Under, Chinese medicine flavin

Chapter 366 Countermeasures
"Recently, after taking the medicine you prescribed for me, I feel a slight pain near the nodules in both breasts. It can't be that the breast nodules are getting worse."

The slight pain in the chest made Gao Yun feel fear in his heart, fearing that his breast nodules would turn cancerous.

Huang Su put down Gao Yun's medical records, and said with a smile: "It's fine if there is even a little bit of pain. If there is no pain, it proves that the right medicine I prescribed for you won't work."

Before Huang Su could finish speaking, Gao Yun asked curiously, "Why?"

Huang Su explained: "In the theory of traditional Chinese medicine, nodules in the human body are blood stasis in the meridians and collaterals, which accumulate over a long period of time. When treating nodules in Chinese medicine, it is like treating nodules like onions. The traditional Chinese medicine is peeled off layer by layer from the outside to the inside."

Huang Su continued to ask: "After you feel a little pain these days, when you touch the lesion yourself, do you feel that the periphery of the nodule has softened?"

Gao Yun nodded happily: "That's true. I'm relieved to hear you say that, and I'm afraid that I will become cancerous."

"You don't have to worry about this. The probability of breast nodules becoming cancerous is extremely small. Since the medicine is effective, you can continue to take it according to the original prescription."

If it weren't for the low-quality Chinese medicinal materials, Gao Yun should have felt the slightest pain when he prescribed the medicine for the first time.

Traditional Chinese medicine treats various nodules, tumors, and liver cirrhosis.During the treatment process, there will often be such bursts of pain.

Many patients do not understand the pathology of traditional Chinese medicine, and they panic when they feel pain.

Among them, especially patients with liver cirrhosis, because they were bewitched by the outside media, they heard that traditional Chinese medicine can cause liver and kidney function damage.

When pain occurs, it is believed that Chinese medicine has damaged his liver, so he resists Chinese medicine treatment and doubts the therapeutic effect of Chinese medicine.

However, liver cirrhosis and liver fibrosis are caused by blood stasis in the liver meridian in the theory of traditional Chinese medicine. The treatment methods are the same as those for nodules and tumors.

It is very normal to feel a little bit of pain when promoting blood circulation to remove stasis, softening hard masses, and dredging blockages.

Don't panic because of pain.

On the contrary, this slight pain proves that the doctor used the right medicine.

The relieved Gao Yun continued to ask: "Director Huang, how long do I have to drink this medicine, and do I need to come over for follow-up visits while I'm drinking?"

"Drink it until the nodules completely disappear. If the nodules soften and dissipate while taking the medicine, if the nodules soften and dissipate, or the nodules stop softening, you should come back for a follow-up visit."

Chinese medicine treats nodules from the outside to the inside, like picking an onion, slowly softening and dissipating.

The characteristics of the nodules are also the more inward, the harder, tighter and more stubborn the structure of the nodules.

For Chinese medicine with inaccurate doses, it will appear during the course of treatment that the nodules shrink to a certain extent, the speed of softening and dissipating becomes slower, or the softening and dissipation stops at all.

This is the experience of treating breast nodules.

Think about the first time I treated breast nodules, and after seven months, I changed the prescription three times.

Looking back at that time, I always thought I was funny, knowing the pathogenesis and prescribing medicine fearlessly.

Fortunately, it is my relatives, the nodules change every day, so the patient always believes in himself.

Thinking about it now, it is true that newborn calves are not afraid of tigers.

After many times of accumulating experience, now I can achieve recovery after taking the same medicine without changing the prescription.

This is the difference between superior and inferior in the accumulation of experience in traditional Chinese medicine.

But now many Chinese medicine practitioners have not even reached the threshold of identifying the pathogenesis in the first step.

Huang Su continued: "Stick out your tongue and let me see."

Gao Yun sticks out his tongue. His tongue, which used to be long and thin, is now much wider. The condition of liver depression and qi stagnation has improved a lot.

Huang Su looked at Gao Yun's tongue and asked, "Is your mood much better recently?"

Gao Yun nodded and said: "After listening to your words, I have been controlling my temper for a while, and I have also read the books you recommended to me. Now I want to understand a lot, read a lot, and rarely lose my temper."

"That's right. The pathogenesis of your nodules lies in liver depression and qi stagnation. As long as you maintain a good mood, the disease will heal faster." As he spoke, Huang Su looked at the clock on the wall. During the rest time, he finally warned: "Go back and continue taking the medicine, and continue to maintain a good mood, don't get angry."

Gao Yun nodded: "Okay, thank you Director Huang!"

