I run a clinic in the United States

Chapter 115 Congenital Diaphragmatic Hernia

Cathy wore a thick coat, and the dog's teeth tore through her sleeves, and left two rows of teeth marks of different shades on her thin arms.

If the skin is not broken, just wash it with soap and water, and at most apply a little disinfectant.

However, there were two canine teeth with slightly deeper marks, and the skin was scratched a little, and Cathy bled a little.

Murphy asked: "Do I need a rabies vaccine?"

Cathy was stunned: "You are a doctor, you ask me?"

Murphy frowned and said, "It's optional. That stray dog ​​should have been vaccinated before."

Cathy pondered, and said, "I'd better choose to fight!"

Murphy said, "It takes 8 injections, and it's more expensive!"

"How much?" Cathy was unconvinced, thinking that my pension is very high!
Murphy said: "800!"

Added another sentence: "After the medical insurance has been deducted, and you are given a preferential price."

She meant it well, but somehow, when it came out of her mouth, it was irritating.It's not as comfortable as seeing a doctor first, not telling you the price, and sending you a bill after two days after seeing the doctor.

This is still the effect of wearing the exotic flower sachet for a period of time.

In the past, his words would have been simpler, harder to communicate, and his face would have been expressionless and cold.The kind that will make the patient angry immediately, or even to death!
Cathy curled her lips and said: "How much do I think, I must fight! What if something happens to Danielle? How can I be willing to leave her alone in this world?"

After getting along day and night these days, Cathy has already developed a deep feeling for Danielle!

Murphy called Elena and told her to go to a pharmacy not far outside to buy vaccines.

Although the Iris Clinic has a pharmacy with a stock of common medicines, there is no rabies vaccine.

In fact, many small clinics and hospitals do not have pharmacies. Because the number of patients is not large, it is not cost-effective to build a dedicated pharmacy. This is a cost-effective issue. After all, there are too many types of medicines!

However, in large hospitals in Europe and the United States, there are pharmacies under the pharmacy department, which are usually divided into inpatient pharmacies and outpatient pharmacies.

Some people say that hospitals and clinics in the United States do not have pharmacies. How is that possible?
Oh, I need first aid, I need an operation, and I need to buy it temporarily?Can you make it?
You are dying in the ICU. Doctor: I'm sorry, but you didn't go to buy medicine. I can't save you.

However, in large hospitals in the United States, the number of outpatients is small (all are diverted to grassroots clinics), so the scale of outpatient pharmacies is small.

However, there are many patients hospitalized in large hospitals, and the scale of inpatient pharmacies is correspondingly larger.

The proceeds of these medicines belong to the hospital itself.It’s also a big piece of cake!The hospital can't give up!
Zhou Qiao and his aunt are both Chinese, so hoarding medicine is their natural instinct!
Is it reasonable to open a clinic by yourself and not stockpile some medicine?
Ordinary people who don't run clinics will rush to grab medicines and hoard medicines whenever there is trouble!
Not to mention medicines, even salt and toilet paper have to be hoarded!The cans of sugar water will all be robbed!
After Murphy washed Cathy several times, he applied the potion.

Soon, Elena brought back the vaccine, and Murphy gave her an injection first.The other few stitches will be done later.

Then, the police came to the door!
In the rest area of ​​the Iris Clinic, the police questioned Cathy and learned more about the incident and the appearance of the dog.

Cathy asked, "Do you shoot the dog when you find it?"

The police said: "Please rest assured, if we confirm that this dog is a stray dog ​​and is aggressive, we will kill it on the spot!"

Cathy expressed her gratitude, and then said very frightenedly: "If a kind-hearted person hadn't rescued me in time today, my daughter and I would have suffered disastrous consequences!"

The police expressed sympathy and said they would find the dog as soon as possible!and left.

Cathy was very surprised, why didn't she hear Danielle's cry?She took a look and hurried to Zhou Qiao's consulting room.

Sure enough, it was Doctor Zhou who made the move!

Zhou Qiao was caressing the little guy. The fear in the little guy's heart was gone, and he was still grinning, seemingly very happy.

Cathy couldn't help being depressed for a while, and thought, I can't coax me well, but Dr. Zhou just touched it a few times and made me laugh, ah~, I really failed, maybe I'm really not suitable for raising children!
Ava waved at her and said, "Cathy, come and learn together, Joe uses a very clever baby touching technique, which can effectively relieve the baby's anxiety, tension, fear...all kinds of negative emotions. "

"Is that so?" Cathy regained her spirits immediately. If she had this technique, she would be able to comfort little Danielle every day in the future without bothering Dr. Zhou.

Ava said: "Yes! It's really amazing. I couldn't coax him no matter how hard I tried, but after Joe stroked it gently a few times, the little guy started laughing!"

