Afternoons in the inpatient department are often dull.
All the empty beds in the morning were taken up, and all the rooms that needed to be checked were completed. In the afternoon, it was just a matter of following the doctor's orders. Unless there was a sudden change in the patient's condition requiring emergency treatment, the doctor would usually be available.
Chen Xia spent the afternoon looking down at the hospital medical records. On the one hand, he wanted to understand the current medical level, and on the other hand, he wanted to see how the current diagnosis, auxiliary examinations, and clinical medications differed from those in the future.
This glance really reveals many differences. For example, the Fourth Hospital now does not have color ultrasound, CT, MRI and other auxiliary examinations, but the doctors' personal physical examination basic skills such as vision, touch, percussion and auscultation are very solid.
Many patients in later generations like to ask: "Why do doctors always like to prescribe a lot of tests when there is nothing wrong?"
In fact, this problem is mainly due to "medical disturbances", because the logic of medical disturbances is:
I came to see the doctor, so why did you do so many tests? Is it just to make money? This dissatisfaction is especially acute when the test report shows everything is normal.
On the other hand, if the doctor does not perform this auxiliary examination, and the doctor misjudges the condition and leads to treatment errors, the patient's family will scold him: "Why didn't you perform the examination for me in the first place?"
Then it will involve medical lawsuits.
Judges follow the diagnostic and treatment standards, applying them one by one like a mold. When they encounter this symptom, the judge will ask the doctor something very annoying: "Why didn't you get checked?"
In current medical lawsuits in our country, hospitals have the obligation to "reverse the burden of proof". For example, what is the basis for your doctor to make this diagnosis or treatment plan?
Everything still depends on your doctor to provide evidence, and this evidence is mainly based on auxiliary examinations.
Doctors should not talk about experience or inferences, as that is useless. The judge will look at the auxiliary examinations. If there is nothing wrong, it is the doctor's fault and you will lose the case.
Because of such strange regulations, doctors have to conduct many examinations, one because of the medical conditions and the other for self-protection.
To give another simple example, a child once went to the hospital emergency room because of a fever. Because it was the middle of the night, the doctor gave the child a box of antipyretics and a box of antibiotics after a preliminary examination and sent them home.
As a result, the child's condition worsened after two days and he was sent to another hospital for examination, who diagnosed him with bacterial meningitis.
Well, the patient's family started to make a fuss, thinking that the emergency doctor in the middle of the night delayed their treatment and must bear tens of thousands of dollars in medical expenses and mental damages.
Later, when you went to court, the judge didn't care about you, but asked you, the doctor: Why didn't you prescribe a blood test, bacterial culture, and brain CT scan when your child came to the emergency room with a fever in the middle of the night?
Without these tests, you couldn't have determined the severity of the illness in a timely manner, which was causally related to the subsequent bacterial encephalitis. Sorry, I have to pay you.
This doctor has worked for at least two years in vain, and some stupid leaders even blame you for causing trouble for the hospital.
But on the other hand, when this child comes to the emergency room with a fever in the middle of the night, your doctor just waves his hand and says:
"Go get checked. I want to see if there are any other complications. You pay for a CT scan, blood test, bacterial culture, etc."
I'm sure most parents would be furious, thinking you, the doctor, are the one with meningitis. I just came to see you with a fever, and you only prescribed some medicine, but you still wanted blood tests and a CT scan?
Are you just trying to make money? You quack, you scum, is this a loss of medical ethics or a distortion of human nature?
So in our country, it is really difficult to be a doctor. If you order a lot of tests, you will be scolded. If you don’t order a lot of tests and something goes wrong, you will be blamed.
Are necessary auxiliary examinations necessary? Of course, one of the advances in medicine is the accuracy and speed of diagnosis, which requires auxiliary examinations to complete.
Another thing is that Chen Xia discovered that there were very few drugs used clinically in 1980, and many of them had serious side effects, so they were banned or used with caution in later generations.
For example, antibiotics such as tetracycline can cause tetracycline teeth. When you open your mouth, you will see a mouth full of black and yellow teeth, which is very disgusting.
Another example is deafness caused by streptomycin. In romance novels, a beautiful heroine is often deaf because of an injection she received as a child. This refers to streptomycin.
There is also aminopyrine injection, which is used to reduce fever and is made into tablets as analgin, which can easily cause severe granulocytopenia.
In other words, the people of this era are easy to talk to and have a weak sense of rights protection. If this happened in the 21st century, those medical troublemakers would have demolished the hospital.
Another characteristic of medication in this era is that the proportion of Chinese herbal medicine used is very high.
If Western medicine is not available, traditional Chinese medicine will be used instead. Fortunately, the Chinese herbal medicines of this era are all made conscientiously, so many of them have good therapeutic effects.
In the 21st century, Chinese herbal medicine, regardless of whether it has any therapeutic effects or not, many Chinese herbal medicine vendors are simply unscrupulous, such as selling inferior products as good ones, passing off fake products as real ones, or adding all sorts of random things, using chemical raw materials to make raw materials, etc.
Traditional Chinese medicine has gradually lost the trust of patients, causing wave after wave of crisis of trust in traditional Chinese medicine. Many people have shouted the slogan of "banning traditional Chinese medicine", which is really regrettable and sad.
Chen Xia looked at the hospital medical records very seriously, which attracted the attention of the doctors and nurses coming in and out of the wards.
Especially Gu Lin, probably because they were of the same age and he was the son of an old leader, she developed some interest in him.
The key was that Chen Xia's evidence and thinking matched her temperament and her ability to take a joke, which pleased Gu Lin immensely. Unlike other doctors, who were either too pretentious or too old yet still wanted to take advantage of her.
My dear, there is more to this chapter. Please click on the next page to continue reading. It will be even more exciting later!
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