Great doctor starts with adding points
Chapter 76 Medical records are particularly important raw materials (for collection, for further rea
The classification of Mason and Johnson is indeed the classification method to guide the treatment of fractures.
But after all, these two classifications are generally used to customize the surgical plan before fracture treatment.
There may be quite a few people who can understand and clarify clearly at the same time in the later stage, but in the process of consultation, there are not many people in Enzhou who can understand on the spot, and there may even be none.
This is not telling lies, because medicine is too vast, so there is a lot of knowledge that is not absolutely mastered, but it is necessary to check literature and information in spare time to complete it.
Under such a premise, Gui Zhongshuo really felt that Wu Xie's revision of the medical records was too outrageous, but it was a bit too much!
When Director Xue heard Gui Zhongshuo's yin and yang words, his expression was a little bit cold, and he looked at Lin Peiyuan who had a different opinion from Gui Zhongshuo.
At this moment, Wu Liangshan interjected and said flatteringly, "Director Gui, you are a professional! You have insights."
Gui Zhongshuo didn't pay attention to it. As a member of the monitoring team, he naturally didn't want to show favoritism and express his opinion. It's just that he knows that Chinese medicine is not easy to do now, and there are not many existing Chinese medicine, so he doesn't want this matter. Then it involves the inheritors of the national quintessence.
Lin Peiyuan thought Gui Zhongshuo was very interesting, and said, "What does Director Gui mean by this? Could it be that Director Gui doesn't usually do it himself, and doesn't allow other doctors to do it?"
"Is it kidnapping if you name it as a theoretical school?"
"The professionally written medical records are all revised?" Lin Peiyuan was standing by Wu Xie.
He had seen the medical records written by Wu Xie and the degree of professionalism in the medical records. Of course he had to speak for Wu Xie at this moment, and at the same time felt sorry for Gui Zhongshuo's ignorance.
There are pitfalls in Lin Peiyuan's words, but Gui Zhongshuo cannot be fooled: "I'm just discussing the facts. Director Lin, don't over-interpret and draw hatred for me. Naturally, the diagnoses of many teaching hospitals are quite standardized."
Writing too professionally is copying?
Gui Zhongshuo didn't dare to make such a decision.
When Lu Junyin heard the words, he knew that he should speak: "Director Gui, what you said is indeed correct, but Dr. Wu in our department has always written medical records like this. If Director Gui doesn't believe it, you can check with Wu The bed assigned by the doctor or the discharge medical records."
"Look at this pattern of diagnosis and medical record writing, whether it is a habit or a modified accident."
Gui Zhongshuo raised his eyelids, calmly said, "If you're prepared, it's okay to revise the diagnosis or other content as well."
"Too theoretical and professional diagnosis does not play much role in the diagnosis and treatment process, but will hinder normal communication with the patient's family."
"That's my opinion. It's not persuasive..." Gui Zhongshuo obviously wanted to work harder to keep the Chinese medicine doctor in the town.
The topic discussion here seems to have reached an impasse.
It's not easy for Wu Xie to interrupt to explain something...
At the Xuanxian People's Hospital, Luo Wei, who was on duty, happened to handle the patient's hospitalization procedures at this moment.
Because of the presence of CT, the diagnosis of the fracture is clear, and the indications for surgery are obvious, so hospitalization is definitely required. He opened the hospital certificate first.
And when I heard that the patient was transferred from a lower-level hospital, there might still be medical disputes, so Luo Wei didn't wait until tomorrow to ask about the medical history and write the medical history, but planned to write the medical history today. This medical record is perfect.
If there is a doctor-patient dispute in the patient's previous diagnosis and treatment relationship, the possibility of another doctor-patient dispute will be higher.
When Luo Wei walked to Zhao Ping's bed, he heard that Zhao Ping seemed to be on the phone with someone, who might be an acquaintance of his: "Doctor Wu Xie, is it really as good as you said? Why do I feel like that? ?”
Zhao Ping and Dong Lianghe are both from Lijiahe Town, Fengxian County. They are workers and have known each other before, but the division of labor is different.
This matter was something Wu Liangshan didn't even know about.
At this moment, Zhao Ping was asking about Dong Lianghe's situation, and his tone was not very good.
If Dong Lianghe hadn't said good things to Wu Liangshan, Wu Liangshan probably wouldn't have taken him for a run around Sha Town. It hurt more than before.
