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Chapter 404 Facial Paralysis
Chapter 404 Facial Paralysis
The level of a department can be seen from the level of its talents. Puze's Department of Encephalopathy is like this. There are ten doctors on the fourteenth floor, including two chief physicians, three deputy chief physicians, and four attending physicians. And a new resident.
Jiao Liming is the director of the department on the 55th floor. He is [-] years old this year and belongs to the practical group. Liu Xiaojun is also the chief physician and the deputy director of the department.
Jiao Liming conducts ward rounds on Thursdays every week. Usually, he mainly goes out to outpatient clinics. Except for meetings and other important matters, Liu Xiaojun is basically in charge of all major and small matters in the department. Liu Xiaojun is responsible for all matters big and small.
Generally speaking, the chief physician determines the development of the department, because the main source of inpatients is the director when he is out of the clinic. After all, the director may have forty or fifty patients in the morning, and the deputy director may only have seven or eight ten patients. For a patient, there are fewer attending physicians, and three to five are normal.
The income of the department mainly comes from these inpatients. If the director does not take patients well, will the more than 60 beds in the inpatient department be empty?
The departments are now responsible for their own profits and losses, and the monthly utility bills, rent, and other similar service fees have to be handed over to the hospital. After removing the money, there are still so many administrative staff who earn average bonuses.
Therefore, doctors are sometimes called wage earners to put it bluntly.
The little money earned by getting up early and working hard every day, has to be distributed layer by layer before returning to the department, and then let the master distribute according to the coefficient, and finally can be distributed to the hands of doctors.
The deputy chief physician is the backbone of the department. The department applies for projects, publishes papers, and conducts meetings. This group of deputy chief physicians relies on them. Most of them graduated with a doctorate, or they are seniors, or they have clinical experience. It's not that the level of scientific research is outstanding, 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 doctor, mainly responsible for taking care of the patients. If this is placed in a feudal society, this is the long-term labor of the landlord's family, the group of people who create wealth for the landlord.
Of course, no one has survived step by step from resident to attending physician.
After graduating from a bachelor’s degree, a medical student enters a hospital and obtains the prescription right to become a resident doctor. After five years, he can obtain an intermediate professional title (attending physician). The chief physician, too, will be able to obtain a senior professional title in another five years and become a chief physician.
Of course, after graduating from graduate school, two years will be the middle-level professional title, that is, the attending physician, and after three years, you will be able to take the exam for deputy senior and deputy chief physician, and five years will be the senior.
It is faster to get a doctorate degree. After a doctorate degree, you will be a deputy high school in two years, and you will be a high school student in three years.
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 in the hotel to hold a welcome ceremony, and everyone had met for a while.
After two weeks of familiarization, Bai Ye officially began to manage patients.
........................
Today, Wednesday, two patients under Bai Ye's management had just stayed in the treatment course and were discharged from the hospital. The patients all came for maintenance infusions for treatment, and basically had nothing to do. When Bai Ye was in the orthopedics department, he often managed more than ten patients at the same time One patient, that also includes surgery, so two patients are not a problem at all.
The two patients contributed a lot of experience to Bai Ye successively, but there is still some gap before reaching lv3.
Today is Wednesday, and the department does not conduct ward rounds or prescribe medicines, and Dr. Corey is busy writing medical records.
Internal medicine cases are different from surgical cases. In the department of orthopedics, there are actually some surgical records. The daily course of disease is just a few words, and the department of internal medicine is different.
It is necessary to describe the patient's symptoms in detail, especially in the department of neurology, the physical examination is extremely cumbersome, but as a criterion for diagnosis and treatment, not only the examination is difficult, but also the writing of medical records is more complicated, which does not include the replacement of the patient's doctor's order, changes in symptoms, etc. .
Therefore, the number of words a doctor writes in medical records every day is no less than that of the code writer... (I feel sorry for myself for 3 minutes...)
The sound of clacking and typing on the keyboard came from the whole doctor's office, and Bai Ye, who was sitting by the side reading a book, felt quite relaxed.
Because there are only two patients, Bai Ye's progress records are basically followed by Bai Ye. There is no missing a day, and the discharge record was written yesterday. After the patient was discharged today, Bai Ye basically has nothing to do now. up.
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 on his face.
"Oh, Doctor Bai, I have troubled you a lot during this time."
The other party's whole family came, with his son and daughter-in-law following behind him, and his wife also followed and looked at Bai Ye with a smile.
My wife has been living in the hospital these days to accompany and take care of the elderly, and said kindly: "Yes, Doctor Bai, my old man has a stubborn temper, and he has been tormenting you a lot these days, and thanks to your treatment, he is finally much better , now I don’t have a headache from yelling all day long. My temper is much better! This is all thanks to Dr. Bai.”
