Sleepless Doctor

Latest website: Zhou Guohui saw several patients in a row, and it is no surprise that they are all suffering from migraine headaches, trigeminal neuralgia, and colds. He is also very cautious. For many years of old doctors, it is impossible not to be cautious.

Only patients with complete auxiliary examinations such as CT and NMR are selected. Zhou Guohui is afraid that the examination may be incomplete and cause misdiagnosis.

And he didn't speed up because he wanted to make money, and watched a patient in a few minutes. Although the patient's condition is not serious, Zhou Guohui still sees the doctor cautiously.

After seeing 10 patients, it took more than an hour for Zhou Guohui to complete today's "work".

Fortunately, Zhou Guohui feels at ease.

Being able to make money can make the family's life better. Even if you go home, you still have to watch movies and ask doctors. Zhou Guohui feels a little happy.

Eating and sleeping, the day is over again. The days go back and forth, although it is a bit boring, but for middle-aged and elderly men, earning money to support a family is the most important thing.

At 12:30 midnight, the phone rang, waking Zhou Guohui from his sleep.

He was helpless. Although, as a doctor, his cell phone had to be turned on for 24 hours, no matter who was called in the middle of the night, he felt like getting up.

Glancing at the phone, it was Yu Min.

What happened to it in the middle of the night? Zhou Guohui has some doubts.

He got up and walked to the living room while answering the phone.

"Less than, what's the matter?" Zhou Guohui said in a low voice.

"Ms. Zhou, something happened!" Yu Min said in a panic.

"Huh? What happened?" Zhou Guohui asked.

"You saw a 12-year-old boy a few days ago. Do you have any impression?" Yu Min asked.

"Yes." Zhou Guohui has a very good memory, and the patients for online consultation are usually social animals in their 30s. This 12-year-old child was consulted by his parents online, Zhou Guohui remembered.

The patient just had a normal fever, accompanied by a cough. His parents took a chest radiograph to a nearby hospital and found no signs of pneumonia. The hospital refused the request for intravenous medication and asked them to go home for oral medication.

At that time, the patient's parents and the hospital were a little unpleasant, so he went home for online consultation.

In recent years, many voices on the Internet have denounced doctors for abusing antibiotics, coupled with certain irresistible factors, so hospitals have stricter and stricter indicators of antibiotics, and even require regular hospitals to cancel outpatient IV.

There are too many doorways during this period, and Zhou Guohui is a senior chief physician, so naturally he knows it very well.

But it has nothing to do with him.

The patient complained of fever, headache, chest radiograph, blood routine report, and no head CT. Zhou Guohui believes that head CT should not be used to diagnose the diagnosis.

It's just normal fever, nothing special.

Zhou Guohui suggested that the family members of patients go to the pharmacy to buy non-steroidal anti-inflammatory and analgesic drugs for antipyretic treatment, and repeatedly advised that they must buy children's type, and it is best not to take oral non-steroidal anti-inflammatory and analgesic drugs for adults.

Is there any problem with this simple patient?

A series of complications flashed in Zhou Guohui's mind, but he immediately denied them all.

It should be impossible, non-steroidal anti-inflammatory and analgesic drugs...It's like a child's Enric, nothing should happen.

Zhou Guohui was instantly energetic, and his back was chilly, as if someone was blowing at him.

Because he thought of a very rare possibility.

"Does the child have a photo, let me take a look." When Zhou Guohui said this, his voice trembled a little, and his whole body became ill.

"I'm about to send it to you." Yu Min said, "The patient's family complained to the company... You first look at the child's situation. Teacher Zhou, I'll hang up and send you a photo."

"Row."

Zhou Guohui sat on the chair in the study, silently thinking of a possibility-Stevens-Johnson syndrome.

Paralyzed, wouldn't it be so unlucky.

Enric is also known as ibuprofen granules. It is indicated for the relief of 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 kinds of adverse reactions:

One is that a small number of patients may experience nausea, vomiting, heartburn or mild indigestion, gastrointestinal ulcers and bleeding, elevated transaminase, headache, dizziness, tinnitus, blurred vision, nervousness, lethargy, lower extremity edema or sudden weight gain .

The second is rare skin rash, allergic nephritis, cystitis, nephrotic syndrome, necrosis of the kidney or renal failure, bronchospasm, and some rare complications.

The second point is that at the end, the instructions didn't even specify what disease it was. Zhou Guohui's level was extremely high. Remember this rare disease-Stevens-Johnson Syndrome.

Just thinking about it, the phone vibrated, which shocked Zhou Guohui.

His heart was pounding, and his throat quivered, as if he didn't know where the heart would come out of his mouth.

Turning on WeChat, Zhou Guohui saw the photo sent by Yu Min.

With just one glance, Zhou Guohui's brain buzzed. What are you afraid of? There are blisters on the child's body, and the mucosal damage is extensive and serious. In addition to visual inspection, it affects the mouth and eyes, but also affects the mucous membranes of the nose, throat, respiratory tract, digestive tract, and genitourinary tract.

And this is not the most terrifying. The frightening thing is that the disease can affect the internal organs and cause corresponding symptoms.

For example, hematuria and proteinuria may occur in kidney damage, renal tubular necrosis and renal failure may occur in severe cases; aminotransferase may be elevated in liver damage cases, and lymph node enlargement, tachycardia, hypotension, seizures, and disturbance of consciousness may also occur Wait.

"Stevens-Johnson syndrome?" Zhou Guohui whispered, "Is the patient hospitalized?"

"Ms. Zhou, the patient is in the hospital." Yu Min said, "I was hospitalized in another place, and the local hospital is still improving the relevant examinations and did not give a clear diagnosis."

"..."

"Ms. Zhou, the patient's family found the website and said it was a misdiagnosis..." Yu Min paused as he spoke.

Zhou Guohui looked at the photo blankly ~www.wuxiaspot.com~ and said, "How is the patient's liver and kidney function?"

"Ms. Zhou, the company does not understand the specific situation." Yu Min said, "The company's suggestion is to see if you have time, and it is best to see the patient."

"..." Zhou Guohui suddenly had a very bad feeling.

Kangjian Online Medical doesn't care about this, right? They... Yu Min, as a business person who directly communicates and contacts with him, has already spoken clearly to him clearly.

In an instant, Zhou Guohui knew that he had been abandoned.

No matter how the head of the hospital is not a human being, whoever has an accident has something to do with them. If similar problems are in the hospital, they will definitely try to suppress them.

Capitalists are more special than humans!

Zhou Guohui suddenly realized.

When it's okay, call yourself Teacher Zhou with a smile, and Mrs. Niu if something goes wrong?