When a doctor encounters a fever in his child (2)

Although I also said in the article, The two experiences I mentioned did not require transfusion. But not all fevers do not require transfusions, However, some people have come to the conclusion that children with fever should not use antibiotics. There is no need for injections and transfusions, Instead, you should watch it at home. Waiting for the resistance of the child’s autoimmune system. On the basis of lack of scientific understanding, Our attitude towards many things tends to go to two extremes. Either deified, or demonize, Such as infusion, antibiotics, X-ray. We all know that infusion, antibiotics have risks, Complications, He refused the infusion, Refusing antibiotics, Even if there is a serious bacterial infection. Some parents know that X-rays have radiation, So they refused to check, Even if it is suspected of fracture, Some parents heard that something had happened to the operation. He refused the operation, Even if it is a disease that cannot be cured without surgery, These are all misconceptions caused by incorrect understanding of things. Antibiotics are risky, But without antibiotics, many infected patients would have to resign themselves to fate. Before there was no infusion technology, Many rescue patients will miss the opportunity, Before X-ray technology was available, Many diseases fail to be diagnosed and delay treatment. Even the most commonly used antipyretics, Ibuprofen and acetaminophen, Can only symptomatic antipyretic, It does not change the course of the disease itself, There are also nephrotoxicity and hepatotoxicity respectively, However, under the current evidence, reasonable use is safe and controllable. So in order to improve the comfort of children, we should still use it when the fever is too high. Most of the applications have both advantages and disadvantages. When the advantages outweigh the disadvantages, You should use, Otherwise, it should not be. I have expressed this meaning in many articles. But it is not so easy for people to understand and do it. Although a large part of children’s fever is caused by virus infection, For example, common virus infection in respiratory tract and digestive tract, At present, it is difficult for drugs to affect the duration of the disease. Only symptomatic treatment can be carried out, But there are also some very serious types of viral infections, Not to mention the more dangerous virus infections, Such as Japanese encephalitis virus, At first, it can only be manifested as high fever, Some diseases caused by common viral infections can also have severe manifestations. For example, hand-foot-mouth disease, rotavirus enteritis, Most can heal themselves, However, during the epidemic season every year, there will be some severe cases of systemic multiple organ damage. Even life-threatening and admitted to ICU for rescue. Some respiratory virus infections will be accompanied by bacterial infections. Lower respiratory tract infection and even pneumonia, In the early stage, it can also be simply manifested as fever. Many parents also know that when they have a fever, they should pay attention to observe whether their children have other symptoms. Such as mental reactions, However, this kind of judgment still requires some experience, Many children with fever are sleepy, How to distinguish whether it is a decrease in activity caused by a rise in body temperature or a neurological symptom itself, Experienced doctors sometimes make mistakes, What’s more, parents. Our pediatric surgeons often invite physicians to consult when dealing with internal medicine problems. Physicians will also ask their superiors to check when they are not sure, Even multidisciplinary consultation. So for inexperienced parents, In particular, You must see a doctor when you are not sure. Many people may also know the principles of using antibiotics. If you can not, try not to, If you can take it orally, take it orally as much as possible. But when you use what doesn’t need it, In which way, Making such a decision requires professional knowledge and judgment. So antibiotics are prescription drugs in most countries, That is, doctors can decide whether to use it or not. Our country is also included in prescription drug management, However, it is obviously not well implemented. Most cases of fever in children do not require antibiotics. Therefore, many parents have the experience of their children’s own healing without medication, Such experiences can be found everywhere on the Internet, But the experience of doctors is exactly the opposite of that of parents. Because doctors deal with a large number of patients every day, Every doctor has encountered some cases of serious infection that require antibiotics. Most of the time, doctors’ job is to find out a few cases that need medication from a large number of cases that do not need medication. Because such cases are more risky, Therefore, doctors will maintain a particularly high vigilance for such cases. Different levels of knowledge and experience make different people have different understandings of the advantages and disadvantages of the same thing. The decision will certainly be different. Everyone knows the word “choking off food”, However, it is difficult for people who are really choked to look at them correctly. Different experiences, There will also be different perspectives on the problem. On medical issues, Doctors’ understanding level is definitely higher than that of patients, Much of the knowledge is based on statistics, The decisions made are evidence-based, The accuracy rate will be much higher than the patient’s own judgment, This is why I still emphasize trusting doctors. Of course, doctors’ decisions will be interfered by many non-professional factors. Including the training system for doctors, Including the social and medical environment, Including the interests of doctors themselves, As well as the patient’s attitude and so on. Compared with the decision-making of medication, Doctors who make decisions not to use drugs need to bear more pressure and risks, as do surgical decisions. Our system should allow doctors’ decisions to be as independent of these factors as possible so that children can receive more secure and reliable medical treatment. This requires the efforts of the whole society and everyone involved in the medical process.