279.2+1>3(1/2)
It is difficult to be the head of the diagnosis department. Qi Jing needs to show his value at all times to retain this position. If there is any mistake or Ji Guanghao is cruel to spend a lot of money to hire a more advanced diagnostic doctor, Qi Jing is very likely to become a helper. At that time, whether to leave or stay will become a big problem.
Of course, it is not easy to be a financial backer's father. Money is their value. If you don't have money, you can only stay by your side and watch it for fun.
As for temperament and personality, Ji Guanghao does have a certain charm, but charm is not a CT machine. At most, patients and family members can only be encouraged.
When Ji Guanghao or his daughter cannot afford to pay or refuse to pay, the Guanghao fund may be shut down and the diagnosis department will also cut off the source of the disease. Qi Jing will be very passive at that time. He will lead the entire team and it is impossible for him to wait until then to find the next company. Before that, he must prepare for the future, and at least two to three backup plans must be prepared.
Ji Guanghao knew very well how worthwhile it was to a powerful and cheap diagnosis doctor. At least Qi Jing has proved his value.
So Ji Guanghao would not refuse the request made to him as long as it is not a special thing: "My daughter got married five years ago."
Qi Jing knew he was joking and explained with a smile: "I have a girlfriend, too."
Ji Guanghao nodded, knowing what he meant: "Actually, you don't have to see her specially. Her responsibilities have been framed to death, just a continuation of mine. I have written all the work directions of the foundation into my will. If she wants to inherit the inheritance, she has to complete the work of the foundation, which has nothing to do with her own ideas."
"You're thinking a lot." Qi Jing apologized a little, "I'm just worried about the future of the foundation, and there's nothing else."
"It's normal for you to have such concerns." Ji Guanghao shook his head. Although he was talking about something unpleasant, his face still remained optimistic. "There has been some problems with the funds recently. The money in the funds is still too small. I can't ask those old friends for money anymore. I have to have my own way to make money."
"Real estate is quite hot, invest in real estate?" Qi Jing asked.
"It's already done by location, but the return period is too long."
"That stock?"
"Stock for stocks, it's too unstable." Ji Guanghao laughed twice, raised his eyebrows and looked at him for a few more times, and joked, "Why are you suddenly interested in making money? You don't look like you."
Qi Jing didn't feel too embarrassed, nor did he think the doctor was so noble: "Who doesn't like the money?"
"If you have a safe diagnosis, the foundation will become bigger and stronger in the future, and your money will be indispensable."
Although Ji Guanghao drew a good big cake, he still couldn't hide his loneliness of insufficient funds: "I will go to Shangjing in August and Minghai in October, hoping to find more charitable funds to help cooperate. Wu Zhenggen's case fully proves that diagnosis alone is not enough. If the follow-up treatment does not keep up, the patient is nothing more than getting a death notice in advance."
"Boss Ji, it's important for you to take care of yourself."
Ji Guanghao smiled and slowly rolled up the car window: "I will try my best to solve the money problem, but what attracts these foundations is not just the economic scale."
Qi Jing nodded and watched him leave the parking lot.
The diagnosis department is different from other charity projects. It does not just pay and transport disaster relief supplies. It must have a solid diagnosis and performance.
Qi Jing has no qualifications. Just looking at his identity, no one will waste his money in such a freshly-official diagnosis department. It is even a bit difficult to tell whether he can look at them in person. Although there is already evidence of Wu Zhenggen's diagnosis, and even Ji Guanghao himself was saved by him, just two cases are far from enough.
I have to say that the cases they selected were very good at the beginning and were very suitable for the current environment.
Zhou Hua has been to the hospital a lot over the years, and has also visited all the top three in Danyang, but has not received a suitable diagnosis. His thick outpatient and emergency medical record book and several discharge summary are the best evidence that other doctors cannot diagnose.
As long as you can tell what kind of disease it is, Ji Guanghao will have more confidence and bargaining chips in subsequent cooperation negotiations.
Qi Jing slowly walked back to the inpatient department. He had just chatted with Ji Guanghao before he had time to see the patient. Before going home, he still had to record the changes in Zhou Hua's condition on that day and some laboratory test results. Even though Luo Tang and many respiratory doctors had seen his examination reports and picked out the abnormal parts, Qi Jing had the final say in the end.
