Chapter 539: Future

"Doctor Xiang is here."

"Doctor Xiang will take a look."

"Doctor Xiang, the rooster for the second bed, you can go back and eat it."

In just two weeks, Xiang Xueming gained a firm foothold in the branch hospital. Whether it was nurses or nursing staff who often came to see the doctor, they all added the title of "Dr. Xiang" in a polite manner.

Although Xiang Xueming still misses the prosperity of big cities, the advancement of Yunyi Hospital, and the operating room of Yunyi Hospital, the resentment of coming to the branch hospital has dissipated a lot.

After all, it is a pleasant thing to be respected, not to mention that he is allowed to perform surgery here.

Bazhai Township is located in a remote place with difficult roads, but it is rich in tea and has planted a large number of fruit trees. The per capita income is good and the population is quite large.

The locals had an emergency, and they were all sent to Yunhua City in the past.

The mountain roads are difficult, and people often wait for someone to deliver them. Minor illnesses have become serious illnesses, and serious illnesses have become incurable.

The Bazhai Township Branch supported by the Cangping District Hospital was established for this reason. At the beginning of construction, it was also modeled on a standard hospital. The level is low, but there are operating rooms, endoscopes, microscopes and other equipment. Although the sparrow is small, it has all internal organs and can perform most emergency operations. It has 20 beds and has the ability to provide special care.

Xiang Xueming had an operation in the Bazhai Township branch hospital, and no one competed with him at all.

Zeng Xingteng is seven or eight years older than him, but his background in a district hospital and experience in branch hospitals make his emergency skills extremely limited, especially for slightly more advanced techniques, such as endoscopy, etc. Zeng Xingteng has no confidence in doing it himself .

Although Xiang Xueming didn't have much confidence, he had seen it many times and had done it by himself.

Although very little was done, and most of the surgeries were not performed by a complete surgeon, the experience of being "forced" to perform surgeries in the environment of Bazhai Township made Xiang Xueming grow extremely fast.

"Xueming." Zeng Xingteng had already been waiting in the office with a smile on his face.

"Doctor Zeng." Xiang Xueming still had the politeness of a student.

"Just call Lao Zeng." Zeng Xingteng said, got up and closed the office door, and handed out another envelope: "Count it."

Xiang Xueming has some ideas,

After taking it over, he still asked, "This is?"

"The pharmaceutical company settled the bill." Zeng Xingteng said without any scruples: "You and I are half and half, no problem."

"En." Xiang Xueming pinched the envelope and wanted to open it, but he was embarrassed.

"Count it and count it face to face, so as not to be unclear afterwards."

"good."

Xiang Xueming opened the envelope, and what was pulled out was a large stack of red banknotes, which were heavy in his hands.

Xiang Xueming suddenly broke out in sweat.

He really rarely has access to so much money.

Not to mention that the tuition fees are all deposited into the bank card by the parents, even the internship at Yunhua only has a subsidy of a few hundred yuan. Occasionally, Ling Ran took him out to be a flying knife assistant, but he didn't get so much.

"How much is this?" Xiang Xueming didn't want to count the money in front of Zeng Xingteng. He doesn't know how to roll up the money and count it quickly, he can only spread it out one by one, which makes him look silly.

Zeng Xingteng smiled, no longer insisted, and said: "Five thousand four hundred and five."

"So much?" Xiang Xueming was startled.

"It's two weeks, and I settled it all at once." Zeng Xingteng paused for a while, and then said: "We used to send away the patients who had undergone surgery, or we just contacted patients who had undergone surgery. Like this time, the patient is with us the whole time."

The patients in the Bazhai Township Branch Hospital can only be local, and the total number is limited. Naturally, one less patient will be sent away.

Correspondingly, if none of this is sent away, the doctors will easily be full.

Xiang Xueming calculated with his gums, if it is 5,450 for half a month, the medicine cost for a month will be 11,200.

In terms of the income of a resident doctor, this is not old or young.

After all, he still has his personal salary and the average bonus of the district hospital.

"Let's do a few more surgeries while it's just the two of us." Zeng Xingteng smiled like a farmer who had a bumper harvest.

Xiang Xueming nodded slightly, and said again: "Then there must be patients."

In Yunyi, there are not enough beds, and in local grassroots hospitals, there are not enough patients.

