0035 Risk
"Brother Liu, then you should know that you are going back to orthopedics by now, right?" asked Xu Yi.
"Only the director knows, and he also wants me to go back, and he also thinks that it would be a waste of time for me to stay here any longer, and I want to wait. Liu Haiping said, thinking of something, suddenly smiled, "Otherwise, I wouldn't have to put on a skin for such a book, hehe, in fact, this is also a habit over the years, and I can't change it back for a while, I guess waiting for me to come out at the intermediate level, it is estimated that many people will pass on my same academic ability is not fake, or bought with money, this year, I am afraid that others have the ability, if they are the same as themselves, or even better than themselves." ”
"It's not long before the exam anyway, and when I get into the intermediate level, if I go to further study, it will take another year, but if I really don't let me go to orthopedics, I will really go home and do it myself." Liu Haiping said, "In these days, it is difficult to be a human being, it is even more difficult to save lives and help the wounded, and the revolutionary humanitarian spirit is restored, when will the society be able to give us little doctors more humanitarianism! Make a SARS or bird flu incident, treat doctors as angels, and wait for medical disputes to really occur, and medical staff will be said to be wolves in sheep's clothing." ”
"This job is too difficult to do! Seriously, if there is no suitable position, I really don't want to do it here anymore, I take the intermediate certificate of orthopedics of Western medicine this year, and I am going to take the orthopedic examination of Chinese medicine next year, waiting for the certificate to get it, or simply grit my teeth and quit my job, and go back to open a clinic by myself, the risk is the same. Reduce your own mistakes, and you can even say that the risk is less if you do it yourself, but the benefits are completely your own, so why bother to work for the hospital again!" Liu Haiping said hatefully.
Xu Yi has been in the hospital for the past few years, and he knows a little bit about these things.
Just like before the Chinese New Year, a patient was admitted to the Department of General Surgery, because of stomach pain, and was admitted with "cholecystitis", and then he was examined before surgery and prepared for surgery, and the result was that the gallbladder was not at all wrong, and then after the abdomen was closed, he re-examined, and it was found that the patient was spontaneous pneumothorax.
Then the director of the general surgery department found the medical department, and the wicked person sued first, blaming the ultrasound department report for "the gallbladder wall is slightly rough, please combine it with the clinic" In such a sentence, he blamed that the radiology department did not find a pneumothorax on the plain film at all, and did not mention his responsibility at all, the medical department found two directors of the ultrasound department and the radiology department, and called up the pictures they left during the examination and the films taken by the radiology department, the ultrasound department could only say that this was because the patient had eaten, for the sake of prudence, several people on the post looked at it, and did not find anything abnormal, it was simply a postprandial gallbladder, and there were no clear signs of inflammation, but the clinical department considered cholecystitis, which was an acute cholecystitis, and the ultrasound could not detect it at all, so it reported such a result; the radiologic film was simpler, The above is normal at all, but there is a little pneumothorax on the bedside film after the abdomen.
I don't know how the medical department thinks about it, anyway, the final result is that the patient loses money, does a good job of comforting the family, is responsible for free treatment of pneumothorax, misdiagnosis responsibility, radiology and ultrasound department each account for 35%, general surgery only accounts for 30%, and the loss is deducted from the monthly bonus of each department.
It's no wonder that Liu Haiping has such indignation: he is also a doctor, and the diagnosis and operation performed by the clinical department, why do two departments that have not made mistakes need to be responsible, and the responsibility is heavier than the person who misdiagnosed and operated on it!
"I think it's no problem for you to go back to the orthopedics department, I think our leadership is pretty good, at least the hospital is much better now, and there are more patients or something, so if it goes on, there are still development prospects, and then wait for the new building to be built, which department is not short of people, and it should be logical for you to go back." ”
"Ghost knows, I treated me like that in the early years, I didn't have any feelings or nostalgia for this hospital, it doesn't matter if I have it or not, anyway, I've had enough of this poor life, and I should think about letting my wife enjoy it as soon as possible. ”
"It's good to open a clinic by yourself, at least the income will be several times or even dozens of times the current one, of course, the risk is not small, but as long as you are careful and cautious, in fact, most of the risks are within the controllable range, not to mention that I plan to focus on traditional Chinese medicine and take into account Western medicine, so that the treatment speed is guaranteed, but the long-term effect is better."
"But I'm afraid this must also be done on the basis of a certain reputation, otherwise it will either be the same as the abuse of hormones, antibiotics, and abduction in Puji Hospital, seeking more bloody money, or it will be unsustainable and unable to continue, such a risk, Brother Liu, have you thought about it?" Xu Yi asked, and then remembered that it seemed that someone else had said something about this, "And isn't there an agreement to sign for this study, if you leave early at that time, then you will have to pay for the study yourself." ”
"If I prescribe it myself, I will mainly focus on traditional Chinese medicine, and basically there is no equipment involved, but I just work with my conscience and make hard-earned money, and in this case, the risk is not great. As for the compensation, is there really a day, can I use this little money to feel distressed?" Liu Haiping looked at Xu Yi with a smile.
