When doctors have a simulated operating room

What's going on!

I called an ambulance, but they were still sent to the nearest city hospital? !

The young father got angry when he saw Zhang Yi, and said to another doctor next to him:

"Doctor! I don't want this quack to see me. Please ask the director to come and see our child!"

The emergency doctor was a little confused? ?

What? ?

You said Zhang Yi is a quack? ?

Oh my goodness.

If Zhang Yi is a quack.

Then there are probably not many good doctors in our city hospital...

Just at this time, the pediatrician came over.

What a coincidence, it was an older pediatrician.

It was a female doctor, in her forties, who had worked in pediatrics for more than ten years.

When the family saw this, they hurriedly walked to the pediatrician with the child in their arms and said:

"Doctor, please take a look at the child!"

The pediatrician nodded and was about to speak when he saw Zhang Yi standing next to him.

"It's strange, Assistant Zhang, why are you still asking us to come down for a consultation? Why don't you just solve the problem?"

The pediatrician said with a smile.

The two family members were stunned and shook their heads:

"No, no! We don't want this doctor to see us. Last time my daughter had a fever, he came here in the middle of the night, but he didn't prescribe medicine for us!

He also told my daughter to bear it. It's over 38 degrees, and he still told her to bear it? Isn't this a quack doctor?!"

The pediatrician was stunned.

No way?

Assistant Zhang's medical skills should be impeccable.

Zhang Yi stepped forward and explained:

"This child has roseola infantum, 38.7 degrees. I suggest taking ibuprofen and physical cooling to keep the temperature below 38 degrees. After two days, the rash will appear and the disease will naturally heal.

The family members disagreed and insisted that I give the child an IV, or prescribe more anti-inflammatory drugs.

I said the child was too young and it was not good to take too many medicines. The two family members said I was a quack..."

When the pediatrician heard that it was roseola infantum, he first looked at Zhang Yi with surprise.

Wow!

Roseola infantum can be diagnosed? ?

This disease is very difficult to detect. Most doctors can only diagnose that this is an emergency for children when the fever subsides and the rash appears!

Assistant Zhang is awesome~!

Then he turned to the family members and said:

"Roseola infantum can heal itself, and there is really no need to take more medicine. Why don't you listen?"

The couple was embarrassed.

Ah? ?

Is what the young doctor said true? ?

The pediatrician frowned and looked at the child in the family's arms again.

His face was pale and his lower limbs were a little swollen.

Could it be that there was something wrong with his kidneys? ?

Zhang Yi was also observing the child at this moment.

The white foam around his mouth had been wiped clean, but the child was still in a coma.

He scanned the child's whole body.

He found that both kidneys were slightly red and swollen!

Oops, it turned out to be acute kidney injury!

"Quick, send to the emergency room!" Zhang Yi urged.

At this time, the family was still a little hesitant to let Zhang Yi take over, but seeing the nervous expression on his face, the two of them couldn't help but worry.

He quickly sent the child to the emergency room.

The pediatrician looked at Zhang Yi and said:

"Assistant Zhang, this child has lower limb edema, I suspect it is related to the kidneys."

Zhang Yi nodded: "I suspect it too."

Then, he turned to look at the family members and said:

"You went to the Second Hospital to get medicine after leaving the hospital that day, right? What medicine did you take and how much did you take? Tell me quickly.

We now suspect that the child is likely to have emergency kidney damage!"

"Ah?!"

"Kidney...kidney damage?!"

The family members were shocked!

How is it possible!

How could the child be fine and have kidney damage? !

"Just... antiviral granules, cough syrup, sirbolite tablets, and pediatric acetaminophen granules.

In addition... I also added ibuprofen suspension to mix and feed..."

"What?!" The pediatrician scolded him as soon as he heard it:

"How can you give the child so many medicines? The child can't metabolize them! It really harms the child!"

Zhang Yi also frowned and sighed:

"I told you that the child is too young to take too many medicines. Why don't you listen?

Roseola infantum is a benign, self-limiting disease.

That is, the child can heal himself in a short time.

You don't believe it and insist on taking medicine.

And you take so many and so many kinds of medicines!

The kidneys of a one-year-old child are not fully developed and cannot metabolize so many medicines.

All medicines are poisonous.

Even adults will have side effects if they take too much medicine, let alone a one-year-old child.

Take some ibuprofen to control the body temperature, and then add physical cooling, the child will be fine.

You just don't listen!

Look, the child is in trouble now!"

The family members were shocked!

How could taking medicine cause trouble...

The family members didn't have time to react before they heard Zhang Yi hurriedly say:

"Go get checked quickly to confirm whether it is kidney damage. If it is, use medicine early, there is still a chance of rescue! "

The family members were stunned!

It was only then that they realized the danger!

They could not care about anything else and immediately took the child for examination.

Blood routine, blood creatinine, electrolytes and renal function.

Urinalysis and urine protein quantification should be checked.

Check the glomerular filtration.

Pediatric acute kidney injury was also called pediatric acute renal failure in the past.

But now it is divided more finely.

As long as it is in the early stage, it is considered kidney damage.

If the treatment is not timely and develops to the later stage, it will be acute renal failure or chronic renal failure.

Then it is likely that only dialysis can be done to treat it.

Or even more serious is kidney transplantation.

However, in general, acute renal failure can be cured as long as it is discovered and treated early.

Emergency examination, the results came out half an hour later.

The family members hurried back to the emergency office with the examination form.

"Doctor, this is the form, please take a look. "

The child's father stopped calling Zhang Yi a quack and just addressed him as "you".

Gao Han snorted in his heart: Humph! Now you know that our doctor Zhang is right, right?!

Zhang Yi didn't hesitate and scanned the list.

Urea nitrogen: 21mol/L (2.9-8.1mol/L)

Blood creatinine: 105μmol/L (24-69μmol/L)

Blood potassium: 6.4mol/L (3.5-5.3mol/L)

Looking down the rows, almost all of them are upward arrows!

"Your child does have acute kidney injury, which was also called acute renal failure in the past, but it is currently in the early stages. Don't worry, there is still a cure."

The family members were relieved after hearing this.

Zhang Yi looked at the two young couples and said:

"Let me give you some popular science, although every doctor will treat the disease in a slightly different way.

But for a one-year-old child, try to take as little medicine as possible.

If you really want to take it, you should be concise and choose the most effective medicine.

Instead of mixing cough syrup, children's paracetamol and chlorpheniramine granules, antiviral granules and so many other medicines together like you did.

It would be strange if the child didn't get hurt! "