Chapter 50 How can I solve the problem?
On Tuesday, it was a gloomy day and the weather forecast was light rain. Xia Wei brought an umbrella and came to the unit early, and the Health Bureau arranged for a quarterly assessment of the Huhu Health Center on this day.
As soon as Xia Wei arrived at the department, she was busy, boiling water, cleaning the department, and tidying up the table. As soon as they were done, a group of supervisors from the Health Bureau arrived. The leaders who inspected the prevention and treatment of severe mental illness went to the village, and the section chief arranged for Lao Ji to lead them to the village, and then asked the village doctor to lead them to the home of the severely mentally ill patient. Although there are not many gifts, they are all daily necessities, which represent a love and greeting, and the patients are very happy.
Xia Wei accompanied the leaders of the chronic disease management supervision team to retrieve the patient's contact information in the department's computer system to review and check the quality of follow-up and the real situation of follow-up.
Most of the people who answered the phone were satisfied with the follow-up and the information was true, but the inspection team was not satisfied with this situation, and they said that the phone number could not be empty, and points would be deducted if they could not get through.
Xia Wei feels that there may be misunderstandings in this kind of inspection, the leaders do not understand the elderly in the countryside, most of the elderly in the countryside are not educated, with the popularization of mobile phones, there are fewer and fewer fixed telephones, some of the original fixed phones left behind do not need to become empty numbers, and some of the old people although their children have sold mobile phones, most of them will not use it, they will only answer. I don't know my mobile phone number. There are also some elderly people, there is no phone at home, and they do not use mobile phones, only their children have mobile phones, and they can't even remember the mobile phone numbers of their children, even if they leave their children's mobile phone numbers, but most of them do not live with the elderly, and some people do not know whether their parents have high blood pressure or diabetes, let alone whether there is follow-up or physical examination.
Xia Wei felt that it was not suitable for the countryside to be assessed in this way, only by going to a village at will, transferring all the files of that village, or taking the village ledger, to the village to ask, the villagers would enthusiastically lead them to the patient's home, or the village doctor could lead them to the patient's home, or ask the village who had high blood pressure and diabetes, and the old people heard that the superior leaders came to visit them, and they would enthusiastically cooperate with the work. Such a simple thing is complicated.
For this reason, the village doctor also complained and said: "You can go directly to the village to ask the old man about the inspection work, and there is no phone and say that we have not done our work well, is this not wrong?" If you go to the village, who are not managed or are not real, you will know as soon as you ask, why do you need to call? Sometimes we ask for a patient's phone number and we have to go to their house several times. They didn't have a phone of their own, so the old man went to ask his children for it, so he had to make a few more trips, but the number he wanted was not the patient's own. If they have a phone number, they will give it, and if they don't have a phone number, it's useless to ask for it. In fact, the phone number is completely for the purpose of assessing our work, not doing practical things for the people at all, we have few people, and the follow-up is busy to death. ”
Xia Wei said to the people in the inspection team: "Our follow-up and physical examination are all real, and if the phone can't get through, let's go to the village and ask the patient directly, they themselves have the most right to speak." ”
The supervision and assessment finally ended, Xia Wei felt relaxed, and she was more relaxed at work, and the work at hand came to an end. It's already the end of the quarter, and it's time to start counting the data. At this time, Gui Ying, a colleague at another service point in the Huhu Health Center, called to check the number of chronic patients, Xia Wei remembered that Gui Ying usually refused to cooperate with the work, so she politely reported the data to her, and the other party expressed her gratitude, Xia Wei said: "No thanks." Then he changed the conversation and said: "Actually, everyone must cooperate with each other in the work, which is all right, and the data that everyone has is shared, so as to ensure the consistency of the numbers." By the way, I was about to call you, please send me a picture of the death registration, and I want to count the number of deaths from chronic diseases. ”
"I'm not going to pass on photos." Gui Ying said embarrassedly.
"There will be a regular meeting of the village doctors in a few days, you can bring it to me when you have the regular meeting, take a picture of it and make statistics."
"I may not be able to come if I have something, besides, I'm afraid I'll lose it if I bring it, I'll ask Xiaoyoung to help shoot it and send it to you." Gui Ying usually screws with people, but today is so smooth, Xia Wei also feels very happy.
Xia Wei said gratefully: "Thank you so much, then I'll trouble you." ”
Gui Ying smiled and said, "No thanks! ”
On the car home from work, there is a family of three in the car is very annoying, they eat snacks all the way, all the way to the window to throw garbage, the four or five-year-old boy also followed his parents to throw out, there are not many people in the car, the passengers are focused on this family of three, for such uncivilized behavior, everyone reciprocates with disgust, the couple also ignores. At this time, their garbage was thrown on the heads of pedestrians on the side of the road, and the pedestrians glared angrily, and the woman said to the pedestrians: "I'm sorry! ”
Xia Wei still couldn't help but say: "Parents should pay attention to their own behavior, you are a role model for children." "That's what they're reluctantly reluctant.
After dinner, my mother said to Xia Wei, "You hurry up and go home and clean up, I'll go dancing today." ”
"Okay, you're not going to run with Dad today." Xia Wei said as she walked out the door. When I got home, I changed my skirt, put on my dancing shoes and came to the square, my mother was already waiting in the square, and after a small dance, a dancer came to Xia Wei's side and said, "Let's dance one." ”
Xia Wei looked at her mother who was standing aside, the dancer knew Xia Wei's thoughts, and said to her mother: "Auntie, you find someone else to dance first, and let Xia Wei dance with me for a while." ”
Mom smiled knowingly and said, "It's okay, let's go." ”
This is a slow-paced four-step, the dancer and Xia Wei walked slowly and swinged, the dancer walked the dance steps, and asked Xia Wei: "I'm annoyed these days, menstruation has been drip and lala is not clean, only ten days a month is clean, I went to the gynecology department of the hospital to see, let me take the ring, what do you say I should do?" ”
"Oh, it's uncomfortable, do you have vaginal discharge?" Xia Wei hurriedly asked.
"There is white discharge, and there is a little smell, and the lower body is uncomfortable with the fire." The painful look of the dancer.
Xia Wei immediately comforted: "Don't rush to take the ring, you have inflammation, and taking the ring won't solve the problem at all." ”
"What should I do then?" The dancer looked at Xia Wei anxiously.
Xia Wei continued to ask: "Have you ever had trichomoniasis or fungal **inflammation in the past?" ”
The dancer thought for a moment and said, "I have had fungal **inflammation." ”
"Got it, fungal **inflammation will recur, you have not been clean, your lower body has been damp and not breathable, you must be infected again, you had better go to the hospital to check for leucorrhoea, if it is fungal **inflammation recurrence, use some medicine and it will be fine, and the medication will be fine."
The dancer looked at Xia Wei uneasily: "Really? Then you can prescribe medicine for me, is it okay? ”
"Yes, that's right, don't take the ring, you can't take the ring if you have inflammation, you can't take the ring, and it won't solve the problem, and it will bring the pain of unplanned pregnancy, and you have to have surgery, how troublesome it should be, I'll tell you what medicine to use after checking."
"Yes, I've been suffering from gynecological diseases for more than half a year, and I spent nearly 10,000 yuan, and now it's still like this, I'm dying of pain, so I have to trouble you." The dancer furrowed his brow slightly.
"Okay, it's fine."