Chapter 877 The one who must die!
"I want to go to the finals of the famous knife competition and let them see that even if Dr. Xu is banned by the unethical competition committee, his legend will still dominate the entire competition!"
"I have to consider whether this is my only chance in this life..."
A series of famous quotes have been circulating in the large group of clinical doctors before the selection.
Various Bibles and crazy literature such as "I am Dr. Xu's dog" are everywhere.
People who don't know may think that this is some kind of fanatical fan group...
However, at the competition site, these people who put down their bold words are more serious than each other. Once they put on masks and gloves, they become well-dressed again.
No one would have thought that some cold female doctors holding scalpels were dragging their pants and prprpr at Dr. Xu the moment before.
Of course, they are just being rude online.
When they really came to Xu Qiu, they didn't even dare to say a word of trembling.
...
The assessment items of the selection competition were formulated by Xu Qiu himself.
One is disease diagnosis.
The second is surgical level.
There are also corresponding assessment indicators for the nursing team.
Of course, in addition to these, Xu Qiu also provided a shortcut for the Linyi guys.
That is to challenge the doctors who have been selected!
As long as you prove that you have reached their average level, you can be directly selected.
But this is just a channel.
Basically, no one will ask for trouble.
Jiang Mai is a genius among doctors. He has practiced surgical memory that even Xu Qiu praised by dissecting small animals.
Yang Yuen... Livland Clinic, which ranks second only to Miaoyou Clinic in the world, is scrambling for it.
Qin Qiyin, Li Xue and others are all stars in Linyi, and their medical skills can even match many directors.
Even the youngest Shi Lian, with his own talent and Xu Qiu's cultivation, is not inferior to the previous ones.
If they can reach the average level of this group of monsters, why do they need to compete in the selection? They have been selected in advance.
After all, in Linyi where Xu Qiu has the highest voice, the so-called internal selection is actually a ranking of strength. It is impossible for the second or third generation, or the son of the dean or the grandson of the director of the Health Commission to come and get a quota.
This selection competition lasted for about a week.
Finally, seven more were selected to form a twelve-person medical team.
As expected, Shi Lian was the captain.
Her comprehensive ability was super strong, even the veteran Li Xue and Qin Qiyin had to admit it.
After all, she followed Xu Qiu.
The deputy captain was Li Xue.
Although Yang Yuen was talented, she was only 25 years old this year, two and a half years younger than Xu Qiu.
She lacked some time to settle.
On the nursing team side, Xia Zhu, a young nurse from the emergency department, was the captain of the nursing department, and another young nurse from the cardiac surgery department was also successfully selected.
Both of them were 24 or 25 years old, at the age of flowers, and had not experienced the long-term destruction of nursing work. They were still fresh green apples.
But they were also very experienced.
Especially Xia Zhu, she was a talent cultivated by Liu Susu with all her efforts. She soon made a name for herself in the emergency department and became Xu Qiu's capable nurse.
One of them.
…
After the personnel were determined, Xu Qiu began to train the team.
The level of Shi Lian and others was also improving rapidly.
Although Chen Qiao came back from Union Hospital, she still got along well with the people in the hospital.
She competed with different people in medical skills all day long, and she was always competing with others. In the past few months, there were only a few nights in the operating room that were not closed, and it was basically occupied by this team.
During the day, they practiced surgery and diagnosis.
At night, they continued to practice in an empty operating room.
Obviously, the emergency department was the most improved in technology.
This also made the emergency department lively.
As soon as the thirteen crazy doctors and nurses came in, the efficiency of the entire emergency department almost doubled.
It was seven o'clock in the evening.
The nurses' station received a call for rescue, and a group of people rushed out.
Shi Lian, Chen Qiao, Qin Qiyin and others stared at each other, ready to grab the patient.
At this time, the family members in the ambulance were still very nervous.
The patient was a middle-aged man with severe burns. Because of the explosion of liquefied gas in a hot pot restaurant, about 60% of his body was burned. His face was almost melted, but his torso, limbs and other parts were better, only second-degree burns.
His vital signs were already very dangerous, all the values were alarming, and many indicators were at critical values.
In addition, after the explosion, the remaining consciousness made him run a few steps outside and hit the billboard outside. There is a high possibility of concussion and cerebral hemorrhage...
For such a patient, it is not an exaggeration to describe it as a sure death.
That is why many hospitals dare not admit him.
They went to several hospitals one after another, and they only dared to give some basic rescue treatment. As for the follow-up treatment, they all recommended it to the clinical doctor.
The doctor on the car remained silent.
He also sighed in his heart.
If it were in the past, the hospital would not be so scared that it would not dare to admit such a patient.
After all, it is almost certain to die if it is so serious.
Therefore, if they can cure the patient, their hospital will become famous immediately. If they cannot cure the patient, it is indeed because modern medicine is limited and no one can save the patient.
For a patient who is about to die, as long as the family members recognize the reality, the hospital is willing to accept the patient, because the hospital will not lose money no matter what.
But now it is completely different.
Since the emergence of DRGs, the medical industry has undergone a dramatic change.
For a certain disease, the National Health Commission stipulates how much money is required, and that is how much money is required.
For example, for this patient with severe burns, the reimbursement limit stipulated by the National Health Commission is 30,000 yuan.
If it exceeds 30,000 yuan, the doctor will bear all the excess money.
Obviously, this patient cannot be cured with 30,000 yuan. Given his condition, it is hard to say whether it will cost more than 100,000 yuan.
If this person is really admitted, the hospital will have to advance 100,000 yuan for him.
Doctors only earn a few thousand or tens of thousands of yuan a month. In the end, doctors are just a profession.
Even Xu Qiu would not ask others to be like him. He only has one requirement for other doctors: abide by medical guidelines.
As long as they do not violate medical guidelines and treat strictly according to standards, they are considered good doctors.
All public tertiary hospitals are self-financing. Who dares to admit a patient when they have to spend more than 100,000 yuan?
Moreover, the most disgusting point of DRGs is not this.
The reimbursement amount set by it is 30,000 yuan. Even if the doctor controls the cost to the extreme and only lets the patient spend 10,000 yuan before being discharged from the hospital, the remaining 20,000 yuan will not belong to the doctor.
On the contrary, the Medical Insurance Bureau will consider that "since someone can save this patient for 10,000 yuan, others can definitely do it too", and thus reduce the budget again, reducing the reimbursement amount of 30,000 yuan to 20,000 yuan, further reducing costs.
In short.
If more money is spent, the doctor will make up for it.
If less money is spent, the Medical Insurance Bureau will reduce the reimbursement amount and let more doctors make up for it.
Under many factors, the man in the ambulance has become a "money-losing commodity" that no hospital dares to accept.
