Chapter Ninety-Three: The First Day at Work
Although Longyanquan Town Health Center is located in Longyan Spring, a tourist holy place, it can have the same embarrassment as most health centers in China, which is a problem of the medical environment in China.
If you have money, you will go directly to the big hospital in the capital, and the most time you don't have much money is to go to the county-level hospital, so the storage of the town-level health center is really embarrassing, and if you want to change this situation, you can only learn from the people of the United States, the average medical resources, like some town-level hospitals in the United States have doctors who have won the Nobel Prize in Medicine, and the hardware facilities here are no different from the hospitals in the city, so that the people will naturally not go to the big hospital like a little bit of a big problem like Huaxia.
In recent years, the state has vigorously developed rural cooperative medical care, and at the beginning of the implementation, each person only needs to pay 30 yuan per year to enjoy the benefits of reimbursement of hospitalization expenses, and in recent years, the money for cooperative medical care has increased, but it has not exceeded 100 yuan a year, which is definitely a pretty good welfare for rural people.
In order to share the pressure of large hospitals, the state has also begun to support town-level health centers, if the people are hospitalized in town-level hospitals, the reimbursement ratio can reach 85 percent, of course, not all hospitalization fees can be reimbursed, to remove the threshold fee of several hundred yuan, this threshold fee is different in each place, but it is definitely not too high, generally one hundred to two hundred, and then there are some miscellaneous money that cannot be reimbursed, and the rest can get 85 percent of the reimbursement ratio.
Moreover, if the people want to go to hospitals above the town level to be reimbursed, they must have a transfer certificate issued by the town-level hospital, but the threshold fee of the county-level hospital should be increased, and the reimbursement ratio will be reduced to 75 percent.
But in any case, it can be reimbursed a little bit, so that people have any problems that need to be hospitalized, even if they don't want to be hospitalized in a town-level hospital, but they also have to go through the motions, first come to the town-level hospital to see, and then find someone to open a transfer certificate and leave, which is to increase some popularity for the town-level hospital, and virtually make the source of the disease a little more.
However, it is just a little more, the status of the town-level health center is still embarrassing, and it can't keep patients at all, Liu Yongqiang and other old people in the health center naturally know about these situations, but Su Hongwen doesn't know.
He rushed over early in the morning to find Liu Yongqiang first, how dare Liu Yongqiang offend Su Hongwen now, politely took him to Lao Wang in person, and asked Lao Wang to send him a new coat, stethoscope, and percussion hammer, it is worth saying that when Longyanquan Health Center beat He Guangchen as the president, the new doctor did not issue a new coat, and the stethoscope and percussion hammer were naturally used by others, unless someone who had a relationship like Su Hongwen could get a new one.
Liu Yongqiang asked Lao Wang to give Su Hongwen a few water-based pens and then took him to the surgery in person, the surgery of the town-level hospital includes general surgery, orthopedics, thoracic surgery, etc., in short, the whole tube, the surgery does not have its own separate ward, and other departments share a ward, ** is not much, probably less than twenty, and now there is no patient in the empty ward, this is the case before, it can be said that it is rare to see people who are hospitalized.
In this way, the surgery does not need to be divided into outpatient clinics and wards, it is a room, Liu Yongqiang used to be in charge of surgery, and now that he is the dean, he naturally does not have to take care of this matter, the person in charge of surgery is a fat woman in her forties, this woman's name is Liu Yonghong, and Liu Yongqiang has a village relative, and she is Liu Yongqiang's cousin.
Liu Yongqiang personally brought Su Hongwen over to introduce him to Liu Yonghong, and told Liu Yonghong to take care of Su Hongwen before going back.
Yesterday, Su Hongwen came to make such a big move, not to mention that Liu Yongqiang, the dean, went to greet him in person, even the main leaders of the town went, such a big matter had already spread in the courtyard, and Liu Yonghong naturally knew about it, so when he heard Liu Yongqiang's instructions, he quickly agreed to come down and promised to take care of Su Hongwen.
As soon as Liu Yongqiang left, Liu Yonghong smiled and poured a glass of water for Su Hongwen in a disposable paper cup and put it in front of him, and then said: "Xiao Su, don't be restrained, if you have anything in the future, just tell your sister, and your sister will do everything you can do." ”
Su Hongwen has long been accustomed to calling other doctors, teachers, or directors, and now let him call Sister Liu Yonghong, Su Hongwen was still a little uncomfortable for a while, but he followed the customs of the locals, and Liu Yonghong didn't put up a stand to let him call the director, so he didn't need to do more.
"Thank you, Sister Liu." Su Hongwen politely poured a thank you.
