Zhou Jun initially refused to give radiotherapy to the heart of a comatose patient.

"It's working time, so let's put this kind of boring joke after work. Zhou Jun knocked on the table and reminded Sun Lien to pay attention to the current situation. "What have you discovered?"

"It's a diagnostic idea. Sun explained, of course, understood that no sane senior doctor would agree to his own nonsense treatment. But he still had to let his opinion out first - he really thought that Yang Jianqiang should be given a radiotherapy for his heart.

Sun Lien finished his discovery and reasoning, and supported it with the testimony of the patient's family. But Zhou Jun still shook his head slowly, "This reason is too far-fetched. ”

Sun Lien sighed. It would be strange if it was so easy to convince Zhou Jun. But although he was mentally prepared, he would still be a little frustrated after his suggestion was rejected.

"However......" Zhou Jun lowered his head and pondered for a while, then hesitated slightly, "Your reasoning about the change in the degree of suppression of the immune system is somewhat interesting. ”

Sun Lien looked at Zhou Jun in front of him with some surprise, he was ready for his opinion to be completely denied, but he didn't expect that Zhou Jun actually planned to partially accept his judgment.

"All else being equal, any anomalies are directly related to the variables. Zhou Jun pondered for a moment and then gave his own explanation, "At present, any other disease progression sequence that we know does not match the patient's current situation, and after ruling out all the impossibilities, the remaining answers, no matter how incredible they are, are the only result." ”

"But!" Zhou Jun's voice suddenly raised a tone, "This doesn't mean that you can do whatever you want - especially to give radiation therapy to the patient's heart that does not show problems!" As if to emphasize his determination, Zhou Jun knocked on the table and said word by word, "Evidence-based medicine! Only evidence can determine the direction of treatment!"

Evidence-based medicine, these four words themselves profoundly illustrate the direction of the development of modern medicine. Physicians should not simply rely on their own experience to "identify" the patient's condition and treat it according to their own assumptions. Modern medicine requires that doctors should use tangible evidence to identify a patient's disease. Based on objective and realistic evidence, the patient's condition is treated. This is the direction of modern medicine.

Sun Lien's current request obviously has nothing to do with evidence-based medicine. In Zhou Jun's opinion, this is probably a means used by Sun Lien, a kid, to show that he is unusual. It is not worth advocating, nor should it be encouraged. However, there is some truth in this series of explanations. Since Sun Lien has given the patient hydrocortisone, let him follow his wishes and see how his condition changes.

If the patient's condition improves, then his diagnosis is in the right direction. If the situation doesn't change much...... There will be nothing to lose either.

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After Sun Lien left Zhou Jun's office, he was suddenly a little dazed. After being transferred out of the emergency room by Dean Song, he should be assigned to be on duty in an emergency department. It's just that Zhou Jun's recall was a bit sudden, so that Sun Lien still hasn't figured out where he should be in the clinic.

"Dr. Sun, what do you say...... The little nurses in charge of triage at the door also mastered the doctor's schedule in each consultation room. She quickly found Sun Lien's place of work, "You were supposed to be in the third consultation room, but now there are doctors in the third consultation room. The ninth consultation room is still empty. ”

"That's ninth. Sun Lien has no opinion on this change. Anyway, when you come to the hospital, you have to work, and there seems to be no difference in meeting the requirements of receiving ordinary patients in the clinic - the ninth consultation room is next to the door of the emergency room, if Yang Jianqiang really has any changes in symptoms, Sun Lien can also quickly rush to the scene for diagnosis.

And there is another advantage of going to the clinic alone - you can get a registration fee. This is also one of the main reasons why Sun Lien is full of motivation. During the training period, except for some regional hospitals that will pay wages and state subsidies, hospitals in most areas are actually extremely stingy and only pay subsidies. Although the Fourth Central Hospital has a large emergency center as the foundation, it is really difficult to make money from emergency after all. No matter how good Dean Song's activity ability is, the annual subsidies, grants and donations can only maintain the operation of the hospital. If you want to pay high salaries to regular trainees, I am afraid that the financial situation of the hospital will change from "tight" to "precarious".

Therefore, adhering to the guiding ideology of "saving if you can save money, bear hardships and stand hard work", the Fourth Central Hospital only pays subsidies to trainees. However, in order to enhance the learning motivation of the trainees, the Fourth Central Hospital has specially stipulated that the trainees who can go to the clinic independently and treat patients under the supervision of senior doctors can get a share of 80% of the registered outpatient fee and all treatment expenses except the cost of treatment. A large part of Sun Lien's willingness to accept an early recall is also because of this.

So far, Sun Lien has only received two treatment fees. One came from Yuan Meng, who fainted blood, and the other was Zhuang Zihao's child who dislocated twice in one day due to his parents' carelessness.

Yuan Meng's sutures are made of fast threads, although the suture effect is better, and the scar will be shallower later, but the cost is really not low. One stitch down, the fee is as high as more than 500 pieces. Fortunately, after Yuan Meng woke up, he was very satisfied with Sun Lien's treatment, which allowed Sun Lien to escape an administrative warning - it stands to reason that for this kind of comatose patient, it should be more expensive and more common ordinary sutures.

And Zhuang Zihao's children are more miserable. Both reductions are charged according to the manual reduction of the joint. The price is 120 yuan at one time. It's a pity that there is no discount of 99 for a full 200. 240 yuan fell into Sun Lien's pocket in this way - manual reduction does not require the use of medical consumables.

After two treatments, Sun Lien's salary increased by more than 400 yuan. This also made him look forward to the next outpatient clinic - he also wanted to use next month's salary to buy Hu Jia some small gifts.

"Doctor ......" had just sat down in the consultation room, and Sun Lien was about to send a message to Xiao Guo, asking him to tell Dr. Pascal to come to his office to discuss the adjustment of Yang Jianqiang's immunization program, but the door of his consultation room was suddenly pushed open. A young woman with a pale face walked in with another man's support, and the man's expression looked nervous, "Take a look, she has a stomachache!"

"Zhao Mengli, female, 21 years old, ruptured corpus luteum of the ovary. The young woman's head was fluttering with a state bar, and as soon as she entered the door, she sat down on a stool with one or two weak legs.

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