Doctor of Healing

A few hours ago, Ji Xiang went to the emergency department after get off work.

Today is Meng Qingfei's night shift, and Ji Xiang has already gotten used to this rhythm.

When he came to the emergency department, he saw the emergency physician head-on. He was startled when he saw Ji Xiang, said something to the patients around him, and then grabbed Ji Xiang.

"Doctor Xiaoji, I heard that Lao Meng is going to the medical office?"

"Ah?!" Ji Xiang was also taken aback.

Meng Qingfei is going to the medical office? !Ji Xiang never heard the news.

But when he saw the expression of the emergency physician, he instantly guessed something.

"That's right, director Bai came here to discuss with the director on purpose a few days ago, and you didn't even know?"

"I don't know." Ji Xiang looked innocent.
The emergency physician said mysteriously, "After I heard that I went there, I went straight to the department level."

"Teacher, it's impossible. It takes more than 2 years to complete the sub-subject. Mr. Meng is a general clinical doctor. It seems a bit illegal to do so."

"Three years, and two years for the deputy director." The emergency physician corrected, "You don't know that Lao Meng is the deputy director of emergency surgery?"

"..."

Ji Xiang shook his head.

"Ham, it's a deputy director, but it's just a salary to earn more money. The emergency department is such a bad place, so many directors come here just to raise a level, and they leave in two years at most. Lao Meng has been active for a few years. Yes, I thought it was useless, but looking at it now, tsk tsk."

It didn't make much sense to Jixiang, he just smiled.

"It turned out that he was playing a big game of chess."

The emergency physician took a deep look at Jixiang and said something big, but he still had something to say but didn't say it, and then went to work.

When Jixiang came to the emergency department, a bunch of keys flew over in less than 3 seconds.

After receiving the keys and changing clothes, Ji Xiang began to help Meng Qingfei get busy.

This is the time when the number of patients is the most, and Jixiang is becoming more and more proficient, until the number of patients is slightly less after 6 o'clock.

"Ms. Meng, the internal medicine teacher said you are going to the medical office?" Ji Xiang didn't have time to ask until this time.

"I guess Director Bai will be promoted to vice president this year to reserve human resources for the medical department." Meng Qingfei said flatly, "I have to manage medical records and complaints, which is a headache."

"Congratulations."

"There's nothing to congratulate. It's easy to turn a blind eye to the medical records, but once a medical accident occurs, it's a big pot. If you offend someone, you still have to be responsible. As for the complaint, I have to prepare some antihypertensive drugs."

"No way." Ji Xiang waved his hand.

"Not so?!" Meng Qingfei said contemptuously, "Let me tell you something."

Taking advantage of the fact that there were no patients, Meng Qingfei got up to wash his hands, and wiped his hands vigorously on Baifu's buttocks a few times without using paper towels.

The black mark at that position is very obvious, but Ji Xiang has long been used to it and can't see it at all.

Coming to the duty room, Meng Qingfei lit a cigarette.

"Take a breath, and the Jiu Mengzi will come up after a while." Meng Qingfei made a gesture to throw a cigarette to Ji Xiang, but Ji Xiang refused.

"A few years ago, I saw a question on the Internet-it was said that his mother was fine when she came to the hospital, and she was pulled into the ICU for intubation and rescue in the time it took to stop the car."

"Oh, there are many similar people." Ji Xiang replied flatly, "I don't think it's a problem."

"I can tell what's going on just by reading the title. This kind of person can say ten points if he has one point of truth. Even if he has no reason, he still has to argue three points." Meng Qingfei said, "I will go to the medical office in the future and face the truth. All of them are people like this.”

"I won't, I won't." Ji Xiang laughed, and repeated that I couldn't.

"Why not." Meng Qingfei stared at Ji Xiang, but quickly said with a smile, "One advantage of our hospital is that the leaders are all clinical backgrounds. I will ask you a question, Xiaoji."

"What's the advantage of a hospital leader having a clinical background?" Ji Xiang asked.

Meng Qingfei nodded.

"First of all..." Ji Xiang said two words, but after thinking about it for a long time, he still couldn't explain what was going on.

This question is too far away from Jixiang.

