Many doctors did not like to work in the Pediatrics Department. On the one hand, the Pediatrics Department was complicated, and it was equivalent to being half a general practitioner. On the other hand, children who did not know how to speak or could not speak clearly would make it difficult for them to determine the patient's condition.
On the other hand, it was common knowledge that the pediatric patients' families were increasingly demanding perfection.
Of course, the main problem was that the income of pediatricians was low, and the workload was high. In the world of pediatrics, where there were very few prescriptions and surgeries, the income of pediatricians in most hospitals was less than half of that of internists. In the hospitals that had changed their medicine, the Pediatrics Department was only half as good as the Surgery Department.
However, these problems were not a problem for Ling Ran.
If Ling Ran had a choice, he would rather that the patients did not know how to speak, so that the patients would not have to keep trying to get close to him. For Ling Ran, passing him notes, leaving him their phone numbers, and sending him WeChat messages to ask for perfection and low income were even less of a problem.
In this world, some people grew up soaked in bitter water, some were born with a golden spoon, and some were born with a big diamond.
"What are the symptoms of the child?" Ling Ran stood behind an intern and asked.
The intern was about to bandage the child's wound, but when she heard that, she froze for a moment. When she turned around and saw Ling Ran, she became even more nervous.
Interns were like the little pets in the hospital. Some were cute, some were sensible, some were dumb, and some were ugly, stupid, and annoying … However, interns had one thing in common. Just like the pets at home, they could always keenly judge the distribution of power in the family.
Right now, Ling Ran was in charge of more than half of the beds in the Emergency Medical Center, and he was not a doctor who was easy to talk to. The new interns who came after him would tremble in fear when they met Ling Ran. They were even more afraid of him than the old chief physicians who were easy to talk to like Chief Physician Tao.
The intern's fingers trembled a little before he whispered, "Three-year-old child. He cut the skin on his leg while playing. The wound is very small. Prepare to disinfect it and bandage it …"
"Oh … I see the blood is all over his feet." Ling Ran casually put on the gloves, grabbed the child's leg, and took a look at it. He found that it did not need to be sutured.
If he did not suture it, Ling Ran would have nothing to do with it.
Ling Ran took the opportunity to clean the area near the wound. He still felt a little puzzled as he said, "It's such a small wound, but there's so much blood flowing. Have you done a blood test? "
"I accidentally broke it. Don't draw blood." It wasn't the first time the father had come to the hospital with his child. He knew how troublesome it was to draw blood for a child.
"Now that I look at it, the rate of bleeding isn't that fast. Hmm … it's almost coagulated. There's no reason for me to bleed so much …" Ling Ran was a little conflicted.
"You don't have any children, right?" The child's parents laughed. "This child cut his leg and it's very painful. He's crying and throwing a tantrum. The wound was just slightly healed and then he cut it again. It's normal."
Ling Ran hummed in acknowledgment and asked, "How long has it been since you broke it?"
"About two or three hours," the father said. "I couldn't take it anymore because of him, so I brought him to the hospital. Bandage him up, and we'll go home and rest. I also know that you are busy in the hospital, so I won't waste your time. "
"I'm not that busy." Ling Ran gestured for the parents to sit down and sat opposite them.
Although a little reluctant, the parents still sat down with their children.
In just a short while, the originally ignorant child suddenly frowned and cried in pain.
"Don't cry, don't cry." The father was flustered. He hugged and coaxed the child, and while he shook him, he said, "I probably hurt him again. Daddy was careless. I'm sorry, don't cry, don't cry … "
Ling Ran coughed a few times and recalled the etiquette that Huo Congjun taught him to meet the expectations of a patient. Then, he said politely, "May I know your surname?"
The father was a little flustered by the doctor's politeness. "Ah …" He quickly said, "My surname is Niu."
"Mister Niu." Ling Ran nodded slightly and said, "When you were injured before, did such a small wound hurt for two or three hours?"
The father was stunned. He hesitated for a moment and said, "No, but we were all naughty children at that time. When I was young, I ran around the fields in the village. I was not as spoiled as the children nowadays."
"The mechanism of pain belongs to humans," Ling Ran said.
"Huh?" The father did not understand.
Ling Ran coughed a few more times and sorted out his words before he said, "What I mean is, even if you are spoiled, your child should not cry for so long. So, I suggest that you do a few more examinations."
