Director Zhan was unceremoniously re-rated the three patients he had found.

"Xiaoyun, this is the result of my re-evaluation, you review it, if you have no opinions, we will compare the efficacy according to this score. Director Zhan smiled and handed the three score sheets to Yun Tian.

Yun Tian took it and took a look.

The subjective intent of this score was strong, and each of the three patients improved by 3-4 points.

This is slightly higher than the 2-3 points that Director Lin had predicted earlier.

A difference of one or two points, Yun Tian had no intention of worrying with Director Zhan.

"Okay, I'll review it first, and if I have any comments, I'll contact Director Zhan then. Yun Tian replied politely.

The internist's day is chaotic, and it takes a lot of energy to operate various treatments and equipment, and there is a lot of text to deal with.

Yun Tian carried the electrotherapy device to the 11th bed.

Today's 11-bed acupuncture has not been done.

There are still six patients who need acupuncture.......

"Yuntian!" Yun Tian had just put a needle on the 11th bed, and before the electrotherapy device could be connected, Mao Xiuhui appeared at the door of the ward.

"What does this mean?" asked Mao Xiuhui, holding up the 24th, 19th, and 11th beds of cases.

"What's wrong?"

"Why is the initial aphasia score sheet missing? Today's redone aphasia score is 3-4 points higher?" Mao Xiuhui was actually a little confused.

In the past two days, Mao Xiuhui came very early, and every day when Yuntian inspected patients for treatment, Mao Xiuhui followed him like a little follower.

Moreover, every time she arrived at the TCM department, Mao Xiuhui would look at the situation of Yuntian's three patients by the way, to see what treatments Yuntian had done and what adjustments had been made.

Today, because Director Zhan had temporary arrangements, I came a little late, and I almost didn't catch up with Yuntian's treatment.

But unexpectedly, when I went to check the case, the three aphasia assessment forms made in the hospital were missing, and they were replaced by today's score sheets.

Mao Xiuhui has seen the treatment effect of Yuntian in the past few days, and these three aphasia evaluation forms are at least one to two points higher than the actual situation!

Although it was not clear what Yuntian's intentions were, such a lax attitude in scoring angered Mao Xiuhui, so she angrily picked up the case and rushed over to find Yuntian.

"Director Zhan thinks that the three-point aphasia score form done on admission is not objective, so he came over today and redid three copies, which are counted as initial evaluations and used for efficacy control. Yun Tian carefully connected the conductive wire to the silver needle, slowly adjusted the amount of current, and replied without raising his head.

Mao Xiuhui only felt a loud slap in her face!

It hurts hotly!

Director Zhan deliberately pushed himself aside in the morning, and he came to the Chinese medicine department early to ask Yuntian to redo the aphasia score, and the score sheet he did was significantly higher than the actual score, the purpose of all this is self-evident.

Mao Xiuhui's little face turned red, and without saying a word, she turned around and left.

After completing all his acupuncture treatments, Yuntian returned to the office and began to write a record of his illness.

"Doctor Xiaoyun, can I help you write the course of your illness?" Zhuang Zhuyue came over with a smile and offered to help Yuntian.

"No need. Yun Tian coldly refused.

Yuntian has not yet enjoyed the high-level treatment of someone to help him write the course of his illness, he is still an intern, although he has a system, but in terms of paperwork, the system does not seem to give him more help.

But writing a good course of a case is an essential skill for an internist.

Moreover, Yuntian likes to write about the course of the disease, and conduct a comprehensive assessment of the patient's condition, which is more conducive to his understanding of the patient's condition.

"Doctor Yun......" Jiang Qiurou, who was admitted to the hospital last night, appeared at the door of the doctor's office.

After being admitted to the hospital last night, Yuntian gave Jiang Qiurou thrombolytic treatment, and with acupuncture, although Jiang Qiurou's speech was not too clear and fluent, she was still able to communicate normally.

"The ultrasound doctor said that there is a heart problem, this is a report form, please show me. Jiang Qiurou spoke very slowly, trying hard to pronounce every word as accurately as possible.

"Mitral valve prolapse, formation of left atrial vegetations of the valve and annulus, with moderate to severe regurgitation. "Sure enough, it's a cardioembolism!

"In your case, you also need to do a blood culture to determine if it is a streptococcus infection. According to the cardiac ultrasound, the heart condition is not very good, and after the streptococcal infection is controlled and the cerebral infarction is improved, heart valve replacement surgery may be required. Yun Tian talked about the situation of B-ultrasound, and by the way, he communicated with Jiang Qiu about his condition.

"Surgery, can surgery be omitted?" Jiang Qiurou bit her lip and asked with some difficulty.

"Moderate to severe reflux requires surgery, otherwise it is easy to cause heart failure and other complications. Yuntian could only answer truthfully.

"So, how much does it cost?"

"If you choose a domestic valve, it will be about 3-50,000 yuan. Yun Tian thought about it and assessed the lowest price.

Jiang Qiurou bit her lip stubbornly, stood stunned for a moment, and walked out with difficulty.

"Is she an embolism caused by rheumatic heart disease?" Zhuang Zhuyue obviously has a deep memory of his gambling partner in the cloudy sky yesterday.

Yun Tian nodded and did not reply, although universal medical insurance was implemented, people like Jiang Qiurou who were floating in the city became the poorest people.

Five insurances and one housing fund are not popularized in many small enterprises, so there is generally no way for small hotel waiters like Jiang Qiurou to enjoy employee medical insurance.

However, because of migrant workers, rural medical insurance is generally not paid, so although the state has vigorously promoted the medical insurance policy in recent years, migrant workers like Jiang Qiurou have become a fish that has slipped through the net under the national policy guarantee system.

3-50,000 yuan is not a big expense, but for people like Jiang Qiurou, there should be a lot of pressure.

"Otherwise, we will honor the bet contract at noon, and if we want to charter the venue, we must contact their family as soon as possible. Zhuang Zhuyue is obviously an upright girl, and she wants to cash in on the three-day gambling contract for everyone.

"How much does it cost to charter a venue?" Yun Tian suddenly asked.

"It's about 10,000 or 20,000 a day. Their family's hot pot is still very famous in this area, and the business is relatively good. Zhuang Zhuyue tilted his head and thought about it and replied.

"What's the place to eat, it's enough for people to change their heart valves for three days. "Although Dr. Huang was not involved in the financial affairs yesterday, he has come back and has a very detailed understanding of the matter. After all, they were all born in ordinary families, and for the matter of chartering a meal, the forcing point is not to be experienced.

Aren't they all eating hot pot, how can everyone have a hot time together when they open a table alone.

"Why don't you ......," Dr. Huang clapped his hands and suddenly said excitedly.