White armor

Chapter 1 Collect the seven dragon balls to summon the dragon
Brown, green, red.

Various documents are placed on the table.

Complete range of physician qualification certificates, physician practice certificates, and intermediate professional title certificates. (Note)
"Luo Hao." Lin Yuming, director of the medical department of the Coal Mine General Hospital, with a straight face, stretched out his right index finger and pressed heavily on the last card, "This is what you want, I will get it for you again." Now. I warn you, this is the last time!"

Luo Hao lowered his head and looked at the ID under Director Lin's pale index finger due to excessive force, with a bright smile on his face.

With a height of 1.8 meters and a thin waist, Luo Hao looks like a male model wearing an ordinary T-shirt.An ordinary smile hung on his face, glowing faintly, which was very beautiful.

"You still know how to laugh! You just know how to laugh!!" Lin Yuming reprimanded unhappily, "Can't you just be a doctor? They say that the post-[-] generation will rectify the workplace, is that true! Why don't you learn something better? What's wrong with you? !”

"Uncle..."

"In the hospital, call me Director Lin!" Lin Yuming warned Luo Hao seriously.

"Director Lin, this must be the last testimony, I promise it is the last testimony." Luo Hao did not refute, but followed Lin Yuming's words and gave his guarantee.

His smile was clean and bright, and the sunlight shining into the Medical Director's office was a bit brighter.

"Do you know how much shame I have to face for the scope of practice of these intermediate certificates?" Lin Yuming complained, "You have to have further study experience. You haven't gone out for further study since you graduated from a bachelor's degree, a master's degree and a Ph.D. in eight years..."

"The person in charge of this from the Provincial Health and Medical Commission should be Teacher Ma." Luo Hao whispered, "He should know me. My level is higher than that of a training doctor."

"Humph!" Lin Yuming snorted coldly.

Luo Hao grew up as a child of someone else's family, and his academic performance was enviable. At the age of 17, he was admitted to the Peking Union Medical College's eight-year undergraduate, master's and doctoral program.

An academician was very optimistic about Luo Hao. As long as he nodded, he could stay at Union Medical College after graduation.

But Luo Hao unexpectedly returned to his hometown and the dilapidated mining area general hospital.

Because Luo Hao got an unopened system a few years ago. The key to unlocking the system is to obtain practice certificates from seven different medical branches.

The physician's practice certificate is marked with clinical, covering dozens of majors including surgery, obstetrics and gynecology, internal medicine, ophthalmology, ear, nose and throat... etc.

There will be more detailed classifications on the intermediate professional title certificate. What is needed to activate the system is the scope of practice on the intermediate professional certificate.

Generally speaking, a doctor will be deeply involved in a certain specialty throughout his life, and few people change their specialty.

It is not impossible to obtain multiple practicing certificates, but it is extremely difficult.

If you stay in Concorde, there is a high probability that you will not be able to open the system for the rest of your life.

Luo Hao hesitated for a long time between Union Hospital and turning on the system, and finally chose an unknown system.

His uncle is the medical director of the Mine General Administration and is in charge of this area. He also has some connections in the provincial capital.

So Luo Hao rejected the teacher's invitation, and returned to his hometown to work at the mine manager amidst the surprised looks and the teacher's regretful plea to stay.

Luo Hao's uncle Lin Yuming did not disappoint him. In less than two years, he prepared seven dragon balls for Luo Hao to summon the dragon.

"Luo Hao, don't forget what you promised me." Lin Yuming clicked on his practicing certificate with his finger and reminded in a serious tone, "Hurry up and find a girlfriend, get married, and have a child. It has not been easy for your mother these years."

Luo Hao nodded frequently no matter what he said, extremely well-behaved.

Lin Yuming looked at Luo Hao helplessly and sighed inwardly.

Seeing Luo Hao nodding obediently, Lin Yuming knew that Luo Hao, a brat, didn't take his words seriously at all.

Many young people today are not married, don’t have children, and won’t listen to anything they say. I really don’t know what they are thinking.

Housing prices are high, betrothal gifts are expensive, and doctors' incomes have been low in recent years...but this can all be overcome.

Luo Hao's father was also a doctor. He was washed away by the flood while fighting the flood and died heroically.

Luo Hao was only 2 years old at that time. Speaking of which, the baby was very pitiful. His mother never found anyone to live with, so she raised him up through hardships alone.

My mother-in-law is older, otherwise Lin Yuming wouldn't have used small tricks to get Luo Hao so many intermediate practice certificates.

"Director Lin, should I leave first?"

