Back in 2002 as a doctor

Who really got the big head, who knows in his own heart.

After a few more words, the patient said that the operation would be done after the autumn harvest, but the specific choice of thoracotomy or laparoscopy depends on the price of grain this year.

After seeing off the patient, Li Qinghua walked back with a smile.

"Congwen, did you go to the imperial capital?"

"Successful." Zhou Congwen nodded, "I chatted with the boss for a long time, and later I met a patient with amniotic fluid embolism and participated in the rescue."

Li Qinghua was startled, and immediately smiled wryly.

Amniotic fluid embolism, participating in the rescue, Zhou Congwen really knows everything and can do anything.

"Director, how did the patients come here?" Zhou Congwen asked, he was still more interested in the word-of-mouth fermentation among patients.

"Three weeks ago, we performed wedge resection of small pulmonary nodules on Zhao Chengze, the water department of the group company. He took a long vacation, but he was fine soon after the operation, so he went back to his hometown."

"This is a relative from his hometown. He had pneumonia for a while, and a local CT scan found small pulmonary nodules. After chatting, Zhao Chengze introduced the patient."

"Word of mouth among patients is also very important. I didn't expect the situation to open up so soon." Zhou Congwen said with a smile.

"I didn't expect that either." Li Qinghua said frankly, "I thought it would take at least two to three years to open up the situation, but it's only been a few months."

"Take your time, if the patient comes for surgery, you are going to..."

"Looking at their situation, it doesn't matter if the chest is opened. I can do the chest surgery. Besides, aren't you still here?" Li Qinghua said.

In fact, there is another operating template, which is to prescribe various consumables on patients who can be reimbursed, and then the two of them sell the goods privately.

But if you go this way, the accounts will not be correct, and once something happens, hedging will be involved.

Regardless of the fact that private hospitals rarely check insurance coverage, once such a major incident occurs in a public hospital, it must be a big trouble.

So Zhou Congwen didn't say much, and chatted lightly with Li Qinghua about 912.

Hearing that 912 had entered ecmo, Li Qinghua was very curious and asked a lot about ecmo.

While chatting, the sound of a flat car came from outside the door.

Zhou Congwen's heart rate was stable. After all, he was just a "little doctor". At this time, Zhou Congwen regarded himself as a little doctor. With the director present, he would definitely be free.

The two interrupted their chat and went to see the patient first.

An old man in his 60s was pushed in while lying on a flat car. There was no blood on him. Seeing that he was still communicating with the people around him, and he was clearly speaking, Zhou Congwen felt relieved.

Inquiring about the situation, it turned out that the patient hit a tree with his back in the park early in the morning and broke two ribs.

Zhou Congwen also doesn't know when the retired old people started to hit the tree, and whether the origin of this thing is the same as hand-shaking therapy and chicken blood therapy.

But even decades later, elderly people can still be seen in the park banging against trees, like Shaolin monks.

"Blood pressure 220/140 mm Hg." The nurse reported after measuring the blood pressure.

This blood pressure is too high!It may be painful stimulation, or it may be that there is high blood pressure in the first place, and the patient has never noticed it.

"Old man, your blood pressure is too high, and you have broken ribs. You should be hospitalized for a while." Li Qinghua said gently.

But I never expected that the patient who was just lying on the flat car and screaming for pain suddenly became vigilant, and refused without hesitation, "Don't stop!"

Chapter 0372

Zhou Congwen was a little surprised, but at most it was just a surprise. After so many years of clinical practice, he had never seen anyone.

There are many more stubborn and naughty people than the old patient in front of him.

"Why."

"You guys just want to cheat me out of money, so I can't stand it!" the old patient said firmly, without any fear of offending the doctor.

Zhou Congwen laughed. It seemed that the patient really didn't want to be hospitalized, and there was no room for reconciliation with the doctor. He even made it clear about cheating money.

"Doctor, doctor, don't listen to him, he's just an iron rooster, he doesn't take a hair off." Several old people who brought the patient hurriedly smoothed things over, and one of them, wearing a Chinese tunic suit, said embarrassingly.

"Hehe." Li Qinghua gave him a smiling face, indicating that he was not angry.

"The old man is like this. He is usually stingy. He is not willing to spend a penny. If you save enough change, it will not break. If you don't pick up money while walking, it is considered lost. If you pick up a penny, you will be happy all day."

