"Who will your company''s legal department send?" Zhou Guohui asked tentatively.


    There was an embarrassing silence across the phone.


    Zhou Guohui''s heart seemed to fall into an abyss. A feeling of weightlessness made him dizzy.


    "Mr. Zhou," said Yu Min reluctantly after a few seconds of silence, "I asked when I was informed."


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


    Although he already knew the answer, he was a little confused and wanted to grasp the last straw.


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


    Zhou Guohui knows that this is a speech. Asking for instructions is absolutely only asking for instructions without the final result.


    Yu Min''s tone of voice is different from that at ordinary times. He is usually mild and vaguely flattering, but it is not too much and not annoying.


    In the middle of the night, Yu Min just stated one thing indifferently. Zhou Guohui can even feel that she wants to get rid of her relationship with herself as soon as possible, so as not to affect her career.


    Although this is true and Zhou Guohui can understand it, he can''t accept it at the first time.


    But now Yu Min''s attitude is not important. The important thing is to seize the time to see the patient. Common mucosal problems and liver and kidney function damage are handled in two different ways.


    A 12-year-old child with liver and kidney function damage


    If not treated in time, the consequences will be so serious that Zhou Guohui can''t bear it.


    Asked the address and contact information, Zhou Guohui began to contact the patient''s family.


    The patient is 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 cursed him in tears.


    Zhou Guohui did not doubt that if he was on the scene, he would be beaten up by the family members of the patients who were out of control.


    In fact, most medical disputes are not instigated by professional medical trouble, but a result of the combined effect of expectation, cost and pressure.


    After repeated apologies, the patient''s family still failed to forgive him, and the patient''s father said he contacted Kangjian company. They made it clear that misdiagnosis of children is the responsibility of doctors, while Kangjian company is only a network platform, and all medical disputes have nothing to do with the company.


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


    The patient''s family members took the legal approach while sending their children to the local hospital for treatment.


    About the patient... He has been admitted to the ICU, and the specific situation is unknown to the patient''s family. The patient''s father even said that if the child had a problem, he would go to the imperial capital and kill Zhou Guohui.


    After all, Zhou Guohui is not afraid. He knows that the focus of the contradiction is on the children.


    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, but only liver and kidney function damage, Zhou Guohui can''t bear this responsibility.


    Looking for colleagues and friends who may have a relationship with that city all night, Zhou Guohui mobilized almost all resources and got the patient''s situation at dawn.


    After oral administration of pediatric Enrique for 6 hours, the patient''s condition did not improve, and continued to be treated with pediatric Enrique.


    The next day, the patient woke up with a rash, which began to be limited to the face and then extended to the upper limbs. The patient''s mother took him to the local hospital.


    The doctor diagnosed chickenpox and told the patient''s mother to have a full rest combined with treatment. If there is a fever again, give an appropriate amount to the child Enrique.


    However, the patient''s mother observed that the symptoms continued to deteriorate. Erythema and target like lesions, purpura and blisters were seen on the patient''s trunk and limbs within 24 hours.


    Not only that, the patient also had ulcers on his lips and tongue, tenderness and bleeding on palpation. Eye examination showed acute conjunctivitis, subconjunctival ulcerative bleeding and blepharal hemorrhagic ulcer.


    The patient was hospitalized for treatment. Blood routine and urine routine examination showed that he had mild anemia, slight increase of nonspecific leukocytes, and elevated levels of interleukin-6 and C-reactive protein.


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


    Skin biopsy was performed after consultation by dermatologists. The results showed full-thickness epidermal necrosis and mild infiltration of skin inflammatory cells.


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


    This is a very rare disease. The local hospital has been found to have dew until now.


    The reason why Zhou Guohui knows about Stevens Johnson syndrome and studies the rare side effects of a non steroidal anti-inflammatory and analgesic drug is that the rare side effects caused by pediatric Enrique are not common. The most common is a neurologic drug carbamazepine, which leads to secondary Stevens Johnson syndrome.


    Carbamazepine is a commonly used drug in neurology.


    Contact the local hospital and Zhou Guohui flew over to guide the local doctor for treatment at the first time.


    Early diagnosis is essential to prevent permanent injury and death because Stevens Johnson syndrome is often less severe when it first appears.


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


    After seeing the patient, Zhou Guohui regretted for a while. If the patient took over from the beginning in the imperial capital, he could see the clue when he first diagnosed chickenpox.


    This is only an outpatient. If it is an inpatient, it will be found in time and take symptomatic drugs. The root cause of the patient will not progress to such a serious period.


    There is no regret medicine in life. All the bitterness can only be tasted by yourself. No matter how bitter or astringent, you have to swallow it.


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


    In the treatment, Zhou Guohui was very careful 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 sterols are used, they need to be administered together with preventive antibiotics in the initial stage and reduced rapidly. After all, it''s not his own hospital. Zhou Guohui doesn''t even have the right to give medical orders. He can only provide the most cautious plan.


    And he put forward a plan that doctors in local hospitals should further screen.


    In other places, but it''s really difficult. Everything is difficult. Zhou Guohui realized what life is better than death.


    However, with the improvement of the patient''s symptoms after treatment and discharge, Zhou Guohui knew that the basement was not the worst. There was hell under the basement, which was divided into 18 floors.