"Doctor Zuo, the patient has already owed the fees. Should we hurry them up?" The head nurse called Zuo Cidian's phone, and her tone was still polite.
Zuo Cidian hummed and said with a slight headache, "Didn't the doctor in charge rush them?"
"They did, but they didn't."
"Is that so …" Zuo Cidian thought for two seconds and said, "Doctor Ling has already done a preoperative consultation, and the surgery has already begun to prepare. So, the surgery must be done. If they want to rush them for the fees, just do it as much as they can. "
"What if they can't?"
"Then we'll talk about it after the surgery. In short, the surgery can't be delayed," Zuo Cidian replied firmly. He then said, "Anyway, it's an open surgery, and it doesn't cost much. If they really can't do it, don't we have a policy to waive the fees?"
"They changed it to a laparoscope," the head nurse said and said. "There are only a few waivers. The patient isn't poor, and he's not so poor that he can't even feed himself … Forget it, I'll see what I can do."
The head nurse was also quite helpless. She hung up and went to make arrangements.
Zuo Cidian guessed that she might still ask someone to urge them again. If they really couldn't do it, she would just acquiesce. After all, the hospital would not feel that the patient's medical fees were expensive. With the surgery volume of Yun Hua Hospital, as long as 1% of the patients evaded the fees, the hospital would be chased by the bank next year.
Due to Ling Ran's large surgery volume, a large number of special patients, and international patients, the Emergency Medical Center was currently a very rich department. But this was built on the basis of normal fees. It was fine if they occasionally waived the fees, but if they were to do it on a regular basis … If even the country could not afford it, how could any department or doctor bear it?
Money did not represent evil, but it represented labor.
The labor force of doctors and nurses, the labor force needed for the production of drugs, the labor force needed for the production of instruments, and the labor force needed for the construction of hospitals were only represented by numbers.
There had to be a source for this number.
In the United States, medical expenses were already the most expensive in the world, accounting for 17% of the annual GDP, which was 3.4 trillion US dollars. Of which, nearly 1 trillion US dollars came from government expenditure, which was equivalent to the tax burden. The remaining 2.4 trillion was mainly borne by insurance. In a situation where 90% of the country's population was insured, the average American would need more than 5,000 US dollars per year for medical insurance before they dared to go to the hospital to see a doctor, and their average expenditure was more than 9,000 US dollars per year.
Medical expenses were a bottomless pit, especially at the end of life. The desire to live could not be talked about cost-effectiveness, nor could it be talked about cost-effectiveness.
Zuo Cidian did not want to be the bad guy, but he was worried that he would be delayed. He only went to the ward before the surgery began, and he could hear the conversation between the father and daughter from afar.
"Dad, don't worry. I've already raised the money. My boss and leader have lent me some. They're all rich people. They said that they're not in a hurry to return the money."
"It's good that you managed to borrow it. Sigh, even if you managed to borrow it, you still have to spend it sparingly, understand? Money borrowed had to be returned. My illness … If I can get better, I'll be discharged earlier and earn money to return the money. If I can't get better, sigh … I've caused a lot of trouble for our family. "
"Dad, don't say that. The doctor said that you just have a bad stomach. After the surgery, eat less, rest a little, and you'll be fine!"
"I hope so."
"I've checked. This Doctor Ling is quite a famous doctor. He has cured many people. Don't be afraid. He will definitely be able to cure you."
"He will be able to cure me, he will be able to cure me … Alright, go back to your room and rest. I've just finished the surgery, and the nurse pushed me over." His father's voice was steady, and it was the kind of voice that Zuo Cidian often heard. For a moment, it made Zuo Cidian think of his own son.
If he was still a doctor in a township hospital and was sick, he would probably use the same words to remind his son.
Zuo Cidian thought absentmindedly. When he walked over again, the patient had already been pushed away. The patient's family followed the patient to the next door and did not continue forward.
"Doctor Ling's skills are among the best in our hospital. You don't have to worry too much." Zuo Cidian looked at the patient's daughter and could not help but comfort her.
"Thank you … doctor." The patient's daughter remembered Zuo Cidian, whose head was like a braised egg, but she forgot his name.
"I didn't do much. Doctor Ling was the one who led me in the surgery. After you recover, live a good life and return the money you borrowed. When you think about what happened today, it won't be so serious anymore. "Zuo Cidian smiled.
