669 Dancing in shackles
It is quite bizarre for ischemic stroke patients to have symptoms of upper gastrointestinal bleeding when they are about to be discharged from the hospital, but Mr. Wu and Director Zhou have to check the patient's lungs with 64 scans of CT.
Song Yabin is the old director of the Department of Neurology, but he has never had a similar examination.
Instinctively, Song Yabin felt that this matter was unreliable, but she didn't say anything, but asked very respectfully, "Director Zhou, what do you think?"
"Director Song, I heard that you need the approval of the medical department to do a relatively expensive examination?" Zhou Guohui did not say the diagnosis, but asked an irrelevant question.
Song Yabin was stunned for a moment, has this matter spread so far?!
"Mr. Wu still has 1 hour to arrive, and it is best to shoot the film when he comes. Zhou Guohui said, "I only estimate the specific diagnosis - considering that the patient has arteriovenous malformations in the lungs." The two flat films can't see anything, at most they are suspicious, and they still have to do 64 rows to finalize. ”
Song Yabin thought for a while and said with a wry smile, "Director Zhou, we really need to consult with relevant departments to do 64-row scanning, and then the medical department will ......."
"The patient had upper gastrointestinal bleeding and was considered an emergency. Zhou Guohui said.
After all, they are all old doctors, and no one should try to fool anyone. Zhou Guohui understands very well the clinical set of invisible small splints and small shackles. Dancing in shackles, who isn't.
If you manage it, you will die, and if you don't care about it, there will be more such things, not only in the medical industry. But the patient needs it, and it has to find a reason to do it, emergency first aid, that's the reason.
As for whether Song Yabin needs to take some "risks", Zhou Guohui can't care about it, and he doesn't want to care about it.
"Director Song, hurry up. Matthew said, "If you think for yourself, the application at the medical office should be processed as soon as possible." By the way, is Director Han at work?"
"It's time to work. Song Yabin said, "I went to the ICU last time for 3 days, but fortunately, Director Li of the emergency department found it in time, so it did not lead to the further aggravation of the condition." Because it was found in time, it was recovered quickly. ”
"Well, that's good. Matthew said, "Hold on to this, I believe Han can understand." ”
Director Song nodded and went to deal with all kinds of trivial matters.
In fact, these things have no essential connection with medical treatment? When I think about it, I feel a little greasy. Can all walks of life? Which one is not inextricably linked, and which one is not.
Can you reduce internal friction? Even if it's a very awesome leader? As for Han Guangyun...... I guess he can't do it, Director Song thought to himself.
"Director Zhou? Let's go to the director's office to rest for a while. Matthew said.
Zhou Guohui nodded? "The patient has already seen it? Take a break. ”
He is not actually tired, he just sits in the doctor's office, and everyone else will be very restrained, and his work efficiency will be greatly affected.
Song Yabin sent Ma Xiude and Zhou Guohui to his office first? A few kind words? Then I closed the door and walked briskly all the way to the medical office to go through the application procedures.
Now it's all electronic office, submit an application, and there is a special person in charge of approval at the medical office? Originally, Song Yabin didn't need to run in person.
But a regulation is a regulation, and a process is a process? Following the process also requires consultation with various departments. At this point, thoracic surgery has been operated? The Department of Respiratory Medicine is doing a big round, if you are looking for someone to consult? It takes a minimum of half an hour.
Although the patient's condition is stable? But Mr. Wu arrived an hour later...... Are the directors of the Horse Institute and Zhou Guohui right? Mr. Wu personally came to see the patients and watched the film, and if he asked the family to wait for a few hours, it would be unreasonable.
If this is the case, there will be no need to deal with it in the future, Song Yabin knows it in his heart.
Go run yourself, or what else will you do.
At the very least, if you go by yourself, the small staff of the medical department will have to give a little bit of thin noodles, even if you meet Director Han and explain the reasons clearly, the possibility of things being done is much greater.
Arteriovenous malformations of the lungs...... 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 thought as she went to the infirmary.
"Xiao 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 diagnosed with ischemic stroke, upper gastrointestinal bleeding, suspected pulmonary arteriovenous malformation, and has a 64-slice CT of the chest. The patient had just vomited blood and had no time to wait for the consultation, so he wanted to do the examination first. Song Yabin briefly introduced the situation.
The little clerk in the medical department was a little embarrassed, he scratched his head and gave Song Yabin a look.
"What?" Song Yabin lifted his glasses, but he didn't see it.
"Director Song. The little clerk in the medical office made a mouth shape, his eyes were about to fly out, and he glanced vigorously at the office opposite.
"Do you have a needle eye, are you uncomfortable?" Song Yabin was still thinking about the evolution of ischemic stroke caused by arteriovenous malformation in the lungs, and he didn't notice the expression of the little staff in the medical department at all.
The little clerk in the medical department was very helpless, so he had to stand up and lean to Song Yabin's side and whispered, "We have regulations, and a lung CT scan in the neurology department is already the limit, 64 rows...... Really need to be consulted. It's not that I won't do it for you, and I'm embarrassed on this side. ”
Song Yabin frowned.
"Director Song, don't be embarrassed for me to be a little clerk, you know that the Han Office has strict management. The little clerk of the medical department didn't dare to say too many bad things, and said vaguely, "Why don't you go to the Han department and explain?" If the Han department agrees, I will bring up the interface, as long as you stand at the door and say it, it will be solved immediately!"
"......" Director Song was speechless, she looked at the little staff in the medical department and didn't know what to say. After hesitating for a few seconds, he had to turn around and go to Han Guangyun's office.
"Knock knock~~~" 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. Some time ago, I went to the ICU for hospitalization and was infected with toxic shock, which hit the human body very hard.
Han was also focused on his work, Director Song thought to himself. But the consequences of the layman's dedication to work are ...... Forget it, I'm just a director, and I can't manage so much.
"Director Song, is there something wrong with me?" Han Guangyun asked.
"Han, I have a ......," Song Yabin explained the situation.
"You mean ischemic stroke patients, the problem is in the lungs?" Han Guangyun understood what Song Yabin meant, and asked suspiciously.
Director Song could feel that there was already something unkind in Han Guangyun's tone, but he could only bite the bullet and say, "Yes." ”
For a moment, Song Yabin felt that Han's gaze fell on him like a knife.