Great doctor starts with adding points

"Brother He Ling, I live nearby, and it's hard work for you to be on duty."

"If there's nothing to do here, I'll go up and see Lin Hua, who is new to the department." Wu Xie said goodbye.

The reason why he knew that Lin Hua was coming was because he saw the message sent to him by Guo Lixiang on duty, and secondly, he saw the change in the buff of knowledge points on the panel of the patient in charge.

"Physician level: intern doctor 17%."

"Basic Anatomy (Proficiency 4/50)"

"Skills: suture (proficient 3/50), dressing change (proficient 11/50), debridement (beginner 6/10)"

"Surgical Infectious Diseases (Proficiency 5/500)"

"Splenectomy (Proficient 0/50)"

"Manipulative reduction of joint dislocation (proficient 5/47)"

"Antibiotics Empirical Use: (Proficiency 0/10)"

"The rest (apprentice)"

"Supervisor beds: 3! (Knowledge point gain: 3 points/day)"

"Patient in charge: 2. (Knowledge point gain: 6 points/day)"

"Learning points: 42. (The gain of learning points has been settled.)"

"Supervisor beds: 3! (Knowledge point gain: 3 points/day)"

"Patient in charge: 2. (Knowledge point gain: 6 points/day)"

"Learning points: 42. (The gain of learning points has been settled.)"

After Dong Lianghe left, Wu Xie's experience in using antibiotics increased to proficiency, the experience value of changing dressings skyrocketed, and the experience value of interns also increased to 17%.

The speed of improvement is quite good.

Moreover, the Lin Hua who lived here unexpectedly shouldered the 5 o'clock knowledge point gain every day by himself.

This is simply poking a nest of knowledge.

You know, the previous Dong Lianghe, in such a complicated situation, only gained 2 points per day.

Wu Xie is also very curious about what is going on with Lin Hua, to make sure her previous guess is true...

"Your news is very well-informed, sister Xu Rong told you, right?"

He Ling turned to look at Wu Xie, and jokingly said: "Xu Rong is actually pretty good, Xiao Wu, the fate is at hand, take good care of it."

"Brother He Ling, my old classmate is not bad."

"I'm going up first." Wu Xie turned and went upstairs.

He Ling nodded and said yes, and didn't say anything else, but he felt that the two were actually a good match, but when he thought about it, they didn't match very well, it still depends on fate, and it's hard for outsiders to force them.

It's just, when Wu Xie went upstairs!

Because the corners of the hospital are open, you can see the opposite street view clearly. At the corner of the stairs, you can just see the long alley from the main street into the old street.

Wu Xie saw that somewhere in the alley, that Boss Hu Zhou was stopping Wu Liangshan and Zhao Ping.

Moreover, Boss Hu Zhou didn't know what he said to the two of them, pointing in one direction while talking, and then, Wu Liangshan and Zhao Ping really followed Hu Zhou.

Wu Xie subconsciously turned around and wanted to go downstairs.

But as soon as he took two steps, he paused again.

It is true that I am a doctor, and I have the obligation to inform the patients of their condition and the obligation to recommend them for referral. This is also true.

But in front of Zhao Ping and Wu Liangshan, I made it clear that the diagnosis was posterior dislocation of the elbow joint complicated with ulna fracture, and the fracture involved the articular surface. It was a contraindication for manual reduction and an indication for surgery, and surgical treatment was required.

It's all written in the medical record book, and everything that needs to be explained is clearly explained.

If the other party still chooses this way, then Wu Xie really has no choice.

Medical workers are not allowed to recommend pharmacies or higher-level hospital units for referral to patients. This is a rule to avoid financial involvement.

This is a one-size-fits-all rule, even Wu Xie dare not touch this red line.

It's just that he didn't know where Boss Hu Zhou had planted his eyeliner. He knew what happened as soon as Wu Liangshan and Zhao Ping went out.

With a complicated mood, he murmured in a low voice: "Is this because you didn't take what you said and He Ling's treatment advice seriously?"

...

Guo Lixiang is reading a book in the doctor's office at the moment, but the book he is reading is a textbook related to surgery and accompaniment. Most of the content in it is still the content of major surgery, and it does not specialize in gastrointestinal, liver and gallbladder in general surgery. specialist.

"Xiao Guo, what did the director say after Lin Hua moved in? Did he call you?" Wu Xie didn't go directly to meet Lin Hua, but wanted to know what the director meant first.

Strictly speaking, for this patient, Lu Junyin and Xiong Yao communicated whether to live in, and Wu Xie just agreed to the supervisor and occupied Wu Xie's bed.

Guo Lixiang said: "Brother Xie, Director Lu called and said that after this patient comes in, we will temporarily preventive anticoagulation, and everything else will be handled by Dr. Xiong."

"Lin Hua has her own traditional Chinese medicine, anticoagulation and nerve nourishing drugs prescribed by the higher-level hospital..."

"By the way, Brother Xie, Director Lin also said, is it right to let you take a look at the signature of Lin Hua's son?"

