Don’t let severe drug rash fool everyone

Today, major websites have reposted the report of “a young girl’s cold even by 3 hospitals medical fault one eye blind”, as a dermatologist, after reading the report, I can not help but recall the other day “hospital incubator into an oven, baked to death baby” report. As a dermatologist, I read the report and was reminded of the report of “hospital incubator turned into an oven and baked a baby”. As a doctor, I sympathize with the patient in question, but as for the reasonableness of the doctor’s treatment in the report, I personally think that there is not much inappropriateness in what the article says. Although the use of “Qing Kai Ling” is debatable, and I am not personally involved in the incident, I have limited knowledge of the specific situation. Although I understand that my statement will lead to some people’s brickbats, just look at the replies to those reports. But I still want to make a generalization to everyone regarding professional knowledge. Serious drug rash is a very critical disease in the dermatology department, causing not only skin ulceration (similar to that seen in the oven incident and described in the cold incident), but also damage to multiple organs, such as the liver, kidneys, heart, etc. The extensive skin damage can also lead to thermoregulation disorders, hyperthermia, electrolyte disturbances, etc. The eyes, mouth, and vulva can be easily eroded and adhered to, which can lead to blindness in severe cases (as seen in the case of young girls with colds). Available studies have shown that the occurrence of severe drug rash is greatly related to the genetic susceptibility of the individual. Many susceptibility genes for drug rash have been identified, such as “allopurinol” and “DDS”, among others. In the future, with the advancement of medicine, testing for the relevant genes before using drugs can help avoid the occurrence of drug rashes, unlike the current skin test for penicillin, etc., which gives a very limited warning. Some of the media people clamoring for attention or uninformed reports, for the current already full of holes in the doctor-patient relationship, is tantamount to rubbing salt in the wound. Such as “80 cents door”, “sewing liver door”, “oven door” and so on too many similar irresponsible reports, although increased the click rate, but the medical practitioners, the future work of everyone at risk. Not to seek credit, but to seek no fault. The mind can not be fully devoted to the improvement of medical standards and research, the future of the real “misdiagnosis door” will certainly be a large number of staged. The court’s decision seems to have the demonstration effect of the “Peng Yu case”. In the future, for critical illnesses such as “severe drug rash”, which hospital will dare to admit and treat them? Is a simple “so-and-so hospital won’t save a life” report necessarily the solution to the underlying problem? In addition, teaching the next generation to resolutely not to study medicine, the future of China’s medical progress, I dare not imagine. Although there are some unreasonable things in the medical industry now, I believe that most practitioners still hold the dream of “not being a good doctor, that is, a good doctor” and look forward to doing what they can for the progress of our medical career. I pray that we can work together and introspect ourselves to create a harmonious medical environment.