Li Min returned to the director's office, and Chen Wenqiang's cigarette was almost finished.She simply relayed Xiao Zhai's words to Chen Wenqiang.Chen Wenqiang frowned and said, "Let's go over and see these two patients first."
No, tomorrow's surgery will be temporarily suspended.But don't run out of money after surgery and make everyone in a dilemma. ”This man in his fifties had all the tests that should have been done, and CT and MRI had already indicated that he had a glioma.Supposedly, surgery should have been performed immediately.But this person was afraid that he would become stupid after the craniotomy, so he dragged it out again and again, until the headache was unbearable, so he had to come to the provincial hospital for treatment.However, he and his family all thought that the provincial hospital was not as good as the medical university, and they were holding back a lot of energy in their hearts: why did the provincial hospital charge the same as the medical university?
No, when Chen Wenqiang told him that he needed to pay the hospitalization fee immediately, he raised this question.Chen Wenqiang was tired for a day, but he still patiently explained to him: "This fee is set by the state, and it is based on the level of the hospital and the specific diagnosis and treatment of the disease. ”"But your provincial hospital is not as good as the affiliated hospital of the Medical University!
How can you charge the same?
”The patient's questioning attitude and the content of his speech exposed his inner disdain for the medical level of the provincial hospital.This sentence immediately annoyed Chen Wenqiang: "Who told you that the level of neurosurgery in our provincial hospital is not as good as that of the Affiliated Hospital of the Medical University?"
If you think that the Affiliated Hospital of the Medical University is good, you should go to the Affiliated Hospital of the Medical University for treatment.It just so happens that your surgery has not been done yet, and you don't have to pay the hospitalization fee.Xiao Li, you will discharge him from the hospital tomorrow morning.All the examinations were written on the discharge summary to him, and the Affiliated Hospital of the Medical University recognized the auxiliary examination of our provincial hospital. ”When the patient saw a sentence, he annoyed Chen Wenqiang and had to discharge him.Immediately began to be anxious.Are you kidding?
A CT scan at the medical university has to wait until 5 days later......
Going to the Affiliated Hospital of the Medical University for surgery?
Don't he want to?
Didn't he try?
It's hard to find someone - the surgeries from years ago are already full.As for the neurosurgery department of the provincial doctor, he really gave up all his strength, and everyone who could inquire about the provincial city inquired and understood: the patients who had surgery here generally recovered very well after surgery.That's why he made up his mind to come.He also begged someone to move in.Because Chen Wenqiang has been controlling the volume of neurosurgery operations in the past two months, up to five cases per week.In fact, only four patients were admitted from the outpatient clinic.The last one is the indicator left for human relations to maneuver.Li Min wanted to take the exam, and he took over the medical work of the whole hospital himself, and he didn't want to overload both ends and cause unnecessary things."
Hey, hey, Dean Chen, I'm kidding.That's what I said.Don't take it seriously, don't take it seriously.I'm going to pay the hospital deposit tomorrow. ”Chen Wenqiang reluctantly suppressed his dislike for this person, and looked the patient up and down with some suspicion.He pondered for a long time, and finally spoke again: "This surgery is not like anything else, don't force yourself if you don't believe me."
Let me tell you clearly, psychological factors have a great impact on efficacy.I advise you to go to the Medical University for your own good, so that you don't regret the accident during the operation. ”"Don't, don't, that's what I said, Dean Chen."
Chen Wenqiang ignored him and said to him decisively: "In this way, your operation tomorrow will be suspended first."
When you think about it and understand the newcomer's provincial hospital, you go to pay the hospitalization fee first, and then we will discuss the arrangement of surgery. ”Then he turned to Li Min and said, "Xiao Li, you withdrew his operation notice." ”"Yes."
Li Min agreed, took out his notebook and wrote it down, and then followed Chen Wenqiang out of the ward.
*Chen Wenqiang went to see other patients in the neurosurgery department again, whether they were undergoing preoperative examinations or in the postoperative recovery period, their care and seriousness were more than usual.Li Min understood that he was not only in the ward for a day.There are factors that he is not worried about himself, and there are also patients who are worried about neurosurgery, and there is something he doesn't say to himself (because he is a woman and too young).He was worried that he was neglecting neurosurgery patients in the hospital and making mistakes in his busyness.But I met such a patient who looked down on the medical level of the provincial hospital and had to undergo surgery in the provincial hospital.It's disgusting!
