Gou in the operating room to add some upgrades

Chapter 229 People’s desires will expand
This question is ultimately a question of economics.

If you can get good treatment and don't have to travel abroad, you can have better treatment. Who doesn't want to stay at home?But when there is a huge gap, I can live in a big city, why should I come back to suffer?
This is human nature.

After further discussion, Fang Xian learned that the orthopedics department of the previous county hospital could actually do a lot of surgeries and types of diseases.

At that time, as far as orthopedics was concerned, sports medicine was already in its infancy, but since the last agricultural director left, arthroscopy has been gathering dust in the operating room.

For example, ten years ago, some people in the county hospital were able to perform a level four operation such as joint replacement.But since Director Chen retired, joint replacement has been withdrawn from the county hospital.

Nowadays, arthritis patients in Cixian County can only go to Zhang City if they want to get joint replacement.

From the perspective of surgical quality, it will definitely be better to go to Zhang City for joint replacement.

But from another perspective, this is not good for the quality of patient care.

First, you have to travel, second, your family members have to travel, and third, the cost will be higher.It takes effort and time.If we can do it better at home, that would be a great thing.

But the problem is, all the doctors who can perform surgeries have left. Where can you go to perform such surgeries?
Of course, there is another problem, that is, there are also private hospitals in Cixian County, and some good doctors have been hired with high salaries. You can go there.

The cost of going to a private hospital in Ci County for surgery will be lower than going to Zhang City, but not much lower. The difference is probably only a few thousand yuan.But the County People's Hospital can't do it, so you can only deal with it this way.

Nowadays, the county people's hospital performs routine surgeries, that is, fractures, incisions, cleansing of wounds, and suturing of small tendons...

In other words, once the medical association’s graded certification system came into being, medical resources were even more biased towards big cities.

Especially now that information is more open and transparent, which hospital does well is no longer simply advertised by your words, but can actually be checked.

Coupled with the disease types, surgical authority and signature system, you can do what you can do, and you can't do what you can't do.

And when this happened, Fang Xian was instantly embarrassed.

What this means is that even if I guide the current group of people to perform surgeries, the ultimate goal is to take these people away together.

The difference is that after I returned to Shonan University Hospital, these people went to other coastal cities or to nearby private hospitals with better treatment?
"Director Huang, isn't there some policy support?" Fang Xian asked.

It is definitely not appropriate to use a contract to impose pressure.

Damn it, I'm just here to work, and I'm here to sell myself.

This is modern society, why do you want me to sign a deed of betrayal?Not to mention medical workers, it is impossible for anyone to sign a contract of sale. As long as they are normal people, it is impossible for them to say that I will be crucified here for the rest of my life.

Unless I don't want to climb up and want to lie flat.

And these people are really lying down...

"Yes! But it's not of much use!"

"The medical association and the government have said more than once that as long as you stay and work locally, you can solve your spouse's job problems, your children's schooling problems, etc."

"But? These are all just within the county."

"In this day and age, in the medical field, everything depends on one's ability. Academic qualifications do not simply determine one's level. There are still people who are willing to go out." Huang Bohang said quite helplessly.

The brain drain problem is becoming more and more serious, and if county hospitals cannot be further revitalized, in fact, the current predicament of county hospitals is similar to the predicament of town hospitals many years ago.

Naturally, Huang Bohang raised this issue, and Fang Xian was just a doctor, so there was nothing he could do.

Just say: "Director Huang, we can do whatever we can and do whatever we have. Since it is a problem of the general environment, we can only do our part."

"Hey, Doctor Fang, thank you for understanding." Huang Bohang smiled when he heard this.

It seems that everything has been laid out, and it is hoped that Fang Xian will not meddle in the county hospital, but wants to carry out large-scale construction and construction, so the framework is analyzed in advance for Fang Xian, so that Fang Xian can clearly understand the current situation and positioning.

On his first day at work, there was an operation scheduled in the department, but Fang Xian was not allowed to rush into the operating room immediately.

Huang Bohang first took Fang Xian around the hospital's outpatient clinics, various specialties, and the operating room, as well as the hospital's auxiliary skills department. There were several main purposes for doing this. The first was to make it easier for Fang Xian to go to the outpatient clinic in the future. Find a way.

Second, it is convenient for Fang Xian to invite other departments for consultation in the future. People in other departments know that there is such a number one person in the Department of Orthopedics. They should not make mistakes when the time comes. If they still don’t come, Huang Bohang will have to wipe his ass and deal with it. middle relationship.

