Chapter 43: Crossing the River by Feeling the Stones
Xia Wei sat at the desk and her thoughts kept flying, thinking about the chronic disease management work she had taken over in the past five years, how to do a good job in the grassroots chronic disease work and satisfy the people, which is the most important thing at present. Just thinking about it, she suddenly felt someone come to her, looked up, and didn't wait for herself to speak, only to see someone smiling at her and talking: "Doctor Xia, how do you think the work of our village needs to be improved?" Xia Wei smiled and looked at the visitor and said, "Mingfeng, you are here just in time, I was just about to talk to you about this." Xia Wei beckoned the village doctor to sit down, and continued to explain to her: "The people in your village are very satisfied, I checked some villagers by phone, and they are very satisfied with this service, but in your health service system, there is a phenomenon of loss of follow-up in chronic disease management records, I want to ask you if you know who has not been followed-up?" Ming Feng looked at Xia Wei nervously and said cautiously: "The work in our infirmary is really busy, and there are many patients, so we don't have time to sort these out." "By the way, your problem lies in the ledger, if you register the chronic disease patients in the chronic disease register according to the natural village, and mark the disease code, if the more codes this person has, it means that the more diseases the person suffers from, fill in the follow-up date and brief information in the follow-up record column, you can see the follow-up status of each patient at a glance on the registration book."
"How do you do this? It's hard. Ming Feng said with a puzzled expression.
"It's very simple, you can open the computer community health service system to chronic disease management and transcribe it." Xia Wei opened the page of the computer and talked at the same time.
"I don't know how to use a computer." Ming Feng said with some embarrassment.
"I'll teach you how to open it." Xia Wei had already opened the computer page to the chronic disease management system while speaking, and explained to Mingfeng while demonstrating the operation: "Click on hypertension file management, and then click on a certain town, an administrative village, and a natural village, so that you can see which hypertension patients are in this natural village; Then open the file of a hypertensive patient to the personal hypertension file, and then click on hypertension follow-up and diabetes follow-up, if the word of diabetes follow-up is gray, it means that the hypertensive patient has no concomitant diabetes, on the contrary, the word of diabetes follow-up is blue, it means that the person has both hypertension and diabetes, you can easily copy these information on the chronic disease management register, do you still have questions? Actually, these are all the follow-up visits that we all usually do, and you didn't record them in the registration book, so now you have to sort them out in the computer. ”
Ming Feng looked at Xia Wei a little unconfidently: "It's a bit difficult." ”
"Don't be nervous, study hard, you can definitely do it." As she spoke, Xia Wei took the trouble to re-demonstrate the operation process: "You can operate it yourself, and if you have any questions, you can ask me." ”
Ming Feng operated according to the demonstration once, and felt that he was not proficient, so he said to Xia Wei: "Can you print out the list of chronic diseases in each natural village for me to go home and sort out?" ”
"Of course, there is no problem, but you must be able to operate the computer, otherwise there will be disorder in the future management."
"We have a team to enter the system for follow-up, so why do we need to learn."
"Isn't it easier to manage that you can follow up and enter the system at the same time."
"We're so busy, how can we have time to enter?"
"No time to enter and no operation should be two different concepts, you must be able to operate this operation, how convenient it is to consult."
"Well, yes, I'll practice when I get back."
"That's right, you're going to have to work hard."
Xia Wei looked at Ming Feng's back, thoughtful. At this time, Xiaoping, a rural doctor, walked in again, she reacted to Xia Wei one thing, there was a discrepancy between the record in her chronic disease registration book and the follow-up record entered, Xiaoping opened the chronic disease registration book, she said: "The registration here is filled in by me in time during the follow-up, and the chronic disease follow-up form is handed over to the team members for entry, and the information is inconsistent with my registration book." Xia Wei said to her seriously: "This is a mistake made by the team's personnel, I will urge them to correct it, you still have to continue to work hard, and everyone will help to do this work better." ”
"Okay." Xiaoping looked at Xia Wei's hair and suddenly said, "Your hair is black and shiny, and your face is good, do you have any tricks?" Tell me quickly. My hair is falling out. ”
Xia Wei smiled and said, "No problem, you know that I used to lose a lot of hair every autumn, but this year I didn't lose my hair." ”
"Tell me, what's the trick." Xiaoping couldn't wait to look at Xia Wei.
