Doctor: It's reasonable to perform surgery on yourself.

"Are you not sick if you don't get checked?"

Mo Wan sympathized and advised: "This minor illness will only get worse if it continues. You have a child."

A trace of tenderness flashed in Yuan Yu's eyes, but then there was deeper pain and struggle. She was silent for a long time, and finally nodded with tears in her eyes.

…

After sending in the liver function test and blood test, Liu Susu came out of the laboratory and saw a man queuing in front of the window.

Liu Susu was a little surprised.

Isn’t this the first patient with palmar finger regeneration surgery performed by Dr. Xu?

"Qiu Qinghu." Liu Susu shouted and walked towards him.

Qiu Qinghu turned around as if frightened, and recognized Liu Susu, with a guilty smile on his face: "Nurse Liu, are you here to help Dr. Xu get the examination report?"

Liu Susu shook her head and asked: "It's not time for the re-examination yet, are you doing the examination?"

"Yes, just check it out."

Liu Susu glanced at the other party suspiciously.

This person would rather endure the pain of cancer, not receive any treatment, and save a little more money for his daughter.

The free medical treatment provided by clinical doctors only includes the operation fees and nursing fees related to the palm finger regeneration surgery, as well as postoperative medication fees and several free follow-up examinations.

Of course, the item "pain-relieving drugs" was added later.

But it certainly does not include today’s unwarranted inspection.

"Go back to Dr. Xu for a review another day - does your hand feel okay now?" Liu Susu did not go into details.

A rare hint of excitement appeared on Qiu Qinghu's face, and he said: "I can already do some basic work."

"Don't overuse it. It's still in the functional recovery period." Liu Susu reminded.

For people like Qiu Qinghu, these instructions to exercise more and rehabilitate more are meaningless. He is a simple working people. As long as he is awake, he will have nothing to do.

He was not worried about tendon adhesion, but was worried that too much activity would cause the repaired tendon to tear again.

Liu Susu gave a few warnings and left.

Saying too much is the same as saying too much.

Qiu Qinghu has advanced intestinal cancer and can only rely on chemotherapy to maintain his life. He may not be able to afford the monthly chemotherapy cost of about 20,000 yuan.

Basically at the stage of giving up treatment.

In fact, whether he gave up or not, he didn't have long to live.

Forced chemotherapy is time-consuming and expensive, and the life expectancy is only three to five years; but without chemotherapy, the patient may only live for a few months.

With such a short life span, there is no need to pay too much attention. He can eat whatever he can. If he wants to make more money for his children, then go ahead and make it.

After coming out of the laboratory department, Liu Susu went straight to Xu Qiu's office and informed him of what happened here.

"Goed to the laboratory?"

Xu Qiu was also a little curious. It wasn't time for a re-examination yet. With Qiu Qinghu's situation, it was impossible for him to do an examination for no reason.

He pulled up the hospital's medical records and found the records after checking.

"I called in from Director Wu and checked the liver function and abdominal CT..."

When Liu Susu heard Xu Qiu's words, she was a little puzzled and said: "Why is it the same as Yuan Yu's examination? He had nothing to do to check his liver function. He did a full set of tests before the operation, and no problem was found."

Xu Qiu refreshed the information, and several more messages popped up in the hospital's medical treatment system.

"Lymphocytotoxicity Assay."

"Human leukocyte antigen A system..."

Xu Qiu motioned Liu Susu to come over and take a look. The latter's pupils widened and he said in surprise: "Is this... he wants to be matched?!"

"Probably."

Xu Qiu thought of the situation of Qiu Qinghu and his wife.

Qiu Qinghu himself had intestinal cancer. Although it was at an advanced stage, no metastases were found in or around the liver.

This means that the other person's liver is still healthy for the time being.

Qiu Qinghu’s wife Fang Wenwen has hepatocellular carcinoma...

It has developed to the point where only a liver transplant can be done, or life can be maintained by long-term chemotherapy.

Waiting for a liver source is almost impossible for ordinary people. Currently, there are about 300,000 patients waiting for liver transplants nationwide every year, but less than 10,000 people can survive to receive an organ.

Fang Wenwen couldn't wait so long.

However, there is another way, that is, direct blood relatives or couples who have been married for more than three years can bypass the Red Cross, form a "helping" relationship, and donate directly.

Qiu Qinghu is matching himself!

"Keep an eye on it. If it really works out, it will be considered a blessing among misfortunes." Xu Qiu said.

Liver transplantation... I have not yet acquired the master-level ability for this operation. It seems that I need more training in the simulated operating room in the near future.

…

The next day, shift was handed over early.

After finishing the shift report, Wang Ping stood up and said: "In the past two days, the superiors have implemented a new system. This system began to be implemented on a small scale a few years ago. Now hospitals in Baiyun Province will gradually join in, and then all over the country..."

He pressed the page-turning pen, and several big words appeared on the big screen in front of him.

"New diagnosis and treatment model under the DRGs system"

When everyone saw these four letters, their breathing suddenly stopped.

The originally sleepy mood suddenly lost its beauty, and everyone looked sad.

DRGs, or disease diagnosis related groupings, are based on comprehensive consideration of the patient's condition, etc., and then grouping the patients. The disease is not considered from an individual perspective, but from the perspective of a group of similar patients.

This is related to the issue of medical insurance reimbursement.

To put it simply, in the future, how much a patient will be charged for illness will no longer be determined by the treatment method given by the patient or the hospital, but by the prescribed value within the patient group.

For example, for a certain disease, the medical insurance regulation only allows 5,000 yuan. If the hospital can reach 4,000 yuan, it can make 1,000 yuan.

At first glance, it seems to be a good thing, but... in order to make so little money, the hospital will definitely increase the cost as much as possible, and in the end, the medical insurance regulation will also be adjusted down.

This year's regulation is 5,000 yuan, next year's medical insurance can be 4,000 yuan, and the year after that it can be 3,000 yuan.

However, new treatments, new equipment, new drugs, etc. for various diseases will definitely not reduce medical expenses, but will gradually increase the cost of treating diseases - this will make it increasingly difficult for hospitals to reach the stipulated value.

Finally, every time a patient is admitted, the hospital will exceed the standard once, and the medical insurance will not pay for this money, so the hospital can only fill the gap.

And this gap is bound to fall on the doctors.

So the doctors were surprised to find that in this line of work, the more patients they admitted and the more surgeries they performed, the less bonuses and performance were, so that no one was willing to touch complicated patients anymore, and no one dared to touch difficult surgeries anymore...

It's like delivering food.

When all the delivery riders are crazy about speed and volume, the platform's big data will gradually shorten the delivery time from one hour to half an hour, and then to twenty minutes. If they can't deliver within twenty minutes, they will be fined.

The consequences of DRGs are no different from this kind of internal competition.

There is only one way to solve the dilemma - everyone is in a mess.

When all hospitals cannot meet the fees stipulated by DRGs, they will naturally adjust upwards, but this is absolutely impossible to do.