The patient's daughter hesitated for a moment and said in a low voice, "Um … I actually didn't borrow any money."
"Hmm?"
"I … I borrowed some from my colleagues, and I asked my leader and boss, but they said that they don't have any. I also borrowed money from everyone at home, "the patient's daughter said, and her eyes turned red." My father, my father's surgery … "
Zuo Cidian was flustered by her crying, and he quickly said, "It's okay, it's okay. If you can't return the money, just owe it for now. The surgery still needs to be done."
"Thank you, thank you …"
"It has nothing to do with me. This is the hospital's policy. "Zuo Cidian did not dare to bear this responsibility.
The patient's daughter still mumbled, "Thank you," and as she spoke, she actually started to choke. "I borrowed money from everyone I could, but my relatives didn't pick up my calls, and some even blacklisted me on WeChat …"
Zuo Cidian listened and could only sympathize with her. After staying in the hospital for a long time, he had heard too many similar stories. There were cases of people who could not borrow money from relatives, and there were cases of husbands who took the money they borrowed and ran away.
"After my father's surgery, if it turns out to be malignant, does he still need chemotherapy?" The patient's daughter asked the question she had asked many times.
Zuo Cidian could only give an ambiguous answer to this question. "The probability of gastric stromal tumors being benign is quite high, so you don't have to worry too much. But if it turns out to be malignant, it depends on the situation. Some need chemotherapy, and some don't. If chemotherapy is needed, then chemotherapy is needed. The survival rate is also relatively high. "
"How … much money?" After the patient's daughter finished asking, she lowered her head.
Zuo Cidian did not immediately say a number.
He looked at the patient and looked around before he said in a low voice, "If you trust me, treat your father first. If you have money, pay some. If you don't have money, just tell the truth. "
"They said … they'll stop taking the medicine if they don't have money." The patient's daughter looked at Zuo Cidian.
"It won't be that soon. Besides, your father's surgery was performed by Doctor Ling. It shouldn't be a problem to drag it out for a while." When Zuo Cidian said this, he did not stay any longer. He turned around and left when no one saw him.
If what he said just now was heard by the Medical Affairs Department, he might be criticized.
The patient's daughter did not know what was going on. She just thought that Zuo Cidian was comforting her, and she felt a little calmer.
…..
In the operating theater.
Ling Ran performed the surgery very slowly so that Ren Qi and Ye Sigong could see clearly and understand what was going on.
Both of them were general surgeons who had quite a foundation. They had performed gastric resection and laparoscopy before, but the quantity and quality of their skills were not as good.
Performing a surgery was actually equivalent to studying.
A doctor's theoretical foundation was basically fixed when they were in their twenties or thirties. It was just like the students who were preparing for their exams at the end of their second or third year of high school. It was basically very difficult to improve their theoretical foundation.
Smart doctors and doctors with high academic qualifications would have a higher starting point. Doctors who did not have an advantage in terms of intelligence and academic qualifications would have a lower starting point. However, in terms of the final results, whether it was their scores in their national college entrance examination or their surgical skills, the number of questions they answered would be the deciding factor.
Doctors who could perform ten to twenty surgeries a week were equivalent to doctors who studied at an average level. They were about a hundred points better than students who did not study at the same level. However, if they could perform more than twenty surgeries a week, the world would be completely different.
Doctors who studied at an average level might only perform five more surgeries a week than other doctors. If they persisted for three years, they would perform five hundred more surgeries. If they persisted for five years, they would perform one thousand more surgeries. At least in a certain field, they would become the top five percent.
Ren Qi and Ye Sigong, who worked in county hospitals, were students who had never studied at an average level.
They could not even guarantee that they could perform ten surgeries a week on average. Usually, they could only perform five surgeries a week. Over time, they would become ordinary senior attending physicians in county hospitals. Compared to resident doctors in big hospitals, they had more experience as chief surgeons. Because of their long working years, they might have performed a higher number of surgeries. However, compared to attending physicians in tertiary Grade A hospitals, they were definitely weak, and they would be suppressed in all aspects.
However, Ling Ran did not care about this.
Nowadays, any skill he casually pulled out was at Master Level. If he were to compare his skills to those in his national college entrance examination, he would be considered as a teacher who came up with questions.
If he only focused on one aspect, he still had a lot of ways to improve Ren Qi and Ye Sigong's skills.
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