"Boss, where did you go?" Su Yun pushed the door open and saw Zheng Ren talking to the patient. He did not know whether to laugh or cry.
This guy really refused to be idle for a moment. Other than when he was reading the fifth edition of surgery, he was causing trouble everywhere.
He was probably the only one who did not have enough chief residents in the emergency department.
"What patient?"
"Pain in the precordial area. There are no problems with all kinds of tests. I suggest the patient do an isotope test," Zheng Ren said. "But this test seems to be a little expensive. I'm wondering if I should do a treadmill test."
"You suspect it's heart syndrome X?" Su Yun asked in confusion.
Zheng Ren nodded.
Su Yun was also very helpless about this.
Syndrome X was also known as microvascular angina. This disease was diagnosed by recurrent chest tightness and pain, normal coronary angiography or coronary CT, and positive exercise treadmill test.
At present, the reason widely accepted by clinicians was that the dysfunction of the small coronary vessels caused myocardial ischemia. However, even if it was accepted, it still depended on the situation.
There were quite few patients who could really be screened and ruled out for Syndrome X. After all, the exercise treadmill test had a one to two in ten thousand chance of ventricular fibrillation, leading to the patient's death. As for the isotope test, it was a rather remote test and the fee was relatively high.
It was quite helpless to consider the cost of everything.
The boss was really troublesome, Su Yun thought to himself.
"What's the basis of the diagnosis?" Su Yun asked.
"Discomfort after work. Long-term pain in the precordial area. Oral nitroglycerin did not clearly relieve it," Zheng Ren said. "It can be considered Syndrome X. We need to check again."
"Doctors nowadays don't even know how to treat patients without doing an examination?" the female manager complained in a low voice.
Su Yun just wanted to deny his boss's point of view. Whether it was Syndrome X or not, the next thing was quite troublesome. It was better to go back and read the fifth edition of surgery.
However, when he heard the female manager's complaint, the corners of his mouth curled up, revealing a bright smile.
"Boss, I think your diagnosis is correct," Su Yun said with a smile. Then, with a smile on his face, he explained to the female manager and the patient what Syndrome X was.
The female manager did not believe him at all. She thought that the name of the disease was not serious. X was the meaning of uncertainty. All junior high school students knew that in equations, X represented the unknown.
X could be used to solve binary linear equations, but why the f * ck did you tell me it was X? Wasn't this nonsense? If the doctor wasn't sure, what else was there to say? Do I have to spend thousands of dollars to solve this X?
However, she was still very cautious and did not dare to offend anyone in the 912.
The female manager said with a sullen face that she would ask for instructions. She pretended to glance at Zheng Ren's badge casually before leaving the emergency department.
The more he thought about it, the more he felt that something was wrong. The doctor was really young. He looked like he was not even thirty years old. How could he know anything?
"Leader, I brought an employee to see a doctor …" She dialed the phone number of her superior and told him everything that had happened on this side.
The more he spoke, the angrier he became. There was even a tinge of grievance in his anger.
She really couldn't be a good person. She pitied her because it wasn't easy for her to raise a child to study. She was given a job.
Who would have thought that his laziness would always act up and he wouldn't even want to clean up. If this wasn't enough, did she want to ascend to the heavens?!
After she finished speaking, the female manager said, "There's a doctor with the surname Zheng in the emergency department. He insisted on doing an isotope test because of Syndrome X."
"Oh, I took a look at the badge. His name is Zheng Ren. He's not from the radiology department, he's from the interventional department! "
She said, suppressing the anger in her heart.
On the other side of the phone, Manager Hui, who was in charge of the 912 business of the labor service company, nodded. "I'll ask the people from the 912 to see what Doctor Zheng from the interventional department means."
After hanging up the phone, Manager Hui felt a little annoyed.
They were looking for her for everything. An ordinary external employee was sick, but they still had to ask her to sign an application for an examination. Did they not have social security? Did they not know how to see a doctor themselves? But now, he was being targeted by someone else.
This was extortion! Although the company was not afraid and there were not many similar things every year, it was still troublesome when they encountered it.
In short, Manager Hui felt that the company had already done its best. He also knew that the external employee was a single mother. Her manager had mentioned this to him before.
It was said that she had worked in many places and that she would have pain in her precordial region. Therefore, no matter where she worked, she could not work for too long. It was said that one of them even came to the hospital because of the pain. However, it was fine when she arrived at the hospital in the first-aid ambulance.
Who would dare to hire such a person! It was just that the subordinate's business manager was too troublesome. He had to pretend to be a good person. This guy had met a stupid doctor and his good intentions had become bad!
If she wanted to do an examination, the 912 had countless examination programs to choose from.
Tens of thousands of yuan were thrown in, but not even a splash could be seen. A doctor from the Interventional Department had to spend so much money to cause trouble in the Emergency Department!
As she thought about it, Manager Hui was a little annoyed.
The 912 had some dealings with the logistics and government agencies, but who should she look for? If the person she looked for was too small, she was afraid that she would not be able to suppress the clinicians. If the person she looked for was too big, it would not be worth it.
After all, to put it bluntly, it was a small matter of ten thousand yuan. She would rather go to court than look for Director Guo, who was in charge of logistics.
Then she would look for Chief Li of the General Affairs Department. He was also a section-level cadre. He was neither big nor small, and he could still have some say.
After thinking for a long time, Manager Hui picked up her phone and found Chief Li's number to call.
"Chief Li, this is Little Hui. I have something to ask. "
"Isn't this a famous external employee who said that he was not feeling well? Our manager kindly took him for a checkup. He did a 64-slice CT scan and didn't find any problems. "
"Yes, the ECG is fine. It shouldn't be a coronary heart disease. But when I was in the Emergency Department, I met a doctor from the Interventional Department who insisted on doing some isotope test. "
"Yes, it's the Interventional Department." Just as Manager Hui finished talking about the Interventional Department, the other side of the phone fell silent.
"Say, it's not like he's a doctor from the Emergency Department. Why did he have to go to the Emergency Department to make a diagnosis? That's too reckless. We … "Manager Hui continued to be long-winded.
"Uh … When they reported to me, they said that they took a look. It was a doctor surnamed Zheng."
"Yes, his name is Zheng Ren. He's from the Interventional Department."
The person on the other side of the phone said that he would do as Boss Zheng said. Then, he hurriedly hung up the phone.
"…" Manager Hui held her phone and was stunned for a long time.
Boss Zheng? In the hospital, only people who had big projects could be called bosses.
What was going on?
However, Manager Hui was very cautious. She first called the Emergency Department and asked the business manager under her to deal with it first. She would arrive immediately.
After arranging everything, Manager Hui rushed to the Emergency Department.
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