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河北武邑县医院收13000元飞刀费被举报，这回没人骂医院

2021-09-24 MedSci原创 MedSci原创

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根据新京报的报道，9月22日，河北衡水武邑李先生反映称，其母亲因子宫脱垂到武邑县医院住院治疗，17日下午，其母亲被推进手术室进行麻醉后，一名医生通知准备13000元现金给专家。

根据新京报的报道，9月22日，河北衡水武邑李先生反映称，其母亲因子宫脱垂到武邑县医院住院治疗，17日下午，其母亲被推进手术室进行麻醉后，一名医生通知准备13000元现金给专家。
 
李先生称，院方并未提前告知家属，没有准备现金，最终李先生家属把钱转账给了大夫。但由于李先生母亲在手术室等待1小时，麻醉效果已过，还是未能进行手术。据了解，患者已于20日出院，院方已将13000元退还家属。
 
医院负责人回应，执行手术的医生为外聘专家，手术涉及到的费用问题，已事先跟家属沟通，患者也同意做。收费合规，专家费不通过医院。
 
就此事，武邑县卫健局已介入调查。
 
又是一起“飞刀”引发的医患纠纷，近年来已不是新鲜事。
 
“飞刀”作为一种市场需求下的时代产物，始于上世纪九十年代。那时许多“身怀绝技”的外科医生们开始接受邀请，利用周末等休息时间，飞往外地为患者开刀，“飞刀”一词由此得来。
 
“飞刀”的出现同时满足了患者、医生、医院的三方需求——
 

  • 患者能够在医疗资源不足的城市，享受到一线的医疗服务；

  • 专家级的医生可以获得与能力匹配的收入，扩大自身的影响力；

  • 基层医院可以弥补技术不足的窘境、并且为基层医生提供带教、学习的机会。

“飞刀”之所以会成为医患纠纷的风暴口，源于其“灰色性”，三十年来政策更替，但仍未被完全“阳光化”。
 
在90年代初期，《执业医师法》尚未颁布，那是一段医生享有“自由执医”权力的年代，也是属于“飞刀”的黄金年代。
 
然而缺乏监管的自由下，也衍生了各种医疗纠纷，1999年国家正式颁布《中华人民共和国执业医师法》，规定医师只能在唯一的医疗机构注册后才具有行医资格，这意味着“飞刀”成为违法行为。
 
2005年卫生部出台了《医师外出会诊管理暂行规定》，规定医生外出会诊，医院和医院之间的会诊要有书面申请，医生应该经过所在医院同意并登记备案后，才能出诊；未经所在医疗机构批准，医生不得擅自外出会诊。同时也对会诊费用作出了相关规定，但并未发布指导价。
2014年11月卫计委发布《关于推进和规范医师多点执业的若干意见》，首次提出对医师多点执业实行注册管理。
 
2017年2月，卫计委颁布《执业注册管理办法》，终于第一次明确，医生可以在其它医疗机构执业，只需备案即可，无需注册医疗机构的许可。
 
2021年8月20日，新版《中华人民共和国医师法》通过决议，再次明确了“多点执业”的合法性，鼓励医生“多点执业”。
 
多点执业政策的颁布，在一定程度上满足了医生和患者的法律保护需求，但还有许多灰色地带未被明确，比如专家费的指导价、专家费的收取流程（告知义务、收费记录）等等。这就使得医患双方，都处于风险之中。
 
此次衡水武邑事件，矛盾正是出在飞刀费的告知上，医院声称已事前告知患者及家属，家属声称医院只通知了患者，未同步家属，家属对专家费的收取并不知情。
 
事情真相到底如何，我们只能静待卫健局的调查结果。
 
但可以肯定的是，由于李先生家属与医院之间的信息差，耽搁了母亲的手术，是患者的损失；专家白跑一趟，是专家的损失；未来是否还有专家愿意飞，是武邑县医院和武邑县人民的损失。
 
