Chapter 21 Triage
Modern society can provide them with food, clothing, housing and transportation, supplies to ensure survival, and medical services, but people need more than just these. On top of this, there are also spiritual needs, which they cannot satisfy.
Relatives... Who is not working overtime now and is extremely busy? The special situation and environment in South Vietnam make everyone's time full.
Houses with expensive land cannot accommodate extra people, and not many people are willing to live with the elderly, so they will naturally be ignored.
Even if we live together, who wants to get close to someone whose mind is full of rigid and outdated things, who is forgetful at every turn, and who has a strange smell on his body?
This is also the reason why elderly people are often deceived and deceived by clumsy means that young people in society cannot understand.
In order to deal with this situation, some developed, wealthy, and caring communities will organize volunteers and find volunteers who understand psychological knowledge to provide regular spiritual comfort services to the elderly living alone.<
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This is of course very good.
But not everyone is in a better community, such as here, Xiacheng District, a shabby community without even a property. There are also elderly people in this community. They are no different from other elderly people. They are also human beings and they also need such services.
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Zhang Lingjun can be said to have filled this need at this time.
The liar took the liar's job.
Not counting the scammers' jobs, most of the old people here don't have any pensions. At most, one person can earn 180 per month, which is just enough for food. They don't have much savings. They have been emptied out long ago and were taken away by their children.
If you buy a house, you will be trapped there now. You are contributing to the country. No scammer will keep an eye on this place.
Is this the change strategy he mentioned before? It makes some sense, but it is impossible for everyone to come to see a doctor is such an old man who is not sick.
What should I do if I want to meet a real patient?
Is this still the case?
If this is the case, it will delay the condition.
Before I thought about it, several more people came in to see the doctor. There was no one there just now. Now they are one after another. It’s not because of anything else. It’s mainly because they started to go to work now. There was no one there just now because it was meal time.
, I deliberately stayed to rest. When it was time to go to work according to the usual schedule, people rushed to come. It seems that there are quite a lot of people seeing doctors like this.
The concubine also happened to continue observing.
The second patient is a bald, semi-old man wearing an old man's shirt.
The process of seeing a doctor is still the same, using the unexpectedly powerful perception ability to make a more accurate judgment on the patient.
Then, we will further confirm the physical condition through designed inquiries.
This person is sick.
The concubine judged that it was iritis.
He was not polite to Zhang Lingjun. He used his dignity as a doctor and scolded him for delaying his illness and not paying attention to his health, and then asked him to go to Dien Bien Workers' Hospital for further treatment.<
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The patient said he wanted to see a miracle doctor, as the medicine here has less side effects.
Zhang Lingjun explained earnestly: Your disease is too urgent, and modern medical treatment must be better. When we see a doctor, the most important thing is to choose the most suitable treatment method, not the one with the least side effects.
If you insist on letting me treat it, of course I can cure it, but since I just came to Dien Bien and am just settling down, there are no channels for some medicines. I need to wait for the medicine to arrive, and the disease may be delayed.
It looks ok over there, just go there, just take the medicine for two days and it will be fine. How many side effects can eye drops have? If I am sick, I will use that medicine. Preparing Chinese medicine by myself is troublesome and expensive.
Then I saw two more people, and they both persuaded them to leave and go to a big hospital. Of course, the reasons were different, but they were all very reasonable. Anyway, they just opened their mouths.
It’s not just a simple and rude drive away.
The concubine keenly discovered that Zhang Lingjun was very accurate in recommending hospitals to patients.
It is not a general recommendation of a famous large hospital, but a recommendation of the most suitable hospital based on different diseases and the patient's physical condition.
This seems to be an illegal triage station at the forefront of the medical system based on a certain logic.
South Vietnam's modern medical system is based on the number of patients it can receive, the number of beds, the number and level of medical staff, and the number of various extremely expensive medical instruments. Different hospitals are divided into levels, from top to bottom, from less to more.
, just like a pyramid.
The logic of this medical system is that large hospitals deal with more troublesome and difficult-to-treat illnesses.
Small hospitals and some medical clinics deal with simple and basic diseases.
It's a good idea, but people are irrational.
Many people are extremely panicked when they get sick, no matter it is a serious illness or a minor illness. They are worried that they will not be able to get good treatment and their lives will not be traded, so they have to go to big hospitals, causing overcrowding in big hospitals.
Large hospitals also have limited medical resources. When there are more people like this, the limited resources that are supposed to serve more serious patients will be occupied, and a medical rush will occur.
At the same time, some people avoid medical treatment when they get sick. They don’t want to go to the hospital when they get sick, so they drag it on. If they can’t do it anymore, they would rather go to a small clinic at their doorstep than go to a big hospital. They are worried that some serious problem will be discovered during the examination, so they want to carry it out.
In the past, I imagined that I could just carry it through, but this might delay my condition and endanger my life.
These are incorrect practices.
To solve this problem, we must either reduce the gap between hospitals, the gap between large hospitals and small hospitals, build more hospitals with high standards, and make the number of large hospitals per capita reach a sufficient level.
The point.
This is the best way.
But the problem is that medical resources are limited and there is really no way to do that.
In this way, limited resources can only be allocated in the most reasonable manner, which is also a logic of the pyramid-style medical system design.
In addition to treating diseases, a large number of primary clinics at the grassroots level also undertake the function of triage.
It's like a big hospital, an external department of the top big hospital.
Ordinary diseases are treated directly by the hospital, and complicated cases are transferred to the higher-level hospital. This makes the medical system more effective and operates with maximum efficiency.
But there are problems.
That is whether it is compulsory. If it is compulsory, it will only be transferred up if it is determined that the hospital on the first level cannot treat it.
Some doctors may not be able to accurately judge whether the patient needs further treatment, which will delay the condition.
There may even be some crazy bosses who try to put some performance links in it, which may lead to something more terrifying than insufficient medical resources.
Chapter completed!