Chapter 612: Step by step is wrong, step by step is wrong. Ringworm endangers the fetus

  Ordinary patients make trouble, it is impossible to find all reporters.
  This pregnant woman or family member is obviously not a good citizen. To make things so big, people obviously came prepared.
  The more you encounter such a person, the more you need to calm down.
  Sufficient preparations must be made, and the patient’s condition and details must be understood clearly, so that the problem can be solved quickly.
  Li Quan came all the way to Professor Liu’s office.
   Knocked on the door, Professor Liu's face was a little gray and dejected.
  Professor Liu’s previous eyes were full of confidence and wisdom, but at this moment it was like a lamp about to go out, dim and godless.
   "Teacher!"
  Li Quan could not help but feel distressed when he saw the teacher look like this.
   "I know, you are here for the troubled pregnant woman! Sit down!"
  Professor Liu’s voice was exhausted, and the whole person looked extremely old.
  Sometimes, it may only take one thing to bring down a person.
  "Teacher, even if something goes wrong during treatment, it’s okay. You didn’t often teach us before. Are doctors who do not make mistakes only in novels and TV shows?"
  Li Quan is not very comfortable.
  The matter has not been clearly understood. It is difficult to say whether it is Professor Liu's problem.
   "This was the case when I was educating you, but it really happened to me, there is still a bit of response in my heart. Alas... Maybe I am really old, and it is time to retire at home and enjoy my old age."
  Professor Liu sighed dejectedly.
  "Teacher, can you tell me about the treatment of the pregnant woman, and what is the problem?" Li Quan decided to understand the situation first before speaking.
   can defeat Professor Liu like this, the pregnant woman’s condition must be very troublesome.
"I also blame me for being too self-confident and too careless, so that the late feast is not guaranteed, like a virgin who is lost in her later years. The pregnant woman was twenty-six years old and was in the thirty-second week of her pregnancy when she came to the hospital for treatment. Her chest was at that time. There was a little red rash, and she said it was very itchy. I took her blood pressure, tested the fetal heart rate, and tested the blood, and asked about the cause of the disease. There was nothing special.
  I have seen many such pregnant women, especially primiparous women after the 30th week of pregnancy. Because of the need for breastfeeding, the female body will naturally develop a second time.
  At this time, a small number of pregnant women will feel itching or pain.
  In fact, this is normal.
  I usually meet such pregnant women, considering that they are in pregnancy, taking drugs is likely to cause harm to the fetus.
  So I will prescribe some soothing potions for them, and at the same time tell them or ask their husbands to massage the itchy areas to promote blood circulation, and the symptoms will soon be relieved. "
  The so-called comfort medicines are food-based medicines that have no obvious pharmacological effects, or even just air medicines.
   purely serves as a psychological comfort.
  Usually, when a new drug is developed, or a vaccine is newly developed, a placebo will be used for some testers during clinical trials.
  Then compare with those patients who have injected or taken the real medicine to observe the effect of the medicine.
  In some cases, the doctor will also give the patient a placebo as appropriate.
  For example, the doctor believes that the patient’s illness is purely a psychological function, and he is not really sick and does not require treatment. But the patient's thinking is more stubborn.
  At this time, a comfort medicine will be prescribed, and the patient will be told seriously that this is a special medicine, and it will be better after you take this medicine.
  In fact, after the patient has taken it, it really gets better.
  Because the patient is psychologically troublesome.
  "You are not wrong when you prescribe a comfort medicine to the patient. If you find that the comfort medicine does not work, you can change to other treatments."
  Li Quan didn’t understand why Professor Liu was hit so hard?
"Oh, I blame me for being too confident! You must learn from the lesson in the future. No matter how good your medical skills and experience in diagnosis and treatment are, you must not be blindly confident. Once people are too confident, they are easy to be arbitrary and easy to get out of when dealing with patients. problem."
  Professor Liu sighed, and then talked about what happened later.
"The pregnant woman came back the next morning after taking the medicine, yelling that the medicine I prescribed had no effect. I thought to myself that it was originally a soothing medicine, and naturally it was impossible to get an immediate effect. Even the real medicine is not like that. It worked soon. So she sent the pregnant woman back to continue taking the medicine and observe for two more days.
  At least I think her itchy skin will not harm the fetus, nor will it endanger the life of the pregnant woman herself. "
  From the description of Professor Liu, it is reasonable to deal with it this way and there is nothing wrong with it.
