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Chapter 472 Consultation Fees (Please Subscribe)

"Thank you for the compliment, Teacher Zhang. I didn't really think too much about it," Fang Ziye replied calmly with a smile.

Being aware of certain problems doesn't necessarily mean having scattered and unsettled thoughts; Fang Ziye would simply feel that he had gained some insights.

Just as Zhang Yuancong was about to speak, the meat skewers he had ordered arrived, and the owner also brought out two bottles of chilled beer. After the bottle caps were opened, foam rose and fell from the bottle openings.

Zhang Yuancong took it with both hands: "Ziye, really not going to have some?"

"In this weather, it's really nice to have an ice-cold beer."

Zhang Yuancong is an associate professor and he's not on duty today, so he can drink without restraint.

While helping to tidy the table, Fang Ziye shook his head and said, "Teacher Zhang, I'll have tea instead of wine, or I can have a different drink to keep you company."

"It's not a good time to drink alcohol right now, and I personally don't really like it."

"Good habit, but I hope you can keep it up." Zhang Yuancong put down the bottle and then picked up a large beer mug and poured it into it.

After the bottle was almost full, without waiting for Fang Ziye's reply, he took a big gulp: "Sometimes, a little alcohol and nicotine can make people feel safe and secure in a safe haven."

"Actually, you're quite fortunate at your age. If you don't want to stand out too much, just do your job well."

"But once you get past this stage, you'll have to start thinking about other things."

"To borrow a phrase, it's so nice to be a junior doctor, why would you even think about getting promoted?"

Childhood was wonderful, but it was also silly to always think about growing up.

For doctors, the period with the least clinical pressure is actually the student and resident physician stage, but this is also the time with the greatest economic and work pressure.

Once this phase is over, the pressure will shift.

"Teacher Zhang, you can also choose to lie down?" Fang Ziye said with a smile after sitting down with a bottle of yogurt.

Zhang Yuancong rolled his eyes upon hearing this: "I was just making a comment, and you took it seriously?"

A promotion and a raise are certainly good, but they also come with increased pressure.

After solving their personal financial problems, people's selfishness tends to swell. They first think about doing something for the patients, then about doing something for the team, for their department, and even for patients across the country and the world.

Great love and great selfishness often go hand in hand!

Fang Ziye filled his disposable cup with yogurt and raised it: "Teacher Zhang, the pressure in Shanghai must be immense, right?"

Zhang Yuancong nodded: "It should be said that it is very large."

After raising his glass, Zhang Yuancong hesitated for a moment, then nodded and glanced at Fang Ziye's upper body before saying, "But for you, Ziye, it's all the same."

"The pressure you face comes from yourself."

"The pressure on others comes from you, Ziye."

Fang Ziye is neither tall nor short. He has a handsome face; while not exceptionally handsome, he surpasses 99% of men in terms of looks.

The key is talent.

Talent is not defined by poetry, prose, or extensive knowledge, nor is eloquence the sole measure of culture.

Specialization is key. Many great experts and professors can often see through life and death in clinical practice, remaining as cold and detached as a wooden statue.

You can ask him to give a speech about profound truths, but he'll definitely tell you that life is short, so enjoy it while you can and have fun.

However, such words are usually said to outsiders, and it is often difficult for oneself to do them.

After Zhang Yuancong and Fang Ziye finished their drinks, Zhang Yuancong looked Fang Ziye up and down and said regretfully, "I was thinking, if I hadn't left Han City University, would I have killed your master and then taken you under my wing?"

Upon hearing this, Fang Ziye joked, "Teacher Zhang, at least several dozen teachers have thought of this."

"But life doesn't offer 'what ifs.' We're doing just fine now, aren't we?"

Fang Ziye was very happy with Zhang Yuancong's praise, but there are no "what ifs" in this world. Now, Fang Ziye's mentor is Yuan Weihong, not Zhang Yuancong.

"You little rascal, you and your master are on different paths, but you're following the same road, aren't you?" Zhang Yuancong said irritably.

Even YY is no longer allowed?

Naturally, the two then each ate two more skewers of meat before Zhang Yuancong asked, "How does it taste? Not bad, right?"

Fang Ziye nodded: "It's delicious. I haven't had this kind of food in a long time."

After becoming the chief resident, Fang Ziye basically stopped eating out. After becoming a chief resident for half a year, Luo Tingzhu also disliked eating barbecue, but ate a lot of spicy hot pot and spicy soup.

Come to think of it, the last time Fang Ziye ate lamb skewers was about half a year ago, when he had just returned to China.

