"Doctor Fang!"

Fang Han walked all the way into the Bone Injury Division, the duty room of the Bone Injury Division, Chen Yuan, Jiang Feng, Wen Xueyi, and the newcomers Xiao Yunheng, Chen Binyang and Xue Yanyan.

In fact, the extrahepatic division has not been established yet, and there is not even a base, which is somewhat similar to the situation of the bone injury division a year ago, so Xiao Yunheng and the three of them are now working in the bone injury division for the time being.

When Fang Han walked into the duty room, several people were chatting, as if they were still chatting.

"What are you talking about?" Fang Han walked in with a smile and asked.

"I didn't say anything, I said that there was an incident in the hospital in the past two days. Jiang Feng said with a smile.

"What's going on in the Medical Annex?" Fang Han asked casually.

"Director Ma Yinliang of the Affiliated Hospital went to Gaowu County to make flying knives and was reported. ”

"What?" Fang Han was stunned for a moment.

It is already the norm for surgeons to make throwing knives, although it is not in accordance with the rules, but it is already considered a kind of flow.

"Something happened?" Fang Han asked.

"There was no accident, but the patient's family felt that there was too much money and regretted it. Jiang Feng smiled and told what had happened.

This Gaowu County is a small county town under the jurisdiction of Jiangping City, and this time the flying knife was personally invited by the director of surgery of the Gaowu County Hospital.

Ma Yinliang is the deputy director of the chest surgery of the Affiliated Hospital of the Hospital, and he can be regarded as a relatively well-known chest surgery expert in Jiangzhou Province, according to some rumors from the outside world, it is said that Ma Yinliang's flying knife fee has reached 30,000 yuan.

Generally speaking, some remote small counties are reluctant to invite Feidao Ma Yinliang to go.

This time, the director of surgery of Gaowu County, who invited Ma Yinliang, was Ma Yinliang's old classmate, and for the sake of the old classmate's face, Ma Yinliang agreed to the flying knife this time, and only needed 20,000 yuan for the flying knife.

Originally, Gaowu County had already agreed with the patient's family, and the patient's family was also willing to pay for the knife.

Who would have wanted to wait for Ma Yinliang's surgery to be completed, but the patient's family refused to admit it and was unwilling to pay for the knife.

Of course, the knife fee and the operation fee are paid in advance before the operation, but the patient is not finished after the operation, and the follow-up treatment is also a lot of expenses.

After the advance payment originally given to the hospital was used up, the patient's family was reluctant to pay any more, saying that the knife fee was unreasonable, Gaowu County should follow the normal charging standard, and they could also be reimbursed for seeing a doctor in the county hospital......

According to the reimbursement method of NCMS, the reimbursement rate of patients in town-level hospitals and county-level hospitals is the highest, which can reach more than 70 percent, but the proportion of reimbursement at the city level is low, only about 40 percent, and once out of the city, at the provincial level, the reimbursement ratio is only about 20 percent.

Even if you see a doctor in a county-level hospital, the knife fee will not be reimbursed.

And this time, Gaowu County Hospital also contributed some money, and in fact, the patient's family only paid a little more than 10,000 yuan.

But now the patient's family is not happy, and the hospital naturally disagrees, saying that it is good to do things, and it is good to sign the agreement.

Then Ma Yinliang's doing flying knives was exposed, and there was even a video on the Internet, which was a complete sensation.

This kind of thing like a flying knife can be justified by reason and reason, but he can't be justified by Fa. Flying knives can allow the grassroots people to enjoy better medical resources without going far away, and reduce the cost of medical treatment to a certain extent, but doctors have to bear legal risks.

Strictly speaking, a doctor's place of practice can only practice medicine in the place specified on the license, and it is illegal to treat people outside the hospital gate.

It's like some people joke that doctors have to take risks when they see people at the gate of the hospital, because when you leave the gate of the hospital, your professional qualifications will be gone.

A few years ago, there was a joke on the Internet, the obstetrician and gynecologist helped the mother deliver the baby on the train, and he was punished when he turned around, because he delivered the baby in a non-practice place, which is an illegal practice of medicine.

Fang Han didn't say a word, and he was also pondering in his heart.

Some people think that the cost of flying knives is expensive, but in fact, if you really want to go to the provincial capital, go to other places, travel expenses, accommodation, food, drink and Lazar are all expenses, and you may not be able to make an appointment with an expert when you go.

It's just that some expenses are spent slowly, while the flying knife fee is a one-time time, slowly spending one or two thousand and taking out one or two thousand at a time, people's acceptance is different, but in fact?

Jiang Feng said with a smile: "After hearing that this incident was exposed, Director Ma angrily dropped several cups, originally with a good heart, but he didn't think about it, but he caused a commotion. ”

Chen Yuan didn't smile, but said lightly: "From now on, Gaowu County will never want to invite a case of flying knives." ”

The others were stunned for a moment, then nodded.

For the people in Jiangzhong Court, this incident is just a joke, a joke, and a topic of conversation after dinner, but in fact, the impact of this incident is not small.

As Chen Yuan said, from now on, Gaowu County will never want to invite a flying knife again.

Not only Gaowu County, but also Jiangping City, it is estimated that some experts dare not go, and they have palpitations.

A pot of rats harmed a pot of soup is what it says, this is what it says.

