2328 【2328】Don't Blame
If the food is not fed properly at one time, it is more common to be acute food poisoning or foreign body aspiration and suffocation.
The child's mother was in a hurry to say something when she saw the doctor's examination, and forgot to answer the questions according to the doctor's questions. I have seen this phenomenon before, Xie Wanying brought the child's mother's attention back, and asked again: "When did he start throwing up?"
The timing of a child's onset is important.
The child's mother tried hard to remember. Speaking of children spitting up milk, many children have it since childhood, which caused some parents to not pay attention to the abnormality at first. It wasn't until the child vomited more and more that the problem was serious.
"Maybe it was yesterday, or this morning?" The child's mother hesitated and gave an ambiguous answer.
The doctor knew this for a long time, and the information provided by the child's parents may be biased. Can't really blame the parents. For example, Senior Sister Li said that she was pregnant and stupid for three years. It's not easy for Bao Ma, and she hasn't had it easy after giving birth in October. Children cry when they are hungry, and cry when they feel uneasy, regardless of day and night, which makes adults sleep well at night. This mother is lucky not to suffer from postpartum depression.
A good doctor should consider the problem from the perspective of the parents, rather than blaming the parents when something goes wrong. This is what Xie Wanying heard from her mother. Sun Rongfang had this feeling. After visiting the capital, she was moved to see the doctors in the capital treat her sick son with care.
"It's okay." Xie Wanying comforted the parents first.
The child's mother wiped the sweat from her forehead and asked her, "Is it serious, doctor?"
Parents who rushed their children to the hospital usually did not slow down, that is, their minds were a little unclear about the actual situation. The fact is that I can see that something is wrong with the child, so I must be prepared in my heart.
The doctor can only try not to stimulate the parents as much as possible. Otherwise, the parents may collapse first.
A child who is a few months old will be gone if he says he is gone, and the mother of the child will be devastated. The child came out after ten months of hard work.
Unfortunately, the younger the child, the more severe the urgency. Lo and behold, nurses take kids straight to surgery instead of internal medicine. It is conceivable that the severity of vomiting in an infant is not the same as that in adults.
Adult vomiting, if there is no other condition such as shock, the triage nurse may first think that it is gastroenteritis and assign it to the internal medicine department. If the child vomits, it is common for children to vomit clinically to be sent to the hospital as a surgical emergency.
The main reason is that the child feels unable to express himself for help, and it is usually too late when adults realize it.
"Crying?" The doctor asked the family members again.
"Crying, he often cries. Since he was born, he can cry several times every night. We all say that he is like a crying bun."
Crying is an obvious signal for a child to express his abnormal body. But listen, children have different personalities, some children cry a lot, and the information provided by parents returns to zero again. Once again, it proves that pediatrics is a well-known name in mute department.
For crying children, the doctor asked the parents in another way: "When will he stop crying?"
It is unusual for a crying child to suddenly become quiet. The parents knew this, and the child’s mother remembered and said: “Just this morning, since this morning, he seems to have stopped making trouble. We felt that something was wrong with him, so we sent him to the hospital.”