494 If something happens, she will become Mrs. Niu
Zhou Guohui saw several patients in a row, and there was no surprise that they were all migraines, trigeminal neuralgia, colds and other diseases. He is also very cautious, an old doctor for many years, it is impossible not to be cautious.
Only select patients with perfect auxiliary examinations such as CT and MRI, Zhou Guohui is afraid that the examination will be incomplete and cause misdiagnosis.
And he didn't sped up because he wanted to make money, seeing a patient in a few minutes. Although the settlement is based on the number and the patient's condition is not serious, Zhou Guohui is still cautious and cautious.
After seeing 10 patients and spending more than an hour, Zhou Guohui completed today's "work".
It's okay like this, Zhou Guohui is very down-to-earth.
can make money, can make the family's life better, even if he goes home to watch movies and ask for a doctor, Zhou Guohui feels a little happy.
Eat, sleep, and the day is over. The days go on and on, although it is a little boring, but for middle-aged and elderly men, earning money to support their families is the most important thing.
At half past 12 midnight, the phone rang, waking Zhou Guohui from his sleep.
He was helpless, although as a doctor, his mobile phone had to be turned on 24 hours a day, but no matter who was called in the middle of the night, he would get up in a stomach.
glanced at the phone, it was Yu Min.
What's wrong in the middle of the night? Zhou Guohui was a little puzzled.
He got up and walked to the living room when he answered the phone.
"Less, what's wrong?" Zhou Guohui said in a low voice.
"Teacher Zhou, something happened!" Yu Min said in a panic.
"Hmm, what's wrong?" asked Zhou Guohui.
"You saw a 12-year-old boy a few days ago, do you have any impressions?" asked Yu Min.
"Yes. "Zhou Guohui has a good memory, and the patients who consult online are generally social animals around 30 years old. The 12-year-old child was consulted online by his parents, Zhou Guohui remembers.
The patient just had an ordinary fever, accompanied by a cough. His parents took him to a nearby hospital for a chest X-ray and found no signs of pneumonia, and the hospital refused the request for intravenous medication and told them to go home for oral medication.
At that time, the patient's parents and the hospital were a little unhappy, so they went home for an online consultation.
Because in recent years, many voices on the Internet have criticized doctors for abusing antibiotics, coupled with some irresistible factors, so the indicators for the use of antibiotics in hospitals have become more and more stringent, and even regular hospitals have been required to cancel outpatient drips.
There are too many doorways to talk about during this period, and Zhou Guohui is a senior chief physician, so he is naturally very clear.
But it has nothing to do with him.
The patient complained of fever and headache, had chest X-ray, blood routine report, and no head CT, and Zhou Guohui believed that head CT was not used to confirm the diagnosis.
It's just an ordinary fever, nothing special.
Zhou Guohui suggested that the patient's family members go to the pharmacy to buy non-steroidal anti-inflammatory and analgesic drugs for antipyretic treatment, and repeatedly told them to buy children's drugs, and it is best not to take adult non-steroidal anti-inflammatory analgesic drugs orally.
Are there any problems with this simple patient?
A series of complications flashed through Zhou Guohui's mind, but they were all denied by him.
It shouldn't be possible, non-steroidal anti-inflammatory analgesics...... It's like a little Enric, nothing should happen.
Zhou Guohui was instantly energetic, and his back was cold, as if someone was blowing on him.
Because he thought of a very rare possibility.
"Do you have a picture of the child, I'll take a look. When Zhou Guohui said this, his voice trembled a little, and the whole person was not good.
"I was about to send it to you. Yu Min said, "The patient's family complained to the company...... You start by looking at your child's condition. Mr. Zhou, I'll hang up the phone first and send you a photo. ”
"Okay. ”
Zhou Guohui sat on the chair in the study and silently thought about a possibility - Stevens-Johnson syndrome.
Paralyzed, it won't be so unlucky.
Enric, also known as ibuprofen granules, is indicated for relieving mild to moderate pain such as headache, arthralgia, migraine, toothache, muscle pain, neuralgia, and dysmenorrhea. It is also used for fever caused by the common cold or influenza.
There are two types of adverse effects:
First, a small number of patients may experience nausea, vomiting, heartburn or mild dyspepsia, gastrointestinal ulcers and bleeding, elevated aminotransferases, headache, dizziness, tinnitus, blurred vision, nervousness, drowsiness, lower limb edema or sudden weight gain.
The second is rare rash, allergic nephritis, cystitis, nephrotic syndrome, necrosis or renal failure, bronchospasm and some rare complications.
The second point is that at the end, it is not even written on the instructions what the disease is, Zhou Guohui's level is extremely high, and he remembers this rare disease - Stevens-Johnson syndrome.
Just thinking about it, the mobile phone vibrated and startled Zhou Guohui.
His heart was pounding, and his throat and eyes were fluttering with it, as if he didn't know where his heart would come out of his mouth.
opened WeChat, Zhou Guohui saw the photo sent by Yu Min.
With just one glance, Zhou Guohui's brain buzzed. In addition to visual, involving the oral cavity and eyes, it can also affect the mucosa of the nose and throat and the mucosa of the respiratory tract, digestive tract and genitourinary tract.
And this is not the most terrible, the terrible thing is that the disease can affect the internal organs and cause corresponding symptoms.
For example, there may be hematuria and proteinuria in renal damage, and tubular necrosis and renal failure may occur in severe cases, and elevated aminotransferases in patients with liver damage, as well as lymphadenopathy, tachycardia, hypotension, seizures, and impaired consciousness.
"Stevens-Johnson syndrome?" Zhou Guohui whispered, "Is the patient hospitalized?"
"Teacher Zhou, the patient is hospitalized. Yu Min said, "I was hospitalized in other places, and the local hospital is still improving the relevant examinations, but no clear diagnosis has been given." ”
“......”
"Teacher Zhou, the patient's family found the website and said that it was a mis......diagnosis," Yu Min said as he paused for a moment.
Zhou Guohui looked at the photo blankly and said, "How is the patient's liver and kidney function?"
"Mr. Zhou, the company doesn't know the specific situation. Yu Min said, "The company's advice is that you see if you have time, and it's best to see the patient." ”
"......" Zhou Guohui suddenly had a very bad feeling.
Town Health Online Medical won't care about this, they ...... Yu Min, as a business person who communicates and contacts him directly, has made it very clear to himself.
In an instant, Zhou Guohui knew that he had been abandoned.
No matter how human the leaders of the hospital are, no matter who has an accident, they have something to do with them, and if a similar problem is in the hospital, it will definitely try to suppress it.
Capitalists are not even more human!
Zhou Guohui suddenly realized.
When I'm fine, I call myself Teacher Zhou with a smile, and Mrs. Niu will have an accident?