Chapter 238: Critically Ill
When the news of this issue aired, all the viewers were also worried about Lu Binglin's future. At the same time, I was also moved by Chen Andong's sadness at that moment.
"This is definitely an expression that touches China. Healers have compassion. In recent years, however, doctors and patients seem to have become two opposing groups. They were supposed to be two groups fighting together, and they were supposed to be together. But now, they have a strained relationship. This situation is precisely because people have begun to lose the most basic trust between people. In this society, there is not only a lack of trust between doctors and patients, but also a loss of trust between all people. This is an incomparably sad thing for the human race. I hope that this picture can break the ice of mutual trust between people. ”
"This doctor is so handsome."
"It should be said that the kind-hearted doctor is so handsome."
……
Yang Fang opened the forwarded video on WeChat and said, "Jingjing, look, your trouble is coming. A large number of competitors are rushing to the acupuncture department of the Chinese medicine hospital. ”
Wei Jingjing looked at the video reposted in the WeChat circle of friends: "You guys are really boring. This is also posted online. ”
"I didn't send it. You can see for yourself that it was the Urban Channel that did it. Yang Fang said with a smile.
After being reported by the metropolitan channel and a number of online media, Chen Andong has gained a certain reputation in Sanxiang Province, and in the past few days, many citizens of Baisha City have come to visit. However, although Chen Andong is famous, his contribution to acupuncture and moxibustion is not great. After all, although Chen Andong's registration fee is the top in the traditional Chinese medicine hospital, the consultation fee is not low. However, the registration fee for each patient plus the consultation fee, plus various treatment costs and medical expenses. That's more than a thousand in total. The cost is deducted. The profit of a patient hospital is only a few hundred yuan, and Chen Andong has a limit of 15 people a day, which is a total of several thousand yuan. In one month, after deducting holidays, Chen Andong's total profit to the hospital was tens of thousands of yuan. The main thing is to earn enough social effects. For hospitals, it's worth it. However, for acupuncture, it doesn't mean much. Other departments. Any attending doctor, after a month, is much higher than the profit created by Chen Andong for the department.
Hospitals are now largely self-supporting, with very little funding available. Generally, it is also used for the construction of inpatient buildings and the purchase of large-scale medical equipment, which is not enough, and needs to be raised from the hospital itself. In addition, the door of the hospital is open, and everyone comes every day, and the hospital needs to prepare some abnormal expenses in addition to normal expenses. The patient died in the hospital. Regardless of whether the hospital is responsible or not, the patient's family will generally ask the hospital for a lump sum. If you don't do it, you will make trouble. A lot of the time. There's really no way, if you don't come up with a sum of money, you really can't solve it. In the past two years, the crackdown on medical troubles has been relatively severe, and this kind of thing is slightly better.
At the meeting of middle-level cadres of the hospital, Yu Ziang summarized the hospital's income and expenditure in the third quarter at the meeting.
"In the third quarter, the overall income and expenditure of the hospital increased slightly compared with the same period last year, but the situation of individual departments still did not improve. The acupuncture department is now planting flowers in the hospital and incense outside the hospital. Now, there is no one in Sanxiang Province who does not know the experts of your department. Even advanced lung cancer can cope with it. Many celebrities also came to the hospital because of Chen Andong from your department. But what's going on with the performance of your department? Yu Ziang asked.
Zhao Lixing immediately shouted: "Dean Yu, you can't blame us for the acupuncture department. The hospital has detailed price entries for each treatment. We are only able to charge at the hospital's stated rate. Dr. Chen is an expert in our department, but he has more registration fees and consultation fees than ordinary doctors, but no matter how good his acupuncture effect is, he can only be charged according to the price of general acupuncture. How much money can that have? The Chinese medicine prepared by Dr. Chen can only be charged according to the price of general Chinese medicine in our hospital. But what everyone doesn't know is that one medicine patch in Tianhe Pharmacy is worth fifty yuan. Dr. Chen's medical skills are excellent, and general diseases are cheap in other hospitals, as small as tens of thousands. With Dr. Chen, one or two thousand will do the trick. So, we're just making money now. ”
"That's just as well. Why can't the pure Chinese medicine in our traditional Chinese medicine hospital get started? It's not that our medical skills are not perfect, but that all the doctors will starve to death if they are engaged in pure Chinese medicine. However, when it comes to Western medicine, we naturally can't get provincial hospitals and other hospitals that are dominated by Western medicine. This is also the embarrassment of our TCM hospital. Teng Guochun, director of the cardiovascular and cerebrovascular department, said.