Bai Ye said with a smile: "It should be, old man, you have to take your medicine on time when you go back, and you have to get 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 fruit when he came. You can't refuse, Doctor Bai."
After finishing speaking, the young man put the fruit on the table and bid farewell, and Bai Ye sent it out with a smile. Seeing the family happily entering the elevator, he turned around 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!Successfully cured the patient, and gained the sincere gratitude of the family members, and won a small gift bag. 】
Bai Ye smiled, is there such a thing?
Bai Ye casually opened the gift bag.
【Ding!You open the gift package and get acupuncture and moxibustion acupoints and therapy: facial paralysis recovery needle.Requirements for use: acupuncture and moxibustion lv5, basic theory of traditional Chinese medicine lv5. 】
After hearing the system prompt, Bai Ye immediately understood what it was.
Acupuncture and moxibustion pay attention to the combination 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 lv5, which 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 principles of acupuncture and moxibustion.
And this "facial paralysis recovery needle" is an acupuncture guide for selecting acupoints for facial paralysis and treating patients according to their different conditions.
However, the requirements for this use are a bit high. Acupuncture and moxibustion require lv5, and the basic theory of traditional Chinese medicine is also lv5. Fortunately, I have already met the requirements.
After Bai Ye chose to receive it, a lot of information immediately appeared in Bai Ye's mind.
【Ding!If the reading is successful, the series of acupuncture and moxibustion tasks will be triggered: Treat fifty patients with facial paralysis with acupuncture and moxibustion, and use facial paralysis recovery therapy proficiently, and you can get: stroke hemiplegia rehabilitation acupuncture. 】
Bai Ye's eyes lit up when he heard it, rehabilitation therapy?
This... good stuff!
After returning to the doctor's office, Bai Ye smiled and said, "Everyone eat and drink fruit, there are so many."
These days, Bai Ye and Dr. Corey cannot be said to be very familiar with each other, but they have gotten to know each other a little bit.
In the doctor's office, there is a large table with a width of [-] meters and a length of [-] meters. It is composed of four tables. The table is very large, and various things are placed on it, such as medical records, laboratory reports, and so on.
Usually, when some patients bring something delicious, some doctors put it on the table, and everyone eats it together.
Wednesday is a rare and quiet day, when life is relaxed, people are in a good mood.
"Wow, there are so many delicious foods, mangosteen, cherries, pistachios, Bai Ye, your patient's family is in a good condition, these fruits are not cheap!" A nurse walked into the doctor's office and saw the things on the table. said with emotion.
Bai Ye has acquired a good skill, and he is also a little happy: "This was given to you when the third bed was discharged from the hospital. Sister Zhao, if you like it, you can take more. The old man said, your thank you is also in it, let me Say thank you."
Sister Zhao's name is Zhao Yinghui. She is a responsible nurse from one bed to six beds.
"Then I won't be polite." After speaking, Zhao Yinghui opened the bag.
Many nurses in the hospital are contract workers. Although it is said that equal pay for equal work, the salary income is not much, and such fruits are usually reluctant to buy.
In the hospital, the relationship between doctors and nurses is the most complicated. If you build a good relationship, you can save a lot of trouble: "By the way, sister Zhao, you can get some for the nurse's station."
The surrounding doctors also joked: "Oh, Xiao Ye, this is the first pot of gold."
Bai Ye smiled: "It seems that the first battle has been won, which is a good thing."
Bai Ye is usually very low-key, without any airs, and gets along pretty well.
At this time, Li Hua, the nurse in charge, walked in, looked around and saw no outsiders, and saw Bai Ye and said directly: "The director just accepted a new patient from the outpatient clinic, and the patient's condition is troublesome, Doctor Bai, the director will ask you See if you can handle it, if not, let Doctor Wang take care of it."
Upon hearing this, Bai Ye asked, "What's going on?"
Li Hua handed over her hospital certificate and medical records: "It's a patient with facial paralysis. The possibility of central facial paralysis has not been ruled out yet, and the patient... is a little anxious. A 49-year-old woman, Doctor Bai, what do you think? Or Just let Doctor Wang take care of it?"
When Wang Wenliang heard that there was a patient, he immediately perked up his ears and regained his energy. However, he did not speak out of interest. Snatching patients is a taboo in the department, and the director usually accepts whoever is asked to accept them.
And there is a doctor on duty every day. Generally speaking, the patients admitted on the day are assigned to a certain person, and the rest are for the doctor on duty.
