Trial and error is a very important part of clinical diagnosis. It allows doctors to quickly judge the patient's real situation, rather than trying to deal with multiple possibilities at the same time. However, in China, there are generally two clinical methods for "diagnostic trial and error". The first is to conduct trial and error through testing - the only disadvantage of this method is that it will increase the burden on some patients and medical insurance. The second is to restrict more stringent "diagnostic treatment".

Sun Lien has used diagnostic treatment, but as long as there are other options, he doesn't want to do this. The complexity of the diagnostic treatment process cannot be explained in just a few simple sentences.

In principle, diagnostic treatment is very easy to explain. Doctors have narrowed the disease patients may suffer from from thousands or tens of thousands to a range of two or more. But for various reasons - perhaps because the disease progresses too fast, or because the degree of scientific progress is insufficient - in short, after carefully balancing the possibilities, doctors decided to use a specific drug to treat the patient and observe the treatment response.

If the patient improves, it can be determined that the disease is a. If it does not improve, then diagnostic treatment will be performed again according to b, c, d or even other diseases.

The risk to the patient when doctors choose this method to "diagnose" is obvious - if the first time is not correct, if all the possibilities are ruled out in succession but are ineffective... Then the patient himself is likely to have to pay the heavy price of delaying the disease.

Therefore, under the current situation in China, doctors basically will not use this plan unless they have to. If they want to use it, the cumbersome and troublesome notification process will become very painful. Not all families can accept the doctor's plan for "trying a gamble", and they hope to take everything into their hands, including the life and health of their relatives, and even life and death.

"As long as it is necessary, then do it. As long as it is what you think is the best for the patient, then do it." Professor Zhang Zhifu gasped for a few times and said with a cough. "This is the diagnosis center. What patients will come to the diagnosis center for treatment? People who cannot see well in other places, cannot understand, but are unwilling to go home and wait for death will come here - forget all the habits you had in Tongde!"

Clinicians, especially those in large-scale tertiary clinicians, often have a habit. To be nice, they are used to choosing the most suitable treatment method for patients. To be bad, they are used to watching the dishes and serving dishes.

Not all patients have the ability to afford all types of treatment plans. Medical insurance is not omnipotent. There are many drugs and treatment plans that cannot be reimbursed by medical insurance. Even if there is medical insurance reimbursement, different patients are divided into medical insurance reimbursement levels, and there are even a considerable number of patients who do not have medical insurance coverage at all.

When facing such patients, doctors from large and "experienced" Grade A hospitals often talk to the patients about their homework first and ask them about their work. In short, they determine the economic conditions, affordability, treatment intentions, etc. of the patients and their families through various methods that are not likely to cause disgust in patients and their families.

If doctors know clearly that the patient's family's financial conditions are not good and the family members do not have a strong desire to treat, then [www.biqugew.me] will usually not mention surgical treatment very much, but instead recommend conservative treatment. If the patient's family conditions are acceptable and his or her desire to survive and family treatment is very positive, the focus of recommended treatment will be shifted to more active and cost-effective projects.

What Professor Zhang Zhifu wants to correct is the habit problem of his own team members. In his opinion, the Comprehensive Diagnostic Center is a not that complicated institution. Doctors only care about seeing a doctor, and patients and their families only cooperate. If the family members have no intention of treatment or are unable to pay for the treatment, they may not have come to the Comprehensive Diagnostic Center at all.

After hearing this, Sun Lien felt that it would be better to explain it slightly, "In fact... if you encounter a patient who is unable to pay the fee, if the other party agrees to disclose the diagnostic information and share it with Takeda Pharmaceutical after the review, their diagnostic costs can be completely exempted."

Sun Lien deliberately put the four words "diagnostic cost" a little more important. After all, this is also part of the contract reached by Takeda Pharmaceutical and the Fourth Hospital. According to Takeda Pharmaceutical's contract, the number of patients that can be diagnosed for free in the diagnosis center every year is no more than 10,000 patients. The treatment cost also has corresponding reductions and funding. Although the proportion is not very large, the promise of "50% off all drugs under Takeda Pharmaceutical" is enough for many people to cross the distance between life and death.

At present, Takeda Pharmaceutical's products are mainly concentrated in gastrointestinal diseases, cardiovascular diseases and tumors. Other products listed overseas have not yet passed domestic approval and put into use. It can be said that Kobayashi's "generous commitment" itself will not bring much pressure to the entire enterprise - diagnosis costs are a very broad range, and not every patient who needs diagnosis needs to undergo a Pet scan or a whole-body MRI or MNGS examination after being admitted to the hospital. Moreover, these test items, including machines and consumables, are all provided by Takeda Pharmaceutical, and the cost is not too high.

"Then you should have more examinations." Professor Zhang Zhifu nodded, and then continued to add, "Don't worry about putting pressure on the laboratory department, and don't worry about the family not understanding. You just need to let go and then make the diagnosis come true - do you understand?"

The three doctors nodded together, while Chen Tianyang asked another question, "Well, Takeda, is also responsible for paying our wages?"

"The salary is paid in the college..." Sun Lien wiped the sweat that did not exist on his forehead, "But Professor Chen, your salary... Maybe it's a part of it that the college also has to pay?"

"I'm not like Lao Zhang. He is now devoted to the people's health cause." Chen Tianyang seemed to think the atmosphere on the scene was a bit bad, so he joked, "I am more concerned about my own little matter - my grandson will be one year old soon, and as a grandfather, he has to earn red envelopes for him."

The old fried dough successfully brought the topic to a not-so-serious direction. After a few chats, the doctors present were taken to the office beside him by Professor Zhang Zhifu, preparing to arrange a seat. Chen Tianyang kept Sun Lien.

"Why didn't you see Xiao Xu today?" Chen Tianyang changed his position and made him feel more comfortable on the stool. "She off work today?"

"Doctor Xu..." Sun Lien hesitated for a moment, "It seems that she has something private, so she asked for leave today..."

Before he finished speaking, Sun Lien's cell phone rang out of place. He picked up the phone, but saw a local number not recorded in the address book.

"Hey?" Sun Lien answered the phone amid the sound of "gluten baking", "Who?"

"I'm Xu Yourong." Xu Yourong's voice rang out from the other end of the phone. She sounded pretty good, but Sun Lien could still feel a little fluctuation, "I'm going to quit."
Chapter completed!