< section > < p > < strong > guide < / strong > < strong > language < / strong > < / P > < / section > < section > < section > < section > < section > < p > was rejected by three clinics, he received, and the result was a needle to settle down [< / P > < / section > < / section > < section > < p > patient said: You dare not even see the most common fever, what doctor are you still?

In the process of practicing medicine at the grass-roots level, I have seen a variety of exotic patients and believe that most of the grass-roots doctors have had similar experiences. The clinical experience of

for many years tells me that in the grass-roots medical practice, due to the limitation of conditions, when encountering patients whose axillary temperature is above 39.5 degrees Celsius, they should carefully check their vital signs (T (body temperature), P (pulse), R (breathing), BP (blood pressure), C (mind), A (pupil) U (urine volume) S (skin and mucosa), and then proceed to the next step. < p > < p > axillary temperature 39.5 degrees Celsius or above, Anal temperature basically reached 40 degrees Celsius or above, is already a high or ultra-high fever patients.

If it is a child, an elderly person, a pregnant woman, a patient with other basic diseases or abnormal eight signs of life, I usually recommend that the patient go to the hospital for examination. At this time, many patients or patients'families will say, "You dare not even see the most common fever, what doctor should you be?"

In fact, fever is not a trivial matter. Fever can be caused by many critical illnesses. A slight misdiagnosis may delay the illness and cause medical disputes. These cases are the personal experience of the author and his friends:

Case 1:

Patient, male, 5. Ten years old, plain and healthy, complained of fever for two hours, body temperature 40.7 degrees Celsius.

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< p > patients go to Dingcun Medical Department for treatment, and Dingcun doctors suggest that they go to the hospital. Afterwards, the patient said, "Just fever, early news of your good medical skills, good character, specially run here to see you, trouble you to give an injection antipyretic needle, I go back to observe, if not back, ask family members to take to the hospital."

Other witnesses left by Dr. Dingcun and called for third-party coordination. The third-party investigation found that the patient had a high fever three days ago, had an injection elsewhere, and then went to work with the disease. The worker found that he had been suffering from high fever and advised him to go to the doctor. He went to see doctors A, B and C and was advised to go to the hospital after telling the patient's condition.

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< p > After tripartite consultation, the money was lost and the specific amount was not disclosed.

< section> < section> < section> < section > < section > < section > < section > < section > < section > < p > < strong > Case 2:

< br > < p > < p > The patient, a three-year-old woman, was brought to the author's office by her mother. Her family complained of fever for two days and fever was feverished at home, and the temperature of her armpit was 39 degrees Celsius. Family members do not allow temperature check, do not allow examination, ask the author to see in the old neighbor's situation to give an injection antipyretic needle, and then prescribe some medicine. < p > < br > < / P > < p > < p > The patient was crying, not allowed to have a physical examination, the body temperature was not allowed to be measured, the heart rate was 110 times per minute, the temperature was about 39 degrees Celsius by hand, and the rest was normal. So the author gave the patient 0.6 ml intramuscular injection of "Antongding" and prescribed some medicine.

After a while, the family members ran back to the store with their children crying, saying that on the way back, the child suddenly had convulsions in both hands and feet and was unconscious.

Because the patient was crying and no convulsions occurred, her mother was advised to take her to the hospital for examination. Family members asked to take away the original prescription. I copied another prescription and gave it to her.

Later, I heard that the family members of the patients scolded and wanted to settle their claims when they came to the hospital. The director of Pediatrics advised, "This is a convulsion caused by high fever. The village medicine is correct. We often encounter such medical records in pediatrics." During the hospitalization period, the family witnessed the convulsions of some pediatric inpatients while they were being treated, and that was no longer the case.

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< section> < section> < p> < strong> Case 3:

< br> < p> < p> The patient, male, seven years old, came to the doctor's office. The child's mother complained of fever for three days and had repeatedly given antipyretic drugs, but the child's temperature was high at present, but the temperature was not allowed to be measured. Not clear about the specific temperature, request anti-fever injection, prescription. < p > < p > < br > < p > < p > < p > The patient showed crying and refused to be examined. The heart rate was about 100 beats per minute, and the rest was normal. The author then gave "1.2ml" intramuscular injection, after the injection, the patient convulsions and vomit foam. In a hurry, the author put the patient flat, put his hands on the right side of the patient's face, fixed the patient's head, and then the patient vomited blood at the mouth. < p > < p > < br > < p > < p > < p > After the patient recovered later, the author found that the patient's tongue had been bitten a little bit, and suggested to take it to the hospital for further examination.

originally thought that this matter knew so well. A few hours later, an old man from the patient's family came to the door and told the child that it was all right. He mentioned that the whole family of the patient had just come to the author to settle accounts, and was eventually persuaded by the old man back.

Family members left a sentence before leaving: after all, you are a doctor, diagnosis and treatment is your decision, unable to deal with the hero, let alone for a few dollars, take other people's lives as a play, if you encounter trouble, your life will be dangerous. Years have passed, and I still remember his words.

. Indeed, we are doctors, and we make up our minds. We should diagnose carefully, distinguish the illness, and go to the doctor's office according to the guideline. However, we should refer any patient who is beyond our ability to deal with the illness, not to mention taking other people's lives as a joke for the sake of making money.
At the same time, when we can't tell whether the patient is concealing his medical history or not, even if the patient speaks well, we shouldn't be embarrassed by his face. We should refuse when we refuse, because it is a trivial matter to lose money when we meet an accident, and the consequences are unimaginable when we encounter irrational family members.

Source/e Clinic