I don’t know that since that year, many teahouses suddenly popped up in the tea market. The decorations are grand and high-end. Of course, the charges are not cheap. A pot of the cheapest tea costs no less than 80 yuan. It is said that it is picked from a tea tree on the edge of a cliff. It only costs a few taels a year! The girls who make tea are very good at chatting. While slowly performing tea art, they work hard to sell the snacks in their shop!
After working in the hospital for several years, doctors with some skills all have a common problem, that is, they don't like to eat food from outside, whether it is a snack bar or a big hotel, because they have seen too many diseases caused by eating. Urology doctors don’t eat kidneys, liver and gallbladder doctors don’t drink alcohol, and respiratory doctors don’t smoke!
After finally making the tea, after the little girl who made the tea went out, Lao Li said with the tea: "Twenty years ago, I was the first batch of doctors to go to the island country for further training, and also the last batch. At that time, Japan Medical treatment has a huge impact on me. Their country’s medical environment and level, everything is so advanced and high-end.”
Zhang Fan drank tea in silence and listened to the professor opposite him recalling the past. Zhang Fan did not expect that Professor Li would recall the past to him.
"You know, when I entered the Japanese operating room for the first time and saw the fully automatic operating bed, I felt a surge of ups and downs, and I can't even express it! Medical care in the island country is very systematic. , the concept of traditional Chinese medicine really taught them the essence. One of their doctors can manage up to eight patients, and from the time the patient is admitted, all examinations and treatments are done by the bedside doctor himself. And what about us! Learn today The Soviet Union will learn from the United States tomorrow. Although it is also making progress, compared with the islanders, we have still lost our roots. Our current doctors and patients are almost all products of the assembly line, without characteristics or pertinence!" After that, He stared at Zhang Fan.
“Maybe it’s because we have such a large population!”
"No! It's a matter of ideas and concepts. I went to the capital to study last month and heard that the medical reform is going to change again, and this time it's a big move for hospitals and doctors. Especially for young doctors."
"We won't let young doctors continue to go to school." Zhang Fan asked curiously, he didn't care at all whether it was an island country or not, it was too far~!
"It is estimated that it will take several years of vocational training before you can actually enter clinical practice."
"It's twenty-four years since I graduated from college. After three or four years of training, I will be thirty years old! It's such a long time!"
"It won't work without making changes. After a colleague of mine came back, he went to Japan to get a doctorate. I still have some contact with him. You know, their general hospitals will carry out some scientific research projects. As for us, How many projects are actually doing medical research every year?"
"Uh! I don't know that."
"Take our hospital as an example. The state invests a lot every year, but almost no results have been achieved for several years. They are all repeating some mature experiments from foreign countries or developed cities. Why? One is that scientific research is not easy. , The second is our environmental constraints. There is a disconnect between universities and hospitals. Do you think your hospital has scientific research projects a year?"
"I don't know, there should be one."
"Nonsense, absolutely not. Even if it is, it is just to imitate other people's mature technology, and then you repeat it again and get some funds. Even if the Municipal Committee of Chasu City builds a building, it will never give you funds to do scientific research. And As for you, you are now in your prime, an age when you have energy and ideas for everything. If you go to a large super hospital, the internal strife will make you unable to work with peace of mind, and this kind of local and county hospitals will not I support some of your ideas, such as the reconstruction of your hepatic portal vasculature. Without an animal laboratory, it is just an idea. Now you still have ideas and have the energy to think about it. After a few years, you will be affected by the environment. You can only be Zhang Yidao from a small hospital! This is not alarmist." After saying that, Lao Li drank the tea slowly and observed Zhang Fan with the corner of his eye.
"Does this kid have a mask face? After talking so much, there is no response." Lao Li was also puzzled. Zhang Fan had almost no expression.
"Oh, isn't it true that large hospitals are very competitive?" Zhang Fan knows his own things. With a system, he must not waste it. Moreover, medicine is a unified discipline. God has given him the opportunity to develop a specialty in this life. Doctors are really wasted.
