Kraft didn't elaborate on the dream, and Koop didn't want to ask.

The three of them returned to the table, chatted about the situation of the clinic in the last few days, learned some things that might be known, discussed finding someone to repair the door tomorrow, and accepted the bitter water poured by David.

The doctor was driven insane, and the clinic was running in a direction he hadn't thought about, from a pure internal medicine clinic to a tuberculosis center for most of the new city.

At the moment when the puncture operation has not been classified as the basic clinical operation skills, there is a feeling of being occupied by the surgical dove.

There was also a whole new set of diagnosis and treatment procedures on his head, and he couldn't remember how he used to see a doctor.

In the habits of the people and a considerable number of doctors, the diagnosis and treatment model of "conclusion at a glance" is quite admired, and it is believed that the less information is obtained, the faster the diagnosis and treatment decision is made, the more the level of the physician can be reflected.

This view is particularly prevalent in the current internal medicine community. When the patient comes, it is best to scan the eyes squint, so as to show that it is commonplace, no need to say much, and then ask about some superficial symptoms, and then you can quickly forward to prescribing medicine.

The fever is reduced, the cough is suppressed, and most of them will be better after a while, which increases the doctor's confidence.

Some patients will deteriorate, so they will return to the clinic to adjust the medication and try again, which is also unpredictable, let alone explained. After all, the level of the entire medical profession is like this, and doctors and patients know it.

The rest, especially stubborn, will show some typical signs of incurable diseases over time, such as syphilis and tuberculosis, and then it can be "very regrettable".

In this way, it can be basically divided into three categories - most of them are good, indicating that the doctor's treatment plan is correct; A small number of cases are not good, but after adjusting the plan, they are difficult to avoid; There are also terminal illnesses that have no rule of law, and a very small number of people who die inexplicably, obviously under the control of the Heavenly Father, not by the doctors.

Efficient, elegant, and non-sticky. Do not touch the patient, do not touch the disease, do not touch the responsibility.

Ever since Kraft was in charge, it was all in the past. Now everyone from David to the apprentice is being rushed to write medical records and asked to draw evidence to support the diagnosis.

Deliberately simplified medical record paperwork creates a considerable burden, not only in terms of workload, but also in terms of economy.

Based on the daily admission volume of the clinic, based on an average of two sheets of paper per patient, the thickness of the information has been accumulated to be used as a bench operator, and there are several times the invalid content.

Even if these papers are not of good quality, and the cost of pen and ink, the total price makes David, who checked the ledger at the end of the month, gasp, and his tongue is cold to his heart. He had emptied his personal bookshelf and moved downstairs to store the papers, and needed a special index of the table of contents like a dictionary to make it easy to find, and there was no guarantee that he would find it immediately.

If it weren't for the recent increase in the clinic's income, it might not have been able to afford it.

If you continue, you don't need a dedicated bookshelf, but a dedicated study room to store it.

And the records were nowhere near as valuable as books of the same size, at least he couldn't think of anyone who would pay for them.

So David complained unwaveringly in the professor's ear, and the chattering whining curbed the other man's appetite for a while, recalling the most uncomfortable part of his night shift—half-eaten sour soup vermicelli on the table, and family members standing next to him with fresh secretions asking about their condition.

So he could only push the soup bowl away, and said with difficulty and helplessness, I'll take a look.

Flipping through the income and expenditure records, the numbers in them did touch Kraft, and his mathematical ability allowed him to estimate that the money was probably at the level of gold that could be settled, and David's worries were not groundless.

He could, of course, announce a higher fee or simply draw a stroke from his little coffer.

But as David once said, tuberculosis is a disease of the poor, and it is unrealistic to raise too much, and too little is not enough to solve the problem. And filling this hole, which is destined to get bigger and bigger, at your own expense, will not work in the long run.

Kraft reiterates the importance of medical records, which they need to use to make statistics about how much benefit patients are getting from treatment, how often they are getting another infusion, and at what stage patients are suitable for pneumothorax treatment. And so on until a more reliable set of evaluation criteria is established.

This set of things was not brought by the soul of the other world, after all, in his life, tuberculosis was being beaten by the combination of vaccine popularization and combined drugs, and it rarely developed to the extent that physical means were needed. Even if there is, it's not the one he uses now.

At present, North is the only one doing this, and there will not be too many people doing it in the foreseeable future.

Whether they understood these words or not, everyone present nodded frequently and praised their far-reaching considerations.

But the hands are still very sore, and the ledger is still not very good. Put simply, they need more people and more pen and paper, and that feeds back into their bills and expenses.

In this regard, Kraft, the airborne superior, said that in the medical field, a new era of change may be ushered in, and those who want to eat one or two dead technologies and live by pure clinical practice are destined to be eliminated. If you want to keep up with the trend of the times, you must be good at discovering and summarizing, and medical records cannot be stopped as the basis of all this.

As for the issue of revenue and expenditure, if you can't cut the expenditure, then you can only consider open source.

This "open source" quickly found its way to the door. To be precise, I arrived at the door of the clinic the next morning.

"Hello, Professor Kraft, it's not easy to meet you." The man with two delicate beards, "And Dr. David, thank you for the medicine, it is very effective." ”

Kraft took a moment to find a slightly larger chubby figure in his memory, the treasurer of the Xiguo family, who seemed to have lost a little weight now, "Ah, Mr. Bobble, what a coincidence, how do you know that I happen to be here today?" ”

"Actually, I've been here a lot lately." The man's smile is more energetic than the last time they met, and his image has changed significantly.

He indicated his intentions this time, and handed Kraft a box lined with cotton wool inside, which contained several small slender hollow objects that shimmered silver, "This is our new sample, please take a look." ”

The new needles are of good quality, and it's not for nothing that Professor Morrison likes to get them to order his instruments.

As Kraft checked the patency of the needle, Bobble chatted with Davy, who pulled out a suspicious vial from behind the counter and handed it to the visitor.

Professional habits allowed Kraft to observe the treasurer, and the changes in his posture and mental state were indeed easy to notice.

He soon realized that it was not the other party who was losing weight. It wasn't slightly fat before, it seemed to be edema, but it improved during this time, and at the same time, the overall condition of the other party improved.

"Mr. Bobber?"

"I'm here, Professor, how are these things?" The treasurer put the bottle in his pocket and rubbed his hands.

"The craftsmanship is almost impeachable." "By the way, did you have edema, the kind of lower extremities that were more pronounced?" ”

"Decreased physical strength, some unspeakable hidden, loss of appetite, poor breathing, palpitations and so on."

"Dr. David told you?" Bobble nodded in surprise and looked at David, who shook his head to indicate that it was none of his business.

Kraft put down the needle, and something new piqued his interest. It was supposed to be cardiogenic edema, which caused edema and a host of other signs of blood stasis, but his condition appears to have improved significantly recently.

Thank you very much for the book friend 2017013024451945's league leader for the reward|ω')

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