On the afternoon of December 3, a patient's grandfather pushed open the door of the doctor's office on the sixth floor of the internal medicine building of the county people's hospital, "Doctor, my child is sick, the outpatient doctor said that he needs to be hospitalized, but there is no empty bed in the inpatient department, can you think of a way?" The family said eagerly. Because it is catching up with the peak period of children's respiratory diseases every year, there are indeed no beds in the inpatient department," Li Guilian, director of pediatrics who is working, immediately got up and replied. It is true that as soon as the temperature drops every year, pediatrics are overcrowded, and it is a fact that "a bed is difficult to find".
Later, after the director's careful consultation and physical examination, the small patient, 5 years old, a boy, was diagnosed with "pneumonia, gastrointestinal dysfunction", because the disease is relatively single, there are no serious complications, after explaining the child's condition to the family, it is recommended to stay in the outpatient observation room for 1 day, and tomorrow to make an appointment for the patient to be hospitalized. However, due to the fact that the parents of the small patients are working in other places, the grandparents are also older, afraid that they will not observe the changes in the condition, so they urgently want to be hospitalized. After weighing the pros and cons and consulting with the parents again, the director decided to temporarily stay in the inpatient department, because there was no bed and no place for infusion, and the director let the patient infuse in his office.
After the end of the two-hour infusion, the mental state of the small patient is better than when he was admitted to the hospital, the grandparents' tight frown has been stretched, after observing for half an hour, the small patient has no special discomfort, the director patiently explains how they go home to observe the change in the child's condition, instructs them to go home temporarily, and recommends that the next morning follow-up, if necessary, arrange bed treatment, and the family goes home with gratitude.
Because the course of common pneumonia in children is generally about 1 week, the treatment day can only alleviate the clinical symptoms and cannot be cured, so the patient comes to the next day as scheduled and is admitted to the hospital for treatment. After another 1 week of infusion and nebulization and sputum elimination, the patient's pneumonia was cured, but the gastrointestinal function recovery was still poor. Because the child is picky before the onset of the disease, like to eat staple foods, the diet structure is relatively single, the amount of diet is small, the stool is dry, still bothering the parents of the child, through the careful education of the doctor in charge Wang Haiying, the family agreed to go home to take oral drugs and change the diet structure slowly adjusted.
After 1 week of treatment after discharge, the patient's gastrointestinal function improved, he could eat some vegetables and fruits, the amount of staple food also increased significantly, the gastrointestinal function improved, and the child's pneumonia was not repeated. In order to express his gratitude, the child's grandfather specially sent a pennant with the words "Exquisite medical skills are passed on in all directions, and medical ethics are noble and warm to people's hearts". In fact, the treatment of pneumonia is the basic skill of pediatricians, called not exquisite, but only as a mission of pediatricians, we hope that the majority of patients who come to the hospital for treatment can work with the doctors to build a healthy fortress for the majority of children!
Photo/Text: Pediatrics
Editor: Party Affairs Office