Introduction: In the medical circle, general medicine has always been despised by other professions, "full but not specialized", "general but not refined" is synonymous with it, but there is no absolute, there is no shortage of doctors with a high level in the field of general medicine, they are knowledgeable and knowledgeable, and they can solve the practical problems of patients better than specialist doctors. One such general practitioner is described in the novel "Medical Road Huan Hai".
Of course, where there are people, there are rivers and lakes, and hospitals are not pure land. The pursuit of fame and profit, flattery and bullying, power and money trading, and erotic temptation are not new, but no matter how chaotic other things are, the bottom line of treating diseases and saving people is what every hospital and doctor has always adhered to and has never wavered.
Source: Yimaitong
Author: Little Pie
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A retrospective
In the general outpatient clinic, Wu Songyang was almost complained by a patient with facial paralysis, but fortunately, Liu Liang appeared in time to help him out.
01
It is said that Wu Songyang was "assigned" to the "Qingshui Yamen", and there was no bonus for several months, and his bonus was not high, so he was often counted down by his wife at home, and this time he went home a little late, his wife locked the bedroom door, and he was forced to deal with it on the sofa in the living room for a night.
On the second day, Wu Songyang sat in the outpatient clinic with dark circles under his eyes, and his condition was very poor, but fortunately there were few patients, so he could fish in class and secretly doze off.
Just as Wu Songyang was sleepwalking in the sky, two insurance salesmen came into the outpatient clinic, claiming to be invited by the hospital union to sell pension insurance products to every doctor in the hospital.
Wu Songyang listened to their introduction absentmindedly, as for why he didn't drive them away, one of the reasons was that the clinic was deserted, and there was not a single patient, so he could talk to relieve his boredom. The second reason is that the hospital union did issue a notice, and the state encourages the annual deposit of 12,000 yuan into their pension account, which can be tax-exempt when declaring individual income tax, just like supporting parents and children's education can be tax-exempt, but this part of the money can only be withdrawn after retirement.
This policy is most beneficial to high-income people, because the higher the income, the higher the tax exemption, but if your annual income is only 100,000, there is almost no so-called personal income tax to pay, and the tax exemption does not exist, and there is no need to save 12,000 yuan to the pension account and withdraw it until retirement.
The purpose of the insurance company is to make this part of the money into an insurance product, so that this part of the money can generate annualized returns.
"You don't need to work me, my income is very low, and the state will not let me pay personal income tax on this meager salary, I am not qualified! For our low-income group, there is no need to save money into the pension account for the sake of tax reduction, because we ourselves hardly need to pay taxes. Wu Songyang said with a smile.
"How is it possible, you must have an annual income of 200,000 yuan! Or you open the personal income tax APP, and I will check it for you!" The two beautiful salesmen didn't believe Wu Songyang's words at all.
02
Wu Songyang shook his head helplessly, opened the "personal income tax APP" on his mobile phone, and handed it over to the two salesmen, who were surprised to find that the pre-tax income in 2023 is 120,000 yuan, and the total tax paid on personal income is 500 yuan.
Because it was already December at this time, 120,000 yuan was the sum of Wu Songyang's annual salary + bonus + subsidy + five insurances and one housing fund.
The two salesmen never thought that the income of a doctor in a tertiary hospital would be so pitiful, and there was a trace of indescribable taste in their eyes.
Wu Songyang usually doesn't open the "personal income tax APP", although it is expected, but when this number appears clearly in front of his eyes, he has an inexplicable sadness in his heart, and suddenly feels as if there are tears rolling in his eyes, of course, this sourness was quickly controlled by him, and it was replaced by a kind of self-ridicule.
"Look, I'm right, our income is very low. Wu Songyang pretended to laugh.
"In the morning, the director bought insurance from us, and his annual income before tax in the personal income tax app was more than 800,000 yuan. A salesman said.
"Who?" Wu Songyang asked subconsciously.
"We can't say this, the director also told us to keep it secret!" The salesman realized that he had missed his mouth and hurriedly remedied.
In fact, Wu Songyang didn't care about this answer at all, he smiled bitterly and stopped talking.
"In fact, although your income is not high, you still have to pay taxes, not so low that you don't need to pay taxes, you still have to be promoted to the title in the future, maybe you have to be the director, and the income must be rising, so you will definitely not lose money when you buy this product!" another salesman began to use marketing skills.
Wu Songyang smiled bitterly again, without squeaking, and the two salesmen walked away with interest.
03
After studying medicine for 8 years and practicing medicine for more than 10 years, he has been pursuing the improvement of his business, but what he finally gets, Wu Songyang can't help but question and ask himself, when the two salesmen left, this sour pain gushed out like spring water, and he wanted to press it down, but he couldn't hold it down.
My life may be like this! The world has been in a hurry for decades, and it is just a passerby, but in the end, it is all a piece of loess, so let's look away a little! Wu Songyang thought to himself.
In the past, he did not believe in fate, thinking that with hard work and enthusiasm, as well as his professional ability, he could obtain the wealth and social status he deserved, but now he believes in fate, there is no fate, it is useless to force it, and sometimes it is fate, there is no need to force it.
Just as Wu Songyang was deep in thought, Wen Ruixue came to his consultation room with a hippie smile.
Wen Ruixue wanted to ask Wu Songyang about the diagnosis process of frequent hypokalemia, because he recently encountered a case of frequent hypokalemia and could not find the cause.
The cause of hypokalemia is not simple, and many times it is not caused by insufficient intake, or the use of potassium excretion diuretics, or high glucose + insulin, etc., and it is not easy to diagnose if there is no methodical diagnostic routine.
"Teacher Wu, I remember that you have a flowchart for the diagnosis of hypokalemia, teach me to take a look?" Wen Ruixue's words pulled Wu Songyang's thoughts back.
"Ahh
"Teacher Wu, what are you thinking! People are sitting here, and their minds have run out of the clouds!" Wen Ruixue teased.
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