Chapter 1109: Thoughts on grassroots hospitals

There was a patient who fell from a high altitude and jumped from the fourth floor. The family didn’t want to be hospitalized.
Yuan Li contains a vague explanation.
Zheng Ren’s heart was moving, jumping off the building, not wanting to be hospitalized. These two keywords were linked, and he thought of several possibilities.
"Is it because of insurance?" Zheng Ren whispered.
President Wang is very emotional and admired.
Medical technology is medical technology, and what Dr. Yuan just said is another thing.
He is in the Imperial Capital and has little exposure to insurance. Living in the 912 hospital, the deposit paid in advance is 50,000. In other words, if you don’t pay 50,000 yuan, you won’t even be able to live in the hospital.
As for whether the patient can be reimbursed, it is not within the scope of consideration by Wang.
But the situation in Haicheng is completely different.
Seeing a doctor here, whether it can be reimbursed, is definitely a major consideration for the patient's family to choose where to stay and what kind of treatment to choose.
But when Zheng Boss catches his eye, he knows that it is because of insurance. What the is this? Mr. Wang also realized the problem.
Yuan Li stunned and nodded.
Zheng Ren smiled. "You will talk."
Finished, and Wang continued to move forward.
"Zheng boss, what is wrong with this?" Wang asked.
"Jumping, it is suicide, insurance is not reimbursed." Zheng Rendao, "Without insurance, many steel plates of orthopedics can not be used. If the domestic cheap steel plate is used, most of the injured are in the lower limbs, and later, the steel plate may be fold."
"..."
"This is a medical risk in the future. Therefore, if the emergency department receives such a patient, it is not very urgent, and it cannot be reimbursed. The orthopedic surgeon will be very upset. If it is particularly urgent, it will not."
But Dr. Yuan did not say it. The fourth floor jumped down. It is estimated that the injury is not very heavy. There are fractures of the calf, or intertrochanteric fractures and femoral shaft fractures.

"These, as long as they are not open, are not a big deal. So I changed to a hospital and told the doctor that I accidentally fell, and I fooled."
"Hey... Is this really good?" Mr. Wang has been a doctor in the top three large hospitals in the country. He has been in Haicheng for a few months. He has not done much surgery, but this kind of concealed thought is not mastered. .
"I don't know how to be good or even serious. This is a fraud insurance." Zheng Ren said very plainly: "But after all, it is to treat people, it is better than those small hospitals in the community. Haicheng Community Small Hospital, does not spend money on hospitalization, but also sends money every day."
"Send money? So powerful?"
"Yeah." Zheng Ren walked and nodded. "I heard people talk about it. One hundred or so a day is probably the price. The medicine is opened on the bed, and the hospital is going to sell it. This is a set of insurance." There are many ways to do it. The big loss of medical insurance is not in the top three hospitals, but in the community."
"This is not..." Wang Zongyi was filled with indignation.
"Calm, the grassroots, it's all like this. When the pipe is strict, it will converge. When the pipe is loose, take the time to prescribe medicine." Zheng Ren smiled. "Everyone has good things, no one will go much." In fact, it is true that everyone is good, and in the end everyone is not good. But how do you do it, who knows."
Zheng Ren puts on a doctor, only responsible for the attitude of seeing a doctor, surgery, this kind of thing does not belong to him, he can not control the attitude.
Mr. Wang is a bit embarrassed. There are so many loopholes below. I didn’t know it myself before.
Going to the door of the rescue room, Zheng Ren looked at it.
The body was slightly stiff and he quickly walked into the rescue room.
There are nurses in the rescue room busy, the patient lying on the rescue bed, the number displayed by the ECG monitoring is still very stable.
Zheng Ren walked in quickly and caught the attention of the nurse.
She turned her head and surprised: "Zheng, you are back."
However, the surprise was only a moment. When the little nurse saw Zheng Ren, he immediately fell into the boundless disappointment.
Zheng Ren knows that Su Yun is the one who can really surprise the little nurse. That goods, now do not know and Changyue did not drink.
Nodded, Zheng Ren came to the patient and reached out and said: "Stethoscope."
Wang always had some doubts. He took a stethoscope from the white bag and gave it to Zheng Ren. The patient's blood pressure was 150/100 mm Hg, heart rate was 102 beats/min, breath was 28 beats/min, and blood oxygen saturation was 98%.
ECG is a sinus rhythm, which is an emergency patient, but not a critically ill patient.
The injury of the patient is the same as that predicted by Zheng Ren. In the calf, Wang is estimated to have a fracture of the tibia. Only the fracture is a little serious, the left leg is congestion and edema, and the skin is somewhat shiny.
The compartment syndrome is very obvious and can be easily identified.
If this patient is treated by Wang, he will not talk about the medical insurance with the patient's family like Yuan Li, nor will he use a stethoscope to listen to the abdominal cavity like Zheng Ren...
Zheng boss listened to the abdominal cavity to do a wool? Is this not a nonsense?
The vital signs are stable, and it is estimated that the abdominal organs are fine, otherwise Yuan Li will not leisurely talk to the patient's family about medical insurance.
Retreat 10,000 steps, even if there is something, you should not auscultate.
"Bed in bed B, call, right away!" Zheng Ren said, for a moment, he has returned to the general role of the hospital in the emergency department of Haicheng City, "sodium nitroprusside, blood pressure, high pressure remains in 120 or less."
The little nurse stunned. Although Zheng Ren had been away for half a year, Ji Wei was still there, and his physical instinct was obedience, not questioning.
She quickly called people to call, and she took time to add medicine.
"Zheng boss?"
"It is suspected that the thoracic and abdominal aorta are torn." Zheng Ren gave a diagnosis directly, "Go to Yuan Lijin."
Zheng Ren just glanced at the rescue room, and the background color of the bright red system panel attracted him. System diagnosis, seriously let Zheng Ren not dare to delay time.
Auscultation is just a way that few people use. Because the patient is relatively thin, the stethoscope is pressed and the blood flow of the aorta can be heard. But the noise is especially high, and the real diagnosis is not the case.
This is just a way of Zheng Ren's retrograde inference ~EbookFREE.me~ others can't learn.
"..." Wang looked at Zheng Ren with amazement and looked at the patient. It was speechless. Where is this?
However, the experience of patients with P-J syndrome tells Mr. Wang that he must obey.
He quickly walked to the door and called Yuan Li in.
Yuan Li was a little unhappy. He had just finished talking with the patient's family and said nothing, but let the patient's family know what to do.
The next step is to sign a word that is responsible for all the consequences, and then the 120 ambulance is sent to another hospital in the city for treatment.
In Yuan Li’s opinion, it’s just a fracture. Which hospital is not a cure?
Zheng Ren this goods, is it time to find yourself trouble? ! He is a little angry.
......
......
Note: This is a patient who is 10 years old. My level is not high, look at the chest CT, did not find the mezzanine. Explain that the initial dissection of the aneurysm is also difficult to distinguish. I just had doubts in my heart. I have to go home. I pressed hard until the next day, and I contacted the emergency blood vessel CT reconstruction.
Finally diagnose the mezzanine and go directly to the ICU. The latter thing is also a real thing, people live, but spent a lot of money, the house is a mess. When he was discharged from the hospital, he loved to see my eyes are not right, the kind of evil.
However, just like this, smile.
Besides, gossip, my physique is a constitution that attracts dissection aneurysms. Patients with rib fractures and aortic dissection, eight departments in the department for more than ten years, are all on duty.
This is very speechless.
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