The third step is to take Fang Xian to look at the furnishings in the operating room and introduce what is probably in the operating room, the size of the anesthesiology department, etc.

Then, Fang Xian returned to the dormitory.

The department made arrangements to continue eating in the evening.

It's equivalent to saying that Fang Xian didn't do anything when he came down today and could just walk around and eat.

Unlike doctors from lower-level hospitals who go to higher-level hospitals for further training, training doctors need to manage beds, do sundries, and even need to change medicines and write medical orders.

However, doctors from higher-level hospitals who go to rural areas to support their counterparts do not need to go to outpatient clinics and surgeries, or even for ward rounds.

Even for outpatient clinics, Fang Xian can only choose half a day a week.

Surgery can also be performed on any day or half a day of the week, and it can be done with a few minor surgeries or new surgeries that are not available in the county hospital.

Of course, if Fang Xian wants to have more leisure, that's okay.

I go to the outpatient clinic once every half a month and spend most of my time at home with my family. When there are suitable cases, I can just go through the motions.

Going to the countryside is a kind of relaxing and leisure experience. What is needed is this kind of experience. It does not mean that you have to build a luxurious building for the local area and leave something behind so that they can learn new techniques.

There is no such mandatory rule, but you must lead people to perform some surgeries that are not available locally. This is a hard rule.

Is this equivalent to taking a short vacation?

Director Huang Bohang, does he regard himself more as a recreational worker who needs the experience of going to the countryside?

While Fang Xian was still hesitating, the phone rang.

It was Director Qiu Chengyuan who was calling. After Fang Xian answered the call, he asked: "Uncle."

"Fang Xian, is the department free? If it is, I'll take you to Tianmen Mountain for a tour?"

"If you come to our Zhang City, if you don't come to Tianmen Mountain, it's a waste of time." Qiu Chengyuan said very cheerfully on the phone, as if as an elder he had to receive the younger ones, and as a host he had to take good care of the guests.

"Okay, Director Qiu, it just so happens that the next few days are weekends." Fang Xian thought for a moment and replied.

Perhaps if you inquire about the current situation in the county hospital with your senior uncle, you will be more objective and understand more.

"Hey, does it make any difference on weekends?"

"Anyway, Fang Xian, you are not lacking in surgical skills. You need to be among those who practice basic skills in the county hospital."

"Do a few surgeries every month, complete these few months well, and upgrade your professional title." Qiu Chengyuan said unequivocally.Fang Xian agreed first, and after confirming the itinerary with Qiu Chengyuan, Fang Xian called Director Huang Bohang.

I thought Director Huang Bohang would hesitate a little, but unexpectedly Director Huang immediately agreed and even asked Fang Xian if he needed anyone to accompany him.

This is naturally impossible.

If Fang Xian goes to play by himself, it is impossible for him to ask someone to play with him.

……

Zhang City is worthy of being a tourist city.

Saturday is January 1th.

Fang Xian and Qiu Chengyuan took the ropeway up to Tianmen Mountain.

While sitting on the ropeway, Fang Xian was not surprised by the height of the mountain, because the mountains in Fang Xian's hometown were no less steep than this.But the condescending process of riding the ropeway made Fang Xian feel particularly grand.

When we went up the mountain, it was extremely cold.

The cold wind was blowing, and each of the two people rented a military coat and earmuffs: "Fang Xian, the timing of coming today is not very good. I thought that in this season, there would be rime in such cold weather. Yes, but I didn’t find it.”

"Uncle Qiu, thank you for your hard work. It's such a cold day for you to blow the cold wind with me in this high place."

When Qiu Chengyuan heard this, he suddenly said loudly: "It was only because of your coming here, Xiao Fang, that I had time to relax. Otherwise, I would have either worked overtime in the department or picked up the children."

"Where can I find such an opportunity to enjoy the beautiful scenery?"

"You are no better than Dr. Fang Xian. You are young and promising, and you are carefree." Qiu Chengyuan looked at Fang Xian with eyes full of envy.

"Especially now when you go to the countryside for peer support, it must be the most relaxing and comfortable time in your life. There are not too many patients here, and you are just a passer-by. You have to leave when you come, and there is no promotion at all. There is pressure from all aspects including salary increases.”

