Chen Xia had seen a video in his previous life that left a particularly deep impression on him.
In a hospital in the capital, a little girl cried and cursed when the registration office showed that a certain expert's number was no longer available.
"I was first in line, but there were no appointments left. Where have all the appointments gone? A 300 yuan appointment is being sold to scalpers for 4,500 yuan. Is there collusion between insiders and outsiders? Why is it so difficult for ordinary people to see a doctor?"
Doctors have a difficult life too. This kind of situation often occurs because of behind-the-scenes deals between the registration office and scalpers, and the doctors don't get any benefits at all. As a result, patients are dissatisfied and often take their anger out on the doctors.
Many readers who go to the hospital for treatment like to say: "It is difficult to see a doctor, and it is expensive to see a doctor."
To be honest, this has nothing to do with the hospital. On the contrary, Chinese doctors are really working overtime to see patients.
In Europe and the United States, you have to make an appointment in advance to see a specialist in a public hospital. You can't just see a doctor whenever you want. If you can't wait, you can go to a private hospital, but the medical expenses will be doubled anyway.
The number of outpatient clinics that Chinese doctors see in the morning is at least 50. Some directors are more ruthless and do not limit the number of patients, and may release 60 or 70 numbers.
No matter how many patients you have, as a doctor, you have to see them all before you can leave. Seeing a doctor is like fighting a war.
What about doctors in Europe and the United States? They see no more than 10 patients a day, so they have plenty of time to patiently inquire about the patient's condition and carefully consider the situation while elegantly drinking coffee.
But how much is the registration fee for a Chinese doctor? 10 yuan? 20 yuan? No more.
Including some medicine, it will cost you a few hundred or a few thousand yuan at most. This is why patients say that medical treatment is expensive.
But how much is the registration fee for European and American doctors? Hundreds of dollars per person.
In addition, they will also ask you about the examination fees, medical treatment fees, etc. If you prescribe some medicine, the bill will arrive in a few days and it will be several thousand or even tens of thousands of US dollars. How much is that in RMB when converted into it?
To give another example, the 120 ambulance is called 911 in the United States.
China charges you two or three hundred yuan at most for an ambulance dispatch, right?
But the cost of dispatching an ambulance in the United States is at least $500. Depending on the condition of the patient, most of the time it costs between two to three thousand dollars, which is equivalent to several thousand to tens of thousands of RMB.
There is a joke among international students,
The last words of a person before fainting on the road are: "Don't call 911", because an ambulance dispatch will cost at least several thousand dollars, and tens of thousands of dollars are common.
To give another example, Gao Xiaosong talked about the medical system in the United States in an episode of "Xiao Shuo", saying that taking an ordinary X-ray costs at least US$1,000, which is more than 6,000 yuan in RMB.
If this happened in China, would doctors who dared to charge this much be beaten to a pulp? Would they invite "Focus on Prevention Talk" again, and would the media and society condemn them?
So why don't people in other countries complain about the high cost of medicine? The reason is simple: who pays for medical expenses? I won't elaborate on this, so let's figure it out for ourselves.
Back to Yuezhou People’s Hospital in 1984.
The 15th was the first day of the expert team's outpatient clinic. Everyone, sick or not, came to join in the fun, and the hospital was already packed with people.
The stomachache of those who got the number was gone, and they felt better, and they were very proud of holding the number.
Those who didn't get an appointment looked enviously at the patients who got an appointment as they entered the examination area, while they were all stopped outside.
What does it mean to be an old professor? While others are getting ready for work at 8 a.m., they show up at the clinic at 7 a.m., each followed by a few apprentices and trainee doctors from Yuezhou People's Hospital and the Provincial First Hospital.
In those days, there were no computers to implement paperless public services, and prescriptions still needed to be written by hand. One of the main jobs of the apprentices was to help their teachers write prescriptions.
Don’t underestimate this simple task of “handwritten prescriptions”. The expert’s level is reflected in the prescriptions. Seeing a doctor is nothing but “empirical medicine”.
Following these old professors every day, you can get in touch with the first-hand prescriptions they prescribe, and you can even ask questions directly if you don’t understand something. It is difficult for such apprentices not to improve their level. How many people are eager to write prescriptions for the professors.
Professor Xu Guangzhou of Union Hospital brought his younger apprentice Qi Changhua to the outpatient clinic today, while his older apprentice Ping Jinfeng was waiting in the ward with others. Once there was an inpatient, they would immediately conduct a comprehensive examination and treatment.
Chen Chun also followed Professor Xu, but she was different from the others. She was the discoverer of Helicobacter pylori and the first author of four papers published in The Lancet. Although her title and qualifications were relatively low, she was also given a seat.
Of the seven doctors in the clinic, only Professor Xu, Qi Changhua, and Chen Chun had seats; everyone else had to stand in the back. Don't forget that Qi Changhua was the deputy director of the Department of Gastroenterology at Union Hospital, the equivalent of a chief physician in later generations.
The other six professors were also in place. Dean Gu stood in front of the information desk himself. Seeing that all the experts were in place, he did not wait for the working hours and gave the order to start the outpatient clinic.
Chen Xia was not present at the clinic. He was not a physician by training and had little interest in these matters. He was more focused on supporting logistics and building good interpersonal relationships.
Are these seven professors awesome? They are, but they are so high up in the sky, as if they are detached from the real world. The real decision-makers in the hospital are their apprentices.
For example, Professor Xu’s senior apprentice Ping Jinfeng is the director of the Department of Gastroenterology at Union Hospital. He has the final say on what medicines the hospital purchases and how much to use, so of course Chen Xia has to flatter him.
At the same time, the directors and deputy directors of the top gastroenterology departments in China, including Peking University Third Hospital, Friendship Hospital, Chaoyang Hospital, Tiantan Hospital, Huashan Hospital, and Ruijin Hospital, are all in Yuezhou People's Hospital. If not now, when will we establish relationships?
So Chen Xia stayed in the ward the whole time, greeting everyone he met, such as senior brother and teacher, and making a few jokes from time to time in an effort to bring them closer.
If it were any other doctor, these directors might have just exchanged a few polite words, but Chen Xia was, after all, one of the authors of the paper, so they also asked Chen Xia some questions about Helicobacter pylori with great interest.
One side was curious, the other wanted to flatter, and the two sides soon became friends and almost became brothers.
Gu Lin, who was busy in the inpatient department, felt very proud when she saw her husband chatting so well with the doctors from big cities.
Look at this Chen Laoer, he is indeed the man she has her eyes on, he is so outstanding.
As the outpatient clinic began, the inpatient department became busy immediately, and then the pathology laboratory began to receive tissue specimens one after another. Of course, all of this was done by the professor's team.
Chen Xia was not in a hurry at all, this was all he wanted to see.
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