The father looked at Ling Ran doubtfully. He even lowered his head to look at his nameplate before he said hesitantly, "Um, Doctor Ling, it's not that I don't care about money, but I don't want my child to suffer anymore. Let's talk about drawing blood. It's fine if you can draw blood in one go, but the last time my child drew blood, he had to be injected with needles four times in a row. My heart ached so much … Now, my child cries when he sees the needle. Look … are you worried that there's a problem now? "
"Then, let me do a physical examination for him first." Ling Ran stood up and said, "Put him on the bed, let me take a look."
Ling Ran had never done outpatient consultations before, and he did not participate in many consultations either. In terms of diagnosis, he was relatively inexperienced.
However, Ling Ran's foundation in diagnostics was still very solid.
In school, his grades in diagnostics were always ranked first. After he obtained Specialist Level Physical Examination Skills, theoretically, it should not be a problem for him to do small outpatient consultations.
In fact, Ling Ran had been wandering around the Emergency Department's treatment room and resuscitation room for a long time, and he had already made many diagnostics. It was just that he did not make judgments based on outpatient consultations.
If there was really a need to make a diagnosis, Ling Ran's Master Level MRI Reading (Four Limbs), Specialist Level Ultrasound Reading, and Perfect Level X-ray Reading would still be quite useful.
However, compared to scans, physical examinations were obviously more acceptable to parents.
Ling Ran watched the child lie on the gurney. He did not perform the examination according to the usual order of a physical examination. Instead, he immediately stretched out his hand, which had been warmed in his pocket, and lifted the young patient's shirt. He placed his palm on his stomach and pressed it gently.
"Wah …"
Without any hesitation, the child immediately burst into tears, not giving any face at all.
"Ah … What … What are you doing?" The father was also about to cry.
"Let me touch it again." Ling Ran used his other hand to play with the child's face, as if he was playing with a big orange cat.
The child was still crying, but he did not cry as miserably as before.
Ling Ran took the opportunity to place his hand on the child's stomach and pressed it again.
Even if the child's gaze was attracted by Ling Ran, he only hesitated for two seconds before he continued to cry.
"It hurts a lot, right? It'll be over soon, it'll be over soon." Ling Ran did not immediately let go. Instead, he continued to press the child a few more times.
His physical examination skills were only at Specialist Level, but it was enough for him.
On the other hand, the experience of one hundred abdominal anatomical dissections could give him a huge amount of information.
Based on the hardness and softness of the abdomen, and even how much the child cried, Ling Ran could come up with a partial conclusion.
However, the child's wailing made the father unable to bear it. He grabbed Ling Ran's sleeve and said, "Doctor, the child is crying like this. What are you …"
"But he's not crying because his leg hurts, right?" Ling Ran turned around and asked him before he pressed a few more times.
The father was stunned. It was a simple logical question, but it was not easy to answer.
"If his leg doesn't hurt, what is it?" The father's heart trembled.
"It might be an intussusception." Ling Ran did not hide it and said, "I'll give you an ultrasound. Go and get it checked now. There's no time to lose. "
"Oh … Yes … Okay …" The father instantly panicked. "Um … What's an intussusception?"
"To put it simply, it's a child's intestines that are stacked together. It's as if one section of intestine is stabbed into another section of intestine. This is a common disease among infants and young children, and it's a dangerous disease. "Ling Ran saw that the father really did not understand, so he explained it in a rather simple manner.
"Is it dangerous?" The father gulped. He wanted to get it checked quickly, but he could not help but ask, "But, why did he suddenly get an intussusception?"
"Because a child's intestine is six to seven meters long, and the space in the abdominal cavity is small. It's very easy for the intestines to be stacked in the wrong position. For example, it might happen when a child has just started eating complementary foods. Usually, children with intussusception are below the age of two, and the probability of it happening at the age of three is slightly lower. So … you should go and get it checked first. "
"Okay, okay …" The father carried the child and walked a few steps before he stopped again. He turned his head again and said hesitantly, "Do you think it has something to do with the fact that we like to swing him around for fun?"
"What do you mean by 'like to swing him around for fun'?"
"That's right. My son likes it when I lift his feet and swing him around in the air." As the father spoke, an awkward smile appeared on his face. He said, "Every time I lift him up to swing him, he will giggle …"
After he finished speaking, the father looked at Ling Ran eagerly. "Could it be?"
Ling Ran, '̄ □ ̄ | | … His father also liked to play with him like this when he was young …'
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