"The obstetrics and gynecology department's medical insurance exceeded the limit again last month. The chief of the medical insurance department has been nagging me for several days. Please go take a look." Lin Yuming pushed a pile of certificates to Luo Hao and simply closed his eyes to avoid having a heart attack. .

"Okay." Luo Hao smiled and was about to get the certificate, but the "Dragon Ball" that was so close at hand was blocked by Director Lin.

"You go to the obstetrics and gynecology department first. Their medical insurance exceeded the limit last month."

Luo Hao was helpless, drooling and watching helplessly as the last practicing certificate was only a few feet away from him but far away at the end of the world. He was quite helpless.

"What are you still doing? Go to the obstetrics and gynecology department." Lin Yuming put his hand on the practice certificate, closed his eyes and scolded with a constipated expression on his face.

"Go here, go here."

Luo Hao took a deep look at the practicing certificate and turned to go to the obstetrics and gynecology department.

……

……

The city where Luo Hao is located, Donglian City, is located in the Northeast. It was an old industrial base and a nationally famous coal-producing city.

Donglian Coal Mine General Hospital was invested by the Coal Group more than 20 or [-] years ago, and it ranks among the top [-] in the country in terms of technology and equipment.

Especially in the years when coal prices were high, life went smoothly for the public hospitals affiliated with the group company.

At that time, the Mining General Hospital was considered a very good large public tertiary hospital.

However, as coal prices fell, excavation became more difficult and costly, coupled with factors such as environmental protection, the Donglian Coal Group fell into losses.

When it is difficult to protect itself, the group can only survive and will definitely have no money to invest in hospitals.

Therefore, the Mine General Hospital will inevitably enter the downward channel.

With little income, more people leave. Key technical personnel have left their jobs and gone south. A large tertiary hospital is gradually dilapidated.

But these have nothing to do with Luo Hao, and he can't control them even if he wants to.

He is now affiliated with the Medical Department of the Mine General Hospital, and his most important job is to ensure medical safety and... medical insurance payment.

Luo Hao walked out of the office building.

The sky was blue and dazzling, very much like Luo Hao's mood.

He wants to immediately solve the problem of obstetrics and gynecology and get his seventh practicing certificate and activate the system.

In the past, the obstetrics and gynecology department of the Mining Hospital had two wards with [-] beds, and performed nearly [-] surgeries every year.

As the technical backbone continues to move south, coupled with the decline in the birth rate, the obstetrics and gynecology department has shrunk into a ward with empty beds all year round.

The situation was like this. Luo Hao knew that Director Lin asked him to "handle" the problem, not to ask him to solve anything, but to tell the obstetrics and gynecology doctors - you have exceeded your share of medical insurance, so save some money.

Luo Hao quickly came to the door of the obstetrics and gynecology ward and saw from a distance that Director Sun of the obstetrics and gynecology department, who had just come to work and had not yet changed his clothes, was talking to the patient.

"Director Sun, can't we do laparoscopic surgery in our mine? I want to do minimally invasive surgery, not a big surgery."

At the door of the ward, a young woman begged softly.

Her face looked a little ugly, with some fear and confusion.

"The laparoscopic equipment is broken, and the hospital is looking for someone to repair it. As for how long it will take, I can't say." Director Sun spread his hands and said helplessly, "If you are not in a hurry, just wait. If you are in a hurry, I can do it. I will open your abdomen with a small incision, not a big knife. It will not affect...it will not affect the appearance very much."

"But my friend had laparoscopic surgery here last month. When I accompanied her here, I heard your doctor say that there is a difference between surgery and laparoscopy." The young female patient said blankly.

"The equipment broke down after that." Director Sun was a little embarrassed and angry, and his tone became irritable.

Any excuses such as that the machine is broken are all excuses. The share of medical insurance for obstetrics and gynecology has been used up. For a laparoscopic surgery, the hospital or department will lose hundreds or thousands of dollars.

It’s not that I don’t want to do it, nor that I can’t do it, but that I really can’t do it.

After understanding this, Luo Hao scratched his head, showed his signature smile, and raised his hand to greet Director Sun.

"Hey, the leader is here." Director Sun joked.

"Hey, don't be a leader. How dare you? I'm just an errand boy. The king asked me to patrol the mountain today." Luo Hao smiled, the sun was shining brightly. After making a little joke, he immediately returned to the topic, "Director Sun, please first Busy, I’ll wait for you.”

Seeing Luo Hao's appearance, the director of the obstetrics and gynecology department knew what he was doing. After a few perfunctory words with the young patient, he and Luo Hao came to his office.

"Xiao Luo, Director Lin wants to talk to me for advice. It's okay, just give me advice. It just so happens that I have some rest." Director Sun asked half-seriously.

