Start as an Emergency Physician

Of course, you get what you pay for.

This kind of paper is generally of international standard, and it is specially provided for surgeons who are stuck in the number of papers and cannot be promoted, and this kind of person is generally obsessed with doing surgery and is not bad for money.

And let Jiang Li, the big director who even scolded the chief physician's paper half to death, check the paper, and the fate of these two attending physicians can be imagined...

"Anastomosis atrial sleeves. Zhou Yuan's voice sounded in the quiet operating room.

Jiang Li, who had a stern face, immediately turned his head, replaced it with a smiling face, and said briskly: "Okay!"

Wang Sheng: ...

Chen Li: ...

Next to the operating table was a plate with cold salt water soaked in Lingling's lungs.

Lingling's double lungs, trachea, and esophagus have been severed, and at this time, only a few thick tubes are left waiting to connect with Chen Jianguo's body, as well as many tiny blood vessels.

Under the soaking of salt water, the new lungs, which had been pink, were now white. With the loss of blood circulation, the lungs have returned to their original color, which looks amazing.

Jiang Li assisted in stopping the bleeding in the left atrium, and looked at Zhou Yuan with some emotion: "It's the first time I've seen you come to fly knives at such a young age." "

Of course, the deputy directors in some developed areas, and even the senior attending physicians have the qualifications to fly the knife, but these people are basically distributed in the top three hospitals in the super first-tier cities such as Modu and Yanjing.

Jiang Li sighed and said: "The current environment is much better, I walked through the flying knife back then, but I suffered a loss and was suspended for three years." "

Zhou Yuan's operation had already reached a relatively easy step, and he began to clean up the suppuration in his lungs while asking, "Has it been reported?"

Jiang Li nodded.

According to Article 14 of the Law on Medical Practitioners, after registration, a physician can only practice in a medical, preventive and health care institution in accordance with the registered practice location, practice category and scope of practice, and engage in the corresponding medical, preventive and health care business.

And the flying knife must be to go to other places, and it must be illegal.

The National Health and Family Planning Commission, the National Development and Reform Commission, the Ministry of Human Resources and Social Security, the State Administration of Traditional Chinese Medicine, the Tianchao Insurance Regulatory Commission and other departments did not adopt the "Several Opinions on Promoting and Regulating the Multi-site Practice of Physicians" until 14 years, that is, five years ago.

This regulation stipulates that doctors can practice in multiple locations, that is, doctors can regularly engage in professional activities in two or more medical institutions during the validity registration period of the doctor's qualification certificate, which is regarded as a formal recognition of the legality of flying knives.

Of course, it is not illegal to carry out diagnosis and treatment activities within the scope of occupation for specific patients of the other medical institution only with the approval of the two medical institutions, but the approval application generally needs to go through layers of review, and the time for submitting the application and the formal approval can often be separated by one month.

Moreover, the most terrible thing is that the income of doctors who follow the regular procedure will be greatly reduced, and the labor fee for flying knives may be 10,000 yuan, but in the end, it will be handed over to the hospital and then distributed to the doctors, and only two or three thousand will remain, and even the air ticket money is not enough.

"I had an operation when I was 12 years old, it was a small place, I was asked to go to the flying knife, and then it was reported, our doctor is the weak party in the doctor-patient relationship, and after checking it, I was directly suspended, and I was only restored to practice medicine in 15 years. Jiang Li's tone was flat, and his expression couldn't tell whether it was sadness or hatred.

Wang Sheng, who knew the inside story next to him, said: "I was also with the director back then, of course, I was only a resident doctor, and the patient's family members all took a plane to our Affiliated Hospital of Zhejiang University to kneel down and beg the director to fly a knife." The labor fee they gave was only 12,000, and at that time, in order to save people, the director left the regular knife process and left directly. "

"After the incident, it was reported directly by the patient's family. Do you dare to believe that the person who reported it was the family member who knelt down in the first place?!"

Chen Li gritted his teeth and said, "I'm just wondering... This 12,000 also includes the travel expenses of our chief director, and from here to where they are, the travel fee alone will cost more than 3,000 yuan for each round trip! Usually, the registration fee for the experts who let our chief director visit for consultation is 1,300, and this is not counting the labor fee for surgery!"

"If they think it's expensive, they can skip the operation at all! I don't want to do it and I don't want to spend money, and our doctors are not living Lei Feng! If they save people and report them, this is not crossing the river and demolishing the bridge!"

Jiang Li said coldly: "Enough." "

Zhou Yuan silently performed the operation, and it was a little difficult to calm down in his heart.

Is 12,000 a lot for a big director?

Maybe the cost of a major operation is more than 100,000, and they don't care about the 12,000 at all.

To be able to make them travel to operate on people is for the sake of this 12? impossible.

"What happened later?" Zhou Yuan asked.

Jiang Li smiled reluctantly: "It's a blessing in disguise." After I was suspended, I met Professor Chen Jingyu, studied with him for a period of time, and when I resumed my medical qualification in 15 years, I operated with Professor Chen Jingyu for three years, and as a result, I made achievements in lung transplantation, and was directly rehired as the director of our hospital. "

After speaking, Jiang Li's expression became a little sad again, and said: "I used to do cardiac intervention, and many district and county hospitals have limited medical standards, and when they encounter doubts, difficulties, miscellaneous, and emergencies, local doctors can't operate at all. "

"The best solution must be the flying knife, but after that incident, the group of flying knives was so shocked that they didn't dare to move, and the most affected were the grassroots patients. They ask for throwing knives, the disease is naturally very serious, and going on a long journey is even more harmful to the condition. "

"Moreover, if you ask for flying knives, they can also enjoy local medical insurance, and some surgeries are even reimbursed by 50%, 70%, or 80% medical insurance, but now you can't invite flying knives, and two or three family members of patients take patients to other places for surgery. "

"The round-trip air ticket cost is more than 10,000 yuan, plus their lost work expenses during this time, the clothing, food, housing and transportation in the field are at least a few thousand, and the surgery fee in the field, because there is no way to reimburse it, it generally starts at tens of thousands..."

Wang Sheng pursed his lips and said, "The thing that can be solved for 10,000 yuan is that I can't get 50,000 or 60,000 yuan because of those grandsons..."

Jiang Li's eyes became cold: "Wang Sheng, take care of your mouth!"

Wang Sheng immediately lowered his head.

Jiang Li sighed, just what Wang Sheng said, if he recorded it, his career would be over...

"Zhou Yuan, you are a special talent, much luckier than us people, do you know who is holding hands in this operation?" Jiang Li paused for a moment before asking.

Zhou Yuan shook his head: "Isn't it you?"