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623. Is it burning or not?

Danyang Medical Center now has only three clinical departments and is an absolute secondary specialized hospital. Although the hardware is equipped with a second-level brand, it is even better than some third-level specialized hospitals, but the medical strength in the hospital is not high, and I am afraid it is only at the level of a second-level specialized hospital.

The main thing is geriatrics, dentistry, and dermatology. If you want talents, the base is there.

Fortunately, Zhu Yating's operation was quite proper. After half a year of losses when it opened, the hospital finally started to make a profit in the spring of 2006. It is actually quite good to be able to maintain profitability under such high welfare conditions as the medical center.

Because of its non-profit nature, all the benefits of the hospital are used to enhance the strength of the hospital.

As long as the hospital is on the right track of self-sufficiency and investors do not forget their original aspirations, they can survive well. Danyang Medical Center is in this state now. It can maintain the high welfare of its medical staff, so it will naturally begin to move towards higher levels.

Expansion is divided into two steps, one step is to build a new department, and the other step is to step up cooperation with other medical institutions.

They have reached a cooperative relationship with the Third Hospital before the establishment of the Medical Center last year. Now, cooperation has truly expanded from medical disputes and case supervision to coordinated diagnosis and treatment between departments.

The response to food poisoning emergency department last year was a very good precedent.

In these cooperations, the medical center has obtained a large number of high-quality diseases, and the Third Hospital is also very at ease with the back garden of the medical center. Especially a few days ago, Qi Jing and his wife helped them find a patient with hepatitis C, successfully avoiding a major medical dispute case, and once again consolidated the status of the medical center.

Lu Zishan went to Japan this time mainly to help Qi Jing, and secondly because of this hepatitis C patient.

The Third Hospital failed to complete the work, and she felt uncomfortable. She saw that there were still a lot of people who needed to make trouble. After thinking about it, Lu Zishan, who had successfully stopped her from appealing before, was her best helper.

It is worth mentioning that this investigation happened to use the hepatitis C antibody diagnostic reagent of the Biopharmaceutical Company under Qi Jing's name, which can be regarded as opening a third hospital for his company.

In addition to the third hospital, the medical center is also closely related to Dan Medical University.

For example, half of the medical staff in the hospital come from Danish Medical University. In addition to Zhu Yating who has returned from studying abroad, the leadership is all graduates of Danish Medical University, so from the very beginning, the hospital has set its goal in cooperation with this university.

The most important project is students.

If a hospital wants to get a share of the pie when plundering talents in the Grade 3, it must show its abilities. In addition to having high salaries, if private hospitals want to win the favor of students, they must have a platform with a high level of business.

Looking at the city's second-level specialized hospitals, the medical center with a diagnosis department is unique.

With sufficient sources of disease back to the Third Hospital, there are Qi Jing in the hospital, so the attraction is naturally different. The next thing is to wait for Dan Medical University to send students to internship. During the internship, let students appreciate the "style" of the Diagnostic Department.

But success is always the intern, and failure is the intern. The two sides have been stalemate on the issue of interns.

Dan Medical University thinks that giving interns to medical centers is a gift, and wants to waive a large amount of interns' accommodation and internship fees. In Qi Jing's opinion, being able to intern in his own hands is a blessing from his previous life. It is too late to double the internship fee, so how can it be waived...

There were also second consultations during this period, and the two sides also made concessions, but unfortunately they were unable to reach an agreement in the end.

In fact, after all, interns are just double-edged swords. The key is that the parts that are cut in the eyes of others are different.

Dan Medical University treats its students as cheap labor. Giving to the third grade is to learn abilities. Giving to the third grade is normal, but giving you 2nd grade is just helping. Of course, they do not deny Qi Jing's strength, but it is a pity that the hospital's own ability limits this.

When it comes to Qi Jing's eyes, the interns are still laborers, and they are burdens that drag down the operation of the diagnosis department. Think about it, yes, Dan Medical University must select students with excellent strength to have the opportunity to enter.

Yes, it's just a chance!

How big is Dan Medical University? You can be picky, and they have a temper. Seeing that Qi Jing gave the conditions, they agreed with a smile, but turning back and swaying is a set of counterattacks. In return for the interns coming to work, Qi Jing needs to go back to Dan Medical University to hold a case lecture on "Diagnosis" regularly.

