<div class="wrap_item item_type_text" style="letter-spacing:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';color:#333333;padding:0px;font-size:11pt;line-height:22pt;margin:0px auto;width:auto;">응급실이야기 연재중인 최석재 입니다</div> <div class="wrap_item item_type_text" style="letter-spacing:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';color:#333333;padding:0px;font-size:11pt;line-height:22pt;margin:0px auto;width:auto;">이번에는 많은 분들이 들어두셨을 실손보험에 대한 이야기입니다</div> <div class="wrap_item item_type_text" style="letter-spacing:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';color:#333333;padding:0px;font-size:11pt;line-height:22pt;margin:0px auto;width:auto;">비싼 진료비를 감당하기 위한 도구이기도 하지만</div> <div class="wrap_item item_type_text" style="letter-spacing:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';color:#333333;padding:0px;font-size:11pt;line-height:22pt;margin:0px auto;width:auto;">의료의 왜곡을 불러오는 수단이기도 하지요</div> <div class="wrap_item item_type_text" style="letter-spacing:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';color:#333333;padding:0px;font-size:11pt;line-height:22pt;margin:0px auto;width:auto;">이번 이야기는 가볍게 읽어주실 수 있을 것 같네요</div> <div class="wrap_item item_type_text" style="letter-spacing:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';color:#333333;padding:0px;font-size:11pt;line-height:22pt;margin:0px auto;width:auto;">앞의 응급실이야기 목록은 다음과 같습니다</div> <div class="wrap_item item_type_text" style="letter-spacing:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';color:#333333;padding:0px;font-size:11pt;line-height:22pt;margin:0px auto;width:auto;"><span style="font-size:11pt;letter-spacing:0px;line-height:22pt;">---</span></div> <div class="wrap_item item_type_text" style="letter-spacing:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';color:#333333;padding:0px;font-size:11pt;line-height:22pt;margin:0px auto;width:auto;"><span style="font-size:11pt;letter-spacing:0px;line-height:22pt;">응급실이야기 1.1 심장에 온 감기</span></div> <div class="wrap_item item_type_text" style="letter-spacing:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';color:#333333;padding:0px;font-size:11pt;line-height:22pt;margin:0px auto;width:auto;"><a target="_blank" href="http://todayhumor.com/?readers_22425" style="color:#0000ff;text-decoration:none;font-size:11pt;letter-spacing:0px;line-height:22pt;">http://todayhumor.com/?readers_22425</a></div> <div class="wrap_item item_type_text" style="letter-spacing:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';color:#333333;padding:0px;font-size:11pt;line-height:22pt;margin:0px auto;width:auto;"><span style="font-size:11pt;letter-spacing:0px;line-height:22pt;">응급실이야기 1.2 터질듯한 심박동, 타버릴 것 같은 내 심장</span></div> <div class="wrap_item item_type_text" style="padding:0px;margin:0px auto;width:auto;"> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"><font color="#333333" face="Noto Sans DemiLight, Malgun Gothic"><span style="font-size:14.6667px;line-height:29.3333px;"><a target="_blank" href="http://todayhumor.com/?readers_22431" style="color:#0000ff;text-decoration:none;">http://todayhumor.com/?readers_22431</a></span></font></div> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"><span style="color:#333333;font-family:'Noto Sans DemiLight', 'Malgun Gothic';font-size:11pt;letter-spacing:0px;line-height:22pt;">응급실이야기 1.3 두통으로 와서 대동맥 박리를 진단받기 까지</span></div> <div> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"><font color="#333333" face="Noto Sans DemiLight, Malgun Gothic"><span style="font-size:14.6667px;line-height:29.3333px;"><a target="_blank" href="http://todayhumor.com/?readers_22445" target="_blank"><font color="#0000ff">http://todayhumor.com/?readers_</font>22445</a></span></font></div> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"><span style="color:#333333;font-family:'Noto Sans DemiLight', 'Malgun Gothic';font-size:11pt;letter-spacing:0px;line-height:22pt;">응급실이야기 1.4 응급상황, 남의 일이 아닙니다</span></div> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"> <div style="line-height:21.6px;"><font color="#333333" face="Noto Sans DemiLight, Malgun Gothic"><span style="font-size:14.6667px;line-height:29.3333px;"><a target="_blank" href="http://todayhumor.com/?readers_22456" target="_blank"><font color="#0000ff">http://todayhumor.com/?readers_</font>22456</a></span></font></div></div> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"><span