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   "I have a more urgent patient here, you can ask Dr. Dong if you 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 am afraid that I will waste time if I say more than half a word.

   This little episode made the patient and the patient's family who watched it a little dumbfounded, and they didn't have time to hear what happened and the family had left.

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

  After the patient lay down on the examination table, he no longer had to sit and bend over and was in pain. Maybe he felt more at ease after seeing the doctor come to see him.

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

  It was obvious that Teacher Xin wanted to test her.

   Here is a common problem in emergency department. Like abdominal pain is the most difficult clinical symptoms to identify. Some diseases can be seen in internal medicine and surgery. For example, upper gastrointestinal bleeding, mild cases can be solved by internal medicine, and severe cases can be treated by surgery. In special cases, it may be necessary to go to the ICU to stabilize the condition before surgery.

   The triage nurses cannot immediately tell whether the patient should go to surgery or internal medicine. As long as there is no hematemesis, and there are no other emergencies that seem particularly terrifying at first glance, a medical examination will be arranged first. The physician will check again, and then make a judgment as to whether to stay in the medical treatment or to go to the surgery.

   How each doctor judges will be based on his own knowledge and medical experience. Therefore, although there are medical guidelines as guidance for doctors' judgment standards, they will vary from person to person. Especially in the case of some diseases with vague medical and surgical treatment boundaries, where both medical and surgical treatments can be cured, the individual differences of doctors' choices will become more and more obvious.

   This difference may be due to the doctor's personal habitual thinking about certain diseases, or it may be combined with the patient's non-disease consideration. If a patient wants to undergo surgery, surgery is the first choice. Some patients want to try conservative treatment first, and doctors respect their choice and let them go to internal medicine.

  If the patient and himself have no opinion, both internal medicine and surgery are fine, then there may be another factor to make the decision. Each department sends people to work on emergency shifts. Except for the tasks designated by the hospital, the departments have their own plans.

   Don't look at the night shift doctor in the ward. It seems that he hates receiving emergency patients. As long as the director of the department talks about the issue of department bonuses, they can only silently keep silent. No one has trouble with money, like doctors. No patient equals no benefit.

   Basically, a department that competes fiercely with other departments will definitely explain to the doctor in the emergency department under its own department: overcharge patients.

  The outpatient department can accept patients, and the emergency department is also a source of patients. If you don’t accept it, all other departments will be accepted. Over time, you will have fewer patients, less money, and fewer opportunities to practice 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 conscientiously send diseases that are not treated by their own departments to the wards of their own departments for treatment. That is purely asking for trouble.

The patient in front of    had pain under the xiphoid process of the upper abdomen and complained of brown vomit. Upper gastrointestinal bleeding was initially suspected. It is definitely not a patient that can be admitted to the respiratory department.

   Thank you for your support! ! ! Good night dears~

  

  

   (end of this chapter)