Come on, Dr. Wu

Chapter 81 Being treated as a soft persimmon

"Doctor, give me a stamp."

On Monday afternoon, the first place result did not bring Wu Xiaofu a holiday. After dinner, Wu Xiaofu rushed to the hospital.

Lin Shaoyuan specially arranged for Wu Xiaofu to open a clinic for Wu Xiaofu. The doctor Wu Xiaofu sat in the clinic, and Lin Shaoyuan was sitting behind Wu Xiaofu.

According to Lin Shaoyuan, as long as Wu Xiaofu can handle it, he will not interfere with anything.

Interns and hospitals actually interact with each other. Interns can bring the cheapest and most basic labor force to the hospital, and the hospital will also provide the most basic training to the interns.

Last week it was the ward, this week it is the outpatient clinic.

The hospital is gradually letting them become familiar with clinical practice and become real doctors. However, Wu Xiaofu and Qu Ying's emergency room treatment is a bit special. This week, Wu Xiaofu has experienced almost everything a doctor needs to experience.

The patient in front of him was Wu Xiaofu's first patient this afternoon.

Looking at the patient in front of him, Wu Xiaofu was already starting to have a headache. No, this person in front of him was not even a patient. He was here to help others get their stamps.

What was placed in front of Wu Xiaofu was an electromyogram sheet.

No obvious denervation potential was found in the tested muscles, and active mup could detect... The SEP wave amplitude of both lower limbs was low, P40PL was 1.5 bilaterally (on the left side), and N8PL was generally normal.

Electromyography is an auxiliary neurology project that can only be carried out in tertiary hospitals. It is also used in orthopedics. Electromyography machines are not expensive. You don’t need to be in a tertiary hospital. You can also afford it in a second-level hospital. However, the machine is not expensive and can be used to do muscle tests. It's hard to find people who can do electromyography. Just like in the neurology department of the First Affiliated Hospital, there aren't many people who can do electromyography.

A month ago, the patient Wu overturned while driving a large car. He suffered limited movement of both lower limbs and pain in his waist. He was examined at a county-level secondary hospital under Donghai City.

The examination results showed that there were no problems with the bones of both lower limbs and waist. The doctor recommended that Wu undergo an electromyography examination.

However, their hospital does not provide electromyography examination. You can only go to a tertiary hospital. In the entire Donghai City, there is no tertiary hospital that can compare with the First Affiliated Hospital. Wu went to the First Affiliated Hospital and had his EMG checked. Picture, in fact, Wu is much better now, but he feels a little weak in his limbs, which affects him to continue driving.

The insurance purchased by Wu included personal insurance after a car accident.

Now Wu feels that there is obviously something wrong with his body, so he naturally wants to claim more expenses, especially since he has to take a break no matter what. During this period of missed work, he cannot earn any money, so he wants to get it from the insurance. , insurance also has this clause, for lost work expenses due to physical reasons after a car accident.

But this requires a medical certificate from the hospital to prove that you are sick. Because of this disease, you will not be able to go to work during this period, and you may even be disabled for life. Anyway, the more severe the disease, the more you will be charged.

There's nothing wrong with your bones, but your insurance won't recognize you because they think you're faking an illness.

After the patient performed the electromyogram, he felt a little unsure. Looking at the contents of the electromyogram and combining the patient's medical records, Wu Xiaofu could basically draw the conclusion that the patient's multiple peripheral sensory fibers had mild damage, and the sensory evoked potentials in both lower limbs were It is suspicious. The reason may be an abnormality in the deep sensory transmission pathway of the patient's lumbosacral spinal cord.

Of course, Wu Xiaofu is not a professional in neurology. It is all based on experience.

The patient was not a native of Donghai. The accident occurred in Donghai City, so he went for an examination in Donghai City. After the examination, the electromyogram results were given to the insurance company, and the patient returned to his hometown. No, what the insurance company wanted was his condition. Proof, instead of asking for a report, the patient's insurance request was directly returned.

