"I recently took the medicine you prescribed for me, and I felt a little pain coming from the breast nodules. It's not that the breast nodules are going to worsen."

The slight pain in the chest made Gao Yun feel fear in his heart, fearing that his breast nodules would become cancerous.

Feng Su put down Gao Yun's medical record and said with a smile: "It's right that there will be a slight pain. If there is no pain, it will prove that I will prescribe you the right medicine without effect."

Before Huang Su finished speaking, Gao Yun asked curiously: "Why is this?"

Fei Su explained: "In the theory of traditional Chinese medicine, human nodules are blood stasis in meridians and accumulated over time to form knots. When traditional Chinese medicine treats nodules, it is like treating nodules as onions, and uses Chinese medicine to promote blood circulation and remove stasis, soften and disperse nodules, and peel them off from the outside to the inside layer by layer."

Huang Su continued to ask: "After you felt a little pain these days, when you touch the lesion, do you feel that the outer edge of the nodule has softened?"

Gao Yun nodded happily: "It's true. I feel relieved after hearing what you said. I'm afraid I'll get cancer."

"Don't worry about this. The probability of breast nodules being cancerous is extremely small. Since the drug is effective, you can continue to take it according to the original prescription."

If it is not the case of inferior Chinese medicinal materials, Gao Yun should have felt a little pain in the first time he was prescribed.

When traditional Chinese medicine treats various nodules, tumors, and cirrhosis, this kind of pain often occurs during the treatment process.

Many patients do not understand the pathology of traditional Chinese medicine and panic when they feel pain.

Among them, especially patients with cirrhosis, because they are bewitched by external media, I heard that Chinese medicine can cause liver and kidney damage.

When the pain occurs, it is believed that the Chinese medicine has damaged his liver, thus resisting the treatment of traditional Chinese medicine and doubting the therapeutic effect of traditional Chinese medicine.

However, in traditional Chinese medicine theory, cirrhosis and liver fibrosis are caused by blood stasis in the liver meridian. The treatment method and the treatment of nodules and tumors are the same.

It is very normal to promote blood circulation and remove stasis, soften hardness and disperse knots, and to clear the blockage and cause a slight pain.

Don't panic because of pain.

On the contrary, this slight pain proves that the doctor has used the right medicine.

Gao Yun, who was relieved, continued to ask: "Director Huang, how long do I have to drink this medicine? Do I need to continue to come for a follow-up visit during the drinking process?"

"Drinking until the nodules disappear completely. If the nodules soften and dissipate during the medication period, or the nodules stop softening, you come for a follow-up visit."

Traditional Chinese medicine treats nodules from the outside to the inside, like plucking an onion, slowly softening and dissipating.

The more the characteristics of the nodule are, the harder, tighter and more stubborn the nodule structure.

Traditional Chinese medicine that does not grasp the dose correctly will appear during the treatment process, the nodules shrink to a certain extent, the nodules soften and dissipate slowly, or the soften and dissipate suddenly occurs.

This is an experience in treating breast nodules.

Think about the first time I treated my breast nodule, which took seven months before and after, and changed the prescription three times.

Looking back at that time, I felt funny and I was not afraid of the disease.

Fortunately, it is my relatives, and the nodules change every day, so the patients always believe in themselves.

Thinking about it now, it is really a newborn calf who is not afraid of a tiger.

After many years of accumulation of experience, I can now recover from the prescription for taking the medicine.

This is the difference between the accumulation of traditional Chinese medicine experience.

However, many Chinese medicine practitioners have not even reached the threshold for the first step in identifying the pathogenesis.

Flavin continued, "Put out my tongue and I'll take a look."

Gao Yun stuck out his tongue. His originally thin, sharp tongue is now much wider, and his liver stagnation has improved greatly.

Huang Su looked at Gao Yun's tongue and asked, "Have you improved a lot recently?"

Gao Yun nodded and said, "After listening to you, I have been controlling my temper for a while, and I have read the books you recommend to me. Now I have figured out a lot, read a lot, and I rarely lose my temper."

"That's right. The pathogenesis of your nodule is liver depression and qi stagnation. As long as you keep a good mood, the disease will be cured faster." As she said that, Huang Su looked at the clock on the wall, and at noon break, she finally reminded: "Go back and continue taking medicine, and continue to maintain a good mood, don't be angry."

Gao Yun nodded: "Okay, thank you Director Huang!"

After Gao Yun left, Huang Su tidied up the things on the table and prepared to go for lunch with Yan Bing. The phone on the table suddenly rang.

Huang Su answered the phone and Li Weiying's voice came from the phone: "Director Huang, you will be delayed for a while at noon. Come to my office and let's chat."

"Dean, I'll go upstairs to find you now!"

After hanging up Li Weiying's phone call, Huang Su called Yan Bing and apologized: "Wife, I'm sorry! You can have lunch first, the dean will talk to me about something."

Tell Yan Bing to let her eat first, and Huang Su took the elevator to the top floor.

Knocking Li Weiying's office.

When I walked into the office, I was very sensitive to the strong smell of smoke tar in the air for the person who didn't smoke. I don't know how many cigarettes the new dean smoked.

Looking at the ashtrays filled with cigarette butts on the desk, you will know that Li Weiying was very upset recently.

Huang Su also heard that the new dean had a very difficult conversation with various departments.

After all, who has already eaten the benefits in his mouth, may he be willing to spit it out.

Even if the dean thinks of everyone's vested perseverance, he will definitely be subject to collective resistance.

Li Weiying enthusiastically pulled Huang Su to the sofa: "Director Huang, sit down!"

Huang Su sat down and said, "Dean, are you asking me for something?"

