From small clinic to medical empire

Chapter 22 My senior brother is the real one

"Hello, are you the mother of the child?"

Zhang Zifan raised his head and confirmed to the fashionable young mother beside him.

"That's right, do you have watermelon frosting here? I came here because it's convenient, so don't prescribe medicine indiscriminately!" Nie Xiaohui said impatiently in her local dialect.

In her opinion, oral ulcers are common.

Whether it's herself or the relatives and friends around her, who doesn't have an attack three or four times a year?

If it weren't for the baby girl who kept crying for pain, Nie Xiaohui would not have taken her out to see a doctor at all.

Of course, her so-called medical treatment is basically equivalent to prescribing medicine.

"Sorry ma'am, we don't have a pharmacy here." Shi Xiaoya explained from the side, "If you want to dispense medicine, you can go to the Happy People's University pharmacy on Wuling Road."

"Aren't you in the Department of Stomatology? Why can't you dispense medicine? I have dispensed medicine in the Department of Stomatology of the Third City Hospital, and it is a special medicine produced by them. Putting a piece on the ulcer will disappear, and the effect is very good!"

"That's just a mint patch with lidocaine added. It has no therapeutic effect and can only relieve pain." Zhang Zifan said without raising his head, "How many days has the child been sick?"

"Three or four days, I can't remember exactly!"

Nie Xiaohui crossed her arms in a displeasure, and said displeasedly, "I still have to go to a big hospital to see a doctor. If I had known, I wouldn't hang up. Can I get my money back? Anyway, you don't know how to see a doctor!"

"Why do you say you can't see a doctor? Isn't our Director Zhang making a diagnosis?" Shi Xiaoya explained patiently.

"Don't look at it, don't look at it, little girl, let's go, the doctor here can't do it, mom will make you spray watermelon cream."

As she spoke, she wanted to reach out to pull her daughter.

"Wait a minute!"

Zhang Zifan, who was doing a detailed inspection, slapped the woman's hand away, and grabbed the little girl's wrist before her for inspection.

"Why are you like this!"

Nie Xiaohui's hands hurt from the beating, and she was about to attack, but Zhang Zifan raised his head and asked seriously, "Has the child ever had a fever before?"

"how do you know?"

Nie Xiaohui was stunned. Two days ago, her daughter did have a low-grade fever, but it was only over 37 degrees. She thought it was just a child catching a cold due to the change of seasons, so she didn't take it to heart.

"Please help take off the child's shoes and socks!"

Originally Zhang Zifan made such a request, and Nie Xiaohui must have regarded him as crazy, but before Zhang Zifan insisted that the child had a fever, Nie Xiaohui felt a little upset.

After all, the child is the oldest, so she didn't dare to make fun of the child's health, so she did as soon as possible.

But she still complained: "Aren't you a dentist? Why are you looking at my daughter's feet?"

Zhang Zifan ignored her, but squatted down and carefully observed the child's feet.

"Are you residents of this neighborhood?" Zhang Zifan asked again.

"Yes, yes, what's going on, don't scare people!" Nie Xiaohui felt that the young doctor in the clinic was probably playing tricks. If it wasn't about her daughter, she would have left long ago.

"Ma'am, I suspect that your daughter does not have an aphthous ulcer, which is the kind of ulcer that most people recognize."

Zhang Zifan pointed to the child's feet and hands and said: "Look carefully, there are many red maculopapular rashes here. I also found many red rashes on the mucosa in her mouth. This is a very typical symptom of hand, foot and mouth disease." "

"Hand, foot and mouth disease?"

Nie Xiaohui was stunned, as if she had vaguely heard this word in the news before, but she had no specific impression.

This is mainly because the name "hand, foot and mouth" is down-to-earth. If you change it to something like Crohn's disease, ordinary people forget it long after they hear it.

Even Yuan Qiang, who came to watch, showed a thoughtful expression.

There are only one or two pages in this kind of textbook, and the knowledge that is not the focus of the exam, he has almost forgotten it long ago.

