Chapter 416: Facial paralysis
Looking at the level of a department, it can be seen from the level of its talents, which is the case in Puze's encephalopathy department, which has ten doctors on the 14th floor, including two chief physicians, three deputy chief physicians, four attending physicians, and a new resident physician.
Jiao Liming is the director of the department on the 14th floor, 55 years old this year, and belongs to the pragmatic school, and Liu Xiaojun is also the chief physician and deputy director of the department.
Jiao Liming rounds the ward every Thursday, and Ping Suli basically focuses on outpatient clinics, except for meetings and other major things, basically Liu Xiaojun is in charge of all the big and small things in the department, and Liu Xiaojun is responsible for the big and small things of the general inpatient patients.
Generally speaking, the chief physician determines the development of the department, because the main source of inpatients is the director when he goes out of the outpatient clinic, after all, the director may have forty or fifty patients in the morning, and the deputy director may have seven or eight dozen patients, and the attending physician is even less, and three or five are normal.
The income of the department mainly comes from these inpatients, if the director does not accept patients well, will the more than 60 beds in the inpatient department be empty?
The department is now self-financed, and the hospital has to pay the hospital every month for utilities, rent, and other similar services, and after this money is removed, it has to support so many administrative staff who earn an average bonus.
Therefore, doctors sometimes put it bluntly are wage earners.
Every day, I get up early and work hard to earn the little money that I have to divide layer by layer before I can return to the department, and then let the master divide it according to the coefficient, and finally it can be distributed to the doctor.
The deputy chief physician is the backbone of the department, the department applies for topics, publishes papers, and carries out meetings by this group of deputy chief physicians, most of them have graduated from doctors, or are highly senior, either they are skilled in clinical experience, or they have outstanding scientific research level, so they should take into account scientific research while clinical, and they are the backbone talents of the department.
To put it bluntly, the attending physician is a working physician, mainly responsible for managing patients, and if it is left in feudal society, this is the long-term work of the landlord's family, the group of people who create wealth for the landlord.
Of course, everyone has also worked out step by step from resident doctor to attending physician.
After graduating from the bachelor's degree, medical students can become residents after entering the hospital to obtain the right to prescribe, and then five years later, they can obtain the intermediate title (attending physician), and after becoming the attending physician, they can obtain the deputy senior professional title, that is, the deputy chief physician, and similarly, they can obtain the senior professional title and become the chief physician after another five years.
Of course, after graduating from graduate school, two years will be the intermediate title, that is, the attending physician, and in another three years, you will be able to take the deputy senior deputy chief physician exam, and five years will be high.
The Ph.D. is faster, and the Ph.D. is a deputy high in two years and a high school in three years.
Therefore, in the field of medicine, academic qualifications are better than anything else.
Bai Ye's admission, Jiao Liming arranged a banquet in the hotel to hold a welcome ceremony, and everyone could be regarded as having a meeting.
After two weeks of familiarization, Bai Ye officially began to manage patients.
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Today, Wednesday, the two patients managed by Bai Ye have just been discharged from the hospital after a full course of treatment, and the patients are all coming for maintenance infusion for treatment, and there is basically nothing to do, when Bai Ye is in the orthopedic department, he often manages more than a dozen patients at the same time, which also includes surgery, so the two patients are not a problem at all.
The two patients contributed a lot of experience to Bai Ye before and after, but there was still a gap between them and reaching lv3.
Today is Wednesday, the department does not make rounds, does not prescribe medicine, and Dr. Corey is busy writing medical records.
Medical cases are different from surgical cases, in the orthopedic department, in fact, it is mainly some surgical records, and the daily course of the disease is simple and a few words, and the department is different.
To describe the patient's symptoms in detail, especially in neurology, the physical examination is extremely cumbersome, but as a criterion for diagnosis and treatment, not only is the examination difficult, but the writing of medical records is even more complicated, which does not include the change of the patient's doctor's order, the change of symptoms, etc.
Therefore, a doctor should write no fewer words per day than the author of the code...... (Feel sorry for yourself for three minutes...... οΌ
There was a crackling sound of tapping on the keyboard in the entire doctor's office, and Bai Ye, who was sitting on the side reading a book, felt quite leisurely.
Because there are only two patients, Bai Ye's disease course records are basically followed, and they have not fallen for a day, and the discharge record was written yesterday, and after the patient was discharged from the hospital today, Bai Ye basically has nothing to do now.
Not long after, the old man who was about to be discharged from the hospital walked into the office accompanied by his family, and after seeing Bai Ye, he walked in with a smile on his face.
"Oh, Doctor Bai, I haven't bothered you a lot during this time. β
The other party's family is all here, and the son and daughter-in-law behind him are all following, and the wife is also following and looking at Bai Ye with a smile.
