Chapter 114 Specialist Clinic
Thursday is the non-surgical day for Gao Yong's group.
And it is not the main shift, it is the rest day of the doctors in this group.
Yang Xi also wanted to take a good rest, last night, Gao Yong was drunk, and he fought with Dean Lin until one o'clock in the night, and when he returned to the dormitory and took a shower and lay on the bed, it was already three o'clock in the middle of the night.
Gao Yong was quite comfortable, after checking the room, he explained the doctor's instructions for the next few key patients, and went upstairs to his office to make up for sleep, even to the east was not awkward, after processing the doctor's orders of the day, he went straight to the duty room, went to bed, and snoring sounded in less than a minute.
It's hard for Yang Xi.
Before he had time to slip away, he was caught by Director Ma.
On Thursday morning, it was Director Ma's breast disease specialist outpatient clinic, and I don't know what Director Ma thought, he never went out of the clinic without an assistant, but he actually called Yang Xi.
No matter how mixed Yang Xi was, he couldn't help but know how to lift, so he had to resist the urge to yawn and follow Director Ma to the outpatient clinic.
Director Ma is a big-name expert who enjoys national allowances, and according to the regulations, he can receive 200 yuan for the outpatient registration fee, but the little old man in the magic capital has a personality, forcing the hospital to drop again and again, and finally only charge 50 yuan for a registration order.
According to the rules of the hospital, half of the registration fee for the specialist clinic is returned to the specialist's purse as an expert's allowance. Director Ma has 20 expert numbers in the morning, and if he follows a number of 200 yuan, his income in the morning can reach 2,000 yuan, and if he only receives 50 yuan, his income this morning will be 1,500 yuan less.
However, the kindness of the little old man in the magic capital was not repaid as it should be, and the scalpers seized the opportunity and made a decisive move, quickly fried the expert number of the little old man in the magic capital to the price of 300 yuan a piece.
At half past eight, Director Ma officially opened the clinic.
As the first patient walked into the consultation room, Yang Xi's heartbeat began to accelerate, and his dream for many years finally came true.
After asking about the medical history, Director Ma was ready to palpate, and at this moment, Yang Xi's heart rate soared directly to more than 100, although the patient seemed to be at least 40 years old.
Yes...... Bah!
Who is scolding the master for being a hooligan? and a hooligan with no taste?
The reason why the master's heart rate is increasing is because he is nervous! What kind of character is the little old man in the magic capital? A great expert who enjoys state allowances, a master-level existence, can the master not be nervous when he is personally trained by him?
It seems, that's really the case.
When Director Ma called Yang Xi to come over and learn breast palpation with him, Yang Xi suddenly calmed down.
"Before palpation, it is necessary to look at the patient and carefully observe whether the RF on both sides of the patient is symmetrical, whether there are abnormal changes in the surface skin, and whether there are depressions in RY and RT. Director Ma explained while demonstrating: "Breast palpation should be done with the fingertips, from top to bottom, from the inside to the outside, from the edge to the center, the fingers are rotated, gently pressed slowly, step by step, come, you do it again and show me." ”
Yang Xi obeyed the order and stretched out his hand, but before touching the patient's skin, he suddenly withdrew his hand again, put it under his lips and tested the temperature, feeling a little cold, so he reached into his arms and warmed it for a while.
See the truth in the subtleties.
Yang Xi's inadvertent action was seen by Director Ma, and he was suddenly relieved in his heart, this child is a caring person, and my old horse really didn't look away.
According to Director Ma's demonstration, Yang Xi did a detailed palpation of the patient, and in the process, he couldn't help frowning, and after the whole thing was done, he couldn't help but go back to the place where he found something strange just now, and pressed it several times.
"It's a tumor, but it's supposed to be a benign tumor. Yang Xi made a judgment, but there was a slight hesitation in his tone.
Director Ma nodded and said, "How did you judge that it was a benign tumor?"
"There are no roots, it's isolated, and there are no abnormal changes to the surface skin. Recalling the feeling during palpation, Yang Xi's answer was much more affirmative.
Director Ma nodded again, and turned to the patient: "Breast fibroma, the tumor is not big, you can not treat it, if you are really worried, just go to another hospital to cut it out." ”
The patient asked, "Director Ma, can you have surgery in your hospital?"
While writing the outpatient medical records, Director Ma responded lukewarmly: "I don't accept benign tumors, and I won't do this kind of surgery, if you can find other doctors in the department, I won't stop you, okay, that's it, Dr. Yang, call the number, the next one." ”
You can't complain that Director Ma is not enthusiastic and meticulous enough for his patients. The morning outpatient clinic is only three and a half hours, of which Director Ma has to spend half an hour to smoke, and the remaining three hours have to see 20 patients, on average, a patient can only spread for 9 minutes.
Once a patient is suspected of malignant tumor, the 9-minute reception time is far from enough, so the reception time of patients like this can only be compressed.
The next two patients belong to the type of person who spends money to buy peace of mind, and there is nothing wrong with it, but there is a little breast hyperplasia, but she doesn't believe her attending doctor, so she has to spend some money to find Director Ma, and after listening to Director Ma's diagnosis, she is willing to feel at ease.
The fourth patient was a patient who came back for follow-up treatment three months after breast cancer surgery, Director Ma did a detailed examination for her, and contacted the Department of Medical Oncology to admit her to the hospital, and advised: "Stay first, I will go to discuss your follow-up treatment plan with Director Jia of the oncology department, don't take the cost too seriously, there is a way to have money, there is a plan without money, on the whole, the treatment effect is not much different, but people have to suffer more." ”
Director Ma's speech seemed to have a kind of magic, the patient was still sad when he entered the door, but when he left, a slight smile had appeared on his face.
Yang Xi was about to call the next number, but was stopped by Director Ma.
"Don't you want to smoke a cigarette?"
Yang Xi sneered and responded: "Of course I want to, I can't hold it anymore." ”
Director Ma laughed and beckoned Yang Xi into the inner room.
"The smoke is not good, it's just a tribute. Yang Xi took out a box of Sanwu from Lian Xiangdong and handed it to Director Ma. Poor people are used to always putting good things behind, and with a dozen yuan a box of three or five, Yang Xi is naturally reluctant to touch dozens of yuan a pack of Dagong or soft Su.
Director Ma didn't pay much attention to it, took the cigarette box, took out one, lit the cigarette with the fire handed by Yang Xi, took a deep breath, held the cigarette in his lungs for a while, and then slowly spit it out, and said: "Actually, this cigarette is really good, mellow and strong, and cheap, much stronger than domestic cigarettes." ”
Yang Xi listened and thought thoughtfully.