This has hit his minefield. I was already very tired when I held the Medical Association on Friday evening, so I still had to go back to the Dan Medical University to give a lecture?

How could Qi Jing agree?

So the negotiations have been delayed again and again, and there is still no definite statement yet.

The tree is moved to death, and the person is moved to live. Dan Medical University cannot get through. Then Qi Jing asked Zhu Yating to take another path - the "mortal enemy" of Dan Medical University, and the Affiliated Medical College of Danyang University. Although the road is much narrower and the talents are not as high-quality as the other party, at least others know their position and do not act as domineering as Dan Medical University.

"Is the person here?" Qi Jing thought about the date and said, "I remember it was today."

"Here, the first batch of interns arrived at noon." Ji Qing asked, "You might have asked them to come here to participate in the discussion?"

"My internship in the diagnosis department is to screen and discuss cases, otherwise what else can I do?" Qi Jing disagreed, "Where are people?"

"I guess I'll be familiar with the department next door."

"Next door? Why do you go to the next door?"

"Isn't we going to hold a discussion meeting here?"

"They are interns in the diagnosis department, and they naturally have to come. The internship fee is charged. How can I not take them to play in the discussion meeting?" Qi Jing suddenly realized his conscience, "Hurry up and let Chen Bing bring the person here."

The same three words are just a few different orders, which are a total change.

Whether it is the faculty, the quality of students, or the number of affiliated tertiary hospitals, Dan University is one level short of Dan University. Qi Jing's diagnostic department is still well-known in the industry, and this is also an extra condition when enrolling students.

In fact, the conditions themselves are not too attractive. Qi Jing's status is not special in the eyes of high school students who have not yet entered the medical school.

Most of them didn't even know him.

But he himself is not popular, but he has something popular in his hands. Among them, the emergency internship position at the University of Washington Affiliated Medical Center is an important bargaining chip. As long as his strength is in place, the medical center will give him the opportunity to go to the United States to further his studies.

What is not bad for the School of Medicine of Danyang University is its cooperative relationship with advanced foreign medical institutions. The conditions given by the Diagnostics Department completely fill this gap, and it is difficult not to cooperate.

But only Zhu Yating and others knew that the medical center had not signed any cooperation projects with the other side of the ocean, and only had the private relationship between Qi Jing and Coent. Of course, with Coent's status in the United States, as long as the students' level is high enough, it is not a big problem to arrange an internship.

However, only Qi Jing knew whether he had ever talked about this to Coent.

......

Whether it is academic qualifications or clinical ability, Chen Bing, who was thrown into the geriatrics department, is the best candidate for interns to teach.

Seeing Qi Jing's order in person, he did not dare to neglect. Two minutes later, the first batch of interns from Dan University doctors entered the diagnosis department.

Ji Qing came up and reported Ye Han's personal information directly: "A 25-year-old young woman, Chinese from Mi, is 166cm tall and weighs 52kg. She has chronic constipation recently. She suffered from skin muscle pain on both upper arms yesterday afternoon, which gradually spread to her elbows and forearms. She has a persistent low fever today, but she is still in good spirits."

These students of Dan University Doctor are worthy of being sent by the school after the school selection. They immediately wrote down the information and immediately started the discussion.

Increased body temperature is a defensive reaction caused by the body in the face of changes in the body, which will cause fatigue, headache, dizziness, nausea and other symptoms.

These are normal phenomena that should occur when you have a fever. Some people react strongly, but their body temperature is extremely uncomfortable as soon as they rise. Some people feel weaker and they don’t react much below 38 degrees. But no matter what, the increase in body temperature should never be as active as Ye Han.

The seven people who came to take the exam yesterday knew Qi Jing's strength and seemed particularly at ease until there was no definite evidence and never spoke.

Those interns are newborn calfs who are not afraid of tigers: "Living and jumping around? Didn't you say she has a fever?"

Qi Jing was not arrogant when discussing the case, and said huh, and continued: "She not only jumped around, but her previous symptoms seemed to have disappeared. It's hard to say that constipation is difficult to say, and weakness can greatly relieve it. I can definitely lose muscle pain."

"Not?"

