and knew that he was a doctor in the hospital.
Although Zhao Yuan took the initiative to help, her expression was a little hesitant, "Doctor, is it necessary to increase the cost of expediting?
Zhao Yuan sighed secretly, the girl's mother was not very old, she was dressed and dressed very plainly, and her personality was also simple, and she shook her head and said, "There is no need to increase the cost! I see that your daughter is bleeding too much, so you must stop the bleeding quickly." "
That's great, thank you, doctor.
Zhao Yuan led the two to the outpatient clinic, Gong Chao was surrounded by several people, and Zhao Yuan leaned over to explain the situation.
Zhao Yuan's behavior made Gong Chao feel a little troubled, but he knew that Zhao Yuan was a doctor from emergency surgery.
If he finds that the patient's condition is more serious, he still has to pay attention to it first.
"What's the matter with the child?" Gong Chao saw the girl holding the basin, which contained a lot of blood and water, and hurriedly examined the girl, and her face became solemn.
"I was selling fruit at a stall in Dongcheng District, and the child accidentally soiled a female customer's bag, and the female customer slapped the child, and then he started to have nosebleeds. At first, I didn't take it seriously, but I didn't expect the bleeding to stop, so I rushed to the hospital. The girl's mother said worriedly.
The girl said with annoyance, "It was my fault that soiled my aunt's bag, which is very expensive." After my aunt beat me, she also regretted it very much, and when she saw that I had a nosebleed, she gave me money. Mom, you don't have to worry. Why don't you try patting your head with cold water again, maybe this time it'll be fine?"
According to the principle of heat* expansion and cold contraction, by patting the forehead with cold water, the blood vessels in the nose can be constricted, so that the blood flow around the nose can be slowed down, thereby relieving the symptoms of nosebleeds.
However, it can only assist in remission, and patients need to identify the cause of nosebleeds in time, and then treat the cause.
Gong Chao thought for a while and glanced at Zhao Yuan, "Can you help the child stop the bleeding first?" Zhao Yuan
nodded, "No problem!" Generally,
mild nosebleeds can be solved by blocking the nasal cavity with sterile cotton balls.
However, the little girl's nosebleed was very large, and the bleeding had to be stopped by compression with the characteristic swollen tampon.
Gong Chao observed Zhao Yuan's operation, which was worthy of emergency surgery, the movements were skillful, and the strength was appropriate, and it did not cause any discomfort to the little girl.
Seeing that the bleeding had stopped, the girl's mother finally showed a smile on her face, "Yanyan, don't hurry up and thank the doctor." The
little girl looked at Zhao Yuan, revealing her snow-white teeth, "Thank you, big brother."
Seeing that the girl's mother was about to leave with the girl, Zhao Yuan called out to her, "Don't leave in a hurry, she still has to do a few checks."
Gong Chao's gaze swept towards Zhao Yuan, realizing that Zhao Yuan was in line with his own judgment.
The girl had a nosebleed, and it wasn't that simple.
Gong Chao typed out the checklist, handed it to the girl's mother, and said softly, "You need to take the child to do a few tests." Nosebleeds caused by external forces will stop on their own in five to ten minutes, and the amount of blood will not be very large. But your daughter's nosebleed for too long indicates a problem with her blood clotting. A detailed examination is done to find out the cause. The
girl asked worriedly, "Uncle doctor, does it cost money to do a test? I'm all right. The
mother stopped her daughter and continued, "Listen to the doctor's words and do the examination obediently." Mom brought the money!"
Mom left with the girl.
Zhao Yuan sighed, "Director Gong, the girl is so young, if it is really that disease, it is too cruel
!" Gong Chao sighed softly.
"I understand your feelings, we are doctors and we meet all kinds of patients every day. Sometimes fate is so unfair that it befalls those who are good and weak. Many times, doctors are helpless in the face of death.
Zhao Yuan took a deep breath, "I hope my diagnosis is wrong now!"
Half an hour later, the girl's mother returned to the clinic with the examination report.
Gong Chao looked at the report, was silent for a long time, and then handed it to Zhao Yuan.
Zhao Yuan's eyes instantly turned red.
The girl had leukemia!
Leukemia cells proliferate in large quantities in the bone marrow, and the normal hematopoietic function is damaged, so there will be nosebleeds.
When nosebleeds are severe, it means that the condition has deteriorated.
The drugs of otolaryngology are relatively simple, there are only a few kinds of key drugs, although there are few types of key drugs, but the effect is very powerful, and the medicine can be eliminated in three to five days.
There are also surgeries in the otolaryngology department, but Zhao Yuan, as a rotation doctor, is not eligible to participate.
Gong Chaozhi Zhao originally went through the ENT department, so he usually didn't communicate much with him.
is also because of his busy work, facing so many patients every day, how can he have the kung fu to teach Zhao Yuan hand in hand.
Most doctors rely on themselves to learn and understand when they are in the rotation.
Zhao Yuan's performance is also peaceful, he goes to work on time every other day, gets along with people very politely, and is especially serious when writing cases, Gong Chao is quite satisfied with this.
Gong Chao's impression of Zhao Yuan is that he is a man with a fire and does everything in a hurry.
With this kind of person, although he will be busy like a spinning top every day, he has the advantage of keeping himself in a state of excitement all the time.
In addition, as a patient, I love to meet this kind of doctor.
Patients are most afraid of encountering the kind of doctor who beats the eggplant and can't make a fut for half a day. When the patient speaks for himself, he or she will occasionally say a few words of his or her own opinion. The patient may be particularly anxious and helpless.
Zhao Yuan passed by the hall.
A little girl evokes her own idea.