"Look at what you said." Luo Hao said, "Why do I have to talk to you? You are the backbone of our hospital's obstetrics and gynecology department. Without you, the hospital's obstetrics and gynecology department cannot move, and patients will have no place to see a doctor. No matter what They say we are all hospitals, and if we can’t treat patients and save people, we might as well close our doors, what do you think?”

After a thousand wears and flattery, Director Sun's expression softened.

"Director Sun, I just came to ask about our department's medical insurance situation last month and see if we have any difficulties."

"The situation." Director Sun frowned slightly, "Doesn't your medical office know what the situation is?"

"Last month we performed five surgeries for ovarian cancer and cervical cancer for people over 5 years old. As a result, the medical insurance expenses exceeded. You can read our medical instructions. They are pure and simple to serve the people."

"Serving the people, treating illnesses and saving lives, even if we don't give rewards, we are required to bring our own dry food. Ronaldinho, do you think there is such a thing?"

Director Sun was a little anxious as he spoke, and his face turned red.

Luo Hao nodded repeatedly, well-behaved and docile.

He understood what Director Sun said.

Drg/dip payment does not take into account a variety of diseases, and the provincial payment standard is based on counting the hospitalization costs of all ovarian cancer patients, and then averaging them, and does not count the costs of surgical patients.

To put it simply, patients who come back to recover after hospitalization in the imperial capital or provincial capitals or patients who undergo postoperative hospitalization review will not spend much money. However, the overall cost of such diseases has been lowered in the DRG payment system, resulting in super low medical insurance costs for some diseases. .

Each operation is performed at a cost, so the number of clinical operations has dropped sharply recently.

Prosperous provinces in the south have large allocations, adequate medical insurance, and high reimbursement for similar diseases, so there are fewer such problems.

In comparison, the problem in the north is more acute.

"You saw just now that the young patient was diagnosed with an ovarian cyst. Laparoscopic surgery took more than an hour to solve the problem, and the decapitation and decompression surgery was not difficult at all.

But now, do I dare to have surgery?
Doctors don't improve their technical skills, but use calculators to calculate accounts. Ronaldinho, what do you think this is? "

Director Sun started complaining endlessly before Luo Hao could speak.

"Ronald, our department will be deducted money every month. We will be deducted [-] or [-] yuan for having a child, [-] to [-] yuan will be deducted for minor surgery, and [-] yuan will be deducted for cancer. On average, everyone loses a lot. A few thousand, and the bonus is zero.”

"You don't need me to tell you how much our basic salary is. To put it bluntly, our obstetrics and gynecology doctors can hardly afford to eat."

"If this continues, I will have no choice but to take people to a private maternal and child hospital."

"..."

Luo Hao automatically blocked Director Sun's chatter.

Nowadays, clinical work is difficult to do, but no one knows it. The general environment is like this, and no one can do anything about it.

To solve the problem of difficult surgery for ovarian cysts, Luo Hao believes that the first step is to increase medical insurance fees.

After all, laparoscopic deroofing and decompression of ovarian cysts is a very mature procedure and is not difficult.

"Xiao Luo, you are talking." Director Sun saw Luo Hao in a daze and asked directly.

"Director Sun, there are still a lot of core points for laparoscopic surgery for ovarian cysts in dip fees." Luo Hao said.

"It's both DRG and DIP, and they just use some new terms to deceive people. Those small and medium-sized private hospitals that cheat insurance have become fat over the years, and no one has ever seen them." Director Sun became more and more angry and his face became more and more angry. red.

But he couldn't say much, he could only complain, and Director Sun immediately changed the subject.

"I'm talking about decapitation and decompression surgery for ovarian cysts. Look at the dip fee..."

With that said, Director Sun grabbed the sleeve of Luo Hao's white suit, pulled him to the computer, and found the extremely complicated DIP payment document.

Other unspecified ovarian cysts: Laparoscopic unilateral ovarian-salpingectomy, score 1267.

The medical insurance score × 10 is approximately the expense reimbursed by the medical insurance department.

More than 2000 seemed like a lot, but Luo Hao understood what Director Sun meant - this did not include laparoscopic decapitation and decompression of ovarian cysts.

It was clearly written in black and white that ovaries and fallopian tubes should be removed. "Roofing and decompression surgery must be classified as other. Look at the treatment scores for other ovarian cysts."

663 points.

In other words, you can only spend 6630 yuan. No matter how much you spend, the medical insurance will not reimburse you.

"Look at the score for appendicitis."

