Chapter 147 Addition of Specialty Orthopedics

Li Quan saw expectation in Director Zhang's eyes, as well as ambition.

Could it be that this Director Zhang wants to learn my osteopathic skills?

Thoughts flashed through my mind.

Li Quan finally decided to tell the truth.

"If it's just ordinary bone and joint reduction, I'm more than 90% sure. In particular, I can treat joint dislocations in young children, or deformities caused by dislocation of bones and joints. ”

In fact, Li Quan is still a conservative statement.

He learned Qian Yi's infant orthopedic technique, which can heal more than just joint reduction.

Moreover, this medical skill can be continuously upgraded, and the bone diseases he can treat will become more and more advanced.

Li Quan looked at the experience value of this medical skill.

【Pediatric Osteopathy, Introductory 11%】

Reset the little boy's bones, gain 10 skill points, and increase his experience by 10%.

At this upgrade rate, he only needs to treat nine more patients, and his infant orthopedic technique can be upgraded to the realm of Xiaocheng.

After listening to this, Director Zhang nodded, and his expression became serious and solemn.

"I want to add a special orthopedic and joint reduction specialty in the emergency department, and you will treat the patient at that time!"

Li Quan couldn't help but be taken aback, and waved his hand again and again to refuse.

"Director Zhang, I'm just a regular training physician now, and I haven't even obtained a medical practitioner's certificate, so I'm not qualified to practice medicine alone. This is absolutely not a no-go. ”

It was an exciting proposition, but he knew what he could and couldn't do.

The crime of illegally practicing medicine is no joke.

"What are you afraid of? During the day shift, at least one of me and Deputy Director Yang will be here. At that time, we will be your senior physician, and you will practice medicine under our guidance, and if there is any problem, we will bear it for you. ”

Director Zhang's words were very domineering.

No wonder Dr. Luo said that Director Zhang is very protective.

In addition, under normal circumstances, regular training physicians do not participate in the performance commission of the department. But I can't ask you to do white work, right? I discussed it with Deputy Director Yang, made a report to the dean, and calculated the performance commission for you. As long as you agree to take up this burden on the department, I will report to you immediately. ”

Director Zhang is a bright and upright person.

Unlike some department directors, it's as dark as hell.

If you have money, you can get it darker than anyone else.

When something went wrong and he was asked to take responsibility, he threw him off more slippery than anyone else. I can't wait to let all the responsibilities be carried by the junior doctors.

"However, it is not clear whether the dean can approve this matter for the time being. Even if the dean refuses to approve it, it doesn't matter, when the time comes, the part of the performance commission that belongs to you and Deputy Director Yang will be paid to you privately. ”

Director Zhang seems to have thought deeply about this matter.

He also understands that if Li Quan is not given a performance commission, Li Quan's enthusiasm cannot be mobilized.

However, it is true that the trainees do not participate in the practice of performance commissions.

Li Quan cured the patients under their guidance, and the performance commission fell on them.

At this time, they were willing to spit it out and pay Li Quan.

Do not violate any regulations.

The only thing to worry about is human greed, how many people are willing to spit out the meat that eats into their mouths?

"Thanks to Director Zhang and Deputy Director Yang for such love, it would be hypocritical if I didn't agree. I'm willing to take on this burden. "Li Quan is from a rural area, and the economic conditions are not good.

Originally, he would not have raised his salary until at least next year when he got his medical license.

The meager salary he gets now can make him break even, and it is very good not to ask his family for money.

"Okay, that's it. When the time comes, you must pay attention to the ways and means, and don't grab any pigtails for others. Also, the specific charging price of bone and joint reduction, I will show you a table tomorrow. Depending on the difficulty of joint reduction, the fee will also be graded. ”

Director Zhang's eyes flashed.

He spent so much effort to open a special emergency orthopedic department, and the main purpose must be to help the department generate income.

It is also in the interest of everyone in the entire department.

Physicians are also human beings, and they also have to eat, and they also have wives and children and parents to support.

If you really let the doctor generate electricity for love and volunteer every day, then I'm afraid no one wants to stick to it.

This has nothing to do with nobility.

At the very least, we must first ensure survival, then talk about ideals, and then talk about boundless love and faith.

As we all know, the emergency department does the most tiring work, and the salary is not the lowest, but it also belongs to the bottom of the team of doctors.

In the final analysis, it is the low income of the department, which leads to the performance salary and year-end bonus that everyone gets is not as good as that of doctors in other departments.

Why is the emergency department receiving the lowest income when it sees more patients than any other department?

Because the emergency department deals with emergency patients.

If you have a small problem, you can leave if you are cured on the same day. After saving the patient's life, he was directly transferred to the corresponding specialist department. From this point, it is not difficult to see that the emergency department actually plays the role of a guide desk.

Programs that really incur high medical expenses are basically not related to emergency departments.

For example, a cancer patient does not know that he has cancer and is in a coma at work. Colleagues and family members rushed the patient to the emergency department.

After receiving the consultation, after a series of examinations, it was found that the patient had cancer.

The patient is then sent directly to the oncology department, which has little to do with the emergency department.

The cost of follow-up treatment is hundreds of thousands, millions, and has nothing to do with the emergency department. That's the income that belongs to the oncology department.

How do you think the income of the emergency department can be high?

"Director Zhang, if there is nothing else, I'll go to work first!" Li Quan didn't ask about how the hospital set the price and charges.

The charging standard of the hospital must be within the scope stipulated by the Health Bureau and the National Development and Reform Commission.

In a large provincial hospital like Huier Hospital, indiscriminate charging absolutely does not exist.

......

Back in the emergency department, Dr. Yang Yu had replaced Dr. Luo and Dr. Wang and asked them to go to dinner first.

Fortunately, at noon, there were very few patients.

"Li Quan, have you seen Director Zhang?" asked Dr. Yang Yu.

"Well, Director Zhang just talked to me. I will follow your arrangement with Director Zhang. Li Quan now knows that Dr. Yang Yu is the deputy director of the emergency department, and his attitude is a little more respectful.

"Work hard, Director Zhang is a kind person, and he will never let you suffer. ”

While he was talking, an emergency patient was brought in by an ambulance. At this moment, the patient's face was pale, and his hands were on his chest, looking very painful.

The female family was so anxious that she cried, and the young man of twenty-five or sixteen, who was supposed to be the patient's son, was also panicked.

"What's wrong with this patient?"

Dr. Yang Yu had already stood up and went to check on the patient.

Li Quan quietly performed the prospective diagnosis and made a preliminary diagnosis of the patient.

He did not immediately come forward to check the patient's pulse, lest he be scolded for being a nervous disorder.

After all, in the current environment, few people believe in traditional Chinese medicine to diagnose pulses.

"Doctor, that's right, my dad just finished lunch, and it didn't take long for him to feel discomfort in his chest, and he felt a dull pain, and he thought he would be fine after resting for a while. My dad felt more and more pain in his chest, and he said it looked like someone was cutting him with a knife. I can't sit still now. Please, save him. ”

The patient's son cried out and pleaded.

"Does the patient have a history of high blood pressure, coronary heart disease, etc.?" Dr. Yang asked.

"Yes, yes, my dad has high blood pressure. After the onset of the disease, it happened that the neighbor was a guest at our house, and he had a heart condition. Based on his experience, he thought that my dad might have had a heart attack, so he ordered a fast-acting pill and aspirin to give my dad a pill. However, the condition has not been relieved. ”