“飞刀”的风险还不止于此。
 
患者做完手术倒打一耙，“农夫与蛇”也频频发生。
 
2018 年 12 月，齐齐哈尔医学院附属三院骨科医生请外院专家为患者做手术，收受了患者家属给外院专家的 5000 元会诊费，被当成在医疗服务中索要红包被举报；
 
2019年9月，北京天坛医院专家“飞刀”前往山西洪洞县为脑梗患者手术，术后被举报收取10000元红包，并有偷拍视频为证；
 
2020年11月，大庆第五医院经患者同意后邀请哈尔滨一专家前来手术，并支付3700元“飞刀费”，后因不满手术台次延后反手向媒体投诉医院违规收费；
 
2021年7月，上海一专家前往河南滑县新区医院为患者开展斜颈手术，在收取3000元专家费时被患者家属偷拍，家属向媒体曝光要求维权。
钱能退，治疗效果能退吗？
 
维权能撤，泼的脏水能撤吗？
 
不可否认的是，专家的“飞刀费”是一笔可观的收入，但和培养一位专家级的外科医生相比不足为道。一名医生周末放弃休息，放弃陪伴家人，飞往各地给患者开刀，除了钱以外，也有出于患者的期待，出于治病救人的本心。
 
在患者对“飞刀费”颇有微词时，是否考虑过，如果没有“飞刀”，患者可能需要跋山涉水，前往北上广等一线城市求医，人生地不熟，花费的时间、金钱成本暂且不说，一线城市三甲医院一床难求，专家号一号难求要如何解决？
 
令人欣慰的是，这次热搜下的评论是这样的——
  
不再是对医生的人身攻击，而是对专家技术价值的认可，对基层医院能够享受一线医疗资源的感谢。患者、大众如此，何愁没有医生的倾力相助？
 
怀着“治病救人”初心的这群人，愿意将时间、智慧、知识奉献给患者，将生命奉献给中国医疗卫生事业。那少数患者呢？在偷拍的时候，是否也该摸摸自己的良心。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1556195, encodeId=5d6415561951c, content=<a href='/topic/show?id=4e373e2996e' target=_blank style='color:#2F92EE;'>#县医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37299, encryptionId=4e373e2996e, topicName=县医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Sun Sep 26 00:16:04 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054586, encodeId=32db1054586d0, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210920/8210ada76f0842e588208f7816b563ae/7ef8aeed6bc94c48853528fb1f5cb54b.jpg, createdBy=72325568932, createdName=法荣, createdTime=Fri Sep 24 23:04:45 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054449, encodeId=bfdb10544491b, content=亏着没给做，钱都退了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=ced82438991, createdName=123ced96m39(暂无昵称), createdTime=Fri Sep 24 13:31:05 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054430, encodeId=d1bc10544301b, content=下次看病直接去北上广吧，"省事儿"。, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e0a5562204, createdName=大域有疆, createdTime=Fri Sep 24 11:50:21 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054426, encodeId=b0a21054426ae, content=狗日的，过河拆桥, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2eb65256110, createdName=147f0db1m20暂无昵称, createdTime=Fri Sep 24 11:29:37 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054441, encodeId=ad721054441de, content=真的是农夫与蛇的现实版, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f55b5550207, createdName=徐宪生, createdTime=Fri Sep 24 13:07:48 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054398, encodeId=199e1054398c7, content=求来的是你，反手举报的也是你，我可以不来的，可你等得起吗？, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2f4e5454283, createdName=ms6000000841640757, createdTime=Fri Sep 24 09:42:34 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054391, encodeId=f0e31054391e8, content=过河拆桥，狼心狗肺, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5d521540190, createdName=yesterdaygun, createdTime=Fri Sep 24 09:23:53 CST 2021, time=2021-09-24, status=1, ipAttribution=)]
    2021-09-26 docwu2019

    #县医院#

    0

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    2021-09-24 法荣

    已阅

    0

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    2021-09-24 123ced96m39(暂无昵称)

