Chen Wenqiang returned to Corey and saw that Li Min had already led people on rounds.He listened after him for a while, and when he saw that Li Min was looking decent, he turned around and went to the twelfth floor.Director Shi is also taking the general practitioners and interns on ward rounds.So much better.Chen Wenqiang went back to the eleventh floor with confidence.After Li Min saw the burn patient, he went in and checked it again.The patient who is going to have surgery tomorrow, he also went over and asked.After he returned to the nurse's office and checked the postoperative orders and operation records of the two patients who operated today, Li Min finished his ward rounds and came back with people."
Teacher.I saw you just now, and I just wanted you to lead the ward round, but I couldn't find you again. ”"I went upstairs.Is the eleventh floor all right?
”"It's all right.I've got the one for tomorrow's surgery scheduled too. ”"Then let's get off work
.
"* Being able to leave work on time, Li Min went home happily.When Mu Jie saw Li Min coming back, he looked up, nodded his head and said hello, and continued to type on the keyboard.Li Min took off her coat and went to the kitchen to find Xiaofang."
Xiaofang, when the alarm clock goes off in the afternoon, does your Uncle Mu have any rest?""
Yes.There is a ten-minute break at a time.Aunt Min, shall we eat now?
I've got it all right. ”"Well, let's eat."
Li Min and Xiaofang set the meal, the alarm went off, Mu Jie reluctantly looked at the computer, and then consciously shook his wheelchair to wash his hands, and then came over to eat."
Did it go well?""
It's ok.The third child gave me a frame and came out.With direction, you can do more with less. ”"When did he leave?""
Leave at four.By the way, Yan Hong called you to come over for dinner. ”"Oh, what's the matter?
I go over every day after dinner. ”Li Min stopped his chopsticks.She didn't say.Ask me what your arrangements are for the afternoon, and I said that there are two burns that need to be grafted.I asked her if she wanted to call the operating room to find you, and she said no. ”Mu Jie explained the matter clearly to Li Min."
Well, there must be something.I'll go over and have a look after dinner. ”Li Min immediately sped up the pace of eating."
Slow down, it's not bad for two minutes.If you're in a hurry, you're sick to your stomach again. ”"Uh-huh.Xiaofang, do you know what's going on?
”Li Min slowed down the pace of eating and asked Xiaofang."
I do hygiene and grocery shopping in the morning, and I look at the alarm clock in the afternoon, and I don't go over."
Xiaofang didn't know either.Li Min put down his job and went to Yan Hong's house.At mealtime, she used the key to Yan Hong's house to open the door by herself.When I entered the house, I saw that Sister Luo was cleaning up the children, and the others were eating."
Pulled you while you're eating again?"
Li Min asked."
Hmm.I only pulled a little bit in the morning, and I didn't pull it at noon.Once in the evening today, you can still eat quietly. ”Yan Hong didn't seem to be in a hurry, and Li Min's heart was also steady.Waiting for Sister Luo to pack up the child, Li Min took the child and hugged it in a circle in the hall.When she walked to the window, she looked at the child's face and was stunned, blinked vigorously in disbelief, and looked again, it was still like that."
Rainbow."
Li Min left the window and went to the dining table.The question contained in the "rainbow" made Pan Zhi raise his head from his rice bowl."
You found out too?"
Yan Hong stopped his chopsticks."
I thought I was dazzled.Today is the seventh day, why is the jaundice getting worse?
Did you feed some sugar water?
”"Hey.This afternoon my mom hugged him by the window and told me that I still don't believe it.Maybe I didn't notice it all the time. ”Li Min held the child thoughtfully, she thought for a while and said, "You stop breastfeeding first."
Don't be reluctant. ”Yan Hong sighed: "I knew you would say that." ”When Pan Zhi returned home, Xiaoyan was setting the table and his son was pulling, so he had to wash his hands and eat under the urging of his mother-in-law.I thought that I would hug my son after eating, but after listening to these conversations between Yan Hong and Li Min, he felt a little bad."
Rainbow, junior sister, what do you say is wrong with the child?
Pathological jaundice?
Stop breastfeeding?
”Li Min shook his head."
Senior Brother Pan, don't worry, there is not enough evidence to prove that it is pathological jaundice.Besides, Rainbow said that he only pulled a little bit in the morning and didn't pull at noon, so he may not have pathological jaundice.There are a few possibilities.One is physiological jaundice with slow regression, late onset physiological jaundice, and the other may be breast milk jaundice.Finally, this is more likely.These are all related to his premature birth and imperfect gastrointestinal tract function. ”Pan Zhi opened his mouth and asked in disbelief: "Breast milk jaundice?"
