Great doctor starts with adding points

"How did you do it? Xiao Wu!~" Although the patients who came to see the doctor were undergoing emergency procedures, Wu Xie, as the chief surgeon, did not need to personally participate in the work of signing the conversation and preoperative preparations.

The doctor on duty will write the basic template of the interview signature and sign it.

Guan Yun, a student of Fu Jinjin, was dispatched as a code writer to write medical records.

Wu Xie and Associate Professor Zhou Xiaoning, who are the key figures in the operation, wait for the patients and their families to talk and sign, then enter the operating room and complete the operation.

Wu Xie pursed his lips and said, "Professor Zhou, some of the patients who underwent surgery before went to Xuan County People's Hospital. Director Li Xiaohe has seen you, Professor Zhou."

"Fart! Talk human." Zhou Xiaoning interrupted Wu Xie directly.

Although in the first half of the year there was a lot of turmoil related to medical reform and the annual salary system, in the end there was still a lot of noise and little rain, and it was not widely implemented.

The current salary system in hospitals is still closely related to performance.

If the Xuan County People's Hospital can't do finger replantation in hand surgery, it's fine. They are doing it, and they have a certain ability. This kind of emergency patient can be sent as soon as possible, and it's not a difficult operation.

Li Xiaohe can send it, which means Wu Xie's professional ability, don't be too strong.

No one cares about money-related matters.

"Professor Zhou, can we not elaborate on this matter?" Wu Xie had already promised Li Xiaohe that he would not publicize this matter, so he had to keep his word.

What's more, from a certain perspective, Wu Xie really thanked Li Xiaohe.

If Li Xiaohe hadn't been pushed by others, I might not even have thought of going to a Chinese and Western medicine hospital. Then I know that I actually have such a panel that can obtain knowledge points through supervising beds and supervising patients, and I don't know when it will appear.

Of course, the matter is such a thing, no wonder it is Wu Xie's greatest patience. As for thanking, Wu Xie is not so mad.

"Okay, if you don't want to say it, let it go."

"However, since Director Li in Xuan County has been persuaded, you also need to do the finishing work."

"What is important in doing things is human relations..." Zhou Xiaoning said to Wu Xie in this way, as a brother and an elder explaining Wu Xie's understanding of the world.

"Boom boom boom!"

While the two were talking, there was a knock on the door.

Immediately afterwards, without waiting for Wu Xie and Zhou Xiaoning to call, Guan Yun with big ears pushed open the door, and Guan Yun asked, "Professor Zhou, how much will this operation cost?"

"Patients and family members said that the doctors at Xuan County People's Hospital said that the cost on our side will not be much higher than theirs."

"Just five past one, is that enough?"

"How did the patient get injured? Doesn't he have work-related medical insurance?" Zhou Xiaoning frowned suddenly when she heard this.

For replantation of amputated fingers, the cost cannot be saved again and again, and the overall quality will not pass the test.

So when the quality is not up to standard, it is not very meaningful to complete the operation.

When I was in Hanshi, Hanshi was considered an industrial city with many factories, but the injured workers basically had medical insurance, so Associate Professor Zhou Xiaoning rarely encountered such patients who bargained.

"It was cut off while working. It was turned around immediately, not in the factory."

"It's self-employed." Guan Yun asked the other party's occupation.

"Self-employed households shouldn't be short of this kind of money?" Zhou Xiaoning asked back.

"Just started..." Guan Yun said.

Zhou Xiaoning frowned instantly, and said, "Okay, then I'll add up the total. No matter what, the operation must be done first. When the time comes, it will be difficult to earn money..."

Guan Yun nodded and went out.

"Xiao Wu, don't the self-employed people here have the habit of paying freelance medical insurance? They only bought the most basic resident medical insurance or the new rural medical insurance?" Zhou Xiaoning asked Wu Xie.

Practicing medicine in one side also requires a certain understanding of the environment in which the patients in that side generally live.

Only in this way can we know what to expect when performing surgery.

In Han City, there is medical insurance for work-related injuries, and surgery can be performed with confidence and boldness, without deliberately worrying about medical insurance. But in En City, in such a situation, one must be cautious.

Wu Xie shook his head: "This is really not there."

Zhou Xiaoning frowned tightly: "Then his situation is quite troublesome. Examination fees, anesthesia fees, consumables fees, surgery fees, and postoperative medications, if you want to strictly control them within a certain amount, you don't have to. Easy to do."