"It's alright, that's good."

"Now I'm going to explain the consultation and surgery fees to you in detail, Ziye."

"Travel and accommodation expenses are covered by our department; that's the rule. Our hospital has designated hotels for hospitality, and the prices are negotiated internally. So Ziye, please don't complain."

"As for the travel expenses, Ziye, just send me a screenshot of your round-trip airfare purchase. I'll keep a copy and then get reimbursed."

"As for taxi fares, our hospital's standard is no more than 200 yuan per day! There is no such thing as refunding or charging extra."

“This is four hundred yuan, it’s what you should take,” Zhang Yuancong said, taking out his phone, which contained a very detailed table.

Upon hearing this, Fang Ziye nodded and said, "Okay."
"Teacher Zhang, this is optional. I think just adding a little bit is enough; there's no need to calculate it in such detail."

In fact, Fang Ziye, Deng Yong, and others were unaware of the standards of the Sixth Hospital of Shanghai; these documents were circulated internally.

Even Deng Yong could only ask experts from the Sixth People's Hospital of Shanghai to perform surgery at Zhongnan Hospital. If you wanted to have surgery performed at the Sixth People's Hospital of Shanghai, you could beg Director Lin, but even he might not agree. That's the reality.

Dr. Wu Guonan, director of the Department of Trauma Surgery at the Central Hospital of Beijing, said, "Professor Deng, may I perform surgery on one of your patients?"

Why?
Zhang Yuancong shook his head vigorously: "It is necessary, absolutely necessary."

"Ziye, you must understand that respecting your work is not only respect for yourself, but also respect for our entire industry."

"We live in an era where knowledge is paid for."

"While it is commendable to make voluntary contributions in emergency situations, in most cases we must be rewarded for our labor."

"Otherwise, if you set this precedent, what will happen next time? And the time after that?"

"You're flying all over the country for free to have surgeries, looking for thrills?"

Fang Ziye was so ashamed by Zhang Yuancong's words that he wanted to disappear.

Of course, Zhang Yuancong himself must have performed many consultation surgeries, so he must have received money as well.

Yuan Weihong has performed consultation surgeries and received "flying knife fees".

This is a perfectly normal and legitimate income.

Because of these expenses, before inviting patients, the Sixth People's Hospital of Shanghai will clearly explain to the patient's family who should pay for what and who should not. Zhang Yuancong continued to analyze: "According to our hospital's standards, the price for a consultation by a designated attending physician is 700 yuan per half hour, and this is just the consultation fee."

"The surgery fee is about 1000 yuan per half hour, and these two can be added together."

"The emergency room surcharge is 300 yuan per person. Two emergency rooms would cost 600 yuan."

"Dr. Fang, the consultation and surgical procedure for this visit will last from 6 PM to 12 PM, a total of six hours. Therefore, the surgical fee is 12000."

"The consultation time is about half an hour per surgery, totaling 1,400 yuan."

"This is 14,000 yuan, which is what the families of the two patients should give you. We have already discussed it with their families in advance."

"As for how to share the costs, we'll handle that internally."

"This income is in cash. Cash? Let's not go into that."

In fact, according to the most formal procedure, this consultation fee should be given to Zhongnan Hospital, and then the hospital will distribute it.

But how could the hospital possibly allocate the fees for scalpel surgery? Who would do that?
"Ziye, these are what the patients want to give you, and there's also a subsidy from our department."

"First, there's the cost of your airfare, and then there's the fee for your six hours of teaching here. We pay our experts a service fee of 5,000 yuan per two-hour course."

"This only includes expert fees, not fees for attending physicians. In fact, you are already an expert in the field of trauma."

"Three hours, a total of 15,000..."

When Fang Ziye heard Zhang Yuancong say this, he felt it was a bit outrageous: "Teacher Zhang, isn't this unnecessary?"

"It would be too greedy to accept both consultation fees and teaching fees at the same time."

"My master told me before I came that I could only take one kind." Fang Ziye directly pulled someone knowledgeable to the table.

Upon hearing this, Zhang Yuancong hesitated and said, "Actually, Ziye can be taken. You are the most authoritative expert in this field right now, so it's perfectly normal for you to ask for 20,000 or 30,000 directly."

"As for teaching, teaching should be paid for. If patients benefit, that's because they are the ones who benefit, and it has nothing to do with our teaching."

Fang Ziye continued to shake his head: "Teacher Zhang, please don't try to trap me. I have to leave tomorrow, and I've already made up my mind."

"You are also my senior in the martial arts school, you wouldn't want to make things difficult for your student, would you?" Fang Ziye asked.