"What then? The price bureau has strict regulations on all charges of our hospital. Our hospital can't just set prices. We also can't charge for sickness. It's not easy to get a sick fee. If it is not treated, our hospital will have to put it in. The price is too low, we can't afford to pay, the price is too high, the patient can't afford it, and then the public opinion will be enough for us to drink a pot. Besides, there is no such policy at the moment. Zhou Hongyu shook his head.
"It's easy to do. In fact. Chang Huyun of the pathology department said.
Everyone turned their eyes to Chang Huyun to see what good ideas he had.
"Actually, we can be a little more flexible. We can make the most of Dr. Chan's prestige. Since Dr. Chen's outpatient clinic does not contribute much to the hospital's income, the daily limit could be reduced even more. If you encounter other difficult patients, you can ask Dr. Chen to go for a consultation. In this way, every patient has the opportunity to receive expert treatment. The efficiency of the hospital will naturally improve as a whole. Chang Huyun said his thoughts.
"But in this way, how will the income be distributed among the cases that Dr. Chen attends? Are the patients counted in your pathology department or in our acupuncture department? "Zhao Lixing is not a fuel-efficient lamp.
"It's simple, Dr. Chen is considered an expert consultation, and it is calculated according to Dr. Chen's usual income from treating a patient." Chang Huyun thought for a while and said.
"You want to be beautiful. In this case, Dr. Chan can only concentrate on the department, so why bother attending any consultations? Zhao Lixing said dissatisfiedly.
"Director Zhao, then how do you say it should be distributed?" Chang Huyun said with a sneer.
"It's very simple, and it's distributed according to the contribution they make to the case. Whoever contributes to the main part gets the more. Zhao Lixing said.
"The main source of income is the examination fees and medical expenses prescribed by the doctors in our department, and most of the income is yours. Why? It's not okay. At most, it will give you an extra 10% on the basis of the previous one. Gong Sidian of the Department of Internal Medicine of Traditional Chinese Medicine said dissatisfiedly.
"That's it. Don't play Dr. Chan's signboard either. Our acupuncture department is now a gold signboard. There are really a lot of people who come to Chen Anton. So, you've got it figured. Let's talk about it later. "Zhao Lixing is holding Wang Fang in his hand, and the disciple is naturally very sufficient.
"You better discuss this matter privately. It is no longer discussed at the departmental meeting. It is hoped that all departments will sum up their experience and strive to improve their performance. Of course, special attention should also be paid to improving the level of business. The quarter was generally smooth. However, there are still some medical disputes. It brings a certain degree of difficulty to the work of the hospital. I hope you will continue to work hard to take the TCM Hospital to the next level. Zhou Hongyu watched the directors of various departments arguing and hurriedly stopped it. He didn't want this to be decided at a ministry meeting. Otherwise once the matter gets out. It wasn't what he wanted to see.
After the meeting was dispersed, it is said that the directors of several departments had dinner in a restaurant near the hospital of traditional Chinese medicine, and after fighting with liquor at the table, they continued to fight with their incorruptible tongues, and finally decided on a plan to divide the profits. It is mainly divided into three parts, and Chen Andong's commission as an expert must be listed separately. The rest is divided between the acupuncture department and other departments, and each department accounts for half of the total. However, these departments with gentlemen's agreements can play Chen Andong's signboard.
"Ahh My clinic was cancelled like this? Chen Anton was surprised by such a result.
"No, not all cancellations. The main reason is that there are many incurable diseases encountered in various departments. I hope you can find time for consultation, and a specialist like you can't spend time completely on the diagnosis and treatment of such a simple disease. Good steel is used on the cutting edge, and that's the best way. The department reserves five places for you per working day. These five places are determined by the department. The remaining ten are allocated by other departments. Zhao Lixing explained the situation. He was still a little worried that Chen Andong would be dissatisfied.
"I'll obey the hospital's arrangement." Chen Anton reluctantly agreed.
