Chapter 156: Shock & Candy
"Convulsion" is the term used by Shu Linong, a man who knows nothing about medicine. The scientific name is convulsion.
Because he didn't understand, he was even more afraid. The old man was heartbroken and his first reaction was to hug the child and pat him to comfort him. Zhao Wanqiu stopped him quickly.
"Don't move yet, just watch how Jin Yue handles it." The incidence of high fever convulsions in children is still quite high. He watched and learned more, just in case he could handle it when Jin Yue was not at home one day.
It can be said that Zhao Wanqiu is very calm, and Shu Jinyue is even calmer than her. As a doctor with many years of clinical experience, she remained calm in the face of danger. With one hand, she removed the child's pillow, and with the other hand, she turned the child's head to the side to prevent him from choking on food or saliva in his mouth.
Little Yueyue was so frightened that she dared not speak, tears were falling from her eyes. She opened her mouth to call her mom or her brother, but was afraid of disturbing her mom. She just stared at her brother and cried silently.
Zhao Wanqiu then realized that she had been careless and had been busy with Su Xing, but forgot that Su Yue was still a child. She quickly hugged little Yueyue in her arms and said, "Don't be afraid, your brother is sick. Mom is treating him. It's okay, it's okay."
After being comforted by the adults, the little girl blinked her eyes, gradually calmed down, stopped crying, and nestled in her grandmother's arms, staring at her mother blankly.
Fortunately, Su Xing's convulsion was very short, lasting only about half a minute, and soon calmed down. After the convulsion, his face was not so red anymore.
Shu Jinyue felt him and took his temperature while taking out a piece of gypsum from the room where the herbs were kept. He weighed it and found it was about 20 grams. He crushed it and said, "Dad, go boil some gypsum water first."
Only then did she realize that her palms were sweaty and there were tiny beads of sweat on her forehead and nose.
"Are you sure plaster will work?" Zhao Wanqiu was unsure. In the past two days, she had used Western medicine antipyretics, as well as the Chinese medicine antipyretics and antipyretic patches prepared by Jin Yue. She was just short of taking hormones. Generally, Jin Yue’s homemade medicine can deal with most of the fevers in children in clinical practice, but it didn’t work for Su Xing this time. She always felt that things would not be that simple.
Jin Yue nodded.
She dared to use plaster directly because Su Xing's condition was basically the same as that of Xiao Huzi back then. Over the years, she has used this method to cure many children with febrile convulsions in clinical practice.
Sure enough, after feeding him the gypsum water, the little guy slept much more soundly. Jin Yue carried him back to the house and decided to put him to sleep himself tonight.
"Little Moon will sleep with Grandpa and Grandma, okay?"
The little girl pouted, a little unhappy. She liked her sweet and soft mother.
"Because my brother is sick, mom is not sure if it is contagious. You are still young, if it is contagious, you might get sick too. If you and your brother get sick, mom will be even more unable to take care of you, right?"
Shu Jinyue patiently persuaded and reasoned with Xiaoyue, who only half understood. Finally, she was carried back to the house by her grandmother to sleep obediently.
Shu Jinyue slept restlessly that night. He checked on Su Xing, took his temperature, and fed him medicine. After dawn, his temperature had subsided. Unsure whether the fever would recur, she did not want to go to work, so she called Anna and asked them to comfort the patient first. If the case was really urgent, she could assign it to other experienced doctors. If the patient was not urgent and was willing to wait, she could go over to work overtime in the evening.
It is not easy for many patients to come here, and it is not easy to let them down. We can only postpone the consultation time to the evening. I hope they can understand.
Zhao Wanqiu heard her on the phone and came over to whisper, "If you don't have a fever, go to work. I'll keep an eye on you. If anything happens, I'll call you as soon as possible."
Shu Jinyue was reluctant to leave her son. She was busy enough on a normal day and had very little time to spend with her child. She couldn't be absent when he was sick.
"How about this? Your dad and I will take them to your unit. There is a ward there. You can give Su Xing a clean and bright one. We can take them out to play. Bring two story books and some toys. They can keep you company, and you can be the first to know if anything happens."
Shu Jinyue thought about it and it made sense. She was the dean and no one would say anything if she brought her child to work.
He immediately called Anna again and asked her not to cancel her account yet and that he would be at work on time.
