The level of a department can be judged by its talent level. This is the case in Puze's encephalology department. There are ten doctors on the 14th floor, including two chief physicians, three deputy chief physicians, and four attending physicians.
There is also a new resident physician.
Jiao Liming is the director of the department on the 14th floor. He is fifty-five years old and belongs to the practical school. Liu Xiaojun is also the chief physician and deputy director of the department.
Jiao Liming does ward rounds on Thursdays every week, and usually makes outpatient visits. Except for meetings and other important matters, Liu Xiaojun is basically in charge of all the big and small things in the department. What do patients in the general inpatient department have to do?
Liu Xiaojun is responsible for everything big and small.
Generally speaking, the chief physician determines the development of the department, because the main source of inpatient patients is the director who receives them when he is outpatient. After all, the director may have forty or fifty patients in a morning, and the deputy director may have seven or eight dozen patients.
When a patient comes, there are fewer attending doctors, three or five are normal.
The revenue of the department mainly comes from these inpatients. If the director does not accept the patients properly, will the more than 60 beds in the inpatient department remain empty?
The department is now responsible for its own profits and losses, and the monthly water, electricity, rent and other similar service fees have to be paid to the hospital. After removing these funds, they still have to support so many administrative staff who earn average bonuses.
Therefore, doctors sometimes put it bluntly as wage earners.
The little money I earn from working hard from dawn to dusk every day has to be distributed layer by layer before I can return to the department, and then the master distributes it according to the coefficient, and finally it can be distributed into the hands of the doctor.
The deputy chief physicians are the backbone of the department. The department relies on these group of associate chief physicians to apply for projects, publish papers, and hold meetings. Most of them have doctorate degrees, or have high-level seniority, or have good clinical experience and must
Isn’t it because of their outstanding scientific research level, so they have to take into account scientific research while doing clinical work, and they are the backbone talents of the department.
To put it bluntly, the attending physician is a working physician, mainly responsible for taking care of patients. If this were left to the feudal society, they would be the long-term workers of the landlord's family, the group of people who create wealth for the landlord.
Of course, everyone has made it step by step from resident doctor to attending physician.
After graduating from undergraduate degree, medical students enter the hospital and obtain the right to prescribe and become a resident physician. After five years, they can obtain the intermediate professional title (attending physician). After becoming the attending physician, it will take another five years before they can obtain the associate senior professional title, that is, associate professor.
Chief physicians, similarly, can obtain a senior professional title in five years and become chief physicians.
Of course, after graduating from graduate school, you will have an intermediate professional title, that is, an attending physician, in two years. After three years, you can take the exam of deputy senior and deputy chief physician, and in five years, you will be a senior doctor.
It's faster to get a doctorate. It takes two years after you graduate to get an associate degree, and three years to get a full senior degree.
Therefore, in the field of medicine, academic qualifications are more useful than anything else.
When Bai Ye entered the department, Jiao Liming arranged a banquet at the hotel to hold a welcome ceremony, and everyone got to meet each other.
After two weeks of familiarization, Bai Ye officially began to manage patients.
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Today on Wednesday, the two patients managed by Bai Ye have just completed their treatment and been discharged. The patients all came for maintenance infusions and treatments, and basically nothing happened. When Bai Ye was in the orthopedics department, he often managed more than ten patients at the same time.
There are only one patient, and that includes surgery, so two patients are not a problem at all.
The two patients have contributed a lot of experience to Bai Ye, but there is still some gap between reaching level 3.
Today is Wednesday. The department does not conduct rounds or prescribe medicines. Doctor Corey is busy writing medical records.
Medical cases are different from surgical cases. In orthopedics, the records are mainly surgical records, and the daily course of the disease is just a few sentences. Internal medicine is different within the department.
It is necessary to describe the patient's symptoms in detail, especially in the neurology department. Physical examination is extremely cumbersome. However, as a criterion for diagnosis and treatment, not only is the examination difficult, but writing medical records is even more complicated. This does not include changes in patient orders, changes in symptoms, etc.
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Therefore, the number of words a doctor writes in a medical record every day is no less than that of a code writer... (I feel sorry for myself for three minutes...)
The sound of typing on the keyboard could be heard throughout the doctor's office, and Bai Ye, who was sitting aside and reading a book, felt quite relaxed.
Because there are only two patients, Bai Ye basically followed Bai Ye's disease course records, and did not miss a day. The discharge record was written yesterday. After the patient was discharged today, Bai Ye is basically fine now.
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Not long after, the old man who was about to be discharged from the hospital walked into the office accompanied by his family members. After seeing Bai Ye, he walked in with a smile.
"Oh, Doctor Bai, I've been troublesome for you a lot during this time."
The whole family of the other party came, followed by his son, daughter-in-law, and his wife, who was also beside him and looked at Bai Ye with a smile.
My wife, who has been staying in the hospital to take care of the old man these days, also said kindly: "Yes, Doctor Bai, my old man has a bad temper. He has been tormenting you a lot these days. Thanks to your treatment, he is finally getting better."
