medical simulator

Chapter 347 In-depth Communication!

For such a big topic, it is impossible to allocate all the details in one morning. In the morning, Yang Yifeng only built the structure and the big framework, and it is estimated that it will take a week to carefully discuss the details and task division.

There will be a meeting in the afternoon, which is related to the preparatory work, but Zhou Cheng does not plan to attend, and has made an appointment with Yang Yifeng before.

During lunch, Zhou Chengcheng took the initiative to find the table where Chen Jiwu and Professor Liu Zhibin were.

The two were old acquaintances, they chose something casually, and their attention was not on what they wanted to eat now.But talking about something.

After Zhou Cheng approached, Chen Jiwu took the initiative to give way to Zhou Cheng, and Xu Dashan, who was diagonally opposite Chen Jiwu, joked, "Our behind-the-scenes character Xiao Zhou is here."

Liu Zhibin made a pun. As one of the few people who knows what Zhou Cheng is doing, he knows that the reason why the National Health Commission arranges so many people to come to Chang City is not just Zhou Cheng. The topics that have been worked out are the topics of basic anatomical theory, which have great influence and far-reaching significance.

The reason why the health committee spends so much effort to send so many people to support Zhou Cheng is not only because of his previous experience in minimally invasive fracture surgery, but because some of his achievements can scare ordinary people.

"Mr. Liu, if you feel like venting your anger, do it directly, and don't make fun of me." Zhou Cheng put away his dinner plate a little, and replied jokingly.

Whether it is Liu Zhibin or Chen Jiwu, they are actually his nobles.

The reason why he was able to carry out minimally invasive fracture surgery logically before was because of the support of these people, who dared to sign for him, allowing him to obtain authorization for the new surgery.

Liu Zhibin immediately said seriously: "I dare not beat you, Professor Chen, you have to testify against me. It's not easy to talk nonsense."

A joke is a joke, but it depends on who hears it. If Zhou Cheng said that next time when he was joking, he might be beaten as a joke.

Zhou Cheng said: "Mr. Liu, Mr. Chen, I was in a hurry last time in Shanghai, and I didn't have time to thank you properly. This time, the two teachers just came to Changshi. The students will definitely do their best. Friendship."

Hearing this, Liu Zhibin quickly waved his hands, his eyes showed even more panic: "Xiao Zhou, don't mention what happened last time. What happened last time almost happened."

Liu Zhibin still remembers that a group of them went to Zhou Cheng's place to disturb Zhou Cheng's subject. Well, after all, someone gave money secretly, and it was a bit too much.

Chen Jiwu's complexion was also a little unsightly, and he sat up straight at the moment: "Xiao Zhou, it's really hard to mention the matter of the authorization of the operation last time. Someone has already paid a painful price for it. "

"To be honest, it's a big hole. It's also a demon mirror."

"???" Zhou Cheng was puzzled, a little cute.

Liu Zhibin quickly explained: "What should I say, Zhou Cheng, when you were engaged in research projects and authorization of new surgical procedures, you were in a very critical period. At that time, some overseas Chinese who wanted to return to China were working with domestic Discuss something."  …

"It's almost like testing the domestic scientific research and medical teaching environment. Some people were fooled, some were not fooled, and some were forced to be fooled. Anyway, a large number of people were cleared out, and many of them were well-known from old schools. experts and professors."

"Too ruthless.We were lucky and resisted the temptation. Of course, I also count on you, Xiao Zhou. The things you do are very tempting and influential. "

"Like other departments, some topics that are not so important are rejected, and the most influential one is neurosurgery." Liu Zhibin has no deep taboo about this.

Zhou Cheng was still puzzled, but when Professor Chen Jiwu explained, it turned out that when he authorized the operation last time, someone from the Qianzhou Company had contacted all of them in private. Tens of thousands of dollars.

Tens of thousands of dollars, hundreds of thousands.

I found out later that this is Qianzhou Company and some other companies.

