My medical skills add experience

Chapter 626 Hospital Refusal Rules, Benefits of Learning Some Medical Knowledge
After being promoted to attending physician, his status in the department will be qualitatively improved.

In the past, although he has proved himself with his strength, and has been recognized by most people in the department.But the title is very low, just a resident doctor, which seriously affected his weight.

Since ancient times, there has been a rule in architecture that there is no prestige without magnificence.

A hundred feet is a shape, but a thousand feet can be a form.

This is also the reason why the ancient dignitaries' mansions, government offices, and imperial palaces all occupied a huge area and looked magnificent.

They must create a majestic atmosphere in the minds of ordinary people, and the office space and residence are the top priority.

The level of civilization in modern society has far surpassed that of ancient times, and everyone is advocated equality.

This concept has also been deeply rooted in the hearts of the people.

However, in any unit, the saying that officials and senior officials crush people to death still exists.

This is the extension and evolution of non-magnificence without prestige.

The manager can command the supervisor, the supervisor can command the team leader, and the team leader can command the members in the group, constructing a pyramid-shaped hierarchical mechanism.

Every time you jump up a level, your power will be greater and your status will be higher.

When Zhou Can was promoted to the deputy head of the operating room, why did so many people object?It is because they feel that Zhou Can is just a resident doctor with a lower title than them, but now he is going to be above them, so naturally they are not convinced.

Now that Zhou Can has officially become the attending physician, the residents who could look up to him already need to look up to him.The attending physician who could look down on him needs to look down at him.

At the attending level, it is already considered a bit of weight, and even the level of deputy director has to face up to his existence.

The human heart is the most complicated.

Why is the job title so important?It is because of its high gold content.

The bigger the courtyard, the higher the gold content of the title.

The deputy chief physician and chief physician in a small hospital usually have a lot of moisture.It's okay to bluff ordinary people, but insiders always smile tacitly.

Perhaps the chief physician of the small hospital was not convinced after seeing it.

This is very simple. The deputy director and chief physician of the small hospital often come to the large hospital for further study.

After the chief physician entered the compound, he immediately became a trainee.

No matter how much the department of the advanced hospital respects the chief physician, the status of the advanced student cannot be changed.

Afterwards, the attending physician will usually bring in the trainees.

Zhou Can saw the deputy chief physician of a county-level hospital below when he was training in Internal Medicine.

If it was replaced by the deputy chief physician of this hospital, which attending physician would dare to scold him?
Zhou Can followed the nurse who sent the message to the triage desk.

He recognized the woman who was looking for him at a glance.

"It is you!"

Zhou Can was a little surprised when he saw the woman.

This young woman is none other than the girl on leave whom he met when he was patrolling the pharmaceutical department two days ago.

Later, Zhou Can greeted her, and the leave request must have passed.

She came to Zhou Can now to express her gratitude?
Cheng Xiaolu looked at Zhou Can, who was walking over in a white coat, with complicated eyes.

"That day I never thought that you were Dr. Zhou Can! Thank you for helping me get a leave of absence."

After she came to the emergency department to inquire, she found out Zhou Can's real identity, and she was very shocked.

Who would have thought that the young man I met that day would have such a big background.

Even though she works in the pharmaceutical department, she has still heard of Zhou Can's famous name.

The deputy director of the emergency department, the deputy head of the operating room, the member of the quality control department of the hospital, the youngest promising doctor in the hospital, the new boss of the pharmaceutical department...

These identities are too dazzling.

So much so that she felt terrified.

"You're welcome. How is your mother's illness?"

Zhou Can didn't care about asking for leave for her.

For him, it was an act of kindness too small.

"My mother has a cerebral hemorrhage, and it's already... woo..." She couldn't help crying, turning her head and secretly wiped away her tears.

"Don't worry, sit down and talk slowly!"

Zhou Can moved a high stool without a back for her to sit on.

Plastic stools used to be placed here at the triage table, but now that the hospital security is strong, they dare to replace it with iron stools.

The nurse who delivered the message cleverly poured a glass of water and handed it to her.

"Thank you."

She nodded to the nurse in thanks.

"My mother is in a coma now, and the county hospital couldn't treat her. I called an ambulance and took her to Tuya Hospital. But the doctors here said there was nothing they could do."

For this kind of transferred patients, especially those in deep coma, any hospital would feel hot when receiving them.

Kicking the ball and pushing it outside is basically a default unspoken rule.

Therefore, it is best to ask acquaintances to say hello and ask clearly before transferring the patient.