"Is this the point?" Lao Li complained in his heart, but he still said: "In large hospitals, the confrontation of various ideological lines, do you know, the confrontation of ideological lines is very cruel. And you are still so young, you intervene too early It's not necessary. In fact, this kind of provincial hospital is the most suitable for you. Look, I am still a professor of medicine at Di University. If you come here, the laboratory and research funds will be really free and abundant." Lao Li is here I'm lying. It's probably not a big problem to use the laboratory, and the research funds are free and abundant. That's nonsense!
"Oh! Professor Li, I really haven't thought about this for the moment. Thank you!" Zhang Fan refused with a bit of embarrassment.
"Hey! I just can't figure out what attracts you here!" What he didn't know was that Zhang Fan could already visit the county-level hospitals in this area, and he had almost a monopoly on all surgical operations. He would never have had such a comprehensive surgical operation in the provincial capital hospital.
"Haha!" Zhang Fan couldn't explain clearly.
"Otherwise, regarding the reconstruction of your hepatic portal vasculature, I will take the lead in establishing a scientific research project, and you can take the time to come to Didi University to do animal experiments. Once you have the data, maybe your idea can enter the clinic. If you succeed, maybe there will be a surgery named after you in the textbooks on liver tumors in the future!" Lao Li settled for the second best. If he wanted to take another step forward, he would not be able to do it without a strong scientific research project.
"Is this okay?" Zhang Fan asked after thinking for a moment.
"Why not? Just wait for my news and I will contact you."
After the conversation, Lao Li didn't have time to attend the dinner, so he flew away with the two students. The equipment dealer had a young man following Lao Li, who could be regarded as an errand boy.
After the surgery observation meeting, Zhang Fan became really famous. In the past, he was only a little famous in county-level hospitals, but now urban hospitals are starting to become famous as well.
In the past, it was a petty theft in the county hospital, but now it is like the official has given Zhang Fan an identity. Municipal hospitals have also begun to prepare to ask Zhang Fan to perform surgeries. In the urban area, only the municipal hospital and the Traditional Chinese Medicine Hospital are tertiary hospitals, but there are also many patients. , so many patients choose other medium-sized hospitals for hospitalization. When encountering more difficult operations, they ask experts from Bird City to perform operations.
Nowadays, for general surgery, if it is more difficult, I would probably ask Zhang Fan first. Zhang Fan is young and famous, and he has no problems with the doctors in these hospitals. The cost of the surgery will definitely be very cheap. After all, Zhang Fan is the first in the city. There is still a difference in fees between experts at the provincial level and experts at the provincial level. Moreover, experts at provincial hospitals can leave with money after the operation. There is no friendship, but it is different in the same city, so Zhang Fan’s market for acupuncture Seeing it getting bigger and bigger.
But there is another top three hospital in the city, the Municipal Traditional Chinese Medicine Hospital. Even if they were to invite experts from the bird market, they would not invite Zhang Fan. In the words of the director of their hospital, it would be shameful. Anyway, the cost of hiring an expert is shared equally by the patient, and the hospital doesn't care.
There is a very special thing about the medical industry, that is, it is particularly fond of averaging. Hospitals of the same level should have similar revenue to the state treasury every year. If the gap is large, the director will be considered unqualified, and the annual funding will be too low. Pretty much the same, so grassroots hospitals have no particular incentive to research or launch new projects unless the consumables for the project are very expensive.
A cardiovascular stent technology spread throughout the medical community in a few years, and later developed to county-level hospitals, which also began to perform this kind of surgery. Let alone other things, a cardiac stent department without a strong cardiac surgery support, you dare to do it ? If the patients don’t understand, don’t the leaders also understand? But just because of the consumables, some hospitals established cardiac interventional departments early even when they did not even have cardiac surgery departments.
In fact, the medical device manufacturers in China are still in their infancy. They are all second-rate dealers. Their business methods are very rough, directly based on rights and interests. Although the results are good, they are not long-lasting, and they are also illegal. Even within the medical industry, people don’t dare to talk about this topic, it’s too heavy-handed.
And foreign super medical companies are doing quite well. They generally don't use money directly to open roads. First of all, the products are excellent, such as insulin and anti-cancer drugs. Although other countries can imitate them, the effectiveness is poor, and some can't even achieve 40% of the effectiveness of the original products.
