495 Eighteen Layers of Hell

"Who will your company's legal department send?" Zhou Guohui asked tentatively.

There was an awkward silence across the phone.

Zhou Guohui's heart seemed to have fallen into the abyss, and a feeling of weightlessness made him dizzy.

"Teacher Zhou. Yu Min was silent for a few seconds and then said helplessly, "I asked when I was notified." ”

"What does the company say?" asked Zhou Guohui.

Although he already knew the answer, he was a little confused now, and wanted to grasp the last straw.

"That's right, my immediate supervisor is asking for instructions. Yu Min's voice became smaller and smaller, and in the end, it was almost like a mosquito buzzing in Zhou Guohui's ears.

Zhou Guohui knew that this was a rhetoric, asking for instructions, asking for instructions, absolutely only asking for instructions and not the final result.

Yu Min's tone of voice now is different from usual, usually mild and vaguely flattering, but not too much, not annoying.

And in this midnight rooster crow-style phone call, Yu Min was just stating one thing indifferently. Zhou Guohui can even feel that she wants to get rid of her relationship with herself as soon as possible, so as not to affect her career.

Although this is a fact, Zhou Guohui can understand it, but he can't accept it at the first time.

But now Yu Min's attitude is not important, the important thing is to seize the time to see the patient. Ordinary mucosal problems and liver and kidney damage are treated in two completely different ways.

A 12-year-old child with liver and kidney impairment......

If it is not treated in time, the consequences will be serious, very serious, so serious that Zhou Guohui cannot bear it.

After asking for the address and contact information, Zhou Guohui began to contact the patient's family.

The patient is located in a city in the Yangtze River Delta, and after receiving a call from Zhou Guohui, the patient's mother was already out of control and cursed him in tears.

Zhou Guohui did not doubt that if he was at the scene, he would be beaten by the family members of the patients who were out of control.

In fact, most medical disputes are not instigated by professional doctors, but are the result of a combination of expectations, costs and pressure.

After repeated apologies, the patient's family was still unable to obtain forgiveness, and the patient's father said that he had contacted Kangjian. They clearly stated that the misdiagnosis of the child was the responsibility of the doctor, and Kangjian was only an online platform, and all medical disputes had nothing to do with the company.

At this point, when Zhou Guohui registered the platform account, there was a letter of consent, which was clearly written and unambiguous.

The patient's family took the child to a local hospital for treatment while going through legal channels.

About the patient...... He has been admitted to the ICU, and the patient's family does not know the specific situation. The patient's father even said that if the child had a problem, he would go to the imperial capital to drag Zhou Guohui to die together.

After all, Zhou Guohui is not very afraid, he knows that the focus of the contradiction is now on the child.

If the child's Stevens-Johnson syndrome does not lead to serious consequences, everything is easy to talk about. But if there are serious consequences, not to mention life and death, just liver and kidney function damage, Zhou Guohui can't afford to bear this responsibility.

Looking for colleagues and friends who may have a relationship with that city overnight, Zhou Guohui mobilized almost all the resources, and got the patient's situation when the sky was slightly bright.

The condition of the young patient did not improve after 6 hours of oral oral administration of Enric, and the treatment of Enric Pediatric was continued.

The next day, the patient woke up with a rash that was initially confined to the face and then extended to the upper limbs, and the patient's mother took him to a local hospital.

The doctor diagnosed chickenpox, and told the patient's mother to pay attention to the combination of adequate rest and treatment, and if the fever reappeared, an appropriate amount was given to the child Enric.

However, the patient's mother observed that her symptoms continued to worsen, and within 24 hours, erythema and target lesions, purpura, and blisters were visible on the trunk and extremities.

Not only that, but the patient also has ulcers on the lips and tongue, which are tender and bleeding to palpation. Ocular examination reveals acute conjunctivitis, subconjunctival ulcerative hemorrhage in both eyes, and hemorrhagic ulceration of the eyelids.

The patient was hospitalized for treatment, and his blood and urine tests revealed mild anemia, minor non-specific leukocytosis, and elevated levels of interleukin-6 and C-reactive protein.

Zhou Guohui was relieved that the patient's electrolytes and other chemicals were normal, and there was no sign of liver and kidney failure.

A skin biopsy is performed after consultation with a dermatologist, which shows full-thickness epidermal necrosis and mild infiltration of skin inflammatory cells.

No one at the local hospital had ever seen this situation, and after consultation, it was decided to admit to the hospital to continue to improve the relevant examinations and give corresponding treatment after the diagnosis was clear.

This is a very rare disease, and the local hospital has been checking until now.

The reason why Zhou Guohui understands Stevens-Johnson syndrome and studies the rare side effects of a non-steroidal anti-inflammatory analgesic drug is because the rare side effects caused by Enric in children are not common, and the most common is a neurological drug - carbamazepine leads to secondary Stevens-Johnson syndrome.

And carbamazepine is a commonly used drug in neurology.

Contacting the local hospital, Zhou Guohui flew over as soon as possible to guide the local doctor for treatment.

Early diagnosis is essential to prevent permanent damage and death, as Stevens-Johnson syndrome tends to be less severe when it first appears.

Stevens-Johnson syndrome can be diagnosed before symptoms develop by the patient's past medical history and drug exposure or infection.

After seeing the patient, Zhou Guohui regretted for a while, if the patient was in the imperial capital and took over by himself from the beginning, he would be able to see the clues when he was diagnosed with chickenpox at the earliest.

This is only an outpatient, if it is an inpatient, it will definitely be detected in time and treated symptomatically, and the patient's disease will not progress to such a serious period at all.

There is no regret medicine in life, and all the bitterness can only be tasted by yourself. No matter how bitter or astringent, swallow it.

After flying to the local hospital, the first thing Zhou Guohui did was to confirm the diagnosis, telling the bewildered local doctors what the patient's illness was.

In the treatment, Zhou Guohui was very cautious and did not use steroids.

The use of corticosteroids in patients with Stevens-Johnson syndrome remains controversial, with some clinicians believing that they delay wound healing and increase the likelihood of infection.

If sterols are used, they should be given initially in combination with prophylactic antibiotics and tapered rapidly. After all, it is not his own hospital, Zhou Guohui does not even have the right to give medical orders, he can only provide the most cautious plan.

And he proposed a plan, and the doctors at the local hospital had to further screen it.

In the field, but it's really difficult, everything is difficult, Zhou Guohui realized what life is better than death.

But as the patient's symptoms improved after treatment and he was discharged from the hospital, what happened next made Zhou Guohui know that the basement was not the worst, and there was hell under the basement, and hell was divided into eighteen floors.