Zhou Qiao said: "Call Elena over, I'll just explain it to you!"

He used, of course, the master-level baby touch technique exchanged from the system, which consumed 20 medical mystery points.

This is not metaphysics, nor is it a fashionable activity, but a medical method with a relatively early origin!
It can be said that since the beginning of human beings, there has been touch!

Touching has been associated with medical exploration from the very beginning.

In the process of natural childbirth, every newborn receives the special touch of contraction of the mother's birth canal.

Natural childbirth can also squeeze out the inhaled amniotic fluid in the respiratory tract to reduce aspiration or lung infection caused after childbirth.

In layman's terms, babies who have not been pinched by their mothers are at greater risk of getting sick after birth.

It doesn't matter if the forehead is flattened or elongated, because the baby's skull is soft and the fontanel is open, and it will gradually become round again after birth.

The skin is the largest sensory organ for the human body to receive external stimuli, and is the external receptor of the nervous system.Early touch is to give appropriate stimulation to brain cells and nervous system during the critical period of baby's brain development, promote the development of baby's nervous system, promote growth and intellectual development.

When Elena came over, Zhou Qiao explained the essentials while touching Danielle.What techniques are there, how much strength is needed, what precautions are there, which parts can be touched, and which parts are best not to touch.

Elena and Ava's eyes lit up after hearing the explanation in simple terms, and they nodded repeatedly, but Cathy looked embarrassed, because she had listened, but Zhou Qiao talked too much, and she was old and would not be able to remember it for a while. !

"Dr. Zhou, can you write down all the steps for me so that I can practice according to them when I get back. Well, this fee can be included in the diagnosis and treatment fee." Cathy said.

Zhou Qiao smiled: "It's just a little effort, why talk about money? Danielle is also half of my daughter, and I have always paid attention to her."

After all, this poor little girl was delivered by him himself, and she was the first vaginally delivered baby!

Although the crime of abandonment in the United States is very serious, her mother still secretly ran away after giving birth to her. I don’t know if she was caught later.

But there was no news from the police, so it was probably settled.Perhaps, there was no effort to find it at all.

It is worth mentioning that even if it is found, it cannot be charged.

This is because although the laws of various states in the United States prohibit the behavior of abandoning children, at the same time, mothers are allowed to "safely abandon their newborn babies in a safe place, such as a church, hospital or fire station."

This exception, known as the "safe harbor law," aims to protect the innocent life of babies and avoid abortion, killing or abandonment that puts babies at risk as much as possible.

California's Safe Delivery of Babies Act is one of them.

Little Danielle’s biological mother was smart enough to leave Danielle directly at the Iris Clinic, what a safe place.So, this is essentially legal behavior.

Cathy took little Danielle home, and Zhou Qiao was afraid that she would be in danger again, so she asked her to go to the laundry next door to find Ariel.

Ariel sent a black girl to escort the old and weak couple back.Coincidentally, on the way, I ran into the stray dog ​​again.

It bared its teeth and rushed forward again.

Ariel's black girl would not be used to it, she wanted to take out her gun and shoot it in the head, but two policemen appeared around the corner, the same policemen who had questioned Cathy earlier.

They came after the dog.

The black girl immediately retracted her hand and kicked out, hitting the stray dog ​​in the neck.

The stray dog ​​howled and was kicked into the ditch.

However, this stray dog ​​was quite ferocious, and quickly climbed up again. It probably felt that the black girl was not easy to bully, so it turned around and rushed towards the two policemen!
I went, the police were shocked, one of them was timid, and immediately pulled out a pistol, "Bang bang bang~", and shot three times in a row!

The dog whimpered and fell to the ground.

Finally, Cathy breathed a sigh of relief, thanked the black girl, and said that she could go back by herself for the rest of the journey.

Heimei said, I'd better take you home.

Because they ran back halfway through the delivery, Ariel and Dr. Zhou couldn't explain it.

In fact, this kind of ferocious biting stray dog, because there is no owner, will be sent to euthanasia even if it is not killed on the spot.Usually gas poisoning is used.More than 100 million stray dogs are euthanized in the United States every year.

In the words of the Americans themselves: "The reason is very simple. If the dogs that no one adopts are not euthanized, the shelter will not have space to accommodate the new dogs, and the shelter cannot reject the dog abandoned by the owner or the public. Sent stray dogs."

As long as more dogs are abandoned than adopted, the problem of dog euthanasia will always exist.This is also the best way for humans to deal with excess stray dogs at present.

A mother with severe dark circles and a low spirit was holding an eight or nine-month-old baby who was crying endlessly. She entered the consulting room of physician Rachel, saying that the child had a fever and cough, and asked the doctor to help her quickly.

After the consultation, physical examination and communication, Rachel comforted Bao Ma: "Don't worry too much, it's probably a common cold, I'll arrange an examination for her."