My wife has been living in the hospital to take care of the elderly in the past few days, and she also said kindly: "Yes, Doctor Bai, my old man has a strong temper, and he has been tossing you a lot in the past few days, and thanks to your treatment, he is finally much better, and now he doesn't have a headache all day long." My temper is much better! This is all due to Dr. Bai. β
Bai Ye said with a smile: "Yes, old man, you have to take medicine on time when you go back, you have to test your blood pressure, don't be angry." β
The old man was in a good mood: "Okay, listen to the doctor." By the way, my son brought some fruit when he came, Doctor Bai, you can't refuse it. β
After speaking, the young man put the fruit on the table and said goodbye, and Bai Ye also sent it out with a smile, watching the family happily enter the elevator, and then turned around and walked towards the ward.
Looking at the patient's happy appearance, Bai Ye suddenly felt that this should be the most fulfilling thing as a doctor, right?
γDing!Successfully cured the patient, and received the sincere gratitude of the family, and received a small gift package. γ
Bai Ye smiled, is there such a thing?
Bai Ye opened the gift bag casually.
You open the gift package and get acupuncture and therapy: facial paralysis recovery needle. Requirements: Acupuncture and moxibustion lv5, basic theory of traditional Chinese medicine lv5. γ
After hearing the system prompt, Bai Ye immediately understood what it was.
Acupuncture pays attention to the compatibility of acupuncture points and acupuncture methods, and different acupuncture points are selected according to the patient's condition, and different acupuncture techniques are given.
Bai Ye's acupuncture skills are lv5, which does not mean that Bai Ye can use acupuncture to treat various diseases, that is, Bai Ye has mastered the basics of acupuncture and the common treatment principles of acupuncture.
This "facial paralysis recovery needle" is a kind of acupuncture guide for facial paralysis to select acupuncture points and treat according to the different conditions of patients.
However, the requirements for this use are a bit high, acupuncture and moxibustion require lv5, and the basic theory of traditional Chinese medicine is also lv5, but fortunately, they have met the conditions.
After Bai Ye chose to receive it, a large amount of information suddenly appeared in Bai Ye's mind.
γDing!Read successfully, trigger acupuncture serial tasks: acupuncture treatment of 50 patients with facial paralysis, proficient in the use of facial paralysis rehabilitation therapy, you can get: stroke hemiplegia rehabilitation acupuncture. γ
When Bai Ye heard this, his eyes suddenly lit up, rehabilitation therapy?
This...... Good stuff!
After returning to the doctor's office, Bai Ye said with a smile: "Everyone eats and drinks fruits, so much." β
These days, Bai Ye and Dr. Corey can't say how familiar they are, but they also know each other a little.
In the doctor's office, there is a large table with a width of three meters and a length of six meters, which is made up of four tables, and the table is very large, and all kinds of things are placed on it, such as medical record folders, laboratory test sheets, and so on.
Usually, some patients send something delicious, and some doctors put it on the table, and everyone eats it together.
Wednesday is a rare and quiet day, life is easy, and people are in a good mood.
"Wow, there are so many delicious foods, mangosteen, cherries, pistachios, Bai Ye, your patient's home conditions are good, these fruits are not cheap!" A nurse walked into the doctor's office, saw the things on the table, and sighed.
Bai Ye gained a good skill, and he was also a little happy: "This was given when the third bed was discharged from the hospital, Sister Zhao, if you like it, you will take a little more." The old man said, your gratitude is also in it, let me say thank you to you. β
Sister Zhao's name is Zhao Yinghui, she is the nurse in charge of 1 to 6 beds, she looks like she is thirty-five or sixteen, and her personality is also a big straight character.
"Then you're welcome. After speaking, Zhao Yinghui opened the bag.
Many nurses in the hospital are contract workers, and although they are said to be paid equally for equal work, their wages are not much, and they are usually reluctant to buy such fruits.
In the hospital, the relationship between doctors and nurses is the most complicated, and if you have a good relationship, you can save a lot of trouble: "By the way, Sister Zhao, you can get some for the nurses' station." β
The surrounding doctors also quipped: "Oh, Xiao Ye, this is the first pot of gold." β
Bai Ye smiled: "It seems that the first battle was won, this is a good thing." β
Usually, Bai Ye is also very low-key, he doesn't have a big shelf, and he gets along well.
At this time, Li Hua, the nurse in charge, walked in, looked around and saw that there were no outsiders, and saw Bai Ye and said directly: "Just now the director received a new patient from the outpatient department, the patient's situation is more troublesome, Doctor Bai, the director asks you to see if you can handle it, if not, let Doctor Wang take care of it." β
When Bai Ye heard this, he asked, "What's the matter?"
Li Hua took the hospitalization certificate and medical record book and handed it over: "It is a patient with facial paralysis, and the possibility of central facial paralysis has not been ruled out for the time being, and the patient ...... A little anxious, a forty-nine-year-old woman, Doctor Bai, what do you think? Why don't you let Dr. Wang take care of it?"
When Wang Wenliang heard that there was a patient, he immediately pricked up his ears and became energetic, but he didn't speak knowingly, robbing patients is a taboo in Corey, and generally the director asks whoever to accept it.
And there is a doctor on duty every day, and generally speaking, the patients admitted on that day are assigned to the doctor on duty except for someone.