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Chapter 1109: The petty thoughts of a primary hospital

“There’s a patient who fell from a high altitude. He jumped from the fourth floor, and his family doesn’t want to be hospitalized. ” Yuan Li explained vaguely. Zheng Ren’s heart skipped a beat. Jumping off a building and not wanting to be hospitalized – he linked these two keywords together and thought of a few possibilities. “Is it because of insurance?” Zheng Ren asked in a low voice. Director Wang was full of admiration and regret. Medical technology was medical technology, but what doctor Yuan had just said was a matter of another dimension. In the capital, he rarely came into contact with insurance. The deposit for staying in 912 hospital was 50000 Yuan. In other words, if he didn’t pay the 50000 Yuan, he wouldn’t even be able to stay in the hospital. As for whether the patient could be reimbursed, it was not within the scope of CEO Wang’s consideration. However, Sea city Base was in a completely different situation. Whether the patients could be reimbursed or not was definitely a major factor for the family members to consider when they chose where to stay in the hospital and what kind of treatment method they would choose. But boss Zheng knew it was because of the insurance. What the hell was this? CEO Wang also realized the problem. Yuan Li was stunned for a moment before he nodded. Zheng Ren smiled.”You guys can continue chatting.” After that, he continued to walk forward with CEO Wang. “Boss Zheng, what’s going on?” Chief Wang asked. “Jumping off a building is considered suicide. The insurance won’t cover it.” Zheng Ren said,”without insurance, many metal plates in the orthopedics department can’t be used. If we use the cheap domestic steel plates, most of the patients “lower limbs will be weight – Bearing, and the steel plates might break.” “……” “This will be a medical risk in the future. Therefore, if the emergency department accepted such a patient, who was not in a hurry and could not be reimbursed, the orthopedist would be very unhappy. If it was an urgent matter, he wouldn ‘t. But didn’t doctor Yuan say that the person who jumped down from the fourth floor probably didn’t suffer a serious injury. He might have a calf fracture, or an inter – metastastosis fracture, or even a femur bone fracture. ” “As long as these aren’t released to the public, it’s not a big deal. So, if you go to another hospital and tell the doctor that you fell accidentally, you can just lie it out. ” “Uh ... Is this really a good idea?” Director Wang had been working as a doctor in one of the top tertiary Grade A hospitals in the country. He had been in Haicheng for a few months and had performed many surgeries, but he had yet to grasp this kind of obscure little thought. “I don’t know if it’s good or not. To put it more seriously, this is considered a fraud.” Zheng Ren said calmly,”but it’s still treating people, after all. It’s still better than those small community hospitals, which guarantee the results every day.” It’s a small Haicheng Community Hospital. You don’t have to pay for the hospitalization, and you get paid every day. ” “Give out money? It’s that powerful?” “Yes.” Zheng Ren nodded as he walked.”I’ve heard people say that it’s about 100 a day. That’s about the price. Hanging on the bed, prescribing medicine, and the hospital selling it, this was a kind of insurance. There were many other methods that could be used. It’s not the tertiary Grade A hospitals that suffer a huge deficit in medical insurance, but the community. ” “Isn’t this ...” CEO Wang was filled with righteous indignation. “Calm down. It’s the same for the bottom level. If he was strict, then he would be more restrained. If you’re loose, hurry up and prescribe medicine. ” Zheng Ren smiled.”No one will interfere in something that benefits everyone. In fact, it was said that everyone would benefit, but in the end, no one would benefit. But who knows what to do?” Zheng Ren put on an attitude that he was just a doctor and was only responsible for seeing patients and performing surgeries. This kind of thing was not under his jurisdiction, and he had no control over it. Director Wang sighed. There were so many loopholes in the story that he didn’t know about in the past. Zheng Ren took a look at the door of the emergency room. Her body stiffened slightly, and she immediately walked into the resuscitation room. The nurses were busy in the resuscitation room. The patient was lying on the resuscitation bed, and the number displayed on the electrocardiogram was still very stable. Zheng Ren quickly walked in and caught the nurse’s attention. “President Zheng, you’re back,” she turned around and said in surprise. However, the surprise only lasted for a moment. When