We didn't graduate from the same university!
”The term was so unfamiliar that he felt that he was not studying at the medical university.Yan Hong's mother motioned to her daughter to eat quickly, "Rainbow, you can't eat cold." ”The daughter is not in a panic, and Li Min is not in a hurry, it seems that the grandson does not seem to have any big deals.Yan Hong picked up the soup bowl with a smile, took a sip, and then said, "Minmin, you tell Pan Zhi about it." ”"Senior Brother Pan, it's no wonder you don't know.This term was coined by Professor Wu of Pediatrics.It turned out that for a while, before the political study at 3 o'clock in the afternoon of our hospital, there was a lecture first, and the directors of each department took turns to talk about the rare patients and misdiagnosed cases encountered in clinical practice.Sometimes it's a few simple sentences, sometimes it can't be finished in half an hour, and it has to be broken down next time. ”Yan Hong laughed with Li Min, who was holding Pan An, laughing at the director who would be decomposed next time.I'm going to have to wait for a week, and I'm really anxious.Pan Zhi, who was about to die, said patiently: "I know this.There's never time to go over. ”"You don't have to go over, the lecture has long been stopped.At first, those directors were willing to speak, but then I don't know who picked the lead and said that it was hard to hear, that is, those failed cases were all reviewed by the directors.And then no one wanted to talk about it.In addition, after the arrival of the autumn surgery season, no one went to the surgery, and the number of internal medicine inpatients increased.I didn't even notice when it stopped. ”Yan Hong also smiled: "I didn't pay attention either."
Anyway, I didn't go for a while, and when I thought about it again, others said that it was stopped, the dance party was also stopped, and the political study became a meeting of the head nurse. ”"Except for them, when there are many patients, who can walk away."
Pan Zhi, who was so anxious that he couldn't hold back anymore, urged Li Min: "Senior sister, what's going on with this breast milk jaundice?"
”Li Min smiled, looked at Pan An's yellowed face, and said with a pitying expression: "Specifically, jaundice appeared after a few days of exclusive breastfeeding, but there were no other symptoms of jaundice."
In general, it will occur later than physiological, but there are overlapping periods.This diagnosis is usually considered when the physiological jaundice begins to recede at 5 or 6 days of age, but the jaundice worsens again, and the newborn is simply breastfeeding. ”"The cause may be that the liver function of premature infants is underdeveloped, the ability to take bilirubin is insufficient, the enzyme activity is low, and the intestinal bacteria are lacking."
What then?"
Pan Zhi was in a hurry."
Breastfeeding," he looked at Yan Hong and said, "There are immune antibodies in breast milk in the first half of the year, which can protect the child."
This, if you can't eat breast milk for half a year......"
Pan Zhi turned his head again in distress, looking at Pan An in Li Min's arms, his face was full of pity and entanglement."
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Caihong'er, you hurry up and eat, and tell your family Pan Zhi when you're done.Xiaofang, after you finish eating, go to the small shop in the hospital to buy milk pump. ”Xiaofang smiled and said, "Aunt Min, I'm going to buy it in the afternoon." ”Li Min nodded at her, tapped Yan Hong with his finger, and hurriedly returned his hand to hold the child steady.said: "For Pan An's sake, I won't worry about you today.You stop for one night and see if it's okay.If it works, eat smaller, more frequent meals, and there is no need to wean.Breast milk is better than milk powder. ”Pan Zhi understood what Li Min meant, and put his heart back.He turned his head and began to eat.Yan Hong explained apologetically: "Minmin, I just can't make up my mind by myself, for fear that I will think badly and delay the child." ”Li Min's eyes were on Pan An's face, and she said that if she didn't worry about Yan Hong, she wouldn't care about Yan Hong.She took the baby bottle handed over by Sister Luo, sat on the wall chair that Xiao Yan brought for her, she held Pan An's back and head with her right hand, put Pan An's butt on her left leg, and put the bottle on the back of her hand and cheek, and stuffed it into Pan An's mouth.Unexpectedly, Pan An immediately pushed out the pacifier with his tongue.Li Min was stunned, turned her face and asked Sister Luo, who had just picked up the rice bowl: "Isn't he hungry?"
