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Chapter 38 Out-of-hospital consultation

The Provincial Hospital is a large comprehensive tertiary hospital parallel to Yunhua Hospital.

To put it slightly internally, they are actually all provincial-level tertiary hospitals.

Hospitals have a siphon effect.

Everyone wants to go to the best hospital, and leaders are no exception.

Therefore, high-level hospitals under the provincial administration will receive the greatest support to the provincial health finance, high-level tertiary hospitals under the municipal administration will receive the greatest support to the municipal health finance, and county-level tertiary hospitals under the county will receive the greatest support to the county health finance. If the county has a tertiary hospital...

In this atmosphere, the Matthew effect is particularly obvious in hospitals. The stronger the strong, the weak will meet the weak. The better the hospital will get advanced equipment and retain excellent doctors.

Among the 1,300 Class A hospitals in the country, only 44 are more stable than Provincial and Yunhua Hospitals, such as UnionPay, Xiangya, West China, Zhongshan, Fudan, etc.

In this regard, Huo Congjun, the department director of the emergency department of Yunhua Hospital, and Qi Zhenhai, the chief physician of the emergency department of the provincial hospital, are all leaders in the medical field in Changxi Province.

Especially when both of them are good at burns, they have even more "interactions" between each other.

However, formal out-of-hospital consultation procedures are complicated, that is, special public events such as factory explosions or cadre health tasks are easier to facilitate.

Qi Zhenhai cared about this opportunity very much. He checked the room in the morning, had only had one surgery, then changed into clothes and headed straight to Yunhua Hospital.

He was named chief physician at the age of 40, and he was young and promising.

He also deliberately dressed himself up as young. When old-school doctors were conquering the world with white coats all year round, he would wear shirts and trousers as long as he left the hospital.

The only thing that is worrying is that the wrinkles on his face are increasing, and his body that is neglecting to exercise is obviously getting fatter. If he is not careful, he will lift his belly up. If he wears a white coat like the department director, he can cover it up, but Qi Zhenhai is not willing to do that.

Too old-fashioned to highlight your youthful and promising side.

Now, the one who bothers Qi Zhenhai the most is the department director.

The hospital is not like a government agency, and the promotion channel is very narrow. The department director will sit in the position of the department director until retirement unless he is promoted to vice president, or is transferred or poached.

Some department directors even became vice presidents and were unwilling to leave the position of department directors, so that the young and promising department directors had been working for twenty years, and the doctors under them could not breathe.

Qi Zhenhai couldn't wait for the director of the emergency department to abdicate, so he actively promoted the establishment of a burn center, hoping to become the boss independently.

This extra hard work probably deepened his wrinkles, so when he saw Huo Congjun, he could not tell that the age difference between the two was 10 years.

"I was just thinking about when I had a case discussion when I received a consultation call from your Yun Doctor. I also took the case answered by our hospital and took a look." Qi Zhenhai said about the medical records assigned to the provincial government.

The factory explosion is a tragedy for injured workers and the damaged factories. It is a rare opportunity for Qi Zhenhai. If he can prove his status in burns, it will be easy to set up a burn center.

"If the consultation is over, you can discuss it privately." Huo Congjun had no intention of being polite.

Let's take a look together? I'm afraid I want to show off.

Huo Congjun glanced at Qi Zhenhai with the corner of his eyes and thought to himself: Let's see if you still want to show your face.

"Get in, the time is almost over." Huo Congjun didn't have the interest in chatting, just said hello, and then returned to the conference room.

At this time, the young doctors in the department all placed chairs and sat around, and gave up the large conference table in the middle.

Huo Congjun chose the far corner of the door opposite, and sat down with a big golden sword.

The other two chief physicians and four deputy directors sat on both sides, and the atmosphere of the seven experts was immediately revealed.

Qi Zhenhai didn't care either. He casually found a chair in the middle and sat down. He asked the resident doctor who came with him to put the medical case in front of him. He asked with a smile: "Director Liu from the General Office of the Army"?

"The patient on his side is in a state of condition and is already on the way." Dr. Du was in charge of contacting and explained.

Qi Zhenhai smiled and said, "Then wait, this factory explosion is quite serious, and the three trials will be held."

