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Chapter 681 Solve the Problem (October 10nd, 2th update)
Chapter 681 Solve the Problem (October 10nd, 2th update)
Judging from Ma Yongfang's experience, there is nothing special about the No.1 patient she admitted to the fourth hospital.This is just a simple type [-] diabetes.It's just because the patient's usual living habits are really bad, and he drinks too much sugary carbonated drinks every day, so he has the current symptoms.
"He is somewhat resistant to insulin, but it's not surprising—this man is fat." Ma Yongfang said indifferently while being gasped by the spicy Hunan cuisine in front of him, "Fat people tend to resist insulin , Now he is given 190 units per day, combined with a little insulin sensitizer, the postprandial blood sugar can be controlled at least around 16. Continue to be hospitalized, and slowly adjust the sugar control plan."
This blood sugar control regimen is certainly not the "acceptable" kind.But it is much better than more than 400 units per day.According to Ma Yongfang's experience, as long as such patients add some diet control and exercise, and cooperate with a variety of sugar-controlling drugs, there is still hope that the daily insulin dosage can be reduced to about [-] units.
"It's better to hurry up." However, Professor Zhang Zhifu, who was sitting on the table, had some disagreements, "Although the beds in our ward are not tight at all, the cost of hospitalization is still much more expensive than that of the specialist. This patient Although the family situation is not too tense, if there is no need, it is better to transfer him to endocrine as soon as possible."
"At present, there is nothing special." Ma Yongfang nodded, and she has no objection to transferring this patient to endocrinology. "Then I'll make some preparations when I go back today, and try to transfer him to the endocrinology department before tomorrow afternoon—as long as there is a bed in the endocrinology department."
The beds in the Department of Endocrinology have always been relatively tight.This is not because of the large number of critically ill patients that the Department of Endocrinology has to deal with.
Since most of the patients received are diabetics or hyperthyroidism/hypothyroidism, patients in the Department of Endocrinology often need to be hospitalized regularly for systematic physical examination and related index tracking.These checks are inexpensive, but extremely time-consuming.Therefore, the beds in the Department of Endocrinology are often occupied by patients who need related examinations.
"There should be quite a lot of beds in endocrinology recently." Professor Zhang nodded, "It's New Year's Day soon, isn't it?"
During public holidays, all inpatient departments will try their best to keep beds vacant.On the one hand, this is to reduce the pressure on some doctors on duty, and on the other hand, it is also to allow other doctors to have a rare rest time.It can be said that during public holidays, except for the emergency department, other departments of the fourth hospital are basically resting.
From this point of view, young and middle-aged social animals are simply the most insecure group in modern society.It’s fine if the company doesn’t provide medical treatment during the holidays when I usually go to work, but after finally getting the holiday, the inpatient department and outpatient clinic of the hospital are not working normally.It's no wonder that these people can always see these people making emergency calls-in essence, doctors are actually quite sympathetic to these patients.
"Our holiday schedule hasn't come out yet." Sun Li'en suddenly thought of this, and hastily interjected, "This year's New Year's Day holiday, the hospital will have a day off, so let's do it this way, if there are not many patients during the holidays , then I will stay in the hospital, and you should take a good rest." He thought for a while and added, "Professor Zhang, you came here in a hurry this time, and the work pressure is also relatively high. Take a day off and focus on your life. Let's take care of things."
The new doctors in the diagnostic team are not the same as Sun Li'en, who is currently making regular trainees.Although there are enough dormitories in the Fourth Hospital, these dormitories are only open to the general residents, residents and doctors in regular training.Ordinary attending doctors, even deputy directors and even chief physicians have to solve the accommodation problem by themselves.Xu Yourong, Zhou Ce and Yuan Ping'an bought houses outside.
Although the housing prices near the Fourth Courtyard are not cheap, they are not too exaggerated.The price of a house per square meter is less than 30 yuan. If the provident fund loan is used, the monthly repayment of the 7000-year loan will be more than [-] yuan.The repayment pressure on the attending level is not too great.Moreover, doctors have an advantage over those social animals who have to choose a time to see a doctor. If they are unlucky to get sick, at least it is very convenient to register in this hospital.
Sun Lien's words were a gesture of goodwill, and the doctors in the other treatment groups were not blind enough to reject Sun Lien's kindness.In exchange, Professor Zhang decided to come back to work for a day on January [-], when he could have had a rest, and to take over the shift for Sun Lien by the way.
"Then I'll thank you first." Sun Lien nodded with a smile. He really had something to do on January [-]nd. "You must take care of me, Xiaosun, and don't put any intractable diseases on my bed."
The phrase "put someone on my bed" is actually more like a joke between residents and nurses.Due to the arrangement of working hours and the implementation of the appointment system in the inpatient department, many times when the resident doctors come to work in the morning, they will be surprised to learn that there is an extra patient on the bed they have not seen before.To put it simply when complaining, it becomes "don't put people on my bed".
Professor Zhang Zhifu looked at Sun Li'en with a smile and said, "I see, Dr. Sun, you are not afraid that the patients I release are complicated - you are afraid that the patients I selected are not complicated enough!"