She sat in the corner, her head tilted, holding a plastic basin in her hand, and whenever there was blood coming out of her nose, she quickly lowered her head, and all the blood flowed into the basin.
The little girl looked to be eight or nine years old, with two pigtails on her head, double eyelids, and big eyes. Her eyes were fixed on the payment window not far away, where her mother was queuing up to register.
The little girl noticed a few drops of nosebleeds splashed on the ground, and quickly took out a piece of paper from her pocket and quickly wiped the blood on the ground.
The cleaning aunt walked over to the little girl, and the little girl hurriedly apologized, "I'm sorry, I didn't mean to."
The cleaner glanced at the basin in the little girl's hand, which had accumulated a lot of blood, and said in surprise: "Child, why did you shed so much blood?"
The little girl raised her chin and tilted her head slightly, "It's okay, my mother said, as long as you raise your head, the bleeding will stop after a while."
"This kid is too pitiful. The cleaner shook his head and sighed, and left silently.
The little girl's mother hung up, hurriedly walked over, took the little girl's hand, and asked softly, "Is it better?"
The little girl thought for a while and comforted: "It's still bleeding, but it's much less than before."
Zhao Yuan felt that the little girl's condition was not so simple, so he walked over and said to the two, "Have you registered?" "
Mom saw Zhao Yuan wearing a white coat and knew that he was a doctor in the hospital.
Although Zhao Yuan took the initiative to help, her expression was a little hesitant, "Doctor, is it necessary to increase the cost of expediting?
Zhao Yuan sighed secretly, the girl's mother was not very old, she was dressed and dressed very plainly, and her personality was also simple, and she shook her head and said, "There is no need to increase the cost! I see that your daughter is bleeding too much, so you must stop the bleeding quickly." "
That's great, thank you, doctor.
Zhao Yuan led the two to the outpatient clinic, Gong Chao was surrounded by several people, and Zhao Yuan leaned over to explain the situation.
Zhao Yuan's behavior made Gong Chao feel a little troubled, but he knew that Zhao Yuan was a doctor from emergency surgery.
If he finds that the patient's condition is more serious, he still has to pay attention to it first.
"What's the matter with the child?" Gong Chao saw the girl holding the basin, which contained a lot of blood and water, and hurriedly examined the girl, and her face became solemn.
"I was selling fruit at a stall in Dongcheng District, and the child accidentally soiled a female customer's bag, and the female customer slapped the child, and then he started to have nosebleeds. At first, I didn't take it seriously, but I didn't expect the bleeding to stop, so I rushed to the hospital. The girl's mother said worriedly.
The girl said with annoyance, "It was my fault that soiled my aunt's bag, which is very expensive." After my aunt beat me, she also regretted it very much, and when she saw that I had a nosebleed, she gave me money. Mom, you don't have to worry. Why don't you try patting your head with cold water again, maybe this time it'll be fine?"
According to the principle of heat* expansion and cold contraction, by patting the forehead with cold water, the blood vessels in the nose can be constricted, so that the blood flow around the nose can be slowed down, thereby relieving the symptoms of nosebleeds.
However, it can only assist in remission, and patients need to identify the cause of nosebleeds in time, and then treat the cause.
Gong Chao thought for a while and glanced at Zhao Yuan, "Can you help the child stop the bleeding first?" Zhao Yuan
nodded, "No problem!" Generally,
mild nosebleeds can be solved by blocking the nasal cavity with sterile cotton balls.
However, the little girl's nosebleed was very large, and the bleeding had to be stopped by compression with the characteristic swollen tampon.
Gong Chao observed Zhao Yuan's operation, which was worthy of emergency surgery, the movements were skillful, and the strength was appropriate, and it did not cause any discomfort to the little girl.
Seeing that the bleeding had stopped, the girl's mother finally showed a smile on her face, "Yanyan, don't hurry up and thank the doctor." The
little girl looked at Zhao Yuan, revealing her snow-white teeth, "Thank you, big brother."
Seeing that the girl's mother was about to leave with the girl, Zhao Yuan called out to her, "Don't leave in a hurry, she still has to do a few checks."
Gong Chao's gaze swept towards Zhao Yuan, realizing that Zhao Yuan was in line with his own judgment.
The girl had a nosebleed, and it wasn't that simple.
Gong Chao typed out the checklist, handed it to the girl's mother, and said softly, "You need to take the child to do a few tests." Nosebleeds caused by external forces will stop on their own in five to ten minutes, and the amount of blood will not be very large. But your daughter's nosebleed for too long indicates a problem with her blood clotting. A detailed examination is done to find out the cause. The
girl asked worriedly, "Uncle doctor, does it cost money to do a test? I'm all right. The
mother stopped her daughter and continued, "Listen to the doctor's words and do the examination obediently." Mom brought the money!"
Mom left with the girl.
Zhao Yuan sighed, "Director Gong, the girl is so young, if it is really that disease, it is too cruel
!" Gong Chao sighed softly.
"I understand your feelings, we are doctors and we meet all kinds of patients every day. Sometimes fate is so unfair that it befalls those who are good and weak. Many times, doctors are helpless in the face of death.
Zhao Yuan took a deep breath, "I hope my diagnosis is wrong now!"
Half an hour later, the girl's mother returned to the clinic with the examination report.
Gong Chao looked at the report, was silent for a long time, and then handed it to Zhao Yuan.
Zhao Yuan's eyes instantly turned red.
The girl had leukemia!
Leukemia cells proliferate in large quantities in the bone marrow, and the normal hematopoietic function is damaged, so there will be nosebleeds.
When nosebleeds are severe, it means that the condition has deteriorated.
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