Craft didn't go into detail about the dream, and Coop didn't want to ask.
The three of them returned to the dining table, chatting about the status of the clinic in the past few days, learning some things that they might need to know, discussing finding someone to repair the door tomorrow, and accepting David's bitter dump.
The doctor was driven crazy. The clinic was running in a direction he had never thought of, from a pure internal medicine clinic to a tuberculosis diagnosis and treatment center for most of the new city.
At a time when puncture operations have not yet been classified as basic clinical operating skills, it feels like being occupied by surgical doves.
There was also a whole new set of diagnosis and treatment procedures that hit his head. He could no longer remember how he saw a doctor before.
In the habits of the people and a considerable number of doctors, the diagnosis and treatment model of "one glance" is highly respected. It is believed that the less information and the faster the diagnosis and treatment decision can be made, the better the doctor's level will be reflected.
This view is particularly prevalent among the current internal medicine community. When the patient comes, take a quick glance, preferably with a sideways glance, to show that it is commonplace and requires no further explanation. Then, after asking about some superficial symptoms, you can fast forward directly to prescribing medicine.
It can reduce fever and relieve cough. Most of them will get better after a while after returning home, which further increases the doctor's confidence.
Some patients will deteriorate, so they will return to the clinic to adjust the medication and try again. This is also unpredictable and has no explanation. After all, the level of the entire medical profession is like this, and doctors and patients know it well.
The remaining ones, especially the stubborn ones, will often show typical signs of certain incurable diseases as time goes by, such as syphilis and tuberculosis. At this time, it will be "very regrettable".
Such a set can basically be classified into three categories - most of them are cured, which means the doctor's treatment plan is correct; a small number of cases are not cured, but they are cured after adjusting the plan, which are difficult cases that are unavoidable; and there are some that cannot be cured by law. Those who are terminally ill and the very few who die inexplicably are obviously under the control of the Heavenly Father and not the doctors.
Efficient, elegant and clean. Don’t touch the patient, the illness, or the responsibility.
Since Kraft took charge, that's all in the past tense. Now everyone from David to the apprentices are rushed to write medical records and are required to summarize the evidence to support the diagnosis.
Deliberately simplified medical record documentation creates a considerable burden, not only in terms of workload, but also in terms of finances.
Based on the clinic's daily admission volume and an average of two pieces of paper per patient, there has been a stack of materials thick enough to be used as a bench, and there are several times more invalid content.
Even though the paper was not of high quality, plus the cost of pen and ink, the total price made David take a breath of cold air when he checked the account books at the end of the month, and it went from his tongue to his heart. He has emptied his personal bookshelf and moved it downstairs to store these papers. He needs to set up a special directory index like a dictionary to facilitate search, and there is no guarantee that he can find it immediately.
If the clinic's other income hadn't increased recently with the flow of people, it might not have been able to afford this expense.
If you continue, you will not need a dedicated bookshelf, but a dedicated study room for storage.
Moreover, the value of these records was far less than that of books of the same volume, at least he couldn't think of anyone who would pay for these things.
So David complained unswervingly in the professor's ear, and his endless complaints curbed the other person's appetite for a time, making Kraft recall the most uncomfortable part of his night shift - there were half-eaten sour soup fans on the table. , standing next to family members who asked about the condition with fresh secretions.
So he could only push the soup bowl away and said with difficulty and helplessness, "Let me take a look."
Opening the income and expenditure record, the numbers inside really touched Kraft. Huancheng's mathematical ability allowed him to estimate that the amount of money had probably reached a level that could be settled with gold coins. David's worries were not groundless.
Of course he could announce an increase in consultation fees, or simply draw a sum of money from his own coffers.
But as David once said, tuberculosis is a poor man's disease. Too much improvement is unrealistic, and too little improvement is not enough to solve the problem. And spending your own money to fill this hole, which is bound to get bigger and bigger, won't work in the long run.
Kraft reiterated the importance of medical records. They need to use these data to conduct statistics to understand how much benefit patients have gained from treatment, how often patients need to be re-infused, and at what stage patients are suitable for artificial pneumothorax treatment. This continues until a more reliable set of evaluation criteria is established. This set of things was not brought by the souls from another world. After all, in his life, tuberculosis was being beaten by the combination of popularization of vaccines and combined medication, and it rarely developed to the point of requiring physical intervention. Even if there is, it's not the one he's using now.
At present, they are the only ones in North doing this, and not many people will do it in the foreseeable future.
Regardless of whether or not everyone present understood these words, they all nodded frequently and admired their far-reaching consideration.
But my hands are still sore and the account book still doesn’t look good. Simply put, they need more people and more pen and paper, and that feeds back into the bottom line.
In this regard, the airborne superior Kraft said that in the new era of change that may be coming to the medical field, those who want to learn one or two dead skills and rely on pure clinical practice are destined to be eliminated. If you want to keep up with the trend of the times, you must be good at discovery and summary, and medical records cannot be stopped as the basis of all this.
As for the income and expenditure issue, if you can't cut expenses, you can only consider open source.
This "open source" quickly came to the door. To be precise, I arrived at the door of the clinic the next morning.
"Hello, Professor Kraft, it's really not easy to meet you." The man with two delicate beards said, "And Dr. David, thank you for your medicine, it is very effective."
Kraft took some time to find a slightly fat figure with a slightly larger outline in his memory. He was the financial officer of the Higo family. He seemed to be a little thinner now. "Ah, Mr. Barber, what a coincidence. How are you doing?" Did you know I happened to be here today?”
"Actually, I've been coming here a lot recently." The man's smile was more energetic than the last time we met, and his image had changed significantly.
He expressed his intention of coming this time and handed Kraft a box lined with cotton velvet, which contained several slender and shiny small hollow objects. "This is our new sample. Please take a look." .”
The brand-new puncture needles are of good quality. There is a reason why Professor Morrison likes to order their instruments from them.
While Craft was checking the patency of the needle, Barber chatted with David, who took out a suspicious small bottle from behind the counter and handed it to the visitor.
Professional habits allowed Kraft to observe the financial officer. The changes in physical and mental state were indeed easy to notice.
He soon discovered that it was not the other person's weight loss that was effective. It wasn't fatness before, it seemed to be edema. It improved during this period of time, and the other person's overall condition also improved at the same time.
"Mr. Barber?"
"I'm here, Professor, how about these things?" The financial officer put the bottle in his pocket and rubbed his hands.
"The craftsmanship is almost impeccable." Kraft praised, "By the way, did you have edema before, which was more obvious in the lower limbs?"
"The physical decline is somewhat unspeakable, including loss of appetite, difficulty breathing, and palpitations."
"Dr. David told you?" Barbour nodded slightly in surprise and looked at David, who shook his head and said it was none of his business.
Kraft put down the needle, something new piqued his interest. This should be cardiogenic edema. Heart failure leads to edema and a series of other symptoms of blood stasis, but his condition seems to have improved significantly recently.
Thank you very much to the leader of book friend 2017013024451945 for the reward|ω｀)
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