Why do experts and directors from various top-tier hospitals frequently appear at a community clinic? Why do nationally renowned experts and professors often visit a township-level health center?
"Doctor Yun!"
Resident doctor Xiao Liu politely handed the patient's medical records to Yun Heng.
Shen Zhiwen was a little unfamiliar with the name Yun Heng, but Dr. Xiao Liu was actually familiar with it.
After all, several departments related to traditional Chinese medicine, such as the Department of Traditional Chinese Medicine and the Department of Integrative Medicine, are now studying Yun Heng's thesis, and this matter has spread widely among the lower-level doctors in Shuguang Hospital.
It's just that the ophthalmology department is relatively independent and has little contact with other departments. Some senior doctors in the department don't know Yun Heng yet, and the lower-level doctors only talk about him occasionally.
Doctor Liu had heard of Yun Heng.
In fact, Dr. Liu was planning to take the opportunity to tell Shen Zhiwen about Yun Heng, but he hasn't found the chance yet.
The prescription was written by Shen Zhiwen, and it also listed the main treatment. In this case, the responsibility of the attending physician is actually very small, or even non-existent. After all, the responsibility of the attending physician is to understand the patient's condition and follow the medical orders of the superior doctor.
As a young doctor, he has few opportunities to get started and has a low sense of presence, so his responsibilities are certainly small. If the sky falls, there are tall people to hold it up, so Dr. Liu is actually very calm at the moment.
The patient is still in the hospital, and the medical records are not completely organized and are not standardized, but the patient's condition after admission must be recorded in detail.
It is very important to pay attention to the circumstances of the hospitalization, the examinations done, the reasons for the examinations, the medications used, and the basis for the treatment.
After a patient is hospitalized, you cannot just do whatever tests you want or prescribe whatever medicines you want. At the very least, you need to have judgment and basis. Normally, no one reads this, but once a dispute occurs, it becomes evidence.
Even for reimbursement of some serious illnesses, you still need to look at the medical records.
Therefore, in some hospitals, doctors will ask patients whether they have commercial insurance before treatment. The treatment methods will be different if they have it or not, and insurance companies will not be taken advantage of.
Some insurances pay out in lump sum based on the disease, while others pay out based on specific treatments. Insurance companies also need to review medical records.
Yun Heng took the medical record and looked at it carefully.
“Director Shen, this is not right?”
After looking at it for a while, Yun Heng asked Shen Zhiwen softly.
"Which one?"
Shen Zhiwen walked over and asked.
"From the medical records, the patient's condition hasn't been fully diagnosed yet. This treatment..."
"You mean this?"
Shen Zhiwen smiled and said, "I also took into consideration the patient's average family situation and thought of doing as few tests as possible. So, I initially diagnosed him with temporary blindness and planned to observe him for two days."
"That's how it is."
This explanation made sense. Yun Heng didn't ask any more questions, but he felt a little angry in his heart.
Considering the patient's average family background, it usually costs 50,000 to 60,000 yuan for twelve days. If the patient's family background is not average, how much will it cost?
The problem Yun Heng just mentioned is indeed a small problem. Before the patient is fully diagnosed, the medication is very standardized. If you don’t even know what the disease is, how can you prescribe medication?
So Jiang Haiguo didn't take too much medication in the first two or three days of hospitalization, but it was actually a bit irregular.
After that, I had a brain examination, heart examination, CT scan, MRI, electrocardiogram, electroencephalogram, and almost all possible tests.
In modern medicine, there are many factors that may cause blindness, including problems with the eyes themselves, brain problems, and heart problems. However, the fees for these examinations are not low.
Yun Heng also noticed that several examinations were expedited.
Some people may not understand that for the same examination, the charges are different if it is ordered from the emergency department or the outpatient department, and the emergency department is much more expensive.
Take a normal abdominal scan as an example. The outpatient cost may be around 400 to 500 yuan, while the emergency cost is 700 to 800 yuan. That's the difference.
Of course, expedited processing has its advantages. Emergency room orders come out very quickly, while outpatient procedures are relatively slower.
Many people know that if you go to the emergency room for treatment, you can be transferred directly to the outpatient department. However, some people still have to go to the outpatient department and queue up because of the fee issue.
No one wants to spend more if they can spend less.
“Director Shen, where is it?”
Yun Heng pointed to another spot and asked, "Is there no need to expedite this part?"
"Every day a patient stays in the hospital is a day of delay, so we still have to consider recovering as soon as possible."
Shen Zhiwen frowned slightly, he already felt something was wrong.
As a doctor, it is reasonable for Yun Heng to ask to see the medical records, but shouldn't you look for the key points of the disease from the medical records when you treat a patient? However, the questions Yun Heng asked at this moment were all about his medical records.
"As for this part, since it's considered neurological blindness, these two medicines are unnecessary, right?"
Yun Heng still asked politely.
“There are other factors to consider as well.”
Shen Zhiwen replied slowly, "Xiaoyun, do you also understand Western medicine?"
"I graduated with a degree in integrated Chinese and Western medicine."
Yun Heng replied politely.
Shen Zhiwen said nothing.
His treatment is all Western medicine, which most Chinese medicine doctors may not understand, but the combination of Chinese and Western medicine...
“Director Shen, where is it?”
Yun Heng asked politely again.
Shen Zhiwen was already losing his patience: "Doctor Yun, I told you to come here to treat the patient, not to find fault with me. The current medical records are only the original medical records and have not been sorted out yet. There must be omissions in some aspects..."
"I'll upload the electronic version for you on my computer after we get out."
My dear, there is more to this chapter. Please click on the next page to continue reading. It will be even more exciting later!