Fortunately, Chen Wenqiang did not show his emotions towards the previous patient on his face.But after his rounds were completed, his face sank, and Li Min's mood was not far behind.She understands that Chen Wenqiang is not as angry as the Affiliated Hospital of the Medical University after a busy day of surrounding the poisoned patients, and the patients who are entrusted by the department to come in are not as good as the anger.If it's really not as good, it's just that.However, with the support of Chen Wenqiang in the Department of Neurosurgery of the Provincial Hospital in recent years, not to mention his energy and efforts in difficult diseases, the level of treatment of common diseases is actually not worse than that of the Medical University.Although the neurosurgery department of the provincial hospital now has two doctors, Chen Wenqiang and himself, it can be said that they are more serious, more careful and more careful than the doctors of the Affiliated Hospital of the Medical University, so the postoperative effect is of course very good.This is the fundamental reason for Chen Wenqiang to compete with the experts and professors of the Affiliated Hospital of the Medical University at the annual meeting of neurosurgery.INTERVIEWER The total number of patients I treat in a year is not as good as yours, but what about per capita?
What about the treatment effect?
Now hearing such comments from the mouths of patients waiting for surgery, Chen Wenqiang's face can be compared to the bottom of the pot.He went straight back to the director's office to change clothes, and then went to the nurse's office and instructed Li Min: "Mention the patient who had surgery on Wednesday to be done tomorrow." ”"Okay."
The patient on Wednesday was a brain fibroma, and Li Min had made all the preoperative preparations.Nowadays, if you want to have an early surgery, you need to not only notify yourself, but also give a pre-operative order immediately.But looking at Chen Wenqiang's face, Li Min didn't want to mention the possible reaction of the patient who had been postponed from surgery.But she knew in her heart that as long as this patient still wanted to have surgery at the provincial doctor, she would inevitably come to her tonight......
Alas, tonight is destined to grind the patient's teeth.* After Chen Wenqiang left, Li Min filled out the operation notice he had signed, and went to the patient who was originally scheduled to operate the day after tomorrow, and told him that the operation was scheduled for tomorrow morning.Cause?
Li Mincai doesn't believe that these patients will not communicate with each other.Even if Corey has something the size of a pinpoint, they, the inpatients and their companions, can know the details of the matter in an instant.Li Min bluntly told him: "The patient who was originally scheduled to operate tomorrow morning, he didn't pay the full deposit for hospitalization; He seems to think that the level of the Affiliated Hospital of the Medical University is a little higher.So you were able to have surgery early. ”The patient who unexpectedly got the opportunity for early surgery pretended to be sorry and said, "This is a trouble, how can I be hospitalized if I don't have the money ready."
Besides, since you don't believe in Dean Chen, then trust whoever you find. ”Li Min smiled and explained to him and his family what he should pay attention to the night before the operation."
If you can't sleep at half past ten at night, go to the nurse, and I'll leave you sleeping pills at the nurse's.""
Okay, thank you, Dr.
Li
.
"* Li Min returned to the office, and the patients and families who had been suspended from the operation had been waiting for her for a while."
Doctor Li, we will go home tomorrow morning to get the money, and we will definitely make up the hospitalization fee before noon.If you believe us, you will definitely not be like the man who opened his chest and didn't pay for the medicine in the end. ”Li Min sighed and said, "His impact on this matter is too bad.If we arrange for you to have surgery at this time, in case you don't make up tomorrow, maybe more patients in Corey will follow him as a model. ”The patient immediately said with a pale face, "Doctor Li, you can't compare me to the same person as him." ”Li Min smiled and said nothing."
You don't see me like that, right?"
The patient was silent for a while and continued to lobby Li Min: "Doctor Li, you should believe me. ”"I believe in you.But you are in a different situation with him.If something happens to you after the craniotomy and your hospitalization expenses are insufficient, then we really can't die without saving.But that means that the missing expenses will have to be shared by Dean Chen, the head nurse, and me.My monthly salary is only 180 yuan, how long do you think it will take me to add this hole?
You have to think about us, don't you?
”"I said that I didn't pay it, I will pay it tomorrow morning."
The persistence in the patient's tone and the wandering of his eyes indicate that the credibility of his words is questionable."
Are you sure you can hand it in tomorrow morning?"
