Pure doctor Wu Xie

Chapter 40 The Reckless Man (for collection, for further reading)
"Okay, yes, thank you, Dr. Wu." Dong Mingliang agreed without hesitation.

He has struggled with this leg for three months, and this is just the last struggle. In fact, he regrets it in his heart.

Wu Xie made such a decision, but Guo Lixiang, the doctor's assistant, couldn't say any more. He was so small that he could only helplessly say: "Then Doctor Wu, I'll take it in after I finish changing the medicine."

Medical assistant, the full name of doctor assistant, is to help the attending physician assist the daily work of diagnosis and treatment, and does not have the authority to see patients by himself.Nor does it have the right to refuse any doctor who wants to see a patient.

"Okay, thank you for your hard work, Dr. Guo. I'll call the director to explain later." Wu Xie knew that this would bring some trouble to Guo Lixiang.

He took over the job of explaining Lu Junyin to himself.

The nurse on duty today is not familiar with Wu Xie, but she didn't say much. Currently, the number of patients in the department is pitifully small, and one more Dong Mingliang will not increase the workload.

After listening to the words, he said: "Doctor Wu said that he will be hospitalized, you can go down and pay the fee first, and you can pay the fee of [-] yuan first."

In the middle of the conversation, it was heard that Wu Xie might not be treated. If the town hospital can be reimbursed for a few days of hospitalization, it might not cost half of the five hundred, which is considered a guarantee.

Dong Mingliang's wife immediately went to the nurse's office to go through the procedures for hospitalization after hearing the news...

It is a principle that medical records belonging to patients cannot be taken home.But it can be copied and taken home with the patient's knowledge.

You can also take it to the doctor's lounge. Wu Xie didn't ask Dong Mingliang for authorization, but brought the thick medical records into the doctor's office first, and sat on the old chair.

Habitually opened the window, and played with the green radish leaves, after gathering the white coat, he called Lu Junyin.

"Director Lu, I'll admit the patient introduced by Qin Dahe's uncle for the time being. I'll call you and explain the reason." Wu Xie's voice was steady.

Lu Junyin was on the opposite side, sighed slightly, his voice was very soft, but Wu Xie still heard it.

Lu Junyin said: "Xiao Wu, the situation of this patient, Guo Lixiang probably mentioned to me, is more difficult than that of Qin Dahe."

"According to the logic, Qin Dahe belongs to your aunt's family, and it's not easy for you to refuse, but this Dong Mingliang, we don't need to cause trouble."

Lu Junyin's expression was rather cryptic and displeased.

Wu Xie really regarded himself as a character, and started to attack the patients who were stopped by the state hospital one by one, right?
"Uncle, the situation is as follows. First, this Dong Mingliang suffered a work-related injury and did not pay for it himself."

"The second is that Dong Mingliang, his wife, and Qin Dahe's uncle have made it clear that they should come here and try it out. If it doesn't work, they will go directly to the state hospital for amputation."

"The third is that the patients themselves have a strong willingness to save their limbs. Before coming here, they knew that there was a gap between the level of our township hospital and the state people's hospital, and even the county hospital, so they could accept the results."

"Coupled with third-party responsible persons, this is an extremely low category in the risk assessment of medical disputes."

"For these reasons, Uncle, I just want to try it. And I have told you in advance that I will give you a reply after sorting out all the illnesses in two days."

"The patient and family members have signed and agreed." Wu Xie explained the reasons to Lu Junyin one by one.

"What do you mean?" Lu Junyin was a little confused, and didn't really understand.

Only then did Wu Xie slowly explain: "Director Lu, you also know that our country has special national conditions, a large population, and a high probability of doctor-patient disputes."

"Therefore, in response to this situation, there are actually many medical dispute risk assessment scales. Although I did not investigate and fill them out in real time, I am familiar with the important contents."

"This Dong Mingliang has a harmonious relationship with his husband and wife. The choice of treatment method is forced by survival and life. He has a strong will. He has a third-party responsible person and has a final treatment suggestion from a higher-level hospital."

"According to the scale, he belongs to the case of extremely low risk of medical disputes..."

Wu Xie didn't speak fast, and diverted some of the preparatory work that he had recently been preparing to take over the joint dislocation manipulative reset patient to this Dong Mingliang.

A similar rating scale was published in the "Huaguo Health Quality Management Magazine", which is a special product of Huaguo.