Sun Li'en's "luck" has already gained a considerable reputation in the four courtyards, even Professor Zhang has heard of it.
"It's better to be as simple as possible." Sun Lien raised the Coke in front of him seriously and said, "Mr. Zhang, I have always envied the kind of doctor who can make a definite diagnosis after only one diagnosis. Really."
·
·
·
The dinner ended a little later than expected. After all, there were four experienced senior doctors sitting on the table, as well as a professional Pearson who was famous for dealing with difficult and miscellaneous diseases.When everyone chatted about their experience in practicing medicine, even the doctors who were watching had the illusion of "this is okay?!"
Leaving aside Sun Li'en, the guy who opened the door, whether it was Pascal or Dr. Bruen, or Zhang Zhifu and Chen Tianyang.The number of strange patients seen by any one person is far more than that of other doctors.As a result, by accident, the meal lasted until 09:30 in the evening-if the waiter of the restaurant hadn't come in several times to urge "final additions", the meal would have to continue for a few more hours.
Sun Li'en drove his own car slowly towards the dormitory.Just after passing a red light, his mobile phone connected to the car started calling. "Roast gluten!" The voice continued until Sun Li'en answered the phone.
"Doctor Sun, I'm Lin Lan." On the other end of the phone, Lin Lan said in a somewhat excited voice, "Is it convenient for you to talk now?"
"It's convenient." Sun Li'en replied, he vaguely felt that Lin Lan might have something important to find him.So he turned the car to the side of the road and parked in a vacant parking space on the side of the road.After stopping the car, he continued, "You said."
"You should contact Dr. Xu Yourong right now and ask her to call me immediately." Lin Lan's voice on the phone was like a machine gun, "This matter is very important, no matter what, let her talk to me within 10 minutes. Contact, if you miss this time, it will be difficult to save her girlfriend from the mental hospital!"
"Okay, okay!" Sun Li'en also cheered up when he heard about it.He quickly agreed to the matter, and then hesitated for a while, wondering if he should ask for details.As a result, Lin Lan spoke out first.
"A senator who has a close relationship with us decided to intervene, but she was short on time. After an hour, she was able to spare about four to ten minutes to talk to Dr. Xu and find out what happened." Lin Lan He seemed very excited on the other end of the phone, "This congressman is also from Hopkins University. If we can get her help, this matter can be resolved quickly."
Something to add about the lottery
抽奖的截止日期为10月8日上午12点。并且将在10月8日晚上九点正式开奖。
Everyone is welcome to actively participate——you can participate if the fan value is above apprentice
(End of this chapter)
Judging from Ma Yongfang's experience, there is nothing special about the No.1 patient she admitted to the fourth hospital.This is just a simple type [-] diabetes.It's just because the patient's usual living habits are really bad, and he drinks too much sugary carbonated drinks every day, so he has the current symptoms.
"He is somewhat resistant to insulin, but it's not surprising—this man is fat." Ma Yongfang said indifferently while being gasped by the spicy Hunan cuisine in front of him, "Fat people tend to resist insulin , Now he is given 190 units per day, combined with a little insulin sensitizer, the postprandial blood sugar can be controlled at least around 16. Continue to be hospitalized, and slowly adjust the sugar control plan."
This blood sugar control regimen is certainly not the "acceptable" kind.But it is much better than more than 400 units per day.According to Ma Yongfang's experience, as long as such patients add some diet control and exercise, and cooperate with a variety of sugar-controlling drugs, there is still hope that the daily insulin dosage can be reduced to about [-] units.
"It's better to hurry up." However, Professor Zhang Zhifu, who was sitting on the table, had some disagreements, "Although the beds in our ward are not tight at all, the cost of hospitalization is still much more expensive than that of the specialist. This patient Although the family situation is not too tense, if there is no need, it is better to transfer him to endocrine as soon as possible."
"At present, there is nothing special." Ma Yongfang nodded, and she has no objection to transferring this patient to endocrinology. "Then I'll make some preparations when I go back today, and try to transfer him to the endocrinology department before tomorrow afternoon—as long as there is a bed in the endocrinology department."
The beds in the Department of Endocrinology have always been relatively tight.This is not because of the large number of critically ill patients that the Department of Endocrinology has to deal with.
Since most of the patients received are diabetics or hyperthyroidism/hypothyroidism, patients in the Department of Endocrinology often need to be hospitalized regularly for systematic physical examination and related index tracking.These checks are inexpensive, but extremely time-consuming.Therefore, the beds in the Department of Endocrinology are often occupied by patients who need related examinations.
"There should be quite a lot of beds in endocrinology recently." Professor Zhang nodded, "It's New Year's Day soon, isn't it?"
During public holidays, all inpatient departments will try their best to keep beds vacant.On the one hand, this is to reduce the pressure on some doctors on duty, and on the other hand, it is also to allow other doctors to have a rare rest time.It can be said that during public holidays, except for the emergency department, other departments of the fourth hospital are basically resting.
