Young children, cold knives, bloody wounds, heart-rending cries... Looking at these words, is it a tragic case that has come to mind?
Don't worry, the topic that the shop talked about today does touch life, but it is not harmful, but life-saving, and the "scene of the incident" is the place that makes children frightened - the children's hospital.
The original team that produced the popular documentary "Guardian Liberation West" went out again, this time focusing on the doctors of Shenzhen Children's Hospital.
The Shining Pediatrician
Pediatrics is often called dumb because children cannot clearly express their symptoms and pain, which undoubtedly makes it more difficult for doctors to see them.
What's even harder for pediatricians is that they not only have to try to treat the child, but also beat the parents.
Communication with parents is a must for pediatricians.
The first doctor to appear in the film is Chen Xinxin, director of thoracic and cardiac surgery, this "big guy" has sharp eyes, hands in his pockets, slippers on his feet, and walks with his own aura.
A strong aura comes from excellent strength.
Dr. Chen has been working in cardiac surgery for 37 years and has handled tens of thousands of patients, and his frequent phrase is: "The success rate of surgery is about 99.5%." "Speak and behave with confidence.
But even experts like Dr. Chen have patients who can't be persuaded.
On this day, Dr. Chen saw a couple in their 30s.
The wife was 23 weeks pregnant and the fetus was found to have a "partial atrioventricular septal defect of the heart." (A normal heart has a wall-like septum between the chambers, and a heart with a defective septal is like a hole cut into the wall.) ）
Fortunately, the problem is not big, it is mild, Dr. Chen read the report and told them that the child can be operated between 6 months and 1 year old after birth, with a success rate of 99.5%, and the postoperative effect is very good.
After listening to the doctor's analysis, the couple did not show a relaxed demeanor, and still had many concerns:
"Will there be any sequelae of the operation?" "No problem, just like a normal person."
Continue to struggle:
"We are worried that our children will be rejected because of heart disease when they report to school in the future." "It's all cured, what else to report?"
……
Asked later, Dr. Chen gave a simple and straightforward ultimate answer: "Like normal people, do you understand?" ”
Having said this, the wife still hesitated and began to repeat the inquiry.
Dr. Chen, who had a relatively straight temper, saw the problem and interrupted her speech: "Have you not decided to have this child yet?" ”
The couple fell silent.
"I tried desperately to tell you that after surgery and normal people, you always feel that it is not, in fact, you reject this child in your heart."
Dr. Chen asked the two to stop entangled in the details of the operation, and to think clearly about the main premise first, otherwise there is no point in re-examining and talking more.
It sounds straightforward and crude, but it's really a communication strategy.
Many times patients are unwilling to express their true thoughts for some reason, so doctors need to break this layer of paper and say the "crux", so that communication can progress smoothly.
We often say that children are disobedient, and pediatricians encounter many "disobedient" parents.
For example, in this family, the baby fell off the bed and went to the doctor in the consultation room to touch: "There is a brain hemorrhage, I want to take a film." ”
The next second, the child's grandmother questioned: "Why film?" This thing has radiation. ”
"Severe radiation or severe brain hemorrhage?"
After the doctor explained the condition, the grandmother still did not die, and asked again before going out: "Can you not shoot?" ”
After filming, there was indeed a crack in the cerebral hemorrhage bone, and the doctor asked him to do an MRI a week later to observe whether it was aggravated.
The child's grandmother's "radiation theory" reappeared, and the doctor had to repeatedly emphasize that there was no radiation.
"Radiation Grandma" had just left, and another parent from the neurosurgery department tried to convince the doctor.
The mother's child is still 10 years old and often wets the bed, sometimes leaking urine, Dr. Wang of the Department of Neurosurgery pointed out after analysis, the symptoms are very typical, the problem is in the nerve traction at the end of the spinal cord, and a minor operation is required.
When she heard about the operation, the mother was not happy, feeling that the child's symptoms were not as serious as this.
For this reason, he also went to Beijing to make a film, and Dr. Wang emphasized that the doctors in Beijing said that there was no need for surgery first.
When I came for a follow-up next week, the doctor still gave advice on surgery, and my mother used "We wet the bed when we were young, just grow up." to refute.
