Great doctor starts with adding points

Wu Xie was taken aback when he saw Brother Longyuan's words, and then became ecstatic in his heart.

Three-level two-way referral is the process of transferring diagnosis and treatment between upper and lower level hospitals and between specialized hospitals according to the needs of the disease. It has two forms of vertical referral and horizontal referral.

Vertical referral, that is, lower-level medical institutions transfer patients who are beyond the scope of diagnosis and treatment of the hospital or patients who are diagnosed in this hospital and have difficulty in treatment to higher-level hospitals for medical treatment; on the contrary, higher-level hospitals can also transfer patients who are relatively stable after their conditions are controlled. Continue to the lower level hospital for treatment.

Horizontal referral means that general hospitals can transfer patients to specialized hospitals at the same level for treatment, and specialized hospitals can also transfer patients with other symptoms to general hospitals at the same level for treatment. Similarly, the above-mentioned referral activities can also be carried out between different specialized hospitals.

Xuan County Hospital of Integrated Traditional Chinese and Western Medicine is currently a second-level hospital and belongs to a second-level institution. In the third-level referral mechanism, the second-level institution mainly undertakes the diagnosis and treatment of common diseases, frequently-occurring diseases and some difficult diseases in the region, as well as teaching and scientific research tasks ; The three-level institution undertakes the diagnosis and treatment of difficult and critical patients within the province and across provinces, and also undertakes the teaching and scientific research tasks of colleges and universities.

If it is possible to establish a two-way referral with the Enzhou People's Hospital, will the patients transferred from the Enzhou People's Hospital go to the county hospital or Xuan County Hospital of Integrated Traditional Chinese and Western Medicine?

If you come here directly, it would be a bit fun, right?

Thinking of this, Wu Xie finally understood why director Li Xiaohe was anxious: "Brother, isn't this a little inappropriate?"

Although it is said that the increase in the number of patients in the department can make one's knowledge skyrocket, but if this hurts the interests of others, it is not a good thing. How should the County People's Hospital deal with it?

"What's wrong with this? If Master and the director of the Orthopedics Department of the State Hospital make it clear and clear, I will naturally explain it to Director Li."

"After all, when I went to the countryside for counterpart support, there were rigid regulations in the red-headed documents—"

"Look!"

"If I don't do this, how can I accomplish my goal?"

Then Long Yuan copied the corresponding provisions and showed Wu Xie to browse them.

'work goals. Supporting hospitals help recipient county-level hospitals fill in 1 to 3 technical gaps in the hospital every year, and strive to reach more than 90% of the technology catalog in the "Recommended Standards for Medical Service Capabilities of County Hospitals" by the end of 2025. The tertiary specialized hospitals support the county hospitals to focus on improving the capacity building of the corresponding specialties of the county hospitals.

Support method...

Support content: each resident doctor goes out to outpatient clinics for at least 3 and a half days a week; participates in or independently manages the bed; guides, participates, and operates alone; organizes a teaching round every week; organizes a clinical teaching in the department every two weeks; Improve the management system in the department, etc. '

"What do you think, if there is not enough patient support, my counterpart support will be ruined. And what I want to do is to fill the technical gap and complement the county people's hospital. It will not affect the relationship between them. Two-way referral."

"And it's been a long time since I cooperated with you in the operation. I really miss the year when the general manager was hospitalized! I'm busier than that time now, and no one can help me." Long Yuan sighed.

After reading it, Wu Xie can understand why Longyuan has to make these preparations. If it follows the requirements of the red-headed document and fills in 1-3 technical gaps in the aided hospitals every year, it will be really stressful and must be supported by the number of patients.

The latter sentence made Wu Xie quite embarrassed: "Senior Brother Long, was I really so good before? Every time you say that, I always feel a little uneasy."

Long Yuan said: "Do I need to hold your stinky feet?"

"Yes, yes, no, no. You are my junior brother. You deserve it when I scold you. It is rare for me to praise you. I have always had a bad temper, and it's not like you don't know it."

Wu Xie said: "I know, I know, if you have a better temper, brother, my sister-in-law would have already made up her mind."

Wu Xie took the opportunity to fulfill the entrustment that his master had given him in private, that is to help his senior brother Long complete his lifelong event.

"you……"

"The operation is over." Long Yuan chose to run away at that time.

But after two minutes, Longyuan came back: "Xiao Wu from our division finally came back partly. Work hard, Xiao Wu, don't worry, life is karma, each has its own merits, everything in the past is good at returning to zero and starting from scratch. Those who dare to raise the dragon to the abyss!"

Then Long Yuan was in shape for only a few seconds, and then sent Wu Xie another message: "Find time to have a good chat with Xiao Tang, she asked me to ask you a few days ago, but I know you may be because of the previous Things are a little bit evasive.”

"When two people are together, except for the same cognition and three views, the level and footsteps also need to go hand in hand. I know all of this. I didn't tell you before because I was afraid of putting pressure on you. But now, I think you can talk to her. chat."

"Men, sometimes you just have to take the initiative."

