Chapter 935: You're Not Qualified to Talk to Me
Of course, Mi Zixuan knew about these situations, he looked at He Hanqing and said: "Director He, I will give you a satisfactory result in this matter, for now, do what I say, and I will solve the problem of treatment." ”
Everyone looked at Mi Zixuan blankly, solve the problem of treatment? Do you want to give us a wage increase? How is this possible, the dean will not agree, everyone's salary standards are stipulated, it is not that whoever wants to increase everyone's salary can increase it, this matter not only involves the hospital, but also involves the labor bureau and other places, but it is not Mi Zixuan who can increase everyone's salary with a word.
Mi Zixuan also knew that he was talking about it, and everyone didn't believe it, so he smiled bitterly and said: "Give me half a month, if I can't solve the problem of treatment, my proposal just now will be canceled." ”
Half with? How much revenue does this have to lose? Everyone began to calculate in their hearts.
He Hanqing didn't speak, since Mi Zixuan said to give him half a month, then give him half a month, if he can really get better treatment for everyone, it is a good thing for all doctors, no one will always want to prescribe expensive drugs to patients, and patients poke their backbones in the back.
Soon Mi Zixuan proposed that patients who need to use antibiotics in the emergency center need to do medicines, and the matter spread throughout the provincial hospitals, and everyone's reactions were different, some people felt that Mi Zixuan was right to do this, and the problem of abuse of antibiotics must be effectively solved, otherwise in the long run, patients can only use antibiotics better and better, and the more expensive they use, and finally reach the point where there is no medicine available.
Some people think that Mi Zixuan is, and he is selling his reputation and reputation, but we don't know if Mi Zixuan knows that the abuse of antibiotics is not good? We can't help patients with more expensive antibiotics, we don't want a commission on drugs, and the whole family will starve to death just by that little salary.
There are still people waiting to see Mi Zixuan's jokes, it is simply impossible to change the problem of everyone prescribing some antibiotics to patients by improving the treatment of doctors, the hospital will not agree, and the labor bureau will not agree, everyone's wages are standard, this is a document issued by the state, why did you Mi Zixuan change the things stipulated in the documents issued by the state, who do you think you are? President?
The biggest reaction to this in the provincial hospital is Lai Chunlei, but he has just found Mi Zixuan, and as a result, he came up with a matter of making drugs for patients who need to use antibiotics in the emergency center, so that almost no one in the emergency center will use the antibiotics of Zhang Quanyong's Fenglei Pharmaceutical Co., Ltd., not to mention that their antibiotics are expensive, there are many of the same, once the drug is sensitive, the doctors will only choose the cheaper of the same kind of drugs.
Mi Zixuan not only slapped him Lai Chunlei in the face, but also cut off one of his main financial routes, how could Lai Chunlei not be like thunder, scolding Mi Zixuan for not being a thing, and not taking him, the vice president in charge of the emergency center, in his eyes, okay, you Mi Zixuan dare to be the first year of junior high school, I dare to be the fifteenth, let's see, don't let you Mi Zixuan bow your head and give in, I Lai Chunlei has your surname.
Mi Zixuan naturally knew that the decision he made this morning would anger Lai Chunlei, but he was not afraid at all, Mi Zixuan had never seen any winds and waves in his two lives, how could he be afraid of Lai Chunlei Such a vice president, since he dared to make such a decision, he was completely prepared, and he won this confrontation.
Mi Zixuan doesn't care about all the remarks in the hospital, he can say whatever he likes, it has nothing to do with him, he just needs to be himself.
In the afternoon, Mi Zixuan went to the ward again, and under the surprised gaze of a cadre, he mixed with the resident doctor and the attending doctor to admit patients, and the doctors who had been in the hospital for several years were very surprised, they had never seen a director like Mi Zixuan, and the director they had experienced before would come to the clinical front line to personally emergency patients, all of whom stayed in the office to write papers, and engaged in scientific research, unless the people under him encountered tricky patients and invited them, they would come, Mi Zixuan did not write papers in the office, nor did he engage in any scientific research to gain a greater reputation for himself, actually ran to the ward to take over the patients like a resident doctor or attending doctor, and Mi Zixuan, the director, was maverick enough.
However, everyone is happy to see it, and with Mi Zixuan here, they can greatly share their workload.
After Mi Zixuan disposed of two patients, a family member came to find a doctor, and Mi Zixuan saw that he was fine, so he followed.
There was a young man in his twenties lying on the hospital bed, sweat on his forehead, his face flushed, and a look of pain, snorting.
Mi Zixuan said: "Why are you uncomfortable? ”
The man said a little weakly: "My stomach hurts, just now the doctor said that I have appendicitis and need surgery, but I waited for a long time and no one sent me to surgery, the doctor really can't stand the pain, can you give me some painkillers." ”
Although the man said what disease he had, Mi Zixuan still asked about his medical history in detail, checked it again and looked at the test sheet, metastatic right lower quadrant pain for three hours, physical examination of right lower quadrant McStalt tenderness, rebound tenderness, white blood cells 20,000, it is indeed acute appendicitis.