    亏着没给做，钱都退了。

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1556195, encodeId=5d6415561951c, content=<a href='/topic/show?id=4e373e2996e' target=_blank style='color:#2F92EE;'>#县医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37299, encryptionId=4e373e2996e, topicName=县医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Sun Sep 26 00:16:04 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054586, encodeId=32db1054586d0, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210920/8210ada76f0842e588208f7816b563ae/7ef8aeed6bc94c48853528fb1f5cb54b.jpg, createdBy=72325568932, createdName=法荣, createdTime=Fri Sep 24 23:04:45 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054449, encodeId=bfdb10544491b, content=亏着没给做，钱都退了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=ced82438991, createdName=123ced96m39(暂无昵称), createdTime=Fri Sep 24 13:31:05 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054430, encodeId=d1bc10544301b, content=下次看病直接去北上广吧，"省事儿"。, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e0a5562204, createdName=大域有疆, createdTime=Fri Sep 24 11:50:21 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054426, encodeId=b0a21054426ae, content=狗日的，过河拆桥, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2eb65256110, createdName=147f0db1m20暂无昵称, createdTime=Fri Sep 24 11:29:37 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054441, encodeId=ad721054441de, content=真的是农夫与蛇的现实版, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f55b5550207, createdName=徐宪生, createdTime=Fri Sep 24 13:07:48 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054398, encodeId=199e1054398c7, content=求来的是你，反手举报的也是你，我可以不来的，可你等得起吗？, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2f4e5454283, createdName=ms6000000841640757, createdTime=Fri Sep 24 09:42:34 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054391, encodeId=f0e31054391e8, content=过河拆桥，狼心狗肺, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5d521540190, createdName=yesterdaygun, createdTime=Fri Sep 24 09:23:53 CST 2021, time=2021-09-24, status=1, ipAttribution=)]
    2021-09-24 大域有疆

    下次看病直接去北上广吧，"省事儿"。

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1556195, encodeId=5d6415561951c, content=<a href='/topic/show?id=4e373e2996e' target=_blank style='color:#2F92EE;'>#县医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37299, encryptionId=4e373e2996e, topicName=县医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Sun Sep 26 00:16:04 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054586, encodeId=32db1054586d0, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210920/8210ada76f0842e588208f7816b563ae/7ef8aeed6bc94c48853528fb1f5cb54b.jpg, createdBy=72325568932, createdName=法荣, createdTime=Fri Sep 24 23:04:45 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054449, encodeId=bfdb10544491b, content=亏着没给做，钱都退了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=ced82438991, createdName=123ced96m39(暂无昵称), createdTime=Fri Sep 24 13:31:05 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054430, encodeId=d1bc10544301b, content=下次看病直接去北上广吧，"省事儿"。, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e0a5562204, createdName=大域有疆, createdTime=Fri Sep 24 11:50:21 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054426, encodeId=b0a21054426ae, content=狗日的，过河拆桥, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2eb65256110, createdName=147f0db1m20暂无昵称, createdTime=Fri Sep 24 11:29:37 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054441, encodeId=ad721054441de, content=真的是农夫与蛇的现实版, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f55b5550207, createdName=徐宪生, createdTime=Fri Sep 24 13:07:48 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054398, encodeId=199e1054398c7, content=求来的是你，反手举报的也是你，我可以不来的，可你等得起吗？, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2f4e5454283, createdName=ms6000000841640757, createdTime=Fri Sep 24 09:42:34 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054391, encodeId=f0e31054391e8, content=过河拆桥，狼心狗肺, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5d521540190, createdName=yesterdaygun, createdTime=Fri Sep 24 09:23:53 CST 2021, time=2021-09-24, status=1, ipAttribution=)]
    2021-09-24 147f0db1m20暂无昵称

    狗日的，过河拆桥

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1556195, encodeId=5d6415561951c, content=<a href='/topic/show?id=4e373e2996e' target=_blank style='color:#2F92EE;'>#县医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37299, encryptionId=4e373e2996e, topicName=县医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Sun Sep 26 00:16:04 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054586, encodeId=32db1054586d0, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210920/8210ada76f0842e588208f7816b563ae/7ef8aeed6bc94c48853528fb1f5cb54b.jpg, createdBy=72325568932, createdName=法荣, createdTime=Fri Sep 24 23:04:45 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054449, encodeId=bfdb10544491b, content=亏着没给做，钱都退了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=ced82438991, createdName=123ced96m39(暂无昵称), createdTime=Fri Sep 24 13:31:05 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054430, encodeId=d1bc10544301b, content=下次看病直接去北上广吧，"省事儿"。, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e0a5562204, createdName=大域有疆, createdTime=Fri Sep 24 11:50:21 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054426, encodeId=b0a21054426ae, content=狗日的，过河拆桥, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2eb65256110, createdName=147f0db1m20暂无昵称, createdTime=Fri Sep 24 11:29:37 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054441, encodeId=ad721054441de, content=真的是农夫与蛇的现实版, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f55b5550207, createdName=徐宪生, createdTime=Fri Sep 24 13:07:48 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054398, encodeId=199e1054398c7, content=求来的是你，反手举报的也是你，我可以不来的，可你等得起吗？, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2f4e5454283, createdName=ms6000000841640757, createdTime=Fri Sep 24 09:42:34 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054391, encodeId=f0e31054391e8, content=过河拆桥，狼心狗肺, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5d521540190, createdName=yesterdaygun, createdTime=Fri Sep 24 09:23:53 CST 2021, time=2021-09-24, status=1, ipAttribution=)]
    2021-09-24 徐宪生