Li Min pretended not to see his suspicious demeanor."
Absolutely.I kid you not. ”The patient's sincere appearance is really almost a swear."
Then I'll give you the next surgery notice tomorrow morning, and the operation will be done the morning after tomorrow."
Li Min avoided the important and lightened it."
But you can't come back after my surgery and haven't paid the hospitalization fee yet.Otherwise, I will change the operation notice left and right, and the operating room and anesthesiology department will have to rearrange the work, not only will I be troublesome with the nurses in the department, but the workload will be increased, and everyone involved will have opinions. ”"Then you don't have to change the time of the operation, so you won't have to avoid these troubles.Dr.
Li, you will believe me once. ”Seeing that Li Min still shook his head, the man couldn't help but add: "Let's do it tomorrow morning, okay?"
The relatives who know Xin'er at home are coming tomorrow. ”"I've always believed in you.Otherwise, I'll have to wait to see your receipt and give you a re-operation notice.You said that I will go to President Chen tomorrow morning to sign the operation notice given to you, can President Chen not ask me if you have paid the hospitalization fee?
Don't you don't make up tomorrow morning, I'm in charge of it.If I don't see it after surgery, I really can't do it.You can't have surgery the day after tomorrow. ”Li Min maintained his mentality from beginning to end, and secretly warned himself that he could not be impatient.Director Shi has already complained today......
"Can't you be accommodating and not change the operation time?"
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”Seeing that Li Min still didn't spit out, the patient was really a little anxious this time."
This suspension of surgery is something that our dean has decided, how can I have the ability to change the dean's decision."
Li Min pushed his glasses and answered him very seriously."
You must make up tomorrow morning, I promise you will have surgery the day after tomorrow."
Li Min tried her best to divert the patient's attention, and did not forget to remind him of the consequences of not handing in: "Otherwise, I will have to advance the surgery on Thursday and Friday."
The two of them should be able to complete all the checks tomorrow. ”God is on top, talking to the patient, always be vigilant, not only to coax, but also to force him at the right time in order to achieve his own goals."
Alas.You say, alas, you say let me say what is good about you!
”The patient's wife turns on the complaint mode.Li Min hurriedly closed the medical record book in his hand and seized the opportunity to stand up and leave.With this patient grinding with himself like this, he won't have to do anything else tonight.She inserted the medical record clip into the medical record cart with her front foot, and listened to the patient talking to his wife: "You know something, don't talk nonsense." ”"Why don't I know, isn't it the man in room 12 who went to complain today.Does it work?
I've told you he's useless all the time.It's like going to a grain store to buy rice without bringing enough money, but saying that other people's grain stores are going to starve him to death, and saying that people are inhumane when they sell grain.How many people starved to death thirty years ago, and it was not easy for those who went to the grain station to kowtow, not to mention that he came out like this now?
If you don't have money, you can't treat the disease, and it's the same wherever it goes, in any dynasty and generation. ”Li Min pretended not to hear, explained to the nurse and went to the ICU, and left in a hurry.* Li Min ran from the stairs to the ICU on the 16th floor, only to see that the corridor and elevator hall were full of people.It appears that most of them are the families of today's poisoned patients.Panic, fear, and anxiety alternated back and forth on their faces, and a few older-looking women were sobbing quietly.The person who lowered his voice to comfort them was also the horror of the six gods.Li Min walked between them, constantly trying to say to people, "Borrow the light and let me go over for a while."
Borrow the light. ”It took a lot of effort to finally get to the door of the ICU.After ringing the doorbell, a nurse came to open the door."
Dr.
Li is here.There are more experts today.Director Guan is also there. ”"Uh-huh."
Li Min thanked her for her kindness and asked for a sterile gown to wear.After putting on a hat and mask, I went to the large opening room in the internal medicine department.Seven out of eight poisoned patients are here.Li Min actually saw Dr.
Zhu, who taught her respiratory medicine internship here, and had a profound impact on her career.Li Min quietly stood at the nurse's desk and listened to the remaining experts talking, discussing, and arguing in a low voice.The most serious patient is on bedside dialysis after dialysis and in the ICU, which is continuous for 24 hours.Li Min looked at the three patients he had intubated his trachea, and his face looked quite calm.I glanced around, but I couldn't see the poisoned patient who suspected delirium.One of them spotted her and grinned at her.That's a person who understands and sees it thoroughly, and now there are so many experts guarding it, if it's still a death, then it's this life.Li Min quietly looked at the treatment administration in the ICU, and after seeing a patient, she was not greedy, and immediately put away the copied notebook, nodded to Director Guan and Dr.