"Especially the cost of anesthesia, which is difficult to control. The operation takes so long, and the monitoring during the operation also takes so long. For his operation, it is difficult to achieve the effect of anesthesia with only the most basic drugs..."

Wu Xie also knows that if a patient in hand surgery needs general anesthesia, the anesthesia fee will be a lot of money.

The cost of reimbursement is not much, and it is even possible that such an accidental injury will not be reimbursed by ordinary medical insurance...

After thinking for a while, Zhou Xiaoning said, "It doesn't matter if you charge one less for the operation fee, but you still have to collect the consumables. I'll call Director Fu and discuss it..."

It was difficult for Zhou Xiaoning to directly discuss matters with the anesthesiology department, so Fu Jinjin had to stand up.

Wu Xie went out first after hearing the words.

The problem of medical expenses is an objective problem that must be faced in reality. It doesn't mean that a self-employed person who can open a shop must be a person who is not short of money. Under any circumstances, a patient with any status may not be able to spend so much money.

At this time, the doctor is more difficult to deal with.

And if you don’t communicate the cost well in advance, the patient may still suspect that your medical staff is doing something deliberately after the operation. After all, they are not professional, and they will never recognize the “surgical labor” you performed during the operation.

Even in the eyes of many people, "surgical labor" should not be charged, but can only be charged for consumables such as steel plates and sutures. However, the pricing of these consumables has little to do with the people in the department.

Wu Xie himself knew very well about the operation of the opponent's surgery.

Moreover, during the operation of hand surgery, the sutures used are also particular. If cheap ones are used instead, there will be objective differences in the effect of sutures, the difficulty of functional exercise and the tensile strength.

It doesn't mean that as long as it is a suture, it will be feasible to suture it...

Wu Xie then walked into the doctor's office.

Guan Yun continued to communicate with the patient's family about the cost.

The visitor was a middle-aged man who was in the door and window business. When he was cutting aluminum alloy, he cut off his fingers. Moreover, the couple borrowed money to start this business not long ago, and they are currently struggling to make money.

At present, the cash flow of the family is not much, and most of the funds have been replaced by aluminum or doors and windows.

However, it is not easy to get back the balance of the work they received. After all, it was agreed in advance that they will be settled together after finishing the work. Now it is just the beginning...

There is only 25,000 cash left in the family. I borrowed a lot of money to open the store before, and the final payment for the materials purchased in the store must keep up. Otherwise, in the next few quarters, their supply will have to be delayed. Every time they settle the bill, it is impossible to pay on credit.

With Guan Yunxiao's affection and rationality, the man was still thinking about whether to mortgage the car temporarily, but he couldn't find someone suitable to take over...

The couple seemed to be very honest and sincere. Guan Yun explained to them that the effect was different, and they were also very worried about the postoperative issues.

"Doctor Guan, there's nothing you can do about it. Unless it's otherwise, we'll pay 15,000 first, and keep the rest of the money as payment for the goods. Then we won't leave the hospital after we recover. Then go through the checkout procedures, do you think this is okay?"

"I really can't help it..." The middle-aged man had dark skin, and it looked like he had been exposed to the sun and rain during years of outdoor work, but his muscles were also strong.

After Wu Xie walked in, Guan Yun and the patient all looked over.

Guan Yun said: "Doctor Wu, the patient can only pay 15,000 at present."

"Okay. It's okay! Do the surgery first, and it's not a problem to procrastinate. We're in the middle of the surgery, looking at the specific situation, so we'll be quick in time, so don't delay..."

From the middle-aged point of view: "Thank you, Dr. Wu, you and Professor Zhou will do this operation for me, right?"

"The doctor in the People's Hospital specifically said that this time two experts came to Enshi, and the operation effect was good. I was also worried about the quality of my operation, so I rushed to you."

Wu Xie nodded and said: "Then thank you, brother, for your trust. Professor Zhou and I will perform the operation for you. We have already arranged everything here."

"Don't worry about the cost. The operation should be done first, and the time can't be delayed for too long."

"Surgery earlier, it will actually help you to do things in the future. After the surgery, you will recover well. Will you be able to make money in the future?"

"And, in fact, you can find a few people to help you do it now. What are you afraid of if you have a list?"

"Go down the salary, finish the list first, and then press for the payment. Just save your own hard money and wages. Moreover, if you have a car, if there is an extra package in the car insurance you bought, you can see it. See if there is any lost work insurance."

