It’s so much fun (please collect and read)

Author: Jiangdi Youbai

It’s so much fun (please collect and read)

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

"Then if there's nothing going on here, I'll go up first and check on Lin Hua, the new guy in the department." Wu Xie said goodbye.

The reason why he knew Lin Hua was here was that he saw the message sent to him by Guo Lixiang, who was on duty, and the knowledge point gain buff on the patient supervisor panel had changed.

"Physician level: 17% for interns."

"Basic Anatomy (Proficient 4/50)"

"Skills: Suturing (Proficient 3/50), Dressing Changing (Proficient 11/50), Debridement (Basic 6/10)"

"Surgical Infectious Diseases (Proficiency 5/500)"

"Splenectomy (Proficient 0/50)"

"Manual reduction of joint dislocation (skilled 5/47)"

"Empirical use of antibiotics: (Proficient 0/10)"

"The rest (traineeship)"

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

"Patients in charge: 2. (Learning point gain: 6 points/day)"

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

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

"Patients in charge: 2. (Learning point gain: 6 points/day)"

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

After Dong Lianghe left, Wu Xie's experience in using antibiotics increased to proficiency, his experience in dressing changes soared, and his experience as a trainee doctor also increased to 17%.

The speed of improvement is quite good.

Moreover, Lin Hua, who moved in, actually managed to gain 5 points of knowledge points every day by himself.

This is simply poking holes in the knowledge base.

You must know that Dong Lianghe’s previous gain was only 2 points per day in such a complicated situation.

Wu Xie was also curious about what was going on with Lin Hua, and wanted to make sure his previous guesses were true...

"You are very well-informed. Sister Xu Rong told you, right?"

He Ling turned to look at Wu Xie and said jokingly: "Xu Rong is actually pretty good, Xiao Wu, now is your fate, make good use of it."

"Brother He Ling, my old classmate is certainly pretty good."

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

He Ling nodded and said yes, but said nothing more. He just sighed in his heart that these two people are actually a good match, but when he thought about it carefully, they were not a good match. It still depends on fate, and it is difficult for outsiders to force it.

It’s just, just when Wu Xie went upstairs!

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

Wu Xie saw that somewhere in the alley, the 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. He pointed in one direction while saying that, and immediately after, Wu Liangshan and Zhao Ping actually 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 he is a doctor, and it is also true that he has the obligation to inform the patients of their condition and recommend their referral.

However, he had made it clear in front of Zhao Ping and Wu Liangshan that the diagnosis was posterior elbow dislocation complicated by ulna fracture. The fracture involved the articular surface, which was a contraindication for manual reduction and an indication for surgery, and required surgical treatment.

Everything has been written down in the medical record, and everything that needs to be explained has been clearly explained.

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

Medical workers cannot recommend designated 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, and even Wu Xie does not dare to touch this red line.

I just don’t know where Boss Hu Zhou planted his spy. As soon as Wu Liangshan and Zhao Ping went out, he knew what was going on.

With mixed emotions, he murmured in a low voice: "Are you not taking what you said and the treatment opinions written by He Ling seriously at all?"

…

Guo Lixiang is reading a book in the doctor's office at the moment. However, the book he is reading is a textbook related to surgery. Most of the content is still about general surgery. It does not specialize in gastrointestinal, liver and gallbladder, etc. in general surgery.

Specialty.

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

Strictly speaking, Lu Junyin and Xiong Yao communicated with each other about whether to move this patient in. Wu Xie just agreed to the supervisor and occupied Wu Xie's bed.

Guo Lixiang said: "Brother Xie, Director Lu called and told us that after this patient comes in, we will temporarily provide preventive anticoagulation. Everything else will be left to Dr. Xiong to assist."

"Lin Hua has his own traditional Chinese medicine, anticoagulant and nerve-nutrition drugs prescribed by higher-level hospitals..."

"By the way, Brother Crab, Director Lin also asked you to take a look at the signature of Lin Hua's son, right?"