Director Sun said, pressing ctrl+F with unskilled movements, and found the note related to the appendix - 2035.
"Our department of obstetrics and gynecology are all stepmothers, right? For the same laparoscopic surgery, the general surgery department will give you a reimbursement share of 2 yuan for removing the appendix. We only give more than 6000 yuan. How do you think this operation should be performed?"

"The more you do, the more you get deducted."

"Xiao Luo, why don't you go back and tell Director Lin? He encouraged me enough to let him be the director of the Obstetrics and Gynecology Department. I'll see what your medical office does."

"Calm down, our hospital is the best maternal and child health hospital in the city. You are the top expert in the city. No one else can do it except you." Luo Hao's clean and sunny smile was like a tranquilizer, so that Director Sun, who was in a violent state, could It was quiet for a while.

"I'm just here to understand the situation and report back to Director Lin. If we really have difficulties, the hospital can adjust the medical insurance quota."

"Which department in the hospital doesn't call for milk to be given to children who can cry? Now there is less milk and I have been crying for more than a year. Have you adjusted the quota for me?" Although Director Sun still didn't believe it, his words were a little gentler.

Luo Hao took out his notebook and asked Director Sun for a pen to start writing down all the difficulties in obstetrics and gynecology.

In fact, Luo Hao knew what difficulties there were in obstetrics and gynecology. The reason why he was so formal was to express a serious attitude.

Before leaving, Luo Hao put Director Sun's pen into the pocket of his white coat.

The movements are smooth and logical.

"Xiao Luo, there is something else I forgot to tell you." Seeing Luo Hao leaving, Director Sun grabbed him and complained.

"Three months ago, we had a pregnant woman who was about to give birth. After she was hospitalized, relatives and friends came to see her. She went out to drink at noon, but ended up drinking too much. When she came back, she sat on the pregnant woman's belly."

"..." Luo Hao was speechless.

"Emergency caesarean section, the child suffered multiple fractures after birth. We tried our best to treat the child and sent the child to the hospital properly. The result was great. The cost of rescue and fracture treatment was all charged to our obstetrics and gynecology department, and a fee was deducted from our department. Big money.”

"This money must be returned to us."

Yes, Director Sun of the Department of Obstetrics and Gynecology started to make requests.

Luo Hao repeatedly comforted Director Sun.

As a young man and a junior clerk, I am simply not capable of solving such a big problem.

It's better to feed the problem back to my uncle...Director Lin and let him consider it.

As for myself, I have already told Director Sun that the medical insurance exceeds the standard. The most important thing now is to rush back and take a look at the legendary system.

For it, I did not stay in Xiehe but returned to my hometown, paying a very high price.It is impossible to say there is no rush.

"Then I won't delay your handover." Luo Hao said goodbye to Director Sun after a few perfunctory words.

"Patient's family, please wait a moment!"

An obstetrician and gynecologist ran out with a signature sheet.

Luo Hao turned sideways and looked back to see the obstetrician and gynecologist catching up with a man in his 30s.

"What's wrong?" the man asked impatiently.

"The name you signed is different from the ID card information entered."

"Of course it's different. I'm not her husband."

"..."

"..."

Both the obstetrician and gynecologist and Luo Hao were startled.

"Then what's your relationship with the mother?"

"I'm her ex-boyfriend."

"Where's her husband?"

"If you quarrel and don't come, you have to ask me to take care of you. Do you think I can sign my name? The child is not mine."

Luo Hao was troubled by the complex relationship mentioned by the patient's family, and he quickly walked away from the place of right and wrong.

Clinical work is indeed difficult, and this kind of bad thing happens every day.Luo Hao was afraid that the obstetrician and gynecologist would catch him and ask him what to do, so he took the time to leave.

What can be done about similar things?
Salad.

After leaving the inpatient department, Luo Hao returned to the office of the director of the medical department.

Director Lin was not here, so the certificate was placed on the table.

Luo Hao picked up the certificate.

"Ding dong~"

As the last certificate was taken into Luo Hao's hand, a crisp voice came from his ear, the screen in the upper right corner of his vision flickered, and rows of characters appeared like a waterfall.

The system panel in the upper right corner of the field of view has its own digital properties.

Stamina: 11
Intelligence: 12
Stamina: 11
Mental Power: 14
Luck Point: 32
The value of 10 should be the standard value for an adult man. Luo Hao has a good body, and everything is a little stronger than ordinary people.

In addition, Luo Hao's luck value is ridiculously high.

Luo Hao admitted this.

His academic performance has been good since he was a child, and he has always been No. 1 in the whole grade.

Very few people are willing to study hard, and Luo Hao is not an M, so he has no interest in abusing himself.

But he usually sells homework secretly, and his classmates copy homework for 9 yuan a time, and the monthly subscription is 180 yuan. If he doesn't work hard, he can't become No. 1.