Liu Yonghong suddenly clapped his hands and said: "Look at my memory, I forgot to arrange a place for you, you just sit opposite me, sit, sit." Liu Yonghong looked at Su Hongwen and sat down and said: "In addition to the surgery, I also have a doctor named Zou Jianguo, he has something at home these days and asked for leave, and he will come back in a few days. ”
"Huh?" Su Hongwen was stunned when he heard this, he thought that even if the town-level health center was not large, it would have to have some minor surgery, such as the appendix, but who would have thought that Liu Yonghong would only deal with a simple external injury, which made Su Hongwen very disappointed.
"Ah what, it's not good if you don't have surgery, it's not good for us to be doctors now, haven't you heard a sentence, it's called if you want to get rich and do surgery, sue the doctor after the operation, how risky is this, now this person can do anything for money, you do a good job in surgery, he can't do anything with you for money, so I think, it's better to have no surgery, idle." Liu Yonghong's words poured out the embarrassing situation of today's doctors.
In fact, this is not necessarily the case, there are still very few cases of patients looking for trouble for money in a big hospital like Anhe Hospital, after all, that hospital is the best in China, and the doctors in it have a high status, in the face of experts and professors here, even if there are people who want to make something for money, they don't dare to go wild here.
The most medical troubles are grassroots hospitals, the most at the county level, and relatively few at the municipal level, and the status of doctors in these two levels of hospitals is not high, and the doctors are not afraid of you.
As for the town-level hospitals, there are even fewer, not because there are few sources of disease here, but mainly because the town is small and there are few people, who doesn't know anyone, it can be said that you don't see you looking up and looking down, and everyone in many places still has some relatives, so you are embarrassed to go to the hospital for money to make a big fuss, unless there is a real medical accident.
Su Hongwen came to work with joy, but Liu Yonghong poured a basin of cold water on it, which made Su Hongwen feel as depressed as he wanted, and in the end he could only let out a long sigh, thinking about waiting for the weekend to go to the city to quickly collect the materials, and then learn surgery in the system.
Liu Yonghong, like most women, likes to chat and gossip, and now there is nothing to do, so he naturally pulls Su Hongwen to chat, starting with Su Hongwen's age, and asks Su Hongwen if he has a girlfriend, and deals with such gossip Aunt Su Hongwen said Alexander, he was embarrassed not to answer, so he could only sit there and deal with it.
The two chatted for more than an hour, and just as Liu Yonghong said that he had a cousin who was very beautiful and wanted to introduce him to Su Hongwen, a patient finally came to the door.
It's March now, the temperature in other parts of China has risen, but Longyan Spring is still cold here, such a temperature is a period of time when colds, fevers, and asthma are high, and these diseases should be responsible for internal medicine, and it has nothing to do with surgery, but the people go to the big hospitals and may know to find the corresponding departments, but the people in the town-level health centers will not bother with this.
They went directly to a doctor they knew well, and they said that the surgery and internal medicine departments in this place are not all for treating colds and fevers, and they can't treat serious diseases.
Pushing the door in, three people came in, a couple walked in with a seventeen or eighteen-year-old boy, the boy's face was not very good, but he could walk by himself, the husband and wife helped their son to the chair next to Liu Yonghong's desk, the boy's father said in a loud voice: "Sister, you show the doll, he has a fever for two days, and he has taken some fever medicine at home, but the fever has not subsided." ”
Liu Yonghong took out a thermometer from the drawer of his desk and said, "Brother Sun, don't worry too much, I'll show him first." After saying that, he shook the thermometer and saw that it was okay, and then let the boy clamp it under his armpit.
Su Hongwen will directly become air, the couple who came in and the child didn't even look at him, no wonder, first, he is a raw face, and second, he is too young, he just came, who can believe him?
Liu Yonghong saw that after the boy clamped the thermometer, he began to ask him about his current medical history, past history, allergy drug history, etc., and after asking, he listened to the boy's lungs with a stethoscope, and at this time the time to measure the temperature was also up, Liu Yonghong took the thermometer and looked at it and said: "It's not very high 38.6 degrees, so Brother Sun, I will open some test sheets, and you can take the child to check it." Speaking of this, Liu Yonghong turned his head to Su Hongwen and said, "Xiao Su will open the list of chest X-ray, blood routine, and electrocardiogram, right?" ”
It is not difficult for Su Hongwen to open these test sheets, and the chief complaint should be simply written on the test sheet of the chest X-ray, just Su Hongwen has been listening to it on the side, and there is no problem in writing out the main complaint, he nodded and said that he can open it.
Liu Yonghong didn't talk to Su Hongwen, but asked the boy if he had eaten and drunk in the morning, and only after getting a negative answer did he say to Su Hongwen: "Xiao Su opened blood routine, liver function, chest X-ray, electrocardiogram, and by the way, kidney function was also added." ”