Start From Emergency Doctor

Chapter 409

Of course, you get what you pay for.

This kind of papers are generally of international standards, and they are specially provided to surgeons who are stuck in the number of papers and cannot be promoted. Such people are generally obsessed with performing operations and are not bad for money.

And let Jiang Li, the chief director who even scolded the chief physician’s thesis half-deadly, to examine the thesis, the fate of these two attending physicians can be imagined…

“Fit the atrial sleeve.” Zhou Yuan’s voice sounded in the quiet operating room.

Jiang Li, with a stern face, immediately turned his head, replaced it with a smiling face, and said briskly: “Good!”

Wang Sheng:…

Chen Li:…

There was a plate beside the operating table, in which Lingling-‘s lungs were soaked in cold salt water.

Lingling’s lungs and trachea and esophagus have been severed. At this time, there are only a few thick tubes waiting to be connected to Chen Jianguo’s body, as well as many small blood vessels.

Under the salt water soaking, the newborn lungs that originally had some pink and tenderness have turned white at this moment. The blood circulation was lost, and the lungs returned to their original color, which looked amazing.

Jiang Li assisted in stopping the bleeding of the left atrium, and looked at Zhou Yuan with emotion: “It’s the first time I have seen you who came to the flying knife like you are so young.”

General flying knife doctors basically started as chief physicians. Of course, deputy directors in some developed regions, and even senior attending doctors have the qualifications of flying knife, but these people are basically distributed in the magic city and Yanjing. The top three hospitals in first-tier cities.

Jiang Li sighed and said, “The current environment is much better. I walked through the flying knife back then, but I suffered a loss and was suspended from my job for three years.”

Zhou Yuan’s operation has already reached a relatively easy step. As he began to clean up the suppuration in his lungs, he asked, “Have you been reported?”

Jiang Li nodded.

Flying knife is an operation that walks on the edge of formal procedures. According to Article 14 of the “Practicing Physician Law”, after registration, doctors can only be registered in medical, preventive, and health care institutions in accordance with the registered practice location, practice category, Practicing scope: Practicing, engaging in corresponding medical, preventive, and healthcare businesses.

The flying knife must go to another place, which is definitely illegal.

The National Health and Family Planning Commission, the National Development and Reform Commission, the Ministry of Human Resources and Social Security, the State Administration of Traditional Chinese Medicine, the China Insurance Regulatory Commission and other departments did not pass the “Regarding the Promotion and Standardization of Physicians” until 14 years ago, that is, five years ago. Several Opinions on Practicing.”(Read more @ wuxiax.com)

This stipulation stipulates that doctors can practice at multiple points, that is, doctors can regularly engage in professional activities in two or more medical institutions during the valid registration period of the doctor’s qualification certificate, which is regarded as a formal recognition of the legality of flying knives.

Of course, it is not illegal to carry out professional diagnosis and treatment activities for specific patients in the medical institution of the other party only after the approval of the medical institutions of the two parties. However, the approval application generally needs to go through layers of review, and the time for submitting the application and the formal approval can often be separated by one month. .

Moreover, the most terrible thing is that the income of doctors who follow the formal procedures will be greatly reduced. The service fee for the flying knife may be 10,000, but in the end it is handed over to the hospital and then distributed to the doctor. not enough.

“In 12 years, I had an operation in a small place. I was asked to go to the flying knife. Later, it was reported. Our doctor is a weaker party in the doctor-patient relationship. Once we checked it, we directly gave it to you. I have suspended my job, and it took 15 years to regain my qualifications to practice medicine.” Jiang Li’s tone was flat, and his expression couldn’t tell whether it was sadness or hatred.

Wang Sheng, who knew the inside story next to him, said, “I was also with the director of the university back then. Of course, I was only a resident. The family members of the patients took a plane and came to our Zhejiang University Affiliated Hospital to kneel down and beg the director to fly a knife. They gave it. The labor fee was only 12 thousand. In order to save people, the chief director left the formal flying knife process and left for the operation.”

“After the incident, I was directly reported by the patient’s family. Do you dare to believe that the report was the kneeling family member?!”

Chen Li gritted his teeth and said: “I’m just wondering… This thousand two also includes the travel expenses of our chief director. From here to them, the travel expenses alone cost more than three thousand! Usually let us The expert registration fee for the chief director’s visit is only one thousand three thousand, which is not included in the labor cost of the operation!”

“If they think it’s expensive, they don’t have to do this operation! We don’t want to do it and don’t want to spend money, our doctor is not a living Lei Feng! We saved people and reported them again. It’s not about crossing the river and breaking the bridge!”

Jiang Li said coldly: “Enough.”

Zhou Yuan was performing the operation silently, feeling a little hard to calm down.

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Is twelve thousand more for a great director? not much.

Maybe the cost of a major operation was more than 100,000, and they didn’t care about the twelve thousand at all.

Is it possible to make them work hard to perform operations on people for this reason? impossible.

“What happened later?” Zhou Yuan asked.

Jiang Li smiled reluctantly: “It’s a blessing in disguise. After I suspended my job, I met Professor Chen Jingyu and studied with him for a period of time. When I regained my medical qualifications in 15 years, I performed surgery with Professor Chen Jingyu for three years. As a result, he made achievements in lung transplantation and was directly re-appointed as the chief director of our hospital.”

After that, Jiang Li’s expression became a little sad again, saying: “I used to do cardiac intervention related. Many district and county hospitals have limited medical standards. When encountering doubts, difficulties, miscellaneous, and emergencies, the local doctors have no experience at all. Method to operate.”

0 ……… …

“The best solution is definitely flying knives, but after that incident, the group of flying knives was shocked, and the most disadvantaged was the grassroots patients. They asked for flying knives. The disease was naturally very serious. Traveling long distances is even more harmful to the condition.”

“Furthermore, if you ask for a flying knife, they can still enjoy the local medical insurance. Some operations even have a 50%, 70%, or 80% medical insurance reimbursement, but now the flying knife can’t be requested. Two or three The family members of the patient took the patient to the field for surgery.”

“The cost of a round-trip air ticket is more than 10,000, plus their lost work expenses during this period, at least a few thousand for food, clothing, housing and transportation in other places, and surgical expenses in other places, because they can’t be reimbursed and usually start with tens of thousands. …”

Wang Sheng curled his lips and said, “The thing that can be solved by 10,000 yuan is that the grandsons made it impossible to get 50,000 or 60,000 yuan…”

Jiang Li’s eyes became cold: “Wang Sheng, take care of your mouth!”

Wang Sheng immediately lowered his head.

Jiang Li sighed, just now Wang Sheng’s words, if recorded, his career will be over…

“Zhou Yuan, you are a special talent, and you are much luckier than us. Do you know who is holding this operation?” Jiang Li paused for a while before asking.

Zhou Yuan shook his head: “Isn’t it you?” Spoon.