Chapter 234: Choice
As mentioned above, the county-level hospitals in Huaxia are basically public institutions and enterprises, which means that it is a public hospital, but it is self-funded, and it is simple and clear that the state is not responsible for the salary of hospital employees, and the hospital has money to pay wages to employees if it makes money, and if it can't earn and lose money, it can't pay wages to employees, which is the hospital's business, and the government will not care about it.
It is precisely because it is self-financed that the hospital has clear rules and regulations issued to various departments, once there is a situation of patient evasion and omission, it is necessary to investigate the individual, take today's incident as an example, once the patient is put on a ventilator, no one pays the cost of thousands of yuan, and the money has to be paid by Yi Demin.
How much is Yi Demin's monthly salary? More than 2,000 fast, the emergency department of the county hospital is a clear water yamen, counting all the messy money, when there are many patients, it is more than 4,000 fast, when there are fewer than 3,000, the ventilator cost of several thousand yuan is almost his monthly salary, or his monthly salary is not enough to pay this money, he is naturally unwilling to take this risk, he is also a human being, he also has to eat, drink and sleep, he also has to support his family, these all need money, for a stranger he never knows, take the money he earned from working tirelessly for a month, No one wants to change it.
Writing this, there will be people standing on the moral high ground accusing doctors of having no medical ethics, people are going to die, you still feel sorry for your month's salary, I am saying, it is only possible to let you out, and it is not certain, in case the family comes to pay that? You still have a good reputation, and the family has to thank you.
There are many people in Huaxia who have no money for treatment every day, take the emergency department of a small county hospital as an example, they have to meet such patients at two ends in three days, and all this money is given to the doctors, and the doctors are still alive? Don't forget that doctors are also a profession, and those who do this work rely on this job to earn money to support their families like you, me, and him.
Those who accuse doctors of having to pay for the treatment of patients when they encounter patients who have no money for treatment, why do they go to the hospital if they are fine, and when they encounter such patients, they will pay for it, these people say, you let them pay? These people dare to point at your nose and scold your mother.
Another point is not a few decades ago, as long as the doctor tries his best to save the life, whether it is saved or not, the family members are grateful, and in contemporary times, such family members are not absent, but more family members think that when people go to the hospital, no matter what the disease, the doctor must save the person, whether the doctor is incompetent, that is, the doctor does not do his best, that is, the doctor has made a medical accident in the process of treatment and has killed the person.
In the end, instead of thanking the medical staff, they made a big fuss, why did they do this? In fact, it is nothing more than a money word, if you want to get rich for surgery, sue the doctor after the operation, this is regarded by many people as a golden and jade good word to make a fortune, and they really seize the opportunity, and the hospital and the doctor who receive it will wait for bad luck.
If you are a doctor, you encounter a patient from Mi Zixuan's back, in order to save him, you don't wait for the family to come to the ventilator, the rescue is rescued, and in the end the person is not saved, the family members make a big fuss with you afterwards, and you killed their relatives to death, and finally the hospital in order to calm the matter and not let the gaffe continue to expand, at least you have to apologize to the family, and then bear all the costs, you are kind enough to save people, but you ended up like this, are you chilling? In such a situation, do you care?
Needless to say, I believe many people have the answer in their hearts.
Yi Demin has been working for a few years, when he first joined the work, his heart was not cold, his blood was cold, and he didn't want to meet such a patient, so he first saved people in saying, but he was not a god, not any kind of patient can be saved, and finally the patient died, and he finally ended up bowing to his family and apologizing, bearing all the medical expenses, and paying the family a sum of money.
Today, Mi Zixuan is going to be put on a ventilator regardless of it, he naturally has to ask clearly who pays the money, and who bears the responsibility for what happens, he and Mi Zixuan are not friends, but rivals in love, in order to Xiang Qi Xuan, the two people were quite unhappy at the beginning, and now when he encounters such a patient, he is not two hundred and five, so naturally he will not pay out of his own pocket to help Mi Zixuan resist this thunder.
It has been more than half a year since Mi Zixuan was reborn and returned to this era, and in the era in which he lived before, Mi Zixuan has also read a lot of relevant information about how bad the current medical environment is, so he clearly understands why Yi Demin did not come up to save people, but to find family members and talk about money.
Mi Zixuan is angry in his heart, not because Yi Demin stubbornly adheres to the old-fashioned and impersonal rules and regulations of the hospital, nor because Yi Demin talks about money and responsibility when he comes up, but because he is angry about the contemporary doctor-patient relationship.
Doctors and patients should be comrades in the trenches, with a common enemy, the disease, and should trust each other, but now? The patient is wary of the doctor, the doctor is wary of the patient, neither of the two sides trusts the other, this situation is not beneficial to either party, the only one who benefits is the invisible and untouchable disease.