"If the format and content are inappropriate, you may have to revise it." Guo Lixiang said so, and handed over the signed record of Lin Hua's admission conversation and the authorization letter that were included in the book to Wu Xie.

Wu Xie took it and saw that there was nothing wrong with the authorization agreement, it was a signed authorization in a standard format.

As for the signing of the admission conversation, Wu Xie estimated that Lu Junyin personally confessed to Guo Lixiang to write it. It said that this time the patient's admission diagnosis, and then the problem to be solved, and the corresponding risks——

Recurrent embolism, life-threatening, complicated and special condition, our hospital has no emergency rescue level, it is recommended to transfer to a higher-level hospital for diagnosis and treatment.

The signature of Lin Hua's son is: "I and my family members are aware of the risks and conditions of the disease, and are willing to bear all the consequences. Lin Yaolong."

Wu Xie looked at it and said, "I really need to change this. You can't write it like this, it's not detailed enough."

Guo Lixiang whispered, "Director Lu asked me to write this."

"Lin Hua's situation is very special. Originally, hemiplegia is a terminal disease, and the previous stroke was also a relatively dangerous situation, so I have to describe all these clearly—"

Wu Xie turned on the computer, and then edited on the computer.

"Before this admission, the patient had a history of stroke and had a high risk of recurrent stroke. The hospital's medical level is limited, and the medical capabilities and conditions to deal with emergencies such as recurrent stroke, cerebral hemorrhage, myocardial infarction, and pulmonary infarction are limited. , due to the limitation of referral distance and medical level, it will endanger the patient's life at any time."

"Our hospital is far away from the county hospital and other higher-level hospitals. After an emergency occurs, it will take a certain amount of time for referral, and there will be special circumstances such as delays in illness and delays in illness. The above risks have been repeatedly informed to patients and their families. Patients and their families expressed that The corresponding risks have been thoroughly understood and signed as evidence.”

"At the time of admission, the patient had a history of stroke, hemiplegia, high blood pressure, hyperlipidemia, pitting edema of the lower extremities, old age, and poor physical condition. He had communicated with the patient and his family about the diagnosis and treatment plan, medical level and conditions in detail, and repeatedly informed Patients and family members, the corresponding diseases cannot be improved due to condition restrictions during hospitalization, and may even worsen..."

"The patient and his family members understand the above situation. After careful consideration, they recognize the corresponding risks and are willing to bear the risks. They clearly state that the department and the doctor in charge of the bed have fulfilled their obligations of notification and advice, and still require hospitalization."

After watching it, Guo Lixiang quietly gave Wu Xie a thumbs up.

Wu Xie said: "When encountering such a patient, we should not only inform him of the risks, but also make it clear that this admission may not improve his condition. Otherwise, we will not be able to explain clearly after he has been admitted for a period of time."

"Level and conditional restrictions are objective and permissible, but the obligation of notification and advice that our doctors must fulfill must be reflected in the medical documents, because this is the case, if you don't write it, the patient and family members will say that you didn't If you keep the medical records in one file, then you won’t have any evidence.”

"But you write it clearly, and the patient signs it, which can minimize the risk of medical disputes."

Lin Hua's situation is special, so naturally he needs to be treated specially. Moreover, from the very beginning, the department believed that its own level was limited and was unwilling to receive medical treatment. It was the patients and their family members who insisted on coming in for recuperation, so you can't refuse the treatment!

After this, Wu Xie brought the new admission conversation record and serious illness notice to Lin Hua's bed. At this moment, Lin Hua's son Lin Yaolong was also there. After seeing Wu Xie, he immediately greeted him warmly. come up...

When Wu Xie came out of the ward with the two signed documents, Lin Yaolong followed behind and said politely: "Dr. Wu, we have heard what you said more than once. There is no way to do it. You have to work harder, Doctor Wu." ah."

He is not called Wu Xie Xiaoxie, but Doctor Wu.

"Well, okay, in fact, there is really no better way. You also came back from the hospital in the province and know the situation, but we still have to explain clearly in advance. I also hope that you can understand the difficulties of our hospital."

"That's natural. Doctor Wu, come to my house for dinner or play cards when you are free." Lin Yaolong said with a helpless expression.

Wu Xie then left the hospital and was off work again.

However, after the hospital gave Lin Hua a physical examination and signed the conversation, there was a lot of delay.

And now, when Wu Xie walked out of the alley, he saw that Zhao Ping came out of the unopened Chinese medicine clinic with a painful expression, and Wu Liangshan was cursing there, walking down the street while scolding.

Boss Hu Zhou and Chang Quansheng at the back went out and whispered some consolation...

Wu Liangshan happened to see Wu Xie again at this moment, and said in a loud voice, "You guys talk about it, don't you believe that Dr. Wu from the town hospital can judge..."

Read it hard, fellow book lovers, this book has reached the critical period of recommendation, and those who have monthly recommendation tickets can also lose a few.

The number of words updated every day is 5,000 plus, and too many updates during the public period will affect the recommendation.

Please fellow readers!