the nurse looked behind Zheng Ren, she immediately fell into endless disappointment. Zheng Ren knew that the person who could really surprise the nurse was Su Yun. She wondered if that fellow had finished drinking with Chang Yue. Zheng Ren nodded and went to the patient’s side. He extended his hand and said,””A stethoscope.” Director Wang was a little confused. He took out the fish – like stethoscope from his white pocket and handed it to Zheng Ren. The patient’s blood pressure was 150/100mm mercury column, heart rate was 102 beats per minute, breathing was 28 times per minute, and blood oxygen saturation was 98%. The electrocardiography of the patient showed the sinus rhythm. This was an emergency patient, but he was not in a critical condition. The patient’s injury was the same as Zheng Ren’s judgment. It was in the calf. CEO Wang estimated that it was a titaxius fracture. However, the fracture was a little serious. The left calf was swollen and blood – Red, and the skin was a little shiny. It was very obvious and easy to recognize that it was osteochondral syndrome. If this patient was handled by President Wang, he would not talk about medical insurance with the patient’s family like Yuan Li, nor would he use a stethoscope to listen to the abdominal cavity like Zheng Ren ... What the hell is boss Zheng listening to the abdominal cavity for? Wasn’t this F * cking nonsense? The vital signs were stable, so the abdominal organs were probably fine. Otherwise, Yuan Li would not have leisurely talked to the patient’s family about medical insurance. Even if there was something wrong, he shouldn’t have done a auscultation. “Do an ultrasound scan at the bedside. Make the call, immediately!” Zheng Ren said in a deep voice. In an instant, he had returned to his role as the chief resident of the emergency department of Haicheng City first People’s Hospital.”Sodium nitrate, lower the pressure, and keep the high pressure below 120.” The young nurse was stunned. Although Zheng Ren had been gone for half a year, he still had his authority. Her body’s natural instinct was to obey, not to question. She hurriedly called for someone to make the call while she took the time to add the medicine. “Boss Zheng?” “We suspect that there’s a rupture in the chest and abdominal aorta.” Zheng Ren immediately gave her a diagnosis.”Call Yuan Li in.” Zheng Ren had just taken a look at the resuscitation room when he was attracted by the bright red background color of the system panel. The system’s diagnosis was so serious that Zheng Ren did not dare to waste any time. Auscultation was only one method that few people used. Since the patient was thin, the sound of blood flowing from the aorta could be heard when he pressed the stethoscope hard. However, there was a lot of murmurs, and that was not how a real diagnosis was made. This was only one of Zheng Ren’s methods of deduction, and no one else could learn it. “...” CEO Wang looked at Zheng Ren in surprise. He then looked at the patient and was speechless. What did this mean? However, his experience in treating a patient with polj syndrome told him that he had to obey. He quickly walked to the door and called Yuan Li in. Yuan Li was a little unhappy. He had just vaguely explained the matter to the patient’s family, and he did not explain it in detail, but the patient’s family members knew what to do. This required a very deep level of skill, and he was a little proud of himself. The next step was to sign a contract stating that he would be responsible for all consequences, and then be sent to another hospital in the city for treatment by the 120 ambulance. From Yuan Li’s point of view, it was just a fracture. Which hospital wouldn’t be able to treat it? Did Zheng Ren come back to find trouble with her? He was a little angry. …… …… [Note: This is a patient I received ten years ago.] I’m not good enough, so I didn’t find any mezzanine when I looked at the chest CT scan. To explain, it was also difficult to distinguish an aneurysm from a mezzanine in the beginning. However, I had some doubts in my heart and my family had to leave. I forced myself to wait until the next day’s dawn to contact the emergency department for a vascular CT scan reconstruction. Finally, he confirmed that it was a mezzanine level and went directly to the ICU. What happened after that was also true. He was alive, but he spent a lot of money. His family was in a mess. When I was discharged from the hospital, his wife looked at me with a strange and vicious gaze. However, that’s it, smile. “To be honest, my body type is more attractive to people with aortic dissection. Eight patients with rib fracture and aortic dissection have come to the Department in the past ten years, and I’m on duty for all of them. This made him speechless.