"Four days passed in the blink of an eye, and the pregnant woman never came to see me again. At the time I thought that the pregnant woman's illness was cured, or her symptoms were greatly relieved. Who knows, it was just after 7 o'clock in the afternoon yesterday. , The pregnant woman once had symptoms such as breathing difficulties and fetal heart arrhythmia, and was rushed to our hospital for treatment.
  After I checked, I found that her chest had developed large erythema, which even spread to other parts.
  It looks a bit like ringworm in a fungal infection.
  At this time, I realized the seriousness of the problem and realized that I might be misdiagnosed.
  Prescribed anti-fungal drugs to treat her.
  Just as you know, almost all antifungal drugs contain hormones, which is a big trouble for pregnant women. The dosage must be strictly controlled, and the skin should be applied as much as possible.
  In order to prevent accidents, I specially let the pregnant woman be hospitalized for observation.
  After taking the medicine, pregnant women have symptoms such as irritability and difficulty breathing. Fetal heart rate monitoring is also extremely unstable. Since this morning, the fetal heart rate has plummeted. According to my experience, it is easy to die in this situation.
  While Hospital’s Obstetrics and Gynecology Department is a golden sign that I led the team little by little, and it took almost a lifetime of hard work to create a success.
  Now, as long as this pregnant woman has a miscarriage, the golden sign I erected will be destroyed by my own hands.
  Decades of hard work, I not only harmed myself, but also harmed you and Whale Hospital.
  I know that you need a lot of money to expand the hospital. If there is a problem in the obstetrics and gynecology department at this critical moment, the hospital's diagnosis and treatment business will be greatly affected. The teacher can't help you..."
  Professor Liu said, his voice choked.
  I was worried that the golden sign of the Obstetrics and Gynecology Department of Whale Hospital was smashed. This is the real reason for Professor Liu's frustration and inner collapse.
  People are like this.
  You have done a hundred good things, and no one may remember you well.
  But as long as you do one bad thing, everyone will think you are a bad person.
   "Teacher, is the pregnant woman's disease just a fungal infection?" Li Quan felt that a ringworm would not cause the fetal heart rate to plummet. There must be a problem here.
  We often hear such a sentence, tinea-induced diseases are not hurt at the root, and look indecent.
  In other words, skin diseases such as psoriasis will not harm the patient’s life, but it will affect the patient’s image.
  Imagine that we have a large piece of ringworm on our hands. When we are dealing with people, do we dare to reach out and shake hands with others?
  If ringworm grows on the face, it is even more ugly.
  Pregnant women should have other diseases, which may not be detected.
  It may not even be a fungal infection.
  "This...I also heard that the fetal heart rate had been dropping at noon today, so I suspected that it might not be a fungal infection. I took the dander and sent it to the laboratory for examination. Because the time is short, there is no news from the laboratory for the time being."
  Professor Liu’s old face flickered.
  Wrong step, wrong step.
  When dealing with this pregnant woman's condition, he has made many mistakes.
"Okay, I have understood the basic situation clearly. I will talk to the family of the pregnant woman. I will take care of this matter so that the sign of the Obstetrics and Gynecology Department of Whale Hospital will not be smashed. You don't have to worry too much, wait for my good news. That's it."
  Li Quan comforted the teacher with kind words.
  If the doctor who made many mistakes was not Professor Liu, but someone else, Li Quan would definitely not have this attitude.
  Don’t talk about scolding someone as a dog-blood sprinkler, at least there will be a certain punishment.
  Hospitals are not charitable organizations. When doctors and nurses make mistakes, they must be punished.
  Only in this way can the medical quality of a hospital be guaranteed.
  Of course, the offender was Professor Liu, and Li Quan’s treatment must be completely different.
  Furthermore, Professor Liu now feels very self-blame and guilty.
  If Li Quan said a lot of ugly things, Professor Liu probably couldn't think about it, and it would be possible to hang himself directly.
  Sometimes, don’t overestimate the heart of an old doctor.
  People are like this. In the high light moment, perhaps the heart is strong and the anti-strike ability is particularly strong.
  But when going downhill, my heart is more fragile than ever.
  Walking out of Professor Liu’s office, Li Quan first called and asked the laboratory about the result of the skin examination of the pregnant woman.
   "Hello, this is the laboratory, please speak."
   "I am Li Quan!"
The word   Li Quan is equivalent to the emperor in Whale Hospital, and is extremely authoritative.
