Monday is the day of the administrative rounds, and the president, vice president, and the head of the medical department will participate.

Chen Xia's turn to go to pediatrics this time.

Chen Xiadu is already an old acquaintance in pediatrics. The three little babies in his family have been carefully taken care of by pediatrics, so he is familiar with the rounds this time.

The head of the administrative rounds in other departments must be the dean. He was wearing a white coat and followed by a group of little brothers and sisters. He was so majestic, so cool.

But it was Chen Xia's turn to go to the rounds to check the room, which was completely different. Although he was the vice president, all the directors of these departments were his father's generation, and at least he was his elder. How could he dare to be the boss?

Isn't this easy to find a fight?

The old director doesn’t care whether you are the vice president or the combat hero or not, and you feel that you are slapped on your head without comparison.

Like now, the director of pediatrics Liu Shumei is a veteran in the hospital. Vice President Chen can only smile and follow her and walk into the ward obediently into the ward.

Director Liu's strictness and fierceness are well-known throughout the hospital. The young doctors following him dare not let go and try to hide behind others, for fear that they will not be able to answer the director's question, so they will wait for the storm.

At this time, Chen Xia was the most relaxed. Anyway, he couldn't ask him if he asked a question. No matter how domineering Liu Shumei was, he couldn't attack a leader of the hospital.

So he didn't even have the interest to squeeze the boss forward, and kept following the team, talking and laughing with Yao Yinping.

Yao Yinping is also the only girl in the hospital who has had an affair with Chen Xia.

But these two people are really nothing. Anyway, Chen Xia was all about being a prank for Gu Lin at that time. The little girl probably had this idea, but after so long time passed, she had already let go.

Just as the two were whispering, they suddenly heard a crying sound from the ward in front.

This is the voice of a little girl: "I don't want an injection, I don't want an injection, I don't want to get fat, I don't want to become black, I don't want to become ugly, wuwu~~~~"

Will you become fat, black and ugly after taking the injection? What kind of magic is this?

Chen Xia pushed forward with a question mark in his mind. What caught his eye was a patient about 10 years old sitting on the hospital bed, wiping his tears while crying, crying very sadly.

The key is that the little girl is indeed chubby, but her skin is relatively dark, especially the hair on her face has increased significantly.

"Director Liu, what's going on with this kid?"

Liu Shumei sighed while stroking the little girl's hair with her hands:

"This is a child with asthma, which has repeated attacks every year. Every time I come to the hospital, I can only hang dexamethasone needles to relieve asthma. The girl who was originally very slim and beautiful, look now, alas..."

Dexamethasone needle, which is a long-acting hormone.

If children use too much, the biggest side effect is that it will inhibit growth and development. In the long run, it will also cause ischemic necrosis of the femoral head, osteoporosis and fractures.

There is another side effect, which will cause a headache in terms of appearance, which is called Cushing's syndrome in medicine.

It is manifested as a full moon face, which means that the whole face will be fat and swollen, and sometimes it seems like someone has beaten up.

There is also centripetal obesity, with a large belly and a very thin limbs. The key is that it will also grow hair, like a hirsutism.

If you are a girl, after using it for a long time, you will gradually become masculine in appearance. Anyway, in a word, you are getting further and further away from beauty and slimness.

If you don’t know, think of the female singer who sang “That’s a magical road~~~~~~” and you will understand.

Whether it is inhibited from growth and development or osteoporosis, these are all internal. Anyway, they cannot be seen or touched, and children don’t care.

But his appearance is getting uglier and he is getting fatter, which is a fatal blow to the beauty-loving little girl. This is also the reason why this little patient cried and shouted that he didn't want to hang an injection today.

Chen Xia glanced at the medication record and this was the dexamethasone needle.

Childhood asthma has been proven to be a chronic airway inflammatory disease in later generations and is allergic, so pediatricians rarely use antibiotics for children decades later. In addition to severe asthma, they will not drop hormones at will.

In stricter areas, if anyone uses hormone injections, they must be approved and signed by doctors at the level of associate chief physician or above. Moreover, short-acting hormones are also used, such as methylolone, prednisone, etc.

If any doctor dares to prescribe dexamethasone needles for children, it will be despised by all doctoral colleagues. Either there is a problem with medical skills or medical ethics.

The most common method for treating asthma in children is "atomization and inhalation".

Commonly used drugs for atomization: the first type, glucocorticoid, which is Pumiklingshu, also known as budesonide suspension, and another commonly used one is beclomethasone propionate.

The second type is β2 receptor agonist, that is, bronchodilator. Generally, the commonly used is boliconi, that is, terbutalin sulfate atomization solution. Another type is vantorin atomization solution and albutamol sulfate solution.

The third category is anticholinergic drugs, which is commonly used in Aiquanle, that is, ipratropium bromide solution.

The advantage of atomization inhalation is that you do not need to take medicine, and directly use the atomization compressor to turn the medicine into aerosol shape, and inhaled it into the trachea and lungs through the nose to achieve targeted drug administration effect.

It has certain efficacy and fewer side effects, and is one of the mainstream treatments for childhood asthma.

But when we returned to China in 1986, doctors believed that asthma was an inflammation. No matter what patient came, two medicines were hung up, one was antibiotics and the other was dexamethasone needle.

Can this treatment work?

OK, the efficacy is pretty good.

But the problem of taking medicine for children depends on whether you can do it or not, but also on whether you have side effects. Both are indispensable.

Just like this little girl, there is no need to use antibiotics when she has an asthma attack. Anyway, it is the same as not. If she uses it for a long time, it will cause bacterial resistance.

Use too much dexamethasone, which leads to Cushing's syndrome, which is why the little girl cried and said that she had become fat, dark, and ugly.

Regarding asthma treatment, Chen Xia has seen too many strange "folk doctors" in his previous life to use medicine indiscriminately.

There is a doctor who is very famous in the local area. It is said that he has a very high level. All the medicines are configured by himself, and the efficacy is very good.

But later he was caught by the Drug Administration and stopped talking about him by practicing medicine illegally. How did his "magic medicine" come from?

It is a super large dose of hormone tablets, ketotifen tablets, and sulfamethoxazole tablets that are 10 times more than the normal clinical use range, mix them together, beat them into powder with a juicer, and then penetrate into the licorice mixture.

Before drinking, shake it and a bottle of "magic medicine" cost no more than 3 yuan. It costs 50 yuan per bottle, and one bottle can only be consumed for 2 days. Patients have to prepare many bottles every time, which is simply a fortune.

Another type is the "magic medicine" for online shopping. I won't say where it is produced, so as not to have readers start map shots again. To put it bluntly, it is actually a large dose of hormones.
Chapter completed!