I can see the status bar

Chapter 828
If you catch a cold, you need to draw blood for examination. This concept makes many patients have a lot of opinions on doctors.Fortunately, at least the four hospitals have generally implemented the mandatory pre-admission security check.Doctors don't have to be the same as before, and they have to spend some time trying to figure out whether the patients in front of them will behave excessively.Just be careful with the doctor.

Sun Lien probably guessed why the patient was so dissatisfied. He explained the difference between viral infection and bacterial infection and asked, "If you don't want to draw blood, I can prescribe it for you based on experience. Medicine. But... if there is no symptom, and you take the medicine for several days without any effect, then you have to go to the hospital."

Sun Lien continued to add that even if antibiotics are simply used, empirical medication may not be effective.The antibiotics prescribed by doctors for upper respiratory tract infections are generally second and third generation cephalosporins.This cephalosporin is generally effective against common gram-positive bacteria, but not so well against gram-negative bacteria.

If drug susceptibility and culture tests are not done, there must be such risks.But the bigger risk lies ahead...if the antibiotics don't work, then there's the potential for the infection to get worse.Extending from the upper airway to the lower airway, causing more severe bronchitis or pneumonia-the probability of this happening is not too high, but there is still a chance.

After listening to Sun Lien's explanation, the patient seemed to calm down a little.He frowned and thought for a while and asked, "Then...do I still need to be hospitalized?"

"This...is a matter of probability." Sun Lien thought for a while, shook his head and said, "Your current symptoms are not too serious, even if you have an infection, it shouldn't be too serious."

Colds caused by upper respiratory tract infections are generally self-limited.The medicines given by doctors generally play some auxiliary role.Doctors often joke that "it's good to go to the doctor for a week without seeing a doctor for a cold, and it's good to see a doctor for seven days." The patient's own immune system can clear the infection, but the process is not comfortable.

The role of cold medicines for colds is generally to relieve symptoms, and they do not directly target the bacteria that cause the infection.But antibiotics are different -- they target the pathogen that causes a cold.

Because the patient in front of him named Li Beishan had symptoms of tonsil suppuration, he had indications for antibiotics.If it was just general upper respiratory tract redness and swelling, Sun Lien would not even consider whether to use antibiotics - the abuse of antibiotics is the main reason for the emergence of drug-resistant bacteria such as MRSA.

If the patient feels uncomfortable, give him antibiotics... Then it is really possible to cultivate some "brand new" superbugs on Li Beishan.

"In short, let's take a blood test to see the situation." After summarizing for a long time, Sun Li'en finally told Li Beishan what needed to be explained. "After confirming the type of infection, I'll see what medicine to prescribe for you."

Li Beishan nodded, and went to pay the fee with the inspection form.But Sun Lien felt a little bit--in many cases, it's really not that the patients didn't cooperate or deliberately found fault, but they really didn't understand the significance of these examinations and the importance of the examinations to their condition.In many cases, as long as you explain it well, the vast majority of patients can still understand and cooperate.

But... There really may not be such time during the outpatient clinic.Sun Lien explained to Li Beishan very quickly. From the beginning of the temperature measurement to the completion of the inspection, the electronic thermometer just rang.Use this time to explain why the examination is needed, and what follow-up treatment may need to be done after the examination, which is very demanding for both the patient and the doctor.

In other words, such a treatment is difficult to replicate.Not all outpatient clinics are the same as the emergency outpatient clinics of the Fourth Hospital, which have relatively more time to deal with patients.Not all doctors are like Sun Lien, who can still think about popularizing science to patients in such a short period of time.

Most doctors, when they need to see dozens or hundreds of patients a day, will give priority to shortening the consultation time to improve service efficiency, rather than spending time explaining their prescription to a patient who seems not to cooperate. The reason for the inspection.

It is the patient's choice whether to have the examination or not. If you refuse to do it, I have nothing to do with you—you can bear the consequences of the deterioration of the condition yourself. In short, don't waste time, I have other patients to see.

Of course, this attitude cannot be miscalculated. From the starting point to the implementation process, the doctors are all for the sake of the patient's health.But whenever possible, it pays to take the time to explain what the check is about.

After Li Beishan left the ninth consultation room, Sun Lien received five more patients.And issued two receipts for blood routine and stool examination, a urology hospitalization notice, a stomatology referral form, and a prescription for asthma medicine.Afterwards, Li Beishan returned to the ninth consulting room with the inspection report.

"It's a bacterial infection." Sun Li'en took a quick look at the examination report, and then circled Li Lishan's increased white blood cell index and increased neutrophil ratio with a pen, "Your body temperature is not high now, this should be caused by eating Bulo Fern's results."

"Then do I need to continue eating?" Li Beishan frowned and asked, "I feel like I'm struggling to drink water now."

This sentence quickly caught Sun Lien's attention.He found another tongue depressor and observed Li Lishan's throat—compared to about an hour ago, his tonsils were more swollen.Now his uvula has been sandwiched by swollen tonsils on both sides.The space for him to drink water has become very narrow.

"You... Maybe you can't just rely on taking medicine." Sun Lien thought about it quickly, and then made a decision. "How about this, you go to the observation room of the emergency department, and I will ask you to infuse you there. Wait until your tonsils subside."

"Ah?" Now it was Li Beishan's turn to be puzzled, "Why do you need to go to the observation room again?"

"Your tonsils are swollen like this, and the infection may be serious." Sun Lien quickly wrote the treatment plan on the computer, and distractedly said to Li Lishan, "I'm not worried about you having pneumonia right now——if the infection continues to deepen, then It also caused more serious airway swelling, which may lead to laryngeal edema. Once the edema is swollen, your breathing will be affected, and it will be fatal."

Sun Li'en was not sensational, anyway, judging from his years of experience in treating patients, he had never seen a patient whose tonsils were swollen like this.The two split walnuts in his mouth have almost turned into two walnuts. If this continues, he may not even be able to swallow the oral antibiotics.

　Today is Sanguan's birthday, so this chapter will be updated.cake at night
　　At noon, my RELX first-generation cigarette stick exploded while charging... I was negotiating with the merchant, but fortunately no one was hurt.

　　I wish me all the best in my 30th year...

　　
　
(End of this chapter)