From this point of view, young and middle-aged social animals are simply the most insecure group in modern society.It’s fine if the company doesn’t provide medical treatment during the holidays when I usually go to work, but after finally getting the holiday, the inpatient department and outpatient clinic of the hospital are not working normally.It's no wonder that these people can always see these people making emergency calls-in essence, doctors are actually quite sympathetic to these patients.
"Our holiday schedule hasn't come out yet." Sun Li'en suddenly thought of this, and hastily interjected, "This year's New Year's Day holiday, the hospital will have a day off, so let's do it this way, if there are not many patients during the holidays , then I will stay in the hospital, and you should take a good rest." He thought for a while and added, "Professor Zhang, you came here in a hurry this time, and the work pressure is also relatively high. Take a day off and focus on your life. Let's take care of things."
The new doctors in the diagnostic team are not the same as Sun Li'en, who is currently making regular trainees.Although there are enough dormitories in the Fourth Hospital, these dormitories are only open to the general residents, residents and doctors in regular training.Ordinary attending doctors, even deputy directors and even chief physicians have to solve the accommodation problem by themselves.Xu Yourong, Zhou Ce and Yuan Ping'an bought houses outside.
Although the housing prices near the Fourth Courtyard are not cheap, they are not too exaggerated.The price of a house per square meter is less than 30 yuan. If the provident fund loan is used, the monthly repayment of the 7000-year loan will be more than [-] yuan.The repayment pressure on the attending level is not too great.Moreover, doctors have an advantage over those social animals who have to choose a time to see a doctor. If they are unlucky to get sick, at least it is very convenient to register in this hospital.
Sun Lien's words were a gesture of goodwill, and the doctors in the other treatment groups were not blind enough to reject Sun Lien's kindness.In exchange, Professor Zhang decided to come back to work for a day on January [-], when he could have had a rest, and to take over the shift for Sun Lien by the way.
"Then I'll thank you first." Sun Lien nodded with a smile. He really had something to do on January [-]nd. "You must take care of me, Xiaosun, and don't put any intractable diseases on my bed."
The phrase "put someone on my bed" is actually more like a joke between residents and nurses.Due to the arrangement of working hours and the implementation of the appointment system in the inpatient department, many times when the resident doctors come to work in the morning, they will be surprised to learn that there is an extra patient on the bed they have not seen before.To put it simply when complaining, it becomes "don't put people on my bed".
Professor Zhang Zhifu looked at Sun Li'en with a smile and said, "I see, Dr. Sun, you are not afraid that the patients I release are complicated - you are afraid that the patients I selected are not complicated enough!"
Sun Li'en's "luck" has already gained a considerable reputation in the four courtyards, even Professor Zhang has heard of it.
"It's better to be as simple as possible." Sun Lien raised the Coke in front of him seriously and said, "Mr. Zhang, I have always envied the kind of doctor who can make a definite diagnosis after only one diagnosis. Really."
·
·
·
The dinner ended a little later than expected. After all, there were four experienced senior doctors sitting on the table, as well as a professional Pearson who was famous for dealing with difficult and miscellaneous diseases.When everyone chatted about their experience in practicing medicine, even the doctors who were watching had the illusion of "this is okay?!"
Leaving aside Sun Li'en, the guy who opened the door, whether it was Pascal or Dr. Bruen, or Zhang Zhifu and Chen Tianyang.The number of strange patients seen by any one person is far more than that of other doctors.As a result, by accident, the meal lasted until 09:30 in the evening-if the waiter of the restaurant hadn't come in several times to urge "final additions", the meal would have to continue for a few more hours.
Sun Li'en drove his own car slowly towards the dormitory.Just after passing a red light, his mobile phone connected to the car started calling. "Roast gluten!" The voice continued until Sun Li'en answered the phone.
"Doctor Sun, I'm Lin Lan." On the other end of the phone, Lin Lan said in a somewhat excited voice, "Is it convenient for you to talk now?"
"It's convenient." Sun Li'en replied, he vaguely felt that Lin Lan might have something important to find him.So he turned the car to the side of the road and parked in a vacant parking space on the side of the road.After stopping the car, he continued, "You said."
"You should contact Dr. Xu Yourong right now and ask her to call me immediately." Lin Lan's voice on the phone was like a machine gun, "This matter is very important, no matter what, let her talk to me within 10 minutes. Contact, if you miss this time, it will be difficult to save her girlfriend from the mental hospital!"
"Okay, okay!" Sun Li'en also cheered up when he heard about it.He quickly agreed to the matter, and then hesitated for a while, wondering if he should ask for details.As a result, Lin Lan spoke out first.
"A senator who has a close relationship with us decided to intervene, but she was short on time. After an hour, she was able to spare about four to ten minutes to talk to Dr. Xu and find out what happened." Lin Lan He seemed very excited on the other end of the phone, "This congressman is also from Hopkins University. If we can get her help, this matter can be resolved quickly."
Something to add about the lottery
抽奖的截止日期为10月8日上午12点。并且将在10月8日晚上九点正式开奖。
Everyone is welcome to actively participate——you can participate if the fan value is above apprentice
(End of this chapter)
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