Chapter 904 Textbook? Doctor Xu!
Pang Honggu!
Medical record number XXXX, femoral neck subcapital fracture, this is Pang Honggu who was discharged from the hospital not long ago!
Moreover, the femoral head replacement was also performed by the orthopedics department at Xu Qiu's request.
He thought the operation was too simple at the time, so he did not perform it.
In the end, it was handed over to an orthopedic doctor, who was exactly this Zhu Mingsheng!
In other words...
He arranged a femoral head replacement for this patient.
Then he gave the task of the main surgeon to Zhu Mingsheng.
As a result, he was inexplicably blamed.
No, the key to the problem is... Why did the medical insurance department punish him?
Xu Qiu looked back at the notice issued by the medical insurance department, and his expression was a little silent.
According to common sense, femoral neck fracture can only be treated with open reduction and internal fixation.
Most patients will slowly get better after internal fixation and bed rest.
But for an elderly person with so many underlying diseases, let her stay in bed and wait for recovery?
What's the difference between this and waiting to die!
Clinical guidelines are only for reference. Real clinical practice often requires specific analysis. At least in the case of Pang Honggu, there is only one option: femoral head replacement and waiting to die.
Even if the leg is amputated directly, it is impossible to consider open reduction and internal fixation!
"The medical insurance department is a bit fierce."
When they are ruthless, they dare to punish even the medical orders they issued...
Xu Qiu directly sent a message in the group.
"The director of the medical insurance department will come over at noon."
Soon, the director of the medical insurance department replied in seconds: "Okay, okay!"
He still knows who the thigh of the medical doctor is.
For some reason, the director of the medical insurance department has a bad premonition.
Damn, I wanted to catch a typical example of over-medicalization, but I didn't kick the iron plate!
He quickly retrieved the orthopedic medical record.
There is no problem, it is indeed Zhu Mingsheng!
He refreshed it several times, but there was still no information.
After sitting blankly for four or five minutes, the computer screen suddenly jumped.
Pang Honggu's medical record interface suddenly refreshed a large string of information.
"Doctor: Shi Lian."
Afterwards, the medical record repeatedly showed records of Xu Qiu's ward rounds and examinations.
At this moment, the director of the medical insurance department turned pale.
Damn, what kind of broken system is this in the hospital? It took four or five minutes to synchronize the medical information? !
This is the high-end product that Linyi spent more than 10 million to buy? !
…
In the group chat.
Seeing Xu Qiu's speech, a lot of doctors and nurses began to bubble up.
"Fuck, what did I miss?"
"Who dares to offend me, Dr. Xu!"
"What Dr. Xu? Call me Leg Brother!"
"This punishment seems to be fine. Although I am an anorectal doctor, I learned it in my undergraduate studies. This kind of femoral neck fracture can be treated with an incision and internal reduction. If you want to do a femoral head replacement, it must be necrotic to be considered an indication for surgery!"
"You have worked in the clinic for so many years in vain. Can you believe what is in the textbook? It also says that bronchial asthma needs a provocation test. Try one in the clinic and you will die!"
"Chrysanthemum Guardian, don't interrupt. This patient belongs to Dr. Xu, and the femoral head replacement was also required by Dr. Xu!"
"Oh, that must be a mistake in the textbook. Rubbish textbook, Director Xu is invincible!"
"..."
Soon, the orthopedics department was also alarmed.
Zhu Mingsheng, who was squatting in the lounge and autistic, excitedly tapped the keyboard: "Dr. Xu, help me!"
The punishment measures are terrible!
In terms of reimbursement, it's okay. Pang Honggu only reported a total of 80,000 yuan, and the rest was paid by herself.
The department only needs to compensate 80,000 yuan, which is not much for him personally.
Moreover, the department has also become richer with Lin Yi, and this money is actually paid by the department, and it will not be deducted from him.
However, the three-month bonus is actually gone!
This is actually a small amount of money.
What is more terrible is the qualification for this year's awards and honors!
He has worked diligently for a year, and now it is almost the end of the year.
If he persists for another two or three months, he will almost certainly win this year's Outstanding Orthopedic Doctor.
He can get a reward of more than 50,000 yuan.
And he has written a lot of papers.
In addition, he has a large number of patients and received many banners. The doctor-patient satisfaction rate is close to 95%.
This kind of achievement can be said to be the best among the crowd.
It is normal to get an extra 300,000 or 400,000 yuan in year-end bonus this year.
But if the qualification for awards and honors is cancelled, these 300,000 or 400,000 yuan in rewards will be gone, and there will only be a dry year-end bonus of 100,000 yuan!
Originally, he could only accept the punishment obediently.
After all, even if he is the director of the orthopedics department, he cannot confront the medical insurance department head-on.
But now he sees hope!
…
All morning, a large number of people in Linyi were paying attention to this matter.
It was a bit like a change of situation.
But Xu Qiu, who stirred up the situation, sat in the clinic peacefully.
In between seeing patients, he also sent messages to Wang Shengde, the director of orthopedics and others, asking them to participate in the temporary meeting at noon.
People from Greentown First Hospital and Tiantan Hospital, who were looking for unlucky people in neurosurgery, also became interested.
Good guy, Xu Qiu dared to confront the medical insurance department?
Although they were not orthopedic doctors, they were also tortured by various reimbursement lists and medical insurance regulations.
Real clinical practice is extremely complicated.
It is simply a fantasy to want to use a piece of dogma to find treatments for all diseases and try to cover the entire clinical medicine.
Although there will be no mistakes in general, once there is a problem, the doctor will become a scapegoat in a dilemma.
Take Pang Honggu for example.
Subcapital fractures are very easy to break, and combined with Pang Honggu's physical condition, open internal fixation is a death sentence.
If they are responsible for the patient, they will directly perform femoral head replacement.
But this will give the medical insurance department a handle.
And being responsible for medical insurance... the patient will suffer, and the doctor will eventually become a "quack" in the eyes of the family members, and a representative of "getting worse and worse" who has lost all medical ethics.
"Femoral neck fracture is a single disease, and can only be reduced by open internal fixation" is just an example in the regulations.
There are many departments in neurosurgery and cardiac surgery.
They really want to see how Xu Qiu plans to deal with this matter!
...
In the clinical clinic, everyone is excited and eager to try.
In the administrative building, Director Zhao of the Medical Insurance Department, wearing sunglasses, sits calmly at his desk.
After taking off his sunglasses, his eyelids start to twitch wildly, and his legs can't help shaking.
Although he frantically warned himself that Dr. Xu was a civilized man and would not do anything to him...
We also act according to the rules. Dr. Xu did not question him in the group, which showed his attitude...
But, facing this thick thigh, the director of the medical insurance department could not help but be nervous.
Especially seeing the excitement of the whole hospital, all of them were eager to defeat the villain immediately, he was even more scared.
I am also a member of the clinical medicine, why can't I be well and happy with you? !
The world where only the medical insurance department is injured has been achieved!
Dinglingling!
At this time, the alarm clock announcing the death penalty rang.
Seeing that the pointer reached twelve o'clock, Director Zhao of the Medical Insurance Department trembled and put on his sunglasses again, pulled his hands at the corners of his mouth, pulled out a smile, and rushed to Xu Qiu's office.
Before leaving, he wiped his fingers with the white coat of the staff member Xiao Zhang.
——
Remember to vote for love!
