"There was a patient who fell from a high altitude and got it from the fourth floor. He didn't want to be hospitalized at home." Yuan Lihan explained vaguely.

Zheng Ren's heart moved and jumped off the building and didn't want to be hospitalized. The two keywords were linked, and he thought of several possibilities.

"Is it because of insurance?" Zheng Ren asked in a low voice.

Mr. Wang was very moved and admired.

Medical technology is medical technology, and what Dr. Yuan just said is about another plane.

He is in the imperial capital and rarely comes into contact with insurance. When he is in the 912 hospital, the deposit he pays in advance is 50,000 yuan. In other words, if he does not pay 50,000 yuan, he cannot even enter the hospital.

As for whether the patient can be reimbursed, it is not within the scope of Mr. Wang's consideration.

But the situation in Haicheng is completely different.

Whether the patient can be reimbursed for medical treatment here is definitely a major consideration for where the patient's family chooses to be hospitalized and what kind of treatment method to choose.

But when Boss Zheng looked at him, he knew it was because of insurance. What the hell was this? Mr. Wang also realized the problem.

Yuan Li was stunned for a moment and nodded.

Zheng Ren smiled, "You continue to chat."

After saying that, he and Mr. Wang continued to walk forward.

"Boss Zheng, what's wrong?" Mr. Wang asked.

"Jumping off a building is a suicide, and insurance will not be reimbursed." Zheng Ren said, "Without insurance, many steel plates in orthopedics cannot be used. If domestic cheap steel plates are used, most of the injured will be on the lower limbs and will have to bear the load in the future, and the steel plates may be broken."

“…”

"This will be a medical risk in the future. So if the emergency department accepts such patients, it is not very urgent and cannot be reimbursed, and the orthopedic doctor will be very unhappy. If it is particularly urgent, it will not be possible.

But did Dr. Yuan say that he jumped down from the fourth floor and probably had a serious injury, including a calf fracture, an intertrochanteric fracture, or a femoral shaft fracture."

"As long as these are not open, they are not a big deal. So when I change to another hospital, I told the doctor that I accidentally fell, so I fooled it."

"Uh... Is this really good?" Mr. Wang has been working as a doctor in the top large-scale tertiary hospital in the country. He has been in Haicheng for several months and has performed many surgeries, but he has not mastered this very obscure little idea.

"I don't know if it's good or not, and it's even more serious. This is a fraud of insurance." Zheng Ren said calmly: "But after all, it's better to treat people's illnesses than those small community hospitals, which are better than those small community hospitals, and they are cashing out every day. Haicheng Community Hospital does not cost money to be hospitalized, and they also pay money every day."

"Send money? That's so great?"

"Yeah." Zheng Ren nodded while walking, "I have heard that it is about 100 yuan a day, which is about this price. If you put on a bed and prescribe medicine, the hospital will sell it. This is a kind of hedging. There are many ways to do it. The large deficit in medical insurance is not in the Grade A hospital, but in the community."

"This is not..." Mr. Wang was filled with righteous indignation.

"Calm down, the grassroots level, it's like this. If you manage it tightly, you'll be more restrained. If you manage it loosely, hurry up and prescribe the medicine." Zheng Ren smiled, "Everyone has good things, and no one will go too much trouble. In fact, it's said that everyone has good things, but in the end everyone has no good things. But who knows what to do?"

Zheng Ren acted as if he was just a doctor, only responsible for medical treatment and surgery. This kind of attitude was not under his control, nor was he in charge of it.

Mr. Wang sighed a little. There are so many loopholes below, and I didn’t know about it before.

When he walked to the door of the emergency room, Zheng Ren looked around.

His body stiffened slightly and he immediately walked into the emergency room.

There were nurses busy in the rescue room, and the patient was lying on the rescue bed, and the numbers displayed by the electrocardiogram monitoring were still very stable.

Zheng Ren walked in quickly and attracted the nurse's attention.

She turned her head and said in surprise: "Mr. Zheng, you are back."

