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Chapter 69 Surgery fees
The third case is very successful.
Not only Huo Congjun and Lu Wenbin felt that Ling Ren’s feelings were very good.
Just like a student exam, when a doctor performs an operation, there are often feelings about how to do it. When this feeling comes out, the result of the surgery will be better than expected, often much better than that. expected.
The reason for this is that the high probability is due to the patient's condition and is consistent with the expected.
When students prepare for the exam, they often guess questions and yokes. This is often the case before doctors perform surgery.
NMR, X-ray, CT, or B-ultrasound, or more expensive positron emission tomography, all the imaging information, plus a variety of tests, even biopsy, endoscopy, are in For the doctor's diagnosis to add information, it is also used for doctors who pre-diagnose the doctor. If the doctor's essay is pressed, the surgery will be smooth and comfortable. If it is not pressed, then it must be Look at the usual accumulation and preparation.
Modern medicine seems to be developed, but it is still incomparably weak compared to the complex human body. There was a doctor of the Chinese Supreme class, who had a wife who was suffering from cancer. He had a thorough examination with his disciples. The preparation was not enough, but the abdominal cavity was opened, and the cancer cells infiltrated completely beyond the expectation. Self-blame and pain, a little bit of as much as possible to clear the cancer cells and complete the surgery, even if there is a little other rational choice, doctors are not willing to go out of this situation.
It can be said that the biggest enemy of doctors is expected.
And expected, is the prelude to success.
The development of modern medicine has continuously established typical cases and expanded.
The most important diagnosis that doctors need to make is the typical case of the disease, whether it can be treated and how it is treated.
Ling Ran's diagnostic ability is still very weak, but, equivalent to complex medical diseases, the diagnostic environment faced by surgeons is relatively simple. When the patient's flexor tendon is broken, the tang method can be used. As for the process of the tang method, how to operate, how to judge, how to continue, you need to rush and temporarily play.
Perhaps the patient's deep and shallow tendon ruptures at the same time, which stimulates Ling Ran. Perhaps the first two tang method sutures have deepened the understanding of the surgery. In short, the original plan of four hours may actually require three and a half hours of surgery. It took only two and a half hours to complete the announcement.
During this period, Ling Ran did not deliberately speed up, nor did he try any measures to speed up the surgical process.
When Ling Ran dropped the scissors and announced the completion of the operation, Lu Wenbin was stupid to pick up things. Huo Congjun was sitting on a round stool, looking up at the clock and falling into meditation.
The anesthesiologist Su Jiafu double trembled and consciously lost more than two pounds.
He swears with his memory of more than 600 points in the college entrance examination. The next time he participates in the surgery of Huo Congjun, he must bring a stool.
"Can you go back?" Ling Ran checked again, and then confirmed that all medical equipment is not less, then relaxed.What the surgeon can do is almost finished. The next rehabilitation and recovery depends mainly on the patient himself.
Huo Congjun’s "En" came to wake up and kicked the stool. He said, "Go back and take a rest. Today's surgery is long enough."
Although the media reports often appear to be six hours and eight hours of surgery, in the hospital life, two and a half hours of continuous surgery has been tormented.
Ling Ran took off his gloves, and then looked at the monitoring equipment in order, followed by Huo Congjun out of the operating room.
In most of the operating rooms, doctors rarely see monitors, and the current level of automation is too high. It is usually okay to prove nothing.
Sometimes, no one cares about it.
Ling Ran does not like this, his doubts about automatic instruments are heavier than the doubts of artificial intelligence.
"Lv Wenbin, remember to pay attention to the patient's anesthesia." When he left, Huo Congjun told me more.
"Yes." Lu Wenbin replied with a sentence. As a low-cost resident doctor, he needs to do all the rest of the chores. If he is in a busy operation time, he will occasionally be urged by the tour nurse.
Fortunately, the habit is natural.
Lingran out of the operating room, greeted Huo Congjun and entered the shower room.
The operating room of the emergency department is configured according to the standard. Although there are only four operating rooms at present, there are eight compartments in the shower room. They let the hot bath water pour themselves, and then carefully recall the surgery.
This is the coolest operation he has ever done. The previous debridement and suturing is also very cool, but the operation is too small, the time is too short, and it is over without any experience.
Today's two and a half hours of surgery, there are two hours of busy, mentally tight and heart-wrenching time, cool after the process of cool results, will feel cool after the aftertaste.
