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

He Hai sighed and said, "DRGs was launched in the general surgery department two days ago. When the medical department calculated, they found that they would lose 2,000 yuan for a thyroid surgery and 5,000 yuan for a pancreatic tail surgery. If this continues, the department will lose more than 10 million yuan a year!"

Everyone in the emergency department was silent.

As the saying goes, ophthalmology is gold and surgery is silver. A few years ago, surgeons were at the top level in the hospital in terms of income and status.

However, with the advent of DRGs, the surgery departments of top hospitals such as Union Hospital and West China Hospital will make more money because of their medical capabilities far exceeding the average level; but most ordinary surgeons will feel the despair brought by the "standard medical expenses" on their heads. Every patient and every operation will make their wages lower and lower...

Wang Fan spat and said, "If this continues, won't the hospital give priority to cost?"

In the past, when doctors formulated treatment plans, they always put treatment effects first, followed by costs.

But once this system is implemented, I am afraid that the treatment effect and sequelae will have to stand aside...

He Hai nodded: "You kid really guessed it right. The director of general surgery told me yesterday that several patients were originally going to use immunoglobulin, but later they were replaced with the most primitive glucocorticoids. Also, during the operation, hemostatic materials are rarely used. At most, a few gauze is used for compression and packing, and the electrosurgical knife is not used if it is not necessary.

"There is also an embolization device for the splenic artery in the interventional department, which costs more than 8,000 yuan. It is very useful. Basically, as long as the patient can afford it, the intervention department will recommend it. The effect is very good and the patient recovers very quickly.

"As a result, the medical expenses stipulated by DRGs are more than 5,000 yuan. As long as you dare to use this device, you will directly lose more than 2,000 yuan for one operation. Add other treatment costs, and the total loss will be more than 5,000 yuan for one patient in this group."

Everyone looked at Xu Qiu.

Never expected that one day Xu Qiu's bare-handed hemostasis method and the technique of one force defeating ten skills could save so much money...

"What about the liver cancer robot?" Xu Qiu asked.

Academician Chen opened a backdoor and gave Linyi the opportunity to open an Epione surgical robot pilot hospital, which is aimed at various types of liver cancer resection.

In recent days, Linyi's hepatobiliary doctors have mastered the use of Epione surgical robots, and doctors have also experienced the wonders of robotic surgery.

Compared with human doctors, robots are too precise.

The eight hands of the robotic arm are extremely accurate, and can even engrave words on the outer vascular membrane of the portal vein without piercing the blood vessel.

Of course, the cost of conducting robotic surgery is also quite high. Despite the pilot subsidy, the cost of the simple operation is as high as 42,000 yuan.

Wang Ping shook his head and said, "The good news is that only a few hospitals are using Epione surgical robots at present, so they are not included in the medical insurance coverage, and all have to pay for it themselves.

However, with the superiority of surgical robots and development trends, the major comprehensive tertiary hospitals in various provinces will soon introduce them...

According to the DRGs grouping, a set of robotic surgery will cost the hospital 20,000 to 30,000 yuan."

Xu Qiu looked thoughtful.

This is not good news for most doctors.

The original intention of DRGs is actually very good. It hopes that every hospital can make money, doctors' income will increase, medical insurance will turn losses into profits, and the public can spend less money to see a doctor.

But, can forced promotion really achieve such an effect?

Xu Qiu is just a doctor, he can't think of the answer.

"I will think of a way to do this. Everyone can work according to the previous rhythm. The emergency department will not deduct a penny from you because of DRGs." Xu Qiu promised.

He doesn't want the doctors under him to think about whether the patient's condition can be cured within the prescribed fee when they see the patient. He is worried that a more suitable treatment measure will make him deduct bonuses.

Let doctors simply do what doctors should do. This is Xu Qiu's requirement for the emergency department and all clinical doctors.

...

Rest day.

Xu Qiu visited Fu Qing again.

This time there are two purposes.

First, the specific ban policy of Gan An Ning.

The driver has solid evidence, so the next step is to wait for the right time to issue a policy to ban Gan An Ning in Baiyun Province.

Second, DRGs.

However, this is a notice issued by the Medical Insurance Bureau. No matter how strong Xu Qiu is, it is unlikely to shake it. He can only discuss with Fu Qing whether there is a good way to deal with it.

In the antique study, Fu Qing pushed a document over.

"The provincial drafted a ban on sales, and I just need to stamp it. What do you think?"

Xu Qiu took it and glanced at the title first.

"Notice of the Baiyun Provincial Drug Administration on the non-compliance of "Gan An Ning" with regulations"

The content is very sharp.

It directly points to the side effects of Gan An Ning, and bans, prohibits the sale, production and storage of Gan An Ning throughout the province, which completely blocks the survival space of this drug in Baiyun Province.

"No problem." Xu Qiu put down the document.

The document drafted by experts in the province naturally cannot have any loopholes.

"It can't be delayed any longer." Fu Qing said.

Xu Qiu nodded: "Secretary Fu, next I plan to visit the members of the liver and gallbladder expert group in various provinces."

"Visit them? Why?"

Xu Qiu also took out a document.

Fu Qing took a look and his pupils shrank slightly.

This is an appraisal certificate.

To be more precise, it is a disclosure that proves that Gan An Ning has quality problems and concealed serious sequelae.

He immediately understood what Xu Qiu was going to do: "Are you going to ask for signatures from the expert group?"

The signatures of two-thirds of the experts are enough to make this appraisal book legally effective.

Gan An Ning was able to pass the review of the Daxia Drug Administration because two-thirds of the experts signed as a guarantee, confirming the safety and efficacy of Gan An Ning.

The Drug Administration is full of administrative staff, and there are not many frontline doctors.

They only recognize the signatures of experts. As for the data provided by clinical doctors, they will not admit it, and they cannot admit it.

Fu Qing's face became serious: "Are you sure you want to do this?"

Just thinking about it, you can know how difficult it is.

Two-thirds of the people on the list were the ones who guaranteed Gan An Ning at the beginning. Now, how can they sign a completely opposite appraisal book!

And the remaining one-third that can be won over, only a few people like Academician Chen and Gao Pei'an are willing to sign for Xu Qiu.

The rest of the people are likely to be afraid of Hui Ning's revenge.

They did not guarantee Gan An Ning back then out of basic conscience.

But that does not mean they are willing to stand on the same front with Xu Qiu to fight against the giant Huining Group!

Fu Qing said in a deep voice: "What are you going to do?"