(End of this chapter)
The level of a department can be seen from the level of its talents. Puze's Department of Encephalopathy is like this. There are ten doctors on the fourteenth floor, including two chief physicians, three deputy chief physicians, and four attending physicians. And a new resident.
Jiao Liming is the director of the department on the 55th floor. He is [-] years old this year and belongs to the practical group. Liu Xiaojun is also the chief physician and the deputy director of the department.
Jiao Liming conducts ward rounds on Thursdays every week. Usually, he mainly goes out to outpatient clinics. Except for meetings and other important matters, Liu Xiaojun is basically in charge of all major and small matters in the department. Liu Xiaojun is responsible for all matters big and small.
Generally speaking, the chief physician determines the development of the department, because the main source of inpatients is the director when he is out of the clinic. After all, the director may have forty or fifty patients in the morning, and the deputy director may only have seven or eight ten patients. For a patient, there are fewer attending physicians, and three to five are normal.
The income of the department mainly comes from these inpatients. If the director does not take patients well, will the more than 60 beds in the inpatient department be empty?
The departments are now responsible for their own profits and losses, and the monthly utility bills, rent, and other similar service fees have to be handed over to the hospital. After removing the money, there are still so many administrative staff who earn average bonuses.
Therefore, doctors are sometimes called wage earners to put it bluntly.
The little money earned by getting up early and working hard every day, has to be distributed layer by layer before returning to the department, and then let the master distribute according to the coefficient, and finally can be distributed to the hands of doctors.
The deputy chief physician is the backbone of the department. The department applies for projects, publishes papers, and conducts meetings. This group of deputy chief physicians relies on them. Most of them graduated with a doctorate, or they are seniors, or they have clinical experience. It's not that the level of scientific research is outstanding, 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 doctor, mainly responsible for taking care of the patients. If this is placed in a feudal society, this is the long-term labor of the landlord's family, the group of people who create wealth for the landlord.
Of course, no one has survived step by step from resident to attending physician.
After graduating from a bachelor’s degree, a medical student enters a hospital and obtains the prescription right to become a resident doctor. After five years, he can obtain an intermediate professional title (attending physician). The chief physician, too, will be able to obtain a senior professional title in another five years and become a chief physician.
Of course, after graduating from graduate school, two years will be the middle-level professional title, that is, the attending physician, and after three years, you will be able to take the exam for deputy senior and deputy chief physician, and five years will be the senior.
It is faster to get a doctorate degree. After a doctorate degree, you will be a deputy high school in two years, and you will be a high school student in three years.
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 in the hotel to hold a welcome ceremony, and everyone had met for a while.
After two weeks of familiarization, Bai Ye officially began to manage patients.
........................
Today, Wednesday, two patients under Bai Ye's management had just stayed in the treatment course and were discharged from the hospital. The patients all came for maintenance infusions for treatment, and basically had nothing to do. When Bai Ye was in the orthopedics department, he often managed more than ten patients at the same time One patient, that also includes surgery, so two patients are not a problem at all.
The two patients contributed a lot of experience to Bai Ye successively, but there is still some gap before reaching lv3.
Today is Wednesday, and the department does not conduct ward rounds or prescribe medicines, and Dr. Corey is busy writing medical records.
Internal medicine cases are different from surgical cases. In the department of orthopedics, there are actually some surgical records. The daily course of disease is just a few words, and the department of internal medicine is different.
It is necessary to describe the patient's symptoms in detail, especially in the department of neurology, the physical examination is extremely cumbersome, but as a criterion for diagnosis and treatment, not only the examination is difficult, but also the writing of medical records is more complicated, which does not include the replacement of the patient's doctor's order, changes in symptoms, etc. .
Therefore, the number of words a doctor writes in medical records every day is no less than that of the code writer... (I feel sorry for myself for 3 minutes...)
The sound of clacking and typing on the keyboard came from the whole doctor's office, and Bai Ye, who was sitting by the side reading a book, felt quite relaxed.
Because there are only two patients, Bai Ye's progress records are basically followed by Bai Ye. There is no missing a day, and the discharge record was written yesterday. After the patient was discharged today, Bai Ye basically has nothing to do now. up.
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 on his face.
"Oh, Doctor Bai, I have troubled you a lot during this time."
The other party's whole family came, with his son and daughter-in-law following behind him, and his wife also followed and looked at Bai Ye with a smile.
My wife has been living in the hospital these days to accompany and take care of the elderly, and said kindly: "Yes, Doctor Bai, my old man has a stubborn temper, and he has been tormenting you a lot these days, and thanks to your treatment, he is finally much better , now I don’t have a headache from yelling all day long. My temper is much better! This is all thanks to Dr. Bai.”