The second is to develop a signboard under the guise of academics to attract department directors and technical experts. Ordinary doctors only treat them to a meal every year. For these directors and technical experts, they will organize meetings across the country and even the world. Go and study. For example, in the intervention of cardiology, in order for hospitals to develop and purchase their equipment, they train high-level surgical talents for the hospital for free.
The number of places for one-year training at Zhongyong Hospital is actually limited. Otherwise, doctors from all over the country would flood in and they would still be able to work normally. For this kind of super hospital, if you contact a regional hospital, you may not be able to get in touch. What should you do? Just find this kind of international equipment agent manager. You can go to any hospital or department you want. They have a way.
The third is to hold various learning meetings. Anyway, if you don’t use our company’s drugs, you don’t have any. It’s very rude. Through various meetings, we invite some experts to do clinical trials, and then let these experts go Publish some papers for mutual benefit. Moreover, this kind of company is strong at both ends, high-precision pharmaceuticals and a large number of basic pharmaceutical raw materials.
They have a patented monopoly on the high-end and basic raw materials and use price wars to kill you, leaving you with no way to survive. Then they have the final say in the entire pharmaceutical market!
If you get cancer in 10 years, especially cancer of large organs, if you don’t come from a wealthy family, just wait to die. The most effective target organ drugs cost hundreds of thousands for a course of treatment. How many hundreds of thousands can an ordinary family have? In front of these giant pharmaceutical companies, they really look down on the profits from drugs.
At present, China cannot do high-precision products. It cannot keep up with R&D, machinery and equipment, and even imitation cannot keep up. It can only make some simple basic drugs. Then pharmaceutical companies all over the country are desperately engaged in price wars, and there is internal friction like this. After many years of development, the revenue of pharmaceutical companies in China is not as high as that of a health care product company. How funny!
After Zhang Fan and Professor Li separated, before they arrived at Shao Hua's house, the equipment manager responsible for setting up the venue blocked the door of Shao Hua's house. This female manager has been authorized by her boss to contact her first, and then she will come to see Zhang Fan personally in the near future.
"Ouch! Teacher Zhang, look, you have been undergoing surgery all morning, and you are not going to invite you to have a meal. Is there something we did that dissatisfied you? You must tell me, I will definitely It will be changed immediately. Please give me a chance to make up for it." This manager is extraordinary. He is responsible for the sales in the four provinces of Su, Hai, Xi, and Border. His annual income is eight blocks behind Zhang Fan, but just like that, her The posture is really low. It was so low that Zhang Fan was embarrassed to refuse.
There is a saying in the medical industry that when a doctor is tired of you, you can discuss cooperation with this doctor! How can you be so bored that you are no longer bored? That is, let the doctor see you every day, no matter it rains or shines. They won’t talk about anything, just say hello. At first, when the doctor hears that you are a medical representative, he will definitely I'm so disgusted that I don't even have the time to say a word to you.
Don’t be afraid of this. The doctor will never hit someone. Then it’s a matter of time, one month, two months, one year, two years. Finally, the doctor can’t beat you. When he sees you, his expression of disgust becomes Like this: "Tell me what you want to do!" Now, you have entered the doctor's circle of friends, and then it depends on the salesperson's emotional intelligence. Why is this? You want to go! ~
The regional manager is Yang Lu, a native of Sujiang. She has been working in the medical industry for more than ten years. Sujiang is also a province that represents traditional medicine. Although she is only in her early thirties, she has entered the medical industry. While traveling around, Zhang Fan was still studying. She knows how to speak and how to deal with such technical professionals.
As a woman, she was able to maintain such a low profile. Zhang Fan really couldn't speak. "Look, I'm really tired today. I'm so sorry! I'm rude, I'm rude." Zhang Fan was still young after all, He is no match for this kind of old demon.
"It's because we didn't think carefully, really! Hey, Doctor Zhang, I'm really sorry that you didn't even get a meal. I'm also a thick-faced woman. I want to ask you for another favor. Here are a few books Medical information books and a set of Bayer's special surgical instruments are provided by our company for high-end surgeons like you to try. If you have any suggestions, please tell me. After all, the opinions put forward by doctors like you are really important. Money can’t buy it, so let’s shamelessly take advantage of you.”
