Chapter 1389 552: Level 6 Pharmacological Differentiation, Trouble Caused by Pediatric Summer Cooling Patches
Chapter 1389 552: Level 6 Pharmacological Differentiation, Trouble Caused by Pediatric Summer Cooling Patches
"I feel like when he cries, his throat is hoarse. It's not good for the throat to be dehydrated for a long time."
Zhou Can frowned slightly, turning to the nurse.
"Do you have a clean straw? The type with a bulb."
"Yes!"
"Could you please bring one over? I'll give this little baby some water first; he looks so pitiful."
He gently patted the baby's back, calming him down.
After the nurse brought the straw, he asked her to help open the water bottle, then drew a few drops of water and squeezed them into the baby's mouth.
The entire process was very gentle and attentive.
The baby extended his tongue to lick the moisture on his lips, and his cries stopped; he looked at Zhou Can with longing eyes.
As if to say, "Uncle, give me a little more."
"I didn't realize you could feed water like this. We didn't think of it earlier. I tried using a small spoon to feed water before, but he choked and cried loudly, so I dared not try again."
The mother watched Zhou Can easily feed her child water, and not only did the baby not choke, he seemed to be enjoying it.
She immediately placed immense trust in Zhou Can's skills.
The family members also looked at Zhou Can differently.
With respect and trust.
"Using a spoon to feed water is suitable for older infants, around six months; it's not so easy for them to choke. Also, if you frequently choke when feeding water, it can lead to issues like pneumonia, so be cautious."
Zhou Can wasn't trying to scare the family completely.
The baby's lungs aren't fully developed just after birth because inside the mother's belly, they breathe through the umbilical cord.
Additionally, a baby's crying isn't necessarily bad; it helps strengthen lung function and aids in adapting to the outside world.
Especially for newborns, if they don't cry or fuss, the midwives become very anxious.
They will think of ways to make the baby cry.
Such as tapping the sole of the baby's foot, among other things. Naturally, this scene is not meant for the family to see, to prevent unnecessary misunderstandings.
"Was it a vaginal birth or cesarean?"
"Vaginal birth!"
"Since the baby can drink water, you can try using this method with milk. Breast milk is rich in nutrients and contains many special elements that enhance a baby's immunity. If he doesn't want to suckle, you can express it, store it in a bottle, and then feed him little by little with the straw. When feeding with a straw, be careful not to draw too much at a time to avoid the baby choking. If he chokes too often, he'll find it uncomfortable and resist this feeding method."
Zhou Can explained the feeding techniques to the mother.
Right now, it's crucial to find a way for the baby to consume some milk to maintain body immunity and nutrient absorption.
"Alright, I'll do that later."
With so many people around, the mother couldn't very well express milk right now. She learned the method, and once the doctors left, she could practice it herself.
Zhou Can continued to give the baby some water.
The child's facial expression became more relaxed and natural. The previously furrowed brows had relaxed significantly.
The family and mother watched all this and felt very happy.
Their hearts, which had been increasingly anxious about the baby not feeding for days since birth, could finally be at ease to some extent.
"I need to perform some examinations on the baby and will need to place him in the infant bed."
Zhou Can informed the family.
"Alright."
The family and mother agreed happily.
In their hearts and eyes now, Zhou Can is an absolute expert. They were very willing to let Zhou Can help diagnose their child.
Zhou Can first felt the baby's neck pulse, noticing it was very weak.
Patients with heart failure often have a weak pulse.
Next, he conducted a detailed examination on the child, including a heart and lung sound auscultation.
During auscultation, he discovered noise in the baby's left chest.
After carefully differentiating, he found that the noise was coming from the upper left margin of the sternum.
Moreover, this noise was very regular, occurring only during cardiac contraction.
Ordinary doctors might not be able to distinguish whether the heart sound is in contraction or relaxation, but Zhou Can at this level can accurately differentiate.
"The X-ray examination suggested an enlarged heart, increased pulmonary vascular shadows, and even some pulmonary vein congestion. Combined with the patient's ECG indicating right axis deviation and right ventricle hypertrophy, I highly suspect an issue with the aorta."
Several director-level doctors were present, including Director Le from Cardiothoracic Surgery.
Now that Zhou Can had reached a certain conclusion in his diagnosis, he naturally didn't need to conceal it and could directly discuss it openly.
The only thing to be mindful of during ward discussions is to respect senior doctors.
Do not undermine them.
For instance, if a senior doctor just said to everyone that the problem might be the left ventricle, you shouldn't immediately retort by saying the issue is with the right ventricle, which is essentially contradicting the senior doctor.
This would put the senior doctor in a difficult position.
"Director Le, what's your opinion?"
Tang Fei was not very proficient with cardiovascular diseases, so she had to ask Director Le for his opinion.
"Zhou Can's suspicion has some basis; we can perform an echocardiogram to clarify."
Director Le's diagnostic level isn't low, but in many aspects, Zhou Can has already left him behind. He rarely refuted Zhou Can's diagnostic opinion because only one out of a few of his rebuttals hadn't backfired.
That was from a long time ago.
Now, Zhou Can, whether in terms of diagnostic or surgical skills, had surpassed him by a far margin; he dared not easily oppose Zhou Can's diagnostic conclusions anymore.
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