"Pediatrics was previously called dumb science. The biggest difficulty of pediatrics is that children cannot express their feelings clearly..."

Consultation has always been a very important part of diagnosis, not only in traditional Chinese medicine, but also in Western medicine.

When a doctor sees a doctor, he first asks the patient where he feels uncomfortable and what symptoms are there, whether he is vomiting or diarrhea, whether he is headache or abdominal distension.

The symptoms that patients report are often the first direction for doctors to diagnose.

Even if it is a Western medicine diagnosis, what examination should be given to patients? Is it a chest ultrasound or a brain CT scan? Is it a routine blood test or a liver function test?

These are based on the patient's self-reported symptoms.

If the patient cannot express his symptoms clearly and does not say a word when he sees the doctor, then the doctor needs to guess and judge by himself, so the diagnosis will be quite difficult.

All examinations cost money. If unnecessary examinations are prescribed, can the patient be happy?

The difficulty of pediatrics is precisely because the doctor does not know where the child is uncomfortable, so the child keeps suffering. Parents can't say a word, two or three, which is a test of the doctor's level at this time.

From this point, we can also see the absurdity of some posts saying that Chinese medicine cannot dialectically rely on pulse diagnosis in the whole day, such as online pregnancy tests, whether they are pregnant through the curtain, or not telling the doctor or the patient's condition, sitting in front of the patient, you can rely on pulse diagnosis to see if you are pregnant, etc.

Traditional Chinese medicine is not omnipotent in pulse diagnosis. Take pregnancy tests as an example. Pleasant pulse is actually slippery pulse.

The modern Chinese medicine diagnosis textbook has a very clear description of slip pulse.

Fluent contacts should mean smoothness, like a bead that is rolling continuously from the ruler to the inch.

The clinical diagnosis of slippery pulse is more common in diseases such as phlegm and dampness, food accumulation and solid heat. If the person is usually healthy and has smooth pulse and slow pulse, it is a sign of fullness and prosperity... Women of childbearing age who have a sloppy pulse should consider pregnancy. If it is too slippery, it will be a disease...

From the description of the textbook, what point does it mean that you can diagnose pregnancy by simply taking the pulse?

Women of childbearing age have a slippery pulse. These are two prerequisites. The first choice is to stop the meridian, and the second is to stop the pulse. Only by combining the two can you consider whether it is pregnancy. Consideration and diagnosis are two different concepts. In other words, even if the meridian stops, the pulse may be a different symptom.

At this time, you need to go to the four clinics to participate in the dialectical examination and confirm each other. One depends on the doctor's knowledge and the other depends on the keen observation.

This is especially true for pediatrics. Pediatricians must first be extra careful. Any behavior of the child cannot be ignored. Irritable, restless, and even crying have different meanings.

While walking out of the clinic, Fang Han also told Li Junxian about the tricks.

"Doctor Fang, I will pay attention." Li Junxian nodded, very humble.

Li Junxian has discovered more and more in the past few days why Sun Yiyang talked to him so much? It was really lucky to be able to follow Fang Han.

With Fang Han, not only has many opportunities, Fang Han will patiently explain to him every time. In just a few days, Li Junxian felt that he had benefited a lot.

Since Li Junxian contributed a random lottery, Fang Han became more and more eager to teach Li Junxian. The group of guys in the emergency department of Jiang Intermediate People's Hospital have not contributed a random lottery to Fang Han for a long time. Since he has come to Yanjing, Fang Han doesn't mind teaching others.

They are all medical workers, so how can they be divided into each other? Although they are in different hospitals, they are all in jobs to cure diseases and save lives.

Before the system's prop mall was opened, Fang Han didn't really think the lottery was so precious. After all, he'd already won a lot of lottery times this year.

But with the opening of the prop mall, Fang Han realized the preciousness of the lottery. You should not use worship points indiscriminately. Even if you draw a primary permanent skill, you can save 50,000 worship points, right?

As they were walking, Fang Han and Li Junxian both heard a noisy sound not far away. The direction was in the direction of the rescue room, and the two of them hurriedly rushed over.

Before he arrived, Fang Han saw a lot of people surrounding the emergency room, mostly the families of patients in the emergency department, as if they were watching something lively and the nurses were maintaining order.

Fang Han separated the crowd and walked into the rescue room. He saw a woman covered in blood standing near the door of the rescue room. The woman stood beside her, looking dazed, like a lonely geese in the autumn wind, giving people a sense of desolation and loneliness.

The quiet rescue room could clearly hear the woman's crying. The woman was crying while touching her tears. The blood on her hands rubbed against her face. The tears mixed with the blood. The whole face seemed to be stained with blood, and she couldn't even see the woman's age.

A man of thirty-five or six years old was lying on the bed in the emergency room. The man was unconscious.

“What’s the situation?”

Fang Han and Li Junxian hurried forward.

The person in charge of the rescue is Wang Haobo, the hospitalized director of the emergency department of Yanjing Hospital.

Seeing that it was Fang Han, Wang Haobo hurriedly said: "Doctor Fang, the patient is a male, 36 years old. He was stabbed in the upper left abdomen fifty minutes ago, with hemorrhagic shock... The deep diameter is 3.3CM, and there is no effusion in the chest cavity..."

