The most enlightened doctor

Yu Zhiming was placed in a relatively quiet outpatient room on the second floor of the outpatient and emergency department, which is the farthest to the west and is relatively quiet.

There are a total of fifteen outpatient rooms lined up on the second floor of the entire outpatient and emergency department.

In front of the outpatient clinic is a wide space with rows and rows of hundreds of chairs for patients and family members who come to register to rest while waiting.

This scene seemed quite spectacular to Yu Zhiming. Such a grand scene could not be seen in the county hospital.

Most of the outpatient clinics here bear the sign of "Expert Outpatient Clinic". The deputy directors and chief physicians of various departments of the hospital take turns to come here for consultation.

Yu Zhiming has learned that Teacher Qi Yue comes here for at least one day of consultation every month.

The diagnosis room assigned to Yu Zhiming did not have a sign saying "Expert Clinic", but a big number "15".

Yu Zhiming also knew that with his current strength, he could not hold up the title of expert.

But just thinking about it, he felt a little emotional and a little proud of being able to independently treat patients in a well-known large hospital in the country.

Two months ago, who would have thought that Yu Zhiming would have such a big change in his circumstances...

There is a desk, a computer, an examination bed, some medical consumables for physical examination, and a medical kit for first aid in the clinic.

The outpatient and emergency department also assigned Yu Zhiming a nurse named Wang Li to help him call patients and handle chores...

Yu Zhiming's first outpatient patient was a local man in his 60s or 70s.

He walked into the outpatient clinic with the support of his wife and said that when he was walking in the morning, he suddenly felt severe pain in his lower abdomen.

As soon as Yu Zhiming pressed his lower abdomen, the old man kept shouting.

Asked about the food, the old man's wife replied that she had plain porridge and xiaolongbao this morning.

I ate a lot last night, including half a duck, mushrooms and cabbage, tomatoes and eggs, and fungus and red date soup.

The staple food is rice.

"Let me ask, do the red dates you eat have pits..."

After Zhao Shan, director of the outpatient and emergency department, arranged the work of the department, he began to conduct routine inspections of the territory to look for problems.

After a while, he heard a ding-dong sound.

This is the sound he set for his work panel to remind him that something of concern has appeared.

Zhao Shan took out his tablet computer from the pocket of his white coat, turned on the screen and saw that it was Yu Zhiming's first medical certificate.

The diagnosis concluded that it was suspected that the jujube stone had pierced the small intestine, and he was referred to the general surgery department for emergency surgery.

What surprised Zhao Shan was that there was a photo attached to the medical certificate, which was a hand-drawn sketch on paper.

Zhao Shan enlarged the picture to the entire screen and found that the simplified diagram was a drawing of the intestinal system in the lower abdomen, marking the location of the problematic small intestine.

He also discovered that although this simple diagram was drawn in a sloppy manner, it only took a dozen strokes by Liao Liao to accurately draw the relative positions of various parts of the intestinal system and the lower abdomen.

Even a medical intern can use this simple diagram to guide and accurately find the specific location of the problem.

The so-called expert will know whether there is something or not as soon as he takes action.

This seemingly simple diagram was drawn casually, but from Zhao Shan's perspective, it was concise and clear, quite sophisticated, and fully demonstrated his skills.

It doesn't look like something an attending physician could draw casually.

"No wonder Lao Qi is so stable. It turns out he has absolute confidence in this kid."

"This guy is interesting..."

Yu Zhiming, who Zhao Shan found interesting, was treating the second patient.

Yu Zhiming saw the patient registration information displayed on the computer screen. The person's name was Xu Da.

He knew that this should be a temporary name.

In order to protect patient privacy, hospitals do not force patients to seek medical treatment under their real names.

Therefore, some strange names often appear on the hospital's call or notification screen.

Many of them are caused by patients who have too much imagination or lack of imagination and come up with random things.

Of course, if you don’t use real-name information to seek medical treatment, you cannot go through the medical insurance process, and you have to pay for it yourself.

Yu Zhiming looked at the man in front of him who was 27 years old, fair-looking, and over 1.7 meters tall.

He guessed that he was suffering from an unspeakable disease?