Zhu, who noticed her, and quietly withdrew from the ICU.Sedative, diuretic, summed up in these four words.Li Min felt that it was necessary for him to find out how the rat was metabolized.* The next day, after Li Min had the operation, she saw the family member of the patient who had been suspended from the operation coming to her with a payment receipt."
Doctor Li, you see, we have paid the hospitalization deposit.Is it possible to have surgery tomorrow?
”"Come with me."
Li Min took the slip and went to the head nurse."
Sister Lu, this is our group of patients who will have surgery tomorrow.You're registered. ”Lu Qing took the receipt, turned out the registration book of the hospitalization deposit, copied down the name and other information, and returned the receipt stamped with the seal of the hospitalization fee office to the patient's family."
Don't blame us for urging you to pay your hospital deposit.It's true that we don't earn much every month.When I encountered such a person in arrears a month, I didn't go through the discharge procedures in the end, and I ran away without making up the money, and my salary and bonus were not enough. ”The patient's family laughed.The patient with the drainage of the lung abscess, even if he didn't say it, he would be hell if he didn't have this idea in his heart.Yesterday, after a day of stopping the medication, his daughter-in-law tossed and went to the medical office to complain and go to the director, but only one of the officers of the medical office received her.What did □□ say: The seven or eight people who were poisoned by the rat were immediately rescued without asking anything when they entered the emergency department of the hospital, and they didn't pay a penny when they were sent to emergency dialysis.Now many experts have been invited to come for consultation, and all the consultation fees are paid in cash by the provincial hospital.Why?
The provincial hospital is to save lives and help the wounded, and you can't watch people die in the hospital.But is this the case for your man?
If you don't have money, then go to your workplace to apply for a subsidy, or go to the Civil Affairs Bureau to apply for a subsidy for financial difficulties.If you want the hospital to reduce or exempt the medical bills, you have to have the materials of financial hardship stamped by the street and the unit before you are hospitalized.If you're not afraid that something will happen to your partner while they're off the drug, you can do it now.Alas!
We wish we could just treat the patients, and all the expenses will be covered by the state.Alas!
Hospitals are now accounting independently, and they really can't afford to pay for all the medical expenses of patients who can't afford to pay for their medical bills.Secretary Lu sighed and chatted with the patient's daughter-in-law for a long time.The two of them really had the heart to lie in the hospital like this.But they are afraid that if they delay until the end of the delay, as Director Shi said, it will lead to the aggravation of their condition......
Anyway, the two of them muttered for most of the night, and they paid at the inpatient early this morning, and they were still in front of her.I've lived for more than 50 years, and I still don't understand this?
It's just that the one who thinks about being greedy and cheap will think that the debt can be mixed up.* Seven serious patients were admitted to the ICU at once, and during the morning meeting, Chen Wenqiang said that the patient who had undergone brain tumor surgery today would return to the intensive care unit of the department after surgery.After the morning meeting, several family members of the patients came in to find Lu Qing.Early in the morning, she had to put down all her work, register these payment receipts first, and then start to busily adjust the nurses who went to the intensive care unit.You have to be an experienced nurse who can stand on your own.It was the turn to go to the disposal room, and Xiao Jiang, who could work the day shift for a month, saw that Lu Qing frowned and couldn't find a suitable person to worry about, so he recommended himself: "Sister Lu, I'll go." ”Of these nurses in Corey, none of them are more experienced and older than Xiao Jiang, and no one is more suitable than her."
But it's your turn to dispose of the class."
Lu Qing felt a little embarrassed.Corey's affairs rely on the support of Xiao Jiang and a few other old nurses everywhere, and there must be an old nurse in charge of each shift.Xiao Jiang has been working shifts since he came to the twelfth floor......
But after the accident on the eleventh floor last time, she had to take the initiative to discuss with Wang Jing and send back a few old nurses on the twelfth floor to help Wang Jing stabilize the nursing work on the eleventh floor.That's why Xie Shanqian, Nuan Wen and others were brought up to lead the class independently."
Who else but me, who else can you touch today?
