This is a normal Tuesday afternoon, and a familiar figure suddenly appeared in the office. Dr. Wu Hao recognized it at a glance. She is a sweet mother. Xiang Xiang Ma is holding a boy of about ten years old. "Is it a fragrant younger brother, he is also ill?" Dr. Wu Hao sighed in his heart, as if there was an ominous premonition hitting his heart...
Seeing Xiang Xiang Ma holding a sweet fragrant brother, my heart is mixed.
Fragrant incense is a 12-year-old girl I was admitted to in June 2015, suffering from acute myeloid leukemia. In September 2016, she developed various complications such as lung infection and renal dysfunction after chemotherapy. Later, she died of cerebral hemorrhage.
Xiangxiang has a younger brother and a younger sister. When Xiangxiang was hospitalized in our hospital, Xiangxiang mother occasionally came to the office to inquire about the health problems of the two children.
On weekdays, in our ward, once a child has leukemia, it is commonly known as "blood cancer", a type of clonal malignant disease with abnormal hematopoietic stem cells. If there are other children in the family, parents will be very nervous and always worried. Other children will also get leukemia. At this time, we are very aware of the parents' anxiety. When patiently comforting them, they often give them science.
First of all, leukemia is not an infectious disease! A sick child can play with his brothers and sisters after being discharged from the hospital and will not transmit leukemia to them. However, after a child has leukemia, the resistance to various diseases will decrease, so you can't play with a sick child who has already had a cold or a fever, so as not to be infected with germs.
Second, leukemia is not a genetic disease! However, it has a certain genetic predisposition. One child in the family has leukemia, and other children have a higher chance of getting leukemia than ordinary children. Studies have shown that in monozygotic twins (isolated twins), one person has leukemia, the other has a chance of suffering from leukemia of about 20%-25%, 12 times higher than that of twins (double-oval twins). Among the brothers and sisters of leukemia patients, the incidence of leukemia is about 2-4 times higher than in the natural population.
Third, learn to recognize some common symptoms of blood diseases in children! Common ones are: The child has been fever for many days and is often treated as a general "cold" treatment, but the child's condition has not improved. Some children have pale complexion, weakness, and sweating. Older children will say "dizziness, palpitation, and lack of strength." Because smaller children will not express themselves, parents may find that their activities are reduced, and they are unwilling to stand and walk. Some children may have bleeding spots or bleeding spots on their skin, and may have nosebleeds and bleeding gums. There are also a small number of children who first show skeletal joint pain, and parents often mistaken for "growth pain." Some children show swelling of the gums and skin rashes or nodules. In addition, the child can feel a lump (increased lymph nodes) in the neck, armpits, and thighs.
Fourth, you should take your child's medical checkup regularly! Nowadays, many places in kindergartens, primary schools, and middle schools have regular physical examinations and blood tests every year, which can screen children who may have blood diseases very early.
Look at me there, Xiang Xiang mother smiled and greeted me first: "Wu Dafu, we are fine, come over to see you, we all miss you!" While saying aside, put a few bags of red dates, "this for everyone to taste Taste. Thank you for your care of us in the past." My heart was hot, and my tears almost moved down.
Xiang Xiang mother introduced me to her family's current living conditions. "You look at me and I have been tanned. I have been learning the car recently." Really, the fragrance mother's skin is a little black, but the color is good, and she has lost her love. When I was a woman, I lost my soul. "Today, the child and her dad drove us to take a family of four to go to the grassland to travel. After Beijing, we will come to see you!" "Oh, great, sorry, I didn't keep the incense at the time." Apologize quickly. "Wu Dafu, how can you blame you, the child's illness is so dangerous, this is her life." Now it is her turn to comfort her mother, my heart mixed feelings.
After many years of practicing medicine, in every regretful farewell to the child who died prematurely, my heart always adds a bit of sadness and sadness, and I will blame myself for a long time, whether it is because of medical technology or because of medical standards. I will blame myself for failing to save the child. Every family who has lost a loved one or a loved one will often be in a stranger relationship with the hospital. Even so, the scars of the soul will take a long time to heal. A few parents will blame the medical staff and think that the rescue is not effective. The child left, treating the medical staff as a sinner for a lifetime. With the increase in the number of years of medical treatment, my enthusiasm for practicing medicine in the past was a little bit ruined by this secular misunderstanding between doctors and patients.
The arrival of the Xiangxiang family has completely melted the ice that has been in my heart for a long time. Such an optimistic, kind, and grateful family made me sincerely admire, and let me see that the world has its own true feelings. As a doctor, if we try our best to improve our medical skills and to tolerate, understand, and love patients as much as possible, will there be less misunderstanding between doctors and patients?
Source: Beijing Youth Daily
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