9. Long-cherished wish
Qi Jing has liked to solve puzzles since he was a child, but he always has three minutes of enthusiasm for doing things. Once he loses his interest, he will lose motivation.
When he was a child, his studies were not difficult, and he kept his grades in the middle of the lineup with his understanding. Under the pressure of his father, he gained strength in the second semester of his senior year and successfully entered the medical university. But he didn't expect that the medical courses were really boring, so Qi Jing gave up completely without much struggle.
Of course, it is much simpler for the second generation of medical practitioners to go to administrative management. Originally, the couple didn't want him to do clinical practice, and it doesn't matter if his grades were worse. By chance, Qi Jing's strange career line was created.
Of course, no matter what the process is, the result is still good. After going around a big circle, he still returned to the clinic.
As soon as he entered the emergency clinic, he found that the originally boring medical knowledge became very interesting after being hidden in the symptoms.
And when all kinds of problems gather in a human body, they become his favorite things. People who are addicted to puzzle solving are never afraid of how difficult the puzzle is, but they are afraid that there is no problem to solve. The emergency department gives him everything he wants.
A large number of patients are pouring in every day, so you never have to worry about no patients to cure.
Community hospitals focus on prevention and prognosis, and generally do not set up emergency departments. Secondary hospitals cannot handle too complex diseases due to doctoral level, testing equipment and other reasons. In case of special circumstances, they can decisively send them to the Grade 3.
When you arrive at the Third Level Emergency Department, the doctor has no right to refuse. Any patient must accept it as soon as he enters the door.
This also gave Qi Jing a very good platform, because there are a sufficient number of difficult and complicated diseases to solve all year round. After struggling in the emergency department for several years, Qi Jing gradually had his own ideas and hoped to establish the first difficult and complicated diseases department in the country.
His idea was actually good at that time, but he only had a simple framework and didn't even have a prototype.
General practitioners diagnose and treat chronic diseases, secondary hospitals accept mild patients, while tertiary hospitals divide several branches according to the type of disease, responsible for receiving acute and severe diseases. This is a complete set of medical service methods with hierarchical and diversion systems, which is very classic, but with the development of medicine, many disadvantages have occurred in recent years.
Some patients have strange symptoms and incredible results. They have some problems with all departments, but no one can diagnose them.
They were transferred from departments to hospital, and they became the balls in the doctor's hands were kicked around. No one dared to collect them, and no one dared to treat them. If something went wrong, it would be a troublesome to take responsibility.
And Qi Jing hopes to attribute them all to his department.
He only conducts systematic investigations, and after the diagnosis is confirmed, the patient will be assigned to specific departments, and then subsequent treatment will be performed.
Unfortunately, dreams are full and reality is skinny.
As soon as he mentioned it, Qi Sen disagreed. The reason is very simple, the hospital cannot afford to support it.
The difficult and complicated diseases department looks very glorious, but due to the difficulty of disease, the number of patients admitted every year will be limited. They involve various departments and will also occupy a large amount of medical resources, testing and culture of various rare infections, pathological biopsies, CT, MRI and even a large number of operating rooms have to give way to them.
The hospital's resources are already tight, and if there is an extra department that specializes in causing trouble, the burden will become heavier and heavier. At that time, the hospital collapses will not benefit anyone.
Qi Sen said a lot, but in Qi Jing's ears, there were only two words: No money.
Of course he knew that having no money was on the one hand, while Qi Jing himself was not strong enough was on the other hand.
If he is a diagnostic master, he can even be appreciated by leaders in various disciplines, and he is afraid that he will not be able to raise money if he has exposure? At that time, capital will invest money in this department for their own charitable purposes. After obtaining valuable cases, the pharmaceutical factory will come to the door, and Qi Jing can only make the use of funds transparent.
Now he lives for a lifetime.
After encountering the most serious infectious disease epidemic after Sars, Qi Jing's idea of setting up a difficult and complicated disease department is even stronger. He needs to expand his influence and climb up step by step, and it doesn't matter if he does a little exaggerated.
Ketoacidosis successfully attracted Ji Qing's attention, and this time it caught Qin Ruofen's attention.
Qin Ruofen is seven or eight years younger than Xiao Yu. According to seniority, Qi Jing should call her aunt. But now, in order to hear the burden he has shaken out, he specially sat beside him: "Haha, the young man is showing his sharpness. You should tell me, why don't you need a consultation?"
"It's actually very simple. His clothes are not bad. He should be a white-collar worker."
Qi Jing recalled: "If you can skip work to visit the emergency department for three diarrhea, you must pay great attention to your health. A patient can accurately record the number of diarrhea and the start time, and will definitely not miss the color of the stool, let alone whether it is bloody."
"This is absolutely true. What if he really ignores it and doesn't say it?"
"What Teacher Qin said makes sense. The patient does have the possibility of neglecting it. What he said just now is just a speculative aspect."
"What about the other side?"
"On the other hand, there are two parts." Qi Jing said: "One is that the sars epidemic is still there, and patients with fever must go to the green channel for examination. This item alone can eliminate many possibilities. The second is that the two nurses at the door, one of whom worked in the emergency department for seven years, and the other one of whom was a senior nurse for eleven years."
After he said this, Qin Ruofen noticed the point and nodded repeatedly.
There are too many possibilities for abdominal pain. In order to prevent accidents, the nurse's desk will definitely assign such patients to surgery with more serious consequences.
Therefore, the patient is anxious because he is not a judgment made by himself, but a judgment made by two senior nurses during a simple pre-examination and consultation. As long as the patient reaches their hands, the original abdominal pain will be tested, and the abdominal pain has been tested.
Although nurses do not have the right to diagnose and treat, their experience is not worse than that of doctors, and they are well aware of the treatment methods and the diagnosis of various common diseases.
Especially for these senior nurses who have been fighting emergency diseases for many years, the promotion test questions are not simple, and they completely crush most hospitalized doctors who have just come to the hospital in terms of experience.
"Not bad," Qin Ruofen said with a smile, "Come in the afternoon to help copy prescriptions, which can help you get familiar with common medicines in the hospital."
Qi Jing was a little embarrassed: "Teacher Qin, I think the two college students next door are pretty good. Why don't you ask them to copy for you?"
"Nothing, the medical school stipulates that university interns have to follow the green channel, how can they come to me?"
Damn, it's explicitly stipulated...
When he was internship, he went to laboratories, canteens and supermarkets a lot. Does the medical school also explicitly stipulate that interns must be errands?
Qi Jing originally wanted to increase his presence and participate in the diagnosis. However, the result was completely different from his own idea. It would be more interesting to stay at the door and be a janitor than to copy the prescription when entering the room.
You have to get to the next door as soon as possible.
At this moment, an ambulance sounded, the green passage opened, and a stretcher truck was pushed out from outside, surrounded by several medical staff.
A middle-aged man in his 50s was lying on it, wearing a sportswear for running competitions. He looked like he was a participant who held a half marathon in Dancheng today.
Ji Qing was the first visitor and greeted him with a stethoscope. He followed two college students who looked like they had only been here for a while.
Chapter completed!