After drying it out, I was still thinking about where to go. I saw Dr. Zhou waiting in the corner of the room, and I was going to fall asleep.
"It’s fine to rush over the rain. I am sleepy waiting." Dr. Zhou yawned.
Ling Ran looked at the doctor who was taking a shower and was surprised to ask: "Do you need to work?"
“How can I not need to work?” Dr. Zhou slammed the wall and said: “I am looking for someone to work on my behalf.”
Ling suddenly nodded.
Although he left the disposal room, he lost interest in debridement and suturing, but in the emergency department's lounge, there are hospitals, doctors, doctors and interns in various departments waiting for opportunities.
Dr. Zhou snorted twice and said, "I am here to give you money."
"Surgical expenses?" Ling asked.
Dr. Zhou snorted and smiled. "You said that you are very savvy. Director Huo asked me to come over and tell you about it. Let me first say that the surgery fee for you should have been given to Director Huo. He Let it be his business, you don't have to think about other things."
If you want to separate the surgery, Dr. Zhou will not give the surgery to others.The operation fee is to be given to the surgeon. It is impossible to hand it over to the intern. The money is from the card of Huo Congjun. He is also worried about the misunderstanding, but it is not beautiful. Therefore, he specially sought the doctor Zhou to explain to Ling.
Because of the money involved, Dr. Zhou looked for a conversation room in the air and closed the door. He said: "We are currently implementing the fees for tertiary hospitals. The surgery fee is approved by the Price Bureau. It cannot be changed. Once allocated, the hospital. The new reform is 50%, which means that medical staff can take 50% from the surgery fee, which is doubled compared with many hospitals. The second allocation is decided by our department..."
Look at Ling Ran, Dr. Zhou said again: "Second distribution, our department's regulations are two to one, that is, the main knife takes two-thirds of the surgery costs, assistants, nurses and anesthesiologists divide the remaining one-third. ”
"Most of the hospitals in our hospital are like this. Specifically, for example, the surgery you are doing today..."
Dr. Zhou took out the list and said: "You have done a reconstruction of the flexor function, the number is 33150014. Here, you can see that the surgery fee for the secondary hospital is 1210, and the fee for the tertiary hospital is 1344. Yuan, we are three, according to 1344, in addition, each additional finger is added 210, so today's total is 1554 yuan, once allocated to your emergency department is 777 yuan, and then to the main knife is two-thirds, So the last thing you got was 518 yuan. Do you understand?"
"Understood." Ling Ran did not have much reaction, he was not too sensitive to money.
Dr. Zhou smiled and said: "You are now the high income of our hospital, and the money is paid by senior citizens."
Ling Ran asked: "What is the difference between different titles?"
"The difference is big." Dr. Zhou said: "If you follow the rules strictly, the low-cost resident doctors can only have a primary surgery, a high-grade secondary surgery, and a low-grade senior can only do three levels. In this step, all of them must have the guidance of a superior doctor. What you are doing now is a three-level operation, so the main surgeon must be a senior doctor."
Hospitals, like all public institutions, have always been double-labeled. The so-called strict regulations are equivalent to on-demand regulations. Also strictly regulated are the consultation system, the prohibition of walking, the prohibition of accepting, etc.
Ling slowly nodded.
"Ordinary resident doctors do one-level surgery, the cost of surgery is about 100, and the lesser is only seventy or eighty. Like the debridement and suture, you do three or four times a day, and the surgery costs are more than 100." Dr. Zhou paused and said: "You can't do much as an assistant. Like Lu Wenbin in the same group, he can divide the big one from the remaining ... 259. Take about 150 or so, and leave 100. Give two nurses, an anesthetic point...so, the doctor earned really less..."
Lingran suspiciously looked at Dr. Zhou and said: "If you do three operations a day, Lu Wenbin can divide 500 pieces. In this case, can you divide 15,000 pieces a month?""Neuropathy, doctors do 20 operations a month, enough, 30 can be exhausted, okay, who does 90 surgery a month..." Dr. Zhou said that the voice is smaller, because he saw the eyes Obviously wrong.
In the mind of Ling Ran, I am brushing the system prompt:
Task: experience tang method
Task content: 10 tang procedures per single month, considered as a task completion
Mission Reward: Junior Treasure Chest
Current progress: (1/10)
(End of this chapter)
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