Overseas people, united to test whether to return to the country and whether it is suitable to return to the country, have formed a bet with some important personnel of the country.

It involved a wide range of people. Zhou Cheng was only a small circle, and there was a larger circle. Under such a demon mirror, many people were injured, but they were not widely distributed, but dealt with privately.

Obtaining stolen goods at the same time is equivalent to a temptation violation, and it is simply impossible to guard against.

Zhou Cheng felt a little numb when he heard it, and asked, "How did those teachers deal with it in the end?"

"After all, it has not affected the relationship between doctors and patients. It is almost an indefinite probationary stay at the current job to see the effect. It is almost impossible to go further."

"The Academy of Sciences and the Academy of Life Sciences have almost no fate with them." Liu Zhibin just said this lightly.

This punishment is actually not too big, but it's not too small either.

For a person who has already climbed to the position of professor, they are not chasing the ordinary yellow and white things, and climbing to that place may be their lifelong pursuit.

After all, in the academic circle, this is a symbol of strength and honor.

This kind of punishment can't be called big!
All this happened without Zhou Cheng's knowledge.

After saying this, Liu Zhibin may feel that this kind of topic is too sensitive, so he quickly moved the topic to other places.

"Professor Chen, what do you think about the current environment?"

"China is taking the route of separation of specialty and research, which was implemented 40 years ago in foreign countries, and foreign countries have already started the route of major surgery and major emergency."

"Under the current situation, is this a good thing or not?" Liu Zhibin asked Chen Jiwu. This is a question closely related to them.

The level of this question is a bit high, so Zhou Cheng can only listen carefully, eat seriously, and act as a bystander.

In fact, Zhou Cheng also knew through American dramas that foreign hospitals do not have such a complicated division of departments in China. Of course, they used to have them.

There are specialties on their side, but in the case of emergency, the surgery is doing all kinds of operations.The division of ordinary clinics is more detailed than that in China.

For example, some people only do hip replacement for their whole life, some people only do knee replacement for their whole life, and some people just do knee arthroscopy in outpatient clinic. …

Chen Jiwu narrowed his eyes: "This, I don't know, it's hard to say for now."

"If you want to be completely close to the foreign system, the national base is not the same, and there is also a gap in the comprehensive strength between the grassroots and the middle."

"Except for the extremely top level of medical care, our country is already comparable to foreign countries in terms of substandard medical care. However, under the operation of capital, this kind of system in foreign countries has been extremely perfect."

"Family doctors, the appointment system, and the grading of public and private hospitals are also very clear. In the domestic environment, the first priority is to allow patients to be diagnosed and treated in a timely manner."

"With a population base that is nearly four times larger, I think it is not easy to see if we can do better, but we must definitely develop in a better direction."

"I am more worried that if foreign medical companies start to reduce their drug exports to my country, the medical level on our side may decline. "Professor Chen Jiwu said so.

For some diseases, the curative effect of domestic drugs and imported drugs is equivalent, which is enough.

However, in some extremely complicated cases, the curative effect of imported drugs is better than that of domestic drugs, which is an objective fact.

In medicine, equipment, drugs, and consumables are the pots and fires for cooking.

Without the support of these objective conditions, it is difficult for a clever woman to cook without rice. When arthroscopic surgery is gone, how can you do minimally invasive surgery?
"This problem is not only faced by us, but also in other places." When Liu Zhibin spoke, he glanced at Zhou Cheng.

Well, the instigator is here.

Even if Zhou Cheng wasn't responsible for it, he was one of the helpers.

The essence of capital is profit-seeking and oppression. Without benefits, others will definitely not lose money and make money.At present, not only the companies belonging to the pharmaceutical industry are a little confused, but even some equipment companies are in a very chaotic market, with good and bad mixed.

"I think there will always be a suitable replacement.We must now face some choices, that is, whether to serve more people or to serve more difficult diseases. " Liu Zhibin analyzed sharply.

How should I put it, this question is actually very acute.

