I really don't want to be a doctor

Chapter 37 Bronchial Asthma

A burly train conductor stretched out to stop Jing Xiaoran, and there was a nameplate next to the jacket pocket of his blue uniform - train conductor.

"There is a sudden illness of a passenger here, please stay away!"

The train conductor has a stern face and a thick voice.

"Hello, conductor, I'm a medical student." Jing Xiaoran said, "The child is in a critical condition now! I just heard from the radio that it takes at least 10 minutes to make an emergency stop at the temporary station."

"But if we don't deal with it right away, I don't think this kid can survive for 10 minutes!"

The conductor frowned slightly: "Are you also a medical student?"

Jing Xiaoran nodded: "En."

The man with round glasses standing aside was the other medical student that the conductor had mentioned before.

The train conductor did not continue to stop him, nor did he ask about Jing Xiaoran's ID, and let him go directly.At the same time, he calmly glanced at the boy with round glasses, then looked at Jing Xiaoran, and said, "Student, which university are you from?"

"Ning'an Medical College." Jing Xiaoran answered casually.

There are not many medical schools in the provincial capital, only four, the most famous of which is the Provincial Medical University, which ranks among the top three medical universities in the country, and the Provincial Children's Hospital is also its affiliated hospital.

Ning'an Medical College is one of the four medical colleges, and it is also the school where Shijing Xiaoran's undergraduate degree was, a second-rate college that is not popular.

"Ning'an Medical College, that secondary medical school?" The man with round glasses raised his glasses with a meaningful smile on his face.

The train conductor looked at everything in front of him, secretly took out a small recorder from his pocket and put it on his neck, and began to record all Jing Xiaoran's actions.

At the same time, the train conductor sighed deeply in his heart, why is there not a single real doctor, all of them are medical students who came out of nowhere!
Courage is commendable, but courage alone is useless!

The man with round glasses who claimed to be from the Provincial Medical University just now, he couldn't help it, he was more like a person who came to join in the fun. Could this boy from a second medical school have a way?

Jing Xiaoran ignored the man with round glasses, walked quickly to the side of the little boy, and squatted down.

The woman with big wavy curly hair saw that it was Jing Xiaoran who came, and immediately recognized it.

"You...you are a doctor?" Her voice was still crying, and she tightly grasped the corner of Jing Xiaoran's clothes with both hands.

"That's right, but I haven't graduated yet." Jing Xiaoran said.

"Just now... yes... I'm sorry, please help my child to see, he suddenly became like this a few minutes ago."

The woman with big wavy curly hair can't care whether Jing Xiaoran is a doctor or a medical student, this is her last straw.

Jing Xiaoran began to do a physical examination.

The little boy had shortness of breath, wheezing sound from the throat, cyanotic lips, cyanotic nail beds, cool extremities, and extremely slow reaction.

"Is there any medical equipment in the car?" Jing Xiaoran turned around and asked.

He glanced at it, and suddenly looked at the miniature recorder on the conductor's chest.

The conductor obviously noticed Jing Xiaoran's gaze, and his face was slightly embarrassed.

"It's a formal procedure." The conductor smiled.

"I understand, quickly bring the medical kit." Jing Xiaoran didn't want to complain about these so-called "regular procedures".

The train conductor looked at Jing Xiaoran in surprise, he didn't expect that this boy who looked so immature knew so much about "rules", maybe he really had two skills.

Immediately afterwards, the conductor immediately brought a white medical box from his subordinate.

Jing Xiaoran glanced at it. There were stethoscope, sphygmomanometer, and thermometer in the medical box. The only medicines were Huoxiangzhengqi water, Jianweixiaoshi tablets, and antipyretics.

"Sure enough, you can't have too much hope for the medical equipment on the train." Jing Xiaoran thought to himself, "These things are only for minor ailments, and once they are for emergencies, they are completely useless."

"What can you do with just such a few things?" The man with round glasses muttered in a low voice, "I don't even have the smallest oxygen tank."

Jing Xiaoran glanced at him, took out the stethoscope, and began to listen to the little boy's lungs.

After simply and quickly listening to the lungs, Jing Xiaoran took off the stethoscope and said, "You can hear a lot of wheezing in the lungs, the condition is not too bad..."

"Have you finished listening? Have you listened for ten seconds?" The man with round glasses widened his eyes, and then said contemptuously, "You really know how to pretend...do you know how to use a stethoscope?"

"Do you know what 'silent lung' is?" Jing Xiaoran asked back.

The boy with the round glasses was slightly taken aback, silent?
He seemed to have a little memory, but he couldn't remember it, and couldn't speak a word for a while.

Jing Xiaoran ignored the man with round glasses and looked back at the little boy lying on the seat.

In fact, more examinations are not necessary. The wheezing sound in the larynx and the lungs have made the diagnosis obvious!

This is an acute attack of bronchial asthma!
Bronchial asthma, usually caused by exposure to allergens, causes airway hyperresponsiveness. Simply put, it is bronchospasm. The airway will be narrowed or even completely blocked, resulting in difficulty in breathing.

