Chapter 35: Are you kidding?
"If the results of my examination confirm that there is a real need, I will prescribe you sulfonamides!"
John's last words quieted the worried Heidelbergs.
After a little consideration, they finally agreed to let each other do a further examination of their son. On the one hand, it is naturally because the other party has the power to prescribe, and it is impossible to buy sulfonamide from the hospital pharmacy without a prescription, and on the other hand, it is also because the words of the doctor in front of them just now really spoke to their hearts.
In addition to the obvious cold symptoms, little Heidelberg did have other problems.
In fact, it was precisely because the problems were more serious than the cold that Mr. Roosevelt suggested that they try the latest sulfonamide drugs. Therefore, when the three of them came to the hospital to see a doctor today, they actually went to buy medicine, and they didn't think to talk about other situations at all.
But what the two didn't expect was that this Mr. Huntelaar would find out about this!
"Perhaps, it would be nice to let him try?"
Subconsciously, such a thought rose in the hearts of the couple.
At that time, if the physician could see that the patient had an unspoken but real problem, it would have given the impression that "this man seems to be very powerful", and it was for this reason that the Heidelbergs finally agreed to Johan's suggestion.
With permission, John turned his attention again to little Heidelberg.
The first thing to consider, of course, is his height.
When he first inquired about the doctor, John made a point to ask about the age of the little one, he had just passed his eleventh birthday, and considering the height of the Heidelbergs, the kid was a little low no matter how he looked at it. In this regard, John has ruled out the possibility of malnutrition. Because the Heidelberg family's family is obviously not bad.
"In addition to today's wind chill, this child is indeed a little uncomfortable for a while."
Perhaps because women are more sensitive, Mrs. Heidelberg was the first to come back to her senses, looked at her son with some concern, and said, "Three months ago, his knees and ankles began to ache, oh. And the same goes for the meat on the legs, especially at night when you go to bed! His father and I initially thought it was normal for him to grow taller and hurt his legs, but when he got worse and more frequent, we knew something was wrong......"
Under Mrs. Heidelberg's account, John quickly learned the general situation.
In the past two or three months, this child has indeed suffered a lot, not only at night. At least a little more intense exercise will hurt, but a little rest will relieve a lot. In addition, there are cases such as easy awakening at night and night sweats......
"Rustle, rustle......"
While listening intently to Mrs. Heidelberg's account, John quickly recorded it in his medical notebook, while his brain was also spinning rapidly, looking for symptoms that matched his memory.
As a surgeon, John had too little experience in this area.
In the future of the 21st century, if you want to become a surgeon. It is also necessary to go through a rigorous basic medical education, including compulsory courses such as internal medicine, obstetrics and gynecology, and pediatrics. And all the internships and post-work rotation stages are exposed, but they are too shallow for professional doctors. The highly developed division of labor in the profession allows future physicians to devote most of their energy to their own professional field.
For the doctors of this era, it is absolutely beyond imagination!
Take surgery as an example, in the future, a hospital can be divided into general surgery, neurosurgery, urology, thoracic surgery, breast surgery, etc., and specific to a certain specialty such as neurosurgery. It can be subdivided into cerebrovascular, intracranial tumors, trauma, spinal cord, functional extracorporeal and interventional, etc. Even the biggest names in the field of neurosurgery often only specialize in one or two of them, and it is impossible to take care of them all. Specific to a certain subdivision of the profession, such as functional neurology, it can be divided into movement disorders, epilepsy, pain, and so on. No matter which subdivision is the direction, it contains a huge amount of knowledge!
The amount of knowledge in each subspecialty may exceed that of the entire modern medicine of this era!
So in fact, if you have to pick out which surgeon has the best skills, it is simply impossible, because each of them has their own specialization. If they are just a general practitioner, they may only need to master those basic and mature knowledge or techniques, but if they want to be at the forefront of technology, then in addition to their own research and pondering, they must also understand the research results of their peers all over the world, and immerse themselves in it for the rest of their lives......
The increasingly large knowledge base and the advanced medical technology have made it impossible for medical "all-rounders" to emerge.
But after coming to this era, John will deeply understand why there are so many famous "masters", because compared with later generations, the scientific foundation of this era is so weak, the technology is so backward, and it can even be said to be absurd, so that it is not difficult to change the direction of his research.
