Doctors exposed recessive income far exceeding wages

In the eyes of the average person, the doctor’s income seems to be very secretive. The reporter had contacted several doctors to let him talk about income and views on the industry. They were all declined by rumors. “You can work just like everyone, but nothing else. Said." The feeling given by doctors still depends on a few words. The objects of admiration, admiration, family members of patients and representatives of medical practitioners have little love for patients. Their industry, their ideals and their most unwillingness to mention the "doctors and patients" relationship, red envelopes, recessive income much higher than wages ...

The monthly salary from 420 to 7800 yuan has increased by 20 times in 20 years. Lu Geng is a well-known tertiary A hospital in Kazakh City. He has been in medical practice for exactly 20 years. His office is the simplest and most messy doctor's office. There are several gimmicks on the desktop of the office, a small bag of cracker biscuits and bottles of mineral water. “Just after the death of an old man in Cory, the family still holds it. With a headache and crying, the doctor is also a person. The emotions will also be affected. I'm sorry to have kept you waiting for a long time..." As soon as he met, Lu Geng began to talk about it.

He lit a cigarette and talked about his career. In 1993, after graduating from Jiamusi Medical College, Lu Geng began his own path to medical treatment. Although he was reluctant to be a doctor, his parents and several older sisters were doctors. He himself was “forced” to become a doctor. “Since it was chosen We must do a good job, and this is also affected by the traditional education of my family. I study hard and the clinical practice is very serious. I just want to be a good doctor.” Lu Geng said he remembered the first month's salary. It was 420 yuan, and other doctors were 260 yuan. He was different from other doctors. He took the salary system for the promotion of the army for three years and one year. The doctors in local hospitals had to be promoted to be able to raise their wages. At that time, he felt that his income was still good. of. Most of Lu Geng’s classmates were doctors, and some of his classmates went to large-scale pharmaceutical companies as distributors. Of course, the income was a world away from each other. The classmates who were engaged in business were still envied by Lu Rong, and Lu Geng knew that they were not personally admired. It is doctor profession.

In 2004, the unit was divided into a common delivery room with an area of ​​more than 40 square meters. The child was slowly getting older. In the past few years, he and his wife had bought a set of commercial housing with an area of ​​more than 130 square meters. After nearly 20 years of struggle, Lu Geng’s current salary has risen to over 7,800 yuan. He also purchased a car with more than 100,000 yuan. “Although the family is very warm, but at home there is not much time.” Lu farming sighed.

Work overload psychological pressure "If life has the opportunity to re-select, I will not be a doctor again, my sister and I are not ready to make their children a doctor, why? Working time is too long, even during the New Year still have to work overtime this year On New Year's Eve, I still have to spend time at the hospital. The most unpleasant thing is that my psychological pressure is too heavy..."

Lu Geng said that he will continue to work for 27 hours in a row. Four Cory doctors will work overtime in turn, that is to say, there will be 27 hours of continuous classes after 3 days. The rest are normal working days, sometimes a week. Plus two classes, so many years are also accustomed to, his wife is a peer and understand that a long period of irregular work, the body has fallen ill.

Lu Geng attended the reunion the day before yesterday. A female student working in general surgery said that because she was under-considered during surgery, a gallstone originally in the patient's body was leaked into the bile duct during cholecystectomy. At that time she did not know. The patient had more than postoperative pain. This symptom was covered by pain. Therefore, there was no clear judgment. The patient had high fever and died. Although this situation was unpredictable and did not belong to a medical accident, the result was that family members and even society could not Accepted, the family members came to the hospital every day to make trouble. There was no way that female students personally married 60,000 yuan to their families. Everyone did not comfort her because it was commonplace. When the patient came to the hospital, he required 100% success. The unsuccessful consequences would have to be borne by the doctor. The doctor would also be a human being. The person would have emotions.

Recently, the most difficult thing for Lu Geng is that his two classmates have died one after another. Both of the classmates are working in a large hospital in Beijing. Due to the overloaded workload, they have to perform 12 to 13 operations per day and work 15 to 6 times a day. Hours and tense, a 45-year-old and a 46-year-old passed away. He was alive and exhausted. Although he earned a lot of money, what was the use? Other students working in the Beijing University Hospital generally felt too much pressure, high spirits, and a monthly salary of only 10,000 yuan. They felt like “cleaners” in the capital. This feeling made Lu Geng’s classmates feel sad.

Implicit income far exceeds wage income and raises income other than wages. Lu Geng said that this includes many, including red envelopes, drug privilege, and other income such as “private private activities”. Implicit income cannot be calculated, and far exceeds wages. Income and hidden income also vary from person to person, and the more well-known physicians, the higher the implicit income. Implicit income is the most common red envelope, and some patients' families give red envelopes out of a kind of "reward" for the doctors to succeed in surgery, express gratitude, and there is a kind of patients who will soon undergo surgery, in order to allow the doctor to "well "After surgery, doctors are given red envelopes. Now, it is the latter case to give red envelopes. Take the cesarean section that is in constant contact as an example. Before the operation, the family members usually give the chief surgeon a red envelope of 1,000 yuan, an anesthesiologist 500 yuan, the ward nurse, and the maternity nurse every 300 yuan. This is the minimum standard, and the conditions are good. Give more. As an obstetrician, five or six cases of cesarean section surgery every day are normal, and the red envelopes received far exceed the salary.

