medical simulator

Chapter 302 What a freak! (Please subscribe!)

"When did you start to learn to be glib? Did you do something wrong?"

"I heard from my best friend that ordinary men, when they do something wrong, can easily change their temper and naturally learn to talk smartly." Zhou Cheng was taken aback by An Ruo's message.

After reading it, Zhou Cheng thought for a while and said, "What kind of best friend is that of yours? I don't even know what you're talking about?"

Zhou Cheng certainly did nothing wrong, but An Ruo's best friend seems to have seen a lot of things in the world.

Yang Yifeng, can you handle it?
……

The next day, when Zhou Cheng went to the department again, he officially put on the badge of the Chinese Medicine Hospital and put on the white coat of the Chinese Medicine Hospital.

Brand new, four sets were issued to Zhou Cheng, two sets more than the average person, summer short sleeves.

In the early class, Director Lu Bin once again represented the department and welcomed Zhou Cheng's arrival.

And they were discussing Zhou Cheng's work arrangements and plans at the extended meeting of the early handover.

"Director Quan, Director Tong, there are currently three groups in our department. For the time being, it is better for Dr. Zhou to be in one group each, or to stay in each group alone for a week or a month?" Lu Bin's words almost confirmed the plan.

Director Quan, whose full name is Quan Zhuolin, probably his parents are loyal fans of Master Chaplin.

Quan Zhuolin is slightly fat, with a festive, half-Mediterranean expression, which is a manifestation of his strength: "My suggestion is that each group should be for a month. Dr. Zhou finally came here this time, and he came with a teaching mission. .”

"Running here and there every now and then, the patients are not used to it, and the people in the group are not very used to it either."

Director Tong is the taller and stronger one, with his hair parted in the middle, and his voice is thicker: "I also think Director Quan's suggestion is better, Doctor Zhou, what do you mean?"

"I can do it. I came here to study with everyone." Zhou Cheng did as the Romans did. At the very beginning, when he didn't know the internal situation of the department, he didn't express his opinions much.

Lu Bin pondered: "Since Director Tong and Director Quan have no objections, and if Dr. Zhou agrees, then we will temporarily wait for one month. As the director, I will take the lead and hand over the work of our group to the hospital first." Give it to Dr. Zhou."

"In addition, Doctor Zhou, you finally came to our Changshi City. Not only are we looking forward to it, but our patients are also looking forward to your arrival, so I hope you can sit in the outpatient clinic."

"Doctor Zhou, which day do you like most?"

Lu Bin acted as if Zhou Cheng made his own decisions.

"Director Lu, how do we arrange the surgery day in our group?" To choose an outpatient clinic, try to avoid the surgery day.

Lu Bin said: "Before, our department did not have operation days. Usually, it was the second day of the day when the doctor on duty was in the group, which was the operation day. However, considering the unit where you worked before, Dr. Zhou, there was such a saying as an operation day. .”

"So we can tentatively decide that the first and fourth are the surgery days of our group, the second and fifth are the surgery days of the director group, and Wednesday is the surgery day of the director Tong's group. The operation arrangements during the surgery days can be transferred."

"And after one month, re-arrange."

Lu Bin made this plan obviously after careful consideration, and discussed it with Quan Zhuolin and Director Tong Xun.

Zhou Cheng had just arrived, and it was indeed not easy for him to get to know the staff on duty in the department, and it was also difficult to distinguish the groups they belonged to, and there were also resident doctors.

Therefore, it is best to plan the operation day according to the day of the week.

"Then I'll choose to sit in the outpatient clinic on Tuesday." Zhou Cheng thought for a while and said.

Thursday is also the day of surgery, which happens to be an outpatient on Tuesday, so there is enough time for preoperative examination.

In addition, Zhou Cheng said: "Director Lu, my account should be registered as that of a general doctor. I am only a junior professional title now, and I have to wait until the exam in July this year before I can be promoted to an intermediate professional title."

Well, yes, after he obtained the dual certificates of doctorate in advance, he met the conditions for applying for the intermediate professional title.

In order to allow him to obtain the professional title in advance as formally as possible, Xiang Province also specially made up a registration quota for Zhou Cheng so that Zhou Cheng could take the exam normally.

The exam is not difficult, there is no operation, it is all theory, after passing, you can get the title of attending physician.

Attending physician is a professional title.

