Chapter 521 Want to rebel?(1/2)
"Doctor Yun!"
The resident Xiao Liu was very polite to hand over the patient's medical record to Yun Heng.
Shen Zhiwen is a little unfamiliar with the name Yun Heng, and Dr. Xiao Liu is actually not unfamiliar with it.
After all, several departments related to traditional Chinese medicine, including traditional Chinese medicine and the integrated department, are studying Yun Heng's papers. This matter is still very well reported by the doctors at the lower level of Shuguang Hospital.
However, the ophthalmology department is relatively independent and has little dealing with other departments. Some upper-level doctors in the department do not know Yun Heng yet, which means that the doctors below can occasionally chat with each other.
Dr. Xiao Liu has heard of Yun Heng.
In fact, Dr. Xiao Liu was planning to take the opportunity to tell Shen Zhiwen about Yun Heng, but he hasn't found the opportunity yet.
The prescription is given by Shen Zhiwen, and there are also main indications. In this case, the responsibility of the bed doctor is actually very small, and it can be said that there is no. After all, the responsibility of the bed doctor is to understand the patient's situation and execute the doctor's instructions from the superior doctor.
The little doctor has fewer opportunities to get started, has a low sense of existence, and is definitely less responsible. There are tall men holding on to him when the sky falls, so Dr. Xiao Liu is actually very calm now.
The patient is still in hospital, but the medical records are not completely sorted out and are not standardized. However, the patient's situation after admission must be recorded in detail.
What is the hospitalized situation, what examination is done, why is this examination done, what medicine is used, and what basis is all very particular.
After the patient is hospitalized, you do not do whatever you want to do or what medicine you want to prescribe. At least you have to have a judgment and basis. No one usually sees this thing, but once a dispute arises, it is evidence.
Even if you are reimbursed for some serious illnesses, you need to see a medical record.
So in some hospitals, before treatment, doctors will ask the patients if they have commercial insurance or not. The treatment methods are different, and insurance companies are not suckers.
Some insurances are paid in one lump sum based on the disease, while others are based on the specific treatment. The insurance company also needs to check the medical records.
Yun Heng took the medical record and looked at it very seriously.
"Director Shen, isn't this right?"
After reading a little, Yun Heng asked Shen Zhiwen softly.
“Which piece?”
Shen Zhiwen walked over and asked.
"From the medical record, the patient has not been completely diagnosed. This treatment..."
"You said this?"
Shen Zhiwen smiled and said, "I also considered the patient's family background. I thought I could do less tests and do less tests. So I was actually judged as temporary blindness at first, and I planned to observe for two days."
"That's how it is."
This statement was justified, and Yun Heng didn't ask any more, and he felt a little angry.
Considering that the patient's family background is average, he usually spends 50,000 or 60,000 in twelve days. If this is unusual, how much will it cost?
The problem Yun Heng mentioned just now is indeed a small problem. Before the patient is fully diagnosed, the medication is very standardized. You don’t know what disease you have. Why should you use the medication?
Therefore, Jiang Haiguo did not take too much medicine in the first two or three days of hospitalization, but in fact it was a bit irregular.
Then there are brain examinations, cardiac examinations, CT, MRI, electrocardiogram, electroencephalogram, and all kinds of examinations can be done.
The eyes are invisible. In modern medicine, there are many factors, such as eye problems, brain problems, heart problems, and other factors that may cause blindness. However, after these examinations, the charges are not low.
And Yun Heng also noticed that several inspections were expedited.
Some people may not know much about the same examination. The charges for billing orders from the emergency department and outpatient clinic are different. The emergency department is much more expensive.
Just say that an ordinary abdominal scan can be about four or five hundred for outpatient clinics, and seven or eight hundred for emergency clinics. This is the gap.
Of course, there are advantages to expediting the emergency department. The results of the emergency department are released very quickly, and the outpatient department is relatively slow.
This is also known to many people that you can directly transfer from the emergency department to the outpatient clinic, but some people still have to go to the outpatient clinic to queue up honestly because of the charges.
If you can spend less money, no one is willing to spend more money.
"Director Chen, where is this?"
Yun Heng pointed to another place and asked, "This part is urgent, isn't it necessary?"
"The patient will delay the extra day if he stays for one more day, and he should consider recovering as soon as possible."
Shen Zhiwen frowned slightly, and he already felt something was wrong.
As a doctor, Yun Heng asked for medical records, but shouldn't you find the key points of this disease from the medical records? The few questions Yun Heng asked at this moment were all the questions on his medical records.