Thousands of miles away, the patient asked a friend to come over and stamp the certificate. "I'm sorry, I can't get a certificate of this condition, let alone a seal. You have to go to the neurology department, preferably in person."

Hearing this, the patient immediately became angry, "What's the matter with you little doctor? I've already gone to the electromyography examination room. They said that they are only an auxiliary department and cannot issue diagnosis and disease certificates. Let me come." I asked a doctor to issue a certificate. I went to your doctor to issue a certificate, and you told me that I couldn’t issue it. Aren’t you kidding me?
  If you don't open it or let me open it, I will sue you and file a complaint against you. "

Snapped!
  The electromyogram sheet was photographed directly in front of Wu Xiaofu by the patient, with the intention of making it look good to you if you don't order it today.

Wu Xiaofu immediately understood that he was being treated as a soft persimmon.

Wu Xiaofu dared to say that after the patient went to the electromyography examination room, the electromyography examination room must have told the patient to go to the neurology department instead of the emergency department.

However, the hospital has its own procedures for medical treatment, and it is even more cautious when issuing medical certificates and stamping them. Especially when it comes to this kind of insurance, you must strictly follow the procedures, otherwise, if something goes wrong, Looking back, the problems are all troublesome.

No matter which department you are in, if you want to issue a patient certificate, the patient must come in person, unless the doctor can remember you.

"Who was the doctor who treated the patient at that time?"

"How do I know who it is? Hurry up and cover it up. What nonsense are you talking about?"

Seeing Wu Xiaofu's young face and being so talkative, the patient felt that Wu Xiaofu had more hope here.

Wu Xiaofu almost understood that when Wu was doing the examination, he probably didn't think about anything else, so he just wrote out a examination form, and then went to finish the examination. Maybe he didn't even take the examination form, and then went to see the doctor again. I left directly without completing a complete medical diagnosis process.

Otherwise, after being pushed out of the electromyography examination room normally, this friend would have to call Wu and then go to the neurologist who wrote the order for Wu at that time. If Wu had not completed the complete Regarding the diagnosis process, neurologists cannot directly issue a diagnosis certificate and stamp it. This has been pushed out, and then you have to try your luck in the emergency department.

The mobile phone in Wu Xiaofu's hand sent out a message. Director Zhang was on the day shift. As expected, Wu Qingfeng quickly responded to the message and said that this patient had indeed gone to Director Zhang's emergency clinic in the morning. He wanted to ask Director Zhang to place an order, but Director Zhang refused. Yes, it’s still the same. According to the process, the patient still needs to go to the neurology department for treatment, go through the medical treatment process, and then get a diagnosis certificate and stamp it.

This is not only responsible for the doctors themselves, but also for the patients.

After all, electromyography is not the gold standard. It is impossible for every doctor to determine the patient's disease based on electromyography. It must be combined with other examinations, physical examination, medical history, etc., and must be fully considered.

If the patient really has a related disease and just ignores it and issues a certificate, then the doctor who made the diagnosis will be the one who appears in court later.

After sorting out the context of the whole matter, Wu Xiaofu knew in his mind that because he was young and could be bullied, he might have been ready to give up. He just happened to see the young profile picture on his clinic, so he came in to try his luck.

"The diagnosis of neurology can only be issued by neurologists. We have no right to issue it. You have to go to the patient's first doctor. Well, if you don't want to see anything, please ask the next one. This It’s a registration slip, just take it and return it.”

Wu Xiaofu stood up directly and said, "The tall man of 1.87 meters swung his head over there. He was more than a head taller than the patient. After all, he had been a director. His aura was completely different at the moment he stood up, and so was the patient." I was stunned, why did the little female cat suddenly turn into a tiger?

"Hey, doctor, what are you doing? If you have something to discuss, we can't help it. You're a poor man..."

(End of this chapter)