"The one at the door is the family?" Fang Han asked.

"Yes." Wang Haobo nodded.

"The husband and wife quarreled and were stabbed by her wife?" Li Junxian asked.

A man is in a coma and a woman is covered in blood. This scene is not difficult to guess.

If this is true, this woman is fierce enough. Of course, this kind of thing is not uncommon. You can see any strange things in the emergency department, not to mention that you have just been stabbed by your wife or a dog.

"I was stabbed by my son, and my wife was anxious and stabbed her again..." Wang Haobo whispered with a wry smile.

Li Junxian was stunned. This was a little rare.

"Where is the injured son?"

Fang Han looked around and saw no other injured person. If Wang Haobo said, wouldn’t there be someone injured? Could it be...

"I was not seriously injured and was taken by the police and bandaged in the disposal room."

Fang Han nodded then, then went up to check the patient's condition and asked: "Have you had a chemotherapy and abdomen combined CT? In this case, you should consider whether there is a chemotherapy and abdomen combined injury, and at the same time, you should consider the possibility of pneumothorax.

"I'll arrange someone to do it now."

"The patient is not old, so the patient's son should not be old, right?" Li Junxian couldn't help but ask curiously while the patient was going for a CT scan.

"Not big, I look like I'm eleven years old this year." Wang Haobo said.

"You knew you were stabbing someone at such a young age?"

"It is said that I feel that my father is not worthy of him." Wang Haobo said.

"I'm not worthy, what are you talking about?" Fang Han was a little stunned.

"I'm not very clear about the specifics. I just heard the doctor in the ambulance briefly say that the injured person's son is very good, has good academic performance, but his family is not well off. The injured person is a delivery person. The son feels embarrassing. Today, I don't know why the injured person taught his son a lesson. The son was so angry that he gave a knife. The injured person's wife..."

As he spoke, Wang Haobo glanced at the woman who was still stunned and whispered: "The injured wife rushed to snatch the knife and gave her son a knife. Fortunately, she just scratched her face, and it was nothing serious..."

“…”

Fang Han no longer knows what to say. Is the eleven-year-old child embarrassed his father?

"Doctor Fang, this matter is not very rare."

Li Junxian was not too surprised: "Now many children are spoiled to the sky, and they know how to compare at a young age. I heard from a relative of me that some children even formed an anti-parent alliance. None of the children in it are mediocre, they are all outstanding in the class, with better academic performance and top academic performance, but you dare not read their chat records."

Fang Han: "..."

It is said that the world is so big and there are all kinds of strange things. This is the first time Fang Han has heard of this.

Although there were news about the child killing his parents before, Fang Han always thought it was just an isolated case. Hearing Li Junxian said this, it seems that it is not an isolated case.

"Anti-parent alliance?" Can you imagine this?

No wonder women seem lonely when standing by the side, and their whole spirit is like being hollowed out. On one side is her husband and on the other side is her son. If the person involved is not involved, they will definitely not be able to understand the woman's mood at this moment.

As he was talking, Qian Xiaolin walked in and asked, "How is the situation of the injured?"

"Hemorrhagic shock...Doctor Fang recommends a thoracic and abdomen combined with CT." Wang Haobo told the situation again.

"Well, Xiao Fang was very considerate and wanted to eliminate thoracic and abdominal injuries and pneumothorax. Otherwise, he would not be able to use the ventilator after surgery." Qian Xiaolin nodded.

"Director Qian, no pneumothorax."

The CT result came out soon. Wang Haobo looked at the result and handed it to Qian Xiaolin. Qian Xiaolin took it and took it and ordered: "Prepare for the operation..."

As he said that, he glanced at the dull woman and said to Wang Haobo: "Let me enlighten the family members of the injured and communicate with the family members of the injured."

After saying that, Qian Xiaolin greeted Fang Han and Li Junxian.

After entering the operating room, Fang Han and Li Junxian changed their surgical gowns and followed Qian Xiaolin into the operating room.

This time it was not a liver resection. Qian Xiaolin was the one who was responsible for the surgery, and Fang Han and Li Junxian were responsible for the operation.

Li Junxian followed Fang Han, and this was the third time he had been using it these days.

This is because Fang Han is not a surgical maniac and does not focus on surgery. Otherwise, Li Junxian might have had several surgeries a day.

The injured person's injury was not too serious, mainly due to blood loss and coma. When he was sent to the emergency department, there was no big danger. Qian Xiaolin was the chief surgeon and Fang Han was the assistant. Such a lineup was considered high-profile. Therefore, Fang Han gave Yisuke's position to Li Junxian after seeing the situation and changed positions with Li Junxian.

Qian Xiaolin also saw that Fang Han was interested in cultivating Li Junxian, and while doing it, he explained to Li Junxian in detail.

Seeing that Fang Han was good to Li Junxian, Qian Xiaolin actually had the same thoughts as Fang Haoyang at the time.

Didn’t Fang Han intend to train Li Junxian? Then Qian Xiaolin gave Li Junxian a chance, which was a disguised sale to Fang Han.
Chapter completed!