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.
to be honest, I have long started to be disappointed in the profession because of all kinds of paper bureaucracy, low wages, consumer attitudes towards health workers and many other things. I also somewhat@*@ – particle began to treat patients: all their wishes, if fulfilled, how would favor. The specificity of work in intensive care […]
It was in the 90s. In hospital muzhichek with a cemented spine. Don’t remember the exact diagnosis, but it is osteochondrosis it obezdil. While the goal in the medical center repair and some patients to give two wide beds ( I’m totally serious! ) Women much more than men, and they were two, almost every […]
Today went to the clinic, did not buy the shoes, because I was just there in registry. The nurse at this time mopping the floor and started yelling at me almost the good mate that I have no Shoe covers, I do not support the fact that the ambulance was forced to put on Shoe […]
… so, gentlemen, I propose an investigative experiment. Pick up a number of Shoe covers and roll into small, tight ball. Rolled up? Now shove it up your — Yeah, well, why so corny? Not there! Stick it into the windpipe. Just throw the ball in his mouth and immediately breathe in the air. Got? […]
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