Mi Zixuan frowned and called a doctor and said, "What's the situation with this patient?" ”
The doctor who came was called Gui Tong, and said helplessly: "The diagnosis of the chief patient's acute appendicitis is correct, I also asked for a consultation from the general public, and the people from the general area said that there was no bed and there was no way to turn it up, and said that we would stay here for observation." ”
When Mi Zixuan heard this, he immediately said with an angry face: "Stay? What do ordinary people do, what should I do if I get a perforation? Who bears the blame? Also, we have an operating room in our emergency center, why can't we have surgery done in our emergency center? ”
Gui Tong smiled bitterly: "Director, the operating room in our emergency center is a deaf ear decoration, you also know that those of us who are engaged in emergency surgery can do surgery, and in the past, such patients were transferred to the corresponding operating department for surgery, and it was not our turn to do it." ”
Mi Zixuan then remembered that the emergency center in Huaxia is different from abroad, the doctors in the emergency center in foreign countries are all general practitioners, and they can all do surgery, of course, difficult surgeries are also transferred to the corresponding departments for surgery, but they can do minor surgeries like appendectomy, but the emergency doctors in Huaxia are triage doctors to put it bluntly, and they are transferred to the corresponding operating departments when encountering surgeries, and they are not responsible for surgical treatment.
Mi Zixuan smiled bitterly: "Okay, give him a preoperative examination, and I'll do it for him." ”
Gui Tong knew Mi Zixuan's surgical level, so naturally he would not stop him, but said excitedly: "Director, can you take me to do it?" I also wanted to study, I used to want to be a surgeon, but I was assigned to the emergency department. ”
Mi Zixuan said with a smile: "Of course this is no problem, you will be a helper for me in a while, and don't call them when you encounter appendicitis patients in the future, let's do it, let them be busy." ”
Mi Zixuan also has a lot of opinions on the general out, as far as the patient's situation in front of him has rebound pain, the white blood cells are still so high, the appendix must be very edema, it may be perforated at any time, once perforated, it will lead to acute peritonitis, this disease can kill people, this Mi Zixuan believes that people outside the general world know, but people outside the general area actually use the excuse of not having a bed to let the patient stay in the emergency center, isn't this nonsense? It's a joke on the patient's life.
Okay, you ordinary cows, I won't quarrel with you, don't think about our emergency center to accept any appendix patients for you in the future, it's all here, you are busy with yours.
Appendicitis is a small operation that naturally can't help Mi Zixuan, and it took less than twenty minutes to do it, but Gui Tong was so excited, as he said, he used to want to be a surgeon, but he was assigned to the emergency department, and he missed the surgeon, and now he is naturally excited to have the opportunity to do surgery, and he can't wait to have a few more surgeries with Mi Zixuan, and he can complete an operation independently in the future.
After Mi Zixuan got out of the operating room, he went to the ward again, and before he could reach the ward, he heard the sound of a quarrel: "What's going on in your emergency center?" Appendicitis is a common disease, so why do you operate on patients in the emergency center? ”
The nurse's embarrassed voice came: "You can't blame our emergency center for Dr. Bai, right?" It's because you haven't come for a long time, and the patient is in a lot of pain, so our director has to do it for him, and if it is pierced, it will be troublesome. ”
Bai Li shouted: "Don't tell me these useless things, you don't know what your emergency center does?" What you're trying to do is triage, not robbing our out-of-patients from the general public. ”
Mi Zixuan walked over and frowned and said, "What's the noise?" What is this place? ”
Bai Li turned to look at Mi Zixuan and said angrily, "Director Mi, right?" What is going on today with patients with appendicitis? Why did your emergency center operate on him? ”
Mi Zixuan pulled over the chair and sat down and said, "What is your position?" ”
Bai Li was stunned for a moment, and then said: "I am our resident doctor. ”
Mi Zixuan nodded and said, "Resident doctor? Okay, you can go back, you're not qualified to talk to me yet, I have something to ask your director to come. ”
Bai Li immediately said angrily: "You ......"
Mi Zixuan said unhappily: "What are you?" The director of my emergency center, the chief physician, what qualifications do you have as a small resident doctor to speak, or that sentence, let your director come to me if there is something. Still saying this, Mi Zixuan walked away.
These words can make Bai Li angry enough, but he really doesn't dare to be angry with Mi Zixuan, Mi Zixuan's position and title are there, he is really not qualified to talk to Mi Zixuan, the director, he is just a small resident doctor.
Bai Li had no choice but to leave angrily, and the nurse who had just explained to him gave a thumbs up to his colleague and said, "Our director cow, don't give any face, you deserve it, let them leave the patient here." ”
Bai Li said this to the director of the general department when he went back, and Xiang Ming immediately said angrily after hearing it: "This Mi Zixuan is too disagreeable, I'll go to him." ”