"Can you treat my disease too?" The patient with liver cyst observed Ling Ran with a scrutinizing gaze.
Ling Ran did not answer immediately. Instead, he asked, "Have you done an MRI scan in this hospital?"
"Yes." The patient nodded and said, "I brought the scan with me."
As he spoke, he immediately took out a large MRI scan from a knitted bag he carried with him. Although he was suspicious, the patient was still quite cooperative in the consultation room of Yun Hua Hospital.
Ling Ran took it and said to Lu Wenbin, who was next to him, "Get his original scan."
"Yes," Lu Wenbin answered and quickly operated on the computer.
The original MRI scans taken in Yun Hua Hospital were all stored under the patient's name. Compared to the MRI scan that the patient brought with him, the MRI scan stored in the hospital's server was much more complete.
Ling Ran first looked at the MRI scan brought by the patient, then turned his head, and Lu Wenbin also got the original scan. He was very familiar with this step, and it was almost a necessary operation for Ling Ran to perform surgery.
From the screen, Ling Ran could easily see the position and shape of the patient's cyst.
"There's already peritoneal effusion. You need to perform surgery as soon as possible. The doctor suggested surgery before, right? "Ling Ran looked at the patient and said," I suggest that you be hospitalized now and do another MRI scan. "
The patient looked at Ling Ran, shook his head, and said, "I don't really want to have surgery yet. Can I receive conservative treatment again?"
"You still need to be hospitalized," Ling Ran said.
"If you're hospitalized … I'll think about it." The patient still looked at Ling Ran's age and face, and he did not quite believe it.
Patients in the outpatient department were even more disobedient than patients in the emergency department. Ling Ran hesitated for two seconds and pulled out the Virtual Human.
A few seconds later, the Virtual Human, which was cut open by a horizontal knife and bleeding all over the floor, disappeared. Ling Ran heaved a sigh of relief. From the results, the patient's liver condition was consistent with his judgment. It was basically in a state where surgery was necessary. However, it was not particularly urgent.
"I suggest that you have surgery in one or two months." Ling Ran paused and said, "Your current physical condition will still decline. You need to pay attention at all times. It's best to be hospitalized as soon as possible for treatment."
"Okay, I got it. Doctor, please continue with your work." The patient pretended to be polite and quickly left the consulting room.
Lu Wenbin pursed his lips as if he was looking at a customer who had lost his way. "Fine, if he's like this, he probably won't come back. Doctor Ling, we're naturally at a disadvantage when it comes to providing consultations."
According to the rules in Yun Hua Hospital, whichever treatment group accepted the patient would be in charge of treating that patient. This was the principle behind the so-called admission and treatment.
However, due to the fact that patients and doctors' interests were linked, treating patients was not considered an obligation. Instead, it should be seen as a kind of power.
If a treatment group wanted to perform more surgeries, they had to take in more patients. For a normal treatment group, outpatient consultation was the best way to take in patients.
Other than that, he had to rely on the patients referred by the emergency department.
The reason why doctors in the country often went out to see patients despite their high status was usually because of a similar system. The big shots were not only taking in patients for themselves, but also for their subordinates in the treatment group.
The subordinates would not be able to take in patients by themselves, or at least, they would not be able to take in so many patients who met the requirements.
This was because there was actually competition among doctors. For example, there were only so many patients who were suitable for hepatectomy every year. Everyone would go to good hospitals and big shots, and the rest would look for associate chief physicians who were not famous to treat them. What doctors needed was a stable source of patients for a long time. They could not always count on stupid children to come to them.
For example, a doctor like Professor Feng Zhixiang might only accept one or a few types of patients who were referred by his peers overseas, but in the country, he still had to go out to see patients.
Because there was no system of general practitioners in the country, professional doctors would not exchange information with each other. Therefore, going out to see patients became a basic task.
From this point of view, even though there were many doctors on the Internet who were calling for a general practitioner system, in reality, as the ones with vested interests, not only were they not interested in it, they might even be against it.
This was because under the current system, the source of patients was gathered at the top. The doctors at the top would select the patients they liked, and then release the patients who were unwilling to do so. This meant that they indirectly controlled the distribution of patients, and for the medical system, it meant that they controlled the distribution of benefits.
Correspondingly, the general practitioner system separated a large number of patients from the high-ranking doctors. If the high-ranking doctors wanted to get any patients, they had to go through the referral from the general practitioners. Although the high-ranking doctors could always control the situation through their skills, it was still a release of power.
And power was not something that could be easily released.
Zhang Anmin looked at Ling Ran's face and said in a low voice, "The older a doctor is, the more valuable he is. Doctor Ling just looks too young."
"Then, won't Old Zuo's consultation be packed to the brim with people?" Lu Wenbin thought of the wrinkles on Zuo Cidian's face and added, "At least, he should be the most trusted doctor in the Department of Hepatobiliary and Pancreatic Surgery."
The oldest doctor in the Department of Hepatobiliary and Pancreatic Surgery was He Yuanzheng, but He Yuanzheng, who had a smooth journey, took good care of himself. He still looked young even though he was in his forties, and he could not be mentioned in the same breath as Zuo Cidian, who had been through a lot.
When Zhang Anmin thought of this, he could not help but smile. Then, he pursed his lips and gestured at He Yuanzheng, who was sitting opposite him, and said, "It's mainly because our consultation is a general consultation. Next time, we'll arrange for a specialist consultation, and the situation will be much better. Many patients don't know doctors, and they just come to see specialists. "
"This is a problem." Lu Wenbin nodded slowly.
Just as he was about to say something, someone knocked on the door again.
"Hello, are you Doctor Ling?" This time, it was a pair of middle-aged men who entered the room.
"I'm Ling Ran." Ling Ran pushed the nameplate with his name written on it forward.
"I was recommended by Doctor Liu from the Department of Hepatobiliary and Pancreatic Surgery in the First People's Hospital of Wuxin City. He said that I have liver cirrhosis …" The middle-aged man sat opposite Ling Ran and handed over the 5 RMB registration fee.
Lu Wenbin took it and immediately opened the patient's medical record.
"Let me see." Ling Ran slowly scanned the patient's medical record and said, "I'll do a physical examination for you first."
As he spoke, Ling Ran put on gloves and pressed on the patient's right abdomen …
The patient obediently pulled on his coat and reported the situation.
Ling Ran suddenly felt like he was performing consultation. Although it was not as direct as surgery, there were more types of diseases, especially for patients with mild symptoms, which he had never come into contact with before.
"Um … I'm number four, right?" Another patient walked in and introduced himself with the patient in front of him between him and the patient in front of him. "I was recommended by Doctor Wang from Zhucheng Hospital."
Lu Wenbin gestured for her to wait outside.
When she reached the door, there was another person at the door. "Um, I was recommended by the Third People's Hospital of Yun Hua City. They said that they're looking for Doctor Ling …"
"I'm from the Second People's Hospital of Wuxin City." Another person walked forward quickly.
Lu Wenbin then arranged for them to wait outside. When he saw the few people sitting in a row and introducing themselves, Lu Wenbin suddenly felt like he was the receptionist who was receiving a flower basket.
He Yuanzheng, who was sitting opposite him, heard the noise and walked out of the room. His neck, which did not have any wrinkles, stretched out.
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