Zeng Xingteng had already had an idea, and said, "Do you know how the new rural medical system is reimbursed?"

Xiang Xueming shook his head.

"Let's not talk about the specifics, but roughly speaking, the patients who use the new rural medical system are reimbursed 60% in the first-level hospitals in the town, 40% in the second-level hospitals, and only 30% in the third-level hospitals. In addition, more than 5,000 There are serious illness compensations, but if we have appendicitis, it will cost about 5,000, right?"

Xiang Xueming understood a little bit, and couldn't help looking at Zeng Xingteng.

"For ordinary diseases, if you want to save money, first-class hospitals like ours are the most economical." Zeng Xingteng pouted, and said, "20% of 5,000 yuan is 1,000 yuan. People in the city may not care about it. We in Bazhai In places like townships, everyone can save as much as they can."

"More than that." Xiang Xueming sighed, he had a deeper understanding of the money issue.

"In short, let's do what we can, and send what we can't do to the district hospital or a higher-level hospital." Zeng Xingteng paused for a few seconds, and then said: "One thing, we are different from the hospitals in the city. It takes a long time to transfer to a hospital, so you can make decisions on the fly for some emergencies."

"What if... a medical accident?"

Zeng Xingteng curled his lips: "The branch is at this level, if someone makes trouble, just close the door."

"close……"

"Isn't it good to have a vacation?" Zeng Xingteng shrugged and said, "It's all here, what else can I do? At worst, it's just dismissal."

Most of the doctors in the branch hospital are under the contract system without establishment. Compared with doctors with establishment, they have a lot less guarantee, but they don't have as many scruples as doctors in establishment.

Just like what Zeng Xingteng said, what scruples do the doctors at the Bazhai Township branch have?

You won’t earn more here than the district hospital, and you won’t learn anything. Maybe you will learn more about the state of Chinese towns, but the doctors are obviously more willing to learn something about medicine...

Xiang Xueming, who had just received 5,450 yuan, had a flat expression when he thought of being fired.

If he could not afford the 80,000 yuan liquidated damages, Xiang Xueming would have resigned himself.

"I know, let's do what we can."

"That's right." Zeng Xingteng squeezed his envelope cheerfully.

He didn't do much, and he was able to get double the income, so he was in a pretty good mood.

After all, he gradually accepted all kinds of things about the Bazhai Township branch.

"However, there are quite a lot of patients in our branch hospital." After Xiang Xueming began to accept the reality, his mind gradually brightened, and said: "In the past two weeks, I have referred seven or eight patients, including those with enteritis and cholecystitis. , if there is a fracture, if it is placed in the Yun doctor, it will be a minor operation."

"kindness?"

"I can ask my former colleagues to come to our branch hospital for surgery and throwing knives, right?" Xiang Xueming muttered, "We can use up to 10 of the 20 hospital beds, and the remaining 10 can be used for throwing knives. Bar."

"Flying knives?" This touched Zeng Xingteng's blind spot. It was nothing more than staying in Bazhai Township for a few more years, let alone making flying knives for others. He had only heard of inviting flying knives.

Xiang Xueming is very proficient in this, nodded repeatedly, and said: "Dr. Ling in my treatment group used to throw knives, but he likes to specialize in one type of operation. I can also invite other doctors to come."

"Doctor Yun's?"

"Yes. If it takes 6 hours to go back and forth, I can invite some attending doctors to come and do three operations in one trip. If it costs 2000 yuan, it should be okay." Xiang Xueming calculated.

"Is this money paid by the patient?" Zeng Xingteng confirmed.

"Patients pay. They save money on insurance, and the treatment they get is still at the level of Yunyi, and we can still get a share of the medicine fee. It's a win-win situation." Xiang Xueming kept a word that he didn't say. The doctor attends as an assistant and continues to learn techniques.

Most of the directors of county and district hospitals learn in this way. The efficiency is definitely not as good as that of the inpatients and attendings in the top three hospitals, but there is always a chance to learn.

Zeng Xingteng thought about it, realized Xiang Xueming's thoughts, looked around without any objection, and said: "You have to tell the nurses, our branch is not like a big hospital, and the nurses stay longer than us. "

"I don't want the patient's medicine money from the flying knife. I will distribute it to the nurses." Xiang Xueming decided decisively.

Zeng Xingteng smiled: "Okay, the young man has a future."

./4_

.. m.