Huo Congjun didn't say a word, and the other doctors were not easy to speak, and the atmosphere was a little awkward for a moment.

Qi Zhenhai pulled his clothes unconsciously, covered his inelegant belly and waited quietly.

Hospitals like Yun Medical or Provincial Department do not like out-of-hospital consultations, so the consultation environment has never been good.

In contrast, out-of-hospital consultations initiated by county-level tertiary hospitals are more interesting due to their status gaps.

Of course, the current county-level tertiary hospitals are too lazy to conduct out-of-hospital consultations through formal channels. Everyone contacts and invites foreign aid in private. Anyway, they have to pay, so the procedures are less easy.

"Oh, sorry, I'm late, I'm late." The sound of opening the door disrupted the air waves in the office.

An old doctor with a square face came in, with an old-fashioned stethoscope hanging on his chest, like a pocket watch decoration.

Huo Congjun stood up to greet him and asked: Director Liu, has the patient been dealt with?"

"It is declared dead." Director Liu's expression did not change much.

Ling Ran sat in a small corner and turned his head to look at Director Liu.

It is normal for people to die in large hospitals. Very few modern people end their lives at home quietly and peacefully. In fact, they have to pass the hospital's barrier before they will completely give up.

However, Director Liu's understatement is still rare.

Among the doctors who sat in a circle with their backs against the desk, the attendees had the most peaceful expressions, while the young resident doctors had different expressions. Some were used to Director Liu's words, which were senior resident doctors, and some were careless about Director Liu's words. They were junior resident doctors who had just finished the regular training, and some did not care about the conversation in the middle of the conference room.

"Let's start with all the people." Huo Congjun sat back in his position and opened the medical case.

After years of improvement, the consultation system has been processed.

Especially for out-of-hospital consultations, meticulously similar to university military training. The importance is also equivalent to university military training - it is extremely troublesome, and it seems useful and useless, but superiors often like to check this work.

Dr. Du got up and turned on the projector, and started to read it as PPT.

Huo Congjun turned the chair, narrowed his eyes, listening as if he was sleeping, and did not care about other people's gazes.

Qi Zhenhai was excited, his eyes wide open, and he kept calculating in his heart.

Director Liu was doing routine, walking in a daze with his eyes as if he was looking at him, and he didn't care about his own affairs outside the land.

"This is the case. The burn area of ​​the two critically ill patients is relatively large, but they are basically controlled. What you need to pay attention to now is not to repeat it." Huo Congjun was more like a doctor's advice to the doctor under his command.

This attitude has laid the tone of today's out-of-hospital consultations.

Qi Zhenhai couldn't help but feel a little disappointed. If he had no serious illness, how could he perform.

"Patients with 80% of the burn area should not be taken lightly." Director Liu paused and said, "Someone must follow you all the time. I suggest you allocate your manpower."

"Doctor Du has been arranged to be responsible for this case..." Huo Congjun said.

"Too old, I can't follow you." Director Liu said bluntly: "The complications of burn patients are always there. 80% of the burn area, heart failure, renal failure, shock toxemia, everything can happen. Find a younger one to treat it, it's best not to change people. It's been a month's shift to see if you can save both of them."

The factory explosion is the focus of attention of the whole city. The direction of consideration should be to be cautious and comprehensive, and the expenses are the second.

Huo Congjun was stunned for two seconds, nodded and said, "Okay, let's make arrangements later."

Huo Congjun and Qi Zhenhai present were both emergency experts and have made great achievements in burns, but when they go to specific and minor places, they are not as good as Director Liu, who has been in the burn surgery department for many years.

Director Liu himself was very calm and said, "There are more people who die under his command, and there are more ideas. Today, I discovered that pulmonary embolism is too late. At that time, no matter whether it is good or bad, I should have prescribed heparin directly... Forget it, let's not talk about it, let's talk about it until the death discussion. Well, Lao Huo, then I'll go back if I'm fine?"

"Don't go, it's not easy to come here, let's talk about a medical case." Huo Congjun coughed and saw Dr. Du pick up the remote control and release a video.

It was the video of Ling Ran inserting one hand into the patient's abdomen.
Chapter completed!
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