Qi Jing originally wanted to say hello first and then briefly introduce himself. But unexpectedly, he just signed up and the receiver started...

"You are the children of Qi Sen and Xiao Yu? You are quite talented in pediatrics. Do you want to come to the child center?"

The old man took a sip of the freshly brewed tea and asked before Qi Jing could answer, "I taught the digestion, the gods and the generals and foreign directors. Oh, by the way, you graduated from a graduate student, right? Have a master's degree certificate? But it doesn't matter if you don't. Just take the exam for the tutor of our hospital..."

Lu Lin was obviously stimulated by the tea polyphenols in tea. Not only did he speak very quickly, but his thinking was also very clear. He thought that the whole paragraph was already ready, and he did not give Qi Jing a chance to interrupt.

I'm afraid that Quan Danyang will only be the only one who dares to poach so openly.

It is also because pediatricians have too low income, and they are almost at the bottom of the doctor. Children need more patience to communicate than adults. For family members, children obviously account for a larger proportion, so they are also the hardest hit areas for medical disputes. It can be said that all doctors who can persist in pediatrics are escape experts.

In addition, income is not comparable to effort, so it is not surprising that talent is zeroing out.

"Teacher Lu, I prefer critical first aid..."

"The iCu in Danyang's child center is the top spot in the surrounding area. It is impossible for Danyang Hospital to catch up with it for less than ten years. Although the iCu's senior director is not my student, he is my junior. He went abroad to study and then returned to the country. If you are interesting, I will tell him that a degree is no big deal."

Qi Jing:......

"Teacher Lu, I personally prefer adult first aid."

"How interesting the children are, they are small and cute. Sometimes they say unexpected things. Does Tong Yanwuji know? The adults smell fishy, ​​and they smell so bad..."

Qi Jing looked worried: It's not over...

He spent a lot of effort and dealing with the old man for a long time before he talked back to the child with gastroenteritis.

Mild gastroenteritis and fever-free benign convulsions in infants and young children are not enough to just watch the child twitch. The symptomatic treatment needs to be kept up as soon as possible to prevent repeated recurrences. Diagnosis is Qi Jing's specialty, but the treatment is slightly inferior, especially for dealing with such children.

It is indeed rare to ask Tong Miao to invite Old Director Lu Lin this time.

"You have prepared oral rehydration salt? You also said you don't like pediatrics? Who would learn the configuration of oral rehydration salt if you don't like pediatrics?"

Lu Lin was surprised again. An undergraduate who had just graduated from college could understand how to configure oral rehydration salt? If you really understand this, you might have been attracted by various tutors during your studies and apply for admission to graduate school directly.

The old man didn't expect that the two surprises he received this year came from this young man, or the same patient.

"I'm just a little curious and just learned it privately." Qi Jing was embarrassed.

At the beginning, he went to some backward areas for medical assistance, where the medical level was backward, and patients with bacterial viral diarrhea were often treated with patients with bacterial viral diarrhea. Without sufficient infusion, oral rehydration salt was a life-saving straw for correcting dehydration and maintaining electrolytes.

I have to say that the algorithm is really a headache, and Qi Jing learned it for a while before he understood it.

"Have you learned privately? Don't come to this with me. When you come back from the United States, you can come to the Children's Center to find me. You can write down the diagnosis and treatment of this patient."

Lu Lin thought about it and had considered the candidate for the signature: "There is insufficient understanding of bie in China, so more related papers are needed to let them see the disease. The key is that there are no imaging examination equipment around and no infusions around it, which is very valuable for publication."

"Then I thank Teacher Lu first."

I was lucky to have a postoperative case of Xiong Yong's large lung blister combined with tension pneumothorax three months ago. Unexpectedly, he could still get rid of the paper by Director Lu Lin three months later, which was a dream start.

Many masters and doctoral students want to leave their names on the papers of these two senior directors, but they didn't expect that they would be occupied by him, an undergraduate.

"Don't rush to thank you."

After living for so many years, Lu Lin was obviously a good bait player. Seeing that the paper attracted Qi Jing, he immediately seized the reason and continued to use the paper to seduce it.

"If you are interested in the paper, the Department of Pediatrics and Gastroenterology happens to have relevant case statistical research. They specialize in the follow-up of BiE, and I think you can follow it. The main person in charge of the project is a director there, and I know it too..."

here we go again......

"Teacher Lu, let's focus on rehydrating salt, let's talk about these things later."

"Oh, oh okay."

"I'm now prepared with rehydration salt, but I don't know much about pediatrics." Qi Jing explained with a smile, "I'm the rehydration salt that I recommend to patients with cholera diarrhea in the 1970s and 1980s. I always feel that the sodium content and osmotic pressure are a bit high, so I reduce some of the sodium content."

"Well, that kind of rehydration salt tastes bad."

Lu Lin is worthy of being a pediatric expert. When he came up, he did not consider the formula content in this oral rehydration fluid, but thought of the taste first. After all, it is for children to drink, so if you don’t drink it, you will naturally resist it.

"How much sodium content is now? Have you calculated it?" Lu Lin asked.

Qi Jing held the figure calculated in his hand and replied: "Just finished calculating, I reduced the sodium content by 1/3 and controlled it to 60mmol/l. What do you think?"

"It's down too low, add a little more." Lu Lin thought for a while and asked, "By the way, is there sodium citrate on the plane?"

"Teacher, it's already great if I can find sodium bicarbonate." Qi Jing joked with a smile, "Fortunately, there is potassium chloride in the first aid kit, which can control the content of potassium ions in the rehydration salt."

