Chapter 955: Puzzle
In the ward, Wei Hong's husband has returned, and several people are also discussing.
"Can you see this disease?"
"The reputation of the Jiangzhong Hospital is so big, and there are good cancers. ”
As a lecturer at Jiangzhou Medical University, An Shuanglong is also an insider in the medical system, so he naturally knows a lot.
"When you went to eat just now, Director Ge came and said that there is no effective way to solve the situation of Songsong at present, and I also suggested that Chinese medicine give it a try. ”
A few people were talking, and Qiao Guohang walked in.
"Doctor Joe!"
Several people hurriedly greeted each other.
"Come out, I'll tell you about the situation!"
A few people came out of the ward and followed Qiao Guohang to a place where there was no one at the end of the corridor, and Qiao Guohang said: "Someone of you suggested before, let us help invite Doctor Fang from Jiangzhong Hospital, we have already contacted it." ”
"What did Doctor Fang say?" An Shuanglong hurriedly asked.
"We didn't contact Dr. Fang directly, but the Jiang Zhongyuan replied and would try to let Dr. Fang come over and have a look, but there are rules for this visit fee. ”
"I know that. ”
An Shuanglong nodded, he still understood some rules in private.
Invite experts from other hospitals to come over, it is not for nothing, you will definitely have to pay for the outpatient fee.
"How much?"
The child's father asked.
"Dr. Fang is a very well-known doctor in Jiangzhong Hospital, with a high level, usually very busy, and a lot of patients, since you know Dr. Fang, you should know that it is not easy to invite a doctor from the hospital, and we have also spent a lot of effort and contacted many people. ”
Qiao Guohang first said that it was difficult.
was reprimanded by Ge Liming for a while, and Qiao Guohang also enlightened.
Anyway, their children's hospital must have to show merit, they can't wait for Fang Han to come, the disease is cured, the patient only remembers Fang Han's goodness, their hospital has no benefit at all, and there is a complaint.
This is not uncommon.
Public hospitals can't advertise, word of mouth is based on word of mouth, which hospital is good, which expert level is high, on the one hand, public opinion is building, on the other hand, patients are word of mouth.
"Doctor Qiao, we know this, Dr. Fang is sitting in the pediatric outpatient clinic of Jiangzhong Hospital for a while, and it is difficult to hang the number. ”
An Shuanglong nodded, people were suggested by him, and he had to explain many things, and he couldn't let his relatives complain.
"How much does it cost?" asked the child's father again.
"Dr. Fang's house visit fees are all precedent-based, and the minimum is 3,000. "Qiao Guohang is also very good at talking.
didn't say that Fang Han took the initiative to ask for it, but said the rules, so that the patient would not feel that it was Fang Han himself.
"So much?"
Wei Hong also frowned, three thousand yuan, a lot.
You know, this is just a house visit fee, the patient is hospitalized in the children's hospital, the bed fee, the expert fee, the treatment fee is not less, and the other people's hospital has to pay the fee.
"Let me tell you, this outpatient fee is really not high, Director Xue Zilin Xue of the Department of Pediatrics of Jiangzhong Hospital has a consultation, and the minimum is 5,000, and you also have to have acquaintances who have a very good relationship, if the relationship is not good, you can't move, Guo Wenyuan Guo Boss knows, don't say 5,000, it's 50,000, you have no way. ”
"Sister, brother-in-law, this visit fee is really not too much. An Shuanglong said.
"Let me tell you this, Doctor Fang's level is no worse than Director Xue's, this is also because Doctor Fang is young and has little qualifications, otherwise, you won't be able to invite three thousand. ”
"But three thousand, it's really more, right?"
The child's father was a little entangled.
Qiao Guohang continued: "You may hear a lot at first glance, but if you think about it, it is not much, the child's condition is more serious now, and every moment of delay will cause great damage to the kidneys, this Epstein-Barr virus is not only our children's hospital, but also the whole country has no very effective methods, for this situation, we can only continue to take various treatment methods, that is, try, do you understand?"
The situation must be explained by the children's hospital.
If the diagnosis is confirmed, how to treat it and what the consequences are, it must be explained to the patient's family, otherwise it will be troublesome if something happens.
At present, there is really no guarantee that the treatment plan adopted by the hospital will have much effect.
After all, there is no precedent.
"In addition, even if you are not satisfied with our children's hospital, it will cost you money to transfer to Yanjing or Shanghai, and the beds in the big hospitals in Yanjing and Shanghai are even tighter.
"Is it okay if Doctor Fang comes and promises?"
"If the method of traditional Chinese medicine is not effective, it will definitely not charge this house visit fee. "Qiao Guo Channel.
"But ......."
Wei Hong and his wife are still a little entangled, three thousand yuan.
Their families are not very wealthy, each person's salary is only four or five thousand a month, and the children are hospitalized and spend a lot of money.
"That's it, I see that your family situation is indeed quite tight, I'll discuss with Director Ge later, and give you some relief, which is also the most our hospital can do." ”
"Sister, brother-in-law, it's important to see a doctor for Songsong, now at the door of the house, let's take a look at the method of Chinese medicine first, if it doesn't work, we have to find a way again, Songsong is still young." An Shuanglong also persuaded.
