In Ma Yongfang's experience, there was nothing special about the first patient she received in the four hospitals. It's just a simple type 2 diabetes. It's just that this patient's usual lifestyle habits are so bad that he drinks too many sugary carbonated drinks every day, so he has this symptom now.

"He's a little resistant to insulin, but it's not surprising — he's fat. Ma Yongfang gasped again and again by the spicy Hunan vegetables in front of him, and said a little indifferently, "People who are fat are easy to resist insulin, and now give him one hundred and ninety units a day, and with a little insulin sensitizer, the postprandial blood sugar can be controlled at least about 16." Continue to be hospitalized and slowly adjust the sugar control plan. ”

This kind of glycemic control regimen is certainly not "acceptable". But it's still a lot better than more than 400 units a day. According to Ma Yongfang's experience, as long as such patients add some diet control and exercise, and a variety of glucose control drugs, there is still hope that the daily insulin dose will be reduced to about 40 units.

"It's better to be faster. However, Professor Zhang Zhifu, who was sitting at the table, had some different opinions, "Although the beds in our ward are not tight at all, the cost of hospitalization is still much more expensive than that of the specialist." Although the patient's family situation is not too tense, if there is no need, it is better to transfer him to endocrine as soon as possible. ”

"At the moment, nothing special. Ma Yongfang nodded, and she had no opinion on transferring this patient to endocrine. "Then I'll go back today and get ready, and try to transfer him to the endocrinology department by tomorrow afternoon - as long as there is a bed on the endocrinology side. ”

Beds in endocrinology have always been tight. This is not because of the large number of critically ill patients that endocrinology has to deal with.

Since the majority of patients are diabetic or hyperthyroid/hypothyroid, endocrinology patients often need to be hospitalized regularly for systematic physical examinations and related monitoring. These tests are not very expensive, but they are particularly time-consuming. As a result, endocrinology beds are often occupied by patients who need to be examined.

"There should be more beds on the endocrine side recently. Professor Zhang nodded, "Isn't it New Year's Day soon?" ”

During public holidays, all inpatient units try to vacate beds as much as possible. On the one hand, it is to reduce the pressure on some doctors on duty, and on the other hand, it is also to allow other doctors to have a relatively rare rest time. It can be said that on public holidays, the entire four hospitals are basically closed except for the emergency department.

From this point of view, young and middle-aged social animals are simply the most lacking in medical security in modern society. Usually when I go to work, the company doesn't give holidays to see a doctor, and I finally get on vacation, but the inpatient and outpatient departments of the hospital do not work normally. It's no wonder that these people are always seen making a fuss in the emergency room – and in essence, doctors are quite sympathetic to these patients.

"Our holiday schedule here hasn't come out yet. Sun Lien suddenly thought of this matter, and hurriedly interjected, "There is a total of one day off in the hospital during this year's New Year's Day holiday, so let's just do it, if there are not many patients during the holiday, then I will stay in the hospital, and you should have a good rest." He thought for a while and added, "This time, Professor Zhang, you are in a hurry, and you usually have a lot of work pressure. Take a day off and take care of the things in your life. ”

The doctors in the new diagnostic group are not the same as Sun Lien, who is a regular trainee in the compilation. Although there are enough dormitories in the four hospitals, they are only open to residents, residents and doctors. Ordinary attending doctors, even deputy directors and even chief physicians, have to solve the accommodation problem on their own. Xu Yourong, Zhou Ce and Yuan Ping'an are the houses they bought outside.

Although the housing prices near the four courtyards are not cheap, they are not too exaggerated. The price of a one-square-meter house is less than 20,000 yuan, and if you use a provident fund loan, you can repay more than 7,000 yuan per month with a 30-year loan. The pressure of repayment at the attending level is not too great. Moreover, doctors have another advantage over those social animals who have to choose a day to see a doctor - if they are unfortunate enough to get sick, at least it is convenient to register in this hospital.

Sun Lien's words were a gesture of goodwill, and the doctors in the other treatment groups were not blind enough to refuse Sun Lien's kindness. In exchange, Professor Zhang decided to come back to work on January 2, which he could have rested for, and then take a day of duty for Sun Lien.

"Then I'll thank you in advance. Sun Lien nodded with a smile, he really had something to do on January 2nd. "You must check for my little grandson, don't put any incurable diseases on my bed. ”

The phrase "put someone in my bed" is actually more like a small paragraph between the residents and the nurses. Due to the arrangement of working hours and the implementation of the inpatient appointment system, many residents will come to work in the morning and be surprised to learn that there is an extra patient on the hospital bed they have never seen. When complaining, it becomes "don't put anyone in my bed".

Professor Zhang Zhifu looked at Sun Lien with a smile and said, "I think, Dr. Sun, you are not afraid that the patient I let me release will have a complicated condition - you are afraid that the patient I selected is not complicated enough!"

Sun Lien's "luck" has become quite famous in the Fourth Academy, and even Professor Zhang has heard of it.

"It's better to keep it simple. Sun Lien seriously raised the cola in front of him and said, "Teacher Zhang, I have always been very envious of the kind of doctor who can make a clear diagnosis with only one diagnosis. It's true. ”

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The dinner ended a little later than expected, after all, there were four experienced senior doctors sitting at the table, and a trainee who was known for dealing with intractable diseases. When everyone talked about what they had seen and heard in their medical practice, they even gave the doctors who were listening a little bit of an illusion of "this is okay?!".

Putting aside Sun Lien, a guy who is hanging, whether it is Pascal or Dr. Brunn, or Zhang Zhifu and Chen Tianyang. The number of strange patients that any one person has seen is far greater than that of any other doctor. As a result, the meal was eaten until half past nine in the evening - if it weren't for the waiter who came in several times to urge the "last addition", the meal would have to continue for a few more hours.

Sun Lien drove his car and drove slowly to the dormitory. As soon as he passed a red light, he called on his mobile phone connected to the car. The sound of "baked gluten!" continued until Sun Lien picked up the phone.

"Doctor Sun, I'm Lin Lan. On the other end of the phone, Lin Lan said in a somewhat excited voice, "It's convenient for you to talk now, right?"

"Convenient. Sun Lien replied, he vaguely felt that Lin Lan was probably looking for something important. So I turned the car to the side of the road and stopped in a vacant roadside parking square. After pulling the car to a steady stop, he continued, "You say. ”

"You can contact Dr. Xu Yourong right now and ask her to call me right away. Lin Lan's voice on the phone was like a machine gun, "This matter is very important, no matter what, let her contact me within twenty minutes, if you miss this time, it will be difficult to rescue her girlfriend from the mental hospital!"

"Okay, okay!" As soon as he heard this, Sun Lien also came to his senses. He quickly agreed to the matter first, and then hesitated for a moment, not knowing whether to ask for details again. As a result, Lin Lan told the matter first.

"One of the senators who was close to us decided to step in, but she was short on time. An hour later, she was able to spare about 40 minutes to talk to Dr. Xu and find out what had happened. Lin Lan looked very excited on the other end of the phone, "This congressman is a supporter of the LGBT community, and he also came from Hopkins University. With her help, the matter could be resolved quickly. ”