, I no longer have a headache from shouting all day long. My temper is much better! This is all the result of Doctor Bai."
Bai Ye said with a smile: "That's right, old man. You have to take medicine on time after you go back. You have to have your blood pressure checked. Don't be angry."
The old man was in a good mood: "Okay, listen to the doctor. By the way, my son brought some fruits when he came. Doctor Bai, you can't refuse."
After saying that, the young man put the fruit on the table and said goodbye. Bai Ye also sent it out with a smile. He watched the family enter the elevator happily, and then turned back and walked towards the ward.
Seeing the patient's happy face, Bai Ye suddenly felt that this should be the most fulfilling thing as a doctor, right?
[Ding! The patient was successfully cured and received real gratitude from his family members, and received a small gift package.]
Bai Ye smiled, is there such a thing?
Bai Ye opened the gift bag casually.
[Ding! You open the gift bag and get acupuncture points and therapy: facial paralysis recovery needle. Usage requirements: acupuncture lv5, basic theory of traditional Chinese medicine lv5.]
After hearing the system prompt, Bai Ye immediately understood what it was.
Acupuncture pays attention to the compatibility of acupoints and acupuncture methods. Different acupuncture points are selected according to the patient's condition, and different acupuncture techniques are given.
Bai Ye's acupuncture skill is level 5. This does not mean that Bai Ye can use acupuncture to treat various diseases. It means that Bai Ye has mastered the basics of acupuncture and the commonly used compatibility treatment principles of acupuncture.
This "facial paralysis recovery acupuncture" is an acupuncture guide for selecting acupoints for facial paralysis and treating it according to the patient's different conditions.
However, the requirements for use are a bit high. Acupuncture requires level 5, and the basic theory of traditional Chinese medicine is also level 5. Fortunately, I have already met the requirements.
After Bai Ye chose to receive it, a large amount of information suddenly appeared in Bai Ye's mind.
[Ding! The reading is successful, triggering the acupuncture chain task: Acupuncture treatment of fifty facial paralysis patients, skilled use of facial paralysis recovery therapy, you can obtain: Stroke and hemiplegia rehabilitation acupuncture. 】
When Bai Ye heard this, his eyes suddenly lit up. Rehabilitation therapy?
This... is a good thing!
After returning to the doctor's office, Bai Ye said with a smile: "Everyone should eat and drink fruits. There are so many."
These days, Bai Ye and Dr. Corey couldn't be said to be very familiar with each other, but they also got to know each other a little bit.
There is a large table in the doctor's office that is three meters wide and six meters long. There are four tables put together. The table is very large and has various things on it, such as medical record folders, laboratory test orders, etc.
Usually, when a patient brings something delicious, some doctors put it on the table and everyone eats it together.
Wednesday is a rare quiet day. Life is relaxed and people are in a good mood.
"Wow, there are so many delicious foods, including mangosteens, cherries, pistachios, and Baiye. Your patient's family is in good condition. These fruits are not cheap!" A nurse walked into the doctor's office and saw the things on the table.
sighed.
Bai Ye gained a good skill and was a little happy: "This was given to the third bed when he was discharged from the hospital. Sister Zhao, if you like it, take more. The old man said that your gratitude is also in it. Let me
Let me say thank you."
Sister Zhao's name is Zhao Yinghui. She is a nurse responsible for beds 1 to 6. She looks like she is in her mid-30s and has a carefree and straight personality.
"Then I'm not welcome." After saying that, Zhao Yinghui opened the bag.
Many nurses in the hospital are contract workers. Although they are entitled to equal pay for equal work, their salary income is not much, and they are usually reluctant to buy such fruits.
In the hospital, the relationship between doctors and nurses is the most complicated. If you have a good relationship, it can save you a lot of trouble: "By the way, Sister Zhao, you can bring some to the nurse station."
The doctors around also joked: "Oh, Xiaoye, this is the first pot of gold."
Bai Ye smiled: "It seems that we won the first battle, which is a good thing."
Bai Ye is usually very low-key and doesn't have any airs, so we get along pretty well with him.
At this time, Li Hua, the nurse in charge, walked in. He looked around and saw that there was no one else around. When he saw Bai Ye, he said directly: "The director just admitted a new patient from the outpatient clinic. The patient's condition is quite troublesome. Doctor Bai, the director wants to ask you."
See if you can handle it, if not, let Doctor Wang take care of it."
When Bai Ye heard this, he asked, "What's going on?"
Li Hua handed over the hospitalization certificate and medical records: "This is a patient with facial paralysis. The possibility of central facial paralysis has not been ruled out for the time being, and the patient... is a little anxious. A forty-nine-year-old woman, Doctor Bai, what do you think?
How about letting Dr. Wang take charge?"
When Wang Wenliang heard that there was a patient, he immediately pricked up his ears and became energetic. However, he knew it and did not say anything. Taking patients is a taboo in the department. Usually, he accepts whoever the director tells him to accept.
And there is a doctor on duty every day. Generally speaking, unless the patients admitted that day are assigned to a certain person, all other patients are assigned to the doctor on duty.