Chapter 146 Addition of Specialty Orthopedics
Li Quan saw expectation and ambition in Director Zhang's eyes.
Could it be that Director Zhang wants to learn my bone-setting skills?
All kinds of thoughts flashed through my mind quickly.
Li Quan finally decided to tell the truth.
"If it's just ordinary bone setting and joint repositioning, I'm more than 90% sure. Especially for young children's joint dislocations, or some deformities caused by bone and joint misalignment, I can treat them all."
In fact, Li Quan's statement is still conservative.
He learned Qian Yi's pediatric bone therapy technique, which can do more than just joint repositioning.
Moreover, this medical skill can be continuously upgraded, and the bone diseases he can treat will become more and more advanced.
Li Quan checked the experience value of this medical skill.
【Children’s osteopathy, entry-level 11%】
I fixed the little boy's bones and gained 10 skill points, and my experience points also increased by 10%.
At this rate of improvement, he only needs to treat nine more patients before his pediatric bone therapy skills can be upgraded to the minor success level.
After listening to this, Director Zhang nodded and his expression became serious and solemn.
"I want to add a specialty department for bone setting and joint reduction in the emergency department, and you will treat the patients then!"
Li Quan was shocked and waved his hands to refuse.
"Director Zhang, I am still just a resident physician. I haven't even obtained a practicing physician certificate. I am not qualified to practice medicine on my own. This is absolutely not possible."
Although he was very tempted by the proposal, he knew clearly what he could and could not do.
The charge of practicing medicine illegally is no joke.
"What are you afraid of? During the day shift, at least one of me and Deputy Director Yang will be here. We will be your superiors at that time. You will practice medicine under our guidance. If any problems arise, we will take responsibility for them."
Director Zhang said this in a very domineering manner.
No wonder Dr. Luo said Director Zhang was very protective of his people.
"Also, resident doctors are not normally included in the department's performance commission. But I can't ask you to work for nothing, can I? I've discussed it with Deputy Director Yang and will report it to the dean. We'll handle this matter specially and give you a performance commission. As long as you agree to take on this responsibility of the department, I'll report it to you immediately."
Director Zhang is a man who is open and honest in his work.
Unlike some department heads who are extremely corrupt.
If they can get money, they will be more ruthless than anyone else.
When something went wrong and he was asked to take responsibility, he was the one who shirked it more easily than anyone else, wishing that all the responsibility would be shouldered by the junior doctors.
"But it's not clear yet whether the dean will approve this matter. Even if the dean refuses to approve it, it doesn't matter. When the time comes, I and Deputy Director Yang will pay you the portion of the performance commission that belongs to you privately."
Director Zhang seems to have thought deeply about this matter.
He also understood that if he didn't give Li Quan a performance commission, he would not be able to motivate Li Quan.
However, there is no practice for trainees to participate in performance-based commissions.
Under their guidance, Li Quan cured the patient and the performance commission fell on them.
At this time, they were willing to spit it out and pay Li Quan.
Does not violate any regulations.
The only thing we have to worry about is human greed. Once they’ve put the meat in their mouths, how many people would be willing to spit it out?
"Thanks to Director Zhang and Deputy Director Yang for their kindness, it would be hypocritical if I didn't agree. I am willing to take up this responsibility." Li Quan comes from the countryside and his economic conditions are not good.
Originally, he would have to wait until at least next year to get his practicing physician license before his salary would increase.
The meager salary he gets now is enough to balance his income and expenditure, and it is good enough that he doesn't have to ask his family for money.
"Okay, that's settled. When the time comes, be sure to pay attention to the methods and techniques, and don't give anyone any chance to find fault with you. Also, I'll show you a table of the specific prices for bone setting and joint reduction tomorrow. The fees will be divided into different levels depending on the difficulty of joint reduction."
Director Zhang's eyes sparkled.
He spent so much effort to open a special emergency orthopedic department, and the main purpose must be to help the department generate income.
This is also in the interests of everyone in the department.
Doctors are also human beings. They need to eat and have wives, children and parents to support.
If doctors were really asked to volunteer every day out of love, I'm afraid no one would be willing to stick with it.
This has nothing to do with nobility.
At least we must ensure survival first, then talk about ideals, and then talk about boundless love and beliefs.
As we all know, the emergency department does the most tiring work, and the salary they receive is not the lowest, but is also among the lowest among the medical team.
In the final analysis, it is because of the low income of the department that the performance-based salary and year-end bonus received by everyone are not as good as those of doctors in other departments.
The emergency department sees far more patients than any other department, so why does it have the lowest income?
Because the emergency department deals with emergency patients.
For minor illnesses, patients can leave after being cured on the same day. For serious illnesses, patients are directly transferred to the corresponding specialist department after their lives are saved. From this point, it is not difficult to see that the emergency department actually plays the role of a reception desk.
Items that actually generate high medical expenses basically have nothing to do with the emergency department.
For example, a cancer patient who didn't know he had cancer fell into a coma at work. His colleagues and family members rushed the patient to the emergency department.
After the consultation and a series of examinations, it was discovered that the patient had cancer.
Then the patient will be sent directly to the oncology department and will have nothing to do with the emergency department.
The subsequent treatment costs of hundreds of thousands or even millions of dollars have nothing to do with the emergency department. That belongs to the oncology department.
How do you think the income of the emergency department can be so high?
"Director Zhang, if there is nothing else, I will go to work first!" Li Quan did not ask about how the hospital set prices and charges.
The hospital's charging standards must be within the scope of regulations of the Health Bureau and the Development and Reform Commission.
In a large provincial hospital like Huier Hospital, there is absolutely no such thing as random charging.
…
Back at the emergency department, Dr. Yang Yu had already replaced Dr. Luo and Dr. Wang and asked them to go eat first.
Fortunately, there were very few patients at noon.
"Li Quan, have you met Director Zhang?" asked Doctor Yang Yu.
"Well, Director Zhang just talked to me. I will follow your and Director Zhang's arrangements." Li Quan now knew that Dr. Yang Yu was the deputy director of the emergency department, so his attitude became a little more respectful.
"Work hard. Director Zhang is a kind man and will never let you suffer any loss."
As we were talking, an emergency patient was brought in by an ambulance. At this moment, the patient's face was pale, his hands were covering his chest, and he looked very painful.
The female family member was crying anxiously, and the young man, about 25 or 26 years old, who should be the patient's son, was also very panicked.
“What’s the problem with this patient?”
Doctor Yang Yu has stood up to check on the patient.
Li Quan quietly performed the omnidirectional diagnosis technique and made a preliminary diagnosis of the patient.
He did not immediately go forward to take the patient's pulse for fear of being called a lunatic.
After all, in today's environment, few people believe in traditional Chinese medicine pulse diagnosis.
"Doctor, this is what happened. My dad just finished lunch, and not long after, he felt discomfort in his chest and dull pain. He thought he would be fine after a rest. Unexpectedly, my dad felt more and more pain in his chest. He said it felt like someone was stabbing him with a knife. Now he can't even sit up. Please, you must save him."
The patient's son pleaded.
"Does the patient have a history of hypertension, coronary heart disease, etc.?" Dr. Yang asked.
"Yes, yes, my dad has high blood pressure. After the onset of the disease, a neighbor happened to be visiting our house. He has heart disease. Based on his experience, he thought my dad might have a heart attack, so he ordered a quick-acting pill, aspirin, for my dad to take. But the condition has not improved at all."