Fang Xian covered his collar, his neck trembling: "Director Qiu, are most places in this county hospital in an embarrassing situation?"

"Many county people's hospitals are not as good as some local private hospitals?"

Qiu Chengyuan nodded: "This is the trend of development!"

"High-end medical technology must gradually begin to be marketed. Treatment of common diseases will gradually benefit the people and even become free."

"This is the inevitable result of market choice."

"Fang Xian, don't think so much. We are just doctors. We should do our job well and treat all the patients we encounter. The rest is not our business."

Fang Xian said, "Director Qiu, let's go out front and eat something to warm up. It's too cold."

"Okay, I just feel a little cold." Qiu Chengyuan agreed with Fang Xian's suggestion.

However, although the scenery of Tianmen Mountain in Zhang City is magnificent, the price here is a bit unsatisfactory. The two of us ate nearly 100 items, which were not high-end products and left us completely unsatisfied.

When the meal was almost over, Qiu Chengyuan said: "Xiao Fang, you have a bright future in the future. At such a young age, you have come to the countryside to provide support. You will be promoted to professor and director in the near future."

"And the Shonan University Affiliated Hospital where you are, there are professors and directors here, so they can do a lot."

"Uncle Qiu, you are too modest. My qualifications are still low, and I am still far from being a chief professor!" Fang Xian shook his head.

If you want to be promoted to deputy chief physician or chief physician, you can get it by going to the medical association for certification through strength, Fang Xian is sure, but when it comes to teaching, Fang Xian doesn't dare to say that he can teach it well.

Fang Xian doesn't know what to do if, like his teacher, he meets a student like his current senior brother who tries to force him not to graduate.

The only thing Fang Xian is looking forward to right now is how to do some practical work in the county hospital.

While diagnosing and treating diseases, get a few more skill points to prepare for the level assessment of a level 3 doctor, and prepare for the upgrade of skills from level 5 to level 6.

Since I have such a powerful weapon, it would be a shame not to covet the level and realm of level 6 skills.

Fang Xian already knew what level 5 skills were like.

Level 5 skills are actually, to a certain extent, meant for others to see, and your own abilities can also be improved.

But level 6 skills, which are perfect level skills, may be a way to gain a sense of self-achievement.

"Not far."

"It will only happen in four or five years at most. In four or five years, Xiao Fang, you will only be 31 or [-] years old, which is still very young."

"When I was this age, I had just gotten married." Qiu Chengyuan squinted his eyes, recalling the past.

"It's a pity that I wasn't that good when I was studying and couldn't stay to study for a doctorate. After I graduated, I had no choice but to come to Zhang City to work. Now that I have children, it's quite difficult to move out. It's not easy." Qiu Chengyuan sighed.

After hearing this, Fang Xian finally understood Qiu Chengyuan's intention.

Could it be that Director Qiu Chengyuan also wants to work in Shashi, but his current ability is not enough, and he wants to be promoted to a level 4 physician, or to be promoted up the province's comprehensive strength ranking of level 3 physicians. , and then apply for the recruitment of Shashi Hospital or the introduction of high-end talents?

Not impossible.

"Xiao Fang, do you think that if Dr. Fang takes me to do a small project, I only have three months, will it be too late?" Qiu Chengyuan's eyes were slightly confused.

When Fang Xian heard this, he was slightly startled: "Uncle Qiu, what do you mean?"

Fang Xian inquired about a lot of things from Qiu Chengyuan, so he couldn't refuse directly.

"Don't give up. Who is willing to give up? Let me tell the truth."

"I want to transfer my child to the four major junior high schools in Shashi, Hunan Province, and then go to the four major high schools. The more reliable way at present is that I go to work in Shashi and then think of a solution."

"My child is now in third grade. I have to make more preparations for this matter." Qiu Chengyuan sat upright and looked at Fang Xian calmly, even with a hint of prayer.

Water flows to lower place, man goes to higher position.

Qiu Chengyuan is also unwilling to accept his current position as director of Zhang Municipal People's Hospital.

"Uncle Qiu, doesn't junior high school have a school district housing system?" Fang Xian did not agree directly, but he could understand Qiu Chengyuan's mood.

But I was thinking about another thing in my heart. Talents in hospitals in prefecture-level cities and counties are harvested one by one, and good technicians are eliminated one by one. If this development continues, will there be any left? Something.

Human desires will continue to expand.

(End of this chapter)