Or rather, it's an easy thing to do.
There is no CT, no MRI, no X-ray, no three routines, doctors only have stethoscopes, thermometers and blood pressure monitors, and they don't have to learn what each test result or indicator means; There are no pharmacokinetic studies, no complex chemical drugs, no biological agents, and they do not need to consider the conflict between drugs, or even the adverse reactions of drugs; There is no medical practitioner law, no residency training regulations, no medical malpractice concept, every physician can feel free to treat others, as long as you have a medical school diploma or study with a physician for a few years, of course, even without that, it doesn't seem to matter......
"Phew! It's gone away again! ”
Shaking his head vigorously, John immediately withdrew his thoughts and refocused his attention on Madame Heidelberg's account of the condition.
"What's wrong, sir?"
Seeing the change in John's movements and expression, Mrs. Heidelberg panicked and hurriedly asked.
"Huh? Oh, nothing. ”
John hurriedly shook his head, smiled a little embarrassedly and said, "I just thought of something related to my condition...... Madam. Go on! ”
"Uh, okay."
With a frown on her brows, Mrs. Heidelberg bit her lip and continued: "Finally, this child's temper is also a little strange during this time, always getting angry at every turn, like a barrel of dynamite and always ...... at one point."
"Mom!"
When Mrs. Heidelberg said this. The little guy was suddenly a little unhappy, and glared angrily.
"Hmm......"
Seeing little Heidelberg's unusually dissatisfied state, and Mrs. Heidelberg's worried look, John stopped his pen thoughtfully. Little Heidelberg gave him the impression that he was a little sensitive today, and he was a little nervous about his parents' words and John's questions, and it seemed that the current environment made him a little irritable......
"Hehe, let's do another check."
Seeing that the little guy was about to lose his temper, John quickly stood up and said with a smile.
Little Heidelberg was still a little nervous in front of the stranger, and as soon as John said this, he immediately quieted down. And Mrs. Heidelberg guessed what John meant. Immediately shut up and stopped talking.
With the cooperation of the two, John checked the condition of little Heidelberg's whole body in detail.
"It seems that the situation is more suitable."
After correlating with the symptoms of a certain disease in his mind, John had roughly already made a judgment. It's just that as soon as a preliminary result was obtained, John's brow immediately furrowed!
There is a preliminary judgment, but how to prove it?
Without X-rays, it is currently impossible to test peripheral blood samples, relying only on the symptoms described by patients and their families. John was not sure of anything, at most he was fifty percent sure.
But......
"Fifty percent is enough!"
That's a few seconds. John freed himself from his tangle.
It's a great thing for any physician to be 50% sure of this, at least John still has this possibility, if it were any other physician, I'm afraid he wouldn't even know what the concept and cause of this disease is!
After a moment's hesitation, John smiled and said, "Mr. Heidelberg." Ma'am, I think I probably already know what caused this to happen! ”
"Really?"
The Heidelbergs were immediately surprised and delighted, and looked eagerly at John: "Mr. Huntelaar, do you need that sulfonamide?" Can you please give me a prescription? ”
"No, no, of course not!"
John smiled. Immediately shook his head and said, "The child's disease does not need to use sulfonamides at all, in fact...... I don't think he needs any drugs at all! ”
As he said this, John added another sentence in his heart at the same time: "Even if it were necessary, it would not be possible in this age!" ”
"Huh?"
After hearing this, the Heidelbergs immediately looked at each other.
The sharp-eyed couple didn't understand what they meant, John breathed a sigh of relief and smiled: "That's it, just like the one I dealt with his wind chill symptoms just now, I'll write a prescription for you, you go back and try it according to my method first, and see how the effect is?" ”
Without waiting for the Heidelbergs to respond to him, John bowed his head and began to write in the medical notebook.
It took John several minutes to finish more than a page, and then handed it to Mr. Heidelberg, who was dazed: "Mr. Heidelberg, I strongly recommend that you try it according to my advice and do not give your child any medicine!" I think if my judgment is correct, it won't be long before his symptoms are significantly reduced! ”
Suspiciously taking the medical record book in John's hand, Mr. Heidelberg glanced at the words written on it, and his eyes suddenly widened: "Mr. Huntelaar, are you sure you are not joking with me?" (To be continued......)