Yu Zhiming was placed in an outpatient room on the second floor of the outpatient and emergency department, which is the farthest to the west and relatively quiet.
There are a total of fifteen outpatient rooms lined up on the second floor of the entire outpatient and emergency department.
In front of the outpatient clinic is a wide space with rows and rows of hundreds of chairs for patients and family members who come to register to rest while waiting.
This scene seems quite spectacular to Yu Zhiming. You can't see such a big scene in the county hospital.
Most of the outpatient clinics here bear the sign of "Expert Outpatient Clinic", and mainly the deputy directors and chief physicians of various departments of the hospital come here in turn for consultation.
Yu Zhiming has learned that Teacher Qi Yue comes here for at least one day of consultation every month.
The diagnosis room assigned to Yu Zhiming did not have a sign saying "Expert Clinic", but only a big number "15".
Yu Zhiming also knows that with his current strength, he cannot hold up the title of expert.
But just thinking about being able to independently treat patients in a well-known large hospital in the country made him feel a little emotional and a little proud.
Two months ago, who would have thought that Yu Zhiming would have such a big change in his circumstances...
There is a desk, a computer, an examination bed, some medical consumables for physical examination, and medical kits for first aid in the clinic.
The outpatient and emergency department also assigned Yu Zhiming a nurse named Wang Li to help him call patients and handle chores...
Yu Zhiming's first outpatient patient was a local man in his 60s or 70s.
He walked into the clinic with the support of his wife and said that he suddenly felt severe pain in his lower abdomen while walking in the morning.
As soon as Yu Zhiming pressed his lower abdomen, the old man kept shouting.
When asked about his diet, the old man's wife replied that he had plain porridge and steamed dumplings this morning.
I ate a lot last night, including half a duck, mushrooms and cabbage, tomatoes and eggs, and fungus and red date soup.
The staple food is rice.
"Let me ask, do the red dates you eat have pits..."
After outpatient and emergency department director Zhao Shan arranged the work of the department, he began to conduct routine inspections of the territory to look for problems.
After a while, he heard a ding-dong sound.
This is the prompt sound he set for his work panel to remind him that something of concern has appeared.
Zhao Shan took out his tablet computer from the pocket of his white coat, turned on the screen and saw that it was Yu Zhiming's first medical certificate.
The diagnosis concluded that it was suspected that the jujube stone had pierced the small intestine, and he was referred to the general surgery department for emergency surgery.
What surprised Zhao Shan was that there was a photo attached to the medical certificate, which was a sketch drawn by hand on paper.
Zhao Shan enlarged the picture to the entire screen and found that the simplified diagram was a drawing of the lower abdominal intestinal system, marking the location of the problematic small intestine.
He also discovered that although this simple diagram was drawn in a sloppy manner, it only took a dozen of Liao Liao's strokes to accurately draw the relative positions of various parts of the intestinal system and the lower abdomen.
Even a medical intern can accurately find the specific location of the problem according to this simple diagram.
The so-called expert will know if there is anything as soon as he makes a move.
This simple diagram that seems to have been drawn casually, from Zhao Shan's perspective, is concise and clear, quite sophisticated, and fully demonstrates his skills.
It doesn't look like something a attending physician could draw casually.
"No wonder Lao Qi is such a stable guy. It turns out he has absolute confidence in this kid."
"This guy is interesting..."
Yu Zhiming, who Zhao Shan found interesting, is treating the second patient.
Yu Zhiming saw the patient registration information displayed on the computer screen. The person’s name was Xu Da.
He knew that this should be a temporary name.
In order to protect patient privacy, the hospital does not force patients to seek medical treatment under their real names.
Therefore, some strange names often appear on the hospital's call or notification screen.
Many of them are thought up at random by patients who have too much imagination or lack of imagination.
Of course, if you don’t use real-name information to seek medical treatment, you cannot go through the medical insurance process, and you have to pay for it yourself.
Yu Zhiming looked at the man in front of him who was 27 years old, fair-looking, and over 1.7 meters tall.
He guessed that he was suffering from an unspeakable disease?
"What's wrong with you?"