After Gao Yun left, Huang Su tidied up the things on the table and was about to have lunch with Yan Bing when the phone on the table rang suddenly.

Huang Su picked up the phone, and Li Weiying's voice came from the phone: "Director Huang, I will delay your rest time at noon, come to my office, let's chat."

"Dean, I'll go upstairs to find you!"

After hanging up Li Weiying's phone, Huang Su called Yan Bing to apologize: "My wife, I'm sorry! You can eat lunch first, the dean wants to talk to me about something."

Telling Yan Bing to let her eat first, Huang Su took the elevator to the top floor.

Ring Li Weiying's office.

Walking into the office, Huang Su, a non-smoker, could smell the strong smell of tar in the air very keenly, and didn't know how many cigarettes the new dean had smoked.

Looking at the ashtray full of cigarette butts on the desk, you can see that Li Weiying has been very upset recently.

Huang Su also heard that the conversation between the new dean and various departments was very difficult.

After all, who has already eaten the benefits that are on the lips, who is likely to spit them out willingly.

Even if the dean thinks of everyone's vested perseverance, he will definitely encounter collective resistance.

Li Weiying enthusiastically pulled Huang Su onto the sofa: "Director Huang, sit down!"

Huang Su sat down and said, "Dean, what do you need from me?"

"There is nothing important. I just ask Director Huang to come over and have a chat and learn about the situation of the Department of Traditional Chinese Medicine."

Li Weiying praised and said: "Director Huang is indeed a famous doctor in our grassland city. He is not picky about his medical skills and medical ethics. The Chinese medicine department led by Director Huang in the entire city hospital is not stained by mud, and his eyes are not lost by money."

Huang Su said modestly: "Dean, you are absurd. In fact, our TCM department is also a vested interest in Dean Liu's performance appraisal. It is just the characteristics of our TCM. There will be no outstanding performance in performance, but our department Revenue has really increased a lot too.”

Li Weiying said with a smile: "Director Huang, you are too modest. In the past few days, I have more or less understood the situation of the city hospital."

"Director Huang, if you are a person who values ​​money, as long as you agree to Dean Liu to let the patients of the Department of Traditional Chinese Medicine have an examination, the performance of the Department of Traditional Chinese Medicine will not be the bottom one all year round based on the number of patients in the Department of Traditional Chinese Medicine. The dean's relationship has been strained."

Huang Su said: "Since you are a doctor, you must have the ethics of a doctor. Our Chinese medicine department will not exploit patients' money for the sake of our own performance. Our Chinese medicine practitioners have their own techniques for diagnosing patients. If we prescribe an examination, it is because of this examination." It can help us see patients better.”

"Director Huang, this is what I admire most about you. You can still stick to the doctor's bottom line in the face of financial interests. You are also doctors in the Department of Traditional Chinese Medicine. Let me see that the city hospital still has hope of salvation."

Li Weiying said angrily: "Look at what the city hospital is like now. For the so-called performance ranking list of Dean Liu, in order to get more bonus commissions, it is common for various departments to prescribe and check in large numbers in city hospitals. We are the country's public hospital, not a black spot for rip-offs."

Huang Su is also aware of the current situation of large prescriptions and large inspections in various departments of the hospital.

After all, Grassland City is just a small city with a population of 40 to [-], and the base number of patients is there.

The city hospital may finally be able to attract more patients to the city hospital to see a doctor through the name of the top three hospital and the name of the Affiliated Hospital of Mengjiang Medical University.

However, the number of patients will eventually be saturated.

If there are no advanced medical methods and excellent medical skills can attract people from other places to come to see a doctor, and form a siphon effect on surrounding provinces and cities, it is impossible for city hospitals to maintain sustained high growth in performance.

When the number of patients reaches saturation, the performance of city hospitals will enter a stable period.

If you want to continue to maintain rapid growth in performance and surpass other departments in the rankings, you must work hard on patients and spend as much money as possible from patients' pockets

The emergence of large inspections and large prescriptions is inevitable.

What's more, the big inspections and big prescriptions in the hospital are intensifying. For the sake of performance, each department prescribes more prescriptions and more inspections.

Briggood did not hesitate to give up control of the city hospital, and he also wanted to get rid of Dean Liu, which means that the city hospital has reached the point where it cannot be reformed.

"I also work in the front line for a long time. The phenomenon of heavy prescriptions and heavy inspections is not a special phenomenon unique to the city hospital. It has become a very common situation in Grassland City, but it is especially serious in the city hospital."

Li Weiying handed over his payment plan to Huang Su: "I have been thinking about how to balance the interests of patients and doctors in the past two years. This is the plan I have been thinking about for the past few years. I originally wanted to implement it as a pilot in the city hospital. If it is feasible I planned to implement it across the city, but I didn’t expect it to start yet, and various departments are very resistant to this plan.”

