Chapter 29 Hospitals should not be for-profit organizations

While walking, Wang Zhi said a lot of things to Qian Senhu along the way, Qian Senhu remembered it carefully, the two unconsciously walked to the door of the department, at this time they had already gotten off work, and neither of them was on duty at night, Qian Senhu looked at the watch in his hand, it was almost six o'clock, and said to Wang Zhi with a smile: "Master, it's time to eat, I'll invite you this afternoon, by the way, I will tell you something." ”

"Okay then." Wang Zhi originally planned to refuse, but seeing Qian Senhu's somewhat meaningful expression, he finally nodded.

Wang Zhi and Qian Senhu walked out of the hospital and chose a medium-sized home-cooked restaurant, originally Wang Zhi planned to eat in the hall, but Qian Senhu insisted on a private room, Wang Zhi looked at Qian Senhu's expression and performance, and guessed in his heart that this kid should have something to say.

The two sat down, and after ordering the food, Qian Senhu asked for a bottle of liquor, and gave Wang Zhi a glass of wine very formally, which can be regarded as a formal apprenticeship.

Qian Senhu sat back in his seat, looked at Wang Zhi's young face, hesitated, and asked tentatively: "Master, do you know that you have caused a lot of dissatisfaction in this period of time. ”

"How?" Wang Zhi didn't have any surprise, just smiled slightly and asked calmly.

"Master, let me tell you this, since you came to the Chinese Medicine Department, although you have cured many patients, and the popularity of the Chinese Medicine Department has increased somewhat, but you are seeking truth from facts in treating diseases and saving people, but you have blocked the financial path of many people." Qian Senhu took a sip of wine lightly and said slowly: "Actually, I didn't work in the TCM department when I first came to the hospital, although I studied TCM, but because the TCM department is really not good, my family also arranged me into the Western medicine oncology department with some connections.

On the first day of work, I put on a white coat and went on rounds with the director. On the morning of the rounds, there were more than 40 cancer patients, all of whom had different conditions, but they all obeyed our words.

The next morning, I saw an elderly man with advanced liver cancer. Looking at his imaging films, the cancer cells have metastasized throughout the body, and there is no therapeutic value. Besides, judging from the clothes of the old man, the family background is not very good, and there is no need to spend money in vain. Out of kindness, I called the old man's daughter to the office and advised her to give up the treatment. The old man's daughter cried loudly and sadly took the old man away. Unexpectedly, a week later, I was surprised to find that the old man had been admitted to the hospital! The head nurse told me that the old man was unwilling to "wait for death" after returning home, sold his house for 300,000 yuan, and hung up an expert in the oncology department for treatment, and was immediately admitted to the hospital by the expert. The head nurse also whispered to me: The old man is still in the ward and says that your medical ethics are not good, and you have no ability to treat his illness, so let him go home and wait for death!

At the end of the year, when our oncology department issued bonuses, an average of more than 2,000 yuan per talent! The director closed the door and held a secret meeting for us: "Our hospital implements performance appraisal, and the bonus of the department is the bonus of the department after subtracting the cost and multiplying it by the percentage of the commission." He paused deliberately and said, "You don't need me to explain more, do you?" You use cheap medicine for a few yuan, that's your freedom, but you can't treat yourself as a bodhisattva and let everyone drink the northwest wind with you" As soon as the director's voice fell, everyone's eyes turned to me, and my face was immediately hot"

Within a few days of this incident, a retired cadre with prostate cancer was admitted to the ward, and the cancer cells had metastasized to the abdominal cavity. With the previous lesson, I tentatively talked to his wife: "I suggest using a relatively better medicine, because this can improve the quality of life of the patient" Before my words fell, his wife nodded as if pecking rice: "Use whatever medicine is good, I am willing to spend money on our family Lao Zhang!" With this sentence, I let go of my hands and feet, what medicine is expensive. In the end, the old man stayed in the ward for two months, spending a total of 400,000 yuan, and finally died.

I have a ghost in my heart, and I feel ashamed of the old man. What made me laugh and cry was that after the family finished the funeral, they specially sent me a pennant, saying that I regarded the patients as relatives and worked hard to improve the quality of life of patients with terminal cancer. ”

"What else?" Wang Zhi calmly listened to Qian Senhu's story and asked again.

"Hehe, master, do you know what the biggest role of the hospital's TCM department is?" Hearing Wang Zhi's question, Qian Senhu smiled bitterly and took a sip of wine and asked.

"What is it?" Wang Zhi asked cooperatively.

"In fact, it is also a shelter, specially for some patients who are waiting to die after treatment in various departments, to squeeze the last bit of value, I still remember another elderly surgeon once said to me meaningfully, you are a recent graduate, now find out the workflow of the oncology department? To put it simply, this is the following: a cancer patient is first introduced to the surgery department for surgery, so that the surgery department earns the money for the operation, and then the patient is transferred to the chemotherapy department for chemotherapy, and then transferred to the radiotherapy department for radiotherapy, and when the money in these departments is earned, the patient is thrown to the Chinese medicine department to drink Chinese medicine. ”

The next thing that allowed me to finally verify the surgeon's words. There is a patient with advanced stomach cancer whose cancer cells have metastasized in the peritoneum. But he was still transferred to the Department of General Surgery for surgery, and after the operation, he was transferred to the oncology department for chemotherapy, radiotherapy in the radiation oncology department, and the Chinese medicine department drank Chinese medicine. I once secretly retrieved the patient's imaging data, and at a glance, I found that there was no indication for surgery at all. Qian Senhu said faintly: "Since I was a child, I have always thought that doctors are angels in white in the world, helping patients in pain, selfless and fearless, so I dreamed of becoming one of them, but when I really put on the clothes that symbolize the sacred, I realized that everything was just my imagination." ”

"Huh." After listening to Qian Senhu's story, Wang Zhi also smiled bitterly: "There is selfishness and darkness everywhere in this world, and the key depends on whether you will go with the flow." ”

"Yes, in fact, I also fell a little slowly later, but after all, I am still young, and I still have the blood in my heart, and in the end, I can't bear to continue because of guilt, so I offended a lot of people, and finally was sent to the Chinese medicine department." Qian Senhu poured a full glass of wine again.

"It's good to be able to stick to your heart." Wang Zhi nodded and said.

"However, after all, you live in such a world, most people are degenerate, and if you insist on it alone, then you will be hated by others," Qian Senhu sighed and said: "Take you as an example, master, although you have excellent medical skills and have treated many patients, and even a few seriously ill patients have been cured, but the medicines you prescribe are the cheapest, and the charges are the lowest, because of your fame, some patients from Western medical departments have gradually been pulled over, so those patients who have been robbed by you, People who have less income naturally hate you to the core, if it weren't for the fact that you have a good relationship with Dean Zhang and Professor Zhou, you can't say that you would have been kicked out of the hospital by these people. ”

"Aha!" Wang Zhi sneered and said: "This is the hospital, this is the doctor who saves the life and helps the wounded, it is simply a group of profit-seeking businessmen, and the hospital should not be a profit-making organization." To be honest, although Wang Zhi had seen a lot of darkness, he was still aroused by Qian Senhu's words.

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