style="color:#333333;font-family:'Noto Sans DemiLight', 'Malgun Gothic';font-size:11pt;letter-spacing:0px;line-height:22pt;">응급실이야기 1.5 심폐소생술을 배워야 하는 이유</span></div> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"> <div style="line-height:21.6px;"><font color="#333333" face="Noto Sans DemiLight, Malgun Gothic"><span style="font-size:14.6667px;line-height:29.3333px;"><a target="_blank" href="http://todayhumor.com/?readers_22465" target="_blank"><font color="#0000ff">http://todayhumor.com/?readers_</font>22465</a></span></font></div></div> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"><span style="color:#333333;font-family:'Noto Sans DemiLight', 'Malgun Gothic';font-size:11pt;letter-spacing:0px;line-height:22pt;">응급실이야기 1.6 응급상황에 대처하는 심폐소생술 팁</span></div> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"> <div style="line-height:21.6px;"><font color="#333333" face="Noto Sans DemiLight, Malgun Gothic"><span style="font-size:14.6667px;line-height:29.3333px;"><a target="_blank" href="http://todayhumor.com/?readers_22480" target="_blank"><font color="#0000ff">http://todayhumor.com/?readers_</font>22480</a></span></font></div></div> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"><span style="color:#333333;font-family:'Noto Sans DemiLight', 'Malgun Gothic';font-size:11pt;letter-spacing:0px;line-height:22pt;">응급실이야기 2.1 추운 겨울날, 고구마 장수 아저씨</span></div> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"> <div style="line-height:21.6px;"><font color="#333333" face="Noto Sans DemiLight, Malgun Gothic"><span style="font-size:14.6667px;line-height:29.3333px;"><a target="_blank" href="http://todayhumor.com/?readers_22495" target="_blank"><font color="#0000ff">http://todayhumor.com/?readers_</font>22495</a></span></font></div></div> <div> <div><span style="font-family:'Noto Sans DemiLight', 'Malgun Gothic';line-height:22pt;color:#333333;font-size:11pt;letter-spacing:0px;">응급실이야기 2.2 </span><font color="#333333" face="Noto Sans DemiLight, Malgun Gothic"><span style="font-size:14.6667px;line-height:29.3333px;">출동 중 사고를 당한 구급대원</span></font></div> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"> <div style="line-height:21.6px;"><font color="#333333" face="Noto Sans DemiLight, Malgun Gothic"><span style="font-size:14.6667px;line-height:29.3333px;"><a target="_blank" href="http://todayhumor.com/?readers_22501" target="_blank"><font color="#0000ff">http://todayhumor.com/?readers_</font>22501</a></span></font></div></div></div> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"><font color="#333333" face="Noto Sans DemiLight, Malgun Gothic">---</font></div> <div style="font-family:gulim, Dotum, Helvetica, AppleGothic, sans-serif;line-height:21.6px;"> <p class="wrap_item item_type_text" style="margin:-7px auto 0px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:-7px auto 0px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">스케줄이 바뀌어 어쩌다 보니 토 일요일 주말 밤 근무를 연속으로 서게 되었습니다. 집에 가면 같이 놀자고 하는 아이들 성화에 잠 못 잘 게 뻔해 근무 사이 시간인 일요일 낮은 병원에서 잠을 보충하는 시간으로 쓰기로 마음먹었습니다.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <div class="wrap_item item_type_img" style="margin:13px 0px 0px -219.5px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:1139px;clear:both;color:#333333;font-size:14px;line-height:21px;"> <div class="wrap_content mobile_align_full" style="margin:0px auto;padding:0px;width:700px;"> <div class="wrap_img_float" style="margin:0px;padding:0px;font-size:0px;overflow:visible;"><img src="https://t1.daumcdn.net/thumb/R1280x0/?fname=http%3A//t1.daumcdn.net/brunch/service/user/2wi/image/ZmrVbHlhXWPs7sYC8BmIWrSEUdM" style="border:0px none;padding:0px;width:700px;" alt=""><span class="text_caption" style="text-align:center;display:block;color:#909090;font-size:10pt;line-height:15.5pt;clear:both;padding:7px 10px 0px;">이렇게 놀아줘야 아이들이 잠 좀 잡니다.</span></div></div></div> <p class="wrap_item item_type_text" style="margin:13px auto 0px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">더운 여름 휴가철이라 그런지 이것저것 잘못 먹고 탈 난 장염 환자들이 많아 평소 주말 이상으로 붐빈 응급실이었습니다. 그렇게 주말 연속 근무의 끝이 보이는 월요일 새벽. 당직실에서 잠시 눈을 붙이던 중 전화벨 소리에 화들짝 놀라 일어났습니다.