"Doctor Zuo, the patient is already in arrears, should I remind you?" The head nurse called Zuo Cidian's cell phone, but her tone was still polite.
Zuo Cidian let out a "huh" and said with a slight headache, "Didn't the bed doctor remind you?"
"I was urged, but I didn't arrive."
"That's it..." Zuo Cidian pondered for two seconds, and said, "Dr. Ling has already had a pre-operative consultation, and the operation has begun to prepare, so the operation must be done. If you want to urge the fee, you can do as much as you can." How much."
"Is it really not enough?"
"Then let's talk about it after the surgery. In short, the surgery can't be delayed." Zuo Cidian replied decisively, and added: "Anyway, it's an open surgery, and it doesn't cost much money. It's really not possible. We don't have a policy of reduction or exemption. ?”
"The laparoscopy has been changed." The head nurse said, and then said: "There are only a few reductions and exemptions, and they are not poor households, and they are not to the point where they can't get rid of the pot... Forget it, let me see."
The head nurse was also quite helpless, so she hung up the phone and went to make arrangements.
Zuo Cidian reckoned that she might still have to notify someone to remind her again, and if she couldn't be urged, she would acquiesce. After all, patients feel expensive medical bills, and hospitals don't feel easy. With Yunyi's operation volume, as long as 1% of people evade fees, the hospital will be called upon by the bank next year.
Because Ling Ran has a large number of surgeries, and there are a large number of special needs patients and international patients, the emergency center is currently a very rich department, but this is based on the normal charges, and the occasional fee reduction is fine, it is normal If it is transformed... What the country can't bear, how can any department or doctor can bear it.
Money does not represent evil, but labor.
The labor force of doctors, the labor force of nurses, the labor force required for drug production, the labor force required for equipment production, and the labor force required for hospital construction are just represented by numbers as symbols.
There must always be a source for this number.
In the United States, medical expenses are already the most expensive in the world, accounting for 17% of the annual GDP, or 3.4 trillion U.S. dollars, of which nearly 1 trillion U.S. dollars comes from government expenditures, which is about equal to the tax burden, and the other 2.4 trillion is mainly from Insurance commitment - when the insured population covers 90% of the national population, ordinary Americans need medical insurance of more than 5,000 US dollars per year before they dare to go to the hospital to see a doctor with confidence, and their per capita expenditure is more than 9,000 US dollars per year.
Medical expenditure is a bottomless pit, especially at the end of life. The desire for life cannot talk about cost-effectiveness, nor can it talk about cost-effectiveness.
Zuo Cidian didn't want to be a villain, but also worried about the delay, so he went to the ward before the operation, and he could hear the father and daughter talking from a long distance away.
"Dad, don't worry. I've raised all the money. Our boss and leader have borrowed some from me. They are all rich people. They all said that they are not in a hurry to pay it back. Let me use it at ease."
"It's fine if you borrow it. Hey, if you borrow it, you still have to save some money, you know? The borrowed money has to be repaid. My illness... If my illness can be cured, I will be discharged from the hospital earlier to earn money to pay back the money." , if it doesn't get better, if it doesn't get better, hey... I caused a lot of trouble for our family. "
"Dad, don't say that. The doctor has already said that you just have a bad stomach. After the operation, eat less and take care of yourself, and you'll be fine!"
"hope so."
"I've checked. This Dr. Ling is a very famous doctor. He has cured many people. Don't be afraid, he will definitely be cured."
"It can be cured, it can be cured... okay, you go back to your room and rest, the nurse pushed me over after I finished the operation." The father's voice was quite calm, the one Zuo Cidian often heard. This voice, for a moment, actually reminded Zuo Cidian of his son.
If he was still working as a doctor in a township hospital and was sick, he would probably use the same words to tell his children.
Zuo Cidian thought in a daze, when he walked over again, the patient had already been pushed away, and the patient's family members followed him to the next door, and they did not continue to move forward.
"Doctor Ling's skills are among the best in our hospital, so you don't have to worry too much." Zuo Cidian looked at the patient's daughter and couldn't help comforting her.
"Thank you...doctor." The patient's daughter remembered Zuo Cidian with a brain like a marinated egg, but she forgot her name.