"Hahaha." Meng Qingfei said with a smile, "Let me tell you something. The medical director of the hospital next door was originally from a clinical background. Like Director Bai, he was considered astute and capable. Later, a cadre who was transferred from the army came over. The chief of medical affairs took half a step up and became the vice president."

"I didn't think anything at the time, but in less than two years, the hospital was in such a mess that it didn't look like a good hospital. Seeing that people who can work in a good hospital want to leave, even if they stay, they send patients to private hospitals. push."

"Oh? What's going on?" Ji Xiang asked.

"The hospital is just a big broken ship. If you don't use your strength, the ship can still drift along with the trend. Once you use force, especially if you are a layman, the ship will break."

Ji Xiang didn't understand, but Meng Qingfei didn't explain to him, and continued, "I had dinner with my friends from the hospital next door, and I heard them complain about one thing."

"In the diabetes clinic of the internal medicine department, a patient's blood sugar adjustment was not effective. The doctor wanted to be admitted to the hospital, but the patient and the patient's family members disagreed. Later, the doctor ordered a full abdominal CT for the patient, and planned to check it carefully."

"The family members of the patient were angry when they saw it. The examination cost nearly 1000 yuan, but it had nothing to do with diabetes. They took the bill and complained. It can be said that the cadres transferred from the army really serve the people wholeheartedly."

Meng Qingfei laughed jokingly, "He was also very angry when he saw it, and called the endocrinologist to give him a lecture.

"Oh, the effect of repeated blood sugar adjustment is not good. It may be that the doctor is not experienced enough, but the possibility of tumors needs to be checked. I don't think there is anything wrong with a CT scan."

Meng Qingfei looked at Ji Xiang with admiration, and said calmly after a few seconds, "I will refund the fee after scolding the person, and let the endocrine doctor apologize to the patient, and forget it."

"The patient's family didn't say much, and took the patient to a nearby private hospital to adjust blood sugar. The effect seemed to be ok, after all, he was hospitalized. But after a few months, the patient's condition became worse and worse. When he came to the hospital for an examination, pancreatic cancer was in the advanced stage. Missed the best time for surgery."

Ji Xiang shook his head, not knowing how to evaluate this matter.

"Xiaoji, let me ask you what you would do if Director Bai handled this matter."

"He shouldn't think it's an endocrinologist's problem. Director Bai is very professional after all."

"Yes. There can be laymen in other positions in the hospital. In fact, there are quite a lot of laymen, but the key positions in the medical department must be doctors with clinical experience. Otherwise, they will do bad things with good intentions, or they will just ignore them if they don't understand anything."

"A little..."

"You mean what I said was a bit too much?" Meng Qingfei laughed, "Let me tell you an even more egregious example."

Ji Xiang pricked up his ears.

"In the hospital of my hometown, when I went back to my hometown for the Chinese New Year, a relative was sick. I went to visit and chatted with their doctor on duty. That person was transferred from a lower-level hospital, probably because of his deep background, and he became the director of the Department of Neurology directly. "

"She doesn't know anything. It is said that her best thing is party building."

"..." Ji Xiang was speechless.

"I didn't believe it at first. I looked through the medical records and found that there was no third-level ward round."

"Not at all?!" Ji Xiang was taken aback.

The third-level ward rounds refer to the daily medical behaviors of the treating physicians, chief treating physicians, and chief treating physicians during the hospitalization of patients.

It is the basic medical system that doctors at all levels must follow when conducting medical work. It is an important link to improve the quality of medical care and implement the rules and regulations at all levels.

Regardless of whether it is useful or not, when Jixiang came into contact with the clinic, he was a third-level doctor's ward round system, and it has been implemented for an unknown number of years.

Ji Xiang was a little surprised that a department director did not know how to make ward rounds.

"I asked why, and the doctor in charge of the bed saw that I was a colleague from the provincial capital, so he complained to me, saying that the director had no professional ability at all, and he was afraid of taking responsibility for an accident, so he found an old comrade who was about to retire to take care of her share of the work. "

"And when checking the medical records, it was clearly stated that unless she took the rounds with her, otherwise she could not write the records of the director's rounds."