Wu Xie also just bought a car by herself, so she knows that in addition to the commercial insurance in the car insurance, there will be extra packages, such as personal accident insurance, and other messy things.

"That's right, I don't remember if you don't tell me, wait a minute, I..." The middle-aged man wanted to watch it after listening.

"Big brother, big brother, don't worry about this. You can wait until after the operation to ask these questions. You sign the paper first, and you don't want the other part of your hand, so just put it in an ice pack?"

"Yes, yes yes yes."

"I'll sign, wife, you go and pay first..."

...

"The patient paid 20,000 yuan?" Associate Professor Zhou Xiaoning asked Wu Xie when she was on the sink.

Wu Xie nodded: "I paid 20,000 yuan, so I guess this patient has bought some other insurance, I don't know."

"Professor Zhou, you can perform this operation. I will take a good look at your operation."

This operation is relatively simple, so Wu Xie feels that he does not need to mix too much. Moreover, this patient came here for Associate Professor Zhou Xiaoning, and his current qualifications are not as good as Associate Professor Zhou Xiaoning's.

Even if it is shown to patients, it is necessary to choose this way.

In addition, Associate Professor Zhou Xiaoning said that he would take him with him, and only by knowing where Associate Professor Zhou Xiaoning's current level is, can Wu Xie be targeted.

Zhou Xiaoning nodded solemnly: "This operation is for me to perform, you should take a closer look at it and take a closer look."

"It's best to be able to find any flaws and imperfections. That's right."

"Professor Zhou, you are being modest." Wu Xie said quickly.

"Then my brother, there is no such thing as modesty or immodestness. You can say what I do, say what is right, and say what is wrong..."

"Only in this way can we grow together, which is not like forced irrigation. You can refer to this point. This is my experience and philosophy."

"After the level reaches a certain level, what is needed is more communication and communication, not unilateral feeding..." Zhou Xiaoning shared some experience in teaching with Wu Xie.

Wu Xie nodded seriously.

To be honest, he is not particularly good at being a teacher. He relies on a relatively high level of basic skills, and he does not have much skill to speak of.

Moreover, Wu Xie had completely forgotten how to lead the teaching process back then, so everything still had to start from scratch.

...

As the operation continued, Wu Xie carefully evaluated and weighed Associate Professor Zhou Xiaoning's surgical level again.

Associate Professor Zhou Xiaoning's level is quite hard-core, whether it is replantation from amputated limbs, basic skills such as debridement, or suture techniques such as blood vessels and nerves.

They're all at the expert level.

His current technique is far from the professor's. The only difference is his qualifications, not pure surgical technique.

However, Wu Xie still noticed that Associate Professor Zhou Xiaoning's operation was a little stiff. And this kind of stiffness is not the stiffness of the operation, but the stiffness of thinking.

That is, Associate Professor Zhou Xiaoning is only proficient in one technique, and has no way to master the different concepts of various amputated finger replantation techniques.

To put it bluntly, if he didn't do this, he might not know what to do.

However, Wu Xie couldn't find a good way to break such stiffness...

Fu Jinjin and Huang Yaolong, on the other hand, praised Associate Professor Zhou Xiaoning's high level and handled every detail extremely well.

Zhou Xiaoning's face was slightly reddened.

He reckoned that whether it was his junior brother Huang Yaolong or Fu Qianjin, he still couldn't know how rare and amazing Wu Xie's real level was.

It is still difficult for him to refute whether he is forced to fight in class or forced to fight in class. It is these two who are talking about.

Nearly eleven o'clock in the evening, Associate Professor Zhou Xiaoning led the team to complete the replantation of amputated fingers.

After the operation was over, when Zhou Xiaoning and Huang Yaolong walked out of the operating room at the same time, Zhou Xiaoning asked with a smile, "Xiao Wu, what do you think of this operation?"

Although Zhou Xiaoning was smiling, she felt a little complacent.

I guess I feel that my operation is in a very good condition today.

Wu Xie examined it carefully and said, "Mr. Zhou, I don't know how to evaluate it."

"From a certain point of view, it is very good, but from another point of view, it is not good enough. But from which point of view is the most suitable for this patient's injury, there is currently no very objective indicator. "

"Isn't that good enough? How do you think about it?" Fu Qianjin approached curiously when he heard what Wu Xie said.

His mood at the moment was somewhat similar to that of Luo Wei who was in Xuanxian Hospital of Integrated Traditional Chinese and Western Medicine before.