Jin Xian breaks into officialdom

197 Hospital

The rank of the bureau chief of Shanghai City cannot be determined. He may be a deputy department or a deputy department. Lin Qi feels that judging from his age and the treatment he enjoys, he should be a person of the deputy department level, and his gold content should not be high, otherwise It's probably crowded here

While the nurse was changing the bottle, Lin Qi simply asked, this gentle director is the deputy director of the Baoshan District Education Bureau, in charge of party affairs, veteran cadres and other fringe jobs.It is not difficult to explain why there are so many condolence items such as eggs, grain and oil in the corner

The hospital gave him the diagnosis: exertional angina.After an examination in the morning, the doctor told him that his condition was very dangerous and suggested installing a stent in the coronary artery for treatment.In the morning, the doctor repeatedly told them that "the situation is urgent" and asked them to prepare for the operation in the afternoon.

Zhang Minyang was a little flustered, and didn't know who to consult when encountering these situations, so he thought of his friend.Jin Xian broke into officialdom 197

"Stent surgery?" Chen iǎlan didn't hear Zhang Minyang's specific treatment plan on the phone. In her impression, the treatment of coronary heart disease includes three traditional methods: medical therapy, surgical bypass therapy and internal medicine interventional therapy, and is still in the early stage. New treatments such as gene therapy in the early stages of research.In the 80s, when interventional technology for coronary heart disease, mainly stent surgery, entered the country, it was once praised by doctors as a breakthrough in the history of cardiovascular disease treatment, and by patients as a technology that could "resuscitate the dead".

The so-called heart stent surgery is to puncture blood vessels, insert a catheter into the blood vessels, and place a cylindrical hollow metal mesh tube in the place where it needs to be placed, so as to open the blocked blood vessels and recirculate the blood.The operation process is not complicated. The patient undergoes the operation under local anesthesia and is usually discharged from the hospital in a few days.

In fact, the drawbacks of heart stent surgery have been found in foreign countries, that is, the probability of restenosis of stent is higher in clinical practice, which is called intimal hyperplasia in medicine.That is to say, the stent allows the blood vessel to pass through, so that the original ischemic myocardium can obtain blood supply, but the atherosclerotic plaque will continue to grow in the stent, and the blood vessel will be narrowed again.

Since domestic hospitals have not kept pace with foreign countries in this regard, Chen iǎlan is not aware of these situations, but as a doctor, she knows two unspoken rules:

One is driven by interests.A stent with a diameter of only a few millimeters and a weight of less than one ten-thousandth of a gram costs 2 to 3 yuan if it is made domestically, and more than 3 yuan if it is imported, and the postoperative follow-up treatment is also a uā fee.

As the management of the hospital, they even issue stent placement indicators to relevant departments every year, asking how many cases to put stents in that year.

At present, many large hospitals in China are actually comparing the number of stents placed, because the more stents are placed, the greater the income.There was even a case where 17 stents were placed on a patient, which surprised many laymen and envied many insiders.

In 3.6, the drug-eluting stent developed by Johnson & Johnson - "Xinfei" was first launched in Europe, and then allowed to enter my country. The market price at that time was 50 yuan, and the profit margin of dealers could reach 98. The proportion of this stent used in China It was once as high as 60% of the total number of stents used. However, the sales of paclitaxel stents, which usually have a market share as high as 70-[-]% in other countries, have been sold at almost zero in China for half a year.

The second unspoken rule is academic abuse.At present, my country stipulates that an academic paper can only be published after a certain number of stent operations performed by a doctor himself, because the research value of a paper based on iǎ sample size is very iǎ.The publication of papers is linked to the evaluation of professional titles. For example, three or more papers must be published in national core journals to be evaluated for senior professional titles, so doctors need a large number of stent samples.

In front of the nurses in the hospital, Chen iǎlan did not tell Zhang Minyang these unspoken rules. She looked at the film of the cardiac angiography examination and said solemnly: "I suggest that this matter should be cautious, it is best not to do it."

Hearing this, the nurse who was holding an empty infusion bottle gave her a hard look, turned around and walked out angrily.

Chen iǎlan shook her head with a wry smile. It seemed that wherever she went, she offended her peers. She then explained to Zhang Minyang, "Although I don't know much about cardiology, the profit of a stent is more than 1 yuan." I know best, although you have public medical care, it is best not to transition to medical care. Stent surgery is not a one-off operation, its sequelae and recurrence rates are quite high, and you have to take clopidogrel for a year after placement, and take aspirin for life to fight blood clots , These two substances can irritate the gastrointestinal tract and also bring the risk of bleeding."

Zhang Minyang was a little scared after hearing what Chen iǎlan said. Fortunately, she didn't accept the doctor's strong suggestion and did it in the morning, otherwise she wouldn't even have the time to regret it now.

"Hey, where do people come from here to talk nonsense and slander the reputation of our hospital?" Everyone was listening to Chen iǎlan's speech intently, but they didn't realize that there was an extra white coat beside them.

Lin Qian took a look, and it was a coincidence that it was the one who treated him in the morning.

The eye doctor is also a semi-expert, and the number of experts was fully booked in the morning, so Zhang Minyang's husband had a first consultation with him. How could he let go of such a good opportunity, and immediately suggested that the other party undergo an immediate operation.

Zhang Minyang was bluffed on the spot. Although he did not agree to the operation, he also went through the hospitalization procedures.The eye doctor doesn't know much about his medical skills, but he is full of confidence in his art of frightening people. He was walking this way just now, wanting to strengthen the belief of these two patients in the operation, and didn't want the nurse to tell him in a hurry that someone was coming to disrupt the situation. News, he hurried over.

If someone else, Lin Qi really didn't know if what they said made sense, after all, Chen iǎlan had been modestly saying that she was a second-hand knife, and her level was not good enough to talk about her illness.But seeing this doctor in charge, Lin Qi knew very well in his heart that he can prescribe you a 500 yuan meal for an appetizer first when the cause of the disease is unknown.

Lin Qi was not afraid of tearing his face apart, so he told the story of the doctor's treatment and prescribing for him in the morning. Naturally, he didn't mention the fact that he fabricated the test report. The two crimes of blind treatment and prescribing are enough. The doctor carried it.Jin Xian broke into officialdom 197

The expression on the doctor's face was like a rainbow after the rain, red and white for a while, and finally this fellow threatened Lin Qi viciously: "If you have the ability, don't come to Renji Hospital for the rest of your life." In his opinion, as long as it is Shanghai The citizens of the city will definitely come to their best hospital several times in their lifetime, even if they don't come in person, who hasn't had a serious illness or disaster among their relatives and friends?

After saying this, both Lin Qi and Jiaojiao were delighted, and it’s the two of us who have nothing to do when we come to you to see a doctor

It's not that the plots all end with beatings and killings. More often, everyone will feel better after scaring and slandering each other. ! ~!