During an acute attack of bronchial asthma, the bronchial tubes are in a state of continuous spasm, and the lungs cannot ventilate to the outside world. Severe breathing difficulties will naturally occur. If the bronchial spasm is not relieved for a long time, it will lead to suffocation and even death.

Jing Xiaoran's first move was to gently pick up the little boy, let him change from a supine position to a semi-recumbent position, and then unbutton all his collars, which would help him breathe more.

"Eldest sister, just hold him like this, and let the child lie down halfway." Jing Xiaoran said.

The woman with big wavy curly hair nodded and followed Jing Xiaoran's instructions.

"Do you know what the disease is?" The conductor on the side asked.

"Bronchial asthma has an acute attack, if the spasm cannot be relieved, the child's condition will get worse and worse." Jing Xiaoran said.

"Bronchial asthma?" The man with round glasses said again, "But most of the bronchial asthma will be relieved by itself, he..."

Before he could finish speaking, Jing Xiaoran interrupted: "You said that most of it will be relieved, and you didn't hear his obvious wheezing sound? I can hear it from several meters away."

The man with round glasses was unconvinced: "Why do you say that wheezing is bronchial asthma? What if it's pneumothorax? Or congenital heart disease, not the cause of the lungs?"

The man with round glasses became more and more excited, and the more he said, the more outrageous he became.

"Are you here to save people, or to cause trouble?" Jing Xiaoran glanced at the man with round glasses and glasses, and then said, "Train conductor, please send the irrelevant people away, they are bothering me."

The conductor nodded, but he didn't ask the man with round glasses to leave, he just gave a little warning.

The man with round glasses was aggrieved, his face was flushed red, even if he was asked to leave now, he would still stay here.

He wanted to see how this poor student from the second medical school treated this little boy!
He looked forward to seeing Jing Xiaoran being slapped in the face.

Jing Xiaoran didn't have time to pay attention to him, the wheezing sound from the little boy's throat made people feel uncomfortable.

"Who are you?" Jing Xiaoran looked at the woman with curly hair.

"I'm his mother." The woman with wavy curly hair said, "Does this have anything to do with his illness?"

"Then what illness did he have before, do you know?" Jing Xiaoran asked back.

The little boy looked about eight years old. Judging from his condition, his bronchial asthma was certainly not the first attack, and it should have been a long time ago.

"No...no." The woman with big wavy curly hair was taken aback, "His dad and I have been working outside for many years, and his grandparents have always taken care of them. This summer vacation, he said he would take them to the city to play."

"Has there been no similar episodes before? Didn't his grandparents tell you?"

"No... Ah! I remembered!" The woman with big wavy curly hair suddenly screamed, "My mother-in-law said that he is prone to colds in winter, and he will have difficulty breathing when he catches a cold."

"Never been to the hospital?"

"Every time the symptoms last for a while, it will be fine, so I don't care too much!"

It seems that there must be no medicine for acute bronchial attack in the luggage of the woman with big wavy hair, so Jing Xiaoran's hope has come to nothing.

But he still asked with a hint of hope: "Do you have any medicine on you or in your luggage?"

"Medicine..." The woman with big wavy curly hair quickly took out a bottle from her luggage bag, "Only this, his grandma often made him drink this."

Jing Xiaoran took a closer look, the children's cough syrup...

Hopes were lost again.

"I asked you just now, why didn't you say you have this medicine?" The man with round glasses immediately picked up the cough syrup and said to the conductor: "I know that cough syrup can temporarily relieve bronchospasm, you can try it!"

The train conductor didn't speak, but looked at Jing Xiaoran instead: "Is it okay?"

Jing Xiaoran shook his head: "No! He can't drink this now, the train conductor, please use the car broadcast to ask if any passengers have brought medicine for treating bronchial asthma, hurry up!"

"Okay!" The train conductor whispered a few words to a conductor next to him, and the conductor ran away.

"Why aren't you allowed to drink this cough syrup?" The man with round glasses asked, "Look at the instructions on this bottle, it can relieve bronchospasm!"

As he said that, the man with round glasses handed the bottle to the conductor: "Look, here, it really has the effect of antispasmodic writing."

Jing Xiaoran said lightly: "He has bronchospasm, his airway is very narrow, and you let him drink such a viscous liquid? Aren't you afraid of suffocation?"

"Now we urgently need a spray, not this oral!"

The man with round glasses was stunned by the question, he squeezed the bottle of cough syrup in his hand, unable to utter a word for a long time.

Although the train conductor didn't understand medicine, he felt that what Jing Xiaoran said made sense.

At this time, the radio in the car also rang...

"Is there any passenger who has brought medicine for treating bronchial asthma? A child with sudden bronchial asthma in No.

The broadcast was played three times in a row.

Looking at the state of the little boy, Jing Xiaoran's heart also rose to his throat.

He took out the stethoscope again and carefully monitored the changes in the breathing sounds of the little boy's lungs.

"The wheeze has become smaller..." Jing Xiaoran frowned.

"Smaller? Isn't this a good thing? The condition has been relieved?" the train conductor asked tentatively.

Jing Xiaoran shook his head and denied: "The condition is getting worse!"

"This is the 'silent lung' I just said!"

(End of this chapter)