Regardless of the bad weather, you're in Corey during the day, and you can keep an eye on the disposal shift yourself.I'll give you a 24-hour top, and maybe the patient will be transferred to the small ward tomorrow.Dean Chen: Their surgery tomorrow is for glioma, and they will definitely use the intensive care unit after surgery.You see who's going to take over. ”"Then I'll thank you in advance.Alas, if there is no operation, it is even more worrying if there is no operation, and it is even more worrying if there is no operation. ”Lu Qing muttered and looked through the roster of nurses on duty, wondering who would be better tomorrow.It's not enough to draw one, at least two people have to be drawn."
Director Shi," Lu Qing saw Director Shi walking in leisurely, and immediately stopped him and asked, "Are you still going to do that surgery tomorrow?"
”"I'll make a decision tonight before I get off work.The patient said he had gone home to raise money. ”A trainee nurse interjected: "I took blood from the people in their house in the morning, and I saw his daughter-in-law counting money."
I must have learned it from that patient. ”"If you love to learn, you can learn.Dean Chen, their group stopped one. ”Director Shi disagreed."
Head nurse, you can take care of it in the future, but don't have the problem of insufficient expenses after surgery."
Fortunately, the patient spared his life, otherwise he insisted on not paying the hospitalization fee, and he had to be incised by an infection, in case something really happened after the operation, as long as Director Shi thought about it, his back would be dripping with cold sweat."
The patient of Dean Chen just showed me the receipt for the back payment of the hospitalization fee.His surgery will be done tomorrow.Your patient with a lung abscess didn't work well. ”Lu Qing knocked on the thick work book, and couldn't help but hate Director Shi."
Didn't I make amends for you?
I racked my brains to get a big favor in the financial office, and after a long time of turning over the fee information, I summed up the most suitable amount of the deposit for the current disease of our department and the hospitalization fee. ”Director Shi went to work on this matter after surgery yesterday, and Director Wang of the Finance Department or Director Fan helped him say hello, and only then did he allow him to check the fees for neurosurgery and thoracic surgery in the past three years."
I know you bothered yesterday.I also immediately handed over the list you gave me to the inpatient department yesterday, and copied a copy to the outpatient department.I told them that when they accepted the inpatients again, they would remind the patients to prepare the deposit according to the instructions on it.Once the patient is running out of fees, be sure to notify us three days in advance.But do you really need to pay that much upfront?
”"The fees of our public hospitals are in accordance with national regulations.Which patient didn't take the rest of their money when they were discharged?
The inpatient department still dares to swallow the deposit privately?
It's always a matter of refunding more and making up less. ”What Director Shi said was a matter of course.Lu Qing also felt that his statement made sense.But she couldn't be sure that the person who would go to the intensive care unit on duty tomorrow was anxious, so she asked Director Shi quite irritably: "What happened to those patients in the ICU?"
When will it come out?
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We don't have enough people in the handwheel monitoring room. ”"I just went over and took a look, and it should be pretty fast depending on the condition.But the hospital won't transfer them out anytime soon, and that involves an attitude issue. ”Lu Qing nodded.Political repercussions cannot be ignored.Dean Chen went to the ICU after getting off the operating table, so that the TV station broadcast the news of the poisoning?
The few calls that came to my home last night were all about it."
I'll see who else can go to the ICU.Alas, this is a death to me. ”Lu Qing patted the duty book and sighed."
It's all a sequelae of the department's rapid expansion.He also said that the women's and children's center will be built, and the surgery will be divided again, and I don't think there will be enough manpower. ”Director Shi knocked on the table and said, "Then you should hurry up and cultivate new people."
The number of patients in cardiothoracic surgery is increasing rapidly, and there may be a separate department by then. ”Lu Qing naturally knew the number of patients seeking medical treatment for various diseases in the department.She glanced at the nurses and trainee nurses in the responsibility class and did not speak.After a while, she asked Director Shi, "Do you have enough doctors to divide it again?"
”"That's enough.The year before last, several undergraduates were assigned to the emergency department, and last year there were eight college students, which is not too many for three people in thoracic surgery.Chest surgery now has one or two surgeries a day, and these people are just right. ”"What about Dean Chen's neurosurgery?"
Director Shi smiled incomprehensibly, that was Dean Chen's business.He only said to Lu Qing: "You can't have the opportunity to have a single independent department in thoracic surgery without occupying a floor." ”() The distance is a bit far