Ji Xiang didn't know how to comment on this matter at all, life was so absurd to the extreme, even the doctors couldn't believe it.

The third-level ward rounds are generally just a decoration. After the shift is handed over every morning, the director will lead people to round the wards.

On the premise that there is no deep-rooted hatred between the professor and the director, the director basically sees the patient every day.

If it is the kind of majestic chief director, or the chief internal medicine director, there will be a monthly internal medicine ward round and the like.

The so-called three-level ward rounds were written by little doctors indiscriminately. The number of real ward rounds is definitely more than what is written.

However, Mr. Meng was speechless when he said that he did not conduct ward rounds and did not let the writing director do ward rounds.

"Then their medical department doesn't check?"

"Hehe." Meng Qingfei looked at Ji Xiang with a smile, noncommittal, and continued, "At that time, my relatives had cerebral infarction and severe heart failure. I took a look at the disposal, just in time for the director to have an opinion. Guess... ..."

"Forget it, you will never guess such a weird thing." Meng Qingfei said directly, "The irritability caused by heart failure was said by their director to be anxiety disorder, and they were given a lot of sedative drugs."

"!!!"

Patients with heart failure often have irritability, agitation, anxiety, fear, and a sense of dying; when the systolic blood pressure is lower than 70mmHg, depression symptoms may appear, and gradually develop into confusion or even coma.

Judging such a serious illness as an anxiety disorder... is really outrageous.

Ji Xiang sighed.

"Damn it, my relatives are sitting on the bed and can't lie down anymore. She also said it was anxiety disorder. I saw that it was really unreliable. The disease was treated there, and the more it was cured, the worse it became. I just let them come to the provincial capital directly."

"There are not many such directors." Ji Xiang asked.

"Not many, but there are. What did we mention just now?" Meng Qingfei asked.

Ji Xiang glanced at Meng Qingfei in surprise.

Teacher Meng usually speaks and does things in an orderly manner, and rarely forgets the previous things after saying them.

Is he sick?

Ji Xiang looked at Meng Qingfei in surprise.

"Hahaha, I just don't want to go." Meng Qingfei smiled and said, "What are you thinking about?"

"Why don't you want to go?" Ji Xiang asked.

"It's not those stupid things." Meng Qingfei said, "The medical office is the worst place, and it offends people. Let me give you another example, do you know the kickbacks when there were no collections a few years ago?"

"I know." Ji Xiang nodded.

"I just came to the hospital at that time and saw a doctor giving levofloxacin to a 15-year-old female patient with appendicitis."

"Uh……"

Ji Xiang knew it was wrong without Meng Qingfei saying it.

Levofloxacin can be used in the conservative treatment of acute appendicitis, but the problem is that the instructions for this drug clearly state that the safety of juveniles under the age of 18 is not yet clear, and it can cause joint lesions when used in several young animals.

Therefore, it is not suitable for children and adolescents under the age of 18.

Although Jixiang doesn't know what kind of joint disease will occur, he just knows that it can't be used.

The clinical knowledge is so vast that it is impossible for Ji Xiang to know everything even with a system plug-in.

"The key is that the dose given by the doctor is still the limit, the limit for adults."

"!!!" Ji Xiang was surprised.

"I said nothing happened in the end, but I don't like it." Meng Qingfei said contemptuously, "There are not many doctors like this in clinical practice, but they are often encountered. Usually, they are out of sight and out of mind, but when you go to the medical office, you say I will take care of them." Still don't care."

"Don't worry, I offended people. When I was a little doctor back then, there were quite a few people who beat me up." Meng Qingfei sighed, "So after so many years of wasting, I have grown half of my head of gray hair. But you said that if you don't care, it's true. Don't offend anyone, but I can't get over it in my heart."

"The medical office is really not a good place." Ji Xiang shook his head.

Meng Qingfei's hesitation and emotion were only for a moment, and then he suddenly smiled, "It's useless for me to tell you these things, do you know why I went to the medical office?"

This question is nonsensical.

"Xiaoji, you have a high level. I don't envy you. There are too many geniuses. It's not like I haven't seen a big cow who swept my field in his 20s. Now you have a bit of a look, but compared to those evildoers... you can't say Bad, I always feel that you don't have their spirit."

