The road to the rise of great doctors

Chapter 90: Top-notch Basics (Please collect and read)

After lunch, the two walked back to the ward.

During the meal, there were only a few sporadic calls from the nursing station to Zhao Gang, conveying the demands of their patients or family members.Zhao Gang will make decisions directly if he can deal with it after listening. If he can't deal with it over the phone, and it's not an emergency, he will reply and go to the ward for a while before dealing with it.

Several of the patients wanted to take leave and leave the hospital temporarily and come back during dinner.The nurse is asking the doctor's opinion to confirm whether there are any medical arrangements for the afternoon.

Yes, according to regulations, you cannot leave at will after being hospitalized, because there have been cases in other hospitals where the patient's vital signs were stable, he was conscious, and he looked fine when he left the hospital, but at home or on the road, In the event of an emergency such as a car accident, death or injury, the patient or his family will file a lawsuit with the hospital. Because the patient is an inpatient, the court ruled that the hospital must bear certain responsibilities.

The emergence of such cases has aroused the vigilance of all hospitals and doctors.When a hospital is fined, it is usually divided into several parts and borne jointly. The hospital, department, and the doctor in charge each pay according to their proportion. This is actually a salary deduction or bonus.Therefore, at the hospital level, hospitalized patients are prohibited from leaving the hospital.And if you leave privately, or if you find the patient is not there during several ward rounds by doctors or nurses, but do not answer the phone or refuse to return to the hospital immediately, in order to avoid liability, the department staff will call the police and keep the communication after reporting to the hospital administrative duty. evidence and go through discharge procedures.

In addition to hospitals, medical insurance institutions will also conduct unannounced visits or open investigations from time to time.Come and check to see if the patient is really in the hospital, or if he is lying in bed to try to get reimbursed!

If the personnel of the medical insurance institution make an unannounced visit and discover that the person is not hospitalized, it may result in the hospitalization expenses not being reimbursed upon discharge.At this time, it is another test for the hospital and patients.Therefore, when patients request to leave the hospital temporarily, they must be informed of these circumstances and given their right to know.

Communication and exchanges between people are usually flexible, and they will not always be dogmatic and rigid.In case of emergencies or extenuating circumstances, the two parties will basically not be too serious about leaving temporarily for a short period of time.But the process that should be followed still needs to be followed. Whether out of respect or cooperation, both doctors and patients will still agree on when to go out and when to come back.

In order to avoid long nights and uncontrollable situations, blood drawing, urine retention and other tests are usually arranged in the morning. Usually, you have to go back to the hospital before going to bed at night.

Liu Dong has adapted to life in the hospital.

As a doctor, there are no other restrictions except that the time and location of activities are limited to the hospital and the half-hour activity circle of the hospital.During working hours or on duty or attending classes, the possible places include outpatient clinics, operating rooms, operating rooms, wards, laboratories, and hospital conference rooms.Carry your phone with you at all times and you won’t delay anything.

For Liu Dong, who is not married, has no children, and even his girlfriend is in the hospital, living in the hospital is a very smooth life for him.

If you are thirsty or hungry, there are canteens, takeaways, and canteens.If you are sleepy or tired, there are beds in the duty room.It's dirty. Most operating rooms and departments have internal bathrooms.Except not being able to leave, everything else can be solved!

And work is not always busy.

Just like today, Monday, the two leaders of Liu Dong's medical team did not have outpatient clinics, nor was it an operation day in the ward. Three senior doctors, including Zhao Gang, were not on duty or attending to their duties, and the outpatient surgery was already in the morning. Finish.Then, what we need to focus on in the afternoon is to see if there are any abnormalities that need to be dealt with after the results of the inpatients come back.

Therefore, Liu Dong and Zhao Gang can leisurely go out to eat maocai at noon, and after eating, they can walk back to the hospital slowly without running.Liu Dong, who returned to the hospital, sat on the stool in the doctor's office, took out his notebook, reviewed the patients in his group, and briefly outlined whose results needed attention. In the afternoon, he would check whether the doctor's orders needed to be adjusted based on the results. .

Then, the only thing left to do is the training scheduled by the chief resident at around four o'clock.

He added with a pen that he was attending a lecture in the hospital from [-] to [-] o'clock this afternoon - "Expanding the Frontiers of Basic Medicine". This was a poster he saw when he passed by the hospital's scientific research building on the way back from lunch.

The Affiliated Hospital of the Medical College is a teaching hospital and holds lectures regularly.The main types of lectures are as follows:
The first type is the patient education topics provided by our doctors for patient groups, such as dietary management for diabetic patients, stoma care for patients with ostomy, etc.

The second type is lectures for doctors in our hospital. For example, we invite famous scholars or academicians in the field to give lectures on subject construction, invite well-known domestic and foreign experts to share cutting-edge information on a certain disease, and invite professors from medical schools to give lectures on doctors and nurses. How to do scientific research and so on.

The third type is the training necessary to carry out a certain job.For example, radiation staff training, personnel participating in clinical trials learning GCP, etc.

The fourth type is courses that can obtain national, provincial, or hospital-level continuing medical education credits, etc.

For Liu Dong, these are learning opportunities.Listening and learning fully will not only save you a lot of time, but also allow you to stand on the shoulders of those who have gone before you and see further.

He had already told Zhao Gang about this on the way, and also greeted the nurse on duty at the nursing station before setting off.The location of the lecture is in the academic lecture hall of the scientific research building, adjacent to the inpatient building. You can return at any time with just a phone call.

Liu Dong studied basic medicine in the undergraduate course of medical school, but as he came into contact with clinical practice, he found that this knowledge was really the foundation.It needs to be used, and we need to continue to work on this basis.And if you continue to work hard, you will find that there are quite a few new developments in these basic disciplines!

As a natural science that studies the nature and laws of human life and disease phenomena, basic medicine is the cornerstone of the development of modern medicine and the foundation and core of medical education.However, compared with clinical medicine, which is very practical, it seems a bit abstract and difficult to understand or verify.

But because clinical medicine wants to achieve breakthrough development, it needs to make breakthroughs in basic medicine. For example, the birth of new drugs requires discoveries at the mechanism level, and then relevant immunological, biochemical, etc. testing is carried out, and gradually transformed into Clinical medicine.After being explored and verified through clinical research, the final results will have a direct impact on doctors and patients.

Liu Dong has listened to several trainings in this area before. He feels that “every time I listen, I can gain new knowledge from the research directions and ideas of the experts, and also learn the logic lines and lecture skills when they share.” , and the tireless spirit of exploration for knowledge and truth.”

He arrived at the academic lecture hall early, chose a seat in the third row, and listened carefully.While listening, I couldn't help but think of what Li Jing once said, "Surgery is the foundation, and scientific research is the soul."

(End of this chapter)