Doctor: It's reasonable to perform surgery on yourself.

Xu Qiu was also thinking about a solution.

After all, this is a huge country's regulation, and it's hard to get rid of it.

If the entire industry cannot be changed, then at least start with Linhai First Hospital to test the waters and find a breakthrough!

"Dr. Zhu Mingsheng's treatment is fine, and this is the treatment plan and surgical plan I formulated."

After thinking for a long time, Xu Qiu spoke again.

Everyone looked at him at the same time, and Director Zhao was also nervous.

Xu Qiu continued: "Similarly, your medical insurance department is also doing things according to regulations...

"But, if you consider the patient and use the most appropriate treatment plan but are punished, it will chill the doctor's heart."

After saying this, Xu Qiu's eyes fell on Director Zhao.

The latter nodded quickly: "Right, right!"

Xu Qiu looked at Director Zhao quietly and did not continue to speak.

Director Zhao understood and said quickly: "We will revoke the punishment first, go back and communicate with the Medical Insurance Bureau again, and discuss how to deal with this matter. When there is a new result, I will report to you, Dr. Xu, okay? "

Xu Qiu nodded: "It's too difficult for the Medical Insurance Bureau."

Although Director Zhao admitted his weakness, he was very impressive when he went to the Medical Insurance Bureau with his own banner.

He wanted to find a way to balance these contradictions, rather than making it difficult for the Medical Insurance Bureau.

The Medical Insurance Bureau is for the entire industry, with its eyes on the entire patient group; doctors are for every individual at the moment. Conflicts and contradictions between the two are inevitable, and the balance point is difficult to figure out, but someone has to try.

Otherwise, there will be more and more "Pang Honggu" who can only do internal fixation.

...

A few days later, the matter had a result.

The Medical Insurance Bureau urgently re-evaluated Pang Honggu's medical records.

The province formed an orthopedic expert group to reclassify Pang Honggu's disease and gave an evaluation score. The final score was 51 points, belonging to At the level of "must undergo femoral head replacement".

As a result, the Medical Insurance Bureau adjusted the reimbursement plan and raised Pang Honggu's reimbursement amount from 80,000 to 110,000.

The 30,000 yuan was directly returned to the bank card of Pang Honggu's family.

Xu Qiu received a call from the family that day. The eldest son was very excited. He was in his forties and was so happy about the 30,000 yuan that fell from the sky.

Two days later, the family members who learned the details came to the hospital and expressed their gratitude to Xu Qiu. They sent banners to Xu Qiu and the unlucky doctor Zhu Mingsheng.

At the same time, Zhu Mingsheng's notice of revoking the punishment was also hung at the top of the internal group of the hospital.

Many doctors were very excited.

"Dear me, the Medical Insurance Bureau really gave in!"

"Doctor Xu is so awesome. When can I marry Doctor Xu? I promise that as long as Doctor Xu is willing to pursue me, I will agree immediately! ”

“Others can just daydream, my goodness, are you going to become a psychopath?”

“I have to say, it’s so satisfying! I’ve been fed up with the Medical Insurance Bureau for a long time. They deduct money from me for everything they do. They are so stingy that sometimes I don’t dare to accept patients at random!”

“In the future, everyone should be more arrogant. As long as it is suitable for the patient and the symptoms are right, there is no need to worry about the medical insurance blocking us. Anyway, we have Dr. Xu to help us!”

“That’s right, everyone should be more arrogant, we have someone behind us! Super thick thighs! ”

“…”

Looking at the harmonious group chat, Xu Qiu also had a smile on his face.

Although the topic seemed to be developing in a strange direction, his goal was achieved.

Being a pure doctor…

This requirement is difficult, very difficult.

Even in a paradise-like hospital like Linyi, there are only a few.

For example, the white, rich and beautiful queen Chen Qiao.

But she is learning from Union Hospital at the moment.

For example, Yang Yuen.

She is even more outrageous than Chen Qiao.

Never consider what medical insurance, use whatever is right, and recommend whatever is good.

But now, with Xu Qiu's success in supporting Zhu Mingsheng, the atmosphere of the entire hospital is gradually developing in the expected direction.

"And, it seems that an effective solution has been found..." Xu Qiu's eyes lit up slightly.

The Medical Insurance Bureau handled this matter by setting up an expert group, which set the disease score and confirmed that the patient was more suitable for a certain operation after multiple rounds of evaluation.

So, can the expert group be universalized to deal with various controversial medical insurance reimbursement cases? , all of them will be uniformly evaluated and re-sentenced?

There is a way!

Xu Qiu did not think about the details of the implementation, but felt that if it was promoted, it would indeed be a good way to deal with patients like Pang Honggu, at least better than following dogmatic provisions.

Thinking of this, he sent a message to Director Zhao, asking him to communicate with the Provincial Medical Insurance Bureau.

He is just a doctor.

His energy is only enough to perform cardiac surgery, brain surgery, obstetrics and gynecology surgery, orthopedic surgery; then develop some new drugs, develop some medical equipment, and do some medical research...

He really doesn't have the energy to take care of these trivial matters of the Medical Insurance Bureau.

Lin Yi supports Director Zhao just to let him do this kind of work.

Xu Qiu is more or less a leader, so he doesn't need to worry about the process, just look at the results.

...

This matter is considered to be successfully resolved. The next task is to continue to train Shi Lian, Chen Qiao and others to prepare for the famous knife competition.

And wait for a destined person who is suitable for brain pulse device implantation to carry out the first implantation operation.

The surgical indications for implantation are actually quite broad.

It directly targets symptoms such as Parkinson's disease, essential tremor, primary dystonia, and epilepsy.

In addition, there are various derived indications.

For example, various large-scale intractable nociceptive pain and neuropathic pain.

Even the academic community has considered using deep brain devices to treat depression.

However, Xu Qiu has not considered the latter.

The mechanism of depression is actually not very clear. Some people think that it may originate from abnormal brain activity, but some people think it is a simple imbalance of chemical transmitters... If it is the former, brain stimulation therapy can indeed work, but the risk is still very high.

Therefore, Xu Qiu only considers neurological diseases with definite therapeutic effects.

The surgical methods are similar, but for different diseases, the EEG pulse device has different placement targets.

For example, nociceptive pain generally chooses to stimulate the paraventricular gray matter in the posterior lower part of the third ventricle and the gray matter around the cerebral aqueduct, while neuropathic pain is different, stimulating the caudal ventral nucleus of the thalamus or the ventral posteromedial nucleus of the thalamus.

Brain pulse devices sound high-end, but in fact, they stimulate different functional areas to inhibit the electrical impulses of neurons and reduce their overexcited state.

The human brain is like a hungry high school student.

With less practical experience, it is easy to get overexcited when you see a picture or even a few words.

The same is true for the brain. If the number of dopamine neurons decreases, the neurons will be overexcited.

As long as they enter married life on the spot, they will taste too much, and the threshold of stimulation will be high. The initial excitement will turn into despair of being forced to pay public grain, and naturally they will be pure and desireless.

And the brain pulse device plays such a role.

Releasing high-frequency stimulation will prevent neurons from being overexcited.

It can be regarded as blocking the pathogenic mechanism of Parkinson's and other diseases from the source, which can play a role in alleviating and improving the disease.

——

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