The Nursing Association is making a mess at this time.
Helen is not vulnerable, she has many supporters.
Naturally, Herman is not willing to lose to Helen.
Zhang Lingzhi also joined the scolding war. If your president and vice president can act wildly, how can I, a standing director, be considered a lady?
The debate was very fierce.
The high commissioner also joined the melee.
Everyone has their own interests and plans.
Helen, Herman, and Zhang Lingzhi became the subject of the Three Kingdoms War.
Zhang Lingzhi was forced to join the melee, and she had the support of a group of poor countries. We have friends all over the world, and we have to express our feelings at this time.
However, the power of developed countries is powerful, and they can even be said to be powerful enough to crush developing countries.
There is a fierce debate about the number of vice presidents.
At this time, Liu Miqiao was preparing to go on stage for surgery.
According to his habit, he must see the patient before surgery. Even if he goes abroad, he cannot change this habit and does not want to change it.
In fact, it is very necessary to examine the patient before surgery. After a final evaluation of the patient, you will have an idea and you will be confident during the surgery.
"Where do you feel pain?"
Liu Muqiao asked about the medical history.
Asking for medical history seems to be a very simple matter, but it is actually a technical task. Even if they have been practicing medicine for decades, some people still fail to pass the medical history. Different people may not get the same medical history.
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Even the medical history that Doctor A asked was abdominal pain, the medical history that Doctor B asked was foot pain, and the medical history that Doctor C asked was headache.
It’s not an exaggeration at all, the difference is so big.
The gap between doctors today is even greater, because many doctors are accustomed to instrument examination results.
Liu Muqiao's physical examination has long been at the master level. Questioning medical history is included in the physical examination. He rarely believes the medical history asked by others. When examining patients before surgery, he usually asks questions himself.
The patient pointed to the right upper abdomen and said, "Here."
Liu Muqiao asked some other questions and then checked.
"Does it hurt? Just tell me if it hurts." Liu Miqiao gently pressed the patient's body, and he felt the abdominal muscles tense.
It is true that he has tenderness in the right lower abdomen, but he also has tenderness in other places.
According to routine, the diagnosis of appendicitis is correct. Metastatic abdominal pain is the characteristic pain of appendicitis, and McFarland point tenderness is also obvious.
This patient has typical metastatic pain.
However, Liu Muqiao discovered a problem and wanted to correct their diagnosis.
"I have a different opinion. This patient has pancreatic disease. If my estimate is correct, the patient has pancreatic body cancer."
Liu Muqiao returned to the ward and raised objections.
Impossible!
The first reaction of the old attending doctor was, how could our old experts make mistakes?
You know, the three giants in the general surgery department are all super bosses of Prince Hospital. They are the pride of Prince Hospital.
Of these three famous scholars, one is from France, one is from Germany, and the third is a famous figure in Switzerland.
The reason why Prince Hospital in Switzerland is famous and ranks among the top ten famous hospitals in the world is because they have gathered a group of great scholars.
Isn’t it a joke that appendicitis cannot be diagnosed correctly?
"Liu Muqiao, your joke is a bit big." said the old attending doctor.
"Really? I suggest you do an MRI." Of course Liu Miqiao believes in his own judgment. In recent years, he has almost always hit the mark.
"Do you need an MRI? It's a case of appendicitis. You want us to do an MRI?" the old attending doctor asked in surprise.
The medical insurance management in developed countries is very strict. For diseases that should not be subject to large-scale examinations, if you prescribe excessive examinations and increase medical expenses, you will be punished by the insurance company. They have strict contracts.
Appendicitis is the simplest disease in abdominal surgery. It is not even necessary to do a B-ultrasound. You Liu Miqiao actually suggested doing an MRI.
MRI is a large-scale examination, the cost is similar to that of surgery, and insurance companies are keeping an eye on it.
No one dares to order an MRI for appendicitis.
"You said appendicitis, I said it was pancreatitis or space-occupying lesions. Who is right and who is wrong? Wouldn't an MRI solve the problem?"
Liu Muqiao also knows that conducting large-scale examinations will cause dissatisfaction among insurance companies. However, I am a doctor and I am only responsible for patients. Does it matter whether your insurance company makes money?
Not only abroad, but also at home, the medical insurance department is very strict about large-scale inspections in hospitals. If they think the inspection is unreasonable, they will directly refuse to pay, and you don’t even have the right to appeal.
Some people envy free medical care abroad. In fact, there is no difference between free medical care and a free lunch. For example, this patient did not even dare to order an MRI. Who is responsible for the misdiagnosis?
No one else is responsible. The patient is responsible. Your body is yours and your health is yours. If you get a misdiagnosis, won’t you suffer?
Many times, hospitals are not responsible for misdiagnosis. The reason is very simple. Which hospital dares to say that it will not misdiagnose? I do not guarantee that it will not misdiagnose. If you come to see a doctor, you will be responsible for it if you make a mistake.
This kind of logic has existential significance. If the hospital is responsible for all misdiagnoses, the hospital should simply stop opening it. Who can afford to pay?
The problem was reported to the attending doctor's superior doctor, and the answer he received was simple, "The diagnosis cannot be wrong! How could there be any mistake in the diagnosis made by Kailin, one of the three giants in general surgery!"
Liu Miqiao shook his head with a wry smile and said: "J, you go do the work. I can be sure that this patient does not have appendicitis, but pancreatic disease, and the possibility of cancer is the highest. Now, it is very simple to solve this problem. Do
An NMR."
J admired Liu Muqiao, and through his efforts, the patient was sent to the MRI room.
When I heard that the patient had been sent to the MRI room, the senior doctor of the old attending doctor lost his temper and said, "What a mess! We can't even diagnose appendicitis. Prince Hospital should close down! You are responsible for the expenses incurred! The fines from the insurance company will also be levied."
It’s your responsibility!”
Someone from the insurance company was stationed at the hospital. After hearing the news, the fine was issued.
"In accordance with Article 13, paragraph 7, of the contract, Prince Hospital will be fined 30,000 euros."
This penalty is not the final penalty. It is possible that the final plan is to use Article 19, paragraph 9, with a penalty of 5 times the maximum penalty, a fine of 140,000 euros, and a downgrade of the credit rating from A to B.
Downgrading is hard to accept. The insurance compensation ratio of Class A hospitals is much higher than that of Class B hospitals. This is the reason why everyone dare not make any changes.
This matter was soon known to the boss Kailin.
His face looked ugly, but after two minutes, he waved his hand and said, "It's okay to check this patient. In fact, I'm not sure about this patient."
Just after he finished speaking, a student came in and whispered in his ear, "The patient's MRI results came out, and the conclusion is very clear, pancreatic body cancer, 2.3X3.1 cm."
Kailin's hands shook.
"Meet. Meet this young man. I have noticed him for a long time. He is a big boss in the pancreas field!" Kailin spoke a little urgently.
This chapter has been completed!