Bai Ye said with a smile: "It should be, old man, you have to take your medicine on time when you go back, and you have to get 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 fruit when he came. You can't refuse, Doctor Bai."
After finishing speaking, the young man put the fruit on the table and bid farewell, and Bai Ye sent it out with a smile. Seeing the family happily entering the elevator, he turned around 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!Successfully cured the patient, and gained the sincere gratitude of the family members, and won a small gift bag. 】
Bai Ye smiled, is there such a thing?
Bai Ye casually opened the gift bag.
【Ding!You open the gift package and get acupuncture and moxibustion acupoints and therapy: facial paralysis recovery needle.Requirements for use: acupuncture and moxibustion lv5, basic theory of traditional Chinese medicine lv5. 】
After hearing the system prompt, Bai Ye immediately understood what it was.
Acupuncture and moxibustion pay attention to the combination 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 lv5, which 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 principles of acupuncture and moxibustion.
And this "facial paralysis recovery needle" is an acupuncture guide for selecting acupoints for facial paralysis and treating patients according to their different conditions.
However, the requirements for this use are a bit high. Acupuncture and moxibustion require lv5, and the basic theory of traditional Chinese medicine is also lv5. Fortunately, I have already met the requirements.
After Bai Ye chose to receive it, a lot of information immediately appeared in Bai Ye's mind.
【Ding!If the reading is successful, the series of acupuncture and moxibustion tasks will be triggered: Treat fifty patients with facial paralysis with acupuncture and moxibustion, and use facial paralysis recovery therapy proficiently, and you can get: stroke hemiplegia rehabilitation acupuncture. 】
Bai Ye's eyes lit up when he heard it, rehabilitation therapy?
This... good stuff!
After returning to the doctor's office, Bai Ye smiled and said, "Everyone eat and drink fruit, there are so many."
These days, Bai Ye and Dr. Corey cannot be said to be very familiar with each other, but they have gotten to know each other a little bit.
In the doctor's office, there is a large table with a width of [-] meters and a length of [-] meters. It is composed of four tables. The table is very large, and various things are placed on it, such as medical records, laboratory reports, and so on.
Usually, when some patients bring something delicious, some doctors put it on the table, and everyone eats it together.
Wednesday is a rare and quiet day, when life is relaxed, people are in a good mood.
"Wow, there are so many delicious foods, mangosteen, cherries, pistachios, Bai Ye, your patient's family is in a good condition, these fruits are not cheap!" A nurse walked into the doctor's office and saw the things on the table. said with emotion.
Bai Ye has acquired a good skill, and he is also a little happy: "This was given to you when the third bed was discharged from the hospital. Sister Zhao, if you like it, you can take more. The old man said, your thank you is also in it, let me Say thank you."
Sister Zhao's name is Zhao Yinghui. She is a responsible nurse from one bed to six beds.
"Then I won't be polite." After speaking, Zhao Yinghui opened the bag.
Many nurses in the hospital are contract workers. Although it is said that equal pay for equal work, the salary income is not much, and such fruits are usually reluctant to buy.
In the hospital, the relationship between doctors and nurses is the most complicated. If you build a good relationship, you can save a lot of trouble: "By the way, sister Zhao, you can get some for the nurse's station."
The surrounding doctors also joked: "Oh, Xiao Ye, this is the first pot of gold."
Bai Ye smiled: "It seems that the first battle has been won, which is a good thing."
Bai Ye is usually very low-key, without any airs, and gets along pretty well.
At this time, Li Hua, the nurse in charge, walked in, looked around and saw no outsiders, and saw Bai Ye and said directly: "The director just accepted a new patient from the outpatient clinic, and the patient's condition is troublesome, Doctor Bai, the director will ask you See if you can handle it, if not, let Doctor Wang take care of it."
Upon hearing this, Bai Ye asked, "What's going on?"
Li Hua handed over her hospital certificate and medical records: "It's a patient with facial paralysis. The possibility of central facial paralysis has not been ruled out yet, and the patient... is a little anxious. A 49-year-old woman, Doctor Bai, what do you think? Or Just let Doctor Wang take care of it?"
When Wang Wenliang heard that there was a patient, he immediately perked up his ears and regained his energy. However, he did not speak out of interest. Snatching patients is a taboo in the department, and the director usually accepts whoever is asked to accept them.
And there is a doctor on duty every day. Generally speaking, the patients admitted on the day are assigned to a certain person, and the rest are for the doctor on duty.
(End of this chapter)
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