Xu Da chuckled and said: "Doctor, I'm not feeling unwell, I just want to consult..."
He paused for a moment and then asked: "We are missing one or two ribs. Is it not a serious problem for our health?"
What's the problem?
Yu Zhiming was slightly startled and said: "One of our ribs is for support, and the other is to protect the weak heart, lungs and other organs."
"If one or two ribs are missing due to some accidents, it's not a big problem. Just pay attention to it."
"You're asking this question, right?"
Xu Da touched his chest and ribs and said, "Doctor, none of my ribs are missing. They are all there."
"I just want to take out a rib."
He said excitedly: "Doctor, my girlfriend's birthday is coming soon. I love her very much."
"I have always wanted to give her a gift that can truly represent my passionate love."
"Later, I thought about it."
"Don't they all say that women are made from men's ribs."
"I just wanted to take out one of my ribs and make it into a ring and necklace for her..."
Yu Zhiming looked at the excited Xu Da, but he was filled with surprise, as if he had seen a rare animal.
This is a really big forest with all kinds of birds.
Are you sure that your girlfriend, who you love so much, can sleep peacefully at night knowing that the rings and necklaces you gave her as birthday gifts are made of your bones?
You are mentally ill, and you are seriously ill.
Although Yu Zhiming is full of inner activities, he maintains the dignity of a doctor on his face.
"Xuda, let me tell you first of all, no hospital in China will perform rib removal surgery on you because of your reasons."
"Also, I think girls prefer birthday gifts such as bags, beautiful shoes, and jewelry to rings and necklaces made from their own ribs."
"Finally, I strongly recommend that you talk to a senior counselor in our psychological counseling center."
"Let's find out from them what girls really like..."
Yu Zhiming gave Xu Da a referral list for psychological counseling, and asked nurse Wang Li to personally send Xu Da to the psychological counseling center...
After Xu Da, the patients Yu Zhiming received next were much more normal.
At least they are all problems with the heart, liver, spleen, lungs, stomach and other internal organs, rather than mental state problems.
Every time Yu Zhiming diagnoses a patient, he will attach a hand-drawn diagram to the diagnosis certificate, marking the organ site with the problem, and attaching a brief description of the problem.
Because he has to draw a simple diagram, it takes more time for Yu Zhiming.
It takes about ten minutes to diagnose a patient on average.
This is why Yu Zhiming has mastered the essence of outpatient and emergency care, which is transfer and triage.
He only needs to clearly write down the diagnosed problem, and then issue a referral form, allowing the patient to go to the corresponding department for treatment or further examination and diagnosis.
Of course, for minor problems and illnesses that can be handled by outpatient and emergency departments, Yu Zhiming will directly prescribe prescriptions and ask the patients to go to the outpatient and emergency pharmacies to get medicines, or go to the injection room to receive injection treatment.
From nine o'clock in the morning to twelve noon, Yu Zhiming did not rest for a moment, and treated a total of twenty-three patients.
He discovered the biggest difference from outpatient clinics in county hospitals, which is that here, the diagnosis rate of patients with serious diseases is really high.
In county hospitals, more than half of them have minor problems such as headaches and fever, and only 12 out of 10 outpatients need to be hospitalized for further diagnosis and treatment.
Of the twenty-three patients diagnosed by Yu Zhiming, except for Xu Da, who was sent for psychological consultation, and three who had minor problems and stayed in the outpatient clinic for treatment, the other nineteen were all transferred to various departments for further examination and treatment.
.
Two more people felt very bad about Yu Zhiming's examination, so they made special notes and reminders on the medical certificate.
At 12:50 p.m., Yu Zhiming suspended his outpatient work and got up to have lunch.
As soon as he left the emergency room, he saw Zhou Mo coming up to him.
"Dr. Yu, a doctor came to our center this morning to test his medical skills with you."
"Kicking the gym?"
Yu Zhiming came to his senses and frowned: "Who can eat well enough to be so bored?"
"I want to step on you and become famous!"
Zhou Mo replied with a smile, took another step forward, and took Yu Zhiming's hand.
"I brought you lunch, but I haven't thanked you for the physical examination you did on my mother..."