Fortunately, Su Xing's convulsions were only transient, and he stopped having convulsions after his fever subsided. While treating the patient, Jin Yue went to the ward several times. Apart from being listless, not wanting to eat, and being clingy, the child did not seem to be feeling unwell anywhere else.
His grandparents were always there for him, telling him stories, playing games with him, teaching him how to build blocks and play with the Rubik's Cube. When he got tired, they would give him some water (medicine) and ask him to stand up and move around, so time passed very quickly.
It’s so nice to have parents around! To be honest, although the child has a nanny, she is not confident enough about her compared to her parents.
After having lunch and dinner in the cafeteria, Jin Yue drove home. He was so sticky after a day of worrying and working that he couldn't stand it anymore. When he got home, he left the car and said, "Mom, watch the stars. I'm going to take a shower."
It's still a late spring chill, but the situation today is special, it's unbearably hot. Jin Yue not only has to wash his hair and take a shower, but also has to wash all the clothes he wore today. The washing machine broke down a few days ago and was taken back by the manufacturer for repairs, so all the clothes have to be washed by hand.
She hasn't washed clothes by hand for many years. Now she feels a little strange when she thinks of a basin of dirty clothes. She doesn't know how long it will take to wash the clothes. If not, should she wash the underwear first and put the outer clothes aside and wait for the washing machine to be sent back for washing? If that doesn't work, she's willing to buy a new one.
Just as she was thinking about it, Zhao Wanqiu suddenly called her outside the door: "Jin Yue, come out and take a look, Xingxing is burning again. I measured it twice and it was 38.5 degrees." The body temperature had returned to normal during the day.
Shu Jinyue didn't even have time to rinse the foam off his head. He hurried into the house and saw that the little guy's face had turned as red as a tomato again, with a thin layer of skin that looked like it was dripping with blood. The child's lips were also burned red and dry, and his big eyes were watery. His whole body had become a small stove and was very hot to the touch.
Shu Linong quickly brought some gypsum water and fed some to the child. After about forty minutes, the body temperature did go down, but a new problem arose - diarrhea.
He didn't eat much in the first place, and after a burst of diarrhea, his stomach was empty. His legs and hands were weak, and he seemed to have no strength to speak. The child looked even more pitiful.
Jin Yue frowned, "It seems that this gypsum water can no longer be fed to the child. It is too cold and the child's spleen and stomach cannot tolerate it."
From a Western medicine perspective, a fever is all about replenishing water to prevent dehydration. Now he has diarrhea, which causes a greater loss of water in the body, which is making the situation worse.
"What should we do? How about giving him some intravenous fluid?" Zhao Wanqiu asked.
Although Jin Yue is a traditional Chinese medicine practitioner, she does not reject Western medicine and will use it when necessary. "Okay, I'll ask the hospital to send the needle over, Mom, you give him the injection."
Su Xing and Su Yue's physical fitness is much better than that of ordinary children. They have hardly ever been sick. At most, they will have diarrhea a few times when they have indigestion and look a little listless. It's the first time they have had a fever in their life, even though they are almost two years old.
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Shu Jinyue was not too nervous at first, because she knew that this was a necessary process for every child's growth and development, and it would be fine as long as it was handled properly. However, for three consecutive days, the fever subsided during the day and recurred at night. The fever was not very high, and there was no convulsion, but Jinyue still felt something was wrong.
According to her clinical experience, it shouldn't take so many days for the blood pressure to go down. In addition, Su Xing's physical fitness has always been very good, so it would not last so long. She wondered if she was too confident and should have checked her blood earlier to find out what caused the high fever.
So, on the morning of the fourth day, Jin Yue took Su Xing to the hospital, had his blood drawn and had all the tests that could be done.
"Is Xingxing not well yet?" Anna came in to deliver documents. Seeing that she looked worried, she also became worried.
The twins are very cute, with delicate looks. All the employees like them very much. I heard that when they went to have their blood drawn in the morning, many uncles and aunts in white coats gave them candies and toys. Other children cried like pigs being slaughtered when they had their blood drawn, and were harder to press than the New Year pig. But Xiao Xingxing didn't cry or make a fuss. He was well behaved when his grandmother held him and blindfolded him.
"Not yet. Let's see the results later." Shu Jinyue was a little exhausted, but since she had arranged for Li Xuemei and Anna to work overtime, she still had to pay attention to it. She read the plan they wrote first, but looking at the long list of contact numbers they picked out, she really couldn't muster up the energy.