Lu Bin looked embarrassed for a while, the position assigned to Zhou Cheng in the hospital was an expert.But considering Zhou Cheng's true identity, he nodded and said: "Then let's arrange it like this first. Doctor Zhou's current skills are naturally far superior to ordinary doctors."

After arranging the operation day, outpatient schedule and other issues, Lu Bin didn't waste any more time.

Instead, after the shift was over, he gathered the people in the group together again, and first said: "This Doctor Xiao Zhou, everyone must have known him yesterday, and the name of Doctor Xiao Zhou is familiar to everyone."

"It is an opportunity for us to come to our Changshi Traditional Chinese Medicine Hospital and our group this time. I hope everyone will work harder, work harder, learn and do things honestly, and strive to gain something with Dr. Zhou."

Then introduce it to Monday.

The grouping here is similar to that of Shashi Eighth Hospital.

However, Changshi Hospital of Traditional Chinese Medicine has much more deputy senior titles than Eighth Hospital.

Just under the Chief Physician Lu Bin, there is another Deputy Chief Physician and two attending physicians, and there is one regular trainer left.

Well, Gui Peisheng is much less than the Shashi No. [-] Hospital, which is directly under the Hunan Province.

The deputy high is the deputy chief physician of Qin Ming, and the two attending doctors are Guo Xiaobing and Yang Tao, both of whom have just joined the company for less than a few years, and both have a master's degree.

Dr. Zhupei is in the second grade of this year. He is an acquaintance. He took the initiative to say hello to Zhou Cheng: "Mr. Zhou, my name is Wang Wang, Trinity King. I am very prosperous."

The name is quite convoluted, but Wang Wang's overall energy is better.

Guo Xiaobing and Yang Tao looked at Zhou Cheng with complicated eyes and expressions, as if they were the same age but different fates.

Zhou Cheng nodded and said, "Director Lu, Director Qin, Brother Bing and Brother Tao, from now on you can call me Zhou Cheng or Xiao Zhou."

"I'm new here, I'm not familiar with this place, I hope you can take care of me."

Although Lu Bin also said that he was asked to lead the team, and he came here with the same plan, but to be polite, he should be a little more polite.

Lu Bin said: "In this case, let's check the ward first. Doctor Zhou, you are from a big hospital, so you need to give us some pointers. Compared with the hospital where you work, the ward check here is much better. room, maybe it’s a little bit of a fight.”

Lu Bin went out to study, and there were a lot of people in the ward rounds, a bunch of masters and doctors with rich theoretical knowledge, there were theoretical talents, and professors with very rich experience. Comparable.

However, during the rounds all the way, Zhou Cheng did not escape, but acted as a bystander.

Lu Bin introduced to the first patient very familiarly: "This is Dr. Zhou, who is new to our department. Don't look at Dr. Zhou's young age, Dr. Zhou is a very famous expert in Shanghai."

"You can use Douyin to search for small incision open reduction and internal fixation for fractures. This is introduced by Dr. Zhou himself. He used to be the instructor in the No. [-] Hospital of Shanghai!"

These words immediately frightened the first patient, and he quickly raised his head and asked, "Then, in my situation, can minimally invasive surgery be performed? Is it expensive?"

Lu Bin didn't dare to answer this question, so he looked at Zhou Cheng.

Zhou Cheng read the films carefully, so he nodded: "You can do this, as for the cost of the operation, you should negotiate with your bed doctor, it will be higher than the traditional fracture surgery, but it is also limited. "

Zhou Cheng has been a bed doctor for three years, knowing this kind of thing is the best way to train a bed doctor, and it is also an indispensable kind of experience.

Then, as the attending physician of the bed doctor, Guo Xiaobing hurriedly said: "Uncle, your operation is scheduled for tomorrow. I will have a pre-operation talk with you later, and we will discuss this issue at that time. Let's check first." house."

"This kind of minimally invasive fracture surgery is currently only available in our hospital in Hunan Province." Guo Xiaobing said with a smile.

"Can't the Affiliated Hospital of Shonan University do it?" the patient asked curiously.

"I haven't heard of it yet." Guo Xiaobing said very knowledgeably.

Zhou Cheng frowned slightly.

But he didn't say much. In Hunan Province, if the Affiliated Hospital of Shonan University can be used as a comparison, if it can show its advantages, this is the best business card, and there is no way around it.

"Then thank you Dr. Guo, thank you Director Lu, and thank you Dr. Zhou." The patient said quickly.

But not entirely convinced.

