Although there are certain factors of the times, tea surgery has flourished. At that time, the border security and Lao Maozi had a good relationship, and the digital hospital shrank, and then the Department of Surgery came into being. But it can also be said that it was the result of the struggle of three generations of deans and countless surgical directors and doctors.
Otherwise, without a good foundation, without Lao Huang's vision and Ouyang's wealth, Zhang Fan would not be able to do anything no matter how good he was. So surgical lifting is effortless at all.
At present, Tea Su's general surgery, orthopedics, and burns departments can be said to be the best in the northwest and have a place in the country. If Zhang Fan invites all his masters and uncles to Chasu, the general surgeon at Chasu Hospital can become the leader in China.
Of course, the uncle has not sealed the sword, so a short invitation is okay. If he really digs him out, the General Logistics Department will probably drive a tank to trouble Zhang Fan.
But internal medicine has always been a bit disappointing. I don’t know whether it’s because the doctor’s initiative is relatively poor or for some reason. Zhang Fan has already pointed out the systematic internal medicine, but it still doesn’t work. He always feels like he’s dragging the girl to bed, and the girl’s expression is She shyly said that her relatives were here, then got out of bed, put on her shoes and ran away.
Have you given enough money? Zhang Fan was puzzled.
But this time, Zhang Fan finally understood that it turned out that he was not attractive enough to attract the interest of the doctors.
There is nothing you can do about it. There is a saying in the medical field: if you want to make money, go to internal medicine, and if you want to learn skills, go to surgery.
What do you mean? In the internal medicine department of ordinary hospitals, the level gap from resident to director is actually not very large, so the upper-level doctors have very little control over the lower-level doctors, and the result is that the rebates are shared equally.
If the director eats and occupies more, everyone is willing to report it in private and blame the patient. Anyway, you won't be able to get the money comfortably.
Therefore, looking back, it also shows that it is not easy for physicians to get ahead, just like the transparent and infectious departments in hospitals. Unless there is a major infectious disease epidemic, there will never be anyone interested in the Department of Infectious Diseases.
For example, Lao Zhong, before 2003, who knew what this old man was doing. Except for people in the respiratory field, not to mention people outside the profession, even doctors from other departments don't know what this old man does.
The atmosphere in Endocrinology has been different these days. On weekdays, we are either discussing whether the donkey bag is real or fake, or talking about how many colors of lipstick there are and whether the stockings are silkier. Now, when a mediocre old man works in tea endocrinology.
In the department, Zhang Fan was so angry that he was so angry that he suffered internal injuries. The old man was doing his rounds, and a group of people rushed to answer questions and ask their own questions. When he was doing his rounds, a group of people rushed to notify Heimaimaijiang.
Zhang Fan is not a fool. He can tell at a glance that others do not regard him as one of their own.
However, in this situation, Zhang Fan was happy to see his Qi return, and he finally knew that he was making progress. To be honest, many doctors and internists in tertiary hospitals will find it difficult to make progress once they reach a certain level.
It’s not that they don’t work hard, it’s that they don’t have a good leader to show them the way. This is why the richest large rural hospitals in China poach people, paying 300,000 to ordinary doctors and 3 million to subject leaders.
It is no exaggeration that a good leader can improve the medical level of a department or even a region.
Of course, there are too few leaders like this.
In the early morning, Zhang Fan and Ouyang went around the internal medicine department, but there was no general ward round by the dean. After all, there were several old men here, so it would be a bit of a big deal for your dean to do the ward rounds.
He just pretended to be passing by, "European Hospital, do you think it would be great if these old men could work in our hospital for a long time?"
"Yes! Now I regret that I went into politics before!" Ouyang didn't know what he remembered, and sighed melancholy.
However, the old lady was not someone who felt sad when she saw fallen leaves. She sighed and her mood probably improved. "Have they completed all the system tasks assigned to the boss of the Desert Country in the past few days?"
"The intracardiac work has been completed. According to the current intracardiac treatment plan, the patient's cardiovascular system does not have major problems. The digestive work has also been completed. The plan to prevent stress-induced internal bleeding is very classic. If the director of the gastroenterology department had not personally shown it to me program, I feel like this is a treatment program they bought from outside.”
Zhang Fan and Ouyang chatted while walking. The treatment plan for the boss of the desert country is like the infrastructure of China. It is first packaged in large packages, then small packages, and finally summarized. Each department is responsible for related system issues, and then summarized together for comprehensive treatment.
What made Zhang Fan happy this time was not only the changes in the Internal Medicine Department, but also the changes in the Pharmacy Department. Hospitals, in the early years of China, hospitals were not separated into families, and medicines were used to support medical treatment. There are many benefits, but with the development of the times, this is no longer in line with the current social background.
Originally, clinical medicine and pharmacy were inseparable, but in the later stages of development, the prescriptions of major hospitals were reduced to selling medicines, and then the directors of pharmacy departments in various hospitals became a high-risk profession.
How the hospital's rebates are allocated is probably unknown to laypeople. This is actually the case. First of all, pharmaceutical companies will be divided into many levels of pharmaceutical agents. Then, for example, level one, level two, and level three.
The ex-factory prices of drugs obtained by these merchants are also different. I won’t go into detail on this, because this thing is too deep.