In just half an hour, I saw other patients around me so envious.
Of course, they also know Zhou Hua's situation. More than ten years of repeated lung infections have received such an opportunity. It looks very attractive. After all, TV, sofa, single toilet and even bathroom are all available, but the price is too high, and some people may not be able to afford it for two or three years.
"Oh, I don't know if his life is bad or his life is good."
“Is the conditions in that single room very good?”
"It's okay. I've seen it. There are sofas and single beds. At least you don't have to sleep on the floor and lounge chairs at night."
"Not only these, I have also seen refrigerators and microwaves, even kitchenettes."
"So exaggerated?"
"That's right, 900 a night is not a random charge."
"Okay, stop watching. It's not that you live. We ordinary people should go back and rest and sleep with peace of mind."
......
In the inpatient department, changing the bed is a very common trivial matter.
The patient just changed the hospitalization environment, and may change from the door to the window, and sometimes complained about the distance from the central air conditioner and the toilet. The doctor was even more indifferent to changing beds. He just added two strokes when handing over the shift, just remember how many beds he had now.
But for nurses, changing beds is not a small matter at all.
The bed number of the small medical record card on the wall must be changed in time; the bed number on the white record board of the notes must be written clearly; the various treatment orders, injection orders, and nursing orders registered previously must be rewritten; all prescribed medical orders and medications must be matched with the name and bed number, and there must be no errors.
Once you are wrong, even if the patient has no problems, you will have to deduct money internally.
Some serious mistakes may also affect the head nurse, and sometimes even the entire ward will be informed by the hospital administration.
In addition to these, the nurses also need to change the sheets on the original bed in time, the quilts and sheets must also be replaced, and the mattresses need ultraviolet disinfection. Then they make the bed, place the hospital gown clean, and then wait for the next patient to arrive.
Nurse not only need to run the bell, but this kind of trivial matter of maintaining order in the ward is also their daily routine.
Now that the nurses in the daily shift have already got off work, Zhou Hua has changed his bed temporarily, and all these tasks have to be done by the nurses on duty at the front desk and the nurses who prepare for the shift. Generally, the work of the clerk at the front desk is the work of a clerk, which is to organize medical records. The nurses in the preparation class have little experience and can only do physical work of changing the bed sheets.
Qi Jing shook to the front desk, leaned sideways on the table and looked at the nurse who was working hard: "Have Zhou Hua changed to a bed?"
"Yeah." The nurse just responded, busy with the medical record in her hand, and didn't have time to see him, "It's all about walking in the corridor."
"Where is Director Luo?"
"Go back."
"Oh." Qi Jing nodded, looked at the end of the corridor, and joked with a smile, "He finally moved into a single room, and those patients must be envious of it."
"Envy?" The nurse was stunned for a moment, then nodded, "Well, yes, I'm quite envious. But they should think it's nothing. After all, transferring this person away is also beneficial to the people in other wards."
Qi Jing just wanted to chat casually, and after the patient went to the new ward, he had a physical examination for him and listened to the breathing sound of the broken lungs. What he didn't expect was that as a foreplay chat, he actually talked about something strange: "Is there any benefit? What are the benefits? Did they quarrel? I saw that several of their patients get along well with their families, probably not."
Since we talked about gossip, the nurse on duty finally got a little interested: "You are not a doctor here, are you?"
"Oh, I'm here to see the patient." Qi Jing revealed his work permit and explained with a smile, "I discussed it with Director Luo yesterday."
When the nurse saw that it was a doctor in this hospital, there was nothing to hide: "Zhou Hua's family is good. It's really because Zhou Hua snored too much, just like thunder. If he didn't sometimes hold his breath and couldn't sleep, the patients in the entire eight-person ward would not want to sleep well."
"Can he snore?" Qi Jing frowned, "Does Director Luo know about this?"
"The patient has just arrived the next day, so he probably didn't know." The nurse shook her head and felt strange. "This is a small matter. Other patients and their families understand it quite well. They just wear earplugs."
Snoring...
A person in his 30s actually snores in the middle of the night...
Snoring usually involves organic lesions inside the nasal cavity. The most common ones are turbinate hypertrophy caused by obesity, and then dysplasia caused by nasal septum deviates and hyperplasia.
