Chapter 325 Perfect cure for neurofibroma and café-au-lait spots

Author: Jiangbian Yuweng

Chapter 325 Perfect cure for neurofibroma and café-au-lait spots

"Dr. Zhou, what kind of cold does my granddaughter have? Why doesn't medicine work?"

She asked Zhou Can, who was measuring the little girl's vital signs.

While talking, she also took out the cold medicine for Zhou Can to check.

"Do you think this is fake medicine? My granddaughter got sick at night, so I bought the medicine from the nearest small clinic."

Patients who take medicines but don't see any effect often wonder whether the medicines they bought are counterfeit.

The probability of ‘winning’ does exist.

Especially now, in order to increase profits, many pharmacies will choose to purchase medicines from small manufacturers for sale. In terms of quality, they are not as guaranteed as medicines from large manufacturers.

After all, it is not easy to build a brand. The cost of mistakes for big manufacturers is high, which prevents them from taking risks.

In order to survive, small manufacturers sometimes do some sloppy things and do some bad things.

Zhou Can took the cold medicine the patient had taken and examined it carefully.

"There is nothing wrong with the medicines. They are all produced by regular manufacturers and are symptomatic."

If his words were heard by the owner of that small clinic, he would definitely be thanked.

The owners and pharmacists of some small clinics are basically medical students who have studied pharmacy or even clinical medicine. Or they desire freedom and don’t want to stay in a large system like a hospital, scheming and being idle, so they choose to come out.

Work alone.

Therefore, these people have certain professional knowledge.

It is even less likely to be sold randomly when selling medicine.

If something happens to a patient after taking medicine, the clinic or pharmacy will be in trouble.

"Your granddaughter has a moderate fever and a fast heart rate. Judging from the symptoms, it does look like a cold, but it may also be other diseases. Are her bowel movements normal in the past two days?"

"I really don't know about this." The old lady shook her head.

My granddaughter is already eight years old, and adults rarely pay attention to things like urination and defecation.

The little girl felt the eyes of her grandma and the doctor on her face, and said with embarrassment, "I just have a little diarrhea, but everything else is fine!"

Diarrhea is also one of the most common symptoms of a cold.

Zhou Can has almost understood the basic information of the patient, and the next step is to think about which examination items to prescribe.

In her case, both routine blood tests and urine tests are necessary.

There is no need to do a chest X-ray for the time being. You can wait for the blood and urine test results to come out before further checking the relevant biochemical items. Zhou Can quickly sorted out diagnostic ideas in his mind.

He now finally understands why the Ministry of Health has set limits on the number of outpatient and emergency doctors who can treat patients in a single day.

Because there are too many patients, the doctor's mind will be confused.

If you see more than 100 patients a day, you will definitely not be able to remember the patient's information and condition. Even many patients will be sent away after meeting, chatting for a few words, and having an examination.

In this case, the quality of diagnosis and treatment can be imagined.

It is almost an open secret that doctors in the hospital's inpatient department and operating room are severely overworked. Interns and trainees, in particular, are the worst-hit areas.

I just didn’t expect that outpatient clinics would also be overloaded.

This is never a good thing.

Doctors and nurses are suffering, patients cannot get high-quality medical services, money and time are wasted, and the disease has not been cured.

When doctors are too tired, the probability of misdiagnosis and missed diagnosis will also greatly increase.

Zhou Can dares to say that if any hospital can come up with a proper solution to these problems, that hospital's competitiveness will surpass other hospitals in an instant.

"Let's do a routine blood and urine test first! I'll check the situation and then talk about it."

After checking the patient's basic information, Zhou Can issued an examination application.

"Okay! When we get here, we will definitely listen to you."

The old lady agreed readily.

Taking the order from Zhou Can, the old lady took her granddaughter out.

This is also the first difficult case Zhou Can has encountered since receiving the diagnosis today.

Before he could take a sip of water and rest, the clinic door was pushed open again, and a new patient came in.