"..." Li Qinghua was speechless, and asked after thinking for a while, "Are you an employee of the group company?"

"Yes, the reimbursement rate is 90%, but he certainly doesn't want to be hospitalized."

Li Qinghua sighed. Although the situation in the thoracic surgery department was relatively simple, it was only a broken rib, but his blood pressure was a little high.

If the patient is not hospitalized, once the blood pressure rises and the cerebral blood vessels burst, it is not easy to explain.

"If you are not hospitalized, you have to sign."

"Sign, isn't it that I have nothing to do with your hospital after I get out of this door, I understand!" The old man lay on the flat car and yelled, as if he was not a patient.It is more likely that the old man's heart is bleeding at the thought of spending money.

"Director, let me come." Zhou Congwen said lightly.

Li Qinghua thought that Zhou Congwen was going to write a notice of refusal to be admitted to the hospital. He admired Zhou Congwen's skill in writing medical records, so there should be no problem.

Unexpectedly, Zhou Congwen didn't plan to write the medical records at all, but walked to the side of the flat car, put his hands on the flat car, looked into the patient's eyes and asked, "Master, are you a retired employee of the group? You get one or two thousand quick money a month." Bar."

"I'm a veteran cadre, nearly [-] a month!" The patient said proudly.

If it wasn't for the patient, Zhou Congwen really didn't want to talk to him.

Three thousand a month, I only have a few hundred yuan a month and less than a thousand...

"Three thousand a month, that's a lot." Zhou Congwen said with a smile.

"That is, how much hardship we suffered when we were young, boy, do you know. Now you can see a doctor in the building, where the wind is not blowing and the rain is not getting out, it is not because of us." The patient replied contemptuously.

It seemed that he had said a lot of these words, and while enduring the severe chest pain, he spoke such a long paragraph smoothly.

Zhou Congwen smiled slightly, "Three thousand a month, counting the money paid at the end of last year, it should be more than 4 a year."

Speaking of this, the patient's eyes are bright and bright, and he is very proud.

Li Qinghua and Li Ran who rushed over stood by, not understanding what Zhou Congwen meant.

Discussing income issues with a retired veteran cadre, does Zhou Congwen have a bag in his head?Isn't this looking for abuse?

Not to mention Zhou Congwen, even if the salaries of the three little doctors present were added up, this patient might not earn as much.

"Forty thousand a year. If your body is free of trauma and your blood pressure is well controlled, you can live for at least another 25 years. That's 100 million. I don't even dare to think about it."

Zhou Congwen said so, the patient is even more proud.

"But the blood pressure is too high. Once it breaks... it's like a watermelon falling on the ground, the pulp is broken, you understand. At that time, 100 million will be gone~~~" Zhou Congwen raised an ending sound, a little regretful Talk to the patient.

The patient's complexion changed, and he wanted to scold Zhou Congwen, but a pain in his chest wall and dizziness reminded him that he was sick.

"If you spend 2000 yuan on medical treatment, the group company can still reimburse 90% of it, and you only get a few hundred yuan in your own hands. If you exchange a few hundred yuan for 100 million, why don't you take advantage of it? Forget it, I will write the informed consent form, and you will sign it later."

Zhou Congwen took a deep look at the old patient and sighed.

"You are really a good cadre of the group company. After retirement, you want to save money for the group company. I think you are in good health and hope to live to more than 100. If something goes wrong, you will pay more."

Zhou Congwen turned and went out, and he ignored what happened in the house.

Back in the office, Zhou Congwen didn't write the informed consent form. Seeing that Shen Lang was writing the medical records, he chatted with Shen Lang with a smile.

A few minutes later, Li Ran came in to issue the admission form.

"Li Ran, did the patient agree to be admitted?"

"Well, he agreed after you had a clear discussion with him." Li Ran looked at Zhou Congwen, put his hands on the corner of his mouth and lifted it up, showing a smiling face.

"That's good." Zhou Congwen said with a smile.

"He's stingy, so you settle accounts with him, that's a good idea." Li Ran ran out to the patient's family after issuing the hospital bill.

"Shen Lang, aren't you on duty today?" Zhou Congwen asked.

"I suffered from insomnia yesterday, and my work efficiency was low..." Shen Lang said shyly, "I just asked Li Ran to help me."

"Oh." Zhou Congwen didn't care too much.

