Chapter 608: Internal Affairs

Boom.

Ma Yanlin gently knocked on Ling Ran's office door.

"Come in." Ling Ran's voice came through the door, making one feel relaxed and happy.

When Ma Yanlin pushed it away, he could smell a faint citrus scent. Needless to say, the nurses at the nurse's station changed to a new type of essential oil. In other words, the little nurse on duty today prefers this flavor of essential oil.

Since Ling Ran became the head of the treatment team, the income of the medical staff in the emergency center has increased rapidly. Not only that, but the tolerance for daily expenses has also been increased. After all, once the bonus reaches a certain amount, it cannot be raised too much, lest other departments in the hospital be dissatisfied. However, the funds in the department can be more relaxed.

For example, the nurse station now has the funds to purchase fragrance products. The head nurse also wrote an article "Exploration to Improve the Quality of Nursing Services in Wards" for herself, so that every ward and doctor's office is no longer It's the monotonous smell of disinfectant.

However, in the wards and other doctors' offices, there are often sandalwood or lavender scents that have not changed for thousands of years, but the scent in Ling Ran's office is completely different.

Sometimes when Ma Yanlin passed by Ling Ran's office, he would take an extra sniff to increase his knowledge and look handsome.

It's a pity that Ma Yanlin was not in the mood to enjoy it today. He frowned and said, "Doctor Ling, the two patients who came here this morning with a ruptured Achilles tendon both asked for Zhu Ling's Achilles tendon repair."

"Are both of them athletes?" Although Ling Ran notified Ma Yanlin of a new patient with a ruptured Achilles tendon, he did not see the patient, it was just a referral from the emergency department.

As the person in charge of the treatment team, Ling Ran needs to do front-line work, but he doesn't have to do front-line work. The most basic tasks, such as taking medical history, simple physical examination, arranging hospital beds, arranging video shooting, biochemical examination, etc., are all done by junior doctors.

If the little doctors lost even these jobs, the hospital's training system would collapse.

Similarly, if experienced senior doctors have to do this kind of thing by themselves, the hospital's training system will collapse.

However, Ma Yanlin is a little bit broken now.

He was full of thoughts, followed Ling Ran's words, and said cautiously: "The problem is here, neither of them are athletes, they are just ordinary people, but they both know about Zhu Ling's Achilles tendon repair surgery, and you are required to do it. And it can only be Zhu Ling's Achilles tendon repair done by you."

Most public hospitals,

Under formal channels, it is not possible to specify a certain doctor to perform the operation. On the other hand, some hospitals are carrying out reforms, offering roll call fees, and charging prices ranging from several hundred yuan to well-known doctors in the hospital.

The current hospital reform is actually turning unspoken rules into explicit rules.

For example, doctors in well-known hospitals, especially doctors at the director level, unless they are looking for someone through their relationship, most of them don’t perform operations in this hospital—take two extra steps and do surgery in the hospital next door. If you get thousands of dollars for the flying knife, you can do surgery in this hospital, and get hundreds of dollars for the operation, so why bother?

From the perspective of the hospital, the logic of the roll call fee is mostly here.

However, it is usually enough to call the doctor by name, and the type of surgery required by the roll call is something that hospitals and doctors cannot agree to.

What should I do if I find that the actual situation is different from the video data and the prediction?

The anesthesia can't be relieved. Let's wake up again.

Furthermore, the Zhu-Ling Achilles tendon repair surgery is too uncommon for ordinary people. It is not easy for ordinary people to know about famous surgeries, such as the quadruple operation of Faluo, which is known to any medical student. Little is known.

Ling Ran didn't think much about it, he just said, "If you're not an athlete, it's not very necessary to have an open Achilles tendon repair. How old are you?"

Ma Yanlin said: "One is 48 years old and the other is 52 years old."

Ling Ran coughed twice, took a sip of water, and asked, "What's the reason for the open Achilles tendon repair?"

"The patient insisted on doing it and explained not to do minimally invasive surgery. The main reason is that one of them said that he knew a reporter or something. If we refuse to do it, we will expose it or something."

"Expose what?"

"Rejecting the patient? Disrespecting the patient's wishes?" Ma Yanlin, who had completed two operations, had his scalp and head blown when he received the new patient just now.