"What should be responsible should still be responsible. You can't just pretend that nothing happened just because you forgot." Long Yuan said.

After reading it, Wu Xie didn't reply to Long Yuan.

Indeed, evasion is also one of Wu Xie's inner factors.

Apart from Tang Yuewei's other aspects, to be so precious and valued by Professor Feng is naturally exceptional, but what is Wu Xie's state after he wakes up?

He went to other departments and was returned home. If it wasn't because of the teacher's affection, he probably couldn't afford to rotate in the orthopedics department with his own ability, and he would be returned by other teachers.

No, although the rotation plan passed under the protection of the teacher, and the graduation was also passed with the help of the teacher, but in addition to the teacher's ability, Wu Xie immediately showed his true form in the assessment of the standardized training of residents.

Unqualified!

In the County People's Hospital, Wu Xie still couldn't gain a foothold in front of Lin Peiyuan who only looked at his ability and not his education.

In such a situation, Wu Xie was actually a little afraid that he would really provoke Tang Yuewei, even if he started from the beginning, five years, three years and then three years, that would be eleven years.

When Wu Xie first woke up, he was already twenty-five years old. After eleven years, he was thirty-six years old. Even if he graduated with a Ph.D., he had passed the recruitment requirements of Tongji Hospital and was too old.

How else could Wu Xie choose?

Of course, the premise of all this is to move forward step by step according to the normal track.

"Okay, Senior Brother Long, I'll try to ask." After Wu Xie replied like this, he didn't know what to do again.

But after the mood flickered for a while, Wu Xie still opened the friends panel, clicked on Tang Yuewei's WeChat chat page, and then clicked on her circle of friends. There was nothing, and she hadn't posted anything on her circle of friends recently.

Friends can only see you for the last three days.

Look at the content of the chat between the two of you before——

It took almost a long time to get one, mainly because Wu Xie was asking and the other party was replying.

"Tang Yuewei, were we boyfriend and girlfriend before?" Wu Xie asked.

"No!" Tang Yuewei typed out all the exclamation points, firmly.

"Student, I really don't remember much about what happened after high school. I even have a very vague impression of my teacher and my roommate. I really didn't mean it."

"If there is anything between us, could you please tell me? /Smiley face" Wu Xie asked her again proactively.

"No." A full stop, as a signal to end the answer.

"Yuewei. Are we really not boyfriend and girlfriend? Today I met our classmate, and she called me a scumbag." Wu Xie changed her address rather shamelessly this time.

"No, they misunderstood, I will explain to them clearly." This sentence is the end of the chat and dialogue between Wu Xie and Tang Yuewei.

Now Wu Xie, seeing these conversations again, doesn't know what is hidden.

Can't you just say something if you have something to do?

Then Wu Xie looked through the chat content between himself and his roommate for a while, and he was very sure that his roommate had never seen him and Tang Yuewei go together, and said that Tang Yuewei had always been cold.

Have you ever touched her? Not likely.

After hesitating for a long time, Wu Xie still didn't send a message, but planned to wait for a free time, choose a weekend, and then ask what's going on. It's not a problem to be so confused.

But at least one thing is certain, it should be that you and the other party have not confirmed a relationship, then if you have not confirmed a relationship, why are you so hostile to me?

Oh, it doesn't seem like she's hostile to herself either, just lukewarm.

If a 'stranger' asked himself such a question, he might also think that there was something wrong with her.

Time is like water, slowly passing by...

The patients in the department were gradually discharged from the hospital. Even though Wu Xie was on duty, he didn't encounter too many inpatients to come in again.

When the 20th day approached, among the five beds in charge of Wu Xie, only Lin Hua was left as an inpatient.

Moreover, this morning, when Wu Xie had just arrived in the department, Lin Yaolong brought his wife and one of his sisters with tears in his eyes, and found Wu Xie, holding his hand tightly with both hands and not letting go up.

His voice was choked with sobs: "Dr. Wu, thank you, last night, my dad finally knew how to relieve himself."

"He laughed himself all night."

"He hasn't smiled so happily since my mother left."

"Really? That said, it proves that the functional exercises we did before, such as urine holding muscles and defecation muscles, are effective!" Wu Xie explained to Lin Hua in this way, and at the same time comforted their mood.

Urinary holding muscle and defecation muscle are for the convenience of their understanding, so naturally they have scientific names.

Urination mainly depends on the detrusor muscle of the bladder and the internal urethral sphincter, which are dually innervated by the sympathetic and parasympathetic nerves. When the sympathetic nerve is excited, the detrusor muscle of the bladder relaxes, and the urethral sphincter contracts, which is conducive to urine storage. The role of the parasympathetic nerve is opposite to that of the sympathetic nerve. When excited, it can contract the detrusor muscle of the bladder, relax the internal urethral sphincter, and excrete urine from the bladder.

Defecation relies on the external anal sphincter, these muscles can be exercised...

"Hey, brother, don't! Don't kneel, please." Wu Xie quickly squatted down and stopped Lin Yaolong's "thank you".