However, the surprise was only a moment. When the young nurse looked behind Zheng Ren, she fell into boundless disappointment.

Zheng Ren knew that the person who could really surprise the young nurse was Su Yun. He didn't know if he had finished drinking with Chang Yue now.

Nodding, Zheng Ren came to the patient, stretched out his hand and said, "Stethoscope."

Mr. Wang was a little confused and took out the Yuyue stethoscope from his white suit pocket and handed it to Zheng Ren. The patient's blood pressure was 150/100 mmHg, his heart rate was 102 times/min, his breathing was 28 times/min, and his blood oxygen saturation was 98%.

The electrocardiogram is sinus rhythm. This is an emergency patient, but not a severe patient.

The patient's injury was the same as Zheng Ren judged. In the calf, Mr. Wang estimated that it was a tibia and fibula fracture. However, the fracture was a bit serious, and the left calf was congested and edema, and the skin was a little shiny.

The osteofascial syndrome is obvious and can be easily identified.

If Mr. Wang handled this patient, he would not talk about medical insurance to the patient's family like Yuan Li, nor would he listen to the abdominal cavity with a stethoscope like Zheng Ren...

Boss Zheng listens to his abdominal cavity? Isn’t this nonsense?

The vital signs are stable, and the abdominal organs are probably fine, otherwise Yuan Li would not have talked about medical insurance to the patient's family leisurely.

If you take a step back, you shouldn't auscultation even if you have something to do.

"B-header B-ultrasound, call, immediately!" Zheng Ren said in a deep voice. In an instant, he had returned to the role of the hospitalization department of the Emergency Department of Haicheng First Hospital. "Nitropra, reducing blood pressure, and maintaining high pressure below 120."

The young nurse was stunned for a moment. Although Zheng Ren had been away for half a year, his power was still there, and his physical instinct was to obey, not to question.

She quickly called someone to call, and she seized the time to add medicine.

"Boss Zheng?"

"I suspect the chest master, and there is a tear in the abdominal aorta." Zheng Ren gave the diagnosis directly, "Go and call Yuan Li in."

Zheng Ren just took a look at the rescue room, and the bright red system panel background color attracted him. The system diagnosis seriously made Zheng Ren dare not waste time.

Auscultation is just one way and rarely used it. Because the patient is thin, he can hear the sound of blood flow from the aorta by pressing the stethoscope hard. However, there are many noises, and this is not what the real diagnosis does.

This is just a way for Zheng Ren to infer in retrograde times, and others cannot learn it.

"..." Mr. Wang looked at Zheng Ren in surprise, then looked at the patient, speechless. Where is this?

However, the diagnosis and treatment experience of patients with p-j syndrome tells Mr. Wang that he must obey.

He quickly walked to the door and called Yuan Li in.

Yuan Li was a little unhappy. He had just finished talking to the patient's family in a vague manner, and he didn't say it himself, but he made the patient's family understand what to do.

The next step is to sign a word that you will be responsible for all consequences, and then send it to another hospital in the city by a 120 ambulance for diagnosis and treatment.

In Yuan Li's opinion, it was just a fracture. Which hospital was not treated?

Is this guy Zheng Ren coming back to cause trouble for himself?! He was a little angry.

...

...

Note: This is a patient I have been receiving in 10 years. My level is not high, and I can’t find the dissection when I look at the chest CT. To explain, it is difficult to distinguish the dissection aneurysm at the beginning. I just had doubts and wanted to leave at home. I pressed my pressure until dawn the next day to contact the emergency vascular CT reconstruction.

Finally, he was diagnosed with the interlayer and went directly to the iCu. What happened next was also true. People lived, but they spent a lot of money and the family was in a mess. When he was discharged from the hospital, his lover looked at me in a wrong way, and he was so vicious.

But, just like that, smile.

Let me tell you, my physique is a constitution that is more attractive to dissection aneurysms. There are 8 patients with rib fractures and aortic dissection in the department over the past ten years, and I came on duty.
Chapter completed!