In addition to the red envelope, the most recessive income is the drug promotion. Lu Geng said that he knew a cardiologist who performed cardiac stenting for the patient. With one stent, two or three can be used. The more than 10,000 yuan made in domestic stents and 20,000 yuan in imported stents, are expensive or cheap, and life and death are usually met by patients. The more stents the doctor uses, the more he will receive commissions. Using an average of 2 stents for a single operation, the conservative estimate of the income of doctors obtained would be several thousand dollars or even tens of thousands. Two such cases are performed every day. "Invisible income" does not say that we can also guess a few points. Once the heart is placed on the stent, patients have to take medicine for life and the side effects are great, but doctors rarely mention it to patients. Lu Geng said that his friend is also one of the wealthiest doctors in the circle. Couples are hundreds of thousands of cars. Hainan has real estate and Beijing has real estate. The only daughter who studies in the United States does not have to work. That kind of thing, "Friends are very busy, there are almost no holidays, and there is no time to spend money." Lu Geng said with a smile.

In addition, hidden income also includes external private children. The doctors who can receive private jobs are "heavyweight" doctors, at least in the same industry. Their peer-recognized surgery is well done and their families are attracted. What is good, for example, appendicitis surgery, general doctors do not only take a long time to operate, but also a lot of bleeding, "master" surgery plus anesthesia time is only 20 minutes, the flow of blood is almost negligible. Outgoing work is usually an invitation letter sent by the patient's hospital, the doctor's hospital agreed, the doctor can go to the patient's hospital for surgery, surgical income earned from the hospital to stay part of the individual part, the distribution ratio requires the doctor to talk with the hospital. It was also invited through a personal relationship within the circle, and the well-known doctor had to agree to the face. Such surgical expenses were all returned to the doctor. "Patients who can invite well-known doctors or experts are usually rich or expensive. They don't care about prices at the moment of life and death. Usually the price is set by the doctor, and the patient will not bargain."

Lu Geng said that the industry's "Wan Er" is invited by major hospitals to undergo surgery, and the income is naturally high. Doctors who reach the level can request to bring their own medical team, assistants, anaesthetists, etc. The other party will also agree that the team's The huge costs of accommodation, round-trip airfare and so on should be borne by the patient. Of course, the expenditure is not affordable for ordinary patients. "Wan Er" is almost always flying around the year, allowing him to perform surgery in addition to money, but also to look at face, there are all kinds of personal relationships.

“Private work” is also risky. For example, recently a general surgeon in a large hospital in Harbin used an anaesthetist to take a rest time to go to Hailar for surgery. The two were killed in a car accident on the way. This situation was found to be too much trouble. Not a work-related injury. In addition, if a doctor “receives a private job” and has a medical accident, the doctor will personally bear the consequences. If the doctor receives an invitation letter from the other party's hospital and the doctor goes to another hospital for an operation and has a medical accident, the consequence is usually that the invited hospital bears most of the responsibility and the doctor's hospital is responsible for a small part of the responsibility. Before last year, it was stipulated that doctors were not allowed to go to hospitals other than hospitals for surgery because the doctor's practising certificates stipulated that the designated hospitals were only hospitals where doctors work, not other hospitals. Since the beginning of last year, doctors have been allowed to be invited to other hospitals for surgery. If there are frequent contacts in this area, usually the inviting party will apply for a doctor's practice certificate for the doctor.

Lu Geng said that he also received “private work” through the invitation of acquaintances. He also charged 1-2 million yuan for each operation. This is normal in the industry.

The doctor-patient relationship needs to be communicated to resolve the problem. “When we were just doctors, the relationship between doctors and patients was not so tense. We could meddle with the patients while playing poker. We learned about the patient’s condition. Now, if we find that doctors play poker with patients, Being punished, it is very important to communicate with patients," said Lu Geng.

Just like a 70-year-old patient who had just died from Corye, he had 2 daughters and 1 son. They were extremely filial sons and daughters. The old man had done bladder surgery 4 times and was in bed, but also the children themselves. Care, economic conditions are good, but don't call a carer. Lu Geng called the children of the elders and told them that after several rescues, the life of the old man has come to an end. Rescuing them is futile. The pain suffered by the old man cannot be imagined by his children. If he believes the doctor, he should not stop again. Rescued. Sure enough, during the conversation, the old man did not have a heartbeat. When Lu Geng ran to the ward, the nurses were injecting a second shot. Lu Pong stopped the nurses from rescuing and the old man left. Afterwards, the relatives who came and asked who did not allow the rescue, Lu Geng stood up and told the family members. After explaining the reasons, the family members and children both understood and thanked Lu Geng for his actions.

“As a doctor, you should be brave enough to assume this responsibility when you are responsible. Although most doctors do not do this, because they cannot generate income for the hospital, their own income is also reduced,” said Lu Geng.

“Please believe that when the patient comes to the hospital when he is most helpless, he places a hope on the doctor. The doctor will communicate the patient’s real situation with the patient at any time, so that the family members can understand, and no one is looking for children, as the doctor should be pregnant. With a 'doctor's heart' to treat every patient, the patient will also have a grateful feeling to return you, so, at any time may become a patient, we will not be disappointed with the doctor industry, improve the doctor-patient relationship Hope," said Lu Geng.