“Alright then, five thousand yuan. You have to take it.” Zhang Yuancong stated his bottom line.

"A lecture fee of 5,000 yuan for six hours is considered a very low price."

"Alright, enough of that, let's start eating."

Upon hearing this, Fang Ziye began to eat heartily.

But he was still a little uneasy. Fang Ziye's current monthly salary was only over 30,000 yuan. He had spent nearly 20,000 yuan on a single consultation and surgery trip. What the hell?

Is it suitable or not?

However, I won't pay you now, whether it's suitable or not. I should pay you tomorrow morning or transfer the money.

I can just ask my teacher tomorrow.

However, the nearly 20,000 yuan "surgical service fee" made Fang Ziye feel as sweet as sugar. Even if Zhang Yuancong didn't give him the money, Fang Ziye would still be happy.

This signifies that the value of one's labor has been increased.

Even if I go to a prefecture-level city hospital in the future and don't get this much money, or even only half of it, I'll still be happy to have had it.

Naturally, after Zhang Yuancong finished his beer, Fang Ziye asked again, "Teacher Zhang, do you think I have a chance to join the Youth Association?"

Fang Ziye asked a question implicitly.

The youth association that Fang Ziye mentioned is the Chinese Medical Association's Trauma Surgery Young Physicians Association, not a provincial-level academic institution.

By crowding into this area, Fang Ziye can meet more people. If he can promote his technology to more people, he will have a richer source of knowledge.

As the snowball effect continued, Fang Ziye became a major harvester of knowledge points.

"What do you think?" Zhang Yuancong rolled his eyes.

Isn't this obvious?
If Hubei Province is willing to promote him, Fang Ziye can get promoted without the help of professors from the Sixth Affiliated Hospital of Shanghai.

With strong support from Hubei Province and the help of others, it was a natural outcome.

"Thank you, Teacher Zhang. I hope you can thank the other teachers for me." Fang Ziye was happy to receive the answer.

Membership in a provincial medical association or the Chinese Medical Association, or even just as a member of the Youth Association, was something Fang Ziye never dared to dream of before.

Among so many young trauma surgeons across the country, those who manage to break into the national circle are all top performers.

They are all individuals with profound talent, qualifications, and background.

Upon hearing this, Zhang Yuancong reminded him, "Ziye, you need to pay attention to the concept of 'pan-youth'."

"In the medical field, people under forty years old, and in some places even under forty-five, are considered old youths."

Zhang Yuancong's tone was sarcastic, and after he finished speaking, he rubbed his eyes all over Fang Ziye, the meaning of which was very clear.

Damn it, have some decency! The senior apprentice sitting across from you, your master Yuan Weihong, hasn't even made it into that circle yet, you know that?
Fang Ziye's pupils contracted slightly, and he forced a smile: "It was all thanks to the help of my teachers and seniors that I was able to barely squeeze in."

"It's all just empty fame." Fang Ziye realized he was becoming more and more hypocritical; he was clearly happy, but he had to suppress his true feelings.

"Life is all in vain; what name is not an empty one?"

Zhang Yuancong then fell silent.

After dinner, Zhang Yuancong escorted Fang Ziye to the hotel, and then the two parted ways.

Fang Ziye once again politely declined Zhang Yuancong's "enthusiastic invitation" to teach.

People are autonomous and cannot always be led by the nose by others. Fang Ziye no longer needs to be subservient to many people in his actions and meals. If he continues to be obsequious, that would be abnormal.

Humility and politeness are qualities of personal cultivation, while being subservient indicates a lack of self-respect; these two are different.

The next day, Fang Ziye got up early, ate breakfast by himself, and immediately called Zhang Yuancong to say that his department had called him because there was something urgent and he had already booked a flight for around 8 o'clock.

Upon hearing this, Zhang Yuancong immediately said, "Ziye, wait for me. I'll be at the hotel within twenty minutes. Then I'll take you to the airport."

Fang Ziye knew Zhang Yuancong was coming to give him money, so he didn't refuse: "Then thank you for your trouble, Teacher Zhang. Remember to call me next time you come to Han City!"

As they talked, Fang Ziye also realized that he needed to buy a car. Not for commuting to work, but also for occasional socializing and transportation, he needed a car.

Fang Ziye didn't count the money in person; he simply put the large envelope into his backpack and then started counting the money at the airport ATM, happily entertaining himself...

"One, two, three..." It's not about whether the numbers are right or wrong, it's just about knowing how many there are.

(End of this chapter)