However, after Zhou Cheng and others checked the second bed, the patient checked the minimally invasive surgery with Douyin, and immediately asked with a smile on his face, "Hey, Doctor Xiao Zhou, are you married yet?"

Zhou Cheng turned around and smiled: "I have a girlfriend."

"It's okay if you haven't married yet, Dr. Zhou, let me tell you, our Changshi is very good and livable. You can think about it, our Changshi girl." The patient said with a smile.

Then he stopped talking.

Zhou Cheng smiled and didn't answer any more. Even though the patient's words were impolite, he didn't care.

As a relatively high-quality boy, if you become better yourself, you will naturally get some better resources. This is a matter of course. If you don’t meet them, it can only prove that you are not good enough for the time being.

"..."

After the ward rounds all the way, Lu Bin asked Qin Ming to make arrangements for tomorrow's operation.

Then he personally led Zhou Cheng to the office in the director's office. Inside, there was a chair for one person, a computer for one person and a desk for one person.

The top is very empty, there is a whole set of tea sets, and the drawer is full of peace.

"Doctor Xiao Zhou, I didn't know that you don't smoke before, so I prepared some gifts casually, but don't worry, I will take this away and replace it with tea in a few days." Lu Bin hurriedly explained, but also He deliberately showed this thing to Zhou Cheng, wondering if it was to show his sincerity.

Zhou Cheng doesn't smoke, but he drinks alcohol, but he doesn't like alcohol.

Drinking tea was the best alternative that Lu Bin could think of.

Zhou Chengcheng said: "Director Lu, don't bother, I'll just drink water."

Lu Bin smiled: "Tea is water, and drinking tea can also nourish your health. You should always have your own hobbies. Doctor Zhou, don't refuse anymore."

"In addition, Doctor Zhou, your current job number is temporarily set to 5555, and the initial password is 8888."

"Under the job number, the current authority matches that of the director. You can check all the medical records in our department, you can have the consultation authority of all departments, and you have the authority to use except a few controlled drugs and antibiotics."

"Then, your work account does not set up sub-accounts to write medical records for the time being, but the daily performance of our hospital corresponds to that of normal employees..."

Zhou Cheng's eyelids twitched when he heard this, and he said, "Director Lu, isn't this in compliance with the rules?"

Lu Bin shook his head: "Doctor Zhou, I have already asked the health committee of our city. This is a benefit given by our city's health system in order to introduce experts to guide us. The performance coefficient is the most Basic 1.0, not much, but a heart."

"Doctor Zhou don't want to refuse. At present, in Changshi No. 1.8 Hospital, an associate professor at the Affiliated Hospital of Shonan University has a performance coefficient of [-]. But he is a deputy senior professional title. Doctor Zhou?"

"So, even if we want to pay you more for your hard work, we are embarrassed. We also know that your other money is not easy to take, and we will not take it."

Lu Bin said this very directly.

Zhou Cheng's coming here was not even transferred from the Hunan Health Commission, nor from Shanghai, but if he came from the Huaguo Health Commission, he was transferred from there.

As for the specific reason, Mr. Zeng once hinted that it was because the things Zhou Cheng participated in were different from ordinary people, so his file is no longer in the provincial capital.

It's hard for Zhou Cheng to refer to what this sentence means, but it sounds really awesome!
Moreover, when he visited An Ruo's father, An Nan, the day before yesterday, Zhou Cheng also learned that the reason why Zhou Cheng was arranged to come to a prefecture-level city was not a county-level hospital, nor a provincial-level hospital. curated.

It's not that such a decision was made casually.

"Director Lu, I came to the department mainly to learn from each other." Zhou Chengcheng said back to Lu Bin.

"Dr. Zhou is polite. In fact, we are all orthopedic trauma surgeons. We all know that minimally invasive fracture surgery is definitely the trend of the times. Dr. Zhou's coming to our place really showed us a bright way." Lu Bin is very sincere and authentic.

Minimally invasive fracture surgery is a new type of operation. The patient is very large. Once the operation is performed and the postoperative effect is good, there will be a siphon effect. What is the bonus in the department?
Possibly much higher than before.

It is precisely because of this that the department readily agrees to all the conveniences for Zhou Cheng, and even the entire Department of Orthopedics will benefit, and the average salary of the hospital will also increase, and this is a long-term effect.

Most people who give people jobs are happy.

When Zhou Cheng heard Lu Bin say this, his mind sank a little, and he said: "Director Lu, I saw in the department today that there is not a single postoperative patient in our group, and basically all of them are fracture cases. This is different from the cases in our place. The structure doesn't quite fit, does it?"

