Sleepless Doctor

The latest website: "Who is your company's legal department sending?" Zhou Guohui asked tentatively.

There was an embarrassing silence across the phone.

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

"Ms. Zhou." Yu Min said helplessly after a few seconds of silence, "I asked when I was notified."

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

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

"Yes, my immediate leader is asking for instructions." Yu Min's voice became smaller and smaller, and at the end it was almost like a mosquito buzzing in Zhou Guohui's ear.

Zhou Guohui knew that this was a rhetoric, asking for instructions, and there was absolutely no final result.

The tone of Yu Min's speech now is different from usual. He is usually mild and slightly flattering, but not excessive and not annoying.

And in this cock-like call in the middle of the night, Yu Min was merely stating one thing indifferently. Zhou Guohui can even feel that she wants to separate her relationship with herself as soon as possible, so as not to affect her career.

Although this was a fact, Zhou Guohui could understand it, but he couldn't accept it immediately.

But now Yu Min's attitude is not important, the important thing is to hurry up and see the patient. Common mucosal problems and liver and kidney damage are handled in two completely different ways.

A 12-year-old child has liver and kidney damage...

If it is not treated in time, the consequences will be serious, very serious, and it will be too serious for Zhou Guohui to bear.

After asking about the address and contact information, Zhou Guohui started contacting the patient's family.

The patient was located in a city in the Yangtze River Delta. After receiving a call from Zhou Guohui, the patient's mother was out of control and was crying and cursing at him.

Zhou Guohui didn't doubt that if he were on the scene, he would be beaten up by the patient's family who was emotionally 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 still failed to forgive him, and the patient’s father said that he had contacted Kangjian Company. They clearly stated that the misdiagnosis of the child is the responsibility of the doctor, and Kangjian is only an online platform, and all medical disputes have nothing to do with the company.

In this regard, when Zhou Guohui registered the platform account, there was a consent letter, which was written clearly and plainly.

The family members of the patient took the child to the local hospital for treatment while taking legal means.

Regarding the patient... he has been admitted to ICU, and the patient's family members do 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 take Zhou Guohui's ruthless words.

To be honest, Zhou Guohui is not very afraid, he knows that the focus of the contradiction is 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, only the liver and kidney function damage, Zhou Guohui cannot bear this responsibility.

After looking for colleagues and friends who might be related to that city overnight, Zhou Guohui mobilized almost all the resources, and got the patient's condition when the day was lighter.

After 6 hours of oral administration of Anruike for children, the little patient's condition did not get better, so he continued to be treated with Anruike for children.

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

After the doctor diagnosed chickenpox, the patient’s mother was instructed to take adequate rest and combine treatment. If fever occurs again, give the child an appropriate amount of Enric.

However, the mother of the patient observed that her symptoms continued to worsen. Within 24 hours, erythema and target-like lesions, purpura and blisters were visible on the patient's trunk and limbs.

Not only that, but the patient also developed ulcers on the lips and tongue, the ulcers were tender to palpation, and bleeding. Eye examination revealed acute conjunctivitis, ulcerative bleeding under the conjunctiva of both eyes, and hemorrhagic ulcer of the eyelid.

The patient was hospitalized for treatment. Blood and urine routine examinations showed that he was mildly anemia, slightly increased non-specific white blood cells, and increased levels of interleukin-6 and C-reactive protein.

Zhou Guohui is pleased that the patient's electrolytes and other chemicals are normal, and there is no manifestation of liver and kidney failure.

After consultation with a dermatologist, a skin biopsy was performed. The results showed that the epidermis was full-thickness necrosis, and the skin was slightly infiltrated by inflammatory cells.

No doctor in the local hospital has seen this situation. After consultation, he decided to be admitted to the hospital to continue to improve the relevant examinations, and then give the corresponding treatment after the diagnosis is clear.

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

The reason why Zhou Guohui knows about Stevens-Johnson syndrome and has studied the rare side effects of a non-steroidal anti-inflammatory and analgesic drug is because the rare side effects caused by children Enric are not common and the most common It is a neurological drug-carbamazepine causes secondary Stevens-Johnson syndrome.

Carbamazepine is a commonly used medicine in neurology.

Contacting the local hospital, Zhou Guohui flew there to guide the local doctor for treatment.

Early diagnosis is essential to prevent permanent damage and death, because Stevens-Johnson syndrome is often not serious when it first appears.

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

After seeing the patient, Zhou Guohui regretted it for a while. If the patient was in the imperial capital, he had taken over from the beginning, he would have seen the clues when he first diagnosed chickenpox.

This is only for outpatients. If they are inpatients, they will definitely be able to find out and take symptomatic medications in time. The patient's disease will never progress to such a severe period.

There is no regret medicine in life, all the bitterness can only be tasted by yourself. No matter how bitter it is ~www.wuxiaspot.com~ I have to swallow it.

After flying to the local hospital, Zhou Guohui's first thing was to confirm the diagnosis and tell the bewildered doctor what the patient had.

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

The use of corticosteroids in patients with Stevens-Johnson syndrome is still controversial. Some doctors believe that such drugs will delay wound healing and increase the probability of infection.

If steroid drugs are used, they need to be administered together with prophylactic antibiotics in the initial stage, and the dosage should be reduced quickly. After all, it's not his own hospital, Zhou Guohui doesn't even have the right to make a doctor's order, he can only provide the most prudent plan.

And he proposed the plan, the doctors of the local hospital have to further screen.

In the field, it is really difficult, everything is difficult, Zhou Guohui understands what life is better than death.

However, as the patient's symptoms improved after treatment and was discharged from the hospital, Zhou Guohui knew that the basement was not the worst. There was **** under the basement, and the **** was divided into 18 floors.