Chapter Ninety-Four: The Insider
Hearing Liu Yonghong say that he wanted to open these test sheets, Su Hongwen was stunned for a moment, there was no problem at all with blood routine and chest X-ray, but it was a bit wrong to open liver function, kidney function and electrocardiogram.
Su Hongwen can judge that he is just an upper respiratory tract infection based on the symptoms that the boy said just now, and the upper respiratory tract infection is referred to as Shanggan, also known as the common cold. A general term that includes acute inflammation of the nasal cavity, pharynx, or larynx. In a broad sense, it is not a disease diagnosis, but a group of diseases, including the common cold, viral pharyngitis, laryngitis, herpangina, pharyngeal conjunctival fever, and bacterial pharynge-tonsillitis. The narrow sense, also known as the common cold, is the most common acute respiratory infection.
The boy's symptoms are mainly concentrated in the nasal cavity and pharynx, although Liu Yonghong did not look at the boy's tonsils, but the boy said that he first had a sore throat and then a headache, runny nose, and finally a fever, even now his throat is also very painful, drinking water hurts, after listening to these Su Hongwen can already judge that the child's upper respiratory tract infection is caused by tonsil inflammation.
The so-called blood picture refers to the value of white blood cells in the peripheral blood of the unit, the higher the value of white blood cells, the more severe the infection, and the symptomatic medication can be used according to this value.
These two examinations must be done, but liver function, kidney function and electrocardiogram are not necessary, the boy was in good health before, there is no history of liver, kidney, heart, and he is eighteen years old, his body has matured, there is no need to check the liver, kidney, and heart like a baby to determine the type and measurement of medication. I didn't use any special drugs, that is, some antibiotics and antipyretic and phlegm-reducing drugs.
Therefore, there is no need to check liver function, kidney function and electrocardiogram.
Seeing Su Hongwen stunned there, Liu Yonghong urged: "What does Xiao Su want, hurry up, hurry up and check these and give this child medicine, you see that he is uncomfortable." ”
Su Hongwen wanted to open his mouth to express his doubts, but when the words came to his mouth, he thought about what he had to say, and he should wait for the patient to leave, otherwise if he suddenly said it, if Liu Yonghong made a mistake, it would not end well, anyway, these examinations are not harmful to the patient.
Thinking of this, Su Hongwen opened these test sheets according to Liu Yonghong's meaning, but he didn't have a doctor's qualification certificate, so he could prescribe a test sheet, but he couldn't write his name in the column signed by the doctor below.
So Su Hongwen wanted to hand the prescribed test sheet to Liu Yonghong and ask her to sign her name below, after all, Liu Yonghong has a doctor's qualification certificate, but who wants Liu Yonghong to say: "Xiao Su, just write your name, it's okay." ”
Su Hongwen was stunned again and opened his mouth and said, "Sister Liu, isn't this okay?" I ......"
He wanted to say that I didn't have a certificate and couldn't write my own name, but Liu Yonghong interrupted him and said, "It's okay, let's open quickly, don't let the patient wait in a hurry." ”
Su Hongwen looked sideways slightly, and the couple already had an impatient look on their faces, so he gritted his teeth and wrote his name on it, and then handed it to the couple.
Liu Yonghou stood up and personally sent them out of the door, saying some polite words in his mouth, looking very concerned, but after sending them away, Liu Yonghong said to Su Hongwen as soon as he closed the door: "Xiao Su, you are the one who has been in a big hospital like Anhe Hospital, it's just different, those people who came before didn't have the consciousness of you, they didn't know that they didn't have a certificate and couldn't write their names on the test sheet." ”
Speaking of this, Liu Yonghong sat down and took a sip of water, and said arrogantly: "I didn't let those people open it before, and I didn't look at who I was?" It's all undocumented temporary workers, and if they get out, they have to get out. Speaking of this, Liu Yonghong found that Su Hongwen's face was a little unsightly, and felt that saying this might make Su Hongwen think more, so he quickly changed his smile and said: "Xiao Su, this is not about you, can you be the same as them?" You are official, although you are not licensed, there are indeed regulations that do not allow you unlicensed people to prescribe drugs and test sheets, but it's okay here, wait for a few days to get started, you should prescribe it, I will help you bear it if something happens, I said what can happen, let's just look at a small problem with headache and brain fever, and the big hair patient is not treated by us, and we don't have that ability. ”
Su Hongwen knew that the reason why Liu Yonghong dared to let himself prescribe medicine and test sheets without a medical practitioner's qualification certificate was because of Song Yu's light, but Su Hongwen didn't feel that there was anything inappropriate about this, and there was really no problem with giving people a headache and brain fever at his current level.
"Why did Sister Liu just give that child liver function, kidney function and electrocardiogram?" Su Hongwen has endured this question for a long time, and now he really can't help it.
