A doctor who travels through two eras

Imported Tamiflu granules cost more than 100 yuan per box, and imported Mabaloxavir costs more than 200 yuan per box.

If the flu breaks out, the price will at least increase several times. Even in 2023, patients without medical insurance will still find the price difficult to deal with.

A routine blood test and a chest CT scan cost more than 300 yuan, and some flu medicine was needed. This is what patients on the Internet are complaining about. Damn, I spent five or six hundred yuan to treat a cold. The hospital is too shady.

Lin Sanqi had already inquired when collecting nucleic acid samples, and found out that those who dared to go to the hospital for treatment were basically from families with formal jobs, or at least wealthy families in the countryside.

These people cannot be considered poor in the complete sense.

Just like Zou Jinxing's family. Zou Jinxing is the deputy director of the commune and his wife works in the supply and marketing cooperative. They still have 100 yuan in their pockets. People like this are mentally prepared for the high cost of medical treatment.

Even in order to save lives, we can do anything, and spending a few hundred yuan is not a problem.

Therefore, although the charge of 5 yuan for children and 8 yuan for adults is very expensive, it is within their acceptable range.

The truly poor people, those who are so poor that the whole family only has one pair of pants, will not go to the hospital when they are sick. They will just endure it at home or go up the mountain to pick some herbs themselves.

To put it bluntly, they are self-aware and know that they cannot afford to go to the hospital, so they simply don't come to offend them.

Ordinary people in China dared to take medicine when they were sick until 1965, when the great man issued the instruction to "focus medical and health work on rural areas", and the cooperative medical system began to be implemented nationwide.

After several years of efforts, a nationwide boom in rural cooperative medical care began in 1969.

The method was that each person paid 1 yuan per year for cooperative medical expenses, and the production team paid another 0.1 yuan from the public welfare fund based on the number of participants.

Except for some chronic diseases that require year-round medication, members only have to pay a registration fee of 5 cents each time they see a doctor, and the medication is free.

The commune clinic usually has 12 medical staff. Except for two who are temporarily receiving fixed wages, the other 2 are given work points like the main cadres of the brigade. Depending on the different situations, they are given a monthly cash subsidy of 10 to 3 yuan.

In the wealthier areas at that time, 99% of the people in the entire commune participated in the cooperative medical system, which basically solved the problem of people being unable to afford medical treatment and medicine.

Unfortunately, by the end of the 80s, with the start of the household contract responsibility system, cooperative medical care was discontinued and most people could not afford medical treatment. The situation of falling into poverty or returning to poverty due to illness occurred again.

Back in 1960, most people who went to the hospital had enough money in their pockets and would not owe any bills.

A very small number of people do not have money to see a doctor. By putting them on credit, the treatment is actually free and will not lead to the financial collapse of the hospital. It can be regarded as "robbing the rich to help the poor" in another sense.

When Wang Lingshe heard Lin Sanqi's charging plan, his brows furrowed and he complained softly:

"Chief Lin, you gave me this medicine. It costs money to make the medicine. Can you afford to pay for the treatment of the patient alone and let the money go to the hospital? There are hundreds of patients outside now, and thousands or tens of thousands more will come later. Are you stupid?"

Lin Sanqi thought, I am trying to "exchange medicine for medicine", what's the use of money? He doesn't like money.

"Sister Wang, don't worry. I know what's going on. Dean Shen won't let me suffer any loss. Let's save people first."

Seeing that Lin Sanqi refused to listen, Wang Lingshu looked at Pan Ye standing aside, signaling him with his eyes to control this prodigal son.

Pan Ye is a good girl, she just does whatever her boyfriend says, so she just smiles:

"Sister Wang, I will listen to Sanqi."

Wang Lingshu slapped his forehead and thought to himself that young people don’t know how expensive food and fuel are until they manage the household. Men are stupid and women are even more stupid. What will happen to the children they will have in the future?

"Okay, I don't care about you guys anymore. Don't cry when the time comes, hehe."

Lin Sanqi started seeing patients in the morning, ate a steamed bun at noon, and was busy until the evening before leaving get off work. He saw more than 240 patients in one day and charged a total of 1500 yuan.

In 1960, when the average salary was only 1500 or yuan, yuan was definitely a huge sum of money, and this was a doctor's daily "turnover".

From this we can see how much cash flow the hospital has?
So the hospital really is not short of money, the problem is that the value of the money is too low. It cannot be used to buy food or pork, and can only be used to buy medicinal materials.

Leaders of other units would be delighted to see the hospital's turnover soar, but today Director Shen looked a little worried instead of happy.

Bungalow dormitory area.

Pan Ye brought a bowl of pork porridge to his future father-in-law. Patients should eat light food, and it was a delicious dish with some pickles.

"Uncle Lin, have some porridge."

"Okay, okay, thank you, Xiaoyezi, for going to work and taking care of an old man like me."

Lin Kucan is quite satisfied with his future daughter-in-law. She has a good family background, is a college student, is good-looking and filial. She is definitely the "dream daughter-in-law" of the elders.

Pan Ye brought the second bowl of porridge to Dean Shen. Dean Shen had a sore at the corner of his mouth at this time. He was lying on the pit, looking very worried and unhappy.

"President Shen, please have some porridge." "Okay, leave it here. I'll eat it later. Sigh..."

Pan Ye thought the old man was worried about the epidemic, so he didn't think much about it and handed the third bowl of porridge to Lin Sanqi, who was also leaning against the wall motionlessly.