"Wash your hair with mulberry leaves boiled water, wash your hair with water first, then wash your hair with water boiled from mulberry leaves, and then don't wash it, this will prevent hair loss."
"Then you should have a magic trick for beauty, right?" Xiaoping asked with a smile.
"Oh, you can wash your face with tofu residue, make a mask with honey so that the skin on your face will be fair and smooth, or you can use yogurt as a mask to eliminate facial abeani."
Xiaoping stared at Xia Wei's face and said, "No wonder you have such a good face." When she talked to the entrant, she learned that the person who entered the register deserted when entering, and acquiesced to the automatically generated data in the system on the basis of no detailed verification. These days, Xia Wei has been dealing with these seemingly trivial but having to do things, she knows that there are more than 6,000 patients with chronic diseases in the township, and only by mobilizing everyone's enthusiasm for work can it be possible to do this work well and practically. These chronic diseases are caused by bad living habits, and they are also a new topic, which tests the wisdom and ability of every manager. Only by doing it on the one hand and summarizing the lessons learned on the other side can we sort out a better plan. Through the exploration of the past five years, I finally have my own work model, which should be the best management model for so many years. Xia Wei is confident that she can do this work better, she thinks, as long as she dares to act, dare to think, and dare to innovate, a new and efficient chronic disease management model is in front of her.
In order to do a good job, Xia Wei doesn't know how many shifts she has added and how many days she has given up. Seeing that there was finally an eyebrow in front of me, my heart was much more steady. She stood in the long corridor and watched Xiaoping's departure, and suddenly remembered a poem she wrote a few days ago:
In this long corridor there was the joy of my first arrival
There are also worries at work
There are patients**
There is also the busyness of the white-clothed soldiers
There are smiling faces who have recovered from the hospital and have been discharged
There are also footsteps carrying stretchers
It's a place to come back from the dead
It is also a corridor to the gates of hell
In the delivery room on a cold winter night
The baby's cry pierced the sky
Echoing in the long hallway
The next day, Xia Wei attended the "National Health Literacy Lecture Hall" held by the Health Bureau, and she came to the lecture venue with confidence. The order of speeches was drawn by lot, and Xia Wei drew the second speech. However, the first speaker was stage frightened and couldn't find his speech courseware, so Xia Wei was arranged to be the first to appear.
She was a little nervous at first, but she soon relaxed, and when she came to the podium, she thought that it would be great if she could stand in front of the stage to give a speech, but it was not good to use the mouse to give a speech while standing, so she regretfully sat down at the computer in front of the stage and began to give a speech to everyone. She is full of confidence, because this is a summary of her own experience, and she has cases to demonstrate the arguments of each speech, such as the relationship between diet and platelets, which is her own personal experience, as well as the secret recipe for weight loss, which is also the secret she has discovered in her daily life. She was pleased with her presentation.
Most of the speakers in the back were sitting and speaking, but suddenly, a speaker stood in front of the stage and began to speak. Before Xia Wei could react, the speaker held the remote control and changed the screen. At this time, Xia Wei suddenly realized: it turned out that she could give a speech standing up! However, it was too late, and my speech was over, so I had to wait for the verdict.
At the end of the contest, the organizers rejected all the seated speakers, and the winners were all standing speakers.
Xia Wei felt that this speech was still rewarding, such as standing speech, courseware can be used with remote control, etc. It's good to have experienced, the purpose is not to get a ranking, but to be able to give a better speech to the people in the future and bring your knowledge to more people.