I can see the status bar

Chapter 186 Blocking

At first, Zhou Jun refused to do radiotherapy to the heart of a coma patient.

"It's working time now, so let's put such silly jokes after get off work." Zhou Jun knocked on the table to remind Sun Lien to pay attention to the current situation. "What new discovery have you made?"

"It's a way of thinking about diagnosis." Sun Li'en explained, of course he understood that no rational superior doctor would agree to his nonsense treatment method.But he still had to express his opinion first—he really believed that Yang Jianqiang's heart should be given radiotherapy.

Sun Lien finished his discovery and reasoning, and supported it with the testimony of the patient's family as proof.But Zhou Jun still shook his head slowly, "This reason is too far-fetched."

Sun Lien sighed.It would be strange if Zhou Jun could be persuaded so easily.But even though he was mentally prepared, he would still feel a little frustrated after his suggestion was denied.

"However..." Zhou Jun lowered his head and pondered for a while, then hesitated, "Your reasoning about changes in the degree of suppression of the immune system is somewhat interesting."

What does something mean?Sun Li'en looked at Zhou Jun in front of him in surprise. He was prepared for his opinion to be completely rejected. Unexpectedly, Zhou Jun planned to partially accept his judgment.

"Unless other conditions have changed, any abnormality that occurs is directly related to the variable." Zhou Jun pondered for a moment and gave his own explanation, "The order of any other disease progression that we know so far is consistent with the patient's current The situation is not right, after eliminating all the impossible, the remaining answer, no matter how unbelievable, is the only result.”

"However!" Zhou Jun's voice suddenly raised a tone, "This does not mean that you can do whatever you want—especially radiotherapy to the patient's heart that does not show any problems!" It seems to be to emphasize his determination , Zhou Jun knocked on the table, and said word by word, "Evidence-based medicine! Only evidence can determine the direction of treatment!"

Evidence-based medicine, these four words themselves profoundly explain the direction of the development of modern medicine.Doctors should not simply "identify" patients' conditions and treat them according to their own experience and assumptions.Modern medicine requires that doctors should use tangible evidence to clarify patients' diseases.Treat the patient's condition with objective evidence as the basis and starting point.This is the direction of development of modern medicine.

Sun Lien's current request obviously has nothing to do with evidence-based medicine.From Zhou Jun's point of view, this is probably a way for Sun Li'en to show himself to be unconventional.It is not worth advocating, nor should it be encouraged at all.However, there is indeed some truth in this series of explanations.Now that Sun Li'en has given the patient hydrocortisone, let's follow his instructions and see how the condition changes.

If the patient's condition improves, it means that his diagnosis is in the right direction.If things don't change much...that's not much to lose.

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After Sun Li'en left Zhou Jun's office, he suddenly felt a little dazed.After being called out of the emergency room by Dean Song, he should be assigned to be on duty in an emergency room.It's just that Zhou Jun's recall was so sudden that Sun Li'en still hasn't figured out where he should sit for the consultation.

"Doctor Sun..." The little nurses in charge of triage at the door also mastered the schedule of doctors in each consulting room.She quickly found Sun Lien's job position, "You were supposed to be in the third consulting room, but now there are doctors in the third consulting room. The ninth consulting room is still empty."

"Then it's ninth." Sun Li'en had no opinion on this change.Anyway, when you come to the hospital, you have to work, and there seems to be no difference in receiving ordinary patients in the consulting room. The ninth consulting room is next to the gate of the emergency room. If Yang Jianqiang really has any changes in symptoms, Sun Lien can also Quickly rushed to the scene for diagnosis.

And there is another advantage of visiting alone - you can get the registration fee.This is also one of the main reasons why Sun Lien is full of motivation.During the regular training period, except for hospitals in some areas that will pay salaries and state subsidies, hospitals in most areas are actually extremely stingy and only pay subsidies.Although the Fourth Central Hospital has a large emergency center as a foundation, it is really difficult to make money in emergency after all.No matter how good Dean Song's activities are, the annual subsidies, grants and donations combined can keep the hospital running.To pay high wages to Gui Peisheng, I am afraid that the financial situation of the hospital will change from "tight" to "precarious" immediately.

Therefore, adhering to the guiding ideology of "saving what you can save, and enduring hardships and standing hard work", the Fourth Central Hospital only provides subsidies to Gui Peisheng.However, in order to enhance the learning motivation of Gui Peisheng, the Fourth Central Hospital specially stipulates that Gui Peisheng, who can make independent visits and treat patients under the supervision of a superior doctor, can share 80% of the registered outpatient fee, and exclude All treatment expenses other than treatment costs.A large part of the reason why Sun Lien is willing to accept the early recall is also because of this.

So far, Sun Lien has only received two treatment fees.One was from Yuan Meng, who suffered from bleeding, and the other was from Zhuang Zihao, who was dislocated twice in one day due to the carelessness of his parents.

Because Yuan Meng's suture technique uses fast feather suture, although the suture effect is better, and the subsequent scar will be shallower, the cost is not low.One suture down, the charge is as high as more than 500 yuan.Fortunately, after Yuan Meng woke up, he was very satisfied with Sun Lien's treatment, which allowed Sun Lien to escape an administrative warning. Logically speaking, ordinary sutures, which are cheaper and more common, should be used for this kind of coma patients. That's right.

And Zhuang Zihao's child was even more miserable.Both resets have to be charged according to the manual reset of the joint.The one-time price is 120 yuan.It's a pity that there is no discount of 200% off for orders over 99. The 240 yuan fell into Sun Li'en's pocket in this way-manipulation reset does not require the use of medical consumables.

After two treatments, Sun Lien's salary increased by more than 400 yuan.This also made him look forward to the next outpatient clinic - he also wanted to use next month's salary to buy some small gifts for Hu Jia.

"Doctor..." Just as he sat down in the consulting room, Sun Lien was about to send a message to Xiao Guo, asking him to tell Dr. Pascal to come to his consulting room to discuss the adjustment of Yang Jianqiang's immunization plan, but the door of his consulting room was suddenly blocked. The person pushed away.A young woman with a pale complexion came in with the help of another man. The man looked nervous, "Please take a look, she has a stomachache!"

"Zhao Mengli, female, 21 years old, ruptured corpus luteum." The young woman had a status bar floating above her head. As soon as she entered the door, her legs gave way and she sat on a stool.

　This chapter is so painful for me... I'm sorry for the late update.

　　Sun Lien's emergency outpatient career has begun.

　　Yuan Bao is in good condition today, and has gradually started to stroll on the balcony.Seeing Gouzi drinking water and eating by himself, Sanguan was so excited that he almost cried.

　　When Yuanbao is completely cured, I plan to open a single chapter to report on this experience.It’s not clear on paper. When Sanguan’s treatment plan was first implemented, it was really unclear. Fortunately, there were many professionals to help correct it, and even found the relevant expert guidance from the WHO-canine distemper It is said that the virus was first discovered by this expert's laboratory. Yuan Bao is a very lucky puppy.

　　At the same time, I would like to thank all readers for your understanding and support for Sanguan. The latest update is really inappropriate.I still have this number B in my heart.When Yuanbao is completely cured, there will be more Sanguan, and I will apologize to everyone!

　　
　
(End of this chapter)