"Dr. Liang, could you please prescribe a postoperative X-ray review for the patient?" Luo Yun said helplessly after seeing Zhou Chengdu explain to the patient.
Although he was a little shocked that Zhou Cheng could reset the patient's dislocated joint so neatly, and the timing, explanation of timing selection, and theoretical preparation were all very sufficient.
But in fact, Zhou Cheng still made a mistake in one process!
But it's not too unimportant.
Liang Xueya nodded and said, "Okay, Teacher Luo. What about this manual reduction technique for joint dislocation?"
"Should I drive to your department to perform the procedure? Or should your department pay for it yourself!" Liang Xueya has already worked in the emergency department, so she is already very familiar with the patient treatment process.
The emergency department can invite relevant specialist departments to come to the emergency department for consultation, and can also provide specialist treatment. However, for each treatment, a medical order must be issued, and the department must be selected for each medical order.
For example, if the orthopedic department performs manual reduction of joint dislocation, the performing department can send it to the emergency department, but this is against the rules, because in principle, doctors in the emergency department do not have the right to perform manual reduction of joint dislocation.
The source department of this surgical authority can only be orthopedics.
This is also part of the orthopedic benefits.
"Please open one, please." Luo Yun thought for a while and said.
Treatment requires a doctor's order and the patient must pay. This is a matter of course. What he had thought before was that Zhou Cheng had made a mistake in this process.
But when the patient heard this, his eyes rolled around and he immediately said, "Reexamination? I don't think I need a reexamination."
"Dr. Luo, Dr. Liang, and this Dr. Zhou, thank you."
"You are really good doctors. I feel great now."
After saying that, he moved his left shoulder again, shrugged, and felt that the pain had almost disappeared.
Then he happily walked outside the emergency department.
He didn't even mention anything about the re-examination, or the doctor's charge for the joint dislocation manipulation, and he didn't even take the medical records, so he left happily.
Zhou Cheng was stunned when he saw this scene.
Leaving now?
I haven’t put on a 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: "Teacher Luo, how should we deal with this situation? Do we need to call people back?"
Luo Yun shook his head and sighed: "What else can you do? Everyone is gone, can you still restrict other people's personal freedom?"
Then he added: "Patients have the freedom to choose whether to receive further treatment and which hospital to go to for treatment."
Liang Xueya nodded, knowing that Luo Yun was actually quite embarrassed now, because the orthopedics department had already treated the patient, but had not yet had time to issue a medical order, so the orthopedics department could not charge the fee, and even if the orthopedic department had given the patient a medical order 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 should you treat him?
Of course, Liang Xueya saw through it without telling him, so he said goodbye to Luo Yun.
Luo Yun just secretly took Zhou Cheng away, and also took away the patient's medical records. This was not because Liang Xuaya forgot to take them away, but because Liang Xuaya deliberately left them for him...
On the way back, Zhou Cheng realized that he had made a small mistake.
Although he had already received the gratitude points he could get, Luo Yun's trip was in vain.
"Teacher Luo, me." Zhou Cheng was preparing to explain as he walked.
Luo Yun said nonchalantly: "It's nothing. I'll learn from it and 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 experience in the ward and surgical experience. Your experience in dealing with patients is still lacking, but it's not your fault because you don't have similar experience."
"Do you think that the medical procedures deliberately emphasized in the hospital are a joke?"
Zhou Cheng really had never thought about these things. The dungeon allowed Zhou Cheng to obtain such skills. This knowledge and knowledge only reached a perfect level in the understanding of this skill and theory, but the specific simulation of the dungeon
The process, and the corresponding memory, do not exist.
To be a doctor, in addition to being strong yourself, communication and exchanges with patients and their families are 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. That is the medical relationship between the department he wants to go to and the doctor who wants to see him. Without such a medical relationship, you cannot provide diagnosis and treatment to the patient.
.
Exceptions are made for emergencies and emergency evacuation in special circumstances.
Then it’s time to write the emergency medical record and prescribe medical orders. This is the next step of diagnosis and treatment plan you are about to perform on the patient.
The patient has the right to informed consent.
Being informed means embodying the medical orders you want to prescribe in the outpatient medical records, and informing the patients what kind of examination or treatment you are going to perform on them next, and then the patients pay.
Before the patient completes the payment, he can default to disagreeing with the suggestions you gave him based on your interpretation of his condition.
Paying the fee means that he agrees with your suggestion.
Only with the patient's informed consent can you treat or examine the patient. Otherwise, this is an unclear account...
Zhou Cheng had rarely experienced this kind of patient reception in outpatient clinics and emergency rooms before. Luo Yun was the one running most of the time, so Zhou Cheng didn't quite understand. Now that Luo Yun pointed it out for him, he really understood.
These seemingly trivial and seemingly incomprehensible steps to outsiders have profound meanings.
"Okay, Teacher Luo, I've written it down." Zhou Cheng nodded and said seriously.
Luo Yun also nodded, then turned around and asked, "The reduction technique you just performed was external rotation reduction, right?"
"Yeah!" Zhou Cheng nodded.
Luo Yun smiled half-smilingly and said: "Zhou Cheng, the manual reduction method for anterior shoulder dislocation is written in the textbook as the Hippocratic reduction method. The external rotation manual reduction method is only experienced by doctors specializing in joint surgery."
"In the last few years in the department, I have taken on similar patients. How did you come up with this method?"
Zhou Cheng looked a little wary, but he immediately replied: "I often collect these manual reduction methods and teaching videos. This external rotation reduction method is also one of the eight common manual reduction methods for the shoulder joint."
“It’s everywhere on the internet.”
Zhou Chengcheng convinced Luo Yun, so he asked Luo Yun to search on Baidu, and immediately found a video introducing the corresponding reset technique.
Luo Yun: "..."
Are you a god-like Baidu learning operation?
Nowadays, some well-informed patients are afraid to see a doctor on Baidu. Are you going to demonstrate Baidu's treatment at my place?
fine.
It’s not that I don’t know how to do it, I know more things than you do.
But at least you can still get along with joint surgery a little bit now, and you can be regarded as a small disciple of our joint surgery. I will take more care of you in the future and let you see the real charm of joint surgery.