Zhou Jun initially refused to perform radiotherapy on the heart of a comatose patient.
"It's working time now. It's better to put such boring jokes after get off work." Zhou Jun knocked on the table and reminded Sun Li'en to pay attention to the current situation. "What new discoveries have you made?"
"It's a diagnostic idea." Sun Lien explained. Of course, he understood that no rational superior doctor would agree to his nonsense treatment method. But he still had to express his opinion first. He was serious.
I think Yang Jianqiangâs heart should be given radiotherapy.
Sun Lien finished explaining his findings and reasoning, and used the testimony of the patient's family members as proof. But Zhou Jun still slowly shook his head, "This reason is too far-fetched."
Sun Lien sighed. It would be strange if he could convince Zhou Jun so easily. But even though he was mentally prepared, he would still be a little frustrated after his suggestion was rejected.
"But..." Zhou Jun lowered his head and pondered for a while, then said with a slight hesitation, "Your reasoning about the changes in the degree of suppression of the immune system is somewhat interesting."
What does "somewhat" mean? Sun Lien looked at Zhou Jun in front of him with some surprise. He was already prepared for his opinion to be completely rejected. Unexpectedly, Zhou Jun actually planned to partially accept his judgment.
"When other conditions have not changed, any abnormalities that occur are directly related to the variables." Zhou Jun pondered for a moment and then gave his own explanation, "The progression sequence of any other disease we know so far is consistent with the patient's current condition."
If the situation doesn't match up, after all the impossibilities have been eliminated, the remaining answer, no matter how incredible, is the only result."
"However!" Zhou Jun's voice suddenly raised a tone, "This does not mean that you can do whatever you want, especially giving radiotherapy to the patient's heart that has no problem!" As if to emphasize his determination, Zhou
Jun knocked on the table and said word by word, "Evidence-based medicine! Only evidence can determine the direction of treatment!"
Evidence-based medicine, these four words themselves profoundly explain the direction of the development of modern medicine. Doctors should not simply "identify" the patient's condition and treat it based on their own experience and assumptions. Modern medicine requires that doctors should pass
Use practical evidence to clarify the patient's disease. Use objective and practical evidence as the basis and starting point to treat the patient's condition. This is the development direction of modern medicine.
Sun Lien's current request obviously has nothing to do with evidence-based medicine. In Zhou Jun's view, this is probably a way for Sun Lien to show off his originality. It is not worth promoting and should not be encouraged at all. However, this series of explanations
There is indeed some truth in it. Since Sun Lien has given the patient hydrocortisone, let's follow his wishes and see if the condition changes.
If the patient's condition improves, that means his diagnosis is in the right direction. If the condition doesn't change much... nothing is lost.
After Sun Lien left Zhou Jun's office, he suddenly felt a little confused. After being transferred out of the emergency room by Dean Song, he should have been assigned to be on duty in an emergency department clinic. However, Zhou Jun's recall was a bit sudden, so that Sun Lien arrived
I still haven't figured out where I should go for the consultation.
"Dr. Sun, please..." The nurses at the door who were in charge of triage also knew the doctors' schedule in each clinic. She quickly found Sun Lien's working position, "You should have been in the third clinic."
, but there is a doctor using the third clinic now. The ninth clinic is still empty."
"Then it's good." Sun Li'en didn't have any objections to this change. Anyway, you have to work when you come to the hospital, and there seems to be no difference between receiving ordinary patients in the clinic. The ninth clinic is right next to the door of the emergency room.
, if Yang Jianqiang really experiences any changes in symptoms, Sun Lien can quickly rush to the scene for diagnosis.
Another advantage of going to clinics alone is that you can get registration fees. This is also one of the main reasons that makes Sun Lien full of motivation. During the period of regular training, in addition to hospitals in some areas paying wages and state subsidies, in most areas
In fact, hospitals are extremely stingy and only provide subsidies. Although the Fourth Central Hospital has a large emergency center, it is difficult to make money in the emergency department. No matter how good President Song's ability is, the annual subsidies, grants and donations add up to
Only by doing this can we keep the hospital running. If we have to pay high wages to the trainees, I am afraid that the hospital's financial situation will immediately change from "tight" to "precarious".
Therefore, adhering to the guiding ideology of "saving money if you can, enduring hardship and hard work", the Fourth Central Hospital only provides subsidies to regular trainees. However, in order to enhance the learning motivation of regular trainees, the Fourth Central Hospital
It is specifically stipulated that regular trainees who can make independent visits and treat patients under the supervision of superior doctors can share 80% of the registered outpatient fees, as well as all treatment costs except for treatment costs. Sun Lien is willing to accept the early recall, and there is a lot of hope.
A large part of the reason is also because of this.
So far, Sun Lien has only received two treatment fees. One was from Yuan Meng, who suffered from bleeding, and the other was from Zhuang Zihao, a child who dislocated his joint twice in one day due to his parents' carelessness.
Because Yuan Meng's suturing technique uses Kuai Ling sutures, although the suturing effect is better and the scars will be shallower afterwards, the cost is not low. A single suture costs up to more than 500 yuan. Fortunately, after Yuan Meng regained consciousness,
I was very satisfied with Sun Lien's handling, which allowed Sun Lien to escape an administrative warning. Logically speaking, for this kind of comatose patients, cheaper and more common ordinary sutures should be used.
The child Zhuang Zihao is in a worse situation. Both reductions have to be calculated according to the manual reset of the joint. The price is 120 yuan per time. Unfortunately, there is no promotion of 99 off for purchases over 200 yuan. The 240 yuan just fell into Sun Lien's pocket. Manual reset is not needed.
Use of medical consumables.
After two treatments, Sun Lien's salary increased by more than 400 yuan. This also made him full of expectations for the next outpatient clinic. He also wanted to use next month's salary to buy some small gifts for Hu Jia.
"Doctor..." Sun Lien had just sat down in the clinic, and was about to send a message to Xiao Guo, asking him to tell Dr. Pascal to come to his clinic to discuss the adjustment of the immune plan for Yang Jianqiang, but his clinic door was suddenly blocked.
The person pushed away. A pale-faced young woman walked in with the support of another man. The man's expression looked very nervous, "Please take a look quickly, she has a stomachache!"
"Zhao Mengli, female, 21 years old, ovarian corpus luteum rupture." The status bar was floating on the young woman's head. As soon as she entered the door, her legs softened and she sat down on the stool.