25. Target: 100 cases of hemorrhoidal surgery
Everyone understands the truth, but does it really make sense?
Someone stood up and said, "Doctor Xia, the patients who are transferred down are generally in stable condition and undergo follow-up treatment, such as surgical patients coming back for antibiotics, isn't this contrary to your proposition of accepting patients who are a little difficult?"
Many people are talking to each other, this is not unreasonable, what is the problem with coming back to infuse antibiotics, and the big head is taken by the above.
After a brief discussion, everyone turned their eyes to the back of Xia Yiwei's head.
Finally, someone is willing to use their brains, if you don't think, there will be no progress, Xia Yiwei doesn't think it's a bad thing for someone to oppose him.
On the contrary, he was somewhat happy.
He stood up and said to everyone, "Teacher Gao, your point of view is not unreasonable, but it is a bit one-sided. Yes, there are a lot of patients who come back for antibiotics, but can we give them these antibiotics? Also, why do we need to give antibiotics? Are there any indications? Is it not possible to take them orally? Have you ever thought about this?"
According to the previous view, no matter how big or small the operation is, as long as it is an operation, antibiotics will be infused, which is one of the reasons for the abuse of antibiotics.
Science is advancing, in fact, many people do not need to be infusion of antibiotics to fight infection or prevent infection after surgery, and the country is also controlling the standardized use of antibiotics.
Large hospitals usually let patients go outside the hospital to take antibiotics such as cephalosporin orally outside the hospital after surgery, or let them go back to the local township to receive antibiotics.
Why? Is it because there are no oral antibiotics in the big hospitals? Of course not, it's because of the collision of old and new ideas.
Doctors don't want to use antibiotics, first, because there is no indication, and second, because antibiotics are controlled, they will be fined. However, the patient or the patient's family felt that it was good to take some antibiotics after surgery, so the above things happened.
"According to what you mean, like a patient who has no indication for antibiotics, will we not accept it?" Gao Chang's question was exactly the question that everyone wanted to ask.
"Of course, why use it if there is no indication? The concept can be changed, provided that everyone is willing to work hard, I believe that as long as everyone reasoned with the patient, they would listen, and let them take it orally if they didn't need it but still wanted to use it.
Township hospitals are also regular hospitals, and we must stop all irregular behaviors and correct irregular ideas.
"Understood!" Gao Chang didn't sit down, but paused slightly and asked again: "Since it is better to lack than abuse, what is the point of Dr. Xia's proposal of 200 yuan?"
"No, no, no, Dr. Gao, you may have some misunderstanding about the transferred patient. Lin Han motioned for Gao Chang to sit down, and Xia Yiwei said slowly:
"In addition to what Dr. Gao just said, there are many patients who have been transferred down, such as those with sequelae after cerebrovascular accidents, they need to do rehabilitation physiotherapy, and countless patients with cardiovascular and cerebrovascular diseases occur every year...... Director Li must be very clear about this. ”
"Yes, yes, Dr. Xia is very right. Li Mingming from the rehabilitation physiotherapy department was happy, "Everyone, I think Dr. Xia's idea is really good, the rehabilitation physiotherapy cycle is long, and it is also helpful to patients with cerebrovascular sequelae, and our township hospital has a high reimbursement rate, if the advertisement is out, then we ......."
"Ahem, cough, ahem......." Lin Han was as excited as if he had been beaten with chicken blood, cleared his throat, and looked at Li Mingming with a serious face after everyone was quiet.
"I hope that Director Li will not live up to the expectations of the patients and Yi Wei's good intentions, rehabilitation physiotherapy should be practical, Yi Wei has learned all medicine, and if there is anything you don't understand, you can consult Xia Yi. ”
"Definitely, definitely. Li Ming nodded, but he didn't care in his heart, isn't the whole department great?
Now I'll talk about the second point, Dr. Xia has set a small goal for himself this month, to complete 100 hemorrhoid surgeries, don't be surprised and excited. After speaking, Lin Han nodded to Xia Yiwei.
Since it was the dean's request, Xia Yiwei did not comply.
"Everyone, nine out of ten hemorrhoids, everyone must have heard that hemorrhoids are not fatal, most of them are painless blood dripping, blood in the stool, blood is wiped on the paper, and external hemorrhoids can generally be recovered by themselves.
Patients do not pay attention to it, and generally use some topical drugs at the onset of the disease...... So, I need everyone's help, especially the Public Health Section. ”
"Dr. Xia can just say what he needs to use us. "Gao Chang is the chief of public health, his home is in Qingtian Town, after graduating from university, he wanted to go back to his hometown to do something for the people, but he didn't expect the general environment to be like this.
He has the heart to do things but is lonely, and now he sees that Xia Yiwei is a like-minded person, of course he has the heart and full support.
It's just that he doesn't understand why other people also hold high the banner, and even more enthusiastic than him, saying why they are willing to do the work of dogs and horses.
Brother, if you don't give people sweetness, how can people do things for you.
Xia Yiwei smiled secretly.
His propaganda methods are also very simple.
Leaflets were handed out, and vans were opened in the town to spread the word.
As for the content, one is to let the people in the town realize the harm of hemorrhoids, and the other is to give some sweetness.
Outpatient check-ups are free of charge, and first-class patients are also given free health routine check-ups for three to one year.
The top 10 will receive three years of free health routine physical examination, 11-50 will receive two years, and 59-100 will receive one year, so that the plan for 100 cases of hemorrhoid surgery will be completed. ”
"It's all about learning a little bit from everyone. Although Xia Yiwei's words were very fake, I have to say that the people who heard them were very cool, Lin Han frowned, "Why does this sound so familiar?"
"Ahem...... Well, there is a third point that needs to be emphasized, I can be discharged from the hospital in three to five days after the hemorrhoid surgery, as long as they develop good lifestyle habits after surgery, they will not recur. Xia Yi didn't have that confidence.
"Three to five days? Mr. Xiaoxia, how can traditional hemorrhoids surgery take five days, even the PPH hospitalization time in a big hospital is three days, do you say so......
Of course, I don't doubt your ability, Mr. Xiaoxia, but I'm a little curious that you haven't had time to read for a month, and I haven't seen you have hemorrhoids surgery......"
"You still know that minimally invasive hemorrhoid surgery, it's good!" Xia Yiwei smiled, "How do you know that I haven't read, and you haven't followed me 24 hours, the traditional hemorrhoids surgery I did is similar to PPH, and you can just watch and learn when the time comes." ”
"Dr. Xia is awesome!"
"Doctor Xia is mighty!"
"Dr. Xia, we support you!"
“......”
Believe in your evil! Xia Yiwei will not believe everyone's words.
They are all thousand-year-old kings and 80,000-year-old tortoises, who doesn't know who!
They don't care whether Xia Yiwei's surgery is good or not, as long as it is successful, there will be no big problems, they can continue to maintain a high income if there are 100 surgeries this month, and it will be early next month.
This is the vast majority of ideas, and Xia Yiwei can't change it. Close to Zhu Zhechi, he only hopes that one day they can make progress, not too much, just need to have the consciousness of doing good things for others after receiving other people's money.