"Take a rest first. You've been exhausted these past few days."
Jin Yue really hopes that Xu Duan can be by her side at this moment. With him around, she won't have to be so tired. Xingxing also needs a strong and brave father to accompany her. She hopes that when he looks back on his childhood when he is writing essays, it is not his mother who took him to the doctor alone, but his mother and father who accompanied him together and taught him to be brave.
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Jin Yue had just finished seeing the doctor halfway through the clinic when Su Xing's test results came out, ruling out bacterial, viral, fungal and parasitic infections, and there were no obvious abnormalities in urine and stool tests. It could be said that there was nothing wrong with his body except the fever. He even stopped having diarrhea after not drinking the gypsum water.
It turned out that Aunt Wang had sent it in person. She checked it twice herself and said, "Xiao Shu, why does this child look a bit like me back then?"
Shu Jinyue shook her head. She initially thought that Su Xing was the same as Xiao Huzi, but now it has been proved that they are also different. Although gypsum water can reduce the temperature, it is very short-lived and recurrent. But if he is the same as Aunt Wang, he has never had a cold, and there are no symptoms of both internal and external diseases... It is so difficult to see a doctor. With the same symptoms and the same prescription, it works for some people and doesn't work for others. And it happens that this "difficult to treat" little patient is my own child, so I have to be careful not to use the wrong medicine.
"I don't understand the theories of Chinese medicine either. I'm just speaking from the perspective of someone who has experienced it. Please don't think I'm talking too much."
"How could that be? Just say it." Since the old Wang couple settled down in the book city, they have never returned to Shanhe Province. This year's Spring Festival was the same. Because two patients with more serious renal failure also needed hemodialysis during the Spring Festival, Old Wang stayed behind to take charge so that the young doctors could rest assured. He and his wife's travel plans were put aside for the time being.
"I can't thank you and Uncle Wang enough for helping me. You can tell me anything you want to say."
Aunt Wang smiled gently, "I've been thinking about this recently. You said that our testing equipment is so advanced that no one dares to claim to be the best in the province, but is it really as the people outside say - we can detect any bacteria or virus?"
Shu Jinyue frowned, "You mean, Su Xing might be infected with some unknown bacteria or virus that cannot be detected by existing equipment and technology? And his clinical symptoms are atypical, and there are no corresponding symptoms, so it is hidden and cannot be detected?"
"I'm a forensic doctor. We've encountered some situations in the past that are somewhat similar to this. You can say that I'm overly suspicious or that I'm overthinking. Just take it as a listen."
Before she said it, Shu Jinyue had never thought about it in this way, but when she said it, she became a little confused.
After all, what Aunt Wang said is true. Human beings' understanding of microorganisms is gradual, increasing and improving. Just like the two infectious pneumonias that shocked the world in later generations, at the beginning, clinicians could not find out what they were. It was only after they continuously improved and enriched theoretical knowledge and improved testing technology that things gradually became clear.
So, is it possible that Xiao Xingxing has also been infected with some atypical infectious disease?
The more Shu Jin thought about this possibility, he quickly took out the mask and put it on himself, "Auntie Wang, please stay away from me."
I quickly asked my mother to take Xiaoyueliang and not go out or contact other people. I also called Ma Shuhui and Liu Jinbu to see if they had received any similar case reports during this period.
It was also a coincidence that as soon as the call was connected, Ma Shuhui said, "Xiao Shu, why did you think of calling me? I was just about to call you."
"What do you want to call me?"
"Oh, don't mention it. During the two days of the New Year, the district hospital admitted two children. Their common symptoms were fever, low- to moderate-grade fever. The commonly used antipyretic and analgesic drugs in clinical practice were ineffective, hormones were ineffective, and even the several commonly used Chinese herbal medicine prescriptions for treating plague and influenza that you prescribed that year were ineffective... On the surface, they seemed to have no symptoms, but an X-ray examination revealed that the lung infection was a bit serious."
Shu Jinyue's heart skipped a beat, "Not even coughing or spitting?"
"No, it was because I had no respiratory symptoms that I didn't think of taking a chest X-ray. Who knew that the infection was quite serious after taking it?"
