Emergency Department Observation of Medical Records

For a period of time after that, Zhao Bin was going through the formalities of the second-hand house transaction. During this period, he invited Li Panqiu and his wife to have a meal, thanking him for helping him find a house.

It was already August when the guests were invited to dinner.Li Panqiu asked Zhao Bin while eating: "I will submit the application materials for the appointment in September. How about the article you wrote last year?"

"Reply last week, let's change it." Zhao Bin said, "Try to change it next week and send it back."

"It's okay to change it." Li Panqiu said, "After receiving the notification email of the magazine acceptance, you can use it as an application material. There will be time next month."

"It's useless if it's too late..." Zhao Bin sighed, "I added the one I published just after I graduated with a Ph. Last year’s fund failed.”

"I was hospitalized last year, and I didn't have time to do it at all," Li Panqiu said, with a look of great pressure. "In the end, I just made up the number and handed it in. It's strange if I can pass it. There are 5 articles. I went abroad before, and the application was postponed. I came to work a year later than you, and two years is not enough qualifications. I will work hard this year, and there should be no problem in applying for an indication next year with a fund."

"As expected of a top student." Zhao Bin gave her a thumbs up, "Your preparation should be considered sufficient."

"No..." Li Panqiu shook his head, "You don't know how terrifying some scientific research madmen are... I heard that there were 11 articles in Shennei in three years."

"Wow!" This time Chi Yanting, a layman, expressed emotion, "What you are talking about is all SCI, excluding domestic magazines, right? Are these people not working?"

"There is no way, theory guides practice, and one must also improve one's scientific research capabilities." Li Panqiu said.

"Don't talk about that." Zhao Bin laughed amused by her serious nonsense, "Theory guides practice, and you don't know how the article is written? Didn't you follow me before and scold scientific research for destroying clinical practice?" Is it? In fact, everyone knows that there are not many people who actually do scientific research. Now they just read articles. As long as they are sent out, no one cares how you write them. The more articles, the better. In a department with a large number of people like Shennei , They even take turns to let doctors go home to write articles.”

"Indeed." Li Panqiu said, "I heard that there are still departments that rely on articles to compete for jobs. Those who don't have articles will stay in the front line or go to outpatient clinics. Only those with articles can lead the team. If you stay in the front line and only sit in outpatient clinics , the income will be difficult to increase, the coefficient is different if you lead a group or not, and the income will vary greatly. At the same time, if you have been working in the front line, you have less time to really use it by yourself, which is really a vicious circle.”

"No, I'm listening here..." Chi Yanting interrupted, "Why do you think that the Affiliated Hospital of C University no longer sees doctors, and only focuses on scientific research and writing articles?"

"Clinical must be done, research must also be done." Li Panqiu said.

"Then I think your department is very good," Chi Yanting said, "It's a layman's feeling. You see, if you need people to do clinical work and people to do scientific research, then give them time to do it. For example Work for half a year, do experiments and write articles for half a year, so that you can concentrate on treating patients when you are in the clinic, and concentrate on writing articles when you are doing scientific research. If you let people watch patients all day and work night shifts, and let people write articles and do experiments... that would be too demanding It's too much."

Both Li Panqiu and Zhao Bin were amused by him. "I hope that the leaders have your awareness." Li Panqiu patted his head and said, "But the general environment is like this now. The evaluation of the hospital depends on the article, so the evaluation of the doctor has also become an article. The new recruits hired this year, Each of you published a lot of articles when you were a doctoral student. Nowadays, few graduate students are seriously transferred to clinical practice. When you come in, you need to solve the articles quickly. The more articles you write, the higher the value. That Huang Baihuai has a heart for the exam. Postgraduate students in surgery are already running to our intervention room every day to collect data on patients with coronary heart disease."

"Are you still in the intervention room?" Zhao Bin frowned. "You two... have you considered getting married and having children? I remember how long do you want to avoid radiation exposure if you want to prepare for pregnancy?"

"There is no way to think about these things now..." Li Panqiu said, "I told him that we can't think about children in the short term. How many people are waiting for this intervention position. Now the cardiology department is the most popular .I have the support of my boss now, and I have taken down the position of intervention. If I step down now, it will be too difficult to get on stage again in the future.”

"How old are you this year, 32?" Zhao Bin asked her.

"I've discussed it with her," Chi Yanting said, "In fact, I haven't even thought about having a child so early. Let's live on our own first, and let's talk about the child later. My wife wants to pursue a career, and I support her!"

The three chatted for a while, and went home happily after dinner.

He was happy when he left, but Zhao Bin couldn't help thinking about his current situation when he returned home.After he bought a house with a loan, the financial pressure increased. If he didn't hire an attending doctor, he would be struggling with this income to live on.Think about the furniture you need in a newly bought house to feel like a home.It's really time to fight.

He was still thinking about it when he went to work the next day.Slightly less focused.

At this time, the new patient came in after hearing the call. The patient was a 17-year-old girl who came in with her sister.Her sister is not much older than her.

"What's wrong?" Zhao Bin asked, and gestured to the intern to record the medical records.

"I have nothing wrong," my sister insisted on saying that I was not good! "

"You said you're fine again!" My sister also said in a loud voice, "When I woke you up in the morning, you said 'Sister, I'm really fine'! Now when I say to see a doctor, you immediately say there's nothing wrong alright?"

"Don't quarrel!" Zhao Bin was more irritable, and his words were not very polite. "Whoever feels sick, let's talk about the illness."

