"Xiao Song, I'll go first today." Teacher Xiao, the leader of the neurosurgery group, immediately turned to Dr. Song and said that as a veteran, he would go first to provide guidance for the young one.
Lazy cat Dr. Song does not argue~
The other departments and groups are basically the same, with veterans showing the way to the younger ones.
Some groups are quite special, such as the gastroenterology group. Dr. Jiang Mingzhu was fully prepared and even refused to give in to the retired head of her department, Mr. Ming, and insisted on trying it on the first day.
No one dared to delay. Everyone just watched Dr. Xie Wanying walk out first and then hurriedly followed.
The joint outpatient area is next to the new district inpatient area, just a few steps away.
Patients who had registered in advance had already lined up in the waiting area outside. There were patients who came directly to seek medical treatment through outpatient appointments, as well as patients who came from other departments of the hospital and wanted to be transferred to the new area for treatment.
Yes, unlike the usual consultation and transfer applications in other departments, the transfer consultation in the new area also goes through the joint outpatient clinic route.
Is thirty patients waiting too many? Looking back at Mr. Tan’s outpatient clinics, the number was about one level less.
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The main problem is that it is the first day of the joint expert group's work and they are in the running-in period. It remains to be seen whether they can achieve the same results as a single outpatient clinic.
The teachers themselves didn't do a good job on the first day, so they didn't allow interns and trainees to follow them.
The spectacular scene of more than thirty doctors entering the consulting room to serve only one patient allows the patient to experience unprecedented top-level VIP service.
The first patient and his family seemed extremely excited. They complained to the doctors on the spot about the difficulty of getting an appointment with the National Association for Medical Sciences. Sometimes they had to see a doctor in one department and then another, which resulted in it taking more than half a month from the initial outpatient visit to a clear diagnosis.
Time is very precious to some patients and their families, so it is better to pay with money than with time.
The combined outpatient clinic is more expensive, but if you carefully calculate the time cost and other costs, it is the patients and their families who gain.
Of course, doctors will not recommend all patients to seek medical treatment at the joint clinic, and most patients do not need the joint clinic. Therefore, the joint clinic number cannot be directly booked, and the case must be screened after the first outpatient visit by doctors from other departments.
This model is in line with tiered diagnosis and treatment, and it establishes that the most advanced medical care should provide the final guarantee for patients. The threshold must be high enough not to waste precious resources.
Dr. Xie Wanying got the patient's medical record and opened the first page. The patient's medical history showed that the patient's main symptoms were digestive tract diseases.
In response, Dr. Jiang from the Department of Gastroenterology and Dr. Zhao from the Department of General Surgery 1 came forward as the main physicians for this patient.
The first patient needed a joint outpatient clinic because in addition to being troubled by digestive tract diseases for many years, he also had other problems such as anemia, malnutrition and even eye problems.
The doctors from the expert group, who had been tortured by Dr. Xie's test questions before, quickly learned their lesson this time and picked up the tool mind mapping to conduct on-site case analysis.
Dr. Qiu is the youngest in the expert group, and he is responsible for recording everyone's ideas on the small whiteboard.
Patient symptoms: had blood in stool, history of gastrointestinal bleeding, gastroscopy showed only gastritis. Gastrointestinal bleeding causing anemia is a common cause and effect relationship. What should be noted here is that the amount of gastrointestinal bleeding is not large, which is inconsistent with the patient's anemia level.
Experts from various departments offered suggestions.
Hematology: Further examination is needed to rule out the presence of blood disease.
Nutrition Department: It is necessary to distinguish whether anemia is caused by blood disease or pure nutritional deficiency.
Ophthalmology: If the patient's blurred vision is to be determined whether it is an isolated eye disease or related to other specialized diseases, a special eye examination can be performed.
Otolaryngology: Regarding the patient's tinnitus and dizziness, you need to discuss it with the Department of Neurosurgery and Neurology.
Neurology: Given that this patient is in menopause, the tinnitus may be due to otolaryngology.
Doctor Qiu recorded this, and the expert group members said: Oh, menopausal patients——
From the thinking of the doctors in the above departments, we can see that sometimes non-specialized diseases can be diagnosed by specialists, and doctors in departments where patients often go to the wrong departments for treatment can actually diagnose the disease faster. This fully illustrates that doctors are like those who are bitten by a snake once and are afraid of straw ropes for ten years.
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