please Publish, if possible, anonymously. Working as a pediatrician in the village the first year after uni. Really need the advice of colleagues. Tell. May 13, Monday, I called the mother home, her two children (boy 1 and girl 2 years) on the weekend the temperature rose, with her words 39. Upon inspection of the data for respiratory pathology, the boy was not, a clean throat, wheezing was not there, the temperature measured-36.6. The girl has a moderately red throat, raids were not, temperature 36.6. Said all night was hit by antipyretic-Nurofen and set. I invited them to the analyzes (KLA, and OAM) on the following day, the laboratory we were in the village before 10 am works. Mommy said that our lab does not trust the tests will go the next day to the town and still go to the pediatrician appointment. Of the medications I prescribed the girl to irrigate the throat with a solution of chamomile, splashing miramistina 3-4 times a day, drinking plenty of fluids and antibiotic. Mom said that the penicillins do not help, prescribed Zinnat or suprax 2.5 ml 2 times daily, but AB after the test results. Explained, if the blood is inflammatory, buy in the pharmacy AB and will give the children. Two days later I called to find out how you are. My mother phoned the grandmother said that the tests they did not go, the girl’s temperature is normal, throat normal, the boy has a temperature of 37 rests. AB they bought and started taking from the day I called. Next week on Monday my mom called and asked them to arrange transport to take children to hospital for tests the next day. I live two miles from the hospital. I agreed. On Tuesday, they arrived urine is not collected, passed oak blood was inflammatory at the boy, ESR 50. When inspecting the data of respir.pathology was not the fontanel calm, manning did not have symptoms. I reported the result on the same day after lunch and said to call an ambulance, the mother still complained about the temperature of 38.5. Mom agreed with me, said cause. Let me remind you, it was a Tuesday. On Thursday I had a field day in another village, after my appointment I called to find out how they’re doing. Mom said his temperature is normal, appetite was restored. On Friday evening they called an ambulance and with a convulsive syndrome they were taken to the hospital. For MRI and EEG pathology no, puncture spinal inflammatory. Even the burdened heredity for epilepsy (grandmother, aunt,uncle). Three weeks before these events the child got the vaccine prevenar in the second, was the reaction of the two day temp 37. First shot was fine. My mother and grandmother going to write a complaint to the Ministry for me, our hospital. Why should I prepare? Incomplete family, one mother, five children, another child died, choked with the mixture, but before my time. The children are often sick, living in a deplorable house. Grandma’s pregnant too, I’m afraid if that happens, will blame us. Help please Council.
Long wanted to learn to fasten, but didn’t know where to start? 😏Learn sewing from scratch, to the level of a professional! Time limits not learn until then, until you pass all homework. The course includes simulation. A brief program of our course: ● Unit 1: the Theory ● Unit 2: Skirt ● Unit 3: […]
911 call – You called 911, what is your problem? – 123 Main Street. – Okay, what’s happening? – I’d like to order a pizza. (well, cool, another prank call) – mA’am you’ve reached 911. Yeah, I know. Can I order a large pizza? Half pepperoni and half with cheese, mushrooms and pepper. – Mmmm…. […]
TEST THAT WILL HELP MEDICAL STUDENTS CHOOSE THEIR FUTURE SPECIALTY.One of the largest medical universities in USA – University of Virginia published the results of years of study of personal characteristics of physicians of different specialties. In this (quite interesting) study, the researchers determined the most typical and typical (almost gruppoobrazuyuschaya) peculiarities of temperament, attitudes, […]
Hi friends! Know what questions I often ask women? They are: 1⃣ How do I raise their self-esteem? 2⃣ How to deal with irritability and control the emotions? 3⃣ How to learn to say “no” and not feel guilty? Agree, very important issues 🤔 After all, if women are usually such problems, it is unlikely […]
the Story that I told a close friend, I myself was not present, and therefore leave this post for your judgement without any proof. In textbooks and on the Internet opinions about the phenomenon as “infantile schizophrenia”, are very different. With a friend, we studied together in medical school, however , our interests were very […]
love to read posts about the work of doctors. The ones where people’s lives are directly dependent on the professionalism of others. Very respect people who love their work,save lives,despite all the ingratitude on the part saved . My mother was a doctor,35 years in medicine. Talked a lot about work. Yes, and I spent […]