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <div class="wrap_item item_type_img" style="margin:13px 0px 0px -219.5px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:1139px;clear:both;color:#333333;font-size:14px;line-height:21px;"> <div class="wrap_content mobile_align_full" style="margin:0px auto;padding:0px;width:700px;"> <div class="wrap_img_float" style="margin:0px;padding:0px;font-size:0px;overflow:visible;"><img src="https://t1.daumcdn.net/thumb/R1280x0/?fname=http%3A//t1.daumcdn.net/brunch/service/user/2wi/image/7ykv2vCVUZmEI8faB9dHsx8CrWc" style="border:0px none;padding:0px;width:700px;" alt=""><span class="text_caption" style="text-align:center;display:block;color:#909090;font-size:10pt;line-height:15.5pt;clear:both;padding:7px 10px 0px;">휴가가면 평소 안먹던 음식도 먹게되고...</span></div></div></div> <p class="wrap_item item_type_text" style="margin:13px auto 0px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">정신을 차리고 나와보니 유치원 다닐 나이의 어린 소녀가 앉아있습니다. 아픈 기색은 없는데 엄마 말론 아이가 배가 아프다 해서 왔다고 하네요.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">장음소리 들어보고 배 이곳 저곳 눌러보고 설사나 열이 있었는지 확인해봤지만 특별히 나빠보이는 소견은 없습니다. X-ray 이상 없으면 맹장염 가능성 주지 시키고 조금 지켜보게 해야겠다 마음먹고 언제부터 아팠는지 물으니 10분 전부터 아팠다고 합니다.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">10분? 집이 아무리 가까워도 10분이면 아프다고 하자마자 온 거 아닌가? 내가 잘못 들었나? 생각했습니다. 엄마가 그 기색을 눈치챘는지 아침에 출근하려던 중 아이가 아프다 하니 일단 데려와봤다고 하는군요.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">같이 아이 키우는 입장이지만 아무리 아이가 아프다 해도 좀 너무한 거 아닌가... 솔직히 이런 생각 들었습니다. 내색 안 하려 노력하면서 영상의학과로 가서 X-ray 찍고 오자고 안내했습니다.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">잠시 후 사진을 찍고 온 소녀는 배가 아프다며 화장실로 직행, 화장실에서 밝은 얼굴로 나왔습니다. 이렇게 월요일 새벽, 한 아이와 엄마의 소동은 허무하게 끝났습니다. X-ray 도 변이 좀 찬 것 말곤 큰 이상 없네요. 엄마도 아이도 밝게 웃으며 인사해주어 저도 금방 맘이 풀렸습니다.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <div class="wrap_item item_type_img" style="margin:13px 0px 0px -219.5px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:1139px;clear:both;color:#333333;font-size:14px;line-height:21px;"> <div class="wrap_content mobile_align_full" style="margin:0px auto;padding:0px;width:700px;"> <div class="wrap_img_float" style="margin:0px;padding:0px;font-size:0px;overflow:visible;"><img src="https://t1.daumcdn.net/thumb/R1280x0/?fname=http%3A//t1.daumcdn.net/brunch/service/user/2wi/image/lFePmX0T46sgv0fwEErygSAZizo" style="border:0px none;padding:0px;width:700px;" alt=""><span class="text_caption" style="text-align:center;display:block;color:#909090;font-size:10pt;line-height:15.5pt;clear:both;padding:7px 10px 0px;">휴가 다녀오면 이것저것 맛있는 것 먹고 탈이 나죠.</span></div></div></div> <p class="wrap_item item_type_text" style="margin:13px auto 0px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">잠시 들어가서 눈을 붙이려던 중 다시 벨소리가 울렸습니다. 이번엔 어린이집 다닐 나이의 남자  어린이입니다. 아파 보이지 않아 살짝 안심하면서 '어디가 아파서 왔나요?' 물으니 구토를 해서 왔다고 합니다. 앞의 소녀 환자처럼 복부 진찰을 하면서 언제부터 몇 번 구토를 했냐 물으니 바로 전에 한 번 구토를 했다고 합니다.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">한 번? 아이가 한 번 구토를 하면 응급실로 데려오나요? 저로선 이해하기 어려운 당황스러운 답변이었지만 매번 그렇듯 이럴 땐 내색하지 않는 게 중요합니다. 절대 엄마를 놀라게 해선 안돼!</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">엄마가 제 기색을 읽었는지 아이가 장염일까 봐 걱정돼서 데려왔다고 하는군요. 응급의학과 의사 입장에선 장염이면 큰 문제가 아니란 뜻인데 엄마는 장염이 더 무서우셨나 봅니다. 어쨌든 이번에도 포커페이스는 실패한 것 같습니다.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">열 없고 설사 없고 목도 괜찮고 복부 진찰도 나쁘지 않아 주사 없이, 먹는 진토제와 정장제로 증상 조절만 하고 지켜보기로 했습니다. 또한 항상 그렇듯 이럴 땐 엄마를 너무 안심시켜도 안됩니다. 맹장염 초기 가능성, 장 중첩증 초기 가능성 등을 주지 시키고 아이가 배가 아프다 하면 다시 방문할 것을 설명했습니다.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">그러자 아이를 안고 응급실 문을 나서던 엄마가 뒤돌아 다시 묻습니다.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p><blockquote class="blockquote_type1 wrap_item item_type_text" style="margin:13px auto 0px;padding:25px 0px 0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:15pt;line-height:23pt;letter-spacing:.8px;text-align:center;color:#333333;background-position:50% 0px;background-repeat:no-repeat;">아이가 장염은 아니란 말이죠?</blockquote> <p class="wrap_item item_type_text" style="margin:8px auto 0px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"> 아,  이걸 어떻게 설명해야 하나... 잠시 고민에 빠졌습니다. 응급의료진의 머릿속에서 장염의 의미와 다른 응급 질환의 위험성을 좀 더 자세히 설명하는 게 정답이겠지만... 포기했습니다. 민감한 엄마에게 자세한 설명은 걱정거리만 한아름 안겨주는 꼴이거든요. 그래서 이렇게 설명했습니다.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p><blockquote class="blockquote_type1 wrap_item item_type_text" style="margin:13px auto 0px;padding:25px 0px 0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:15pt;line-height:23pt;letter-spacing:.8px;text-align:center;color:#333333;background-position:50% 0px;background-repeat:no-repeat;">구토 한 번만 하고 와서 아직 정확하게 모르겠네요.<br>장염으로 갈지 다른 쪽으로 갈지 아직은 모릅니다.