Chapter 56: The Moon Is Round Everywhere
"Doctor Zhao, next time you encounter this situation, you should let the patient go to other departments, you see, you owe another favor for this."
Song Wei looked at Zhao Sheng and couldn't help but say.
Although Zhao Sheng and Song Sixian are very familiar, but acquaintances do things, they also owe favors, and everyone will not say this kind of thing clearly.
But if you look for me this time, I will do it beautifully, and next time I look for you, you will definitely have that meaning, which is also a tacit thing.
Otherwise, as the attending doctor of neurosurgery, Song Sixian, who could call for a consultation with a casual sentence.
"It's not easy to see a doctor from such a distance."
Zhao Sheng just said this, if you can manage it, just do it, do your best in everything, this is what Yu Zhongbo said solemnly to him when he followed his teacher Yu Zhongbo on the first day of work.
This sentence had a deep impact on Zhao Sheng, and he always remembered it.
Not for anything else, just for peace of mind.
"Call the next patient."
After a pause, Zhao Sheng said.
"Okay."
Song Wei nodded.
After a while, a mother and daughter walked in, a middle-aged woman with a very temperamental but sad face, and a beautiful but pale face, looking not very good, fifteen or sixteen-year-old girl came in.
After the little girl sat down, Zhao Sheng routinely asked, "What's wrong?" ”
"Doctor, we are coming back to see a doctor, can you give us a chest CT examination first?"
Before the little girl could speak, her mother spoke first.
The tone is very urgent.
"Let's talk about the symptoms first, you must be clear about your symptoms before you can start a checkup."
Zhao Sheng continued.
For patients who need to be prescribed medications, tests, and even infusion therapy, there are simply too many people to see in the emergency department, and there are all kinds of different reasons for this.
"Doctor, we saw it in Singapore, it was chest tightness and difficulty panting, and it was said that it was a pleural effusion."
The girl's mother said.
"Pleural effusion? How long has it been? What treatments and tests have been done? ”
Zhao Sheng asked again.
"Doctor, it's been more than two months, but we haven't done any testing and treatment, and we just came back."
The girl's mother said helplessly with a wry smile.
"Didn't you do any tests?"
Zhao Sheng said with some surprise.
This pleural effusion, in lung disease, is a relatively common complication and can cause many causes of pleural effusion, and many tests are needed to rule it out.
Pleural effusion can be caused by increased intrapleural hydrostatic pressure (eg, congestive heart failure), increased pleural permeability (eg, pleural inflammation, tumors), decreased intrapleural capillary colloid osmotic pressure (eg, hypoproteinemia, cirrhosis), parietal pleural lymphatic return disorders (eg, cancerous lymphatic obstruction), and thoracic injury.
"Doctor, in fact, Nan Nan started to have a fever in Singapore half a year ago, I took it there to see the doctor, that is, I prescribed a few antipyretic pills to Nan Nan, and then I kept having a fever, we made an appointment with a specialist, I said that this must be inflammation, I want to prescribe some antibiotics, and the doctor over there said that if you prescribe antibiotics casually, your license will be revoked, and you will not prescribe it."
"Two months ago, we only made an appointment for a chest X-ray, saying that it was a pleural effusion, and we had to do a chest CT, but we had to wait in line, this week, I asked several times, and it was not our turn yet, no way, so I came back with Nannan."
The girl's mother said helplessly with a bitter face.
She and her daughter, in order to immigrate to the past, have basically spent all their savings, and they are very reluctant to maintain their daily expenses and their daughter's schooling, and they have no money to go to a private hospital.
Singapore is a country where medical care is free, and in Singapore, the procedure for seeing a doctor is very strict, and sometimes it can take up to three months to make an appointment for a check-up. Since Singapore has a large number of patients in community clinics, the cost is low, and the burden of reimbursement of medical expenses by the state is not too heavy.
At the same time, there are a large number of private clinics and hospitals in Singapore, and the cost of private clinics is high, and the state only reimburses the basic medical part, and the higher part is borne by the patients themselves or through commercial insurance channels. Singapore strictly distinguishes between foreigners and citizens, and the cost of medical treatment in Singapore is much higher than that of citizens, and all of them are borne by the patients themselves, which is one of the reasons why girls and girls cannot afford to see a doctor.
"This..."
When Zhao Sheng heard this, he didn't know how to react, there was an old brother who was working in Belarus before, and he also endured an acute abdomen and took dozens of hours on a plane to return to China to see a doctor.
Now the mother and daughter, the situation is not much better.
In China, in the case of girls, chest X-ray, CT and blood tests may have been completed after the first visit.
In some places abroad, the quality of medical care may indeed be high, and the service is indeed good, but there is a premise, there must be money.
If you don't have money, you have to wait in line for months to see a public hospital.
"Let's go for an examination first, and then we'll talk about it after we do it."
Zhao Sheng looked at the girl's mother with a bitter face, and could only say.
This girl has had a fever for half a year, so I hope it's not a big problem.
Zhao Sheng thought in his heart.
Prolonged fever, combined with pleural effusion, is a possibility of lymphoma or thoracic malignancy.
"Okay, thank you, doctor, thank you."
The girl's mother said to Zhao Sheng very gratefully.
She's really fed up with the medical system of waiting left and right, leaving an appointment and not being available.
Of course, there is no need to wait, there is no need to make an appointment at all, and that is okay.
You have to be rich, very rich.
It is true that a foreign country is a paradise, but only a paradise for the rich.
Next, Zhao Sheng opened the examination, and the girl's mother took the girl to do the examination.
"Doctor Zhao, this is the second time in this time, I came back from abroad to see a doctor. Doesn't it mean that the level of medical care abroad is high?"
Song Wei said with some puzzlement.
"The high level of medical care does not mean that you can enjoy this good medical resources, which are two different things."
Zhao Sheng shook his head slightly and said.
"Then it seems that we are better, at least squeezed and crowded, it is difficult to return, at least we can still see the disease."
Song Wei nodded and said.
Next, Zhao Sheng finished the morning outpatient clinic on time, and finally could go to the small canteen on time and prepare for lunch.
However, when he walked into the small cafeteria, Zhao Sheng saw a tall man standing in the small cafeteria, but his eyes were staring at the plates of the people who were eating in the cafeteria.
This person is the burly man Brother Ao who accompanied the wandering brothers to see a doctor before.
This scene was seen by the contractor of the small canteen.
The middle-aged boss walked out and said to Brother Ao with some trepidation: "I'm with you, we have security guards here, if you are like this again, I will ask the security guard to arrest you!" ”
"What did you say?!"
When Brother Ao heard this, he was not happy, he stood in the small cafeteria and stared at others, just to see which hospital staff had no appetite, and he couldn't eat when he ordered too much, so he packed some and went back to eat with his brother.
As soon as the boss said it, he looked like some kind of bad guy.
There are many people eating in the big cafeteria, but it is a canteen for patients, and it is naturally impossible for patients to eat what they have eaten, and it is not hygienic.
This small canteen is a hospital staff canteen, which is eaten by doctors and nurses, and it is cleaner in comparison.
At a glance at Brother Ao's nine-meter-nine, strong man who was blind like a bear, with a stubble beard and a little tattered clothes, the middle-aged boss suddenly became a little worried, ready to run out at any time to call the security guard.