"What I envy most is your luck."

Ji Xiang glanced at the numbers on the system panel.

"It's one thing to be capable, but another thing to do in the face of the envy of countless people. Society is complex, and one wrong step can lead to a bottomless abyss."

As he spoke, Meng Qingfei puffed out his chest.

"Just like you, Mr. Meng, I used to think I was a genius, and sometimes I felt that I was a genius among geniuses. But what? Xiehe didn't stay, and I didn't get a chance when I went abroad. I went back to the provincial capital and thought about flexing my muscles. , as a result, it was pressed to the ground and sparks were produced."

"The prostate gland has been worn and enlarged, and the bifurcation will become a shower head in the future." Ji Xiang added.

"You guys who work in urology are all stinky hooligans." Meng Qingfei didn't mind, laughed, and said contemptuously, "Learn better."

"Hey."

"I really don't know when you got the favor of Director Bai." Meng Qingfei said, "Director of Medical Affairs, it seems that's the case. The things in the hospital are basically unspeakable. It belongs to the Qingshui Yamen, and there are many things to do. It’s a heavy responsibility that no one wants to do.”

"But if the Chief of Medical Affairs really wants to help you, he will let you go smoothly in the clinic. No matter what others dare not do, if you dare to do it, this is a huge advantage."

Having said that, Dean Shen raised his head and looked directly into Ji Xiang's eyes.

"Teacher Meng, what's the matter?" Ji Xiang asked.

"Hehe." Meng Qingfei smiled, "Dean Shen has been pinning Director Bai to the medical department, and it is estimated that the vice president will be in charge of the medical department this year. Do you know why?"

"Could it be that he wants to gain enough reputation with the clinical director? In other respects, the opinion of the clinical director doesn't matter whether he is a dean or not." Ji Xiang scratched his head.

"Going back 20 years, Dean Shen is afraid that Director Bai will make mistakes. This is one. Look at our provincial capital, how many retired deans have been imprisoned. Second, whether the clinical director's opinion is true or not? It doesn’t matter if you become the dean, but after you become one, having this experience will make your future work easier.”

"Dean Shen has feelings."

Feelings, the word is inexplicable.

"When I first came, I caught up with the 98 flood. At that time, the troops were sent up one by one, and a medical team was needed. Dean Shen said that he would die."

"Oh?" Ji Xiang was taken aback for a moment, he didn't expect that Dean Shen was still a passionate young man back then.

That's right, who hasn't been young, and who hasn't been passionate.

"At that time, he was only in his 30s, and he was leading the group professor." Meng Qingfei said, "The old director persuaded him for a long time, but Dean Shen finally drew his own blood, and the blood book he wrote had to go to the front line."

"Blood?"

"Bite your finger and write a blood book. This is not what a doctor should do. Taking 20ml of blood is enough for you to write a preface to Lanting."

"Hahaha."

"Looking at it now, it may have been nothing, but at that time who knew whether the dam would collapse. At the most dangerous time, military vehicles loaded with rocks drove one by one to the needed ground and sank directly." Meng Qingfei slowly recounted the past. .

"What about the driver?"

"The driver put the car in gear and jumped out at the last second before the car went into the water. If he could get down, he was injured all over his body, and he might survive. If he couldn't get down, he would sacrifice himself."

"..." Ji Xiang was speechless.

"Not to mention this, I mean that Dean Shen still has feelings, and he still wants the hospital to be better." Meng Qingfei said, "But Director Bai's eyes can fall on a regular training doctor, so I have to say You're in luck."

"As for me, I guess it's because you always run to me, and I have enough qualifications, level, and temperament. Director Bai thinks that I will take care of you after he goes up."

"It's too complicated."

"Indeed, at least three to five years, and I'm too old. The only advantage is that you always run towards me, and we brothers are throwing your temper." Meng Qingfei said with a smile, "When the time comes, don't add to me. Trouble."

Ji Xiang laughed. He didn't expect Meng Qingfei to be transferred to the medical office for such a purpose.

Director Bai also cared about him so much that he really didn't know what he was planning.

