I can see the status bar

Chapter 674 Resignation (September 9, 17th update)
Trial and error is a very important part of clinical diagnosis.It allows doctors to quickly determine the true condition of a patient, rather than trying to deal with multiple possibilities at the same time.However, in China, there are generally two clinical methods for "diagnostic trial and error".The first is trial-and-error by testing—the only downside to this approach is that it will increase the burden on some patients and Medicare.The second type is more restrictive "diagnostic treatment".

Sun Lien had used diagnostic treatment, but as long as there were other options, he didn't want to do it.The complexity of the diagnostic treatment process cannot be explained in a few words.

In principle, diagnostic therapy is very easy to explain.Doctors have narrowed down the possible diseases that patients may suffer from from a vast number of tens of thousands to two or more.But for a variety of reasons—perhaps because the disease is progressing too rapidly, perhaps because the science has not advanced enough—in short, after carefully balancing the possibilities, doctors decide to treat patients with a particular drug. Administer treatment and observe treatment response.

If the patient improves, it can be determined that the disease is A. If it does not improve, then the diagnostic treatment will be carried out again according to B or C, D or other diseases.

Doctors choose this way to "diagnose", and the risks to patients are obvious - if they do not guess right the first time, if they exclude all possibilities consecutively but are ineffective...then the patient himself will probably have to pay for his illness. Being delayed is costly.

Therefore, under the current domestic situation, doctors will basically not use this solution unless they have to.If you want to use it, the cumbersome and troublesome notification process will also become very painful.Not all family members can accept the doctor's plan of "gambling and trying". They hope to be able to control everything in their hands, including the life and health of their loved ones and even life and death.

"As long as it is necessary, do it. As long as it is what you think is best for the patient, then do it." Professor Zhang Zhifu panted twice, coughing and said, "This is the diagnosis center, what kind of patients would come to the diagnosis center to see a doctor?" People who don’t see it well or understand it in other places, but are unwilling to go home and wait to die will come here—forget all the habits you used to be affiliated with in Tongde!”

Clinicians, especially the large top three clinicians often have a habit.At best, they are used to choosing the most appropriate treatment for their patients.To put it bluntly, they are used to watching the dishes.

Not all patients can afford all types of treatment options.Medical insurance is not a panacea. There are many drugs and treatment options that cannot be reimbursed by medical insurance.Even if there is medical insurance reimbursement, different patients are divided into medical insurance reimbursement levels, and even a considerable number of patients have no medical insurance coverage at all.

When faced with such patients, doctors in "experienced" large tertiary hospitals often chat with patients first.Ask about the work of the patient himself and his family.All in all, it is to determine the economic conditions, affordability, treatment willingness, etc. of patients and their families through various methods that are not likely to arouse the resentment of patients and their families.

If the doctors clearly know that the patient's family's economic conditions are not good, and the family members do not have a strong willingness for treatment, they usually don't mention surgical treatment at all, and recommend conservative treatment instead.And if the patient's family conditions are acceptable, and his desire for survival and family treatment willingness are very positive, then the focus of recommended treatment will be shifted to more active and expensive items.

What Professor Zhang Zhifu wants to correct is the habit problem of his own team members.In his view, the Comprehensive Diagnostic Center is a less complicated institution.Doctors just need to see a doctor, and patients and their families just need to cooperate.If family members have little desire for treatment, or if they cannot afford treatment, they may not come to the comprehensive diagnosis center at all.

Hearing this, Sun Lien felt that it would be better for him to explain a little bit, "Actually...if you encounter a patient who cannot afford the fee, and the other party agrees to disclose the diagnosis information and share it with Takeda Pharmaceutical after review, their diagnosis fee It's free."

Sun Li'en deliberately emphasized the word "diagnosis fee". After all, this was also part of the contract between Takeda Pharmaceutical and the Fourth Hospital.According to the contract of Takeda Pharmaceutical, the diagnosis center can diagnose no more than [-] patients for free each year.There are also corresponding reductions and subsidies for treatment costs. Although the proportion is not very large, the promise of "[-]% off all medicines under Takeda Pharmaceuticals" is enough for many people to cross the distance between life and death.

At present, the products of Takeda Pharmaceutical in the domestic market are mainly concentrated on digestive tract diseases, cardiovascular diseases and tumors.Other products listed overseas have not yet been approved and put into use in China.It can be said that Xiao Linfeng's "generous commitment" itself will not bring much pressure to the entire company - diagnosis costs are a very broad category, and not every patient who needs a diagnosis needs a PET scan or a whole-body MRI after admission , or mNGS inspection.Moreover, these inspection items, including machines and consumables, are all provided by Takeda Pharmaceutical, and the cost is not too high.

"Then more tests should be done." Professor Zhang Zhifu nodded, and then continued to add, "Don't worry about putting pressure on the laboratory department, and don't worry about family members not understanding. You just need to let go and give me the diagnosis Just figure it out—get it?"

The three doctors nodded together, while Chen Tianyang asked another question, "Then Wutian is also responsible for paying our salaries?"

"The salary is paid by the college..." Sun Lien wiped the sweat that didn't exist on his forehead, "But Professor Chen, your salary...maybe the college also has to pay part of it?"

"I'm not like Lao Zhang. He's focusing on the cause of people's health now." Chen Tianyang seemed to feel that the atmosphere at the scene was not good, so he joked, "My old man is more concerned about this little thing about himself—my grandson He will be one year old soon, and the grandpa has to earn red envelopes for him."

Lao Youtiao successfully brought the topic to a less serious direction. After chatting with the doctors present, Professor Zhang Zhifu took him to the side office to arrange a seat.But Chen Tianyang kept Sun Lien behind.

"Why didn't you see Xiao Xu today?" Chen Tianyang changed his posture to make himself more comfortable on the stool, "Is she off duty today?"

"Doctor Xu..." Sun Lien hesitated for a moment, "She seems to have some personal matters, and she asked for leave today..."

Before he finished speaking, Sun Lien's cell phone rang untimely. He picked up the phone, but saw a local number that was not recorded in the address book.

"Hello?" Sun Lien answered the phone amidst the sound of "Roasting Gluten", "Who is it?"

"I'm Xu Yourong." On the other end of the phone, Xu Yourong's voice sounded.She sounded that everything was fine, but Sun Lien could still vaguely feel a little fluctuation, "I'm going to resign."

　Finally saw the dawn of victory... It would be even more fun if the muscles were not sore all over the body.

　　
　
(End of this chapter)