On the medical record, the old man’s identity is written as a farmer.

Moreover, the other party was dressed very simply, and obviously the family conditions were not very good.

However,

Fan Lei prescribed a lot of overlapping examinations, and the medicine was used without any pity. The cost of a course of treatment was soaring to several thousand yuan.

Xu Qiu started the consultation again.

I started to have fever three days ago.

The maximum body temperature should not exceed 39 degrees Celsius.

Accompanied by sore throat, nasal obstruction, fearless chills, cough, nausea and vomiting, etc.

Observe the patient's performance.

He has acute pain and irritability.

There are four types of diseases that can be considered in this manifestation.

1. Neurological diseases.

2. Acute generalized anterior wall myocardial infarction.

3. Viral myocarditis.

4. Severe upper respiratory tract infection.

...

"I'll check on individuals for you first." Xu Qiu said.

The old man cooperates very well.

The body checks, the pupils are as large as the circle, and the light reflection is sensitive.

Meningeal irritation signs were negative.

Preliminary rule out neurological diseases!

Auscultation, the respiratory sounds of both lungs are thick, there is no rales, the heart rate is 61 times per minute, the heart rhythm is uniform, the heart sound is weak, and there is no noise in each valve.

The palpation of the jugular vein did not open, nor did the liver and spleen be touched.

Excluding viral myocarditis, acute and generalized anterior wall myocardial infarction...

The old man was very worried when he checked the bed.

He stretched his neck and said carefully: "Doctor Xu, can you prescribe less medicine for me? You don't need to prescribe those pain relief. I can tolerate it. This year, the price of food has dropped again, and I have been planted for more than half a year.

, I can't afford to get sick..."

"Don't worry, it's not a big problem."

Xu Qiu said, putting down the stethoscope.

He glanced at the computer again.

Fan Lei prescribed many tests, such as viral serological tests, craniocerebral CT, etc.

His general direction is correct, and he is also eliminated according to Xu Qiu's judgment.

However,

These diseases can be eliminated by a simple physical examination, but Fan Lei will not do it!

Without examination, you will not be able to cure diseases. Turning examination tools into the only weapon to diagnose diseases is what a inferior doctor does!

Xu Qiu shook his head.

He rejected Fan Lei's medical advice and gave the old man some anti-inflammatory and anti-viral drugs again.

After repeated confirmation, the painkiller was cancelled.

The cost of these drugs is 103 yuan in total.

"Okay, there's no big problem. Just pay the fee and get the medicine." Xu Qiu officially issued a doctor's order.

The old man thanked him and left.

"The doctor just now didn't have a physical examination?" Xu Qiu asked after the patient left.

Chen Qiao nodded: "Yes..."

Xu Qiu was silent. He thought for a moment and said, "After going back at noon, you can take this one just now..."

Xu Qiu paused for a moment and didn't have much impression of the unsightly doctor just now.

Chen Qiao hurriedly said, "Teacher, his name is Fan Lei."

"Well, transfer all the medical records of Dr. Fan's patients and put them on my desk."

Chen Qiao moved her mouth and stopped talking.

Xu Qiu glanced at him: "What's wrong?"

"Teacher, Dr. Fan, he is a relative of the vice president, and... his father works in the Health Commission..."

Xu Qiu frowned: "What you mean is that other doctors also know that he prescribes examinations and uses medicines randomly, but no one dares to say it."

Chen Qiao was a little taboo and bit her lip and said, "Yes, Dr. Wang Fan and the others have all expressed their opinions with Dr. Fan.

I heard from Dr. Yun that a few years ago, a farmer sold a cow to our hospital for treatment. He also prescribed a lot of messy examinations for people, and the medicine was more than 4,000 yuan.

Later, Director Wang Ping couldn't stand it anymore, so he scolded him directly, and then canceled the unnecessary examination on the doctor's order.

The medicine only cost more than 200 yuan in the end.

As a result, Director Wang originally had a hospital rated the award, but he did not rated the award that year, and the department was inexplicably deducted a sum of money..."

Xu Qiu heard the taste.

Even Wang Ping can't suppress this Fan Lei.

Chen Qiao looked at Xu Qiu carefully and said worriedly: "Teacher, I'm afraid you will be targeted..."

Xu Qiu's expression did not change at all, and he said lightly: "Before I finished my meal, I sorted out all the doctor's orders he had made."

Chen Qiao looked at Xu Qiu in surprise.

At this moment, she suddenly felt that her teacher was not only handsome, but also great!

"Call for the next one quickly." At this time, Xu Qiu urged.

Chen Qiao immediately came to her senses and hurried to call the number.

...

Because I missed the outpatient clinic for more than two hours in the morning, the efficiency of seeing a doctor today was very fast, one after another, and there was no chance of a breath of breath.

At most, there were four patients in the clinic at the same time.

One of them swayed behind the screen and waited for inspection.ъìqυgΕtv.℃ǒΜ

There are three more, waiting for the doctor's orders, waiting for the examination, and waiting for Xu Qiu's consultation.

Xu Qiu on the seat was also busy.

He quickly changed into gloves for the patient to check, arranged the examination form, then turned it back to consult, explain the condition, etc.

Chen Qiao quickly became a quick-wired tool laying tool.

and,

She suddenly realized that she seemed to have had a checkup as well.

And he began to try some simple physical examinations to reduce the burden on Xu Qiu.

With such high efficiency, the patient's consumption rate is amazing.

During this period, the old man came here specially after taking the medicine and expressed his gratitude to Xu Qiu.

He was not stupid. He saw Fan Lei prescribed so many inspections and had a lot of imported medicines, but now he only had more than 100 yuan in his hand. He knew very well that Xu Qiu had saved him a lot of unnecessary expenses!

The emotions conveyed by the old man's dark face and those eyes flashing with mist are probably the highest ideals that all conscientious doctors can pursue...

...

Despite the extremely high efficiency, Xu Qiu and Chen Qiao were busy until around 1:00 p.m. before finally digesting all the outpatient volume in the morning.

Chen Qiao was so hungry that her chest was pressed against her back.

She snatched the door of the clinic and looked at it. There was no patient outside.

"Huh~~Teacher, it's finally done!!" Chen Qiao sat on the chair at the door and laughed happily.

"Remember to sort out the medical records."

"oh……"

Chen Qiao hammered her legs. Seeing Xu Qiu left, she quickly got up and locked the door, and trotted and followed her.

On the way back to the office, Chen Qiao talked about the anatomy room last night.
To be continued...