Gou is practicing medicine in the clinic

Chapter 408 Dosage cannot be copied from textbooks, new awareness
"Director Yan is an expert in emergency medicine. I believe you are the one who knows the child's condition best. I only know the most basic information and will never dare to comment. However, this child has problems after taking medicine. I personally think that either It's a drug allergy or an overdose. For children, the dosage is definitely different from that for adults."

Li Jingsheng expressed his opinion.

Sodium valproate is a prescription drug. It is definitely wrong for Baixing Pharmacy to sell this drug to patients.

This drug is clinically the drug of choice for the treatment of epileptic seizures and absence of consciousness.

It is also used in pediatrics to treat benign myoclonic epilepsy and infantile spasms in infants.

Li Jingsheng sometimes encounters epilepsy patients and wants to use this medicine, but he is very cautious.I never dare to make this prescription.

His clinic also doesn’t have this medicine.

Many things are like this. If nothing happens, the people will not take action and the officials will not investigate.

Whenever something goes wrong, the problem becomes very serious.

Why did Fatty Zhang come to beg Li Jingsheng?

It's definitely not just as simple as asking Director Yan to treat the child with all his heart.

Fatty Zhang is also an industry insider, so there is no way he doesn't know the situation in the hospital.

He asked Li Jingsheng to help him. Most importantly, he wanted to ask Director Yan to mediate and put in a good word to prevent the family members from making the matter a big deal.

Otherwise, if it really causes trouble with the superior authorities, his drugstore will at the very least be shut down for rectification.

You still have to pay a fine.

Li Jingsheng understood the truth behind this, and Fatty Zhang knew it very well.

It's just that everyone didn't say it out loud.

Li Jingsheng helped to say hello, chatted with Director Yan for a few more words, and ended the call.

"Dr. Li, no matter what the outcome of this matter is, I, Fatty Zhang, will definitely keep this big favor in mind. I came in a hurry just now and didn't bring any gifts. Please don't dislike this little red envelope. Just treat it as a treat. Two glasses of wine.”

A big red envelope was stuffed into Li Jingsheng's hand.

Judging from the thickness, it should be no less than 2000 yuan.

Fatty Zhang is a sensible person.

Like Boss Zhao, he never gets freebies when asking for help.It is very generous to give gifts.

"Boss Zhang, this matter is just a small matter to me. We all work together on the same street, and we should help each other. If you give me this red envelope, it will go unnoticed."

Li Jingsheng refused to accept the red envelope.

2000 yuan is not a small amount, but a debt of gratitude is more valuable.

Although he didn't ask to go to Fatty Zhang's place, he wanted to form a good relationship. If anything happened to the Sunshine Clinic in the future, Fatty Zhang would be a good supporter as long as he knew how to behave.

"That won't work. You use your favor to say hello to me. The cost is not low. This is my small token of gratitude. Please accept it, Boss Li."

"It's really not necessary. I think there is still a lot of risk in this matter. If it's convenient for you, you'd better find a way to appease the family members and try to reduce the big problems to trivial matters. Although the child has symptoms such as coma and vomiting, in my opinion Come on, the problem shouldn't be big. It's probably caused by taking too much medicine. If you explain it to your family members beforehand, they must also be responsible for this.

As long as you have a better attitude and bear part of the family's losses, you can probably make peace with the child after his treatment improves. "

Li Jingsheng thinks this matter should not be difficult to handle.

Unless the family members are very difficult to talk to, there is nothing we can do.

"Okay! I'll rush to the hospital to visit the child immediately. Zhang will never forget today's feelings. If Boss Li has any errands in the future, just say hello."

After saying that, Fatty Zhang hurried to the hospital to comfort his family members.

When we arrived at around seven o'clock in the evening, Fatty Zhang came in carrying two bottles of Maotai and Yiyi Yihe Tianxia.

"Dr. Li, thank you so much for your help today! The cause of the child's illness has been found out, and it was caused by overdose of medicine. I have apologized to the family and obtained understanding. I will also bear the medical expenses and lost work expenses.

The child has improved significantly after treatment. "

Just as Li Jingsheng guessed, it turned out to be an overdose.

Fatty Zhang is not usually a talkative person. He directly apologized to his family and took the initiative to bear the medical expenses and lost work expenses. This shows that Fatty Zhang must have been at fault.

"That's good, that's good. You have to be more careful when selling this kind of children's medicine in the future. My clinic is most afraid of treating babies or children under seven years old. I feel like making those few dollars is like holding my head. .”

Li Jingsheng just nodded tactfully.

Adults, never try to persuade the other person.

If Fatty Zhang can afford to drive a Mercedes-Benz, the money must not have come from the strong wind.

It is absolutely a blessing to be able to gain the understanding of the family and make this matter a minor one.

"Isn't that right? I originally thought that it would be difficult to do business and make money these days, so I expanded my business a little bit more. Unexpectedly, I didn't make any money, but instead got into a lot of trouble. Every time I learn a lesson, I will gain wisdom. These prescription drugs will never be sold again.”

Fatty Zhang said that, only he knew whether he could do it or not.

"Dr. Li, when it comes to medical skills, I'm afraid no one in our entire Chengnan Old Street can compare with you. For the child who had the accident, I specifically asked him about his weight and calculated the dose. Originally, according to the child's weight, he could take eight to ten meals. tablets, but the family only gave the child five tablets before he started to vomit and then passed out. I also graduated with a bachelor's degree in medicine. I couldn't get into a big hospital, so I came back to inherit the family business.