Coincidentally, Chen Anton received a request for consultation on the same day.
There was a car accident in front of the hospital. A middle-aged woman visiting a patient at the hospital was hit by an off-road vehicle on her way to the hospital. He was immediately sent to the Chinese Medicine Hospital.
"How did such a serious patient come to us?" Chief physician Zheng Guanghui rushed to the door to pick up the patient, and when he saw the patient's condition, he couldn't help frowning.
"Aren't we even able to treat terminal cancer here? Besides, this car accident happened at the entrance of our hospital. If you don't send us here, you still want to go far? Who's responsible for what happened? "The ambulance that brought the patient over was the Chinese medicine hospital.
As soon as he heard that the cancer was terminal, Zheng Guanghui's eyes lit up, and he hurriedly instructed the general trainee doctor to go to the director and contact the experts of the acupuncture department to come for a consultation.
Dai Wen, director of the Department of Critical Care Medicine, hurriedly contacted Chen Andong from the Department of Acupuncture.
When Chen Andong arrived in a hurry, the patient's CT results had already come out. CT intracranial hematoma, subarachnoid diffuse hemorrhage. The patient has fallen into a deep coma.
"Expert Chen, you are an expert, everyone listens to your opinion." The people in the critical care medicine department are all ghosts, and no one is willing to stand up and be responsible at this time. The sky fell, and there was a high top. Chen Andong is an expert in the hospital, and he is naturally the tallest here.
Chen Andong could naturally see the thoughts of these people, and he didn't bother to care about them in general: "The current situation is dangerous, and drainage should be done immediately, so that it will be more beneficial to be sober in the future and recover speech and motor ability." I am going to use acupuncture for drainage and stimulation of the patient. If the patient does not have lung infection, pressure ulcer infection, or urinary infection, he or she will wake up after two weeks at the latest. ”
"I agree with Expert Chen." Zheng Guanghui immediately agreed.
Devin hesitated slightly, but agreed.
"Since everyone has no opinions, then I'm ready to do it." Chen Anton is also not polite. The patient is in critical condition, and since he has rushed over, he must seize every minute and second to rescue the patient. Instead of "fighting wits and courage" with these people.
Zheng Guanghui thought that Chen Andong was reckless, and he was very disdainful of Chen Andong's IQ. And Dai Wen didn't know if Chen Andong was really that sure. After all, Chen Andong has confirmed his ability through several difficult medical records. Perhaps, he is really sure about this case.
Chen Andong didn't care about the complicated feelings of these people. In the rescue room. He took out the needle box directly. Directly start acupuncture for the injured person.
Direct acupuncture drainage, which is something that everyone present has never heard of. It is important to know that the cranial cavity is tightly protected by a hard skull, and in medicine to do puncture and drainage, a sharp puncture needle must be used, and a power drill must be used to penetrate the skull. Although Chen Andong's black needles look as hard as steel, can Chen Andong's fingers really penetrate the skull alone?
Chen Andong took out a long needle, about seven feet long. The needle body is large and sharp. But no matter how sharp this long needle is, who can believe that it can easily pass through the skull? Even if it passes through the skull, how can the intracranial congestion be drained out?
Everyone had questions, and their eyes were firmly fixed on Chen Andong's every move.
Chen Andong first pricked the patient's head with a few millineedles, and then picked up the long needle with a solemn expression and prepared to prick it.
Chen Andong pinpointed the spot, then slowly pierced the needle into the patient's head, and the long black needle slowly rotated into the patient's head. Soon, Chen Andong felt the resistance of the long needle. As soon as the black needle stopped, everyone knew that they had encountered the skull.
"This time. It's big, right? Zheng Guanghui said secretly in his heart. I was getting people to prepare the drill bit and the puncture needle. But the next scene made his eyes widen.
I saw that Chen Andong's hand sank suddenly, and the black needle continued to move forward. It seems to be pierced into tofu.
"He, how did he do it?" Devin was also shocked.
All the people in the rescue room were amazed.
Chen Andong's expression was more serious, and the long needle was in his hand, constantly turning, but the length of the long needle was firmly controlled by Chen Andong.