"Doctor, what medicine should I take for this disease?" Nie Xiaohui then asked.

"Don't worry, just wait a moment."

Zhang Zifan turned to Shi Xiaoya and said, "Report to the Huayang District Health and Disease Control Center immediately. Hand, foot and mouth disease is a Class C infectious disease. Suspected cases must be reported. We don't have an online channel. You can call directly."

"Report? What report?"

Nie Xiaohui jumped up, "Is there something wrong with you, my daughter just has a mouth ulcer!"

With that said, she was about to leave.

"Nonsense! This disease is contagious on the one hand, on the other hand, if it is not treated in time and the progress is not observed, complications such as myocarditis and meningitis may occur, and even death!"

Zhang Zifan said seriously: "And you don't know much about Class C infectious diseases, although they are not as terrible as Class A plague and cholera, but if I talk about a few other Class C infectious diseases, you may be able to count them!
Mumps, rubella, and leprosy are all Class C infectious diseases! "

Although it's not right to scare patients, but based on Zhang Zifan's experience, sometimes scaring is more effective than reasoning when dealing with such comparative patients.

In fact, most children with hand, foot and mouth disease have mild symptoms and can recover on their own, but just like most viral infectious diseases, isolation is very important.

Otherwise, it is very likely that you are fine, but if you infect other children and their immunity is weak, there may be serious consequences.

Therefore, hand, foot and mouth disease is a Class C infectious disease. Once discovered, it needs to be reported in time, isolated to prevent cross-infection to others, and then go to a designated medical institution for examination and treatment.

The difficulty lies in the cooperation of patients and their families!

Nie Xiaohui didn't know much about other problems. Leprosy was a thing she had heard since she was a child. When Zhang Zifan said that it was also a Class C infectious disease, she immediately panicked. Got it!"

Although she was very scared, Nie Xiaohui hugged her daughter even tighter.

Zhang Zifan quickly comforted him: "Don't worry, the common hand, foot and mouth disease in our country is Coxsackie virus..."

"The Coxsackie A16 virus can only infect young children, and only the common Entero71 virus in RB can infect adults, but basically there will be no obvious symptoms."

Zhang Zifan was taken aback when he heard the words, only to see Yang Tingting, who was in a pretty sportswear, appeared by his side at some point.

To be honest, medicine is vast. As a doctor of oral and maxillofacial surgery, Zhang Zifan can accurately find blind spots through oral manifestations, which is already a miracle of professionalism, patience and meticulousness.

Speaking of virus typing, I'm not as familiar with it as Yang Tingting, who majors in pediatrics. After all, Zhang Zifan hasn't opened up about children's diseases yet!
"Who is this beauty?"

Nie Xiaohui turned her head and looked at Yang Tingting's baby face with some doubts.

Yang Tingting replied: "I am a pediatrician at the First Affiliated Hospital of S University. I suggest you wait here for the people from the health service center to come, and then go for a virus test. You can also go to a designated hospital, or go to our hospital for pediatrics or infectious diseases. Everything works!"

"Affiliated First Hospital? That's a big hospital! Little sister, you are amazing!" Nie Xiaohui immediately nodded and said, "Okay, okay, I'll listen to you!"

Yang Tingting said dumbfoundedly: "What am I good at! My brother is really good! He can diagnose diseases in our pediatric department across departments, but I can't pull out my wisdom teeth across departments!"

Looking at the resentful Yang Tingting, Zhang Zifan spread his hands and said half-jokingly: "If one day I take the exam for a pediatric certificate, and my professional title surpasses yours, don't be surprised, junior sister!"

……

ps: In fact, physicians can no longer register for surgery, and it is impossible for oral and maxillofacial surgeons to concurrently serve as pediatricians.

The so-called general practitioners are mostly community health doctors or family doctors.

There is no such thing as a doctor who can be deeply involved in any discipline.

There is a discrepancy between the doctor's practice policy and the reality in this article, so please don't take it for granted.

(End of this chapter)