Ava had just learned a new skill, her forehand was itchy, and she felt that she had nowhere to use it, so she ran in in a hurry and volunteered to say that I was here to coax her!
Mother Bao was disturbed by the baby's noise, so she handed it to Ava and said, "Be careful!"

Ava said: "Don't worry, I'm a professional!"

After picking up the baby and coaxing it a few times, he put it on the examination bed, and began to practice with the baby, practicing his newly learned baby touch technique.

However, she used all the techniques from beginning to end, and the child not only did not feel relieved, but cried even more violently!
Ava couldn't hold back her face, and said, "I'll take her out for a walk."

Seeing Bao's mother nodding, Ai Wa hurried to Zhou Qiao's consulting room with the baby in her arms.

"Joe, help me see what I did wrong? Why is he crying all the time and can't be comforted at all?" Ava said very depressed.

Zhou Qiao said: "Let me try!"

As soon as the master child soothing technique started, surprisingly, the little guy stopped crying immediately.

However, after less than ten seconds, the child burst into tears again!
Zhou Qiao frowned, feeling something was wrong, she didn't think it was a common cold and fever.If so, it is impossible for him to last only 10 seconds with his master-level child soothing technique!

However, he checked the child carefully and found no particularly abnormal symptoms!

"System, start auxiliary diagnosis!"

Soon, a golden virtual panel popped up in Zhou Qiao's mind:

[Sick child Hank Pujols, the disease is: congenital diaphragmatic hernia.It is not obvious at birth, but in the later development process, diaphragmatic muscle disorder occurs, the closure of the thoraperitoneal hiatus is delayed, and the intestinal tube is transferred into the abdominal cavity prematurely. 】

[After the diagnosis is completed, 3 medical mystery points will be deducted!The balance of the host doctor's Xuandian account: 283 points. 】

Zhou Qiao was startled, and immediately carried the baby to Rachel's consultation room, and said, "Give this baby a chest X-ray."

"Huh?" Rachel was taken aback for a moment, wanting to take a chest X-ray right away?It has only been less than a day since I had a fever, and it is unlikely that it will progress to pneumonia so quickly.

I can't help feeling that Zhou Qiao is making a fuss out of a molehill.

But after another thought, Rachel thought that Zhou Qiao might be trying to make more money.

While opening the list, she secretly said, okay, you are the boss, you have the final say!
Naturally, she will not disobey Zhou Qiao, Zhou Qiao will do what she says.

This is her experience in the workplace for many years.

The child's mother looked over in surprise, and Zhou Qiao explained: "I suspect that the child has other symptoms, not just a common cold and fever. To be on the safe side, I suggest making one!"

"Okay then." The child's mother had no idea. She had long been exhausted by the baby's crying!
Because the child cried all night last night and barely slept.She also stayed up all night.

Sometimes, the child fell asleep briefly, but the child had a fever. She felt distressed and kept physically cooling the child, so she basically didn't close her eyes.

As for the child's father, he slept like a dead pig!Then she went to work again early in the morning, so she had to take the baby to the hospital alone.

At first, I went to a community hospital, but the nurse at the triage desk said that the doctor was not here and asked her to come tomorrow!

She said that my child has such a severe fever, how could it be delayed until tomorrow?

The nurse shrugged: "I would venture to ask, will your child's life be in danger soon?"

The child's mother hesitated and said, "Probably not."

"Isn't that enough? Come back tomorrow!" The nurse thought to herself, there was nothing I could do.If you will die soon, I can still contact you, but you have a cold and a fever...

There was no other way, so the child's mother had no choice but to hold the baby and came to the nearby Iris Clinic.

It might be a bit more expensive, but she shouldn't be made to wait.

As a result, the doctor suddenly said that other examinations should be done, which immediately made her heart go up to her throat.

"Doctor, can you tell me what disease you suspect?" the child's mother asked.

Rachel looked at Zhou Qiao, wanting to see what he had to say.Xindao, if it were me, I could only say, "Wait for the test results first."

Zhou Qiao thought about it carefully. Anyway, the other party will know sooner or later. Let him take a breath first so that the other party can be mentally prepared.

So he said, "I'm considering the existence of a congenital diaphragmatic hernia, but it's not necessarily true. Let's look at the inspection report then."

"What if it is true?" the child's mother asked worriedly.

"Then we can only arrange the surgery as soon as possible!"

The child's mother still wanted to ask, but Zhou Qiao said, "You'd better take the child for a check-up as soon as possible, otherwise there will be bad consequences."

"Okay!" The child's mother frowned, took the letter from Rachel, and hurried out.

Zhou Qiao sighed softly, there was an opportunity for surgery and he could make a lot of money, but why was he feeling a little sad in his heart?

(End of this chapter)