Chapter 81 Being treated as a soft persimmon
“Doctor, give me a stamp.”
On Monday afternoon, the first place result did not bring Wu Xiaofu a holiday or a meal. After that, Wu Xiaofu rushed to the hospital.
Lin Shaoyuan specially arranged for Wu Xiaofu to open a clinic for Wu Xiaofu. The doctor Wu Xiaofu sat in the clinic, and Lin Shaoyuan was sitting behind Wu Xiaofu.
According to Lin Shaoyuan, as long as Wu Xiaofu can handle it, he will not interfere with anything.
Interns and hospitals actually interact with each other. Interns can bring the cheapest and most basic labor force to the hospital, and the hospital will also provide the most basic training to the interns.
Last week it was the ward, this week it is the outpatient clinic.
The hospital is gradually helping them become familiar with clinical practice and become real doctors. However, the emergency room where Wu Xiaofu and Qu Ying are staying is a bit special. This week, Wu Xiaofu has already experienced everything a doctor needs to experience. That's almost it.
The patient in front of him is Wu Xiaofu’s first patient this afternoon.
Looking at the patient in front of him, Wu Xiaofu was already starting to have a headache. No, this person in front of him was not even a patient. He was here to stamp someone else's seal.
What was placed in front of Wu Xiaofu was an electromyogram sheet.
No obvious denervation potential was found in the muscles examined, and active mup could detect... The SEP wave amplitude of both lower limbs was low, P40PL was 1.5 bilaterally (left side), and N8PL was generally normal.
Electromyography is an auxiliary neurology project that can only be carried out in tertiary hospitals. It is also used in orthopedics. Electromyography machines are not expensive. You don’t need to be in a tertiary hospital. You can afford it in a secondary hospital. However, The machine is not expensive, but it is difficult to find people who can do electromyography. For example, in the neurology department of the First Affiliated Hospital, there are not many people who can do electromyography.
A month ago, the patient Wu drove a large car and overturned. He suffered from limited movement of his lower limbs and pain in his waist. He was examined at a county-level secondary hospital under Donghai City.
The examination results showed that there were no problems with the bones of both lower limbs and waist. The doctor recommended that Wu undergo an electromyography examination.
However, their hospital does not provide electromyography examination. You can only go to a tertiary hospital. In the entire Donghai City, there is no tertiary hospital that can compare with the First Affiliated Hospital. Wu went to the First Affiliated Hospital and had his EMG checked. Picture, in fact, Wu is much better now, but he feels a little weak in his limbs, which affects him to continue driving.
The insurance purchased by Wu included life insurance after a car accident.
Now that Wu felt that there was obviously something wrong with his body, he naturally wanted to claim more expenses, especially since he had to take a break no matter what. During this period of missed work, he could not earn any money, so he I want to get it from the insurance. The insurance also has this clause. It covers lost work expenses due to physical reasons after the car accident.
But this requires a medical certificate from the hospital to prove that you are sick. Because of this disease, you will not be able to go to work during this period of time, and you may even be disabled for life. Anyway, the more serious the report will be The more.
There is nothing wrong with your bones, but your insurance will not recognize you because they think you are faking an illness.
After the patient performed the electromyogram, he felt a little unsure. Looking at the contents of the electromyogram and combining the patient's medical records, Wu Xiaofu could basically draw the conclusion that the patient's multiple peripheral sensory fibers had mild damage, and the sensory evoked potentials in both lower limbs were It is suspicious. The reason may be an abnormality in the deep sensory transmission pathway of the patient's lumbosacral spinal cord.
Of course, Wu Xiaofu is not a professional in neurology. It is all based on experience.
The patient is not a native of Donghai. The accident occurred in Donghai City at the time, so he went for an examination in Donghai City. After the examination, the electromyogram results were given to the insurance company, and he returned to his hometown. No, What the insurance company wants is proof of illness, not a report, and they directly call back the patient's insurance request.
Thousands of miles away, the patient just asked his friend to come over and stamp the certificate. "I'm sorry, I can't get a certificate of this condition, let alone seal it. You have to go to the neurology department, preferably in person."
Hearing this, the patient immediately became angry, "What's the matter with you little doctor? I've already gone to the electromyography examination room. They said that they are only an auxiliary department and cannot issue diagnosis and disease certificates. Let me come." Ask a doctor to issue a certificate. I go to your doctor to issue a certificate, and you tell me that I can’t issue it. Aren’t you kidding me?
If you don’t issue it to me, I will sue you. Complain to you.”
Pa!
The electromyogram sheet was photographed directly in front of Wu Xiaofu by the patient, with the intention of making it look good to you if you don’t order it today.
Wu Xiaofu immediately understood that he was being treated as a soft persimmon.
Wu Xiaofu dared to say that after the patient went to the electromyography examination room, the electromyography examination room must have told the patient to go to the neurology department instead of the emergency department.
However, the hospital has its own procedures for medical treatment, and it is even more cautious when issuing medical certificates and stamping them. Especially when it comes to this kind of insurance, you must strictly follow the procedures, otherwise, If there is a problem in any link, it will be troublesome to check it out.
No matter which department you are in, if you want to issue a patient certificate, the patient must come in person, unless the doctor can remember you.
"Who was the doctor who treated the patient at that time?"
"How do I know who it was? Hurry up and tell me, what nonsense are you talking about?"
Seeing Wu Xiaofu's young face and being so talkative, the patient felt that Wu Xiaofu had more hope here.
Wu Xiaofu has almost understood that when Wu was doing the examination, he probably didn’t think about anything else at all, so he just opened a checklist, and then went to finish the examination. Maybe he didn’t even take the checklist. I went to see a doctor again and left directly without going through a complete diagnosis process.
Otherwise, after being pushed out of the electromyography examination room normally, this friend would have to call Wu and then go to the neurologist who wrote the order for Wu at that time. If Wu If a person has not completed the complete diagnosis process, the neurologist cannot directly issue a diagnosis certificate and stamp it. He is pushed out and then tries his luck in the emergency department.
The mobile phone in Wu Xiaofu’s hand sent a message. Director Zhang was on the day shift. As expected, Wu Qingfeng quickly responded to the message, saying that this patient had indeed gone to Director Zhang’s emergency clinic in the morning and wanted Director Zhang to issue a bill. , but was rejected by Director Zhang. It was still the same. According to the procedure, the patient still needed to go to the neurology department, go through the medical treatment process, and then get a diagnosis certificate and stamp it.
This is not only responsible for the doctors themselves, but also for the patients.
After all, electromyography is not the gold standard. It is impossible for every doctor to determine the patient's disease based on electromyography. It must be combined with other examinations, physical examination, medical history, etc., and must be fully considered.
If the patient really has a related disease and just ignores it and issues a certificate, then the doctor who issued the diagnosis will be the one who appears in court later.
After sorting out the context of the whole matter, Wu Xiaofu had an idea. It was because he was young and could be bullied, so he was probably ready to give up. He happened to see the young profile picture hanging on his outpatient clinic, so he came in to see him. By luck.
“The diagnosis of neurology can only be issued by neurologists. We have no right to issue it. You have to go to the patient’s first doctor. Well, if you don’t want to see anything, just ask The next one is here, this is the registration form, just take it and return it."
Wu Xiaofu stood up and said, and the tall man of 1.87 meters stood there, which was a head taller than the patient. Duo, after all, had been a director. The moment he stood up, his aura was completely different. The patient was also stunned. Why did the little she-cat suddenly turn into a tiger?
"Hey, doctor, what are you doing? If you have something to discuss, we can't help it. We are so miserable..."
(End of Chapter)