Several people heard the sounds on their phones and felt strange: "How come they are not there?"

"Why do I sound like intermittent symptoms?"

"Intermittent muscle pain, constipation and weakness? I've never seen it."

Suddenly, a student looked at the symptoms recorded in his hand and asked, "Can we be too sensitive?"

Seeing someone having a sudden whim, Qi Jing asked quickly: "What do you say?"

"It means that this girl is in good health. Maybe the previous one was just a misjudgment, or she had recovered herself."

This is a slightly evasive answer. Others around them do not disagree because they have had the same idea. It is just that in such an occasion, it takes a certain amount of courage to express this idea.

No matter whether Qi Jing's answer was right or not, after all, fever was just his own judgment and it was not verified.

So it's still the same, and the idea is more important.

"What's the reason?"

"Reason?" The intern was stunned. "If it was really what I said, it means that her body has recovered, so there is no need for reasons."

Qi Jing stood outside the two countries' athletic hall without taking a step, just to let these people far away in Danyang give him a broader idea. But he was so angry that such a wise remark appeared at the beginning: "Lao Ji, who is this person?"

"...Song Shaolian from the third clinical class of 02, Dan University Medical University." Ji Qing looked at the list handed over by Chen Bing and said, "The passing test results ranked 26th in the whole grade, both inside and outside women and children..."

Before he could report the results, Qi Jing was impatient: "Let him get out, I don't want this guy here."

Ji Qing was stunned, and then realized why he wanted to bring the intern in. It turned out to be to drive people away: "Tsk, look at you, you have an old problem again. How long has he been here, he drove people back, so he was so embarrassed."

"How did Wu Guoan do screening? Just give me such a thing?"

"Okay, OK, hurry up and have a discussion."

The intern had no idea where he was wrong and was scolded for no reason. But just as he was about to speak again, he saw Ji Qing silence. At the same time, Chen Bing, who was standing at the door in the distance, quickly approached and cursed softly: "What nonsense were you just talking about?"

"I mean, if it is really like I said, the patient's health will be cured." The intern was still defending himself, "There is limited clinical resources, so it is normal to do this, but why..."

"Principal Wu hasn't told you about the nature of the work of the Diagnostic Department?"

"Nature? It's just a diagnosis."

"It's the source!" Chen Bing said, "The symptoms that have occurred for no reason have disappeared for no reason. It seems that the patient is fine, but what if it happens again next time? Have you ever thought about this situation? Isn't it stupid to just say that there is no reason?"

In Chen Bing's preaching, the interns gradually realized what the real case discussion was. The ideas in the office were changing at any time, and there was no chance for them to interrupt.

Among the main points, one is the tuberculous spondylitis mentioned by Ji Qing yesterday, and the other is various myopathies.

These are the results of the remaining seven people who returned to the dormitory and made up for malicious remedies, including Gilambarre syndrome, mitochondrial myopathy, multiple myositis, myasthenia gravis, etc.

Among them, myasthenia gravis and mitochondrial myopathy are most consistent with Ye Han's symptom changes.

The former has weakness, muscle pain, and it will relieve after resting, but it will not have a fever. Once the latter starts to develop, weakness, muscle pain and fever will appear, but the symptoms will become unrelieved.

The remaining multiple myositis will develop very quickly with Guillambarre syndrome, and will affect the whole body, which will look a little far away.

"So did she burn it?"

Qi Jing thought about their answer and replied, "I don't know."

"ha?"

"Actually, I just guessed it." Qi Jing sighed, looked at the sunset in the distance, and said, "I guess she took medicine. The most likely thing for antipyretic and analgesic is acetaminophen. In this case, the body temperature will be normal and the muscles will not hurt. She didn't need to take her luggage, so it looked quite normal."

"So you're pushing back?"

"Yeah, it's almost the same."

When others arranged and combined Ye Han's condition in the five symptoms of abcde, Qi Jing took out the "f" from his pants' pocket that could suppress half of the symptoms at once, and gently put it into this already quite chaotic sandbox.

“So you prefer tuberculosis?”

"Well, I thought it was like tuberculosis before, but now..." Qi Jing seemed to think of something else in his mind, "This girl is not easy to deal with."
Chapter completed!
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