When a patient came, Meng Qingfei pinched his cigarette, and the two went to deal with the patient.After working for more than an hour, a girl under 20 years old bent over and walked in a strange posture, and came to the consulting room.

"Doctor, my stomach hurts." The girl whispered.

Just one sentence can tell that she is enduring the pain and her body is extremely weak.

Meng Qingfei stood up, "Lie down, let me take a look."

The patient was lying on the bed, Meng Qingfei frowned as soon as Meng Qingfei's hand touched her skin.

"Xiao Ji, go get the thermometer, it's mercury."

"it is good."

Ji Xiang ran out to get the thermometer.

Meng Qingfei does not trust the temperature gun. It is said that the temperature measurement was inaccurate when the temperature gun was first used more than ten years ago. One patient measured 36.5 degrees Celsius every time, but later it became 39.1 degrees Celsius when measured with a mercury thermometer.

Even though the body temperature gun was updated later and the accuracy rate was greatly improved, Meng Qingfei still had a shadow in his heart, and he was determined not to use the body temperature gun when he was seriously ill.

Ji Xiang thinks that Meng Qingfei is a bit retro, just like Big G, who mainly focuses on off-road, simple...and pretending to be X.

Returning to the consultation room with the thermometer in hand, Meng Qingfei had already finished his physical examination.Ji Xiang handed the thermometer to the patient, and heard Meng Qingfei ask, "How long has it been?"

"The pain lasted for about a month, and the fever lasted for half a month."

"Why haven't you come here?" Meng Qingfei was a little unhappy.

"It's just appendicitis. The doctor in our nearby clinic gave a diagnosis, and it's fine." The patient whispered.

Meng Qingfei was very upset, but he didn't say anything. He just gave the patient a B-ultrasound of the right lower abdomen and other related examinations.

"Go and come back quickly." While talking to the patient, Meng Qingfei rolled out a wheelchair for the patient to sit on, and then greeted an accompanying examiner to follow the patient, and whispered instructions for the accompanying examiner to pay attention to.

After finishing his work, Meng Qingfei sighed, "Appendicitis, appendicitis every day."

"After burning for half a month, will it be perforated?"

"It's probably suppurated and perforated." Meng Qingfei said, "A few years ago, there was a girl on the other side of the Nanhe in a similar situation, and she died in the ICU for half a month.

The headlines in the media were shocking, and the article also said that the police came several times, and it was a pity that a good girl just disappeared.I hope the hospital can give the family an explanation so that the deceased can rest in peace and the parents can be comforted. "

"Xiaoji, this matter is very tricky, but we are emergency doctors, so it's great to ask the boss of Gastrointestinal for consultation and pass the trouble on to them."

After a pause, Meng Qingfei asked, "Now, if you were the head of the gastrointestinal surgery department, what would you do?"

"Improve the relevant examinations, confirm the diagnosis, communicate with the patient's family and then perform the operation."

"What if there is postoperative sepsis."

"Appendicitis is also fatal. The current medical conditions are limited, and I can't help it." Ji Xiang said helplessly.

"But the patients and their family members don't think that appendicitis will kill people. Many people think that appendicitis is just a small problem, and it will be fine to go to the clinic for a drip."

Ji Xiang scratched his head.

Meng Qingfei smiled slightly, "This is a homework. Before the patient comes back, you tell me the answer."

To be honest, what Meng Qingfei said to Ji Xiang now is outside the scope of medical treatment, and it is not within the scope of business.

But is it really okay?
Coupled with what Meng Qingfei said while smoking, Ji Xiang's heart moved, he found an excuse to come to the duty room, and entered the system space with breathless concentration.

After saying hello to the system npc, Ji Xiang explained his doubts.

The system npc laughed.

"You are just lucky. The real difficulty has never been in medical treatment." The system npc said lightly.

"Teacher, I want to empathize with you." Ji Xiang said.

"From what angle?"

"The most difficult angle."

"Okay, then you can go and have a look." The system npc brought Ji Xiang to the surgery room next door, the light and shadow flickered, and Ji Xiang felt his lower right abdomen immediately.

For a moment, Ji Xiang was stunned.