"If the format and content are not appropriate, you may want to modify it." Guo Lixiang said, and handed Lin Hua's signed record of admission interview and authorization letter contained in the book to Wu Xie.

Wu Xie took it and looked at it. There was nothing wrong with the authorization letter. It was a signed authorization form in a format.

As for the signature of the admission interview, Wu Xie estimated that it was written by Lu Junyin personally to Guo Lixiang. What was written on it was the patient's admission diagnosis this time, and then the problems to be solved, and the corresponding risks——

Recurrent embolism is life-threatening, the condition is complex and special, our hospital does not have emergency rescue capabilities, and it is recommended to transfer to a higher-level hospital for diagnosis and treatment.

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

Wu Xie read it and said, "I really need to change this. It won't work if you write it this way. It's not detailed enough."

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

"Lin Hua's situation is very special. Hemiplegia is originally a terminal disease, and the previous stroke was also a relatively dangerous condition, so we need to describe all of these clearly-"

Wu Xie turned on the computer and edited on it.

"Before this admission, the patient had a history of stroke and was at high risk for another stroke. Our hospital's medical level is limited and its medical capabilities and conditions to deal with emergencies such as recurrence of stroke, cerebral hemorrhage, myocardial infarction, and pulmonary infarction are limited. Once the corresponding disease occurs,

, due to limitations in referral distance and medical level, the patient’s life may be endangered at any time.”

"Our hospital is far away from higher-level hospitals such as county hospitals. After an emergency occurs, referral will take a certain amount of time, and there will be special circumstances such as delayed medical treatment. The above risks have been repeatedly informed to patients and their families. The patients and their families said

I have thoroughly understood the corresponding risks and signed as proof.”

"At the time of admission, the patient had a history of stroke, hemiplegia, hypertension, hyperlipidemia, pitting edema of the lower limbs, old age, poor physical condition, etc. The diagnosis and treatment plan, medical level and conditions have been communicated in detail with the patient and his family, and he has been informed repeatedly

For patients and their families, the corresponding diseases cannot be improved or may even worsen due to conditions during hospitalization..."

"The patient and his family members understand the above situation. After detailed consideration, they recognize the corresponding risks and are willing to take the risks. They clearly stated that the department and the doctors in charge of the hospital have fulfilled their obligation to inform and advise, and they still require hospitalization."

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

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

"The level and conditional restrictions are objective and permissible, but the obligation of informing and advising us doctors must be reflected in the medical documents, because this is the situation. If you don't write it, the patient and family members will say you didn't do it."

If you keep the medical records alone, then you won’t have any evidence."

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

Lin Hua's situation is special, so he needs special treatment. Moreover, from the beginning, the department believed that its level was limited and was unwilling to accept treatment. The patients and their families insist on coming in for recuperation, so you can't refuse treatment!

After that, Wu Xie took the new admission interview record and the serious illness notification to Lin Hua's bed. Lin Hua's son Lin Yaolong was also there at this moment. When he saw Wu Xie, he immediately greeted him warmly.

Come up...

When Wu Xie left the ward with two signed documents, Lin Yaolong followed behind and said politely: "Dr. Wu, we have heard about the situation you mentioned more than once. There is nothing we can do about it, and we will have to work harder on you, Dr. Wu."

ah."

He was not called Wu Xie Xiaoxie, but was addressed as Dr. Wu.

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

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

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

However, a lot of time was delayed because Lin Hua was given a physical examination and a conversation and signing in the hospital.

But at this moment, when Wu Xie walked out of the alley, he saw Zhao Ping walking out of the unopened Chinese medicine clinic with a painful expression, while Wu Liangshan was cursing there and walking towards the street while cursing.

Boss Hu Zhou and Chang Quansheng in the back went out and whispered comfort...

Wu Liangshan happened to see Wu Xie again at this moment, and shouted loudly: "You are talking nonsense, you don't believe it, let Dr. Wu from the town hospital comment..."

Dear book friends, after your hard work, this book has reached the critical period of recommendation. Those who have monthly recommendation tickets can also throw away a few.

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

Please, book friends!
Chapter completed!