My medical skills are a billion points

All the medical staff in the entire emergency department add up to nearly 30 people.

With so many people going, at least three tables will be scored.

Xiao Chu has only just become a regular employee of the hospital not long ago, and has only become the deputy director today, so he must not have any extra money in his hands.

Xiao Chu smiled, and waved his hands proudly: "Go to Haidilao, let's go to Four Seasons Hotel tonight."

Since everyone's enthusiasm was so high, Xiao Chu naturally didn't want to discourage everyone's enthusiasm.

Take this opportunity to make a good impression on everyone.

Although the Four Seasons Hotel spends more, it is also worth it.

What's more, now Xiao Chu is not short of money.

"What? Going to the Four Seasons Hotel, how proud, Director Xiao."

The Four Seasons Hotel is a five-star hotel in the city, so many of them go there to spend, and none of them can't afford ten thousand yuan.

It's really admirable that Xiao Chu chose there without saying a word.

Seeing that Xiao Chu chose the Four Seasons Hotel as the meeting place, Chen Bin hesitated for a moment.

Come over and say to Xiao Chu: "Xiao Chu, today you officially became the deputy director of our emergency department, everyone is happy for you, the so-called dinner party is just for everyone to get together and have fun.

There's no need to go to such a high-end place, and you don't have much money in your hands now, let's just choose a small place to get together, don't spend so much money. "

The people who were bustling all calm down when they heard what Chen Bin said.

It has only been a few months for Xiao Chu to become an official doctor of Jiangnan Provincial People's Hospital from the beginning of Gui Peisheng.

How much money can he have?

It is very likely that with so many of you, if you go to the Four Seasons Hotel for a meal, you may spend all of Xiao Chu's salary for the past few months.

Calm down, everyone can't bear it.

Zhao Fangshu said: "Xiao Chu, everyone is just joking with you and happy for you. They don't really want to go to a high-end hotel. Let's change the place instead of the Four Seasons Hotel. It's too expensive there."

"Yes, yes, Director Xiao. Let's all be happy, just get together, there is no need to go to such a high-cost place."

"Yep!"

Everyone persuaded Xiao Chu not to go to the Four Seasons Hotel.

Seeing so many people caring about him and worrying about his wallet, Xiao Chu couldn't help being moved.

It seems that I chose to stay in the emergency department instead of going to other departments.

With such a director who cares about his subordinates and many colleagues who care about him, Xiao Chu doesn't want to go to any department now, he just wants to stay in the emergency department.

Of course, what Xiao Chu decides will not be changed casually.

He said to Chen Bin: "Director, thank you for your concern for me. I cannot become the deputy director of our department without your support.

Today I will take this opportunity to get everyone together and have fun. As for going to the Four Seasons Hotel, there is no need to change it, I can still afford it. "

Although everyone is in the emergency department, their income is not as good as that of other front-line clinical departments.

However, this is after all in the Jiangnan Provincial People's Hospital. Even the doctors in the emergency department start with a monthly income of tens of thousands.

Even if the Four Seasons Hotel is a five-star hotel, every medical staff here can definitely afford to spend there.

Everyone tried to persuade Xiao Chu not to go, but they just took care of Xiao Chu's arrival.

Seeing that Xiao Chu insisted on choosing the Four Seasons Hotel, everyone stopped persuading him.

After being lively for a while, the crowd dispersed one after another and went their separate ways.

After all, the emergency department is the busiest of all departments, and it is not suitable for everyone to gather together for too long.

Today is the day when Xiao Chu sits in the outpatient clinic.

The mood is quite good, after all, he has officially become the deputy director of the emergency department now, and he has a certain right to speak in the department, and he can also decide what operations he can perform.

As soon as the number was called, a middle-aged man in his 50s walked into the outpatient room.

His complexion was a little bad, and he began to tell Xiao Chu about his medical history as soon as he sat down.

"Doctor, you see I've been nauseated and vomiting for several days, and I can't eat anything."

"I also had a gastroscopy in another hospital. They said it was chronic gastritis, and they prescribed me medicine to treat my stomach, but the medicine didn't work. I still felt nauseous and vomited..."

"vomit……"

As the patient spoke, he began to retch again.

Because he hadn't eaten when he came, he could only retch, but he couldn't spit out anything.

Nausea and vomiting caused by chronic gastritis, can not eat, is it so serious?

Chapter 146 Your Doctor Can Only Prescribe Checklists

"Look, doctor, here are the results of my examination."

After the middle-aged man retched, he slowed down for a while, and handed Xiao Chu a gastroscopy checklist.

However, as soon as he handed over the results of the examination to Xiao Chu, the man leaned over and retched again.

In just 2 minutes, I retched twice.

Is the vomiting too frequent?

Chronic gastritis is not like this!

Xiao Chu glanced at the middle-aged man suspiciously, then looked at the gastroscopy checklist in his hand.

Gastroscopy was done in other municipal hospitals, and it was done very clearly and described in detail.

The general description of the stomach and esophagus did not show any special circumstances, and the final conclusion was that chronic superficial gastritis with erosion.

Seeing the man retching all the time, Xiao Chu frowned slightly.

The results of gastroscopy showed that it was nothing more than chronic superficial gastritis with erosion.

As the saying goes, ten people have nine stomachs, which means that nine out of ten people have chronic superficial gastritis.

As long as a gastroscopy is done, chronic superficial gastritis will generally be prompted.

