medical simulator
Chapter 38 Healing? !
Chapter 38: Baidu Cure? ! (PS: Ask for collection, ask for recommendation tickets, ask for follow-up reading!)
"Doctor Liang, please prescribe an X-ray review for the patient after surgery." Luo Yun said helplessly after seeing Zhou Chengcheng explain to the patient.
Although he was a little shocked that Zhou Cheng was able to reset the patient's dislocated joint so neatly, and the timing he chose, the explanation for the timing selection, and the theoretical preparations were all very sufficient.
But in fact, Zhou Cheng still made a mistake in the process!
But that's not too unimportant.
Liang Xueya nodded and said, "Okay, Mr. Luo. What about the manual reduction for joint dislocation?"
"Should I drive it to your department for implementation? Or should your department charge for it yourself!" Liang Xueya has already joined the emergency department, so she is already very familiar with the patient's treatment process.
The emergency department can invite relevant specialized departments to come to the emergency department for consultation, and can also provide specialized treatment, but every kind of treatment must be issued with a doctor's order, and each doctor's order must be executed by the department.
For example, in the department of orthopedics for manual reduction of joint dislocations, the executive department can be sent to the emergency department, but this is against the rules, because in principle, doctors in the emergency department have no right to perform manual reduction of joint dislocations.
The source department of this surgical authority can only be orthopedics.
This is also part of the orthopedic benefits.
"I'll trouble you to open one too." Luo Yun thought for a while before saying.
Treatment requires a doctor's order, and the patient has to pay. This is a matter of course. What he thought before was that Zhou Cheng had made a mistake in this process.
But when the patient heard this, his eyes rolled and he immediately said, "Reexamination? I don't think I need to reexamine."
"Dr. Luo, Dr. Liang, and this Dr. Zhou, thank you."
"You guys are really good doctors, I feel great now."
After speaking, he stretched his left shoulder again and shrugged, feeling that the pain had almost disappeared.
Then happily walked outside the emergency department.
He didn't mention anything about the reexamination, the joint dislocation manipulation and the doctor's order fee, and he didn't even take the medical records, so he left happily.
Seeing this scene, Zhou Cheng was stunned.
Is this gone?
No forearm sling yet, bro!
Zhou Cheng wanted to catch up, but Luo Yun pulled Zhou Cheng and shook his head at him.
Liang Xueya asked, "Mr. Luo, what should we do in this situation? Do we want to call him back?"
Luo Yun shook his head and said with emotion: "What else can I do? People are gone, can you still restrict other people's personal freedom?"
Then he said: "Patients have the freedom to choose whether to undergo further treatment and which hospital to go to for treatment."
Liang Xueya nodded, and knew that Luo Yun was actually quite embarrassed now, because the Orthopedics Department had already treated the patient, but it hadn't had time to issue a doctor's order, so the Orthopedics Department couldn't charge the fee, and even if the doctor's order was given to the patient in advance, The patient left without paying.
You can't say anything. The patient can say that you didn't treat him and he didn't pay the fee. Why would you treat him?
Of course, Liang Xueya saw the truth and bid farewell to Luo Yun.
Luo Yun only secretly took Zhou Cheng away, and also took away the medical records left by the patient. It wasn't that Liang Xueya forgot to take it away, but Liang Xueya left it for him on purpose...
On the way back, Zhou Cheng realized that he had made a small mistake.
Although the gratitude he could get had already been obtained, Luo Yun's trip was a waste of time.
"Mr. Luo, me." Zhou Cheng was about to explain as he walked.
On the other hand, Luo Yun said casually: "It's nothing, if you suffer, you will gain wisdom."
"Your clinical experience is still too little."
"Clinical experience is not the same as clinical experience."
"Your current clinical experience is limited to bed management and surgery experience in the ward, and experience in dealing with patients is still lacking, but this is not your fault, it is because you do not have similar experience."
"Do you think that the medical procedures deliberately emphasized in the hospital are a joke?"
Zhou Cheng really didn't think about these things. The dungeon allowed Zhou Cheng to acquire such skills. This knowledge and knowledge only reached a perfect level in terms of this skill and theoretical understanding, but the specifics of the dungeon simulation The process, and the corresponding memory, are nonexistent.
To be a doctor, in addition to your own strength, communication and communication with patients and their families is also very necessary.
Of course, Zhou Cheng's understanding in this area was not bad, and he quickly understood what Luo Yun meant.
When a patient comes to the hospital, he must first register, which constitutes a medical relationship with the department he wants to go to and the doctor who wants to see him.If there is no such medical relationship, you cannot diagnose and treat patients.