The next scene was even more miraculous, as if attracted, blood gushed out from the patient's skull along the black needle, which happened to be absorbed by Chen Andong with the absorbent cotton that had been prepared for a long time. Chen Andong used up several small balls of absorbent cotton, so that there was no blood flowing out of the patient's skull. Chen Andong slowly removed the black needle from the patient's skull.
Chen Andong did not stop, but continued to use milli needles to take acupoints Baihui, Sishencong, Touwei, Shenting, Fengchi, Wangu, Tianzhu, Sanli, Zhongfeng, Taixi......
After the acupuncture was completed, Chen Andong let out a long breath.
"Dr. Chen, sit down." Dai Wen could see Chen Andong's exhaustion, and personally moved a chair and put it beside Chen Andong.
Chen Andong was also not polite and sat down directly.
"The patient's signs have stabilized. Intracranial pressure has returned to normal. A spontaneous heartbeat occurs. Hao Guozhi, an anesthesiologist on the side, said in surprise.
The eyes of everyone looking at Chen Andong were a little different. Zheng Guanghui's face was fiery, he had been so contemptuous of Chen Andong before, but he didn't expect that his medical skills had reached the point of being superb.
"If nothing else, the patient should be able to wake up soon." Chen Anton said.
Hearing Chen Andong say this, everyone turned their attention to the patient.
The patient's eyelashes move slightly.
"It's moving! It's moving! I just saw the patient move. Ren Ruoxi, a nurse in the critical care department, said excitedly.
There was no need for Ren Ruoxi to prove it, the patient's fingers also moved slightly at this time. Then I opened my eyes with difficulty. However, because he was on a ventilator, the patient could not speak.
"Don't be nervous, you just had a car accident and were taken to the critical care department of our TCM hospital. After the doctors of the TCM Hospital tried their best to rescue you, they finally rescued you, but because your hands are very heavy, you still need to continue to observe. Once we've got the tube out, you're ready to talk. Hao Guozhijian had regained his spontaneous breathing, so he took out the intubation.
"Thank you." The patient who regained the ability to speak was the first to say two words.
"You try to talk as little as possible and get some rest." Chen Anton admonished.
"I, my daughter was hospitalized in a traditional Chinese medicine hospital, and I came to deliver food at noon, but I had a car accident. What about my daughter? Who knew that the patient was so anxious that he burst into tears.
After some inquiry, I learned that the patient's name was Wang Qiaoying. Her daughter Wang Yuying suffered from asthma and was hospitalized in the Department of Respiratory Medicine of the Hospital of Traditional Chinese Medicine. Her daughter's asthma has been going on for eight years, and after years of treatment, it has had ups and downs, it has not been completely cured, and it has recurred.
"Don't worry. I'll tell your daughter. Ren Ruoxi said.
"Don't. She would have been even more worried if she had known what I was doing. Wang Qiaoying was even more anxious.
"What about your husband? Tell him to come over. Ren Ruoxi said casually.
"He's not in White Sands. I brought my daughter to see a doctor. We're divorced, and he's not coming. Wang Qiaoying's expression darkened.
"It's better to arrange your daughter together, it just so happens that Expert Chen is here, let Expert Chen show your daughter, maybe it will get better sooner." Ren Ruoxi is also brainless when he speaks.
"Is that okay?" Wang Qiaoying asked happily.
"Don't get excited, don't talk less. I'm going to talk to the respiratory medicine department. Devin said helplessly.
"I'm sorry." Ren Ruoxi realized that she had talked too much.
"The hospital has a hospital system, don't talk nonsense in the future." Devin said.
"By the way, why didn't you see the perpetrator come to the hospital?" Chen Anton asked strangely.
"Didn't you escape?" Ren Ruoxi asked worriedly.
"That shouldn't be. In broad daylight, with so many cameras outside, where can he run? It should be waiting for the traffic police to deal with it. Our hospital 120 should be notified by the emergency center. In this case, the police should have been called a long time ago. The car that caused the accident must not have escaped. But at this time, why didn't the traffic police move there? Sister, where did you get banged? Hao Guozhi shook his head.
Wang Qiaoying frowned and said, "I was hit on the sidewalk at the intersection in front of the hospital, and the off-road vehicle turned around quickly, and I was hit on the spot." I don't know the rest of the story. (To be continued......)