</blockquote> <div class="wrap_item item_type_img" style="margin:15px 0px 0px -219.5px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:1139px;clear:both;color:#333333;font-size:14px;line-height:21px;"> <div class="wrap_content mobile_align_full" style="margin:0px auto;padding:0px;width:700px;"> <div class="wrap_img_float" style="margin:0px;padding:0px;font-size:0px;overflow:visible;"><img src="https://t1.daumcdn.net/thumb/R1280x0/?fname=http%3A//t1.daumcdn.net/brunch/service/user/2wi/image/ssQHhCmkc1I80p0CMP6lRHOpueU" style="border:0px none;padding:0px;width:700px;" alt=""><span class="text_caption" style="text-align:center;display:block;color:#909090;font-size:10pt;line-height:15.5pt;clear:both;padding:7px 10px 0px;">구토 한 번으론 어디로 갈지 아무도 모릅니다.</span></div></div></div> <div class="wrap_item item_type_hr hr_type_3" style="margin:20px 0px 0px -219.5px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:1139px;clear:both;color:#333333;font-size:14px;line-height:21px;"> <div class="inner_wrap" style="margin:0px auto;padding:0px;width:700px;"></div></div> <p class="wrap_item item_type_text" style="margin:13px auto 0px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">여러분은 <span style="font-weight:700;"><u>의</u></span><span style="font-weight:700;"><u>료비</u></span><span style="font-weight:700;"><u> </u></span><span style="font-weight:700;"><u>실</u></span><span style="font-weight:700;"><u>손</u></span><span style="font-weight:700;"><u>보</u></span><span style="font-weight:700;"><u>험</u></span> 들어두셨나요? 바야흐로 보험의 시대라 할 만 합니다. 텔레비전 광고 둘 중 하나는 대출업 아니면 보험업종 광고로 채워지는 느낌이에요. 그만큼 요즘 보험, 묻지도 따지지도 않고 많이들 가입하시는 것 같습니다.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">보험의 순기능,  물론 있지요. 의료비 걱정에 차일피일 병원 방문을 미루다 병 키운 경험, 본인이나 가족에게서 한 번쯤 있지 않나요? 헌데 진료비로 들어간 비용을 다 돌려준다니 얼마나 고맙습니까?</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">다만 응급의학과 입장에서 보면 이 의료비 실손보험의 부작용이 만만치 않습니다. 이번 여름, 전국을 공포에 휩싸이게 했던 감염병에 너무도 취약한 응급실 시스템의 주요 원인 중 하나가 무너진 의료 전달체계와 응급하지 않은 환자로 인한 긴 대기 시간이었는데 보험 시스템이 이 현상을 악화시키고 있거든요.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">좀 더 자세히 살펴볼까요? 2015년 현재, 응급실은 규모와 인력, 시설에 따라 지역 응급의료기관, 지역 응급의료센터, 권역 응급의료센터, 기타 외상센터와 화상센터 등 특수 기능 응급센터로 나누어져 있습니다.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">이렇게 기능이 나누어져 있다면 진료를 봐야 할 환자군도 적절하게 나누어져야 하겠죠? 그래서 나온 제도가 <u> <span style="font-weight:700;">응급의료관리료</span></u> 라는 응급실만의 특별한 추가 과금제도 입니다. 현재 지역 기관의 경우 18,000원대, 지역 센터는 47,000원대, 권역 센터는 54,000원대로 정해져 있고 응급증상인 경우 환자는 50%만 지불하도록 되어 있습니다.</p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">헌데 의료비 실손보험 가입자의 경우 이 비용까지 모두 돌려받을 수 있으니 응급의료관리료의 의미가 없어집니다. 자연히 환자 입장에선 아팠다 하면, 이런 선택을 하게 되는 것이죠.</p><blockquote class="blockquote_type3 wrap_item item_type_text" style="margin:13px auto 0px;padding:21px 25px 20px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:18pt;letter-spacing:.8px;border:1px solid rgb(215,215,215);color:#666666;">긴 시간 기다려야 하는 외래보단 응급실!<br>일과시간 손해 보기 보단 응급실!!<br>응급실 중에서도 일단 모든 진료가 다 가능한 대학병원 응급실!!!</blockquote> <p class="wrap_item item_type_text" style="margin:13px auto 0px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">그럼 예상하다시피 응급실 혼잡도는 더 올라가 진짜 응급 환자가 적절한 진료를 받기 점점 어려워지는 구조가 됩니다.</p> <p class="wrap_item item_type_text" style="margin:13px auto 0px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"><br></span></p> <p class="wrap_item item_type_text" style="margin:13px auto 0px;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">모</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">르</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">죠</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">,</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">오</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">늘</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">새</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">벽</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">방</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">문</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">한</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">두</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">어</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">린</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">환</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">자</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">는</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">실</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">손</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">보</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">험</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">상</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">관</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">없</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">이</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">너</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">무</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">아파 