This is brand effect.

So Luo Hao saved money while studying hard.

In 2011, he followed a small broken website - Zhihu.

With the blessing of lucky values, the gears of fate slowly turn.

In 2012, a college student asked what would be a better investment if he had thousands of dollars in his hand.

One answer caught Luo Hao's attention. A big man in the currency circle suggested that the questioner buy Bitcoin.

At that time, one Bitcoin was US$0.003, and ordinary people had no idea what a virtual currency was.

It happened that an elder of Luo Hao's classmate was engaged in virtual currency trading in Lijiapo. After learning about it, Luo Hao bought all the 13241 yuan of pocket money he had saved over the years in virtual currency.

He wrote down the password according to professional advice and saved it, then forgot about it until people around him began to speculate and mine. Luo Hao felt that it was time to clear out the stock.It was then that all the money was cleared at [-] yuan a piece, and then a trust was purchased in Xiangjiang.

Although the number of Bitcoins later rose to more than 50, and it seemed that he had lost dozens of times, Luo Hao had already made a lot of money and didn't care about the bits of fish tail meat.

Luo Hao is already financially free at a young age. To be honest, he thinks the luck value determined by the system is still a little low.

"Ding dong~"

At this moment, a clear and sweet voice sounded in Luo Hao's ears.

A few lines of words appeared on the screen in the upper right corner of the field of vision.

【Novice task】

Tasks, there are novice tasks!

Generally speaking, the newbie mission will be a big gift package. I hope there won’t be a big pitfall in recharging 648.

Luo Hao's eyes lit up and he continued to look down.

[Novice mission: Complete 10 ovarian cyst treatment surgeries.

Task time: 1 months
Mission reward: random basic attribute point +1, surgical skill level +1.

Special reward: Novice gift pack ×1. 】

This……

That's it?

Luo Hao's head turned into two heads.

It's not that Luo Hao dislikes the lack of mission rewards, but that the mission seems a bit difficult.It's true that I have a practicing certificate, but if I can complete the surgery independently... I don't know if I will have so many opportunities.

Luo Hao felt a headache as soon as he saw the system panel in the upper right corner of his field of vision.

It would be better to recharge yourself a 648.

Is this a novice mission?

Director Sun of the Department of Obstetrics and Gynecology refuses to even perform a laparoscopic decapitation and decompression surgery for ovarian cysts. Can he do it himself?

Besides, can Director Sun allow himself to complete so many operations independently?

It seems that the task is not difficult, just an ordinary task of killing monsters and upgrading, but there is a lot of content in it, and it is not that simple.

Now that the system has issued novice tasks, Luo Hao can only start to deepen his understanding of the system and find a solution.

Then he found the skill option in the interface, and with a thought, Luo Hao clicked to enter.

Surgical skill level - 3.
This... doesn't seem too high, the full score should be 10, and I am only level 3.

Since the system came from the sky eight years ago, although the system has not been fully activated, it still has certain benefits - after research, Luo Hao found that he could train surgeries in the system's operating room.

Over the years, Luo Hao has been trained by countless anatomy teachers and has performed tens of thousands of surgeries.

He thought his surgical skills were at least level 6.

Unexpectedly, it was judged as level 3 by the system.

Internal Medicine Skills - 2.23.

Gynecological skills – 2.12.

Pediatric Skills – 0.228.

The skill was actually accurate to three decimal places, which made Luo Hao feel ashamed.

I have no interest in pediatrics, so my skills are "slightly" low.

Ovarian cysts involve gynecology, Luo Hao thought, and the technology tree of gynecology automatically opened.

In Luo Hao's imagination, there should be a dazzling array of techniques for him to choose and learn.

But row after row of spells are all gray, and the words can't be seen clearly. Only high-level words such as quantum and RNA robot can be vaguely recognized.

The drop-down bar kept moving, and when it reached the bottom, Luo Hao saw laparoscopic ovarian cyst removal and decompression.

Do we really want to use this "backward" technique to solve the problem?
Luo Hao knew that the problem was not that the surgery was difficult. Although Director Sun of the Department of Obstetrics and Gynecology was average, he still had no problems performing this basic surgery.

But there were no other techniques below, so Luo Hao sighed inwardly.

This crappy mission is simply too difficult for people to do. As a novice, I will issue myself an epic-level difficulty mission. This system is really unfair.

Just when Luo Hao was in trouble, the system screen glowed with a pale white light, and an easily overlooked corner of the skill tree that Luo Hao hadn't checked carefully lit up.

……

Note: It seems that the colors of certificates in different provinces are different, emmm.

(End of this chapter)