Otherwise, if you take people to a big hospital and be "tactfully" rejected, you will be in a dilemma at that time.

The patient also suffered a lot during the transfer.

Even some patients who were already critically ill could not bear the bumps on the road and might die directly.

"Where is the man now?"

"It's over there!"

She got up and pointed not far away, and she could see an old man on crutches standing in front of a flat bed.There are also nurses and doctors following the car to take care of them.

The doctor is pinching the ball rhythmically.

In this case, either the patient has lost spontaneous breathing, or the blood oxygen is seriously lower than normal.

Either way, if you need to pinch the ball during transfer, it means that the patient's condition is more critical than imagined.If he was hospitalized, he must have been on a ventilator.

The doctors at Tuya Hospital have rich experience and high level of medical skills. Even the patients they dare not accept must be at great risk.

The current medical environment is very poor, and no one wants to get involved.

Therefore, in order to protect themselves, the doctor can only do one thing more than one thing less.

Pushing away a patient will not affect their income and job promotion, but accepting the patient with a kind heart is likely to be bitten back by the "poisonous snake".Many young doctors and nurses in the hospital were pure and kind when they first started working.

As a result, after experiencing several stories about the farmer and the snake, they had to put away the overwhelming kindness in their hearts.

"Which departments did you ask?"

Zhou Can got up and walked towards the patient, and she followed closely behind.

"Neurosurgery, neurology, emergency department, critical care medicine department, I have asked about these four departments, and they all said that it is very difficult to treat, so I came to you for help."

It is very difficult to cure, the subconscious meaning is that there is nothing we can do here, so you should quickly find another expert.

All four departments have asked, and the answers are surprisingly consistent.

Zhou Can's heart sank to the bottom.

I'm afraid he can't help this poor, filial girl.

The doctors and nurses following the car saw Zhou Can approaching, but they didn't say hello.They are just the accompanying doctors and nurses in the ambulance, and they are responsible for sending the patients to the place to complete the task.

Now Tuya Hospital refuses to accept patients, they can't just leave the patients, they are very angry.

Naturally, it was impossible to give Zhou Can any good looks.

"Is the patient still breathing spontaneously?"

"Weaker."

The male doctor following the car replied coldly.

Zhou Can listened to the patient's heart rate and heart and lung sounds, and then measured the pulse.

Normally, the heart rate and pulse are the same.

But this is only limited to the same number.

The meaning of the two inspections is completely different.

Heart rate is the rate at which the heart beats, usually measured in 60-second statistics.By checking the heart rate, you can understand the patient's heart condition.

An experienced and skilled cardiothoracic surgeon like Zhou Can can even hear a lot of in-depth information during the process of auscultating the heart rate.

Such as whether the heart rhythm is normal.

There are slow beats, premature beats, interdiaphragmatic defects, tricuspid valve, mitral valve regurgitation or regurgitation, etc., which can be heard.

The pulse can understand the ejection of the heart and the blood flow of the patient's body.

For example, by measuring the pulse and touching the carotid artery, you can infer the blood supply to the head.

Of course, this kind of examination is only a first visit, and can only provide a preliminary diagnosis direction for doctors.

After checking the heart rate and pulse, and listening to the heart and lung sounds, Zhou Can opened the patient's eyelids to check again.

Pupils are not dilated and reflect poorly to light.

"When did she get sick?"

Zhou Can asked the sixty-year-old man on crutches.

Cheng Xiaolu told him that her father had an accident on the construction site and his legs were disabled.

It now appears that one pant leg is empty.

But the old man's amputation should not be a high amputation.

Can feel the thighs are still there.

"Dad, this is Director Zhou, he can help mother to be hospitalized."

Cheng Xiaolu spoke to her father in dialect.

It means to let the father cooperate with the doctor's inquiry.

"On the night of the 16th, when I woke up in the middle of the night to take a pee, I found something was wrong with the old woman, and her mouth was a little crooked. I didn't care at the time, thinking it was just a normal situation after falling asleep. Later, I slept until five o'clock in the morning. I found that her mouth was even more crooked, her eyes were wide open, and she couldn't speak or move, and she didn't respond when I called her..."

The old man recounted the situation at that time.

Therefore, it is still useful to learn some medical knowledge.

At critical moments, you may be able to save yourself or your family.

If the old man knew a little medical knowledge, when he noticed that the corners of his wife's mouth were crooked, he would immediately be vigilant for a stroke.