Except for emergencies and emergency escapes in special situations.
Then it is to write the emergency medical records and prescribe the doctor's orders, which is the next step of the diagnosis and treatment plan for the patient.
Patients have the right to informed consent.
Informed means that you reflect the doctor's order you want to prescribe in the outpatient medical record, and tell the patient what kind of examination or treatment you are going to do to them next, and then the patient pays.
Before the patient completes the payment, he can assume that he does not agree with the suggestion you gave him based on your interpretation of his condition.
Paying the fee means that he agrees with your proposal.
Only when the patient is informed and consented can you treat or examine the patient, otherwise, this is an unclear account...
Zhou Cheng had rarely experienced this kind of outpatient and emergency treatment before, and Luo Yun was running most of the time, so Zhou Cheng didn't quite understand.Now that Luo Yun pointed it out for him, he truly understood the deep meaning of these seemingly trivial steps that seemed incomprehensible to outsiders.
"Okay, Teacher Luo, I've made a note." Zhou Cheng nodded and said seriously.
Luo Yun also nodded, then turned his head and asked: "The manual reset you did just now is the external rotation reset method?"
"En!" Zhou Cheng nodded.
Luo Yun said with a half-smile, "Zhou Cheng, the manual reduction for anterior shoulder dislocation is written in the textbook as the Hippocratic reduction method. External rotation manual reduction is only practiced by doctors specializing in joint surgery."
"In the recent years in the department, I will take over some similar patients. How did you know this method?"
Zhou Cheng's expression was a little wary, but he replied immediately: "I often collect the methods and teaching videos of these manual reduction methods. This external rotation reduction method is also one of the eight common shoulder joint reduction methods."
"It's all over the Internet."
In order to convince Luo Yun, Zhou Cheng returned it to Luo Yun on Baidu, and immediately found out the corresponding method to reset the introduction video.
Luo Yun: "..."
Are you God's Baidu learning operation?
Now some knowledgeable patients don't dare to use Baidu to see a doctor. Are you demonstrating Baidu's treatment here?
fine.
It's not that I can't, I know more things than you.
But at any rate, you can still get a little bit in touch with joint surgery now, and you can be regarded as a small half of our joint surgery disciples. I will take care of you in the future and let you see the real charm of joint surgery.
PS: Please collect, recommend, and follow up!
(End of this chapter)
"Doctor Liang, please prescribe an X-ray review for the patient after surgery." Luo Yun said helplessly after seeing Zhou Chengcheng explain to the patient.
Although he was a little shocked that Zhou Cheng was able to reset the patient's dislocated joint so neatly, and the timing he chose, the explanation for the timing selection, and the theoretical preparations were all very sufficient.
But in fact, Zhou Cheng still made a mistake in the process!
But that's not too unimportant.
Liang Xueya nodded and said, "Okay, Mr. Luo. What about the manual reduction for joint dislocation?"
"Should I drive it to your department for implementation? Or should your department charge for it yourself!" Liang Xueya has already joined the emergency department, so she is already very familiar with the patient's treatment process.
The emergency department can invite relevant specialized departments to come to the emergency department for consultation, and can also provide specialized treatment, but every kind of treatment must be issued with a doctor's order, and each doctor's order must be executed by the department.
For example, in the department of orthopedics for manual reduction of joint dislocations, the executive department can be sent to the emergency department, but this is against the rules, because in principle, doctors in the emergency department have no right to perform manual reduction of joint dislocations.
The source department of this surgical authority can only be orthopedics.
This is also part of the orthopedic benefits.
"I'll trouble you to open one too." Luo Yun thought for a while before saying.
Treatment requires a doctor's order, and the patient has to pay. This is a matter of course. What he thought before was that Zhou Cheng had made a mistake in this process.
But when the patient heard this, his eyes rolled and he immediately said, "Reexamination? I don't think I need to reexamine."
"Dr. Luo, Dr. Liang, and this Dr. Zhou, thank you."
"You guys are really good doctors, I feel great now."
After speaking, he stretched his left shoulder again and shrugged, feeling that the pain had almost disappeared.
Then happily walked outside the emergency department.
He didn't mention anything about the reexamination, the joint dislocation manipulation and the doctor's order fee, and he didn't even take the medical records, so he left happily.
Seeing this scene, Zhou Cheng was stunned.
Is this gone?
No forearm sling yet, bro!
Zhou Cheng wanted to catch up, but Luo Yun pulled Zhou Cheng and shook his head at him.
Liang Xueya asked, "Mr. Luo, what should we do in this situation? Do we want to call him back?"