You obviously followed the dosage prescribed in the textbook and medication guide, but you only took half of the safe dosage. How could you overdose? "

After hesitation, Zhang Fatty decided to ask Li Jingsheng.

See where the problem lies?
This incident directly overturned his decades of experience in selling drugs.

If he doesn't find out the problem, he will still run into trouble next time he sells medicine.

Don't underestimate the owners or pharmacists who open pharmacies. Their medical skills in medicine efficacy and medicine synthesis are often quite good.If Li Jingsheng hadn't upgraded the two medical skills of Fang Yao to several levels later, he might not be as good as Fatty Zhang.

"Boss Zhang doesn't praise me like that. There are many people in the old streets in the south of the city who are better than me in medical skills. Boss Zhao, Boss Ye, the doctors at the health service station, including you, Boss Zhang, are all my seniors. Their medical skills are better than mine. Much smarter.

At most, it can be said that there are specializations in the art industry, and everyone is good at different areas.

When taking medication, the dosage can be calculated based on body weight under normal circumstances.However, children, the elderly, and frail patients certainly cannot calculate the dose based on their normal weight.

When administering sodium valproate to children, the safe dose is generally 20 mg/kg, with a maximum of 30 mg/kg. "

He never dared to admit that he was called the number one doctor in Laojie.

Smart people keep a low profile and make money in silence.

People who like to claim to be number one and do some gimmicks are often fools.

It's not worth it for so-called vanity and arousing jealousy all over.

"Yes, I give the child a dose calculated based on 20 mg/kg body weight. This is already a very conservative calculation."

Fatty Zhang said.

"It depends on the child's physical condition. If the child has already taken other drugs that are toxic to the liver, no matter how small the dose you prescribe, he will still have an accident. Also, if the child's body is originally There are some other underlying diseases, or there are certain deficiencies, and the so-called safe dose will no longer be safe.

There is also a special situation. If the patient has a special constitution, even if you only prescribe him a dose of one tablet, he will not be able to tolerate it.

Just like some people can drink a thousand cups without getting drunk, and some people will get drunk as soon as they touch alcohol, which also has a lot to do with their physical constitution.

Prescription drugs are inherently risky.

When encountering this kind of situation in the future, Boss Zhang can also adopt some more conservative methods.

For example, prescribe a small dose of the drug for the patient to try first, and then let the patient continue taking it if there is no problem.

Of course, I understand the difficulty.Everyone sells medicine by the box.

But there is a saying that goes well, be careful and sail the ship for ten thousand years.It doesn’t matter if generic medicines are sold by the box, but it’s better to be careful with prescription medicines. "

Li Jingsheng was giving his sincere advice to Fatty Zhang.

In the past, he would have thought that his colleagues were enemies, and he would definitely not be treated as such a bad person.

Now that his clinic has grown bigger and stronger, when he looks at competitors like Fatty Zhang and Boss Zhao, his mentality, vision, and structure have all changed a lot.

These people can no longer be his real opponents.

At the same time, he sincerely hopes that the medical industry can develop healthier and healthier.

The wood is beautiful in the forest, and the wind will destroy it.

His family is as big as a single tree, which is definitely not a good thing.

Some low shrubs are also needed next to it.

It's like a general who has no soldiers under his command, and is just a bare commander.Nothing.

On this street, there is a healthy medical environment, which will also be of great benefit to his Sunshine Clinic.

To put it more profoundly, he has now become the boss of the old street in the south of the city. What he has to worry about is no longer being squeezed out by Kuaikang Clinic and Baixing Pharmacy.Even if they were several times stronger, they would still be unable to shake the deep foundation of Sunshine Clinic.

Li Jingsheng and Sunshine Clinic already have a deep public opinion foundation in the south of the city and even in Jiangli City.

What he has to do now is to be a good leader and maintain the entire 'ecological environment' of Chengnan Old Street.

Just imagine, everyone is a fish in the same pond. He is now stronger and fatter, and is bigger than other fish.

Other fish can no longer defeat him in a fight.

But if any fish dies or something happens, it will definitely affect the water quality of the entire fish pond.

He, the big fish, will also suffer misfortune.

"Listening to your words is better than ten years of reading. The guidance given by Boss Li today is medication knowledge that I can't learn no matter how many books I read. Thank you, Boss Li, for being able to give such broad guidance to my colleague. Sunshine Clinic can do this Sure enough, there is a reason why it is so big today. Zhang asked himself that his ideological consciousness is not a little bit worse than yours."

After listening to Li Jingsheng's guidance, Fatty Zhang showed a thoughtful expression.

Slowly digest the medication knowledge contained in it.

He also admired Li Jingsheng's character from the bottom of his heart.

After sending Fatty Zhang away, Li Jingsheng was also thinking about the future development direction of Sunshine Clinic.

A long time ago, his idea was to make Sunshine Clinic bigger and stronger.

Now that it has really developed, he began to consider more specific development directions.

The surgical business has been developing, but it is stuck within the limitation of primary and secondary surgeries.It is difficult to develop into more advanced areas.

This is definitely detrimental to the future development of Sunshine Clinic.

According to his idea, he wanted to build a first-class medical team, involving three major fields: internal medicine, nursing, and surgery.

Then there will be more detailed divisions.

Now even this main framework has not been completed, and the following details cannot be carried out.

(End of this chapter)