My Medical Skills Give Me Experience Points Chapter 1389 552: Level 6 Pharmacological Differentiation, Trouble Caused by Pediatric Summer Cooling Patches

"I feel like his throat gets hoarse when he cries. It's not good for the throat when dehydrated for too long."

A slight frown creased Zhou Can's brow as he turned to the nurse.

"Do you have a clean straw? The kind with a bulb would be best."

"Yes!"

"Could you please bring one over? I'll give this little one some water first; he looks so sad."

He gently stroked the baby's back, helping to soothe him.

Once the nurse provided the straw, he requested her help opening the water bottle. He then drew a small amount of water and carefully squeezed it into the baby's mouth.

The entire action was performed with exceptional gentleness and care.

The baby extended his tiny tongue to lick the moisture from his lips, his cries ceasing. He gazed at Zhou Can with pleading eyes.

It was as if he was silently asking, "Uncle, may I have a little more?"

"I had no idea water could be given like this. We didn't think of it before. I tried using a small spoon to give him water, but he choked and cried out loudly, so I didn't dare try again."

Watching Zhou Can effortlessly administer water to her child, who not only avoided choking but seemed to relish it, the mother's expression shifted.

She immediately placed profound trust in Zhou Can's medical abilities.

The other family members also regarded Zhou Can with a newfound perspective.

Their gazes were filled with respect and confidence.

"Using a spoon is more suitable for older infants, around six months of age; they are less likely to choke. Furthermore, frequent choking during water feeding can potentially lead to issues like pneumonia, so caution is advised."

Zhou Can wasn't intending to unduly alarm the family.

A newborn's lungs are not fully developed immediately after birth, as they rely on the umbilical cord for respiration within the mother's womb.

Moreover, a baby's crying isn't inherently negative; it actually helps to strengthen their lung function and aids in adapting to the external environment.

For newborns especially, a lack of crying or fussing would cause significant anxiety among the midwives.

They would actively seek methods to encourage the baby to cry.

This might involve actions like tapping the sole of the baby's foot, among other techniques. Naturally, such interventions are performed discreetly, away from the family's view, to prevent any potential misunderstandings.

"Was it a vaginal delivery or a cesarean section?"

"Vaginal birth!"

"Since the baby can take water, you might try this method with milk as well. Breast milk is abundant in nutrients and contains vital antibodies that bolster a baby's immunity. If he's reluctant to nurse, you can express the milk, store it in a bottle, and then feed him small amounts using the straw. When feeding with the straw, be careful not to draw too much liquid at once to prevent choking. If he chokes too frequently, it will make him uncomfortable and resistant to this feeding method."

Zhou Can patiently explained the feeding techniques to the mother.

At this juncture, the priority was to ensure the baby could consume some milk to maintain bodily immunity and absorb essential nutrients.

"Alright, I'll try that later."

With so many individuals present, the mother felt unable to express milk at that moment. She absorbed the instructions, planning to practice the method once the medical staff had departed.

Zhou Can continued to offer the baby small sips of water.

The infant's facial expression gradually relaxed, appearing more natural. The previously furrowed brow smoothed out considerably.

The family and mother observed this transformation with immense happiness.

Their hearts, which had been gripped by increasing anxiety over the baby's refusal to feed for days since birth, could finally find some measure of relief.

"I need to conduct some examinations on the baby, and I'll need to place him in the infant bassinet for that."

Zhou Can informed the family of his next step.

"Of course."

The family and mother readily agreed, their faces alight with relief.

In their eyes and hearts, Zhou Can was now an undisputed expert. They willingly entrusted him with their child's diagnosis.

Zhou Can began by feeling the baby's neck pulse, noting its faintness.

A weak pulse is a common symptom in patients experiencing heart failure.

Subsequently, he proceeded with a thorough examination of the child, including auscultation of the heart and lungs.

During the lung auscultation, he detected an unusual sound in the baby's left chest area.

Upon careful differentiation, he pinpointed the source of this sound to the upper left margin of the sternum.

Furthermore, the sound exhibited a distinct regularity, occurring solely during the cardiac contraction phase.

While ordinary physicians might struggle to discern between the heart's contraction and relaxation phases, Zhou Can, at his current level of expertise, could accurately differentiate them.

"The X-ray suggested cardiomegaly, increased pulmonary vascular markings, and even signs of pulmonary venous congestion. Coupled with the ECG findings of right axis deviation and right ventricular hypertrophy, I strongly suspect an issue with the aorta."

Several director-level physicians were in attendance, including Director Le from Cardiothoracic Surgery.

Having arrived at a conclusion regarding his diagnosis, Zhou Can saw no need to keep his thoughts concealed and could openly discuss them.

The sole consideration during ward rounds is showing deference to senior physicians.

One must avoid undermining them.

For example, if a senior doctor had just suggested to the assembled staff that the issue might lie with the left ventricle, one should not immediately counter by stating the problem is with the right ventricle, which directly contradicts the senior doctor's assessment.

Such an action would inevitably place the senior doctor in an awkward predicament.

"Director Le, what are your thoughts on this?"

Tang Fei, lacking extensive expertise in cardiovascular ailments, sought Director Le's professional opinion.

"Zhou Can's hypothesis holds some merit; an echocardiogram could provide clarification."

Director Le's diagnostic acumen was considerable, yet in numerous areas, Zhou Can had already outpaced him. He seldom contested Zhou Can's diagnostic conclusions, as few of his past challenges had not resulted in embarrassment. That was an occurrence from a considerable time ago.

Currently, Zhou Can, both in his diagnostic capabilities and surgical proficiency, had significantly surpassed him, leaving Director Le hesitant to lightly dispute Zhou Can's diagnostic assessments.