Hypoglycemia occurred almost two days ago, and hyperketoneemia occurred about ten hours later than hypoglycemia. Sun Lien arranged the course of Gu Jiahao's disease in his mind. But the more he thought about it, the more Sun Lien felt something was wrong. In
In the absence of other factors, why did Gu Jiahao have mildly abnormal thinking fourteen hours ago?
He couldn't figure it out, life or death. Sun Lien put down the pen in his hand and sighed. Judging from the current situation, if he doesn't find out the reason for the child's mental abnormality and increased heart rate, he may not even be able to find one.
The reason why Gu Jiahao was kept under observation was that the child did not eat. Even if he had mental problems, they would not be under the control of the Fourth Central Hospital.
"Come in." Sun Li'en shouted to Father Gu outside the door. After watching the chubby Father Gu wander into the room, Sun Li'en sighed and said to him, "The child is not very cooperative in asking questions. I want to ask you, these two
Where are your children? Have they been in contact with anyone? Did his aunt say anything to the children?"
"His aunt?" Gu's father was stunned, "Her mother and I were on a business trip a few days ago, so the child has been taken care of by his aunt."
Sun Lien frowned and whispered, "The child refuses to eat now, and his stress reaction seems to be psychologically stimulated."
Some words cannot be said too much, and Sun Lien's questions and explanations have pointed to the source of the problem tactfully. Seeing the change in Gu's father's expression, Sun Lien said cautiously, "I just chatted with Xiao Gu for a while, but the only thing he said
The useful content is that the aunt told him not to eat, saying...if he continues to eat, he will die." Before Gu's father's expression completely changed from shock to anger, Sun Lien said quickly, "But I can't be sure yet, little Gu's
Is the problem all caused by this sentence? There are indeed many problems that may occur after children are mentally stimulated, but if all symptoms are pushed onto this, it would be a bit...irresponsible."
It was the first time that Sun Lien encountered such uncooperative patients. The status bar and consultation that had been very useful in the past could not play their full role. No wonder pediatricians are also called dumb departments. These patients cannot respond to the doctor's inquiries and provide true and reliable medical history and disease course.
With patients, it is inevitable that pediatricians will be as tired as if they had just gotten up after a sudden death.
"I suggest you do a basic check-up first." Sun Lien told Dad Gu about his plan, "First take a blood test and check the blood routine, blood sugar and blood ketones. If it is determined that there is nothing serious in your body,
Then we’d better take Xiao Gu to a specialized psychiatric hospital to have a look.”
Once a man of Dad Gu's size becomes silent with a cold face, the silent oppression feels even more terrifying than Director Han's staring at him.
After being silent for several seconds, he nodded and agreed to Sun Lien's diagnosis and treatment suggestions.
"Why don't you transfer this kind of patient to the pediatric department?" Sun Lien asked his father to take his son to pay for a blood test to be taken away, while Yuan Ping'an took a chance and came over to report on Rawls' treatment. After hearing about it,
After Sun Lien reported the patient's condition, Yuan Pingan gave a dismissive and slightly mocking response to Dr. Sun's special experience. He was not as good as Sun Lien in diagnosing a doctor, but Yuan Pingan himself felt that Sun Lien had the knowledge and means to "improve diagnostic efficiency."
, there are still some shortcomings.
Sun Li'en glanced at Yuan Pingan, "Those colleagues in the pediatric department are about to die suddenly, so I can save them some trouble. I can still do basic examinations. If there is anything I'm not sure about, I'll go there again.
You can also invite them to come for consultation." He has actually seriously considered Yuan Pingan's suggestion. But when encountering this kind of patient, under the condition of seeing some strange status in the status bar, it is really difficult to push the patient to the busy pediatric department.
It's a bit excessive.
Yuan Pingan thought for a while, sighed and said, "I think since this kind of patient is not life-threatening, there is no need to come to the emergency room to take up emergency resources. Diagnosing the condition of a patient who is not in any danger is different from diagnosing a patient who is not in danger."
The condition of a grade-level patient has different meanings."
Sun Lien spread his hands, "I don't have any other crisis patients to deal with now, not to mention that they really have medical needs, so they came to register. Although I am not an expert, a call in the emergency clinic costs ten yuan. Plus, I am not an expert.
There are hidden costs such as waiting and transportation. If they didn’t really need help, they wouldn’t bring their children to see a doctor at noon on a working day.” Yuan Pingan’s idea is actually very common among emergency medical staff.
Not only do they have some "not paying attention" to ordinary patients in handling diagnosis and treatment, but also because they often deal with critically ill patients, they neglect the "spiritual feelings" that ordinary patients who have complete consciousness and can perceive the attitude of medical staff need.
Just like Shen Xi, a young academic who brought his mother to see the problem of ureteral stones. He is a medical student and the junior fellow student of Dr. Cao, Sun Lien's roommate. This means that he should have received all clinical medical education. Even so.
People, when their loved ones are suffering from illness, will come in unruly and angrily scold patients who delay treatment. How can patients and family members who have not received medical clinical education have the ability to distinguish when their relatives are suffering from illness?
Is the doctor's action "appropriate"? They can only subjectively pay attention to the doctor's reaction and attitude. Then they get angry at those doctors who they think are "perfunctory" and "not paying attention".
To put it bluntly, the vast majority of patients and family members who come to the hospital are nervous and fearful. There is great fear between life and death. When their loved ones may face the test of life and death, they will be more at a loss than anyone else. From this point of view
On the one hand, they are pitiable people. On the other hand, doctors who are almost dead from exhaustion have to snatch lives from the god of death every day. They maintain a cordial and kind attitude at all times and pay equal attention to both mild and severe patients.
Power is also a completely impossible thing.
The mutual incomprehension between the two sides and the persistence of both sides have indeed led to the current tension between doctors and patients to a certain extent.
Sun Lien could understand this relationship and impact, so he tried hard to persuade Gu Jiahao's father to take his son for a checkup instead of directly sending him to pediatrics or other psychiatric hospitals. He wanted to avoid threatening him
Under the premise that Gu Jiahao's life is safe, provide him with some help as much as possible.
"If you can help, please help." Sun Li'en took the report handed over by Yuan Pingan and lowered his head to read, "After all, he is a child who is about to reach puberty, and he is also fat. If he lets people know at this juncture,
Knowing that he has been to a psychiatric hospital, how many classmates will he be bullied by? Let's wait until the test results come out."