Just like other treatment groups in the hospital, after the patient is paid, the doctor in charge of the bed is the direct person in charge of the patient. In surgery, everything except surgery, so to speak, is in the charge of bed doctors.

As small as time arrangement, as large as prescribing medicine and pricing, as well as postoperative recovery, nursing level, etc., everything that the superior doctor did not take into account was done by the bed doctor.

Ma Yanlin has always been the bed doctor for Achilles tendon patients, and now there are hundreds of patients who have been treated by him.

However, the requests of the two patients just received made Ma Yanlin aware of trouble and danger.

Without too many associations, Meng Shan's name popped up in his mind, but Ma Yanlin couldn't say it directly.

Ma Yanlin could only remind Ling Ran specially: "The two patients are from Guangdong Province. They said they were introduced by other doctors, but they refused to say which doctor introduced them. I think what they said may also be the doctor. It’s taught, and journalists aren’t journalists, so I don’t know if it’s true.”

"What the two of you said is actually correct." Ling Ran stood up from his chair and paced around the office.

His office is small, but it is carefully furnished, and, because he is often replaced with furniture and furnishings, the room even feels fresh.

Now when Ling Ran is writing papers, thinking about surgery, doing pre-operative preparations and post-operative thinking, he likes to take two slow steps, so that the blood will flow and his thinking will become active.

Following Ling Ran's movements, Ma Yanlin's gaze became somewhat dull: "That's right?"

"Well, we are doctors. Respecting the patient's wishes should indeed be a priority." Ling Ran nodded slightly, obviously agreeing.

Ma Yanlin frowned: "They are wrong again. People in their 40s and 50s may have to lie in bed for three or four months for an open operation. They must have been bewitched."

"Then go talk to them again." Ling Ran delegated power to Ma Yanlin without contacting anyone.

Ma Yanlin went out, hesitated for a while, and could only talk to Zuo Cidian.

"Do you think Meng Shan sent someone to find fault?" Zuo Cidian heard it immediately.

"I think it's a bit similar." Ma Yanlin guessed, and said: "Let's talk about it, Meng Shan must be a famous doctor. If he tells the patient something..."

Zuo Cidian shook his head and interrupted Ma Yanlin, saying: "Meng Shan can't cut off the patient's hamstring and send it to us, right?"

Ma Yanlin laughed.

"Don't laugh, there's no way to laugh about this." Zuo Cidian sighed, and said, "Whether Meng Shan is involved or not, the patient is real, and this is the core. I think, let's focus on the patient first." alright."

Zuo Cidian, who has worked in villages and towns for many years, knows that too many things are unclear. If you want to clarify the affairs in the village, it is not enough to talk about the Republic of China, at least you have to talk about the Qing Dynasty. The most important thing is that if you break it off clearly, the two parties will still not recognize each other.

From Zuo Cidian's point of view, what happened in front of him was also similar.

Seeing Ma Yanlin who was only half his age, Zuo Cidian's tone eased, and said: "Although Doctor Ling doesn't know the situation inside, his decision is right. Let's talk to the patient again, if he really The most important thing is to do open surgery, if you can do it, you still have to do it.”

Ma Yanlin disagreed: "The recovery period will be three months longer, why bother?"

"Perhaps they will."

"Who would want an extra three months to recover."

"But the Achilles tendon is stronger, that's right."

"I asked, the two of them usually don't even go to the gym, why do they need such a strong Achilles tendon?"

"What to do is other people's business, it's a matter of values." Zuo Cidian sighed, and said again: "Some people do breast augmentation surgery, and some people do breast reduction surgery, what do you say?"

Ma Yanlin was tongue-tied, this question really hit his pain point.

"Let's go to see the patient together, isn't that what the pre-operative talk is for?" Zuo Cidian smiled: "If someone is really willing to exchange a few months of pain for a stronger Achilles tendon, I don't think so." Zhu Ling's Achilles tendon repair cannot be done."

"Then you can't be biased."

"Sure, there must be a bias, and I am more in favor of them doing minimally invasive surgery."

"I didn't expect that one day we would still think about pushing patients...Meng Shan is really..."

Zuo Cidian smiled: "Whoever asked you to push the patient, we can just do our job well."