This must have been arranged by Lu Bin. Such an arrangement is very bad, unreal, and unrealistic.

Lu Bin's expression flashed slightly, and he said, "Doctor Xiao Zhou, indeed, there are a lot of fracture cases gathered in our group, but most of them are here because of the reputation. After all, the current minimally invasive fracture surgery is very popular on the Internet."

"You also know that everyone has a love for beauty, and it's not easy for us to refuse patients. Since there is a request, there is no reason why we shouldn't."

If you want to learn, you must have the resources to learn, so Lu Bin arranged for this to divide all fracture patients into one group, which is Zhou Cheng's group.

Zhou Cheng felt a bit pained, Director Lu, what are you thinking about.

Trauma surgery is not just about fractures. If you put all your energy on this, after ten years, if minimally invasive fracture treatment has been widely promoted, will you die?
Eat the near-term effect, which is extremely short-term goal.

After Zhou Cheng came down, besides leading the team to solve the real problems faced by prefecture-level city hospitals, he still had to do something of his own, so he said, "Director Lu, it's common sense for patients to love beauty, but , as doctors, we should not make decisions for patients, so as to avoid more twists and turns."

"In the future, let's try our best to enrich the number of diseases. Small incision open reduction and internal fixation, it is not difficult, it is not easy to say, that's the thing."

Lu Bin was taken aback, thought for a while, and then nodded: "I'll listen to Dr. Zhou's arrangement, so how many surgeries would it be more appropriate for us to arrange tomorrow?"

"In the past, we usually arranged up to five fracture surgeries a day!" Lu Bin made a deal for Zhou.

Zhou Cheng pondered for a moment, and said, "Then arrange five sets, Director Lu."

"In addition, Director Lu, I don't know how our hospital used to choose treatment methods for some simple fracture operations. However, as far as our existing patients are concerned, I care about it. Some Fracture patients do not need surgery."

"Director Lu, what do you think?" Zhou Cheng was not afraid of offending anyone, so he directly hit him in the head.

Lu Bin, you transferred the patient to the group yourself, and I won’t talk about the matter of attracting the patient. However, for these fractures, whether to undergo surgery or not, whether to listen to you or to me, this question, Let's clarify first.

Indeed, the current situation is not very good. Under the new situation, the salaries of many medical workers have been seriously affected in the past period of time, so they are not very optimistic.

Zhou Cheng agrees with the idea of ​​increasing income by increasing the number of operations.

However, Zhou Cheng still had to figure out who the Director Lu Bin wanted to be based on.

It is true that some fractures require surgery for ordinary doctors, but for Yu Zhou Cheng, Zhou Cheng thinks that they can be treated by manipulative reduction.

Simple, convenient and effective.

Only by knowing Lu Bin's bottom line can Zhou Cheng make good plans for the next step. If Lu Bin only wants to make money, then he will look for another opportunity and find someone to do things.

If Lu Bin has ideas, then he doesn't mind developing some other ideas.

It's not about fighting for power, but leading a group is to have the appearance of leading a group.

Lu Bin's expression flickered for a while, Zhou Cheng was coming, he had a detailed understanding of Zhou Cheng, and then gritted his teeth and said: "Doctor Zhou, this is up to you to arrange and plan, I told you when I took over the shift." .”

"Which group are you in, Dr. Zhou, your decision-making power should take precedence over the current group director. I will not break my promise."

Lu Bin has a thin body and dull skin, and he looks like a veteran village cadre. It can also be seen that he has read a lot of books.

Zhou Cheng heard the words and said, "Thank you Director Lu for your love and respect."

"The reason why I ask this question is actually based on the following considerations."

"I have read it in detail. Some of the current policies, the state strongly advocates reducing the proportion of medicines and consumption, and increasing the proportion of pure operations in medical expenses. Then, there must be profound intentions."

"Before I came here, I had done in-depth research on the current performance policies of Chinese medicine hospitals. I found that, at present, the operating performance of the operation fee within the department can get 60.00% five, and then according to the different evaluations between departments , there is still a fluctuation of 5.00% to [-]%!"

"Is that right?"

Lu Bin nodded and said, "Yes, it is because of this that we have had a lot of fluctuations in the past few months, so the department is now in a period of seeking change."

Income is directly linked to life, and the performance he got last month was only [-].

