Chapter 1219 【1219】The Teacher Is Going to Test Her

The door of the consulting room slammed open, and the nurse poked her head in and asked the doctor directly, "Dr. Xin, call 120 for a taxi. Internal medicine patients, should you go or Dr. Dong?"

"I have an urgent patient here. You can ask Dr. Dong if he can spare some time." Xin Yanjun replied.

Bang, the nurse closed the door and left, no need to answer. This is an emergency, and I'm afraid it will waste time if I say half a word.

This little episode made the watching patients and their family members a little dumbfounded, and they had already left before they had time to hear clearly what happened.

Only the medical staff who have been in the emergency department know that the emergency department can only be described in four words: it is like purgatory.

After the patient lay down on the examination bed, he did not suffer from the pain of sitting and bending over just now. It may also be that he felt more at ease after seeing the doctor to see him.

"Which department do you think he should be admitted to?" Xin Yanjun whispered to the students around her.

Obviously, Teacher Xin wanted to test her.

Here is a common emergency room problem. Abdominal pain is the most difficult symptom to distinguish clinically. Some diseases can be seen in both internal medicine and surgery. For example, for upper gastrointestinal bleeding, if it is mild, it can be solved by internal medicine, and if it is severe, it can be treated by surgery. In special cases, it may be necessary to go to the ICU to stabilize the condition before surgery.

The triage nurse can't immediately judge whether the patient should go to surgery or to internal medicine. As long as there is no hematemesis or other emergencies that seem particularly scary at first glance, I will arrange to go to the internal medicine department first. The physician will check again and make a judgment whether to stay in internal medicine for treatment or to go to surgery.

How each doctor judges will be based on his own knowledge and medical experience. Therefore, although the doctor's judgment standard is guided by medical guidelines, it will vary from person to person. Especially in the case of some diseases where the boundaries of medical and surgical treatment are relatively blurred, and both internal medicine and surgery can be treated, the individual differences of doctors' choices will become more obvious.

This difference may be due to the doctor's personal habitual thinking about certain diseases, or it may be due to other considerations combined with the patient's non-condition. If some patients want to have surgery, the first choice must be surgery. Some patients want to try conservative treatment first, and doctors respect their choice and let them go to internal medicine.

If the patient and himself have no opinion, both medicine and surgery are acceptable. At this time, there may be another factor to make the decision. Each department sends people to take emergency shifts. Except for the tasks assigned by the hospital, the departments have their own plans.

Don't look at the night shift doctors in the ward who seem to hate emergency patients, as long as the director of the department talks about the department's bonus, they can only silently shut up. No one has trouble with money, the same as doctors. No patients equals no income.

Basically, a department that competes fiercely with other departments must confess to the emergency doctor under its own department that it overcharges patients.

The outpatient department can accept patients, and the emergency department is also a source of patients. If you don’t accept it, other departments will accept it. Over time, you will have fewer patients, less money, and fewer opportunities to exercise skills. When the hospital leaders see that index, they will also be upset that you like to reject emergency patients.

Of course, doctors will not unconscionably send diseases that are not treated by their own department to their own department and ward for treatment, that is purely asking for trouble.

The patient in front of him had pain under the xiphoid process in the upper abdomen, and complained of brown vomit. Upper gastrointestinal bleeding was initially suspected. It is definitely not a patient that can be admitted to the Department of Respiratory Medicine.

Thank you for your support! ! ! good night dears~