"That's all I can do. I'll give him a drink and stop the diarrhea."

Lu Lin had no choice. After all, it was hard to cook without rice. If the sodium bicarbonate in the old rehydration salt was replaced with sodium citrate, the taste would be much better.

"Don't worry, Teacher Lu, Haohao is very well-behaved."

The old man thought about it, but was still not at ease with rehydration salt, and continued to ask: "Calculate how much total osmotic pressure is now?"

"I lowered sodium ions at about 270mmol/l, which is much lower than the old rehydration salt."

"It's not enough, the total osmotic pressure has to decrease, but the sodium content has to increase. Hyposmotic oral rehydration salt can effectively reduce the amount of feces and vomiting rate, and can also reduce the intravenous infusion volume, which is very helpful to the child on the plane."

Lu Lin thought about it and continued: "I remember that in 2001, who specially modified the rehydration salt. It recommended that the sodium content is 75mmol/l and the total osmotic pressure is 245mmol/l. Although it is used for adults, children can also drink it from the formula."

"How many times did he pull it?"

"It's the third time today." Qi Jing said, "mainly because I drank a lot of milk at night, I was intolerant of lactose and had a lot of feces."

"Water or egg pattern?"

“Egg-shaped, mushy.”

Lu Lin thought for a while and said, "The osmotic pressure will drop a little further, 235mmol/l will be the same, and the sodium content will be maintained at 70mmol/l."

"good."

Qi Jing nodded. Indeed, in benign convulsions caused by gastroenteritis, the severity and frequency of abdominal pain and diarrhea are the key.

It can reduce the amount of feces and effectively reduce the number of abdominal pain and diarrhea, and can control this convulsion from the source.

"By the way, ask his parents if they bring zinc supplements." Lu Lin seemed to have found another suitable thing, "Zinc supplementation can shorten the course of diarrhea, reduce the condition, and prevent diarrhea recurrence in the next few months."

"Zinc supplement?"

"Well, this is my experience accumulated over ten years, and I have never seen it in the book." The old man laughed, "In the past, when I met a child with diarrhea, zinc supplementation was always milder than the symptoms of not supplementing it. Over time, I used it as a regular usage.

Qi Jing didn't understand, but since it was said by the old director, there was naturally his reason: "What about the dose?"

"Give me 20mg a day, it's almost done."

"good."

"Look at what zinc supplement they bring, and you can calculate it based on the instructions."

"Well, I understand this." Qi Jing nodded, "If they didn't bring it, I'll ask other passengers. There are many people with children in it, and there should be."

I have to say that Lu Lin’s technique is indeed very experienced. The numerical calculations on rehydration salt have reached the single level. Even if there is a formula template provided by who, the old man still cares more about the actual situation, and each patient treats it differently according to the situation.

And the last zinc supplementation was really amazing to Qi Jing.

He has not studied much in pediatrics, but has only seen some cases. This strange treatment method can greatly expand his knowledge reserves. Combined with real cases experienced by himself, it is more profound to remember than boring reading books and magazines.

Haohao's parents did not bring zinc supplements, but in the end they asked for some zinc gluconate from the passengers.

After calculation, Qi Jing adjusted the sodium and zinc content. Although the oral rehydration salt tasted strange, Haohao still squeezed his nose and drank it.

"So many..." Haohao touched his bulging belly and burped, "It's so bad."

"Haohao, my stomach won't hurt after drinking it." My mother kept comforting her around him.

"Mom, Haohao is hungry."

"Hold on." The mother touched his head and continued to comfort her, "If you have diarrhea, you have to let your stomach and intestines rest well, otherwise it will be pulled out if you don't digest it much."

"Ah...I'm hungry!"

"Haohao mom, you can give your child some food." Qi Jing walked over with a smile and suggested, "Children are different from adults. They have less nutritional reserves and have stronger metabolism. Hungry days can easily cause nutrition to fail to keep up. Insufficient nutrition can also easily cause diarrhea, so you can eat something that is easy to digest."

"Yeah?"

If it were before, her mother would still be a little confused when she looked at Qi Jing. She was too young. But after the diagnosis and a series of things just now, she had an indescribable trust in Qi Jing: "What should I eat?"

"I'll go and think of a solution for you."

"Okay, thank you."

I have to say that the child is really lucky. Not only did he meet more than a dozen doctors, but he also sat on the same plane with his condition. The child is zinc-deficient and is not tolerated by lactose. As long as the parents go out, they will bring zinc supplements and lactose-deficient milk powder.

After drinking the brewed lactose-free milk powder, Haohao fell asleep again.

Qi Jing finished the case and looked at the watch. It was noon local time at the destination. The originally designed jet lag plan was completely ruined by this sudden case. Now, after sleeping, I am afraid that I will be excited until dawn after getting off the plane.

Now the four of them are all awake.

Gu Liang sat by the window, playing games with a handheld computer in his hand, and had no interest in the child just now. Ji Qing brought two medical journals about the heart and respiratory system. Qi Jing's request was still in his ears, so he didn't dare to neglect it.

Xu Jiakang seemed to be still considering some of his own problems, just sitting in a daze.

Qi Jing sat back in the seat and soon got the coffee and cake brought by the flight attendant: "The battle for staying up late has begun. Oh, it's really a headache. By the way, Gu Liang, you lend me the handheld camera to play with."

"No, I'm hitting the key point."

"I have a game magazine here, please change it."

Qi Jing flipped through one of the articles about online games, which had five pages of introduction, plus various color pictures, which was very exciting: "I think you will like it."
To be continued...