In order not to delay the child's treatment, the doctor prescribed two more detailed tests, emphasizing that these two tests were not passed, and that it could only be caused by the end wire.
A week later, the familiar figure reappeared, this time she finally agreed to the operation, and the child now wets the bed every day and can't wait any longer.
This time, the mother also explained why she was struggling with surgery: there is also an eldest daughter in the family who is a special child and cannot take care of herself, as a mother, she is just afraid and wants to seek a safer way.
In the face of their children's illness, some parents cannot make a decision immediately, and they do have their own bitterness, which requires frank communication between the two parties.
Doctors answer patiently, and parents should also fully trust them, so as to bring better results to their children.
On the other hand, parents should not be negligent and delay treatment if they express discomfort to their children.
The 11-year-old girl had difficulty urinating and had a bruised lump on her lower body.
After questioning, Dr. Li learned that the girl's stomach and underneath were uncomfortable during the New Year, and her mother thought that she was eating bad things and did not care too much.
The mother was careless, and the little girl was shy, so it dragged on until now.
Considering that the girl is an adolescent, Dr. Li asked Director Peng Gang of the adolescent gynecology department to participate in the consultation.
After observing the girl's symptoms, Director Peng asked the parents about the girl's development and menstruation, and the mother was confused.
The mother feels that the child is only 11 years old and has not thought about menstruation at all, which is also ignored by many parents and our social education is insufficient.
In fact, breast development at the age of 7 or 8 in girls, menarche after two or three years is normal, and parents need to pay more attention to find problems in time at this age.
Yangyang actually had menarche half a year ago, because the vaginal hymen was blocked, menstrual blood could not be discharged, and it accumulated in the lower body to form a bulge.
The parents didn't care, and the child survived like this for more than half a year.
Director Li's sentence "You must have suffered a lot during this time" made the sensible Yangyang cry out in grievance.
The doctor quickly arranged surgery for Yangyang.
After the closed hymen was cut, a large amount of old blood gushed out, and the experienced Director Peng was also taken aback.
It is hard to imagine how much pain this little girl endured, which could have been avoided.
Of course, the most touching part of the documentary is the human light that bursts out from those moments of life and death decisions.
Enxi, a baby who is just 1 year old and 3 months old, has hardly left the hospital since birth.
Born prematurely at 28 weeks, complete atrioventricular septal defect of the heart, severe lung infection 9 days after birth, and remained in the NICU.
During this period, parents took their children to seek medical treatment, almost ran all over the country, and the family wealth was scattered, but still did not get the desired results.
In February this year, Enxi's symptoms worsened, the condition was very bad, many hospitals refused to operate, and doctors in Xuzhou contacted Liang Suixin, a chronic lung expert in the neonatology department of Shenzhen Children's Hospital.
Liang Suixin, who learned of the situation, immediately rushed to Xuzhou to check on Enxi's situation.
Enxi in the intensive care unit was worse than he expected, and in addition to heart problems, a lung infection left her lungs like sponges full of water, severely deprived of oxygen.
Enxi's current physical condition, even if the transfer is this journey, is risky.
But if you don't turn, it means that there is no chance, you can only give it a go.
After stabilizing the basic situation, Enxi was sent to the high-speed train and successfully arrived in Shenzhen under the supervision of Dr. Liang.
There is hope, but more apprehension and unease.
During the preoperative conversation, Dr. Chen Xinxin asked the two parents a cruel question:
"If after so much effort, the child is still not saved, can you accept it?"
For Enxi's parents, this is the terminal, the last chance, and they accept whatever happens.
After receiving an affirmative answer, Dr. Chen knew it was time for them to do their best.
Enxi was pushed into the operating room again, and 4 hours later, the critical steps were completed, the instrument showed that the baby's heart function had improved significantly, and Enxi received a second life.
There is a scene in the film that is particularly moving.
The mother hugged the improved Enxi and asked: "The baby high-fives, will it still be there?" Little Enxi raised her little hand with great effort.
At that moment, just like Enxi's name, we saw gratitude and hope.
Some say that hospitals are the most vulnerable places.
It is full of human suffering, but it is also full of love and new life.
In the square inch of the children's hospital, pediatricians witness joys and sorrows, joys and sorrows, and are also using their mortal bodies to strive to become "superheroes" in the lives of patients.
The story continues here.