"That's right, Brother Liu, I bought a phone, leave you a number, call me if you have something, your number hasn't changed, right? I should go back to school on May Day, and I have to be busy with exams. As he spoke, Xu Yi took out his mobile phone.
"Well, it hasn't changed, have you saved it, if you haven't saved it, I'll report it to you, and you can just hit it again. ”
"I remember, hehe, I like to remember numbers like this, it improves my memory. Xu Yi entered Liu Haiping's number into his mobile phone according to the number he remembered, and then turned the screen to Liu Haiping, "Brother Liu, right?"
"Yes, you can really do it, I can't even remember your sister-in-law's number, I'll try it next time, which will also save Alzheimer's disease in the future." Liu Haiping looked at the number on the mobile phone, then saved it in the mobile phone, and said: "Your number is good, easy to remember." ”
"Hehe, I just got it in the evening, and I haven't remembered this number yet. ”
"Oh. ”
"Brother Liu, it's almost nine o'clock, I'll leave first, you also pack up and get ready to get off work." Xu Yi looked at the time, rolled up the film and got up to say goodbye to Liu Haiping.
"Really, I wish I didn't have to run here tonight. Liu Haiping took out his phone and shrugged. "Go ahead, have a good rest these days, maybe you will be fine after a little sleep, if you still don't feel well tomorrow morning, find me again, let's go for an MRI tomorrow." And what we talked about today, don't spread it, I still have to do it here for the time being, if this is spread, our director's face will not look good at that time. ”
"Don't worry, I know it in my heart, Brother Liu, I'm leaving. ”
Back in the dormitory, Xu Yi washed up, set an alarm clock at half past five and quickly lay down on the bed, this day - strictly speaking, only half a day is unbelievable, he can't believe that this really happened to him.
took the CT film and looked at it carefully, Xu Yi completely ruled out the possibility that this thing was still there, and the density was smaller than water.
But when Xu Yi closed his eyes and thought about it, he helplessly found that the point of light that he thought he was tired of staying and wanted to move to change the environment was still in place, the silver light was scorching, and there was no change at all inside.
"Not to mention that I seem to have lost a lot of blood, even if I donated blood half a month ago, it didn't leave much impact, this is why, even if there is some reserve blood, but it is impossible for the red blood cells to completely recover to normal half a month after donating blood, I donated 400 ml of blood, is it related to this, but how is this possible!"
"Do you need to watch like water, what are you?"
……
In such cranky thoughts, Xu Yi fell asleep.
In the morning, Xu Yi woke up, felt the changes in himself, and didn't find anything abnormal, so he changed into sportswear and went to the ward.
Before I got downstairs, I heard someone calling me in a white van parked at the door, and when I looked up, it was the director who stuck his head out of the window and waved at him.
"Get in the car, the back door is not locked, Lao Li went to the toilet, wait for him in a while, we have to pick up your sister Wang and the two of them." Lin Zhengtian said.
As soon as Xu Yi sat down, Lin Zhengtian turned around and handed over a thermal insulation stainless steel lunch box, "I brought you a fried dumpling and a cup of soy milk, all of which were made by your aunt herself. ”
"Almost, in fact, it's all the same, like now that the conditions are good, not only the children in the city, but also the children in the countryside, who don't buy some snacks one day. Even if we have a small shop in the county, it is difficult to guarantee the quality of the things inside. I don't know how many of these things belong to the three no-products in the stores in the countryside. After all, the rural consumption capacity is limited, and there are all kinds of national quality marks and production batch numbers, which ones cannot be bought for three or five yuan; on the other hand, those miscellaneous brands can be a big bag for two yuan, and the taste is similar, at least the people in this village also recognize this. It's really good to eat green vegetables or something, and there are also fertilizers and pesticides, but they are always eaten at home, and their use is limited. Xu Yi said.
"This is why the farmhouse is so popular this year, there is no factory in the countryside, the air is good, the environment is good, plus this goes out to play, not to mention the trekking through the mountains and rivers, at least you have to travel and travel, most of them have to go around a big circle, take some troubles, wait to get to the place, feel hungry early, plus the ingredients are fresh, the taste is pure, so I feel that the taste of this thing is good. In addition, looking at this mountain, this water, this green tree, and this red flower is also a good way to adjust your mood, and you can also experience the local customs, and the money spent is not much, so you can get more with one stone. ”
"I haven't been to the farmhouse yet, I always hear people say, I can be regarded as an eye-opener, I have been in the countryside for more than 20 years, that is, there are mountains, rivers and farmland, I don't think it is good, many places do not even have this mountain and water. ”
"That's what the poem says: 'Go to a distant place, there is no scenery in a familiar place.'" ’”
"What kind of poem is this?"
"I don't know, I used to read it in the newspapers. It's also a good reason to taste it carefully, and there is no good scenery anywhere around here. ”