Chapter 4355: 【444】Try something new
"Xiao Song, I'm here first today." Teacher Xiao, the boss of the neurosurgery team, immediately turned to Dr. Song and said that as a veteran, he would be the first to make an outpost for the young general.
Lazy Cat Dr. Song is indisputable~
Other department groups basically have veterans guiding the young ones.
Some groups are quite special, such as the gastroenterology group. Dr. Jiang Mingzhu was fully prepared physically and mentally, but Teacher Ming, the retired boss of his own department, insisted on trying it out on the first day.
No one dared to delay. Everyone just watched Dr. Xie Wanying walking out at the lead and hurried to keep up.
The joint outpatient area is next to the inpatient area of the new district and can be reached within a few steps.
Patients who have registered in advance have lined up in the waiting area outside. There are patients who directly register for outpatient services to seek treatment, and there are also patients who seek treatment from other departments in the hospital and want to be transferred to the new area for treatment.
Yes, unlike the usual consultation and transfer applications in other departments, the transfer consultation in the new district also takes the joint outpatient route.
Is thirty waiting patients too many? Looking back at Teacher Tan's outpatient clinics back then, the number of outpatients was about one level less.
The main problem is that the joint expert team is on its first day of work and is in the running-in period. It remains to be seen whether it can achieve the effect of a single outpatient clinic.
The teachers themselves did not do a good job on the first day, so they did not let the intern trainees follow the class.
The spectacular scene of more than thirty doctors entering the clinic to serve only one patient is an unprecedented top-notch VIP service for the patient.
I heard that the first patient and his family were very excited. They complained to the doctors on the spot about the difficulty of calling a doctor from the National Association. Sometimes, after seeing a doctor from one department, they would call a doctor from another department to see a doctor. The back and forth went back and forth, resulting in the patient being completely ill. It is normal for more than half a month to be seen at the initial outpatient clinic for a clear diagnosis.
Time is very precious to some patients and their families, and it is better to pay money than time.
Joint outpatient clinics are more expensive, but you can carefully calculate the time cost and other expenses earned by patients and their families.
Of course, doctors will not recommend that all patients seek treatment in joint outpatient clinics. Most patients do not need joint outpatient clinics. Therefore, the number of the joint outpatient clinic cannot be directly linked. The case must be initially screened after the first outpatient visit by doctors from other departments.
This model is consistent with hierarchical diagnosis and treatment. It establishes that the most advanced medical treatment must provide the final support for patients, and the threshold must be high enough to avoid wasting precious resources. After getting the patient's medical record, Dr. Xie Wanying turned to the first page. The patient's past medical history stated that the patient's main symptoms were digestive tract diseases.
At this point, Dr. Jiang from the Gastroenterology Department and Dr. Zhao from the First Department of General Surgery came forward as the patient’s chief consultant.
The first patient needed a joint outpatient clinic because, in addition to suffering from digestive tract diseases all year round, he also had other problems such as anemia, malnutrition and even eye problems.
The doctors on the expert team who had been tortured by Dr.
Dr. Qiu is the youngest in the expert group, and he is responsible for writing a small whiteboard to record everyone’s ideas.
Patient symptoms: He had blood in the stool and a history of gastrointestinal bleeding. A gastroscopy showed only gastritis. Anemia caused by gastrointestinal bleeding is a common cause-and-effect relationship. What should be noted here is that the amount of gastrointestinal bleeding is not large and does not match the patient's degree of anemia.
Experts from various departments have provided suggestions.
Hematology Department: Further examination is required to rule out the presence of blood diseases.
Nutrition Department: It is necessary to clearly distinguish whether anemia is caused by blood disease or pure nutritional deficiencies.
Ophthalmology: The patient's blurred vision needs to be determined whether it is a separate eye disease or related to other specialist diseases. Special eye examinations can be performed.
Ear, Nose and Throat Department: For patients with tinnitus and dizziness, please discuss with the Department of Neurosurgery and Neurology.
Neurology: Since this patient is in menopausal age, tinnitus may lead to otolaryngology otolithiasis.
Dr. Qiu recorded this, and members of the expert panel said: Oh, menopausal patients—
The above thinking of doctors in various departments shows that sometimes non-specialist diseases can be seen by specialist doctors. Doctors in departments where patients often go to the wrong department for treatment can see it faster, which fully explains that doctors are also bitten by snakes. Ten years of fear of straw ropes.