보였거나</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">걱</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">정</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">이</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">된</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">나</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">머</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">지</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">급</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">히</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">응</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">급</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">실</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">을</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">방</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">문</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">한</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">걸</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">지</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">도</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">모</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">릅</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">니</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">다</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">.</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">아</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">무</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">리</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">아파 보이지</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">않</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">았</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">다</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">하</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">더</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">라</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">도</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">안 좋은</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">질</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">환</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">이</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">숨</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">겨</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">져</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">있</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">었</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">을</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">가</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">능</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">성</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">또</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">한</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">분</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">명</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">히</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;"> </span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">존</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">재</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">합</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">니</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">다</span><span style="font-size:11pt;letter-spacing:.8px;line-height:22pt;">.</span></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;"><br></p> <p class="wrap_item item_type_text" style="margin:0px auto;padding:0px;font-family:'Noto Sans DemiLight', 'Malgun Gothic';width:auto;font-size:11pt;line-height:22pt;letter-spacing:.8px;color:#333333;">하지만 응급실 이용 행태를 변화시켜 다수에게 손해를 끼치는 보험 시스템이라면 하루빨리 손을 봐야 할 것입니다. 지금 이 시간에도 응급실엔 아픈 사람이 있고 한정된 자원으로 최적의 치료를 위해 노력하는 의료진이 있기 때문입니다.</p></div></div></div>