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¡¾1219¡¿The teacher is going to test her

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    The door of the consulting room slammed open, and the nurse poked her head in and asked the doctor directly: "Dr. Xin, call 120 for a taxi. Internal medicine patients, do you want to go or does Dr. Dong?"

    "I have some urgent patients here. You can ask Dr. Dong if he can spare some time." Xin Yanjun replied.

    Bang, the nurse closed the door and left, no need to respond.  This is an emergency, and I'm afraid it will be a waste of time if I say more than a word.

    This episode made the patient and his family members look a little dumbfounded. Before they could hear clearly what happened, they had already left.

    Only medical staff who have been in an emergency department know that an emergency can only be described in four words: like purgatory.

    After the patient lay down on the examination bed, he no longer felt as painful as sitting and bending over. It may be that he felt more at ease after seeing the doctor.

    "Which subject do you think he should be admitted to?" Xin Yanjun whispered to the students around her.

    It was obvious that Teacher Xin wanted to test her.

    Here is a common emergency room question.  Abdominal pain is the most difficult symptom to identify clinically.  Some diseases can be treated by both internal medicine and surgery.  For example, upper gastrointestinal bleeding, if it is mild, can be treated by internal medicine, but if it is serious, surgery may be indicated and surgery can be done.  In special circumstances, it may be necessary to go to the ICU to stabilize the condition before surgery.

    The triage nurse cannot judge at once whether the patient should go to surgery or internal medicine.  As long as there is no vomiting of blood and there are no other emergencies that may seem particularly scary at first glance, a visit to the internal medicine department will be arranged first.  The physician will examine the patient again and make a judgment as to whether the patient should be treated by internal medicine or should seek surgery.

    How each doctor makes a judgment will be based on his or her own knowledge and medical experience.  Therefore, although doctors¡¯ judgment standards are guided by medical guidelines, they will vary from person to person.  Especially in some cases where the boundaries between medical and surgical treatment are blurred, and where both internal medicine and surgery can treat, doctors¡¯ personal differences in their choices will become more obvious.

    This difference may be due to the doctor's personal habitual thinking about certain diseases, or it may be based on the patient's non-illness considerations.  If a patient wants to undergo surgery, surgery is definitely the first choice.  Some patients want to try conservative treatment first, and the doctor respects their choice and lets them go to the internal medicine department.

    If the patient and himself have no objections, both internal medicine and surgery are acceptable. At this time, there may be another factor that makes the decision.  Each department sends people on emergency duty shifts. In addition to the tasks designated by the hospital, each department has its own plans.

    ??????????????????????????????????????????????????????????????????: No matter how much the night-shift doctors in the ward seem to hate admitting emergency patients, every time the department director talks about the issue of department bonuses, each of them can only keep quiet.  No one has trouble with money, including doctors.  No patients equals no profits.

    Basically, departments that compete fiercely with other departments for business will definitely tell the emergency doctors in their own department: admit more patients.

    The outpatient clinic can accept patients, and the emergency department is also a source of patients.  If you don't accept it, other departments will accept it as it is. Over time, you will have fewer patients, less money, and fewer opportunities to practice your skills.  When the hospital leaders see that indicator, they will be unhappy that you actually like to reject emergency patients.

    Of course, doctors will not unconscionably send diseases that are not treated by their own department to the wards of their own department for treatment. That is just asking for trouble.

    The patient in front of me had pain under the xiphoid process in the upper abdomen and complained of brown vomitus.  Upper gastrointestinal bleeding was initially suspected.  Definitely not a patient that the Department of Respiratory Medicine can treat.  (Remember the website address: www.hlnovel.com
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