"Alright, thank you, Dr. Joe. ”
Wei Hong nodded.
"Doctor Qiao, I wonder when Doctor Fang will be able to come over?" An Shuanglong asked.
"Doctor Fang still has to sit in the outpatient clinic in the afternoon, and he can only come later, don't worry, let's not rush for a while. "Qiao Guo Channel.
........
At four o'clock in the afternoon, Fang Han finished reading more than twenty numbers.
Knowing that there was something in the afternoon, he watched it faster, and didn't let Lin Guangliang participate.
Out of the outpatient clinic, Fang Han contacted Miao Dalong.
"Xiao Fang, I'll go with you!"
Miao Dalong volunteered.
Fang Han didn't have any opinions, he was not familiar with the children's hospital, and it might be more convenient to have Miao Dalong with him.
Fang Han drove Wuling and pulled Miao Dalong, still halfway through, Miao Dalong sent a message to Qiao Guohang, and when Wuling entered the children's hospital, Qiao Guohang was already waiting.
"Doctor Fang, Doctor Miao. ”
"Xiao Fang, this is Dr. Qiao Guohang from the Department of Hematology of Children's Hospital. Miao Dalong introduced Fang Han.
"Hello Dr. Joe. Fang Han nodded and said hello to Qiao Guohang.
"Doctor Fang is polite, I have long heard your name, but unfortunately I have never had a chance to know it. ”
As he spoke, Qiao Guohang was still a little embarrassed, this one was too young, he looked younger than his actual age.
With a feeling in his heart, Qiao Guohang led the way in front and took Fang Han to the duty room of the hematology department.
Ge Liming also knew that Fang Han was coming, and he was waiting in the duty room with several deputy directors, but he was a little reserved, so he didn't go to the door to pick up people.
Fang Han's level has arrived, and his fame in Jiangzhong is not small, but after all, he is a small character, and Ge Liming, the section director, still can't put it down.
Although he didn't go to the door to pick up people, seeing Fang Han and Miao Dalong coming in, Ge Liming hurriedly stepped forward to greet him: "Doctor Fang!"
"This is Director Ge of our hematology department, and this is .......," Qiao Guohang also hurriedly introduced Fang Han.
Several people exchanged pleasantries, and after being polite to each other, Fang Han got to the point: "What is the patient's condition, can I find out first?"
"Come, give the patient's information to Doctor Fang!" Ge Liming ordered.
Qiao Guohang hurriedly handed the patient's information to Fang Han, and Fang Han looked at it very seriously.
The information is quite detailed, and there are many examinations and treatments from the time the child is hospitalized to the present.
The 10-year-old male, who was admitted to the hospital half a month ago.
A few years ago, I was admitted to the hospital because of spots on my body and knee pain, and at first it was leg pain, cramp-like pain, and after being admitted to the hospital, I began to have abdominal pain.
Acute abdominal pain is a fairly common symptom in clinical practice, and it is also more difficult, and there are many factors for acute abdominal pain, such as acute gastroenteritis, acute corrosive gastritis, acute cholecystitis, acute pancreatitis, acute appendicitis, acute cholangitis, gastric mucosal prolapse, acute intestinal obstruction, inguinal hernia incarceration, intussusception, biliary ascariasis, cholelithiasis and so on.
There are many factors that cause acute abdominal pain, and the investigation of the cause of acute abdominal pain is also difficult and tricky in clinical practice.
After investigation at the Children's Hospital, combined with the spots on the patient's body and the symptoms of the patient's joint pain, he was finally diagnosed with Henoch-Schonlein purpura.
Henoch-Schonlein purpura is a very common high incidence in children aged 3-10 years, mainly manifested as inflammation and bleeding of small blood vessels and capillaries throughout the body, and spots will appear in places where small blood vessels are concentrated, such as skin, joints, and intestines, so this disease is called Henoch-Schonlein purpura.
Henoch-Schonlein purpura is mild and fine, but severe can lead to leg inability or even acute abdominal pain, etc., these are only symptoms, because the small blood vessels of the child's body are inflamed and bleeding, which will continue to cause burden on the kidneys and cause varying degrees of damage to the kidneys.
If Henoch-Schonlein purpura continues to develop, it is purpuric nephritis, and then it develops chronic nephritis or even kidney failure.
If you want to treat Henoch-Schonlein purpura, finding the corresponding allergens and taking corresponding treatment measures are the most commonly used and effective treatment methods in clinical practice.
The allergen was difficult to find, and the children's hospital finally determined that the allergen of the child was Epstein-Barr virus through detailed investigation.
The problem now facing the children's hospital is that the allergen has been found, but there is currently no effective treatment for this Epstein-Barr virus.
Without a specific drug, it is difficult to treat.
This is also the biggest difference between Chinese medicine and Western medicine.
For Western medicine, if a certain virus or bacteria is new, unprecedented, and there is no effective specific drug, then Western medicine can only be helpless, or keep trying.
The patient suffers from the attempt, and the condition may worsen, but the effect is not guaranteed.
There was a lot of information about the child, and Fang Han watched it for more than half an hour before reading it.
"Go see the patient, I need to do it myself. ”