Huang Su was also curious about what kind of plan Li Weiying came up with, which would make all the departments of the hospital conflict.

For a while, there was only the occasional sound of Huang Su turning pages in the office.

After a long time, Huang Su slowly put the proposal on the curative effect fee on the coffee table, and looked at Li Weiying with a very surprised look.

Li Weiying's plan on curative effect charges is infinitely close to the curative effect charges implemented in the Jiangsu, Zhejiang and Shanghai regions in later generations.

Huang Su has some doubts, the one in front of him may not be reborn.

Otherwise, how could this kind of plan appear nearly 20 years in advance.

Compared with the current doctor-led, it is beneficial for doctors to charge according to the project.

Paying for curative effect is actually based on the charging method at the patient side as the demand side, which is a major reform of medical charging.

Li Weiying's curative effect payment model is to pay according to the group related to disease diagnosis.

Divide patients into several diagnosis-related groups according to their age, gender, length of hospitalization, clinical diagnosis, symptoms, surgery, disease severity and other factors, and carry out scientific calculation and evaluation of treatment effects in terms of classification. According to the completion of each group, Give fixed advance payment.

For example, if a fracture occurs, a total score will be calculated based on the patient's age, degree of fracture, other complications caused by the fracture, and treatment time.

Based on the total score, several diagnostically relevant groups were divided and matching scores were given.

What is the therapeutic purpose and effect of bone setting reduction?

What is the therapeutic purpose of acupuncture and moxibustion, and what therapeutic effects can be achieved.

Finally, according to the score of the treatment effect achieved by each diagnosis-related group, and finally according to the score of the actual treatment, the medical expenses corresponding to the score will be paid.

This payment method takes into account the interests of patients, hospitals, medical insurance and other aspects.Its effect can control the cost, guarantee the quality and improve the management level.

For example, encouraging hospitals to strengthen medical quality management, forcing hospitals to take the initiative to reduce costs in order to obtain profits, shorten the length of hospital stay, and reduce the payment of induced medical expenses, which is conducive to cost control.

This curative effect payment model can limit the large prescriptions and inspections of the traditional project payment model to the greatest extent.

Because of the cost of different diagnostic groups, every drug and test prescribed must have a clear purpose and predict the effect.

This can also explain why Western medicine is very resistant to this payment method.

Because of the emergence of this diagnostic group, negative scores may appear when evaluating the treatment effect.

For example, if a person treats a cold and fever, the condition is not under control during the treatment, and instead causes respiratory tract infection and a large amount of sputum, resulting in dyspnea and suffocation, and a throat-cut breathing operation is performed.

Instead of the traditional billing method, all treatments need to be added to the treatment fee.

If the curative effect fee model is adopted, not only cannot the fee be charged in this case, but it will also form a negative score on the score of this diagnostic group.

Because in this diagnosis group, the implementation of the treatment plan not only failed to achieve the expected curative effect, but aggravated the patient's condition.

Subsequent medical expenses incurred for the aggravation of the disease will be recorded in the form of negative points. The more medical expenses incurred, the more negative points will be accumulated.

In the final calculation of expenses, the diagnostic group with negative scores will be used as a fee reduction item.

It is understandable why Western medicine adopts and opposes the implementation of curative effect payment in Jiangsu, Zhejiang and Shanghai pilots.

No matter how much you brag about it, when you are serious about it, you will know if it is a human or a ghost.

Seeing Huang Su finished reading her plan, Li Weiying asked expectantly: "Director Huang, what do you think of my plan?"

Huang Su didn't answer Li Weiying's question, but asked: "Dean, if I'm not wrong, the Department of Internal Medicine has the most objection to this plan, and the Department of Obstetrics and Gynecology has the least reaction."

"All the departments of Western medicine are against this plan, and the various departments of internal medicine are the most vocal." Li Weiying looked at Huang Su with expectant eyes: "So, I want to let the Chinese medicine department do this pilot in the Chinese medicine department. And the discharge rate is among the best in the whole hospital, and it is most suitable for a pilot."

Li Weiying said excitedly: "I believe that as long as everyone sees that the traditional Chinese medicine department at the end of its performance has passed my plan and its income has increased significantly, they will agree to implement it."

Li Weiying's idea is very good and correct.

The biggest benefit of the curative effect payment model for Chinese medicine lies in the realization of equal pay for the same disease in both Chinese and Western medicine.

Li Weiying stared at Huang Su with expectant eyes, waiting for Huang Su's reply.

(End of this chapter)