Mi Zixuan suddenly felt very powerless, what if he was reborn and had no skills? What if he was able to cure many terminal illnesses over time? He can't change the current medical environment, and he can't change the status quo that doctors and patients are enemies.
Mi Zixuan sighed and said suddenly: "I will pay the money, and I will bear the responsibility." Speaking of this, he took out a card from his shabby wallet that he didn't know how many years it had been used and threw it to Yi Demin, and continued: "The money here is enough, now on a ventilator, there is no need to find someone from the anesthesiology department, I will intubate." ”
The ventilator is intubated, in the vernacular, it means inserting a tube along the patient's mouth, through the vocal cords to the trachea, and then this tube is connected to the ventilator, which is done by the anesthesiology department in the county hospital.
Now Mi Zixuan is not an emergency doctor, let alone intubation, even if it is to rescue patients, he is not qualified, but Yi Demin smiled coldly and agreed, the reason is very simple, he wants to see Mi Zixuan's jokes, see how he can end up if he can't save the patient, as for whether Mi Zixuan can be successfully intubated Yi Demin didn't even think about it, he knows very well how Mi Zixuan's skills are, an intubation can not help him, the difficult thing is how he can save this patient who has no heartbeat, and the difficult thing is how to deal with it if the family makes trouble.
In Yi Demin's opinion, it is impossible for Mi Zixuan to save the patient, her heart has stopped beating for too long, and her pupils have begun to dilate, he wants to see if the patient is dead, once the guy makes trouble, how will Mi Zixuan end, he did not stay in the diagnosis and treatment room and went directly to the office, and waited for a while Mi Zixuan to face the storm.
He has seen a lot of such situations, he is 70% sure that the family will definitely make trouble, no one will get along with the money, no trouble, people die, thousands of yuan of medical expenses have to be paid, trouble, not only do the medical expenses have to be paid, maybe the hospital and Mi Zixuan will have to lose some money, who let Mi Zixuan put the patient on a ventilator without the consent of the family? The family members can completely mess around and say that Mi Zixuan's ventilator is to cheat them for money.
As soon as the patient died, the family wreath was placed at the gate of the hospital, and the paper was burned in the emergency corridor, crying that the doctor had treated their relatives to death, and it was useless for the police to come at that time, the family members did not hit the medical staff, and their relatives were treated to death by the doctors. Is there still a heavenly principle? Is there still a royal law?
As soon as the family members said this, they rushed to the current poor medical environment, not to mention the lively people eating melons, even the police would sympathize with them, and they would have preconceived ideas that the doctors had treated their relatives to death.
At that time, Mi Zixuan is yellow mud and drops his crotch, not is also, the hospital will definitely settle the matter, and the final outcome is that Mi Zixuan apologizes to the patient and loses money.
Mi Zixuan, aren't you a cow, don't the dean and director like you? Now that you're jumping into the fire pit yourself, you're bringing yourself on your own misfortune, then don't blame me for your jokes. Thinking of this, Yi Demin sneered, stood up, made himself a cup of tea, and drank it deliciously.
Thinking of the fire in Mi Zixuan's heart in the near future, he clenched his fists tightly, and his face was not angry, but he still had to bow and apologize to his family in a low voice, Yi Demin wanted to laugh.
Xiao Chen pushed the ventilator over, and at this time Mi Zixuan had already inserted the tube into it, Xiao Chen handed him the tube of the ventilator, and said with an embarrassed face: "Mi Zixuan, forget it, the family is not here, I have no hope for her in this situation, I have no hope of being on a ventilator, why do you bother yourself?" ”
Mi Zixuan didn't look at her, and after quickly connecting the pipeline, he began to adjust the ventilator, he sighed and said: "I know that if I meet an ignorant family member, I will definitely be unlucky, but I can't watch her die, right?" I'm a doctor after all. ”
Xiao Chen argued: "But what happened to the doctor? Doctors are also human beings, people will seek advantages and avoid disadvantages, and the same is true for doctors, why do you take this risk? It's not worth it, if Doctor Xiang is here, she definitely won't let you do this! ”
Mi Zixuan sighed and said, "What kind of doctor is he if he doesn't save him when he dies?" I can't control others, I can only manage myself, in short, I can't stand by when I encounter such a situation, this is human life. ”
Xiao Chen looked at Mi Zixuan with admiration and said, "You are a good doctor, if you can usually stop being so careless, I think you are still quite handsome." ”
Mi Zixuan smiled bitterly: "Actually, I've always been very handsome, it's just that you haven't found out, okay, don't talk nonsense, find me a puncture needle." ”
Xiao Chen immediately exclaimed, "What are you looking for a puncture needle for?" ”
Xiao Chen has also been in the emergency department for many years, and she has seen a lot of patients rescued, but she has never heard of using a puncture needle to rescue patients with myocardial infarction.