"What's wrong with you?"

Xu Da chuckled and said, "Doctor, I'm not feeling unwell, I just want to consult..."

He paused for a moment and then asked: "We are missing one or two ribs. Is it not a serious problem for our health?"

What's the problem?

Yu Zhiming was slightly startled and said, "One of our ribs is for support, and the other is to protect the weak heart, lungs and other organs."

"If one or two ribs are missing due to some accidents, it's not a big problem. Just pay attention to it."

"You're asking about this, right?"

Xu Da touched his chest and ribs and said, "Doctor, none of my ribs are missing. They are all there."

"I just wanted to take out a rib."

He said excitedly: "Doctor, my girlfriend's birthday is coming soon. I love her very much."

"I've always wanted to give her a gift that truly represents my passionate love."

"Then I thought about it."

“Don’t they all say that women are made from men’s ribs.”

"I just wanted to take out one of my ribs and make it into a ring and necklace for her..."

Yu Zhiming looked at the excited Xu Da, but he was filled with surprise, as if he had seen a rare animal.

This is a really big forest, and there are all kinds of birds.

Are you sure your girlfriend, who you love so much, can sleep peacefully at night knowing that the rings and necklaces you gave her as birthday gifts are made of your bones?

You are mentally ill, and you are very ill.

Although Yu Zhiming is full of inner activities, he maintains the dignity of a doctor on his face.

"Xuda, let me tell you first of all, no hospital in China will perform rib removal surgery for you because of your reasons."

"Also, I think girls prefer birthday gifts such as bags, beautiful shoes, and jewelry to rings and necklaces made from their own ribs."

“Finally, I strongly encourage you to speak with a senior counselor at our Counseling Center.”

"Let's find out from them what girls really like..."

Yu Zhiming gave Xu Da a referral list for psychological counseling, and asked nurse Wang Li to personally send Xu Da to the psychological counseling center...

After Xu Da, the patients Yu Zhiming received next were much more normal.

At least they are problems with the heart, liver, spleen, lungs, stomach and other internal organs, rather than mental state problems.

Every time Yu Zhiming diagnoses a patient, he will attach a hand-drawn diagram to the diagnosis certificate, marking the part of the organ with the problem, and a brief description of the problem.

Because of the simple drawing, Yu Zhiming needed more time.

It takes about ten minutes to diagnose a patient on average.

This is why Yu Zhiming has mastered the essence of outpatient and emergency care, which is transfer and triage.

He only needs to write down the diagnosed problem clearly, and then issue a referral form to send the patient to the corresponding department for treatment or further examination and diagnosis.

Of course, for minor problems and diseases that can be handled by outpatient and emergency services, Yu Zhiming will directly prescribe prescriptions and ask the patients to go to the outpatient and emergency pharmacies to get medicines, or go to the injection room to receive injection treatment.

From nine o'clock in the morning to twelve noon, Yu Zhiming did not rest for a moment, and received a total of twenty-three patients.

He discovered the biggest difference from outpatient clinics in county hospitals, which is that here, the diagnosis rate of patients with serious diseases is really high.

In county hospitals, more than half of them have minor problems such as headaches and fever, and only 12 out of 10 outpatients need to be hospitalized for further diagnosis and treatment.

Of the twenty-three patients diagnosed by Yu Zhiming, except for Xu Da, who was sent for psychological consultation, and three who had minor problems and stayed in the outpatient clinic for treatment, the other nineteen were all transferred to various departments for further examination and treatment. .

There were even two people who felt very bad during the examination given to Yu Zhiming, so they specially made notes and reminders on the medical certificate.

At 12:50 p.m., Yu Zhiming suspended his outpatient work and got up to have lunch.

As soon as he left the emergency room, he saw Zhou Mo coming up to him.

"Dr. Yu, a doctor came to our center this morning to test his medical skills with you."

"Kicking gym?"

Yu Zhiming came to his senses and frowned: "Who can eat well enough to be so boring?"

"I want to step on you and become famous!"

Zhou Mo replied with a smile, took another step forward, and took Yu Zhiming's hand.

"I brought you lunch, but I haven't thanked you for the physical examination you did on my mother..."

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