Serving more people, the quality will definitely drop, but it is cheaper.It's almost impossible to get the best service for everyone at a cheap price!
Whether it is a manufacturer of drugs or equipment, they don't do it.

If it is a disease that is difficult to serve, then there is definitely no way to meet its requirements by taking the route of mass procurement.

Birth, old age, sickness and death, clinically, the slightest difference is related to life and death.

Under the huge population base, it is no exaggeration to say that every minute and every second, a huge number of new lives are born, and some people die due to diseases of various factors.

If we look at it from a more in-depth level, whether these critically ill patients deserve to die, isn't it simply up to doctors and hospitals?

This question is so acute.

Still the same sentence, a clever woman can't cook without rice!
In the final analysis, we human beings are just users of tools, using various foreign objects to keep us alive, and to live better and healthier. This is the essence of human life. …

Liu Zhibin spoke very cryptically, but Chen Jiwu, who is at the same level, can naturally understand the hidden meaning in Liu Zhibin's words: "That's why there is a need for stratification. The service objects are constantly stratified, and the work direction must also be stratified."

"There must be a group of people who serve the public, and there must be a group of people who focus on incurable diseases." Chen Jiwu sighed with emotion.

There is a saying in Huaxi, which was handed down by outsiders.

Huaxi does not treat illnesses, but only saves lives. The treatment is handed over to other hospitals. Patients who are dying will come into Huaxi, and when they get better, they will "get out" and give way to patients who need it more.

This statement may be exaggerated, but in fact, such a thing was also emphasized during the internal meeting of the hospital.

It's just that how to make each hospital's patients more pure is a difficult problem.

The foreign appointment system and the family doctor's inquiry system actually play a diversion role to a certain extent. This is their advantage, and we must see this.

However, most of the emergency departments in China, including West China Hospital and all hospitals, are not considered emergency in the true sense, but the category of emergency as understood by ordinary people.

Including the understanding of severe illness, the same is true.

But in fact, it is also understandable that patients are not doctors after all. When they encounter fractures or small avulsions all their lives, they feel that they have encountered something big and feel that you must worry about it.

But when they are in the hospital, the amputee patients can still save their lives.The scariest thing is the kind of patients who can't even get to the hospital, and the patients who can't even get on the operating table.

How to balance and recognize the two is the key point at present.

"Any problem is one-size-fits-all, and it is not advisable to go on rashly. In the last half month, there was a patient in our department with delayed splenic rupture."

"People from the general surgery department were stopped by a family member of a patient with appendicitis."

Chen Jiwu didn't go into further analysis, but said, "There are also several people in our thoracic surgery department who suffered from aortic dissection. They disappeared during postoperative anticoagulation. They are still facing lawsuits."

When Chen Jiwu said this, he shook his head: "It is also low molecular weight heparin, but there is a big difference. Sigh!~"

"For example, different people are going to have the same ruptured heart repair surgery, and different people are doing aortic dissection replacement surgery."

"The mortality rate of 50.00% is an average standard, but in fact, in our hospital before, this rate was already

down to 20.00%. "

Zhou Cheng listened, his heart was touched.

Chen Jiwu and Liu Zhibin are also very high-level people. They just use their usual clinical trivialities to discuss some extremely high-level issues, a bit like the non-talking about state affairs in a teahouse.

However, Zhou Cheng can still analyze the strangeness in it now.

Then, Chen Jiwu and Liu Zhibin discussed for a long time in a similar way.After about ten minutes, the two stopped the similar topic.

Everyone's position is different, and the angle of thinking about the problem must also be different.

Then Chen Jiwu asked: "Xiao Zhou, you don't even want to participate in this basic anatomy theory project this time. What do you think? Is there something better that you are reluctant to show?"...

This is a very puzzled question for Chen Jiwu. Zhou Cheng is willing to let go of such a thing?
Zhou Cheng shook his head: "Mr. Chen, what I have to do now is thankless. Where can I find something better?"

"What is that? You said it." Chen Jiwu asked curiously.