Wu Xie promised to treat new types of diseases. Given his relative lack of ability, he naturally had to make some preparations.

"You?" Lu Junyin's voice trembled slightly, hesitant to speak.

The reckless label that Wu Xie had just labeled in his heart disappeared in an instant. What do others call reckless?This is called professional!

"Uncle, don't tell me about me. This is a single-blind evaluation." Wu Xie said with a smile.

"Okay, then let's take it in. Communicate well." Lu Junyin finally confessed like this.

In his view, one of the ways to reduce the risk of medical disputes is the traditional ones, reducing missed diagnosis and misdiagnosis, adequate communication, and lowering patients' treatment expectations.

More professional, he doesn't know.

After hanging up the phone, Wu Xie breathed a sigh of relief, put down the phone first, thought twice, and called Xu Huifang to deliver a breakfast first, and then reported to Xiang Mei that he would not go back for dinner.

Only then did they begin to sort out Dong Mingliang's medical records from the beginning.

It is very complicated, very tedious, and the workload is many times more cumbersome than that of Qin Dahe before.

Wu Xie could only work hard.

Almost an hour later, I still had no idea, but saw that on my panel, the gain of daily knowledge points soared to 5 points.

"Supervisor bed: 2! (Study point gain: 2 point/day)"

"Patient in charge: 1. (Knowledge point gain: 3/day)"

"It looks much more complicated than Uncle Qin Dahe's condition. Alas, my head hurts." Wu Xie pressed his swollen temples, as if a storm had passed through his head just now.

Guo Lixiang walked in at this time, and brought in a packing box: "Brother Crab, Mrs. Xu just brought the noodles, and I brought them in for you. You can have breakfast first."

It took Guo Lixiang such a long time to change the dressing, probably because the wound was so difficult to entangle.

"Thank you, Xiao Guo." Guo Lixiang is younger than Wu Xie, and they have known each other before, but they are not very familiar with each other.

Guo Lixiang shook his head, carefully placed Wu Xie's noodles on the table, then took off his white coat and hung it in the corresponding position, and sat on the bed.

He took out his phone to check the time, and then said: "Brother Xie, I haven't used Dong Mingliang's antibiotics yet, see if you want to use them today."

The town hospital does not have vancomycin, and even if it does, only Director Lu Junyin has the authority to prescribe it.

When Dong Mingliang was discharged from the hospital, the state hospital used vancomycin combined with penicillin, the most sensitive drug in the drug susceptibility test, which had no effect.

"I'll prescribe my own treatment order later, Xiao Guo, have you prescribed the regular hospital admission order?" Wu Xie said with a smile while opening the packaging bag.

"It was prescribed for routine admission, but no intravenous medication was prescribed." Guo Lixiang's voice was slightly low, with cryptic emotions.

He didn't dare to say that Wu Xie was meddling in his own business. Anyway, he had reported it to the immediate superior, and Director Lu's feedback was all based on Wu Xie's own arrangement.

He is responsible for assisting in communication and communication, and issues such as changing the dressing will be handed over to Wu Xie in the future.

"Okay, that's fine. You can take a rest first, I'll go to the office after eating!" Wu Xie still smiled, with a slight apology on his face.

Wu Xie knew that admitting this patient himself had brought a lot of trouble to Guo Lixiang's shift today, and he had no clue now, so it was an unsteady decision.

But pushing him away, Dong Mingliang didn't know where to turn. As the last stop for terminal amputation, Wu Xie wanted to try again. Even if he didn't succeed, he wouldn't waste money and delay too much time.

……

At two o'clock in the afternoon, Wu Xie sorted out the medical records carefully, and then began to tap on the table, occasionally checking the instructions for the use of antibiotics in the hospital.

This Dong Mingliang's infection is unusual, so it is not easy to use conventional thinking to speculate on the medication, and some drugs have antibacterial spectrum and antibacterial mechanism, so we have to figure out and deliberate carefully.

Finally, at about 02:30, Wu Xie locked on the combination of ceftriaxone sodium and gentamicin as an attempt...

As soon as Wu Xie's medicine was prescribed, the nurse's office received a notice of the new doctor's order, and rushed to the doctor's office with the doctor's order.

"Doctor Wu, are you celebrating again?" The nurse on duty, Liang Xiaoyan, spoke in a strange tone!

(End of this chapter)