American drama life begins with Dr. House

Du Wei heard the sound and went away, only to see the baby girl in the woman's arms with a red face and coughing non-stop.

It does seem to be a common symptom of choking on milk.

Then the baby girl cried loudly because of the discomfort, which made her breathing even more difficult and looked like she might suffocate at any time.

Usually when encountering such a situation, the hormonal drug prednisone can be used.

But before Du Wei could answer, House, who had returned from unknown time, suddenly appeared. He glanced at the girl who was still crying and made a diagnosis directly.

"Choking on milk? Isn't that normal? It's normal for children to choke on milk if their laryngeal cartilage is not well developed.

Just give her some prednisone to reduce the swelling in her throat.

Du Wei, come with me, the quarantine area is short of manpower and needs support."

However, Du Wei did not move. The cases that appeared in the emergency department of this hospital were not routine cases.

What's more, at this time of lockdown, they have to go out to see a doctor for treatment at the risk of being sued. Obviously, the condition has reached a point where there is no need to wait.

really.

Seeing that the doctor who had finally received them was about to leave, the baby girl's father immediately walked a few steps quickly and said anxiously:

"But we have visited many hospitals and have been taking calcium supplements for more than a month according to the doctor's instructions, but there is no effect at all.

The child still chokes when drinking milk.

usually like

A child of this age can drink 150 ml of milk, but she can only drink 30 ml. She will choke on milk if she drinks more than 30 ml. Moreover, her breathing has become increasingly difficult recently and can only be relieved by prednisone.

Doctors, please help, please, I'm really afraid that she will suffocate due to choking on the milk."

"no effect?"

Hearing his father's plea, House showed an interested look on his face.

It was not because he was soft-hearted, but because after a month of calcium supplementation, the baby girl still had no way to avoid choking on milk.

Then I'm afraid this is not just a problem with the laryngeal cartilage.

"It stands to reason that when a normal person eats, the laryngeal cartilage will cover the airway to prevent food from entering the trachea.

But your child is choking on milk because the laryngeal cartilage is too soft and cannot cover the airway.

Then your child feels uncomfortable due to coughing caused by choking on milk, and crying loudly causes laryngeal edema, which affects breathing.

So in theory, there is no problem if the doctor prescribes calcium supplements for you.

But if it doesn't heal within a month, it's obvious that the problem is not caused by lack of growth of laryngeal cartilage.

Du Wei, let’s do an enhanced CT scan on her to see what the problem is.”

"Enhanced CT?"

The baby girl's father was obviously taken aback. He always felt that this name didn't seem very good.

House didn't have time to explain these things now. He motioned to Duwei to take over the case and come back to him after he got the report.

House then left in a hurry.

The baby girl's parents could only take a few steps closer and looked at Du Wei for help.

"Enhanced CT means that the child needs to be injected with contrast agent intravenously, and then a CT scan is performed.

The CT effect produced in this way will be much better.

At the same time, we can also use this to understand what exactly caused your child to choke on milk.

Of course, for such a young child, the contrast agent may be very irritating to her...

Including but not limited to some allergic reactions.

But for her own good, I suggest it is better to find the cause as soon as possible."

The father gritted his teeth and wanted to take the baby girl and hand it to Du Wei, but the mother subconsciously took a step back while holding the baby girl.

She was obviously hesitant about the impact that enhanced CT might have on her daughter.

This is her flesh and blood treasure, and any pain is like pain in her heart and liver.

Thinking of her daughter's allergies, her eyes suddenly became moist.

But she still suppressed her emotions and glared again

After glancing at her husband, she turned around and asked:

"Doctor, can I ask, if after doing enhanced CT, it is found that there is something growing in the trachea, what kind of treatment is usually adopted?"

Regarding this basic knowledge, Du Wei checked the memory in his mind and said:

"If there is something really growing, then normally we will perform a tracheotomy so that we can see clearly what's going on inside.

If the condition is good, we will choose to remove the protrusion directly.

But if the removal of the foreign body will cause massive bleeding, then we will choose the second option and intubate the child's trachea to replace the original respiratory tract."

Incision? Excision? Massive bleeding? Intubation?

The appearance of these words made my mother's face turn pale instantly.

She clearly understood that behind these words, they represented the pain that the baby girl would suffer.

Even if general anesthesia is used during the operation, you can imagine how much inconvenience the intubation will cause to the baby girl's future life.

Even if you go to kindergarten or something, you will still be laughed at by your peers.

Thinking of what might happen to the baby girl in the future, tears welled up in the mother's eyes.

"Eh? Du Wei, haven't you taken the patient for enhanced CT yet?"

Suddenly, a familiar voice came from the door of the emergency room. It was Chase with two big dark circles under his eyes.

He had just finished working all night in the isolation ward.

During the handover with House, House was worried that the patient's parents would question Duwei's qualifications, so he asked Chase to come and take a look before leaving get off work.

Therefore, Chase, who had just taken off his biochemical protective suit, came over with sweat on his forehead.

It turned out that Du Wei was still chatting with the patient's family.

