The third example is the simplest.
Logically speaking, the third example is the most difficult.
Puncture with 10 ml of blood volume in the thalamus to remove hematoma is not performed too often even in affiliated hospitals. The key is that the hematoma is too small, and puncture can easily cause secondary damage.
Last time, Dr. Zou performed five needles on 11 patients. Although the patient recovered and there were no obvious complications, if you examine carefully, there are sequelae, which are partly caused by Dr. Zou's puncture.
However, this patient only needs to extract the hematoma, and the amount of blood is small, so there is no need to flush it. Just use a needle. Therefore, for Liu Miqiao, this is the most difficult thing, but it is the easiest.
All in all, it only took 8 minutes.
Then calculate the total time.
"That's it... it's over?"
Zhao Yilin came to his senses. It only took half an hour for the three patients, which was shorter than the time it took to talk to their family members.
In the past, one patient was busy for half a morning, but now there are three patients, all critically ill, and it only takes more than half an hour.
Zhao Yilin was worried that his family would suspect that they did not perform hematoma puncture at all.
However, there is evidence that the patient's condition has improved greatly.
The patient with a bleeding volume of 50 ml woke up. Although his speech was slurred, he could clearly express that he wanted to drink water.
The patient's family members can be asked to put on isolation gowns and go in for a look.
They took turns going in.
When they came out, everyone was smiling.
Liu Muqiao felt great, especially since his aseptic operation had officially become a master. From now on, he would no longer worry about being canceled by others.
"Liu Muqiao, come here, I want to talk to you." When passing the director's office, Zhao Yilin pulled Liu Muqiao and said, "Sit down and have a cup of good tea."
He personally helped Liu Muqiao make tea, and this tea was the finest Longjing tea.
"I want to discuss a problem with you, your treatment." Zhao Yilin also made a drink himself.
"This, it's up to you, I'll be satisfied with the operation."
It’s not that Liu Muqiao doesn’t need money, he just needs it. He has trouble eating. Xie Min gives him 800 yuan a month, which is a bit tight.
At least Liu Muqiao eats a lot and is greedy. When others eat 20 yuan a day, he needs 30 yuan. How can 800 yuan be enough?
"Can you give us a figure for your expectations?" Zhao Yilin still hasn't made up his mind as to what price is more appropriate.
"Your director has the final say, as long as I have money to eat."
Zhao Yilin pondered for a while and said: "Is this okay? You get a commission from the operation, 50%, and Dr. Zou and I and the others get half of it."
What is this concept?
Liu Muqiao shook his head, "I don't understand."
He has no idea about surgery commissions. How much does it cost? He doesn't know.
"For such an operation just now, we can get a commission of 300 yuan, which is the so-called performance salary. For one, you get 150, and I and other doctors add up to 150. How about that?"
"Oh, so much? If I make ten today, wouldn't I get 1,500 yuan? Yes, this is really possible."
Zhao Yilin was originally worried that Liu Muqiao was too few, because there were less than 30 patients in the past month, and the monthly income was only about 4,500 yuan.
4500 is really not high.
I have to remind you, "Liu Muqiao, it's impossible to treat ten patients a day. Think about it, 10 patients a day is less than 200 beds for me. And now, we only have 60 beds in total."
"I said, since you are planning to carry out minimally invasive puncture, your hospital beds are not enough. At least, you have to add dozens of beds."
"No problem, as long as the patient comes here and doesn't apply, the hospital will open a ward for me."
While we were chatting, the resident doctor knocked on the door and came in, "Director, another patient has a cerebral hemorrhage. There are not enough beds in the intensive care unit, what should I do?"
"Another one? Extra bed! What, is today a stroke day? This is the fourth one all morning." Zhao Yilin beamed with joy and thought, this is a good sign.
The hospital is afraid that there will be no patients. If there are no patients, what will they eat?
Of course, you said that doctors like other people to get sick, but that’s not true. Instead, they hope that patients will not go to other hospitals, but to be sent to our hospital when they are sick.
"I think there may be ten cerebral hemorrhages today." Liu Maqiao revealed the secret.
However, no one paid attention.
Ten, what a big joke, one a day is pretty good on average.
The patient was pushed into the intensive care unit, and Dr. Zou started talking again, using the same routine. Soon, the patient's family members agreed and signed.
That is tantamount to making a bet, and you will bear the consequences at your own risk.
The resident doctor took the puncture bag and said, "This is the last puncture bag. If we come back, there will be no more patients."
Liu Miqiao quickly said: "You have to prepare six of them quickly. Today, we may receive ten such patients."
The resident doctor's expression changed, "Don't scare me, okay? The surgery records will make your hands cramp."
He said truthfully, Dr. Zou is the attending physician, and it is not his job to write disease history records and operation records. These chores are written by the residents.
The nurse in the intensive care unit smiled and said to Zhao Yilin: "If this happens every day, the performance salary in our intensive care unit will exceed 10,000."
The nurses in the intensive care unit are very tired. They often work late and night shifts and often work overtime. However, they get more for their performance. Senior nurses can get 8,000 yuan.
Zhao Yilin chuckled.
Ten thousand, this is not his goal.
In other affiliated hospitals, nurses can get an annual salary of 2.3 million yuan.
Liu Muqiao was not interested in them talking about money. It had nothing to do with him. He got a commission from the surgery, which was 150 per case. If he performed 100 surgeries a month, he would get 15,000. This money was a lot of money for Liu Muqiao.
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Liu Muqiao did not wait for others to make preparations, he did it himself. He wanted to practice aseptic operations as much as possible. He was not afraid of practicing the technique, and the more he practiced, the better he would get.
He started from shaving his head to drilling holes with an electric drill, and the time became less and less.
He picked up the puncture needle and took another look at the CT film. There was bleeding in the basal ganglia. This position can be done with eyes closed.
Of course, it’s just talk. How dare you come here with your eyes closed?
He took it seriously, penetrated towards the center of the hematoma, and enjoyed two "pops" in a row. The pleasure of penetrating the dura mater was very good, and then seeing the blood return was another kind of enjoyment.
As the accumulated blood flowed out, the patient's legs retracted when he walked into the Palace of Hell.
Today, I had a special enjoyment. I treated five patients and rescued each patient from my hands. This kind of pleasure is really not an ordinary pleasure.
The so-called "respect for one's job and love for one's profession" should be said in the doctor's profession. Most doctors, even when they reach retirement age, are unwilling to retire and still want to stay in clinical practice.
Of course, money is part of the reason, but the key point is that I still can’t take any time off. I have been seeing patients all my life, but suddenly there are no patients to see, and I feel very panicked.
Liu Muqiao was not quick and carefully extracted the remaining blood.
Dr. Zou watched with eyes wide open, thinking, this seemingly high-end puncture and drainage, in Liu Miqiao's hands, is just like venipuncture, it is too easy.
This chapter has been completed!