"I didn't do anything, and the surgery was done by Dr. Ling. In the future, I will recover from my illness, live a good life, and pay back the borrowed money. If you think about today's incident, it will not be so serious." Zuo Cidian smile.
The patient's daughter hesitated for a moment, then whispered: "Well... I actually didn't get any money."
"kindness?"
"I borrowed some from... my colleagues, and then asked the leaders and bosses, but they all said they didn't have it. I borrowed it all over the house." The patient's daughter said, her eye circles turned red: "My father, my father's surgery..."
Zuo Cidian was flustered by the crying, and hurriedly said: "It's okay, it's okay, if you can't pay it, just owe it first, the surgery should be done."
"thanks, thanks… "
"It has nothing to do with me. This is the hospital's policy." Zuo Cidian did not dare to take this responsibility.
The patient's daughter still murmured "thank you", and choked up as she spoke: "I have borrowed everything I can, and my relatives don't answer my calls anymore, and some have blocked my WeChat... "
Zuo Cidian listened, still he could only express sympathy. After staying in the hospital for a long time, I have heard too many similar stories, not to mention the cases where I couldn’t borrow money from relatives, and there were also cases where my husband ran away with the borrowed money.
"If my father's surgery is done, if it is malignant, will chemotherapy be required?" The patient's daughter asked a question that has been asked many times.
On this issue, Zuo Cidian still can only be ambiguous: "The probability of gastric stromal tumors being benign is quite high, so don't worry too much, but if they are malignant, it depends on the situation, and some require chemotherapy. , some don’t need it. If chemotherapy is needed, then chemotherapy, and the survival rate is relatively high.”
"How much... how much?" The patient's daughter lowered her head after asking.
Zuo Cidian didn't mumble the numbers immediately.
He looked at the other party, then looked around, and said in a low voice: "If you believe in me, treat me first. If you have money, pay some. If you don't have money, just tell the truth."
"They said...the drug will be stopped if there is no money." The patient's daughter looked at Zuo Cidian.
"It won't be so fast. Besides, your father's operation was performed by Dr. Ling. It should be fine if it takes a while." Zuo Cidian didn't linger any longer after saying this, and turned around and left while no one was watching. up.
If what he said just now is heard by the medical and political departments, he will be criticized if he fails to do so.
The patient's daughter didn't know why, so she just thought it was the other party comforting herself, and her mood was a little more stable.
…
operating room.
Ling Ran performed the operation extremely slowly, he wanted to let Ren Qi and Ye Sigong see clearly.
Both of them are quite basic general surgeons. They have undergone gastric resection and laparoscopy, but the quantity and quality are weaker.
Performing surgery is actually equivalent to brushing questions.
The theoretical foundation of a doctor is basically fixed when he is in his twenties and thirties, just like a student who has prepared for the exam at the end of the second year of high school and the beginning of the third year of high school. It is basically difficult to improve the level of theoretical foundation.
A smart doctor, a highly educated doctor, has a high start, and a doctor whose IQ level is not dominant, and a doctor who is not educated, has a low start. The number of questions is decisive.
A doctor who can perform ten or twenty surgeries a week is equivalent to a doctor who is at an average level. They are about 100% higher than students of the same level who do not. However, if they can do it in a week Twenty surgeries or more and the world is a very different place.
This kind of doctor who is above the average level may only perform five more operations per week than other doctors. If he persists for three years, he will perform 500 more operations. If he persists for five years, he will perform 1,000 more operations. A certain field will become the top 5%.
Ren Qi and Ye Sigong, who worked in the county hospital, belonged to the type of students who had never done the exam.
On average, they can't even guarantee 10 operations per week, and often they may only perform 5 operations. After a long period of time, they become senior attending doctors in ordinary county hospitals. They have more experience as surgeons than residents in big hospitals, and because of their long working hours, the total number of surgeries may be higher. However, compared with the surgeons in tertiary hospitals, they are absolutely weak chickens. oppressive presence.
However, Ling Ran didn't care about these things.
Nowadays, if he pulls out any skill randomly, it is all at the master level. If he is compared with the college entrance examination, he belongs to the category of the teacher who made the question.
There are still quite a few ways to improve Ren Qi and Ye Sigong for only one direction.