Chase, who wanted to go back to sleep in the big bed, immediately said anxiously:

"Hurry up, the hospital is not officially open now, and you have to queue up for CT scan.

If you don’t do it now, you’ll have to wait for a long time to get approved.”

Seeing the new doctor urging her, the mother wiped away the tears with the back of her hand, and opened her red eyes to ask for more information:

"Wait a minute, doctor, I want to ask if tracheostomy is dangerous?"

Chase patiently explained while resisting the incoming sleepiness:

"Well? Tracheotomy is just a minor surgery. What's the danger?

We perform thousands of tracheostomies every year, and it is a very mature operation.

Even many children will eventually need to be intubated.

Don’t worry, as long as you pay attention to your child’s condition, you can return to a normal life.”….

The baby girl’s father was obviously confused:

"Pay attention to your child's condition? What does that mean?"

Chase shook his head helplessly, he was really too lazy to explain.

The patient's family members are always like this, full of doubts about any decision made by the doctor.

If you don't trust the doctor, why come to the hospital?

His patience has gradually been exhausted.

"Those are things that will happen later. Now I only have one question. Are you willing to do enhanced CT?"

If you don't want to, then please change the hospital.

Please understand that due to the Ebola virus incident, the hospital is very busy and we do not have so much time to spend here."

Hearing Chase's words, the baby girl's father had a clearly angry look on his face.

From his perspective, he was only worried about his daughter's future life, but this doctor had a very bad attitude.

He doesn't care if the doctor has finished his work all night. Now that they are here to treat the disease, the doctor must serve them well!

So the girl’s father almost blurted out:

"Is this the way your hospital treats patients? I want to complain!

Thanks to my friend for talking about your hospital’s diagnosis

The department is the best in Princeton, but now it seems like nothing more than that!”

Facing his angry father, Chase, who was dizzy, obviously lost his patience. Just when he was about to speak sarcastically, Du Wei suddenly stopped in front of him.

"Chase, you've worked hard all night, go and rest first.

Leave it to me here, don’t worry, I can do it.”

Chase looked at the angry girl's father and hesitated to speak. Finally, he suppressed the anger caused by working all night and turned around to leave.

After Chase left, Duwei turned around and faced his father who was angered by Chase.

"Please understand that doctors are also human beings, and now the Ebola virus is raging.

Many doctors in this hospital have been working continuously since yesterday afternoon, and everyone will be tired."

The girl's father raised his eyebrows, obviously not accepting this statement:

"Then he can't talk properly? If he has to treat us with such an irritated attitude, aren't we taking risks to diagnose patients?

Do you know how much risk we took to come here?

We came all the way from Philadelphia because our friends said that the diagnostic department here is very good at diagnosing difficult and complicated diseases.

That’s why we encountered that even after this place was closed down, we still had to risk breaking the law to sneak in!

As a result, when I met the doctors, they all had such an indifferent attitude. Would you be angry if it were you?"

Facing the girl's father, who was almost full of anger, Du Wei did not become impatient. Instead, he patiently waited for him to vent his emotions in words before saying:

"I understand what you mean, but we really can't determine whether your child needs a tracheotomy right now.

If you really need to do this surgery, the nurse will naturally explain to you in detail the post-operative instructions.

So, although what Dr. Chase said is rather blunt, the question now is really whether you agree to do enhanced CT for your child?"

The girl's father glanced at the child who had difficulty breathing due to crying, and still said stubbornly:...

"You have to first tell me what parents need to do if their child needs intubation after tracheotomy, and what impact it will have on the child!"

Du Wei smiled and made a 'please' gesture:

"Well, how about we talk as we go, so that when you decide to do enhanced CT, we won't miss the call.

Even if we decide not to do it, we will just walk a little further, okay?"

The girl's parents looked at each other and nodded, agreeing with what Du Wei said.

But what they didn't realize was that the dominance of discourse was gradually in Du Wei's hands.

Du Wei walked in front and led the three people to the CT room, while explaining how to care for babies who needed intubation for breathing.

"If the baby really needs to be intubated, the parents still need to pay more attention to the post-care.

Because this intubation is artificial, it does not have the body's own air filtration system.

Therefore, if you are negligent, your child is very likely to be infected with pneumonia.

In order to prevent this from happening, you must usually cover the intubation mouth with sterilized wet gauze, and strictly prevent water from splashing in on rainy days and when taking a shower.

At the same time, she should also be prohibited from participating in strenuous exercise, especially to prevent her or some curious children from pulling off the breathing tube.

This will cause her to suffocate, do you understand?"

The girl's father nodded silently. The fact that he could not enter water made him feel stressed. There were too many places in life that needed water.

But there was a bigger problem bothering him than the water problem.

"Then after our child is intubated to breathe, will there be any difference from other children?"

"It will have an impact on speech, so it is best not to send it to kindergarten.

Because of the intubation, air will not pass through the vocal cords, which will result in the child being unable to speak.

So if

If you are sent to school, you will most likely be criticized by your peers.

Fortunately, this situation may change as long as she comes for a follow-up visit after she is eight years old.