When you get to the hospital, you have to win the bid, which requires you to do ideological work with the local health leaders and the hospital director, and there will be some costs involved. And often the cost of this part is relatively high, accounting for about half of the cost of the drug after it leaves the factory.
Because everyone has the same medicine, how can you succeed in bidding? For example, for a simple medicine, Salvia miltiorrhiza injection, pharmaceutical companies in almost all provinces across the country are making this medicine. Regardless of whether it is effective or not, it is being made all over the country.
When you enter the hospital, again, they are all the same medicine. Why do you let the doctor use your brand of medicine? At this time, the drug dealer must do the ideological work of the department director and the doctor to let them understand their medicine. Where is the best!
Some costs will also be incurred at this time, which is about one-tenth of all costs.
After the doctor uses the drug, you still need to count which doctor used the drug. At this time, you have to go through the pharmacy director to do the statistics. This is the so-called unified prescription. Under normal circumstances, the labor fee is one yuan per prescription.
It doesn't look like much, but if there are thousands of prescriptions in a month, the director of the pharmacy department doesn't have to do anything. In fact, he just takes out the prescriptions and lets the drug dealers count them by themselves. There are thousands of prescriptions for one drug. Think about it.
Therefore, in this industry, when there is an avalanche, many people will definitely be buried to death!
As for scientific research, 80 to 90 percent of hospital pharmacies in China are busy regulating prescriptions! There is no time for scientific research. Because Tea Su's salary is high, it is based on annual salary, so Zhang Fan is particularly strict in this aspect.
I can't control the drug dealers outside, but I can control the people in the hospital. If you dare to dominate the prescription, I will destroy your job.
Everyone knows that Zhang Fan usually smiles and laughs, unlike Ouyang who scolds people when he disagrees. But those who scold are soft-hearted. Zhang Fan does not curse, but has a dark heart.
Really aggressive, so the Pharmacy Department also has some small scientific research, which can be related to households for a long time, causing the Pharmacy Department to lose its backbone.
Not only in Tea Su Hospital, but also in Manhua Country, if a pharmacy graduate cannot get into the hospital, he has two options: one is to become a drug dealer, and the other is to change careers.
Because of this industry, if you want to do scientific research, you can’t even think about it without a Ph.D. But when people get a doctorate, they won't go into hospitals to sell drugs. They will either go to pharmaceutical companies or scientific research institutes. Who's head is swollen after being kicked by a donkey, who graduated with a doctorate in pharmacy and came to your hospital to sell medicine!
Therefore, this department is often a place where the hospital’s related households are concentrated.
"The use of antibiotics in your orthopedic department is too irregular. Look, clindamycin is enough for this, but you use cefixime, and from the time of admission to discharge, the supervision responsibilities of your clinical pharmacists have not been implemented. ah!"
In the pharmacy department, the old man looked at the prescriptions coming from various departments, found problems for everyone bit by bit, and then pointed out the direction of work for everyone.
This time Zhang Fan invited enough experts, which can be regarded as a sublimation for various departments of Chasu Hospital.
It is very important to let many doctors understand the future or future direction. Many hospitals are splendid and blooming, but when they fail, they are like the ebb of the sea, because there is no high-level building at the joints.
Within a week, the old man who came to Chasu was really exhausted. From the moment I open my eyes one day, I feel like work is coming.
Moreover, when the treatment plan is determined and applied, the effect is very good.
For this kind of untargeted disease, it is really difficult to find a corresponding drug.
But this time, Chasu's efforts were not in vain. First of all, the inexplicable fever of the desert country boss was controlled.
After taking the medicine that day, the fever began to subside. In the early morning of the next day, when the boss of the desert country got up, he immediately felt that life was still interesting because he no longer felt uncomfortable and the pain all over his body had subsided.
During the ward rounds, the first thing Zhang Fan noticed was the complexion of the boss of the Desert Country. This old man was already pale. Although he was also Asian, he was definitely whiter than ordinary Asians, and he was much paler than Zhang Fan.
But because of the fever, he was just like Mr. Guan, with a red face. Those who didn't know thought that the old man was drunk or had been steamed.
Now the old man's face finally recovered.
"Thank you!" The old man was very reserved, not grateful. But the attitude was very polite.
"Currently, only the body temperature is under control. Other aspects are not yet certain. However, due to the side effects of the drug, we have to postpone it for a while. After you go back and rest for a week, you can continue the next stage of treatment with Lysine."
Zhang Fan smiled and explained to the boss that he was also happy that the boss could reduce the fever.
After the old man brought a group of doctors with him and kneaded the boss like white bread for a long time, everyone left the ward and went to the conference room to summarize the treatment results.
When Zhang Fan was about to go out with a smile, the boss of the desert country spoke, "Dean Zhang, please help me contact your general manager. I want to have a phone call with your general manager!"
"Uh!" Zhang Fan was stunned for a moment, but he didn't refuse. In fact, the first thing that popped into his mind was not how to contact him, but a question. Does the general manager have a mobile phone?
Don't be afraid if he doesn't have contact information. Lao Wang, who has never seen two barrels of oil, is about to become the deputy director of the hospital office of Chasu Hospital. Not only does he report to the hospital every day, but he also brings something to Zhang Fan every time.
Such as good tea! It’s a strange food, Lao Wang has taken great pains to prepare it.