"Then go ahead and talk about it," said the patient.

"Doctor, both of us are from the countryside. We both came out to work after we finished junior high school. I went out for a few years first," said my sister. "I rented a house outside, and my sister also came to work in the city some time ago. Just live with me. A few days ago, she stole more than 1000 yuan from me. She used it to buy something and said she wanted to do business. I don’t know if she was cheated or spent it by herself. There was no money left. .I was so angry that I beat her!"

"I'm going to buy a mobile phone case! How do I know that person is a liar!" The patient argued with her, "The mobile phone case he showed me is really beautiful! I think it can be sold!"

"I think you are looking for a man!" My sister said with a sneer.

"If you talk nonsense again, I will beat you!" My sister didn't want to.The two were arguing in the consulting room.

"If you want to quarrel, I will tell you to go out and quarrel!" Zhao Bin roared, and the two of them were scared by him and quickly stopped. "Tell me about your illness." Zhao Bin said impatiently.

"She, she is sick. Every morning when she wakes up at six or seven o'clock, she says she is dizzy, has no strength, and can't get up at all." My sister said, "I suspect she is pretending to be weird! She told me it was true, At that time every day, I have no energy at all, but everything will be fine after getting up and eating!"

"When did the symptoms start?" Zhao Bin asked.

"It's been five or six days." My sister replied.

"Come on, the patient said," Zhao Bin said to his sister, "do you feel dizzy, weak, what does dizziness look like? Do you feel dizzy, nauseous, or want to vomit? Do you feel flustered or tight in the chest? Do you have black eyes?"

The younger sister shook her head: "Not at all. Dizziness is that kind of dizziness. I can't use any strength in my whole body. I feel like I can't move."

My sister sneered: "Then get up when the meal is ready, and it will be fine after eating."

"I'll be fine after eating!" My sister said, "It's true that I'm not feeling well, and it's true that I'm fine after eating!"

"I think you just don't want to get up and make breakfast!" My sister raised her voice.

"I made breakfast before! You still think it's not delicious every day!" My sister also responded loudly.

Zhao Bin was so distraught by the two of them quarreling, he wished he could sum up in one sentence "it's hysteria" and drive the two sisters out. "How about that?" Zhao Bin knocked on the table to signal them to be quiet, "Go back and resolve the conflict and observe the condition. I just listen to your description, and I really don't know the situation. If she still has dizziness and general fatigue tomorrow morning, at that point Let's get a blood test done. How's it going?"

"No!" My sister said, "I've already made up my mind to bring her here today! I'm not afraid of spending the money. We're going to be hospitalized today, and I'll have her whole body checked. If there's no problem, I'm relieved, and I can tell my family Someone explain!"

The emergency department of C major does not have the operation of admitting patients to the hospital for examination, and the ward beds are tight, and the emergency department will directly coax people to go to the lower-level hospital for examination.Zhao Bin sternly refused directly.But as expected of this older sister who has been around outside, she is not afraid of Zhao Bin's aura at all, she speaks like a machine gun, and has no chance of being shot.Zhao Bin was yelled back for the first time, and he was completely unable to refute.The point is, the director warned him not to have any more disputes with the family members of the patient when he quarreled with the family members.He is now enduring the quarrels of the patient's family members, and his head hurts.

"Let me tell you about doctors," my sister said, "I am a person who must do what I want to do! I am here today, and I just want to stay and find out about my sister's condition!"

This quarrel between the two of them has already attracted the head nurse.The head nurse also felt dizzy after hearing her sister's continuous bombardment. In the end, she could only comfort the patient: "Well, stay in our emergency department for a day, and we will see how your sister is doing tomorrow morning. However, Dr. Zhao and I both I want to tell you that the medical insurance cannot reimburse the examination and treatment expenses in the emergency clinic, and you should also consider your financial situation.”

My sister immediately changed her face and became polite: "Mr. Nurse, you are really a good person. We originally came out to sell some small things to do business by ourselves. We didn't pay the medical insurance money, so we couldn't get reimbursed anywhere. Anyway, I made an agreement with her. We now With all this money, we will treat her disease first.”

"When did I agree on this?" My sister started arguing again.

"You didn't say that? When you stole my money, you said that I wouldn't give you a single cent! I'll give you all the money I have on my body now, and treat your illness well!" My sister also yelled back.

Everyone in the clinic was annoyed to death.The head nurse hurriedly pulled the man out to go through formalities, and asked Zhao Bin to continue seeing other patients.

As soon as the patient and family members left, the intern asked Zhao Bin with a blank face: "Mr. Zhao, how do you write this chief complaint?"

"You can't write the chief complaint after a long internship? What are you doing!" Zhao Bin yelled.

"No, what's wrong with this? I didn't understand it! I think there's nothing wrong with it and I'm looking for trouble!" The intern distinguished.

Zhao Bin frowned and waved at him to ask him to change seats: "Get up, sit on the side! The main complaint is not good enough! Do you think that every time you come to the emergency department, it is a typical disease? There are many suspicious hysteria like this! You can't extract information from so many irrelevant words of hers, how can you improve the efficiency of asking and seeing a doctor when you go to the clinic in the future!"

The intern gave up his seat with a cold face, and sat by the side to watch Zhao Bin write the observation records of the emergency department:

"Chief complaint: repeated dizziness and fatigue for 5+ days."

And when Zhao Bin thought it was just a farce, a tragedy had already begun.