Usually, for acute and severe diseases such as myocardial infarction, cerebral infarction, cerebral hemorrhage, and aortic dissection, the earlier the diagnosis, the better.Timely medical treatment can sometimes minimize losses.

will not cause irreversible consequences.

For example, myocardial infarction, as long as the ischemia time exceeds 3 minutes, irreversible damage will occur.A large number of cardiomyocytes begin to die due to ischemia and hypoxia.

If it can be sent to the hospital in time, it will be rescued by a professional doctor immediately, emergency treatment with thrombolytic drugs, or intervention of thrombectomy and other means, so as to restore blood supply in the shortest time, and the patient's injury can be minimized.

The prognosis is also often favorable.

But if the delay is too long, it will be difficult to say.

Even if the life is saved, follow-up treatment is often very troublesome.A large number of cardiomyocytes die, which will cause the heart to contract weakly, and symptoms such as heart failure will appear.

Not to mention stroke.

The brain is much more fragile than the pericardium.

When many doctors teach, they directly say that the brain is a tofu brain.

This metaphor is not an exaggeration.

"I've seen the situation, it's not very good. Have you ever filmed in the outer courtyard?"

Zhou Can said to the girl and the old man.

"Yes, the film and examination materials are all here."

Cheng Xiaolu hurriedly handed the inspection report to Zhou Can.

Before transferring to another hospital, you must remember to bring all the inspection materials with you.There are many inspections, if it is still within the validity period, there is no need to repeat it.

It can not only save time, but also save inspection costs, and patients can suffer less.

And get the fastest diagnosis and treatment.

Of course, there is a prerequisite, that is, you must meet a reliable receiving doctor.

In the unfortunate event that you encounter an unethical doctor who blindly pursues performance and does not care about the interests of the patient, he will give the patient another examination that has already been done.This is more sad.

Zhou Can once received a patient with an intractable disease, and that patient underwent a total of 17 MRI and CT examinations.

Although things happen for a reason, there is no doubt that doctors are immoral.

The patient insisted that there was something wrong with his head, and the doctor found nothing wrong after examination.

Patients and their families do not believe the doctor's diagnosis.

Therefore, in order to convince the patient and family members, the doctor performed so many MRI and CT examinations.

It must be mentioned that these examinations were not performed by one hospital, but by seven hospitals in total.

The cheapest head MRI is more than 600, and the higher the accuracy, the more expensive it is.

The inspection fee alone has reached tens of thousands.

The most expensive MRI for Tuya is 5000 yuan per time.Applying is very difficult and requires a queue.

Dedicated to diagnosing some extremely difficult and difficult cases.

The level below the deputy chief physician cannot issue this kind of inspection application.

Basically, such inspection applications are issued by special needs experts.

If the chief physician of a certain department needs it, he can also prescribe it, but there is a queue and it must be reviewed by the medical department.

But how many hospitals can achieve Tuya's level?
The management of many hospitals is quite chaotic. The leaders above do not care whether the cat is black or white, as long as it can catch mice, it is a good cat.

What does it mean to be able to catch mice?

It is to help the hospital generate income and win word of mouth for the hospital.

It is recommended that if you encounter a difficult case, you can first register with a general physician and go through the inspections that should be done.Then the ordinary doctor can't find out the cause, it doesn't matter, and there is no need to scold him for his poor medical skills in person.

Keep these inspections and register as a special expert number.

Whichever type of disease it is, just hang up the account of which expert.

Be sure to know what areas of illness the specialty specialist is good at diagnosing.If it is an intestinal disease, if you register an expert account of neurology, the result will definitely be unsatisfactory.

Talk about the benefits of registering the general doctor account first, and then registering the special needs expert account.

Save time and save registration fees.

Most of the special needs experts are three hundred yuan, or even seven or eight hundred yuan per number.You didn't do any inspections, and you directly registered the Special Needs Expert account.

Experts are also human beings, and you will be asked to do the same inspections that should be done.

Many test results are not available on the same day.

Then you can only wait for the second day, or even the third day.

After getting the results of the examination, if you go to that expert for a follow-up visit, the first registration number has lost its validity.

I have to register again, and the key may not be available yet.

So for the first time, I signed up for a general doctor account of a few yuan, and did all the checks that should be done.It doesn't matter if a general doctor can't find out the cause. You can register with an expert account with the test results, and they will usually be able to diagnose you on the same day.

Then he was admitted to the hospital successfully.

Save time, effort and money.

Zhou Can took the patient's examination information from Cheng Xiaolu and checked it, so as to know what he knew.

(End of this chapter)