Sleepless Doctor
Chapter 669: Dancing with shackles
Patients with ischemic stroke have symptoms of upper gastrointestinal bleeding when they are about to be discharged from the hospital. This is quite bizarre. However, Teacher Wu and Director Zhou have to examine the patient’s lungs with 64-slice CT.
Song Yabin is the old director of the Department of Neurology, but he has not undergone a similar examination.
Instinctively, Song Yabin felt that this matter was unreliable, but she did not say anything, but rather respectfully asked, "Director Zhou, how do you think about it?"
"Director Song, I heard that you need the approval of the medical office for the higher-priced examinations?" Zhou Guohui did not say the diagnosis, but asked an unrelated question.
Song Yabin was taken aback. Has this happened so far? !
"Ms. Wu will be there in one hour, and it is best to be able to shoot the film when he comes." Zhou Guohui said, "The specific diagnosis, I only estimate-considering the patient has an arteriovenous malformation in the lungs. Two flat sheets I can’t see anything in the film, at most I doubt it, I still have to make 64 rows to make a final decision."
Song Yabin thought for a while, and smiled bitterly, "Director Zhou, we really need consultation with relevant departments for 64-slice scans, and then the medical office..."
"The patient has upper gastrointestinal bleeding, which is considered an emergency." Zhou Guohui said.
After all, they are all old doctors, don't want to fool anyone. Zhou Guohui understands a set of invisible small splints and small shackles in clinical practice. Dancing in shackles, who isn't.
You die when you take care of it, and you don’t care about it. There are many such things, not only in the medical industry. But if the patient needs it, he must find a reason to do it. Emergency treatment is the reason.
As for whether Song Yabin was required to take some "risks", Zhou Guohui couldn't control it, and he didn't want to control it either.
"Director Song, hurry up." Matthew De said, "The reason is your own thinking. Hurry up on the application from the medical department. By the way, is Director Han at work?"
"I'm at work." Song Yabin said, "I went to ICU last time for 3 days. Fortunately, Director Li of the emergency department found it in time, which did not cause the illness to continue to worsen. Because the discovery was timely, the recovery was quick."
"Well, that's good." Matthew De nodded, "Hold on this side, I believe Chu Han can understand."
Director Song nodded and went to deal with all kinds of trivial matters.
These things actually have no essential connection with medical treatment, and I feel a little greasy when I think about it. But all walks of life, which is not inextricably linked, which is not so.
Even if he can reduce internal friction, even if he is a very powerful leader, as for Han Guangyun...I guess he can't do it, Director Song thought in his heart.
"Director Zhou, work hard, let's go to the director's office to rest for a while." Matthew De said.
Zhou Guohui nodded, "The patient has already seen it, take a break."
He is actually not tired, just sitting in the doctor's office, other people will be very restrained, and work efficiency will be greatly affected.
Song Yabin first sent Matthew De and Zhou Guohui to his office, said a few words of kindness, then closed the door, walked all the way, and went to the medical office to go through the application procedures.
Now they are all electronic offices. When submitting applications, there is a dedicated person in the medical office who is responsible for reviewing and approving them. Song Yabin didn't need to run in person.
However, regulations are regulations, and processes are processes, and consultations in various departments are required to follow the process. At this point, the thoracic surgery department is undergoing surgery, and the respiratory medicine department is in a large round. If you find someone for a consultation, it will take at least half an hour.
Although the patient's condition has stabilized, Mr. Wu will be there in an hour... Ma Yuan and Director Zhou Guohui are right. Mr. Wu personally sees the patient and watches the film. If someone waits for a few hours, it is not justified.
If this is the case, there is no need to deal with it in the future, Song Yabin knew clearly.
Go run by yourself, or else what to do.
At the very least, if you go by yourself, the clerk in the medical office will have to give a little bit of help. Even if you meet Director Han and explain the reasons clearly, it is much more likely to get things done.
Pulmonary arteriovenous malformations...it may lead to ischemic stroke. Song Yabin thought about going to the medical office, and then returned to the diagnosis of the disease.
She came to the medical office while thinking.
"Little Liu." Director Song walked directly into the large office of the medical department and greeted the staff.
"Director Song, why are you here."
"I have an emergency patient at hand who diagnoses ischemic stroke, upper gastrointestinal hemorrhage, suspected pulmonary arteriovenous malformations, and needs a chest 64-slice CT. The patient has just been rescued from hematemesis, and there is no time to wait for the consultation. I want to have an examination first. "Song Yabin briefly introduced the situation.
The clerk in the medical office was a little embarrassed. He scratched his head and winked at Song Yabin.
"Huh?" Song Yabin helped his glasses, but he didn't see it.
"Director Song." The clerk in the medical department made a mouth shape, his eyes almost flew out, and he glared at the opposite office.
"You got a needle eye? Are you uncomfortable?" Song Yabin was still thinking about the evolution of the ischemic stroke caused by the arteriovenous malformations of the lungs, and he didn't notice the expression of the staff of the medical department at all.
The clerk at the medical department was helpless~www.wuxiaspot.com~ and had to stand up and move to Song Yabin’s side and whispered, “We have a rule. A lung CT scan in the neurology department is already the limit. 64 rows...really. Consultation is necessary. It's not that I won't do it for you, I'm also embarrassed on this side."
Song Yabin frowned.
"Director Song, don't make it difficult for me to be a clerk. You know that the Korean department has strict management." The clerk of the medical department dared not say too many bad things, and said vaguely, "Would you go to the Han department to explain? Chief Han agrees. I will bring up the interface. As long as you stand at the door and say something, it will be resolved immediately!"
"..." Director Song was speechless. She looked at the clerk in the medical office and didn't know what to say. After hesitating for a few seconds, he turned around and went to Han Guangyun's office.
"Boom boom boom~~~" Director Song knocked on the door.
"Please come in."
Song Yabin pushed the door in and saw Han Guangyun sitting at his desk, busy with something.
His face was a little bad, still pale and bloodless. I went to ICU to be hospitalized some time ago, and contracted toxic shock, which dealt a great blow to the human body.
Chief Han is also devoted to work, Director Song thought in his heart. But the consequence of a layman's dedication to work is... Forget it, I am just a director and can't manage so much.
"Director Song, something to do with me?" Han Guangyun asked.
"Chan Han, I have one..." Song Yabin explained the relevant situation.
"You mean patients with ischemic stroke, the problem lies in the lungs?" Han Guangyun asked in doubt when he understood Song Yabin's meaning.
Director Song could feel that Han Guangyun's tone was already improper, but he could only bite the bullet and said, "Yes."
For an instant, Song Yabin felt Han Chu's eyes fall on him like a knife.
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