Zhou Hua has been very thin over the years, and his 1.8-meter-old weight is only more than 130 kilograms. Obviously, the nasal turbinate cannot be thick. The patient has had a bronchoscopy. If there is a nasal polyps and a nasal septum deviated, it will definitely be written into the examination report.
Ordinary doctors may not care about these two issues, but Luo Tang is very clear about the complexity of the patient and any newly discovered situations need to be carefully identified. If there is really a nasal septum deviated and nasal polyps, Luo Tang will definitely care about it and will definitely explain this issue to Qi Jing.
Qi Jing patted the nurse's front desk with her hand: "Have you done Zhou Hua's bronchoscope? Is there any report?"
"Bronchioscopy..." The nurse quickly looked through the patient's report records, found a piece of paper, took it out and handed it to Qi Jing, "Just this one, remember to return it to me after reading it."
"Um."
The entry point of the bronchoscopy is not as particular as the gastric tube, and the mouth and nose are OK.
Generally, the first choice is the nose. After doing respiratory medicine for so many years, the most commonly used part is also the nose. But this time they changed their usual habits. The bronchoscope enters from Zhou Hua's mouth.
As for the reasons for changing the approach of bronchoscopic probes, they did not write it on paper, but instinct made Qi Jing feel that there was something wrong with the patient's nose.
He scanned the bronchoscopy and the whole examination took a short time due to bronchodilation. It was estimated that the doctor who did the bronchoscopy was cautious, for fear that the camera would break the bronchial and cause hemoptysis, so he only saw some yellow-green sputum and it ended.
The diagnosis results are also very simple, which are mild bronchodilation and pneumonia.
Qi Jing returned the report to the nurse in a single room.
Zhou Hua's situation is very strange. It is not only an inverted heart, but also a lung that is prone to infection with bacteria and viruses. Just from these two symptoms, it is difficult to tell what disease he has, but if one is added, it will be different.
21≠3, but far>3.
Qi Jing immediately found Zhou Hua's mother resting beside her and asked, "Do your son have rhinitis?"
"Rhinitis? What kind of disease is rhinitis?" Zhou's mother seemed to have not heard of this disease for a long time, and her hands tidying up hospital supplies could not help but stop, "Is it the same as pneumonia?"
In order to be concise, Qi Jing could only minimize the time for explanation, and nodded and said, "It's almost the same, but the duration of rhinitis is shorter, and the severity of the disease is related to the development of the course of the disease. Perhaps Zhou Hua had it when he was a child, and the rhinitis has been on him until now."
"When I was a child... rhinitis...ah! By the way, when he was a child, the pediatrician said he had a bit of rhinitis. So many years have passed, we have long forgotten." Zhou's mother looked at Qi Jing in surprise, "Doctor Qi, you are so amazing, can you guess this?"
Qi Jing asked: "When was the age of the time I was diagnosed?"
“It was there at a very young age.”
Rhinitis, especially long-term chronic rhinitis, can stimulate the nasal cavity to produce polyps, and polyps can block the respiratory tract and make patients snore at night. Of course, Qi Jing is not interested in the snoring caused by nasal polyps, and he only has the repeated infection of lung in his eyes.
He finally caught the loophole in the cause of this disease that had been rampant for more than ten years. The next step is to verify it step by step.
Qi Jing took Zhou’s mother to the leather sofa in the ward and continued to ask: “Where is Zhou Hua’s father?”
"His father, I haven't come, I probably won't come today." Zhou's mother smiled, as if she had been used to taking care of her son alone, "I have to play mahjong tonight, and I will come tomorrow."
"What about his grandparents and grandparents?" Qi Jing immediately gave up on his father and asked further and further away.
Zhou’s mother didn’t quite understand what he meant: “Doctor Qi, why are you asking these things?”
"Then I'll ask for it more simply." Qi Jing added, "Who is gone now?"
This question is very direct. If it is put in normal times, Qi Jing would ask more tactfully. But now the diagnosis is right at the mouth, and the most important evidence is right in front of him, so he doesn't care about so much.
"His grandpa and grandma." Zhou's mother touched her chest with one hand and her head with the other, "His grandpa has a heart attack, and his grandma has a cerebral infarction."
To be continued...