Liu Yonghong smiled mysteriously and lowered his voice: "Where is our salary of more than 1,000 a month enough to spend?" So I have to find some way to make money by myself, let's be honest with you, now our hospital has a commission no matter what auxiliary examination you prescribe to the patient, the blood routine is at least five cents, the liver and kidney function are given one more than six yuan, the chest X-ray is given three, and the electrocardiogram is one, these will be known slowly, and the medicine is also rich, but the specific amount depends on Dean Liu, but you must have more, rest assured. ”
Speaking of this, Liu Yonghong took out a list from the drawer and handed it to Su Hongwen and said: "The medicine on this is all rich, you open more, make more money, you must have more places to use money." ”
Su Hongwen took the list and looked at it, some of the medicines on it were antibiotics, and some of them were some drugs such as Da Huo Luo Dan that invigorated blood and dispelled blood stasis, and the remaining small part was other medicines.
Su Hongwen had known that the doctor had a commission for drugs, but he was an intern at the beginning, and the specific kind of medicine was there, and how many there were, and it was impossible for the teacher to tell him, but today Su Hongwen has seen the types of commission drugs, and a small town-level hospital has so many commission drugs, so you can imagine how many big hospitals there are.
Su Hongwen smiled bitterly in his heart, I can't think about it, but if you don't open it for others, it will offend people, and you won't be able to get along with everyone in the future, although you have a relationship with Song Yu now, and the people in the hospital don't dare to do anything to you, but it's okay to make you a little trouble, and it's okay to wear small shoes, which is not a comfortable thing.
Thinking of this, Su Hongwen decided to open less in the future, this kind of thing has to follow the crowd, and you can't be maverick, otherwise there is really no way to do this job, as for the auxiliary inspection, Su Hongwen still decided not to open it randomly, anyway, now he is not short of money.
Liu Yonghong pulled Su Hongwen to chat for a while, and the couple waited for the child to come, they only had the auxiliary examination results of blood routine and chest X-ray and electrocardiogram in their hands, and the liver function and kidney function were relatively slow, and they had to wait for a while to get the results.
Liu Yonghou took these auxiliary examinations and looked at them, and then handed them to Su Hongwen for him to see, and after Su Hongwen looked at it for a while, Liu Yonghong said: "Xiao Su, look at the patient's blood is almost 120,000, this infection is not light, the chest X-ray is fine, if there is pneumonia, it will be more troublesome, and the electrocardiogram is fine." Speaking of this, he turned his head to the patient and said: "Brother Sun, the child is nothing serious, it is just a common cold and fever, I will prescribe some medicine, you can come to the infusion room every day for a few days, the liver and kidney skills have not come out yet, and when they come out, I will prescribe oral medicine for you." ”
This couple are ordinary people, how can they understand medical treatment, and now when they heard Liu Yonghong say that the child was fine, they breathed a sigh of relief, and they didn't expect that liver function, kidney function and electrocardiogram were all unnecessary examinations, and Liu Yonghou was grateful in his mouth.
Liu Yonghou politely flipped them over and said to Su Hongwen: "Xiao Su will prescribe medicine, right?" If you can, prescribe some azithromycin to this child, this medicine is 0.25, use two at a time, once a day, prescribe it for five days first, use glucose, see that he hasn't eaten well for a few days, make up some energy, 5% glucose 500 ml five bottles, and finally prescribe three 0.9 lebillin, which is feverish. ”
Hearing this, Su Hongwen was stunned again, Liu Yonghong had a little problem under the doctor's order, but it can't be said wrong, the patient is right to use antibiotics for upper respiratory tract infections, but it should start from oral administration, the effect of oral administration is not good, use liquid, if you use liquid, this will make the patient's body have drug resistance, and he will not take oral after doing this, it has no effect, and antibiotics will only get better and better, and the effect is not good.
In the last Lebillin, this is a fever medicine yes, but this medicine is also a little better, right? This child is just eighteen, so young to get rid of the fever after two milliliters of Bupleurum is gone, there is really no need to come up and use it as a good medicine like Bilin, in fact, if you follow Su Hongwen's practice, Bupleurum is not played, and oral antibiotics are added to add a little Tianqian, and the fever really can't go down with Bupleurum in use, and Liu Yonghong actually opened three at once? It's a bit wrong.
Fever is not all bad for the human body, but it can also play a role in killing bacteria in the human body, and the temperature of this child's fever is not very high, just over 38 degrees, so Su Hongwen's idea is the most correct.
Liu Yonghong didn't say anything when he looked at those useless test sheets just now, but he couldn't help it when it came to medication, thought about it and opened his mouth and said: "Sister Liu, I think it's better to give him some oral antibiotics and antipyretics first, it's ineffective, and I'm thinking about using liquid and Lebillin?" ”
Liu Yonghong was a little displeased when he heard this, his face was not very good-looking, and before he could speak, the boy's father was not happy, and opened his mouth and said, "Why do you talk so much nonsense about this doll?" What will you be? You're just a newcomer, hurry up and press what Dr. Liu said, it's really hard. ”
Su Hongwen is kind-hearted, but who would think that the patient's family doesn't understand you at all, but comes up to reprimand him, which makes Su Hongwen feel very uncomfortable.