Shu Jinyue thought to himself, Su Xing hasn't had a chest X-ray yet. The main reason was that she was afraid of radiation. She thought that the child was still young and his body was not yet mature, so the examination was not indicated. So she did not do it. In that case, if he was like those two children, shouldn't he also have a scan to see?
"I thought this situation was not right. Could it be some infectious disease? So I thought of calling you to ask. If you have time, can you come over and help us take a look and give us some guidance?"
Shu Jinyue smiled bitterly, "Director Ma, to be honest, my child may also be in the same situation as you said."
Comparing the two, the onset, course and symptoms are exactly the same.
Jin Yue thought about it, "Where do the two children Director Ma mentioned live?"
"It's in the area of your Xinqiao Street, it seems to be Xinghua Hutong. I'm not sure, let me ask Lao Liu..." Soon, Ma Shuhui confirmed that it was Xinghua Hutong.
That was the alley where Shu Wenyan's family lived. Shu Jinyue felt something was not right. The clustering of similar cases in the same area within a short period of time was really a sign of an infectious disease.
"Well, let me take an X-ray of my child first, and we'll contact each other by phone later if anything goes wrong."
Compared with curing diseases and saving lives, that little bit of radiation is nothing to worry about. Shu Jinyue personally took Su Xing in to take a chest X-ray. Sure enough, the descriptions were all "increased lung texture", "lung shadows in multiple lobes", "exudative lesions", and the final diagnosis was "consider lung infection".
Everyone was confused. "How did this child develop a lung infection when he didn't cough or wheeze or produce phlegm?"
Shu Jinyue took his son's pulse and found a typical rapid pulse. His mental state seemed okay too, and was far from being as serious as described in the chest X-ray.
This apparent calmness is exactly what is most frightening. Shu Jinyue's heart skipped a beat and he immediately called Ma Shuhua. After the two sides exchanged information, they found that this might really be some unknown infectious disease, and now it is most likely pneumonia.
Shu Jinyue had seen the two catastrophic pneumonia transmission processes in Longguo in the 21st century on his mobile phone, and immediately suggested that Ma Shuhui report to the city immediately to see if there were any similar cases in the city. If so, perhaps they would have some other symptoms and could find some treatment ideas.
But if it is suspected to be some kind of infectious pneumonia, Su Shujinyue will not panic because she knows how to treat it!
In the two battles against pneumonia in later generations, several very effective prescriptions were summarized and extracted, which were much more direct and targeted than our own random attack. Although the symptoms were not so typical, once lung infection occurred, even if there was only evidence in medical imaging, it was enough to use those prescriptions.
You know, those prescriptions are the result of the combined strength of traditional Chinese medicine circles across the country, brainstorming, expertise, and combination of regional seasonality and children's special physiological conditions. They are formulated by contemporary masters of traditional Chinese medicine based on a combination of classical prescriptions and modern prescriptions. They are enough to be taken to pharmaceutical factories to directly produce ready-made Chinese patent medicines!
Although Shu Jinyue claims to have some medical skills, he is far behind these masters of traditional Chinese medicine in both theory and practical experience.
Moreover, these famous prescriptions were included in the disease treatment guidelines because they have been used in thousands or even hundreds of thousands of clinical cases and have been proven to be effective. Even if Shu Jinyue lived another two lifetimes, she would never have the opportunity to "experiment" with hundreds of thousands of cases, so she trusted them unconditionally.
Thinking about it, based on the famous prescription of the national medical master, she made some appropriate adjustments according to Xiao Xingxing's physical characteristics, usual health condition, and recent pathological changes, and quickly prescribed a simple prescription for Anna to take to the pharmacy.
After being busy for a while, Shu Jinyue asked the inpatient department to arrange an isolation ward. For those who had come into contact with the child, she couldn't isolate everyone in the hospital. She could only ask each department to reschedule their shifts, arrange for them to rest, and then go home to isolate themselves.
"However, according to Director Ma, the disease has not yet appeared in adults. The susceptible population should be only children. It is not harmful to adults." She and her family have been in contact with Xiao Xingxing during this period, and have not heard anyone say that they are feeling unwell.
Fortunately, she isolated the children at home early on.
Li Xuemei and Anna volunteered to stay: "We will stay in the hospital to see if there is anything we can do to help, so we don't have to run around when we go home."
