"Don't think about this kind of thing, you can't figure it out. Our medical system is a suture monster, and if you want to learn from the United States, you can't pull your face to play social development. Meng Qingfei said, "If you play universal medical insurance, free medical care will return to the old road of thirty or forty years ago, and the technical level is congenitally low, and it is also very scratching." ”

"It's so hard." Ji Xiang listened to the seven meat and eight vegetables.

"It's okay, as long as you don't want to, just do the job at hand." Meng Qingfei said, "In major surgery, the labor fee of the surgeon is 39 yuan per hour, which is still the money after the price increase. ”

"It's less than 40 yuan an hour, who wants this kind of surgery fee, right?"

"Yes."

"The resident boss of your department has a night shift fee of 20 yuan for a night shift, and you have to order food on duty, and you lose money every shift. My buddy quit his job and went to Modu to work in an American-funded hospital. ”

As he spoke, Meng Qingfei's eyes showed envy.

Ji Xiang rarely saw Meng Qingfei express his heart so bluntly, especially the envious look in his eyes, he didn't fake it at all, and it was overflowing.

"The year before last, he was on a Chinese New Year's Eve shift, guess how much night shift pay?"

"Five thousand." Ji Xiang Road.

"Fifty thousand!" Meng Qingfei raised his voice and said.

“……”

"If you want to say how high his level is, why don't I believe it. The main thing is the platform, the platform. Our Second Affiliated Hospital is quite good, you go to the grassroots level to see, even more so. Meng Qingfei said.

Ji Xiang agreed.

The old man who ate grapefruit, Meng Qingfei knew about the situation at a glance, and hurried to call the patient's family.

This kind of experienced doctor is sinking on the front line, unable to earn money, and can only barely maintain a simple life. Even, Meng Qingfei said that he had to rely on some other jobs to make a living.

"Teacher Meng, can't the price be set a little higher?" Ji Xiang asked.

"The lower the price, the more it can protect the interests of patients and reflect the public welfare of the hospital." Meng Qingfei said with a smile, "We are a public hospital, and the pricing is the price supervisor, health administration, human resources and social security departments.

In other words, a group of laymen are setting the price, and you can't do anything about them. ”

Ji Xiang was speechless, he always felt that this kind of system could not last, but it was the industry he was engaged in, and after so many years, it was still standing.

"I've studied the specifics, and to put it bluntly, it's the country's investment. But in recent years, we have been cutting investment, so let's just keep it and don't think about it so much. Meng Qingfei said, "The medical insurance is also going to be empty, these are similar to blood banks, so don't be surprised to see anything strange." ”

"If the local government is financially good, the doctor's income will be higher, and the medical level will be more developed. On our side, sooner or later we will die. There's no money to invest in medical care, what's the solution, right? ”

"Now it's boiling frogs in warm water, not just in the medical industry, but also in other industries. I can't see it, but you have to prepare in advance. ”

As he spoke, he was amazed, "Director Bai is really a talent, a dead end, Director Bai can not offend anyone, Zhongzheng calmly pushed forward." Let me tell you, if there is no Director Bai, Professor Deng of this pot orthopedics will be determined. ”

"Bell bell bell ~~~"

The phone rang at the nurse's station, and it was so clear in the cold night.

Ji Xiang clearly saw Meng Qingfei's body trembling, the flesh on his face trembled a few times, and he was obviously taken aback.

Even Ji Xiang could hear Meng Qingfei's voice coming from the chamber in his chest.

The ringing of the emergency night shift in the middle of the night really caused infinite psychological damage to Meng Qingfei.

Meng Qingfei didn't move, and Ji Xiang saw his ears move twice, erected 2-3 mm like an antenna, listening to the conversation of the nurse who answered the phone.

"Brother Meng! Hospital 120 sent a patient and said that it was considered to be acute myocarditis. ”

After hearing the diagnosis, Meng Qingfei was not nervous, but relaxed.

"Teacher Meng, acute myocarditis is a very serious disease."

"Harm, whether it's serious or not, it has nothing to do with us. What I'm most afraid of is a big car accident, I have to be rescued, I don't think I want to sleep, and the person on duty has to be ten years old.

Besides, acute myocarditis is an internal medical disease, so I can help the internist in the class squint for a while, and I will help her deal with it. If it's really troublesome, you can call her up, it's none of our business. ”

As he spoke, he touched his chin.

"The kind of class that encounters a major emergency car accident, the beard grows an inch."

Having said that, Ji Xiang noticed that Meng Qingfei did not call the Department of Cardiac Surgery and Cardiovascular Medicine to call the hospitalist, but got up to "greet" the patient in the corridor.

"Teacher Meng, why don't you look for the general hospital?" Ji Xiang asked.

"Doctors in lower-level hospitals are not reliable." Meng Qingfei said very "arbitrarily", "I have to see it with my own eyes." ”

"Unreliable?"

"About a year ago, it was a similar situation, a lower hospital referred a patient, saying that he was suffering from tension pneumothorax, and he was in a hurry. The patient was in a normal state, and I was just about to auscultate when the doctor from the lower hospital handed me a 50ml syringe and asked me to do a puncture. ”

"And then?"

"Later? I'll go back directly, if you are so clear, why don't you root the syringe yourself in the 120 ambulance. Meng Qingfei said disdainfully.

"Hahaha." Ji Xiang smiled, what he said was too direct, and it had the taste of a senior doctor.

"Actually, the patient vomited and aspirated after drinking too much, and I came to a Heimlich and it was fine immediately." Meng Qingfei looked at the end of the corridor and said leisurely, "If you follow the words of the doctor in the lower hospital, you will immediately open the pneumothorax, and it will be a proper medical accident." ”

"They're cheating fathers, and they don't count their own psychology, so they're asking me to get it."

As he spoke, the whistle of the 120 ambulance was heard.

Out of the corner of his eye, Ji Xiang saw that although Meng Qingfei did not move, his whole temperament changed, solemn and solemn, and there was a faint sense of solemnity from the autumn soldiers on the battlefield.

The flat cart pushed the patient in, accompanied by doctors and nurses carrying first-aid kits.

"What's going on?" Meng Qingfei asked.

"The patient had a cold 2 weeks ago and has not been well, and this afternoon suddenly had severe chest pain, considering acute myocarditis!" The doctor of 120 emergency said hurriedly.

The medical history report is not bad, and it is not verbose at all.

But unfortunately, Meng Qingfei didn't believe it.

Immediately pulled an ECG, looking at the hot paper spit out of the ECG machine, Meng Qingfei glanced at Doctor 120.

"Let's go back."

"Are you alright?" 120 The doctor was stunned.

"Of course." Meng Qingfei said, "The heart rate is slightly faster, 112 beats per minute, but sinus." ECG changes in acute myocarditis typically include various arrhythmias, conduction obstruction, and nonspecific ST-segment elevation, T wave inversion, and QT interval prolongation. ”

"There are no indicators of acute myocarditis, how do you diagnose it?"