Dong Lianghe has now been hospitalized in the Trauma Surgery Department of Orthopedics Ward 1 of the State People's Hospital, and he is full of joy: "How can I lie to you? Brother Zhao Ping, you know my illness, and it has been delayed for half a year."
"It didn't get better, and then I went to Shazhen after listening to a patient's suggestion. Hey, this week, I'm here in the hospital. The director here thinks it's incredible, saying that if I have another operation in two days, Might not be amputated."
"That's the real deal! I'm not bragging at all."
"But I'm going this time..." Zhao Ping said so, seeing the doctor on duty Luo Wei coming in, he quickly said: "The doctor here is here, hang up first."
Then Zhao Ping looked at Luo Wei with a smile all over his face, and said in a flattering tone, "Hello, Doctor Luo."
Unexpectedly, when he smiled like this, he saw Luo Wei's expression and complexion at the moment were very exciting, and his steps were stiff for a few minutes. He slowly moved in and asked seriously: "Who did you just talk about? Doctor Wu Xie? What did you say before?" Did you see Dr. Wu Xie in Shazhen?"
Luo Wei didn't dare not be serious, Wu Xie could be regarded as "trapping" the people in the department severely before, and of course it wasn't active cheating, it was you who didn't distinguish clearly.
However, Wu Xie performed manual reset for the lateral dislocation of the elbow joint without MRI, and the written medical records directly shocked Luo Wei and everyone in the department. It is hard to imagine that this was done by Lin Written by Wu Xie, who was driven away by the director.
Because of this, now hearing that Zhao Ping had sought Wu Xie for medical treatment, Luo Wei felt a little more guarded deep in his heart.
Especially in the writing of medical records, it is even more serious and attentive.
"Well, Dr. Luo, you also know Dr. Wu?" Zhao Ping's eyes were pierced, staring at Luo Wei's expression changes, and his tone was still smiling and casual.
"What about your medical records? Why didn't you hand them over to me before?" Luo Wei put away the notebooks he was going to record, and asked Zhao Ping on guard.
If there is a medical dispute between Zhao Ping and Wu Xie, then you have to be more careful, especially when writing your own medical records.
"Accidentally lost it, it's okay!"
"Dr. Luo, you are a high-level doctor in the county hospital, and that Dr. Wu is only a doctor in the town. If it wasn't for him this time, if he didn't reset me, how could I have suffered so much..." Zhao Ping began to complain to Lowe.
Talking about his own experience, he sighed and held his elbows, as if the previous painful experience had been experienced again.
But when Zhao Ping said this, Luo Wei became more cautious: "So, in your case, Dr. Wu didn't reset you, and then you went to a Chinese medicine doctor for reset, and then it hasn't been reset yet? Is that so?"
"Then why did you lose your medical records? This medical record is very important raw data. You have to provide it to me so that I can know your situation at that time. Otherwise, you are now reset by others."
"Your current situation is different from that at that time. It is difficult for me to record here."
"Think about it, where did you lose it? This is very important."
"Besides, Dr. Wu told you that the manipulation can't be reset, so why do you go to other places to see it?" Luo Wei asked.
"Didn't the boss take it with me?" Zhao Ping sighed.
He also felt that he had met a good boss and took him to see a doctor himself, which was considered responsible. Who knew, after all this trouble, he still came to the county hospital, so he might as well come here sooner.
"Then you are really confused. It is you or your boss who is injured. Now you are considered a work-related injury. You must go to a better place?"
"What does your boss know? If you don't believe in professional doctors, you follow your boss?"
Luo Wei asked again with experience: "Did your boss tell you to throw away that medical record on purpose? Then he will go to trouble someone else?"
When Zhao Ping heard this, his eyes flickered and he didn't answer. Although he shook his head, it was regarded as acquiescing.
"Then you are really funny. Hurry up and get back that medical record, which will be beneficial to your treatment and condition. Your boss doesn't care about whether your treatment is good or not. He only cares about how much he pays. How can you So confused?"
"You have been tricked by him once, do you still want to leave any sequelae?"
"Your boss will support you for the rest of your life?" Luo Wei worked hard to make his medical records more standardized.
I'm not sure whether Zhao Ping threw it away or not. If something goes wrong after keeping it, and the medical records written in the department are not as good as other people's outpatient medical records, then it's a joke.
"Is this medical record really so important?" Zhao Ping wondered.
"Is this medical history data? Isn't it important?"
"In your eyes, it looks like nothing, but to us, it is a very precious raw material, which is very helpful for your treatment." Luo Wei warned earnestly...
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