Chapter 362 (1/2)

Once, Zheng Jianguo had never heard of this scene. In his last life, many reports said how good the welfare of the United States is, in which at least 80 or 90% of medical expenses are reimbursed, which has become a topic that many young patients talk about from time to time.

Whenever someone brings up this topic, the patients and their families who discuss it will scold again. Without medical insurance and rural cooperative medical insurance, they have to pay all their own expenses. Even those with medical insurance and rural cooperative medical insurance have to bear 45%, saying that they will be poor until liberation.

It was not until he came to America in his life that Zheng Jianguo found that most of the rumors heard in his previous life were true.

Because most of the medical expenses are incurred during hospitalization, the medical insurance organization has established a set of evaluation criteria to measure the rational use of medical resources, which is used to control the expenditure of insurance expenses, and is committed to reducing the length of hospitalization of patients.

At the same time, this evaluation standard also promotes the standardized formulation of medical staff in business from the side. Patients are required to stay in the hospital for about 5 to 7 days in case of acute disease attack, and they should reach the recovery period.

Then they will be transferred to a relatively low-cost nursing home or home care center, or simply appear at the doctor's clinic for follow-up.

Of course, patients who can be included in this evaluation standard must be groups with medical insurance and Medicaid. The former, as the main body of federal compulsory insurance, allows participants to enjoy 90 days of hospitalization and 100 days of technical care every year.

The most important thing is that unless both of them occur in the same year, there is no need for individuals to pay.

In addition to this compulsory insurance, there is a supplementary medical insurance based on personal will to cover the cost of out of hospital medical treatment (the cost of drugs and other medical services after dialing an ambulance). In 1980, the insurance premium was $5 per month.

Of course, in addition to the federal insurance, there are medical insurance provided by private insurance companies. Its various plans make up for the restrictions of people outside the federal insurance and meet the different needs of different people.

This part of the expenditure accounts for nearly 40% of the medical expenses of the whole United States.

But even in the Lighthouse of America in some people's hearts, this almost free medical treatment can not be enjoyed by everyone.

If people who do not buy insurance get sick and have an accident, they will be like the middle-aged people crawling at Zheng Jianguo's feet. When facing a large group of doctors who treat and save people, they seem to see the God of death waving a huge sickle: ”I'm fine, I'm not sick -”

The middle-aged man shouted and got up. After seeing several doctors with a frightened face, he quickly turned and ran away. Just then, the little policeman Ken seemed to find something: ”stop, you kicked Dr. Alfonso -”

”No, let him go -”

Alfonso looked at his blackened wrist and said quickly. Ken couldn't help looking back at him and said in a bad tone: ”Dr Alfonso, you're too kind -”

”Zheng, take Dr. Alfonso for an examination -”

Nathan assigned Zheng Jianguo as if he had nothing to do. Zheng Jianguo nodded, handed over the single frame in his hand to the other party, looked at Alfonso's wrist and frowned: ”are you soft hearted?”

”Just like your kindness to that girl, my father said that kindness is a good character that only the strong can have, not a helpless acceptance of revenge. I can investigate this person's personal injury.

But he had no money. If he had money, I would make him regret it. However, he had only his life left, but I saved him from death. I can't do that -- ”

Shrugging his shoulders, Alfonso said disapprovingly. After glancing at Zheng Jianguo, he seemed to think of something. Then he said, ”Zheng, don't tell Manion the truth. If she wants to ask, I'll answer -”

”OK.”

Silently nodded his head, Zheng Jianguo felt that the two rich generations could see it so open. He just thought that the education they received from childhood was like this. Why not adults don't remember villains: ”it's a pity that you can't participate in the operation these two days.”

”Pliny also asked me to prepare for gallbladder surgery tomorrow.”

Alfonso said and stopped in the emergency room. Then he turned and looked at Zheng Jianguo. When he was about to speak, he saw that the door of the emergency room that had just been closed was knocked open. Pliny and Nathan ran in with an ambulance: ”the injured in the MVA accident is 25 years old, pulse 150, blood pressure 50, unable to intubate, blunt abdominal contusion, capillary filling index - get out of the way - Zheng, come here.”

”Oh, OK -”

Then he hid by the wall and wanted to stick himself on the wall. Zheng Jianguo saw that Pliny, who had gone away with the roar, suddenly called himself. He turned around and looked at the Arab cableway that was also pasted on the wall: ”you'd better write a film list for yourself. Anyway, you don't need that little money -”

“——”

Without saying a word, he threw down Alfonso, who was speechless. Zheng Jianguo had quickly caught up with the emergency bed that was about to disappear at the door of the debridement room. He saw Pliny looking at it with sharp eyes that he had never seen before: ”Zheng, how many times have you seen intubation?”

”38 times, if you count this time, 39 times.”

Zheng Jianguo didn't even think about it. He just thought of something after he finished, and saw Pliny say, ”let's intubate --”

”Me? Really? ”

Zheng Jianguo was stunned. Pliny had followed the ambulance to the debridement room. He tilted his head and looked at Nathan, who was listening back and forth on the wounded with a stethoscope. He saw that the director said, ”the breathing sound is weakened, there is a drum sound on the right side, ready to reduce pressure -”

”You've seen it so many times. Let's intubate him -”

Pliny said it easily, but he felt the blood boiling after falling in Zheng Jianguo's ear. The full name of intubation is endotracheal intubation, which is the main means to rescue patients with respiratory dysfunction. It belongs to the routine operation that Alfonso can contact.

According to the normal process, Zheng Jianguo may not be exposed until the first half of the year, so he quickly came to Pliny. The nurse assistant had said, ”the muscle relaxant injection is over -”

”Local anesthesia completed -”

The anesthesiologist's voice rang out. Zheng Jianguo took the hose sleeve handed over by the surgical nurse, held it in his left hand and clamped the patient's chin open with his right hand. After looking at his eyes, he immediately said, ”there is too much internal bleeding and blood needs to be drawn -”

”I'll --”

The operation nurse quickly turned around and took the aspirator to the side. Zheng Jianguo picked up the hose with the disappearance of blood in his mouth. Pliny next to him observed his sight from the angle almost close to his face, watched his movements and opened his mouth for guidance: ”gently push to the epiglottic bone, and then raise the hose, Watch your vocal cords - don't touch the esophagus! ”

”Yes!”