"This really doesn't work." When Zhang Fan performed surgery today, he used this special surgical instrument. It was very convenient. Zhang Fan glanced at it, but he didn't dare to ask for it!
"Ouch! My dear Dr. Zhang, don't worry. This is either given to you or for you to try out. We will take it back after a while, and this set of surgical instruments has not been mass-produced yet. It's just a sample! It doesn't even have a price!" As soon as Yang Lu saw Zhang Fan's cash flow, she knew that Zhang Fan was tempted. The number of doctors she contacted ranged from 10,000 to 5,000!
"This, it's not good." Zhang Fan was shaken. Musicians are good at musical instruments, and soldiers are good at guns. Surgeons will definitely love a set of special and convenient surgical instruments. If a worker wants to do his job well, he must first sharpen his tools. Our ancestors all That’s a good summary for everyone!
"It's really just a trial. If you don't feel comfortable, you can return it to us at any time. There is also a trial registration form. We will also recycle this set of equipment at that time, and Dr. Zhang must not lose it, otherwise I will have to compensate. ! And doctors with average skills have not given us a chance to give us opinions. After all, our products are products of international super companies. Professor Li likes to use our surgical instruments very much!" Yang Lu pretended to be pitiful. , took out a very formal loan registration form.
Zhang Fan seemed to be able to do it, but it was just for trial use anyway. The form also used large fonts, and specifically stated that if it is lost or damaged due to improper use, the trial user must compensate according to the price.
This is the little trick of foreign equipment giants. They have no intention of taking back this type of surgical equipment after it is released. Moreover, these companies are also responsible for warranty and replacement, as long as the users maintain surgical standards, and this type of surgical equipment will not be mass-produced. On the market, each set has a special number, which is a kind of academic identity in disguise!
It's very low-end but the work is unspeakable. Some businessmen in China are not even willing to use small tricks. They just run all kinds of things unscrupulously in their own territory. When they are caught one day, they will be sure to check every one. ! The things in this are so profound that I haven’t even understood it yet!
After Zhang Fan carefully read the registration form, he found that there was nothing wrong with it and signed it. This set of equipment is really easy to use. During today’s surgery, I used a full range of their company’s products. Although the equipment is packed in a box as big as three notebooks, it is really worth a lot of money. If compensation is really required, based on Zhang Fan's current income, it is estimated that it will take a year to repay it.
After Zhang Fan signed, Yang Lu put the instrument into Zhang Fan's hands with a smile on her face. Zhang Fan weighed it and found that it was not light. "Dr. Zhang, I won't disturb your rest. This is a small gift we give to the trial users. This gift is not in vain. When returning the equipment, you must make reliable and effective suggestions!"
As he spoke, he placed a small box on top of the equipment box and left without looking back.
Zhang Fan wanted to return the gift to him, but he was told that it was an incidental thing, and Zhang Fan shook it gently. It was very light, and it was probably not worth much.
Zhang Fan returned to Shao Hua's house. The old couple were making chicken soup for Zhang Fan. Zhang Fan was really too busy and consumed a lot of money. The old man and the old lady spent every day preparing delicious food for Zhang Fan in different ways. Zhang Fan ate a lot, but he was not a little fatter. Moreover, he lost weight because he had to read journals some time ago, which made the old lady feel guilty. broken!
"Quick! Zhang Fan, look, this is the watermelon sent by the farm secretary. It is a high-tech product of the farm. It is said that it is not like the old greenhouse watermelon. This one is particularly sweet, and it is also a pollution-free farm product. It will be sold once it is mature. He went abroad!" Because Zhang Fan had done a small favor, he was not forgotten, so he sent a lot of watermelons in the name of visiting an old employee. Watermelons in the cold winter were as big as a basin, which was really rare.
After hearing the voice, Shao Hua came out of the study and took off the glasses he usually didn't wear. Shao Hua was slightly short-sighted and said to Zhang Fan: "Wash your hands quickly. You look tired and your lips are dry, right?" Another day without drinking water! You really can't do this." He pulled Zhang Fan into the bathroom to wash his hands. Zhang Fan especially enjoyed this nagging, it felt like a family member.
