Chapter 2459: with translation of title
2373 You think you're solving equations! (Alliance Leader loving to laugh Garfield extra 1)
"Boss, where did you go?" Su Yun pushed the door open and saw Zheng Ren talking with a patient, somewhat torn between laughter and tears.
This guy really can't stay idle for a moment; except when he's holding the Fifth Edition of External Medicine and reading, it still counts as Silence outside, otherwise he's causing trouble everywhere.
The Emergency Department Inpatient Chief is short-staffed; he's probably the only one.
"What patient?"
"Chest area pain, all tests are normal; I suggest the patient do a nuclide scan to see." Zheng Ren said, "but this test seems a bit expensive; I'm considering whether to do an exercise treadmill test."
"Do you doubt it's heart X syndrome?" Su Yun asked, puzzled.
Zheng Ren nodded.
Regarding this, Su Yun was also helpless.
X syndrome is also called microvascular angina; this condition takes repeated episodes of chest tightness and pain, normal coronary angiography or coronary CT, and a positive exercise treadmill test as the clinical diagnostic criteria.
The cause currently widely accepted by clinical physicians is dysfunction of the function of the coronary microvessels leading to myocardial ischemia, but acceptance is acceptance; it also depends on the situation.
Truly few patients are suitable for screening and ruling out X syndrome. After all, the exercise treadmill test has a one to two per ten thousand chance of causing ventricular fibrillation, leading to patient death. Meanwhile, the nuclide scan is a rather niche test, with relatively high fees.
Whatever one does, one must consider the cost issue, which is also quite helpless.
The boss is really meddlesome, Su Yun thought.
"What is the basis for diagnosis?" Su Yun asked.
"Discomfort after exertion, prolonged precordial pain, oral Nitroglycerin shows no clear relief." Zheng Ren said, "It could be considered X syndrome; we need to check further."
"Nowadays, doctors won't see patients without doing tests, right?" the female manager muttered.
Su Yun was about to refute his boss's viewpoint; regardless of whether it's X syndrome, the upcoming matters are quite troublesome; it's better to go back and read the Fifth Edition of External Medicine.
But upon hearing the female manager's complaint, the corners of his mouth rose, revealing a hint of bright smile.
"Boss, I think your diagnosis is correct." Su Yun said with a smile. Afterwards, he smiled and explained to the female manager and the patient what X syndrome is.
The female manager simply didn't believe it; she thought the disease name was not serious. X, meaning uncertain what it is, right? Even middle school students know that in equations X stands for the unknown.
You can use X to solve a binary linear equation, but you're telling me it's X for a disease? This is nonsense. Doctors aren't even sure, so what's there to say? Do we really have to spend several thousand yuan just to solve this X?
However, she was still very cautious, not daring to casually offend people in 912.
The female manager, full of displeasure, put on a stern face and said she would go ask for instructions, then glanced inconspicuously at Zheng Ren's badge before leaving the Emergency Department.
The more he thought about it, the more wrong it felt; that doctor is really young, looks like he hasn't even reached thirty, knows jack shit!
"Leader, I'm bringing a worker to see a doctor..." she got through to the superior leader's phone and explained everything in detail.
The more she spoke, the angrier she became, her anger mixed with a bit of resentment.
Being a good person is really not doable, because it's hard for her alone to raise a child and get an education; give her a job.
Who would have thought that laziness illness always flares up; she doesn't even want to do cleaning. This is unacceptable; does she even want to ascend to heaven?
After she finished speaking, the female manager said: "There's a doctor surnamed Zheng in the Emergency Department who insists it's some X syndrome and wants to do a nuclide scan."
"Oh, I glanced at the badge; it's Zheng Ren. He's definitely not from Radiology Department, but from Intervention Department."
She said, suppressing her anger.
On the other end of the phone, Hui Manager, the supervisor of the labor company's 912 business, nodded and said, "I'll ask the people at 912 to see what this Intervention Department's Doctor Zheng means."
After hanging up, Hui Manager felt a bit annoyed.
Everything has to be done by oneself; an ordinary outsourced worker gets sick, and still has to ask oneself to sign and apply for a test. No social security? Can't one see a doctor oneself? Now it's great, being watched by someone.
If this is an attempt to extort money! Although the company isn't afraid, such incidents aren't many each year, but when they happen they're troublesome.
In short, Hui Manager felt the company had already done everything benevolent and righteous. That outsourced worker herself also knows she's probably a single mother, as the subordinate manager had said.
It's said she's worked in many places, and while working she develops precordial pain. So no matter where she works, she can't work for too long; it's said that once she came directly to the hospital in pain. And upon arriving at the hospital by 120 emergency ambulance, she said she was no longer in pain.
Who would dare to hire such a person! It's just that the subordinate's business manager has a lot on their plate, and when there's nothing to do they insist on pretending to be a good person; this guy ran into a foolish doctor, and good intentions turned out badly.
If one wants to do a test, 912 has countless test items to choose from.
Hundreds of Thousands of Yuan thrown in, you don't even see a splash. A doctor from the Intervention Department running to the Emergency Department to cause trouble just has to spend that much more money!
Thinking about it, Hui Manager felt somewhat irritable.
912's logistics and administration also have some connections, but the question is who to approach? If the person is too low-ranking, they might not be able to stop the clinical doctors from messing around; if too high-ranking, it wouldn't be worth it.
After all, it's just a matter of a few thousand yuan; one would rather sue than approach the head of logistics, Director Guo.
Then let's approach Section Chief Li of the General Affairs Office; he's also a mid-level official, not too big nor too small, and can still have a say.
After weighing it for a long time, Hui Manager picked up his phone, found Section Chief Li's number, and called.
"Section Chief Li, this is Xiao Hui. I have a matter to consult."
"It's not that a well-known outsourced employee said they felt Uncomfortable; our manager kindly brought them for a check-up. They even did a 64-slice CT, and found nothing wrong."
"Yes, the ECG is also fine; it shouldn't be Coronary Heart Disease. But when in the Emergency Department, they encountered a doctor from the Intervention Department who insisted on doing some nuclide scan."
"Yes, it's the Intervention Department." Hui Manager had just said Intervention Department when the other end of the phone fell silent.
"You say, it's not an Emergency Department doctor, yet they insist on running to the Emergency Department to make a diagnosis—this is too chaotic. We..." Hui Manager continued to nag.
"Um... when they reported to me, they said they glanced and saw it was a doctor surnamed Zheng."
"Yes, his name is Zheng Ren, and he's from the Intervention Department."
The other end of the phone said just one thing, then proceeded to act according to what Zheng Lao Ban said, and hastily hung up.
"..." Hui Manager held the phone, stunned for a moment.
Zheng Lao Ban? In the hospital, only those with major projects can be called boss.
What's going on?
However, Manager Hui very cautiously first called the Emergency Department, had his subordinate business manager handle it for now, and he himself would arrive shortly.
After arranging all that, Manager Hui hurriedly rushed to the Emergency Department.
End of Chapter