Slightly heavier like this man, chronic superficial gastritis with erosion.

However, even if this chronic superficial gastritis is accompanied by erosion, it is not like a man who is constantly retching and nauseating.

Chronic superficial gastritis is accompanied by erosion, usually there will be abdominal pain and bloating after meals, and in some cases, nausea and retching, but definitely not like men.

Furthermore, after this man had a gastroscopy in another hospital, he also gave him omeprazole, Livzon Dele and other stomach-protecting drugs.

But according to the man, it didn't work at all.

After taking the medicine, I became nauseous and retched even more, which is outrageous.

There are many diseases that cause nausea and vomiting, not just stomach problems.

Besides, this man just has chronic superficial gastritis with erosion, which is not enough to cause continuous retching.

Sometimes malignant hypertension leads to a sharp increase in blood pressure, causing increased intracranial pressure, and nausea and retching.

So Xiao Chu measured his blood pressure, but his blood pressure was within the normal range, which ruled out the cause of malignant hypertension.

Xiao Chu looked at the man's face, because of the violent vomiting, he already looked a little pale.

And this man just had a gastroscopy and a blood routine check in another hospital simply because of nausea and vomiting, and did not do other checks.

Because of the poor treatment effect, he came to the Provincial People's Hospital.

"Doctor, what disease do you think I am? The last hospital said that I have chronic gastritis and erosion, and also prescribed me medicine to treat the stomach, but after I took it, it didn't have any effect, but it got worse. Please take care of the doctor. Check it out for me."

Xiao Chu nodded, and began to open the checklist on the computer.

He gave the man a full abdominal CT and liver and kidney function tests.

He was basically sure what was wrong with this man.

After the test results come out, I can explain it to the man in detail.

I just don't know if he can accept it, the disease he got may not be as simple as chronic gastritis.

But this patient frowned when he saw that Xiao Chu had prescribed so many checklists.

Some dissatisfied said: "Doctor, I just have chronic gastritis, at most it is a bit erosive. How dare you prescribe so many checklists for me? Why don't you prescribe some good stomach medicine for me.

I'm just nauseous and retching now, nothing else.You should give me less checklists and more good medicines. "

This patient was identified, he himself was nausea and vomiting caused by chronic gastritis.

He didn't think about whether it was for other reasons, but in the end he came to see Xiao Chu for medical treatment, and thought that there were too many examinations.

To be honest, Xiao Chu has already realized what kind of disease he is.

But if he said it directly without any inspection as a basis, the man would probably not believe it.

It would be even more irresponsible to just prescribe some medicine to treat his stomach according to what he said.

On the contrary, it is tantamount to harming the patient.

Today, when the relationship between doctors and patients is relatively contradictory, if Xiao Chu did fewer tests, there would not be enough evidence to prove the man's illness.

Once he is diagnosed, Xiao Chu may not be able to tell what kind of disease he is.

So no matter what kind of patient or disease, there must be enough tests to diagnose the condition.

This is responsible to the doctor, but also to the patient.

In today's hospital, this is essential.

If a patient comes to a hospital and only says what symptoms he has without any tests, he asks for a prescription.

Then the doctor who received the consultation would definitely not do what he said.

If the examination is not clear and the condition is not clarified, it is impossible for the doctor to prescribe medicine blindly.

Because in China, there are precedents for this.

The doctor listened to the patient's words, did not insist on doing the examination, but only prescribed medicine, and the patient had an accident.

The family members will not be grateful to the doctor, but come to the doctor in arrogance to take responsibility.

So now Xiao Chu almost has divine eyes, but he will never disobey the rules and procedures, and prescribe medicine to this man casually without doing a checkup.

He couldn't do it, and neither could any other doctor.

Holding the checklist, Xiao Chu patiently said to the middle-aged man: "Let me tell you, your condition is not just nausea and vomiting caused by chronic gastritis from the results of gastroscopy.

I think there are other reasons, so you have to do an examination to be sure, otherwise I can't prescribe medicine for you. "

"Furthermore, even if I prescribe you medicine to treat your stomach, you have taken it before, isn't it ineffective? If I really listen to you today and give you some medicine to treat your stomach, you go back It will still have no effect in the future.

On the contrary, it will delay your condition, so I advise you not to waste time here, and go for the examination as I said, and after the condition is clarified, we will make a detailed treatment plan. "

After Xiao Chu's detailed explanation, although the man was still a little reluctant, he still took the checklist and went out for the checkup.

Patients like this, do not follow the doctor's orders, but follow their own wishes.

Xiao Chu is in the emergency department, no matter how many times he will meet seven or eight people a day.

Under normal circumstances, they will accept it if you explain it patiently.

Only a very small number of unreasonable and unreasonable people will make a big noise in the consulting room, but they are often dragged away by the security guards.

This male patient was just an episode, during which Xiao Chu received several patients.

Just when an old lady was sent away, the door of the outpatient room opened, and a superb beauty walked in.

Chapter 147 Let's Not Deal With Losing Money

This beautiful woman is 1.7 meters tall, wearing a light blue lady's suit, looking like a professional elite.

Her hair was up, her delicate face was slightly lightly made up, she was astonishingly glamorous, with a smile on her lips, she looked at Xiao Chu.

Xiao Chu hurriedly stood up: "Sister Lin, why did you come here without saying hello?"

That's right, the top beauty who came in was Lin Wanqing.

Today happened to be the day when Xiao Chu told her to come for a follow-up visit.