I Can Talk to the Internal Organs-Chapter 213 - 182: The Six Criteria for Healing

"You're quite something, jumping straight into this kind of big task?"

Huang Fusheng couldn't help but laugh when he saw this disease cure evaluation system. The rule about refunding if the patient isn't cured seems simple, but once implemented, there would be all sorts of complications.

"There should be standards for a cure." Shen Congwei said.

Lu Jiu said, "Of course, it's written below. There are six standards for a cure: First, the patient can sleep through the night without waking; second, the patient has a normal appetite; third, the hands and feet are warm, but the head and body are cool; fourth, one bowel movement per day, light yellow in color and well-formed, not sticking to the toilet; fifth, urination five to seven times a day, light yellow and clear, with no nocturia or urinary stoppage; sixth, energetic during the day, without unexplained drowsiness."

"If, within three days of treatment, the patient shows improvement towards these six standards, then it's considered effective. Based on the doctor's diagnosis, the disease can be classified as Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, or Jueyin, and the required treatment days for each can be determined. If it exceeds this, it's considered uncured."

"Of course, specific cases need specific analysis. If there are indeed rare or uncertain diseases, they can be transferred to another doctor. If no doctor in the hospital can achieve results, patients are advised to seek treatment elsewhere."

Huang Fusheng asked, "What about patients who don't cooperate with medication?"

Lu Jiu laughed, "That's where my second system comes in, the decoction service. Many hospitals have this now, but it's too simple. I think it shouldn't just be a simple service."

"On one hand, many herbal medicines are restricted in dosage by pharmacopoeia, and if given indiscriminately and something goes wrong, the hospital will be responsible. On the other hand, many patients don't know how to decoct medicine, find it troublesome, and sometimes forget to take it."

"The decoction service can solve these three issues: First, ensure the herbs won't harm the patient, and the hospital can monitor whether the prescriptions are reasonable by comparing the medication records with the doctor's diagnosis; second, solve the difficulty of patient medication, while also supervising and recording the patient's medication habits, providing an explanation if the patient's disease isn't cured due to irregular medication; third, real-time monitoring of medication efficacy, ensuring transparency between doctor and patient."

Hmm, this is good.

Huang Fusheng flipped a few more pages and saw Lu Jiu's decoction service system, wherein a batch of medicine costs five yuan. This fee isn't much, and most patients should be able to afford it.

"Huh? The medical fee system, why have you set the diagnostic fee so high?" Huang Fusheng asked.

"Let me see, fifty, that's not high. Hmm? A rising scale for diagnosis, the more patients cured, the higher the diagnostic fee?" Shen Congwei's eyes lit up.

"Explain this to me." Huang Fusheng became interested.

Lu Jiu nodded and then said, "Prioritizing diagnosis over methods is the greatest respect for a Chinese doctor. The core of Chinese medicine is differentiation of symptoms. If the differentiation is correct, the application of medicine and needles follows naturally. If the differentiation is wrong, no matter how skilled the methods, they're useless."

"Diagnosis in Chinese medicine is like examination in Western medicine. A hospital's biggest profit comes from tests, which is because they rely on expensive equipment for medical procedures. Chinese medicine doesn't need that; it just requires someone to devote a lot of effort to studying medicine, so prioritizing diagnosis allows skilled doctors to earn more, while avoiding the pitfall of relying on medicine for profit."

"The amount you earn depends on the number of patients you treat successfully. It's that simple."

Many people, even patients, fall into a misconception that they must pay even if the illness isn't cured, thinking the doctor did work hard even if they achieved nothing, right?

But what is a hospital?

It's a place to treat diseases. If a hospital can't cure diseases, yet still charges fees, is that reasonable?

Just like if I bought a fridge that doesn't cool, but all its parts are fine, without defects, should I not return it because the parts are okay?

One should fulfill their duty in their position, that's the basic principle.

Of course, this is also related to the long-time messaging from certain media and hospitals that many diseases are incurable, thus legitimizing hospitals' inability to cure illnesses.

Chinese medicine also has illnesses it cannot cure, but you should state that. You shouldn't knowingly take money when you can't cure them, right?

Lu Jiu's envisioned disease cure evaluation system is to convey the principle that I'll charge money if it can be cured, and refund if it can't be cured. So, you can come in without worry and leave without worry. We don't exploit patients here.

"Hmm, more work, more reward, not bad. This is quite a breakthrough. Diagnosis fees are not based on professional titles, but are patient-centered, linking doctors' interests with patients' health, rather than hospital revenue. This is really good!" Huang Fusheng praised greatly.

"This way, the hospital functions more like a service platform, with doctors essentially becoming the principal figures of the hospital. How will the salaries be arranged?" Shen Congwei immediately saw the intention behind these rules of Lu Jiu.

Huang Fusheng continued flipping through the pages and quickly saw the section on the doctor's salary system, "Wow, there's quite a bit. Huh? What's this medical ethics reward?"

Lu Jiu smiled, "For the salary, I've divided it into six parts: First, the basic salary, uniform standard for everyone; second, performance pay, linked with diagnostic fees and disease cure evaluation; third, incentive pay, rewarded for flags gifted by patients, with rewards announced hospital-wide. Each flag equals a reward of fifty yuan; fourth, public welfare reward, participation in a free clinic once a month results in a public welfare salary reward from the hospital; fifth, medical ethics reward, receiving a hundred positive reviews from patients during clinic time in a month and being the one who prescribes the least, earns the medical ethics salary; sixth, grievance reward, awarded in case of unjustified difficulties caused by patients during clinic time without conflict, after verification.