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 state of the clinic in the past few days, learning some things they might need to know, discussing finding someone to repair the door tomorrow, and accepting David's bitter dump.
This doctor was driven crazy, and 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, and he could no longer remember how he saw a doctor before.
In the habits of the people and a considerable number of doctors, they highly recommend the "one-shot decision" diagnosis and treatment model. They believe that the less information they have, the faster they can make a diagnosis and treatment decision, the better it can reflect the doctor's high level.
This view is particularly popular among the current internal medicine community. When a patient comes and glances at it, it is best to glance at it sideways to show that it is commonplace. There is no need to say anything. After asking about some superficial symptoms, you can go 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 get worse, so they will return to the hospital to adjust the medication and try again. This is also unpredictable, and there is 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 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.
Terminal illnesses, and the very few who die inexplicably, are obviously under the control of God and not doctors.
Efficient, elegant, and free from the three things. Not to the patient, not to the illness, and not to responsibility.
Since Kraft took charge, that was all in the past. Now everyone from David to the apprentices are rushed to write medical records and asked to summarize the evidence to support the diagnosis.
Deliberately simplified medical records have caused a considerable burden, not only in terms of workload, but also in terms of finances.
Based on the clinic's daily treatment 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 still 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 accounts at the end of the month, and it went from his tongue to his heart. He had already emptied his personal bookshelf and moved it down
To store these papers upstairs, you need to set up a special directory index like a dictionary to facilitate search. There is no guarantee that you 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 while, making Kraft recall the most uncomfortable part of his night shift - there were half-eaten sour soup vermicelli on the table.
, standing next to family members who took fresh secretions and inquired about his condition.
So he could only push the soup bowl away and said with difficulty and helplessness, "I'll just take a look."
Opening the income and expenditure record, the numbers inside really touched Craft. His 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 can 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 is not enough to solve the problem. Filling this hole that is destined to get bigger at your own expense will not work in the long run.
Kraft reiterated the importance of medical records. They need to make statistics based on these data to understand how much benefit the patients have gained from the treatment, how often they need to be re-inhaled, and at what stage patients are suitable for artificial pneumothorax treatment. And so on.
, until a set of more reliable evaluation standards is established.
This set of things was not brought by souls from other worlds. 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 level that required physical intervention. Even if it did, it was not him.
This is the one I'm 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 their heads in admiration of his profound consideration.
But my hands are still sore, and the account books still don’t look good. Simply put, they need more people and more paper and pens, and this will be fed back into the income and expenses.
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 technologies and rely on pure clinical practice are destined to be eliminated. If you want to keep up with the times,
We must be good at discovering and summarizing trends, and medical records, as the basis of all this, cannot stop.
As for the income and expenditure issue, if you can't cut expenses, you can only consider open source.
This "open source" came to the door very quickly. To be precise, he 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?"
Do you know I happen 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 puncture needles are brand new and of good quality. There is a reason why Professor Morrison likes to order their instruments from them.
While Kraft was checking the patency of the needle, Barbour chatted with David who was standing aside, and the latter 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 his body and mental state were indeed easy to notice.
He soon discovered that it was not the other party's weight loss that was effective. It was not slightly fat before, but seemed to be edema. During this period of time, it improved, and at the same time the other party's overall condition improved.
"Mr. Barber?"
"I'm here, professor, how about these things?" The financial officer put the bottle into 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?"
"There is a decrease in physical strength, some indescribable symptoms, loss of appetite, difficulty breathing, palpitations, etc."
"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, and something new aroused his interest. This should be cardiogenic edema, heart failure leading to edema and a series of other symptoms of blood stasis, but his condition seemed to have improved significantly recently.