"Yes, Jin Yue, don't be polite with us. Anyway, we are alone and have nothing to do when we go back. It would be nice to see if we can do something here."
They both spoke sincerely, and Shu Jinyue really needed help. "Okay, thank you for your hard work."
It's the New Year, and she wanted to raise funds for the foundation. They said they would work overtime, so they came to work overtime. Now they have become potential infectious disease patients and cannot return home. Shu Jinyue's gratitude is beyond words.
She felt that the women around her were all very capable, from her sixty-year-old mother and Qi Peilan to single women of their age, each of them was working hard to live and was living a prosperous life.
The few of them quickly made a brief division of labor. Since they were to be isolated in the hospital, they could not move around freely and could only move their work to the isolation ward. They had to arrange the venue in advance and prepare the things they needed.
After they finished the arrangements, Qi Lixin personally delivered the medicine. He picked the medicine himself and stood by the stove himself. After the medicine was boiled, he brought it and the pot to the door of the isolation ward.
Shu Jinyue didn't let him in. "Just leave it at the door. A nurse will come out and take it."
Qi Lixin was encountering this kind of situation for the first time and was extremely worried. "Jin Yue, if you need anything, please arrange for us. My mother and I are here. She said you don't have to worry. She is looking through my grandfather's medical notes to see if there are any clues."
Years ago, in view of Qi Peilan's performance and determination, Shu Jinyue gave her Qi Huanxin's medical notes. At that time, Qi Peilan's eyes were red with gratitude, as if she was holding a rare treasure.
That was something she had longed for for half her life. This book was not only the academic essence of the Qi family, but also a symbol, it was her father's recognition and affirmation of her... Her father did not give her these things when he was alive, nor did he give them to her after his death. Instead, it was Shu Jinyue who gave them to her.
"Thank you, Brother Lixin, and Aunt Peilan. We are doing well in there, so don't worry."
Qi Lixin breathed a sigh of relief, "That's good, that's good. I don't know how I can help, so I'll just help you look after the pharmacy."
After Hu Rongsheng got back on track in the hospital, he went to Taocheng again, saying that he was going to visit Cuiguo. It would take at least a month for him to come back, so Qi Lixin is now acting as the director of the pharmacy.
Her second brother, his wife and her parents were looking after her at home, and the heads of various departments and sections in the hospital were helping to look after her. Shu Jinyue felt that she had no reason to worry anymore. If she had to worry about anything, it was about Xiaoyueliang.
She didn’t know whether Xiaoyue would be well behaved during the time she was away from home, nor did she know whether she would be infected with this unknown pneumonia… Just as she was thinking about it, she suddenly heard a familiar “Mom”.
Su Yue came, being carried on the shoulders of a thin man. He looked a little familiar, yet a little strange. It was Xu Duan.
Shu Jinyue watched the father and daughter approach step by step through the glass on the door, "Don't come over, just stand there."
Xu Duan stopped. His hair and beard were very long and messy. He had lost a lot of weight and was much darker. He even had sun spots on his cheeks and cheekbones, and his lips were dry and chapped. If you didn't know him, you would have thought he had come back begging all the way.
Shu Jinyue had a lot of questions to ask him, but didn't know where to start. The medicine had just cooled down, so he quickly scooped out a third of it from the small bowl and brought it to Su Xing to feed him.
Little Xingxing had had enough bitter medicine these days, so he wanted to hide when he saw the black pot of medicine soup. His little brows were furrowed, and he pushed it away with his hands. He even cried when the medicine was force-fed.
As expected of twins, although they couldn't see anything through the door, Little Moon seemed to be able to see that her brother was throwing a tantrum. She shouted, "Su Xing, you have to be good, take the medicine, and be the bravest baby!"
She spoke in a halting manner, but it was not a big deal for a child under two years old to speak such a long sentence and it was nothing to pause a few times in the middle.
"When you are well, I will give you the candy I found. I will give it to you to eat!"
"What candy that they found?" Xu Duan was a little confused. Kids nowadays are not as greedy and hungry as they used to be. They will eat anything they find on the road. They shouldn't eat the candy they found.
"My brother is here. He found a candy at the door. He ate one. Oh, Su Yue didn't eat it. She's at home..." She said too much at once. She was so tired that she almost couldn't breathe.
Xu Duan thought of something, his face suddenly changed, and he quickly called his family.
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