After working for more than ten hours that day, Lin Sanqi was exhausted and sore all over. He didn't even have the strength to raise his hand to pick up chopsticks.

Treating patients is not only a mental job, but also a physical job, which feels like working like a horse or an ox.

After get off work, I just want to lie down and close my eyes to rest for a while, or play with my phone. Anyway, I don’t want to do housework or type.

Seeing that her boyfriend didn't want to move, Pan Ye quietly reminded him: "Look at Dean Shen, what's wrong with him?"

Lin Sanqi stretched his head and saw the old man lying on the kang, looking a little surprised: "Uncle Shen, what happened to you? Have you also been infected with the plague?"

Dean Shen rolled his eyes at Lin Sanqi and said to himself:
"We can't win, we really can't win. The clinical cure rate of Union Hospital for this plague is much higher than that of our Chinese Medicine Hospital. It looks like we are going to lose this duel. I'm so angry!"

Lin Sanqi climbed up feeling a bit puzzled, thinking that something was wrong, as the miracle drugs for treating influenza, Mabaloxavir and Oseltamivir, had not yet been invented.

Similarly, highly effective fever-reducing drugs such as ibuprofen, loxoprofen, diclofenac sodium, etc. have not yet been invented.

Even the most common acetaminophen, sold under the trade name Priligy, was only launched in the United States in 58 and it certainly has not been introduced into China.

Lin Sanqi really couldn't think of any other drugs that Union Hospital could use to fight influenza virus or reduce fever? And could it still achieve good results?
"Uncle Shen, our hospital mainly uses Chinese medicine for treatment, while Union Hospital must use Western medicine. Do you know what medicine they use?"

"Well, I don't know about that either. I don't really understand Western medicine either."

Suddenly, Dean Shen thought of something and suddenly laughed: "Xiao Qi, you know Western medicine, why don't you go and ask around?"

This was related to the reputation of the Chinese medicine hospital. Lin Sanqi did not want to be overtaken by Union Hospital, so he stood up with all his strength:
"Okay, I'm also curious about how they treat it, let's go and take a look."

Pan Ye called from behind: "Would you like to have some porridge first? You've been busy all day."

Lin Sanqi waved his hand: "No more, no appetite, you guys eat first."

When Dean Shen saw Lin Sanqi coming out, he felt relieved. He looked at the bowl of porridge in front of him, then at the bowl of porridge opposite Lin Sanqi, took it without hesitation, and drank it happily.

Outpatient area

It was almost evening, but patients were still coming in an endless stream. Lin Sanqi mingled with the crowd, trying to see how Western medicine treated patients in this era. This was the curiosity of a time traveler from the future.

There are obviously more people queuing at Union Hospital than at Chinese Medicine Hospital. The patients are very smart and don’t care whether you use traditional medicine or imported medicine. They will just try whichever medicine works.

It’s the same principle as worshipping Buddha. It doesn’t matter which religion you belong to, as long as it’s spiritual, it’s fine.

The Chinese medicine hospital has 20 outpatient clinics, and Lin Sanqi is just one of them. Even though he used the miracle medicine, there was no visible effect after just one day.

On the contrary, Union Hospital has several drugs that can quickly reduce fever. Patients spread the word and naturally everyone came here.

Lin Sanqi wore a mask, blended into the crowd, pretending to be a patient, and it was his turn in less than two hours.

Lin Sanqi estimated and thought that the efficiency of traditional Chinese medicine was really not as good as that of Western medicine.

Traditional Chinese medicine emphasizes observation, auscultation, questioning and palpation. When a patient comes in, the doctor observes your complexion, looks at your tongue coating, asks you a lot of questions, and then narrows his eyes to feel your pulse, first feeling the left pulse and then the right pulse.

Then I would write the prescription based on the condition and severity of each patient, and I would still use a brush to write.

It would take at least ten minutes to see a patient, so at most, I can see no more than 10 patients in an hour, and the maximum I can see is 100 patients in a day.

Western medicine is different. Especially when there is a clear epidemic, when a patient comes in, the most they ask is, "How many days have you had a fever? Where do you feel uncomfortable?"
Then he looks at the throat, listens to the lungs, and quickly writes down a prescription with a pen. It takes two or three minutes at most.

Decades later, netizens often complain that they waited in line for two hours and only saw the doctor for two minutes. While they were still talking about where they felt uncomfortable, the doctor had already written a list of examinations on the computer, and some even wrote a prescription and asked them to go get the medicine directly.

This is the efficiency of Western medicine. For every 5 patients a Western doctor treats, it is estimated that it takes only a Chinese doctor to slowly treat one patient.

Then from the perspective of economic benefits, for every dollar earned by traditional Chinese medicine, Western medicine earns five times as much, and these are all achievements.

What else can I say? Traditional Chinese medicine hospitals are also desperately purchasing machines and instruments, vigorously developing Western medicine clinical departments, and then selling dog meat under the guise of sheep meat, calling it the good effect of combining Chinese and Western medicine.

According to Lin Sanqi, Chinese medicine hospitals should not adopt the Western medicine system. They should focus on specialization and study and promote Chinese medicine. Even if they need to make money, they should make money through Chinese medicine.

Soon, it was Lin·Spy·Sanqi's turn to be seen and he sat in front of the doctor at Xiehe.

"How many days have you had a fever?" (End of this chapter)