”Sister Luo laughed: "This kid is smart."
At five o'clock, he refused to eat the bottle.Lai chattered for a while, and his mother was reluctant to cry, and finally his mother fed him. ”Li Min shook the bottle in her hand, only 30ml, and she said to Sister Luo: "I'll see if I can feed it in, no, you can take the child with me to my house for a while, so that her mother will be reluctant." ”Pan Zhi immediately turned his head to look at Li Min again.He just opened his mouth to speak, but Yan Hong rushed ahead of him and said, "That's what I plan to do." ”"Is it appropriate to hug it?
What about crying at night?
He's got a big temper. ”Pan Zhi has basically figured out Pan An's temperament in the past few days.This kid is easy to talk about during the day, and when he blows, he eats and sleeps.But the little temper at night is a little big, no matter what the reason is, crying, only Yan Hong can coax it to breastfeed."
Senior sister has surgery tomorrow."
Yan Hong said: "If you don't take him away, I have to feed him when he cries at night."
Then I can't figure out his jaundice. ”When Yan Hong spoke, Pan An turned his head to find the direction of his mother, and he was about to cry in his mouth.Li Min said, "Rainbow, you hurry back to the house after eating, or don't make a sound." ”In the unfamiliar embrace, Pan An felt very uncomfortable.He twisted, swaddling tightly, leaving him little room to writhe.Li Min hugged him tightly, and he couldn't twist out anything new, so he began to hum......
Yan Hong's mother ordered her daughter not to make a sound, and stopped Pan Zhi from holding the child with her eyes.The villain couldn't find reinforcements to carry him away, and he wanted to cry when he opened his mouth wide, but Li Min took the opportunity to stuff the whole bottle mouth into his small mouth.Pan Zhi felt sorry for his son, and secretly slandered Li Min too much, and the mouth of the bottle was stuffed too much.But when he saw that his mother-in-law and wife were watching Li Min silently, he silently watched Li Min fight with his son......
The battle lasted for three minutes, but in Pan Zhi's eyes, it was three hours, three days, three years.Just when he felt sorry for his son and blushed and couldn't push the pacifier out, the villain surrendered!
Maybe his belly was hungry, and he began to eat the bottle obediently and obediently.Yan Hong's mother laughed: "Such a big little person, his temper can't resist being hungry."
Minmin, you have surgery tomorrow, so you don't have to take the child to your house.That Xiao Luo, tonight you will take her to sleep in the single room and eat a bottle all night. ”Li Min said, "Auntie, why don't you see if it's Xiaoyan or you come to live in my house."
There is no room for a crib in that little room. ”In the end, when Pan An finished eating the 30ml bottle and fell asleep, Yan Hong's mother made a decision: let Xiaoyan go to Li Min's house to live, and Sister Luo took the child to sleep in the second bedroom.Pan Zhi breathed a sigh of relief, it was Li Min's family, and he didn't worry about carrying his one-week-old son over.Although at home, it is also Sister Luo who takes the child to sleep.When Li Min went home, the young couple went back to the master bedroom, and Yan Hong smiled and said to him: "Pan Zhi, that is, Min Min, how dare another person recruit children to live in his own house."
It's so big, you may cry a few times, your voice may be hoarse, or you may have a fever. ”Pan Zhi said embarrassedly: "I am reluctant to have a son on the one hand, and on the other hand, I am afraid that it will affect Li Min's surgery tomorrow."
Director Shi said that their surgery tomorrow is moyamoya disease, which is the second time in the provincial hospital, and anastomosis under the microscope is the most important. ”※※※※※※※※※※※※※※※※※※※※ breast milk jaundice, there is no way to diagnose it at present.I can only tentatively suspend breastfeeding and feed formula.If the test effect is obvious, then it is necessary to use breast milk as a snack, eat small meals often, and take formula milk powder as the staple food; At the same time, it promotes more bowel movements in newborns and reduces the stay of bilirubin in the intestine.This promotes more bowel movements in newborns, I don't know how to promote, sweat * breast milk jaundice, in 1960 in the United States has been proposed.This year, with the promotion of breastfeeding, the incidence has increased, but if the blood is drawn for examination, there is still a difference in laboratory data with pathological jaundice.Most of them are mild jaundice, and a few are moderate and will increase with the number of days of the child's birth, the liver function will be enhanced, etc., and the natural healing distance is somewhat far