    真的是农夫与蛇的现实版

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1556195, encodeId=5d6415561951c, content=<a href='/topic/show?id=4e373e2996e' target=_blank style='color:#2F92EE;'>#县医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37299, encryptionId=4e373e2996e, topicName=县医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Sun Sep 26 00:16:04 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054586, encodeId=32db1054586d0, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210920/8210ada76f0842e588208f7816b563ae/7ef8aeed6bc94c48853528fb1f5cb54b.jpg, createdBy=72325568932, createdName=法荣, createdTime=Fri Sep 24 23:04:45 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054449, encodeId=bfdb10544491b, content=亏着没给做，钱都退了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=ced82438991, createdName=123ced96m39(暂无昵称), createdTime=Fri Sep 24 13:31:05 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054430, encodeId=d1bc10544301b, content=下次看病直接去北上广吧，"省事儿"。, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e0a5562204, createdName=大域有疆, createdTime=Fri Sep 24 11:50:21 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054426, encodeId=b0a21054426ae, content=狗日的，过河拆桥, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2eb65256110, createdName=147f0db1m20暂无昵称, createdTime=Fri Sep 24 11:29:37 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054441, encodeId=ad721054441de, content=真的是农夫与蛇的现实版, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f55b5550207, createdName=徐宪生, createdTime=Fri Sep 24 13:07:48 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054398, encodeId=199e1054398c7, content=求来的是你，反手举报的也是你，我可以不来的，可你等得起吗？, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2f4e5454283, createdName=ms6000000841640757, createdTime=Fri Sep 24 09:42:34 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054391, encodeId=f0e31054391e8, content=过河拆桥，狼心狗肺, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5d521540190, createdName=yesterdaygun, createdTime=Fri Sep 24 09:23:53 CST 2021, time=2021-09-24, status=1, ipAttribution=)]
    2021-09-24 ms6000000841640757

    求来的是你，反手举报的也是你，我可以不来的，可你等得起吗？

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1556195, encodeId=5d6415561951c, content=<a href='/topic/show?id=4e373e2996e' target=_blank style='color:#2F92EE;'>#县医院#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37299, encryptionId=4e373e2996e, topicName=县医院)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=docwu2019, createdTime=Sun Sep 26 00:16:04 CST 2021, time=2021-09-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054586, encodeId=32db1054586d0, content=已阅, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210920/8210ada76f0842e588208f7816b563ae/7ef8aeed6bc94c48853528fb1f5cb54b.jpg, createdBy=72325568932, createdName=法荣, createdTime=Fri Sep 24 23:04:45 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054449, encodeId=bfdb10544491b, content=亏着没给做，钱都退了。, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=ced82438991, createdName=123ced96m39(暂无昵称), createdTime=Fri Sep 24 13:31:05 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054430, encodeId=d1bc10544301b, content=下次看病直接去北上广吧，"省事儿"。, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2e0a5562204, createdName=大域有疆, createdTime=Fri Sep 24 11:50:21 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054426, encodeId=b0a21054426ae, content=狗日的，过河拆桥, beContent=null, objectType=article, channel=null, level=null, likeNumber=117, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2eb65256110, createdName=147f0db1m20暂无昵称, createdTime=Fri Sep 24 11:29:37 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054441, encodeId=ad721054441de, content=真的是农夫与蛇的现实版, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f55b5550207, createdName=徐宪生, createdTime=Fri Sep 24 13:07:48 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054398, encodeId=199e1054398c7, content=求来的是你，反手举报的也是你，我可以不来的，可你等得起吗？, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2f4e5454283, createdName=ms6000000841640757, createdTime=Fri Sep 24 09:42:34 CST 2021, time=2021-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1054391, encodeId=f0e31054391e8, content=过河拆桥，狼心狗肺, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5d521540190, createdName=yesterdaygun, createdTime=Fri Sep 24 09:23:53 CST 2021, time=2021-09-24, status=1, ipAttribution=)]
    2021-09-24 yesterdaygun

    过河拆桥，狼心狗肺

    0

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