This incident is similar to the incident of Liao Yunsheng, deputy director of the Department of Internal Medicine of Jiangzhong Hospital, jumping off the building last year, with the incident of Liao Yunsheng, the doctors of Jiangzhong Hospital and even the entire Jiangzhou Province will treat patients again, who will dare to take risks, who will dare to go all out.

But in fact, for doctors, many lives are actually saved by risk-taking and all-out efforts.

Only if the doctor has no worries, can he give full play to his ability, and with concerns, perhaps the doctor's ability can only play six or seven times out of ten.

While several people were talking, Kuang Mingzhuo also walked into the duty room of the bone injury division.

"Director Kuang. Several people hurriedly said hello.

"What are you talking about, so lively?" asked Kuang Mingzhuo with a smile.

"Let's talk about Director Ma of the Medical Affiliated Hospital. Jiang Feng said with a smile.

"The matter of the flying knives in Gaowu County?" Kuang Mingzhuo asked.

"Yes. A few people nodded.

"I've heard about this too, and it's a bit speechless. Kuang Ming Zhuo said.

"It's not just speechless, it should be chilling. Wen Xueyi interjected: "Director Ma has saved a life no matter what." ”

Kuang Mingzhuo looked at it very openly, and sighed: "Maybe the patient's family also has difficulties, the family in a small county town is not very wealthy, and it was a desperate gamble when the treatment was made, and the person was saved, and his mind changed." ”

"But this can't be revenge. Jiang Feng was a little angry.

How to say this kind of thing, there must be something wrong on the side of the patient's family, but it also depends on whose point of view, from the perspective of the doctors, everyone is naturally indignant.

Jiang Feng said that the other party was a favor and revenge, and it was not too much.

"The patients are at fault, the Gaowu County Hospital is also at fault, and the current medical system is also imperfect, all of them are at fault. Kuang Ming Zhuo said.

"Director Kuang, what do you mean?" asked Chen Yuan.

Kuang Mingzhuo said with a smile: "I don't mean anything, I mean that as long as the current medical system is not perfect, there will still be flying knives, since there are flying knives, there is a probability of accidents, and Director Ma is also mentally prepared to take risks when he makes flying knives." ”

"If you want to completely put an end to flying knives, either punish them severely, and the punishment is greater than the benefits, and this kind of thing will naturally be less, or give the policy to make the flying knives more legitimate, otherwise the things in Gaowu County will happen today, and people's hearts are the most difficult to guess. ”

There is a sentence Kuang Mingzhuo did not say, the reason why the price of flying knives remains high, the most important thing is actually because of the risk, it is precisely because of the risk that some doctors are reluctant to do flying knives easily, and at this time, there is naturally an increase in price.

If throwing knives are legalized, the risk for doctors is reduced, and the price of throwing knives will naturally come down, which is mutual.

Of course, the restrictions of the medical system are not without benefits, and the restrictions on the place of practice of doctors are actually to avoid some doctors receiving consultations privately and causing unnecessary medical disputes.

When practicing medicine in a hospital, some medical disputes are easy to say, but if you practice medicine in private, some medical disputes are difficult to say, and if something really happens, the consequences that doctors have to bear are quite serious.

This is just like what I said earlier, the state cracks down on some ancestral secret recipes, and when it cracks down on ancestral secret recipes, it will indeed crack down on some real cures and save people, and eliminate some really effective ones, but if it is not cracked down, many people will discount the banner of ancestral secret recipes, and counterfeit drugs will be more widespread at that time.

There can never be a truly perfect policy in this world.

There is a saying that everything in this world is two-sided, there are benefits and disadvantages, depending on whether the advantages outweigh the disadvantages or the disadvantages outweigh the advantages.

"I heard that Director Ma has returned the knife fee and has been punished. Jiang Feng interjected.

Kuang Mingzhuo nodded: "Well, I also understand this matter, as far as the current point of view, Gaowu County's approach is indeed a little inappropriate, this matter is exhausted, and Gaowu County Hospital has indeed handled it improperly." ”

Fang Han didn't interject much, and when a few people finished speaking, Fang Han asked Kuang Mingzhuo with a smile: "Director Kuang came over so early, is there any surgical arrangement?"

Kuang Mingzhuo said with a smile: "There is no extrahepatic surgery arrangement today, I came here to discuss something with Dr. Fang." ”

"What's the matter?" Fang Han asked.

"Make throwing knives. Kuang Mingzhuo spit out three words.

Several people in the duty room were stunned, something had just happened in Gaowu County, and Kuang Mingzhuo came to invite Fang Han to make a flying knife, which was not taboo at all.

"Where are you going?" Fang Han asked.

"Linzhou Province. Kuang Ming Zhuo said.

"Director Kuang should be able to go alone for this kind of thing, right?" Fang Han was stunned for a moment, according to Kuang Mingzhuo's level, it was completely possible to go alone, and this time the flying knife people should also be looking at Kuang Mingzhuo's face, eh, in other words, it was Kuang Mingzhuo who was invited.

"Isn't this for the sake of insurance?" Kuang Mingzhuo said with a smile: "Gaowu County just had an accident, I am also related, accompanied by Doctor Fang, I can also be a little more sure, in case something happens, wouldn't this be a crime against the wind?"

"Yes, when will you go?" Fang Han said after a two-second silence.

Kuang Mingzhuo looked at the time: "Let's leave in half an hour, how about it?"

"Good. Fang Han nodded.

"If Dr. Fang is planning to bring a team, he can also bring it. Kuang Mingzhuo nodded, turned around to say goodbye, walked to the door and turned around and said.

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