"In this regard, since it is considered to be neuroblind, these two medicines are not necessary, right?"
Yun Heng asked politely.
"Other factors should be considered."
Shen Zhiwen replied slowly, saying, "Xiaoyun, do you understand Western medicine too?"
"I graduated from the major of integrating traditional Chinese and Western medicine."
Yun Heng replied politely.
Shen Zhiwen didn't say anything.
His treatment is all Western medicine treatment, and most Chinese medicine doctors may not understand it, but they can combine Chinese and Western medicine...
"Director Chen, where is this?"
Yun Heng asked politely.
Shen Zhiwen is no longer patient: "Doctor Yun, I inform you that I am here to treat the patient, not asking you to find out my faults. The current medical records are just original medical records and have not been sorted out yet. There must be omissions in some aspects..."
"I'll adjust the electronic version to you on my computer after I'll go out later."
The latter sentence Shen Zhiwen was actually reminding him that he was in the ward and was talking about these things in front of the patient's family.
"Director Chen misunderstood."
Yun Heng was still very polite: "I definitely need to know some situations, such as Director Chen's diagnosis results and reference opinions. These are helpful to me. There are also some medications that can also affect the patient's condition."
"Doctor Yun is right."
In front of the patient's family, Shen Zhiwen was not easy to get angry, so he smiled and said, "Let's go to the next consultation room and communicate well about the patient's situation. If there is any problem, I will explain it to you, it's all for the patient's good."
"No need."
Yun Heng had finished reading the medical record, closed the medical record, and said politely to Shen Zhiwen: "I have finished reading the medical record, and I have also understood the patient's condition. For now, I personally recommend that the patient be better transferred to our Chinese medicine department."
As he said that, Yun Heng asked Jiang Haiguo and his wife directly: "If the patient's family has no objection."
"We have no objection."
Jiang Haiguo's wife hurriedly said.
"Xiaoyun!"
Shen Zhiwen's face had already been pulled down: "Are you so unruly?"
Yes, it is indeed out of the rules.
After the ophthalmology department informed him to participate, Yun Heng directly robbed people, which was very unruly.
only......
Yun Heng still looked at Shen Zhiwen calmly: "Director Chen, you are the one who is not in compliance with the rules first."
After reading the medical records, Yun Heng was able to confirm that there were problems with Jianghaiguo's treatment, and he had expedited examinations, tedious medication, and unknown diagnosis, and many problems were caused.
The reason why Yun Heng is still polite at this moment is not to give face to Shen Zhiwen, but to save face to Shuguang Hospital.
This is a ward, so it’s not good if it gets bigger.
Yun Heng himself is a doctor in the further study. He came to the other hospital for further study and was a guest. As a guest, he now revealed the scandal in the other hospital...
It's not nice to say.
From the doctor's perspective, coupled with his admiration for the driver, Yun Heng must have to take care of this matter. It is impossible to ignore it. This is no longer considered meddling in other people's business.
But from the perspective of the hospital, Yun Heng still hopes that this matter will be handled in a low-key manner.
It is not to be a low-key deal with Shen Zhiwen, but to do this matter in front of too many people, and to make less noise and leave some face to Shuguang Hospital.
But Yun Heng's words made Shen Zhiwen change his face in an instant.
"baffling!"
Shen Zhiwen snorted coldly, turned around and walked out: "Okay, go back, I will call your Chinese medicine department, it's neither big nor small."
As he said that, Shen Zhiwen arrived at the door of the ward, turned around, and pointed at Yun Heng: "I am the deputy chief physician. I have practiced medicine for more than 20 years. It is not something you, a young man who has just graduated, can question it. I will call you Director Qi and ask him to come here in person."
Then Shen Zhiwen looked at Jiang Haiguo's wife again, stayed on Jiang Haiguo's wife's face for a while, and said again: "As a hospital doctor, I colluded with the patient's family, what are you planning to do? Did you know each other before?"
"Plan to blackmail?"
"I tell you that the reputation of our Shuguang Hospital is obvious to all and well-known. If you are impure in mind like you, you don't know whose path you took."
Obviously, Shen Zhiwen is making a comeback now.
The sentence from Yun Heng just now, Director Chen was the one who did not comply with the rules, and it has already attracted the attention of the rest of the ward.
Shen Zhiwen also realized that Yun Heng's visitor was not good, so he took the initiative.
After all, he is the deputy director, and Yun Heng is so young that he is not very good. After Shen Zhiwen's words, the patients in the ward and the families of the patients' families looked at Jiang Haiguo and Yun Heng's eyes differently.
To be continued...