Luo Yun shook his head and said with emotion: "What else can I do? People are gone, can you still restrict other people's personal freedom?"
Then he said: "Patients have the freedom to choose whether to undergo further treatment and which hospital to go to for treatment."
Liang Xueya nodded, and knew that Luo Yun was actually quite embarrassed now, because the Orthopedics Department had already treated the patient, but it hadn't had time to issue a doctor's order, so the Orthopedics Department couldn't charge the fee, and even if the doctor's order was given to the patient in advance, The patient left without paying.
You can't say anything. The patient can say that you didn't treat him and he didn't pay the fee. Why would you treat him?
Of course, Liang Xueya saw the truth and bid farewell to Luo Yun.
Luo Yun only secretly took Zhou Cheng away, and also took away the medical records left by the patient. It wasn't that Liang Xueya forgot to take it away, but Liang Xueya left it for him on purpose...
On the way back, Zhou Cheng realized that he had made a small mistake.
Although the gratitude he could get had already been obtained, Luo Yun's trip was a waste of time.
"Mr. Luo, me." Zhou Cheng was about to explain as he walked.
On the other hand, Luo Yun said casually: "It's nothing, if you suffer, you will gain wisdom."
"Your clinical experience is still too little."
"Clinical experience is not the same as clinical experience."
"Your current clinical experience is limited to bed management and surgery experience in the ward, and experience in dealing with patients is still lacking, but this is not your fault, it is because you do not have similar experience."
"Do you think that the medical procedures deliberately emphasized in the hospital are a joke?"
Zhou Cheng really didn't think about these things. The dungeon allowed Zhou Cheng to acquire such skills. This knowledge and knowledge only reached a perfect level in terms of this skill and theoretical understanding, but the specifics of the dungeon simulation The process, and the corresponding memory, are nonexistent.
To be a doctor, in addition to your own strength, communication and communication with patients and their families is also very necessary.
Of course, Zhou Cheng's understanding in this area was not bad, and he quickly understood what Luo Yun meant.
When a patient comes to the hospital, he must first register, which constitutes a medical relationship with the department he wants to go to and the doctor who wants to see him.If there is no such medical relationship, you cannot diagnose and treat patients.
Except for emergencies and emergency escapes in special situations.
Then it is to write the emergency medical records and prescribe the doctor's orders, which is the next step of the diagnosis and treatment plan for the patient.
Patients have the right to informed consent.
Informed means that you reflect the doctor's order you want to prescribe in the outpatient medical record, and tell the patient what kind of examination or treatment you are going to do to them next, and then the patient pays.
Before the patient completes the payment, he can assume that he does not agree with the suggestion you gave him based on your interpretation of his condition.
Paying the fee means that he agrees with your proposal.
Only when the patient is informed and consented can you treat or examine the patient, otherwise, this is an unclear account...
Zhou Cheng had rarely experienced this kind of outpatient and emergency treatment before, and Luo Yun was running most of the time, so Zhou Cheng didn't quite understand.Now that Luo Yun pointed it out for him, he truly understood the deep meaning of these seemingly trivial steps that seemed incomprehensible to outsiders.
"Okay, Teacher Luo, I've made a note." Zhou Cheng nodded and said seriously.
Luo Yun also nodded, then turned his head and asked: "The manual reset you did just now is the external rotation reset method?"
"En!" Zhou Cheng nodded.
Luo Yun said with a half-smile, "Zhou Cheng, the manual reduction for anterior shoulder dislocation is written in the textbook as the Hippocratic reduction method. External rotation manual reduction is only practiced by doctors specializing in joint surgery."
"In the recent years in the department, I will take over some similar patients. How did you know this method?"
Zhou Cheng's expression was a little wary, but he replied immediately: "I often collect the methods and teaching videos of these manual reduction methods. This external rotation reduction method is also one of the eight common shoulder joint reduction methods."
"It's all over the Internet."
In order to convince Luo Yun, Zhou Cheng returned it to Luo Yun on Baidu, and immediately found out the corresponding method to reset the introduction video.
Luo Yun: "..."
Are you God's Baidu learning operation?
Now some knowledgeable patients don't dare to use Baidu to see a doctor. Are you demonstrating Baidu's treatment here?
fine.
It's not that I can't, I know more things than you.
But at any rate, you can still get a little bit in touch with joint surgery now, and you can be regarded as a small half of our joint surgery disciples. I will take care of you in the future and let you see the real charm of joint surgery.
PS: Please collect, recommend, and follow up!
(End of this chapter)
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