At that time, treatment will be carried out according to the specific situation. If there is a foreign body stuck in the main trachea, it will be easier to perform surgery at that time.

According to past experience, it is more common for foreign bodies to be absorbed by the body, and then the trachea can be removed and lead a normal life.

Now, have you decided? Should you do enhanced CT?"

When he said this, Du Wei's footsteps had stopped.

In front of here is the imaging department, which is the CT room.

The imaging department at Princeton University Hospital, which was forced to open, is now overcrowded.

However, as a valuable talent of this hospital, House has some small privileges, including jumping in line for CT scans.

But if the parents of the baby girl do not agree, then this opportunity will be wasted.

After seeing the scene in front of them, the parents of the baby girl also understood that what Dr. Chase, who had a bad attitude at the time, said was indeed true.

If they miss this time, I'm afraid they will have to wait a long time for the opportunity to do enhanced CT next time.

But they feel that their daughter, who is increasingly choking on milk, may not be able to wait until that time.

After the two discussed quietly for a while, they finally agreed to do enhanced CT...

The mother of the baby girl took a few steps forward and reluctantly handed the baby girl into Du Wei's hands.

Only then did Du Wei finally see the whole baby girl.

The three-month-old baby girl's face became red due to lack of oxygen.

There were some birthmark-like marks on the baby girl's face, ears and the tip of her tongue that stuck out from time to time.

Du Wei was slightly surprised because these traces looked like hemangioma left after isotope treatment.

This baby girl is really in trouble.

Wait, hemangioma?

Du Wei's extremely active brain dug through the depths of his memory and found a case he had heard about in the hospital.

This case has nothing to do with Dr. House. It was purely something I heard from him in his previous life when he was still walking around and chatting with people when he was first admitted to the hospital.

In the past, he might have forgotten this memory, but now with the neuron connections in his brain open and perfectly developed.

Almost just a few specific words can activate Du Wei's long-standing memories.

He remembered that most hemangiomas grow under the skin and on organs, but there is an extremely rare type of hemangioma that grows inside the trachea.

This hemangioma is a very rare subglottic hemangioma!

The probability of this happening is extremely low, about one in 10,000 infants and young children suffering from hemangioma.

At the same time, treating this kind of hemangioma does not require tracheal intubation surgery that will make the patient's life inconvenient. There is a simpler way!

At this moment, a call came from the radio.

The parents of the baby girl immediately became anxious when they saw Du Wei standing there stunned.

What's going on with this doctor? He was so anxious just now that he wanted them to do an enhanced CT scan.

Now that his number was actually called, he stood motionless like a wooden man.

"Doctor? Doctor! We are here, hurry up and go!"

"Yes, doctor, there are so many people, how long do we have to wait if we miss the number?"

It’s not easy for us to come all the way!”

The voices of the baby girl's parents brought Du Wei, who was lost in memories, back to reality.

Du Wei shook his head at the two of them and said:

"There is no need for enhanced CT, just normal CT. I think I already know where the problem lies."

Hearing Du Wei's inconsistent words, the baby girl's parents had a look of astonishment on their faces.

Then it felt even more ridiculous.

Obviously since they arrived here, all the doctors have been advising them to do enhanced CT scans that may cause allergic reactions as soon as possible to determine the problem.

Including Du Wei before.

As a result, when the last step was reached, Dr. Du Wei told them that there was no need for enhanced CT with intravenous injection of contrast agent?

Just need ordinary CT?

Is this a joke?

They finally made up their mind to ignore the possible allergic reaction and do enhanced CT. Is this the doctor playing tricks on them?

Seeing the anger on their faces building up again, Du Wei explained before they exploded:

"Before, you held the baby girl very safely in your arms, so we could only judge the condition through your description.

But now when the baby girl was in my arms, I discovered something you didn’t mention, a hemangioma. She had had a hemangioma, right?”

The father of the baby girl was stunned for a moment and said subconsciously:

"how do you know?"

Du Wei pointed to the marks left on his face, around his ears and on the tip of his tongue.

"I'm a doctor, and these are obviously the traces left behind after isotope treatment of hemangiomas."

Only then did the father of the baby girl realize that this was a hospital, and a doctor judged from the remaining traces that it was normal for the baby girl to have a hemangioma.

But what does this hemangioma have to do with her choking on milk?

At most, this is something that will affect appearance in the future. He doesn't know that hemangiomas can cause children to choke on milk.

Could this doctor named Du Wei be deceiving him?

Seeing the deep distrust in the eyes of the baby girl's parents, Du Wei smiled:

"Do you think hemangiomas only occur in the mouth, maxillofacial region, trunk, and limbs?"

The two nodded.

"But have you ever thought that a hemangioma grew on the trachea and blocked your daughter's trachea?"

(Thank you to book friend 20190204234648450 for your monthly ticket, thank you!)

Ala Mhigu reminds you: remember to bookmark [] w w w..com after reading it. I will update it next time so that you can continue reading more conveniently. Looking forward to the exciting continuation! You can also use the mobile version: w .com, and you can read it anytime and anywhere.

No hindrance....