"There is nothing important, just ask Director Huang to come over and chat and learn about the situation in traditional Chinese medicine."

Li Weiying praised: "Director Huang is worthy of being a famous doctor in our grassland city. He has no choice but to be picky about his medical skills and ethics. The Chinese medicine department led by Director Huang from the entire city hospital was untainted and he did not lose his eyes by money."

Huang Su said modestly: "Director, you have praised it. In fact, our Chinese medicine department is also a vested interest in President Liu's performance appraisal. It's just that our Chinese medicine characteristics will not have any outstanding performance in performance, but our income has indeed increased a lot."

Li Weiying said with a smile: "Director Huang, you are too modest. I have some understanding of the situation of the city hospital these days."

"Director Huang, if you are a person who values ​​money, as long as you agree to President Liu to ask the patients in the Chinese medicine department for examination, the number of people who see a doctor in the Chinese medicine department will not be the last of the year, nor will you have a stale relationship with President Liu."

Huang Su said: "Since you are a doctor, you must have the ethics of a doctor. Our Chinese medicine department will not cheat patients' money for the sake of good performance. Our Chinese medicine doctors have their own skills to diagnose patients. If you prescribe a test, it is because this test can help us better treat patients."

"Director Huang, this is what I admire most. I can still stick to the bottom line of doctors in the face of financial interests. It is also the doctors of traditional Chinese medicine, which allows me to see that the city hospital still has hope of saving."

Li Weiying said angrily: "Look at what the city hospital is like now. For the so-called performance rankings of President Liu and to get more bonus commissions, now the city hospital's prescriptions and inspections have become a common phenomenon. We are the national public hospital, not the black spot for slaughtering customers."

Flavin is also aware of the situation where major prescriptions and major examinations are prescribed in various departments of the hospital.

After all, the grassland city is just a small city with a population of 300,000 to 400,000, and the base of patients is there.

The municipal hospital may eventually attract more patients to the municipal hospital for treatment through the title of Grade A hospital and the name of the Affiliated Hospital of Mengjiang Medical University.

However, the number of patients is saturated after all.

If there are no advanced medical methods and excellent medical skills that can attract foreigners to see a doctor, forming a siphon effect on surrounding provinces and cities, it is impossible for municipal hospitals to maintain continuous high growth in performance.

When the number of patients is saturated, the performance of the municipal hospital will enter a stable period.

If you want your performance to continue to grow rapidly and if you want to surpass other departments on the rankings, you must work hard on the patient and try to take out more money from the patient's pocket.

A big inspection, the appearance of a big prescription is inevitable.

Moreover, the hospital is now undergoing major examinations, and the matter of major prescriptions is getting more and more intense. For the sake of performance, each department has prescribed prescriptions larger than the other, and the examinations are given more than the other.

Burigude gave up his control over the municipal hospital and also wanted to remove Director Liu, which means that the municipal hospital has reached the point where it cannot be changed.

"I have also worked on the front line for a long time. The phenomenon of large prescriptions and large inspections is not a special phenomenon that only municipal hospitals have. It has become a very common situation in grassland cities, but it is just that municipal hospitals are particularly serious."

Li Weiying handed her payment plan for her efficacy to Huang Su: "In the past two years, I have been thinking about how to balance the interests of patients and doctors. This is the plan I have been thinking about in recent years. I originally wanted to implement it as a pilot in the city hospital. If it is feasible, I plan to implement it across the city. Unexpectedly, it has not begun yet, and all departments are very resistant to this plan."

Huang Su was also curious about what kind of plan Li Weiying came up with to make all departments in the hospital resistant.

For a moment, only the sound of Feisu turning pages occasionally came from the office.

After a long time, Huang Su slowly put this plan on the efficacy and charges on the coffee table and looked at Li Weiying with a very surprised look.

Li Weiying's plan on efficacy charges is infinitely close to the efficacy charges implemented in the pilot implementation of Jiangsu, Zhejiang and Shanghai areas in later generations.

Huang Su was a little suspicious. The one in front of him might have come back again, right?

Otherwise, how could this kind of plan appear nearly twenty years in advance?

Compared with the current dominant position of doctors, it is beneficial to the doctors to charge according to the project.

Paying by efficacy is actually based on the charging method of patients on the demand side, and it is a major reform of medical charges.

Li Weiying’s efficacy payment model is to pay according to groupings related to disease diagnosis.

The patient is divided into several diagnostic-related groups based on the patient's age, gender, hospitalization days, clinical diagnosis, symptoms, surgery, disease severity and other factors. Scientific calculations and treatment effect evaluation are carried out on the grading. A fixed amount of advance payment is given based on the completion degree of each group.

For example, if a fracture is caused, a total score will be calculated based on the patient's age, degree of fracture, and other complications caused by the fracture.

According to the total score, it is divided into several diagnostic related groups and matched scores are given.

What treatment goals should be achieved for bone reduction and what treatment effects should be achieved?

What is the purpose of acupuncture treatment and what therapeutic effect is achieved?

Finally, based on the treatment effect score achieved by each diagnosis-related group, the corresponding medical expenses for the score are paid based on the actual treatment score.

This payment method takes into account the interests of patients, hospitals, medical insurance and other aspects. Its effect can control costs, ensure quality, and improve management level.

For example, hospitals are encouraged to strengthen medical quality management, forcing hospitals to actively reduce costs, shorten hospitalization days, and reduce inducible medical expenses to obtain profits, which is conducive to cost control.

This therapeutically effective payment model can maximize the restrictions on the traditional project payment model and the major prescriptions and inspections.

Because of the expenses of different diagnostic groups, each drug prescribed and one examination must be clear and the results are predicted.
To be continued...