   "Oh, it turned out to be Dean Li, do you have any instructions?" The female doctor who answered the phone was incoherent in fright and was obviously panicked.
  "The obstetrics and gynecology department sent a pregnant woman named Song Xiaoling for dandruff, did the results come out?"
  Li Quan’s voice is majestic and steady.
  "Wait, please, let me ask my colleague." After speaking, Li Quan could not hear the voice anymore. It is estimated that the female doctor who answered the phone covered the microphone.
  After a while, a respectful middle-aged man's voice came from the other end of the phone.
"Hello, Dean Li, I am Chen Shangjin from the laboratory. The results of the skin examination of Song Xiaoling, a pregnant woman you want to inquire, are only partially available. We found two Trichophyton mentagrophytes and Microsporum canis in her dander. Seed dermatophytes. At the same time, we found that Microsporum canis has a mutation."
  Inspection is a rigorous thing.
  If it were not for Li Quan to call and ask, the result would not have come out so quickly.
  Because they must ensure the accuracy of the detection.
  "Continue to check, and report to me at any time if there is any situation." After Li Quan finished speaking, he hung up the phone directly.
  The pregnant woman named Song Xiaoling was infected with two kinds of bacteria at the same time, and both belong to the dermatophytes. This situation is rare.
  Generally speaking, patients with ringworm, especially those with a short infection period, will only have one type of dermatophyte.
  Specific circumstances, you have to see the pregnant woman herself to make a new conclusion.
  ……
  In the small meeting room of the Obstetrics and Gynecology Department, the noisy pregnant woman and several of her family members have been invited in.
  As for the two reporters who made unannounced visits, they have been invited by people from the Security Department to have tea and talk about "life".
  Any hospital or unit, if you just blindly be an honest person, even if it has legal protection, it will be difficult to survive.
  Because this society itself is a competitive society.
  There are too many people who like to take advantage of the law.
  Li Quan was still outside the small meeting room, and he heard noisy noise from inside.
  The emotions of the pregnant woman and her family seemed very excited.
   also said that if the fetus cannot be saved, it will be threatened by Whale Hospital.
  Li Quan walked into the conference room. The pregnant woman and her family members who caused the trouble just took a casual look, and then continued to scold the people around Deputy Dean Min and others.
   "Our Dean Li is here, everyone should calm down and sit down to solve the problem." Deputy Dean Min may also be the first time he encountered such a scolding family member and pregnant woman.
  People have a big belly, and their fetal heart rate has been declining. Even if Vice Dean Min gets angry, he can only endure it.
   "How can there be such a young dean, coax the ghost!"
   "Don't think about bullying customers at Whale Hospital. I warn you that if you don't solve this matter for us right away, then you will wait to get rid of the reputation, and then see you in court."
  The attitude of the family members is extremely tough.
   "I just say one thing, if you want to solve the problem, then sit down and talk." Li Quan spoke.
  With supreme majesty and a powerful aura.
  As he has made more and more achievements in the medical system and his status has become higher and higher, the majesty that Dean Tan, Deputy Director Yang and others have only appeared on him now.
  Majesty is a kind of temperament, intangible and tasteless, but in the negotiation, it can really hold the scene.
  The pregnant woman and a few family members were really put under control by him.
  "Can you be the master of the house?" A middle-aged male family member stared at Li Quan and asked.
  There is a bit of contempt in the words.
   "If I can't be the Lord, I won't enter this door. Sit down!"
  Li Quan ignored the reactions of these people and took the lead to sit down on the main seat.
  Deputy Dean Min and others sat down, guarding around him.
  At this time, the imperial aura came out.
   "Song Xiaoling, I have already learned about your condition. Fungal infection, and more than one kind of fungal infection." Li Quan's gaze scanned the pregnant woman and several family members.
  When his gaze swept across the middle-aged man next to Song Xiaoling, a strange color appeared in his eyes.
  Why two kinds of dermatophytes were detected in Song Xiaoling’s dander? Li Quan has found a case.
  But now I am not quite sure.
  "This gentleman, what is your relationship with Song Xiaoling?" Li Quan asked the middle-aged man.
  "I'm her husband! What's the matter?" The middle-aged man asked, unwilling to show weakness.
   "It's nothing. I'm going to ask you a few questions next, I hope you answer them truthfully." Li Quan stared at the middle-aged man's hand. I saw the other party shrinking subconsciously.