He could only cheer up and deal with it.

This is the fifth patient received today, and less than an hour has passed.

The momentum is gratifying!

It seems that due to the home field advantage of being treated in Tuya Hospital, the outpatient and emergency volume is completely different from that of Xinxiang Maternity and Children's Hospital.

The fifth patient was a half-year-old child with a dislocated left arm. He was only nine years old and already over 1.7 meters tall.

Zhou Can is very good at dealing with bone injuries like this.

It is much easier than diagnosing and treating difficult and complicated diseases.

However, he still inquired about the injury in detail to understand what happened to prevent missed diagnosis. Sometimes, some inconspicuous injuries may be ignored by the patient, but they will seriously threaten the patient's life.

In the news, there are often stories of people injured in car accidents who chose to bury themselves privately, but nothing serious happened at the time. Then they suddenly died after returning home a day or two, or maybe four or five days later.

This kind of thing sounds scary, but it is actually preventable.

If after a car accident, you can go to the hospital to ask a professional doctor to diagnose and identify hidden dangers, you can control the injury as soon as possible and prevent serious consequences of death.

Zhou Can benefited from Dr. Xu's strict teachings and has a very good style in medical safety.

No matter how common the illness is, he always maintains a high degree of vigilance.

After a physical examination of the big boy, no hidden dangers were found, and he was given an X-ray and sent away.

After the patient and his family left, two patients came in at the same time.

One is a new patient, and the other is the first patient received today - the girl who sprained her foot while dancing.

"Dr. Zhou, we have finished the examination."

The girl's mother brought him the test results.

"Please wait a moment. They are the first patients to come to my clinic in the morning. I will deal with her first and then treat you."

Zhou Can explained to another patient’s family.

"Okay! They came first, so we should handle it first."

This family member is reasonable and easy to talk to.

After Zhou Can comforted the other party, he calmly began to check the little girl's videos.

"Little girl, please take it easy next time you dance! This time you directly caused the dislocation of your right ankle joint. Fortunately, there was no fracture. This is a blessing among misfortunes."

After Zhou Can saw the patient's X-rays, he already had some concerns in his mind.

There are no open wounds or bone fractures like this, just a dislocated ankle joint, which can be reduced manually.

"Did you hear what Dr. Zhou said? Your body is your own, so don't be so aggressive next time when you practice dancing." When the girl's mother scolded her daughter, it was clearly a mixture of scolding and love.

After she finished training her daughter, she looked at Zhou Can with a flattering expression, a hint of worry between her eyebrows.

"Dr. Zhou, what should I do about my daughter's injury?"

"I tried to help her restore her position manually, which was much better than surgery. But she must pay attention to her recovery. Then I will prescribe her some anti-inflammatory and analgesic drugs."

Zhou Can gave a treatment plan.

"Okay, okay, I'll listen to you. We are just afraid of having an operation, so we came to you for treatment. It seems that we have come to the right place." The girl's mother was obviously relieved when she heard that the reduction could be performed manually.

.

For family members, not having to undergo surgery means that the cost of treatment is greatly reduced, and the children can also suffer less.

Surgery is very risky. If the operation is not done well and the right foot is left disabled, there will be no place to cry.

"You can't be too happy too early. The success rate of manual reduction is not 100%, and there is a possibility of failure. I can only say that we will do our best to reduce the burden on the family members and give priority to the most affordable and effective treatment options."

Zhou Can may not have noticed it himself, but he gradually mastered the communication skills of chief physicians when communicating with family members.

Create a good positive image to the greatest extent possible to gain the gratitude and trust of family members.

"Sit down! There will definitely be some pain during the manual reduction. Don't be afraid. The pain will be very short." Zhou Can explained the precautions to the little girl while squatting down and starting to perform manual reduction on her.

In order to prevent an accident from happening, Zhou Can looked at the girl's mother.

"Otherwise, you'd better support her."

"OK!"

The family members walked to the little girl's side and supported the little girl.
To be continued...