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AliNovel > Sleepless Doctor > Chapter 527

Chapter 527

    Zhou Guohui saw several patients in a row. Without accident, they were migraine, trigeminal neuralgia, cold and other diseases. He is also very cautious. As an old doctor for many years, it is impossible not to be cautious.


    Only patients with complete CT, MRI and other auxiliary examinations were selected. Zhou Guohui was afraid that the examination was incomplete, resulting in misdiagnosis.


    And he didn''t speed up because he wanted to make money. He saw a patient in a few minutes. Although it is settled by quantity, and the patient''s condition is not serious, Zhou Guohui is still careful to see a doctor.


    After seeing 10 patients and taking more than an hour, Zhou Guohui completed today''s "work".


    It''s OK. Zhou Guohui is very down-to-earth.


    Zhou Guohui feels a little happy that he can make money and make life better at home. Even if he has to watch movies and consult doctors at home.


    Eat, sleep, the day is over again. Day after day, although a little boring, but for middle-aged and elderly men, making money to support their family is the most important.


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


    He was helpless. Although as a doctor, his mobile phone had to be turned on for 24 hours, no matter who was called up in the middle of the night, he got up full of anger.


    After taking a look at the mobile phone, it was Yu min.


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


    As he got up and walked to the living room, he connected the phone.


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


    "Teacher Zhou, something''s wrong!" Yu Min said in a panic.


    "Hmm? What happened?" Zhou Guohui asked.


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


    "Yes." Zhou Guohui has a good memory, and the patients consulted online are generally social animals around the age of 30. The 12-year-old child was consulted online by his parents, Zhou Guohui remembered.


    The patient had a common fever with cough. His parents took him to a nearby hospital to check a chest film and found no signs of pneumonia. The hospital refused the request for static drugs and asked them to go home for oral drug treatment.


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


    In recent years, many voices on the Internet have denounced the abuse of antibiotics by doctors, coupled with some irresistible factors, so the indicators for the application of antibiotics in hospitals are becoming more and more strict, and even require regular hospitals to cancel outpatient drip.


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


    But it has nothing to do with him.


    The patient complained of fever and headache, had chest film and blood routine report, and did not have head CT. Zhou Guohui thought that there was no need for head CT diagnosis.


    It''s just an ordinary fever, nothing special.


    Zhou Guohui suggested that the patient''s family members go to the drugstore to buy non steroidal anti-inflammatory and analgesic drugs for antipyretic treatment, and repeatedly told them to buy children''s non steroidal anti-inflammatory and analgesic drugs, preferably not oral adult non steroidal anti-inflammatory and analgesic drugs.


    What''s wrong with this simple patient?


    Zhou Guohui flashed a series of complications in his mind, but all of them were immediately denied by him.


    It shouldn''t be possible, non steroidal anti-inflammatory and analgesic drugs... Like pediatric Enrique, nothing should happen.


    Zhou Guohui was in a hurry. His back was chilly, as if someone was blowing at him.


    Because he thought of a very rare possibility.


    "Does the child have a picture? Let me have a look." when Zhou Guohui said this, his voice trembled, and the whole person was not well.


    "I was just about to send it to you," Yu Min said. "The patient''s family members complained to the company... You first look at the situation of the child. Mr. Zhou, I hung up first and sent you photos."


    "OK."


    Zhou Guohui sat on the chair in his study and silently thought about a possibility - Stevens Johnson syndrome.


    Paralyzed, it won''t be so unlucky.


    Enrique, also known as ibuprofen granules, is used to relieve mild to moderate pain, such as headache, joint pain, migraine, toothache, muscle pain, neuralgia and dysmenorrhea. It is also used for fever caused by common cold or influenza.


    There are two kinds of adverse reactions:


    First, a few patients may have nausea, vomiting, heartburn or mild dyspepsia, gastrointestinal ulcer and bleeding, elevated transaminase, headache, dizziness, tinnitus, blurred vision, mental tension, drowsiness, lower limb edema or sudden weight gain.


    Second, rare rash, allergic nephritis, cystitis, nephrotic syndrome, renal necrosis or renal failure, bronchospasm and some rare complications.


    The second point is that Zhou Guohui''s level is very high. I remember this rare disease - Stevens Johnson syndrome.


    Just thinking, the mobile phone vibrated and startled Zhou Guohui.


    His heart pounded and his throat trembled, as if he didn''t know which heart would come out of his mouth.


    After opening wechat, Zhou Guohui saw the photo sent by Yu min.


    At one glance, Zhou Guohui''s mind was buzzing. What you are afraid of comes from what you are afraid of. The child has blisters and extensive and serious mucosal damage. In addition to visual inspection, it can also affect the mucosa of nose, throat, respiratory tract, digestive tract and urogenital tract.


    And this is not the most terrible. The terrible thing is that the disease can involve the internal organs and cause corresponding symptoms.


    For example, there may be hematuria and proteinuria in case of renal damage, and renal tubular necrosis and renal failure in severe cases; In patients with liver damage, aminotransferase increases, but also lymph node enlargement, tachycardia, hypotension, seizures and disturbance of consciousness.


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


    "Mr. Zhou, the patient is hospitalized," Yu Min said. "He is hospitalized in other places. The local hospital is still improving the relevant examination and has not given a clear diagnosis."


    “……”


    "Mr. Zhou, the patient''s family found the website and said it was misdiagnosis..." Yu Min said and paused.


    Zhou Guohui looked at the picture blankly and said, "how about the patient''s liver and kidney function?"


    "Mr. Zhou, the company doesn''t understand the specific situation," Yu Min said. "The company''s suggestion is that you see if you have time. You''d better go to see the patient."


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


    Health online medical won''t care about it. They... Yu Min, as a business person who communicates and contacts directly with him, has made it clear to himself.


    For a moment, Zhou Guohui knew he had been abandoned.


    No matter who has an accident, the hospital leaders of the hospital are related to them. If similar problems occur in the hospital, they will try their best to suppress them.


    Capitalists are more special than people!


    Zhou Guohui suddenly realized.


    When you''re free, you call yourself teacher Zhou with a smile. If something happens, you''ll be Mrs. Niu?
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