"Professor Chen, do you still remember that there is a professor Chen Xueliang in the orthopedics department of Seoul University? After discussing with him before, I feel that he has a deep understanding of teaching." Zhou Cheng did not explicitly say that he was in what.

Yang Yifeng is a friend, and Anruo's girlfriend can talk about it, and they will definitely not sell themselves.

But with Chen Jiwu and the others, we can't be so straightforward.

Chen Jiwu hissed, while Liu Zhibin frowned.

There are many professors across the country. Even in trauma surgery, it is estimated that there are no less than a thousand professor-level figures nationwide. If they are not very close, it is impossible to be familiar with them all.

"Teaching? Oh, yes, you will soon be a master's supervisor, so you should think about teaching." Chen Jiwu thought that Zhou Cheng was preparing for the promotion of his professional title.

Therefore, this basic anatomical theory was put out as an anchor.

It can also be understood that people don't kill heaven and earth for themselves.

Zhou Cheng can't stay as a resident doctor all his life, he has to slowly build up his clinical qualifications, evaluate associate professors and professors, and then stand on an equal footing with them.

Just as he was talking, Guo Lindong happened to come over: "Professor Chen, Professor Liu, who are you talking about as a master's supervisor?"

The three looked up at the same time, and then saw Guo Lindong's other vacant seat on the four-seater seat, and sat down opposite Zhou Cheng.

"Professor Guo!"

"Professor Guo."

"Teacher Guo." Zhou Cheng and the three shouted to each other.

Both Liu Zhibin and Guo Lindong got along in the capital, so they got to know each other very well: "Who else is Xiao Zhou? If he doesn't give his qualifications directly to a master's supervisor, it won't make sense, right?"

"Oh, you said Xiao Zhou, I thought you were talking about Chen Xueliang. I thought Chen Xueliang committed something and was demoted." Guo Lindong's face was full of gossip attributes.

"Professor Guo and Professor Chen Xueliang are familiar?" Liu Zhibin asked.

"It's not that I'm familiar with it, it's that another person in our department is familiar with him. We even had a fight with him back then, so we don't know each other." Guo Lindong smiled, feeling a little helpless.

Zhou Cheng pricked up his ears, this is gossip.

"Why fight?" Chen Xueliang and Liu Zhibin were really curious. In their position, there are still people who can fight. It's really strange.

"In order to compete for students, before, Professor Chen Xueliang had a student who was not bad, and he applied for the master's degree in our hospital. We accepted it."

"As a result, the student's family was very poor, so he didn't come to study. Before he came to study, he asked the tutor in our hospital to borrow money, but he didn't lend it to him. The student went to regular training later."

"Professor Chen Xueliang of Seoul University was so angry that he almost chopped off the associate professor of our hospital with a scalpel..." Guo Lindong scratched his head as he said.

Hearing this, Zhou Cheng suddenly reacted.

In response, the student that Guo Lindong mentioned is a force, isn't that Fang Yun?
Zhou Cheng asked curiously: "Mr. Guo, who did Professor Chen Xueliang fight with before?"

"Bu Haoran, that's not actually a fight, it's a one-sided beating. Bu Haoran was still in charge at the time, and Professor Chen was already a professor. It's pathetic that you can't fight back when you scold or beat you." Guo Lindong smiled.

Bu Haoran?
Zhou Cheng is more mature for this person.

This was when he participated in the National Orthopedic Annual Meeting in Shanghai, and it was Bu Haoran who invited him to the Third Affiliated Hospital of Kyoto University to gain knowledge, and he belonged to the category that loves talents very much.

That Fang Yun is Bu Haoran's student?
He had said it earlier, if he had said it earlier, Zhou Cheng would have let him follow him for a while.Zhou Cheng thought about it, and called him later to ask.

Zhang Jin's face is average, but Bu Haoran's face is still very important in Zhou Cheng's heart, at least much more important than a superficial teacher like Xue Xiude.

The kindness of knowing you.

"..."

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