Did your child's cold turn into pneumonia after a long wait for a doctor?
The child's cold turned into pneumonia during the waiting for the doctor from the evening of the 14th to the early morning of the 19th?
In a recent report published by China Youth Daily titled "Parents' Diary: A Night in Pediatric Emergency Departments at the Peak of Respiratory Infections", a parent complained that his child's "common cold" had turned into pneumonia while waiting for medical treatment from the evening of the 14th to the early morning of the 19th.
Let's start with a timeline of events:
On November 10, 2023, a child who will turn 3 years old will catch a cold.
The report begins, "Two weeks ago, my child got sick and started having a runny nose and a low-grade fever at night. ”
On the evening of November 14, taking advantage of the "lack of people in the evening, I went to the pediatric emergency department of a hospital for treatment, and the number was 482.
That night, only one blood routine was done, and "a preliminary diagnosis of respiratory tract infection" was made.
On the 15th, he went to the hospital for treatment, but because there were too many children in front of him, he was sent home by the nurse to wait. During this period, we will call once every half to 1 hour. However, because the child fell asleep at noon, the day's visit was delayed.
On the 15th, the registration again failed.
On the 17th, he successfully registered again, and on the evening of the 17th, he went to the hospital again to wait for treatment, and the number was ranked at No. 579.
On the 18th, he went to the hospital again to wait for treatment, and was sent home by the nurse again to wait, and called every half hour to inquire about the progress of the consultation, and expected to see it that night.
At 10 p.m. on the 18th, I went back to the hospital for treatment. During the period, "a 19th-day number was changed".
By nearly 2 o'clock in the morning of the 19th, I finally saw a doctor. After a doctor's examination and laboratory tests, the child was diagnosed with pneumonia. The doctor prescribed an infusion sheet, oral medicine, and nebulization therapy, and the time had come to 3 o'clock in the morning on the 19th.
By the time the infusion and nebulization treatment were over, the time had come to more than 5 o'clock, and 34 hours had passed since the second registration time at 8 pm on the 17th.
Back home,The time has come to 6 o'clock in the morning on the 19th.,The male protagonist went on a business trip 2 hours later.。
Under the care of the heroine, the child was treated with continuous infusion and nebulization for 2 days on the 20th and 21st. After the doctor's examination, he prescribed (oral) medicine and told him to go home and take the medicine.
After the male protagonist went on a business trip for 5 days, he came home, and the child had been taking medicine for 2 days, and his condition was cured and he returned to his previous health state.
In this way, working backwards, the time when the child starts to catch a cold should be November 10.
The core of the parent's complaint is that it is difficult to see a doctor, and the waiting time for medical treatment is long, so that the child's cold boils up into pneumonia during the long waiting for treatment.
The parent was "glad" that thanks to his persistence, after several twists and turns, he finally treated his child and did not become a more serious disease.
"Pneumonia" cured by infusion for 3 days?
Now, the question arises, is the child's illness a common cold or a "pneumonia" that the doctor diagnoses and treats?
Let's start by reviewing the course of your child's illness:
On November 10, the child began to have a runny nose and a low-grade fever at night;
Between November 10 and the 14th of his first visit, "the child slowly began to cough and his nasal discharge became more and more numerous, from a clear nose to a thick nasal discharge,...... Later, the snot became more and more numerous,...... The cough is also getting worse. Sleeping at night, the nose is not ventilated, there is phlegm in the throat, I can only sleep with my mouth open, and there is a loud snoring sound".
By the end of the evening of the 14th, the parents did not mention the child's condition in any words.
It is reasonable to assume that the child's illness did not continue to worsen during this period.
Based on the above course of the child's disease, it is very easy to conclude from the perspective of medical profession that the child is just a common cold, and it is the most "benign" rhinovirus cold - the changes in nasal discharge during this period have obvious characteristics of rhinovirus cold, and it is by no means a "pneumonia" diagnosed and treated by doctors.
The course of treatment is stronger evidence.
If it is really bacterial pneumonia (regardless of the species) that requires intravenous antibiotic treatment, it is absolutely impossible to cure it after 3 days of infusion.
The child's cold has basically healed itself after the initial 4 days at home, and the next 5 days of on-call treatment, and the last 3 days of infusion and subsequent oral medicine treatment are completely "white".
In other words, the child's cold has been "boiled up" in the long-term waiting for treatment, not "boiled into pneumonia" as parents complained.
Upper respiratory tract infection, no signs of serious illness, no pathogen testing, no need for targeted treatment
Hospitals across the country were overcrowded with pediatrics, and the United Nations was alarmed, but the real cause was not respiratory infectious diseases As I mentioned in this article, the basic treatment principle for upper respiratory tract infections that is common around the world is that as long as there are no signs of serious disease, there is no need to see a doctor, and there is no need to do pathogen testing to distinguish what virus or bacterial infection is (in fact, in addition to nucleic acid testing, there is no other way to confirm the diagnosis, and all kinds of IgM antibody tests widely used in domestic clinical practice cannot be used as a basis for diagnosis), let alone targeted treatment—— There are no specific drugs for the virus, and the vast majority of upper respiratory bag infections are viruses and antibiotics are ineffective, as long as you wait patiently for the child to heal on its own, as the child reported.
Like these, on the Internet, as many as 5 or 6 pathogens are diagnosed by detecting IgM antibodies, no one in the international medical community dares to make such a joke, which is definitely the only "secret book" in the Chinese medical community.
Of course, the same problem is that Zhang Wenhong's language art is more clever: "Sometimes the superposition is due to the use of very sensitive detection methods."