There are more and more operations in the department, and the doctors must be getting more and more tired. Moreover, there are also emergency patients, and it is inevitable that they will become more and more tired after intermittent emergency operations.

Shen Lang hesitated for a moment, and finally asked, "Congwen, the patient who came to Li Ran for a blind date yesterday found out that there was a blood vessel mass in his head, and his abdominal organs were fine."

"It's good to find out. It needs to be determined by a surgical specialist." Zhou Congwen didn't care, it was just a congenital disease, the patient himself had already adapted to the bleeding state, and it would be fine if the body could compensate.

Similar diseases are afraid of sudden heavy bleeding, especially in the head, but this needs to be confirmed by a specialist.

If you can’t, just call 912, senior brother Deng Ming can always handle this matter.

It is not an exaggeration to call him big brother now, Zhou Congwen thought with some complacency.

"How did you judge? I've never seen you so powerful before." Shen Lang asked hesitantly.

"Reading, didn't you learn everything when you were in school?" Zhou Congwen said casually.

But when he saw that Shen Lang's expression was not right, he looked tired and confused, Zhou Congwen's heart moved, he guessed that this guy's insomnia last night was because he made a correct diagnosis.

Hey, Shen Lang really thinks a lot, Zhou Congwen looks up at the sky.

"Congwen... Going to smoke a cigarette?"

"Let's go." Zhou Congwen didn't intend to give Shen Lang psychological counseling, but after all, he worked under the same roof for so long, so he could say anything casually.

When he came to the duty room, Shen Lang lit a cigarette in a daze, "Congwen, I've decided that the focus from now on will still be on climbing the grid."

Chapter 0373 talent a little wrong

"Really?" Zhou Congwen asked with a smile.

If it was because of his high level that Shen Lang was hit and switched careers to climb the ranks, then he would definitely be hit continuously.

Not to mention anything else, just talk about the world of science fiction.

Da Liu and Yan Leisheng are still active on the front line. With Shen Lang's talent, if he competes with them, he will be dead and there will be no bones left.

"Look at the two of us coming to the hospital together, at first I thought I was better than you." Shen Lang said bluntly, the gossip symbols in his pupils dimmed a lot, "But let alone me at your current level, even Li The director can't keep up."

"Heh." Zhou Congwen smiled slightly.

How can this be compared.

"I'm not jealous, but I just feel that I can't do it. When Director Wang was around, you hated him. I didn't understand it at first, but after a couple of times, I also understood that you are of a high level, and Director Wang can't hold you down." .”

"Especially in the critically ill patient's condition discussion, you forced Director Wang to admit his mistakes in public. I was actually quite happy, but the more I think about it, the more I feel bad. With the same seniority, I really don't have talent."

"Shen Lang, what if you don't have the talent to climb the grid?" Zhou Congwen asked very flatly.

Both talent and destiny are very important. What is it like to have talent?Einstein laid the groundwork for relativity in his 20s.

Ordinary people don't understand the theory of relativity all their lives.

Shen Lang is considered an ordinary person, not compared with Einstein, even if he is a jerk like himself, Zhou Congwen knows this well.

It's just that Zhou Congwen didn't expect that his rebirth would have such a serious psychological impact on Shen Lang.

This is also the butterfly effect.

"But I like it." The fire of gossip in Shen Lang's eyes began to burn, and he seemed a little happier, "Although the manuscript is rejected by "Science Fiction World" every time, I seem to have figured out their likes and dislikes."

"..." Zhou Congwen was speechless.

Shen Lang seems to have gone on an evil path.

Talent is a word that is difficult to overcome. In the novel writing industry alone, not to mention Jin Yong and Gu Long, Ni Kuang can type 4000+ an hour with an ancient typewriter, which is simply monstrous.

Is that something humans can do?

Zhou Congwen thought of the Chicago typewriter and the scene in Schindler's list when Schindler recruited a secretary.

Typewriters are really hard to use, not to mention comparing with future mechanical keyboards, even with current plastic keyboards.

But Ni Kuang can type out 4000+ per hour with a typewriter.

After that, Tang San's typing speed of 10000 per hour was even more amazing.Not even talking about storytelling, Shen Lang seems like he can't even type.

Alas, Zhou Congwen sighed.

"correct!"

Just when Zhou Congwen was worried about Shen Lang's future, Shen Lang's eyes suddenly shone, which was a flame called gossip.

Zhou Congwen was startled, what did Shen Lang think of again?