The director of the department, 1.0, the highest performance coefficient, whether the salary is high, high enough but not high enough, mainly depends on the money that can be obtained during the residency period, their performance coefficient is only 6000, and it is issued , more than [-]!
They are all at a crucial stage of raising their families.

Zhou Cheng said: "Indeed, we are now in a contingency period. During the contingency period, we must seek changes. Recklessly increasing the number of cases is one of the methods. However, Director Lu, you must pay attention to this point, that is the single-disease model."

"Single disease is paid according to the type of disease, and the medical insurance covers the bottom line. This is a relatively large welfare policy for us."

"This is the first. Second, the proportion of pure operations is not only on the operating table, but also off the operating table. Our orthopedics department can perform far more operations than other departments."

"Third, the manual reduction of fractures includes two types of prying reduction and traction reduction. The closed reduction method is also a pure operation."

"In addition, some of the current diseases in our trauma surgery are not in the field of single diseases, that is, more serious trauma patients. These cases cannot be lost."

"Debridement and suture, tendon suture, etc., seem to be nothing, but in fact, these patients account for the most operations, and there are almost no built-ins..."

"And based on my current understanding of the department, the solution I can think of is."

"Let's reset the manipulation of simple fractures first, and do it well first. Then, Director Lu, you will find that when we further refer to the minimally invasive fracture treatment of complex fractures, we will get twice the result with half the effort."

"In addition, Director Lu, if there are patients with severed limb replantation and severed finger replantation, what do you think should be done?"

Zhou Cheng didn't mean that he didn't like Lu Bin's thoughts and ideas.

Rather, before this, everyone was used to the old-fashioned way of treatment, thinking that surgery is surgery, and orthopedics is just putting steel plates, and then the cost of the steel plates is used to subsidize the department's income.

But in fact, this is not the case. It is impossible for any change to have too much impact on the real pure technology.

Lu Bin was thoughtful, and then said: "Doctor Zhou, according to your thinking, I probably understand what it means, but if this is the case, how can we have so many diseases?"

"Precise, individualized, and refined treatment is the source of our disease. When we don't need to find the source of the disease by ourselves, it is the best time for our development."

"As far as I know, at present, the Orthopedics and Traditional Chinese Medicine Hospital in Chang City are comparable in strength to Chang City No. [-] Hospital, and the director of trauma surgery at Chang City No. [-] Hospital is a Ph. Hospitals are currently at a disadvantage."

"Moreover, Changshi No. [-] Hospital will soon become a prefecture-level city hospital affiliated to the Medical College of Shonan University."

"However, as far as I know, a better point is that at present, the 120 system in Changzhou still gives priority to sending emergency patients to us, so these emergency patients are a good source of illness for us."

"We are not worried, there is no source of disease."

"..."

Listening to Zhou Cheng's analysis, Lu Bin opened his mouth slightly. He really didn't expect how long it took Zhou Cheng to analyze the routine in such a deep way?

Zhou Cheng, what are you doing this week?

Zhou Cheng continued: "The current medical insurance policy is 90.00% [-]% and [-]% reimbursement for drugs that are purely operated, inspected, and popularized."

"The patient's cost is small. To a certain extent, it may even be less than 2000 yuan, and more complicated fractures can be treated, perhaps even less."

"In this way, the willingness to treat will also be strengthened. After the consumption of medical expenses is reduced, the willingness to see a doctor and the average health level of the general public can be improved."

Zhou Cheng has thought about such a thing, so, why, Minister Gu, let him come to the prefecture-level city hospital, presumably, Zhou Cheng thinks.

Mr. Zeng and Mr. Gui Yuanping never treated him as a very pure doctor.

These two teachers are all national scholars.

Academicians have the right to advise on higher-level decision-making, and they have a higher vision.

Go to the medical country.

Chinese medicine doctor.

Go to the doctor to treat the disease.

This sentence is just twelve words, but the connotation expressed cannot be simply carried by twelve words. Even, for thousands of years, no one has been able to truly carry it.

Whether it is writing a book, benefiting one party, a miracle doctor helping the world, or other things.

They're all talking about medicine.

Rather than discussing medicine, medicine is a discipline, whether it is modern medicine or traditional medicine, since it is a discipline, it must be systematized.

Presumably, this is the reason why the two teachers let themselves down!

　When the title of this book was established, it had already made a decision.

　　Not a doctor simulator, nor a surgery, surgery simulator, nor a life simulator!
　　There is still a difference between medical science and medical disciplines.

　　Hope everyone likes it.

　　
　
(End of this chapter)