"When did you start learning to speak glibly? Did you do something wrong?"
"I heard from my best friend that when an average man does something wrong, he can easily change his temper and naturally learn to talk sweet words." An Ruo's message stunned Zhou Cheng.
After reading it, Zhou Cheng thought for a while and replied: "Who is your best friend? How come you don't even know what you said?"
Zhou Cheng did nothing wrong, but An Ruo's best friend seemed to have seen a lot of the world.
Yang Yifeng, can you handle it?
…
The next day, when Zhou Cheng returned to the department, he formally put on the badge of the Traditional Chinese Medicine Hospital and the white coat of the Traditional Chinese Medicine Hospital.
Brand new, a total of four sets were issued to Zhou Cheng, two more than ordinary people, summer short-sleeved ones.
In the morning handover class, Director Lu Bin once again represented the department and welcomed Zhou Cheng's arrival.
And they also discussed Zhou Cheng's work arrangements and plans in the extended meeting before the morning shift.
"Director Quan, Director Tong, there are currently three groups in our department. For the time being, would it be better for Dr. Zhou to be in one group each day, three or five, or should he stay in each group alone for a week or a month?"
Lu Bin's words almost laid down the plan.
Director Quan, whose full name is Quan Zhuolin, it is estimated that his parents are loyal fans of Chaplin.
Quan Zhuolin is slightly chubby, and his expression is festive and half-Mediterranean, which is a reflection of his strength: "My suggestion is to give each group a month. Dr. Zhou finally came here this time because he came with a teaching mission.
.”
"The patient is not used to running around here and there every now and then, and neither are the people in the team."
Director Tong is a taller and stronger one, with his hair combed into a large middle part and a louder voice: "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 followed the locals. At the beginning, when he didn't understand the internal situation of the department, he didn't express his opinions much.
Lu Bin mused: "Since Director Tong and Director Quan have no objections, and Dr. Zhou also agrees, let's tentatively stay for one month. As the director, I will take the lead and hand over the group of people we have formed first."
Give it to Dr. Zhou."
"In addition, Dr. Zhou, you have finally come to our regular hospital. Not only are we looking forward to it, but our patients here are also looking forward to your arrival, so I hope you can sit in the clinic."
"Dr. Zhou, which day is your favorite?"
Lu Bin seemed to think that Zhou Cheng would make the decision on his own.
"Director Lu, how do we arrange the current operation days in our group?" Choose an outpatient clinic and try to avoid it on operation days.
Lu Bin said: "Before, our department did not have separate operation days. Generally, the second day of the on-duty doctor's group was the operation day. However, considering that the unit where you worked before, Dr. Zhou, there was such a saying as operation day.
.”
"So we can tentatively decide that Monday 4th will be the surgery day for our group, then Tuesday 5th will be the surgery day for the entire director team, and Wednesday will be the surgery day for the children's director team. The surgery arrangements during the surgery days can be transferred to different stages."
“Then we’ll reschedule after one month.”
Lu Bin clearly thought carefully about this plan and discussed it with Director Quan Zhuolin and Tong Xun.
When Zhou Cheng first arrived, it was really not easy for him to get to know the staff on duty in the department. It was also difficult to tell which group they belonged to, and there were also resident doctors.
Therefore, it is best to plan the surgery day according to the day of the week.
"Then I will choose to attend the outpatient clinic on Tuesday." Zhou Cheng thought for a while and said.
Thursday is also the day of surgery, so outpatients who happen to be on Tuesday can have enough time for preoperative examination.
In addition, Zhou Cheng added: "Director Lu, my number should be registered according to the number of ordinary doctors. I only have a junior professional title now. I have to wait until after the exam in July this year to be promoted to the intermediate level."
Well, yes, after he obtained the dual doctorate certificates in advance, he met the conditions for applying for intermediate professional titles.
In order to allow him to obtain the professional title as formally as possible and in advance, Hunan 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 it, you can get the title of attending physician.
Attending physician is a professional title.
Lu Bin looked embarrassed for a while. The hospital assigned Zhou Cheng a position as an expert. But considering Zhou Cheng's true identity, he nodded and said: "Then let's arrange it like this for now. Doctor Zhou's current skills are naturally
Far more than ordinary doctors.”
After arranging the surgery day, outpatient clinic scheduling and other issues, Lu Bin didn't waste any more time.
Instead, after the shift was over, he gathered the people in the team together again, and first said: "Everyone must have known Dr. Xiao Zhou yesterday, and Dr. Xiao Zhou's name is also familiar to everyone."
"It is an opportunity for us to come to our Changshi Traditional Chinese Medicine Hospital and join 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 I will introduce them one by one to Monday.
The grouping here is very similar to that of the Eighth Hospital of Shashi.
However, Changshi Traditional Chinese Medicine Hospital has many more deputy senior titles than the Eighth Hospital.
Just below Chief Physician Lu Bin, there is a Deputy Chief Physician and two Attending Physicians, leaving only one regular practitioner.
Well, the number of regular trainees is much less than that of Shashi No. 8 Hospital, which is directly under the jurisdiction of Hunan Province.
The deputy chief physician is deputy chief physician Qin Ming, and the two chief physicians are named Guo Xiaobing and Yang Tao. They have just joined the job less than a few years ago and both have master's degrees.
The resident doctor, who is in his second year of residential training this year, is an acquaintance. He took the initiative to say hello to Zhou Cheng: "Teacher Zhou, my name is Wang Wang, Trinity King. Exuberant Wang."
The name is quite convoluted, but Wang Wang's overall energy and energy are much better.
Guo Xiaobing and Yang Tao looked at Zhou Cheng with complicated eyes and expressions, feeling that they were the same age but had different fates.
Zhou Cheng nodded and said: "Director Lu, Director Qin, and Brother Bing, Brother Tao, from now on you can call me Zhou Cheng or Xiao Zhou."
“It’s my first time here and I’m not familiar with a lot of things here. I hope you’ll 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 if you want to be polite, you still have to be a little more polite.
Lu Bin said: "In that case, let's do the ward rounds first. Doctor Zhou, you come from a big hospital, so you need to give more guidance to us people. Compared with the hospital where you are, the rounds here are better."
Room, maybe it’s a bit of a fuss.”
Lu Bin went out to study. There were a lot of people in the ward rounds there, a lot of masters and PhDs with rich theoretical knowledge, there were theoretical talents, and there were also professors with extremely rich experience. They were not like the three or two big cats and kittens here.
Comparable.
However, during the ward rounds, Zhou Cheng did not escape, but remained as a bystander.
Lu Bin introduced the first patient very familiarly: "This is the new Dr. Zhou in our department. Despite his 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 of fractures. This is what Dr. Xiao Zhou single-handedly introduced. He used to be the instructor at the No. 9 Hospital in Shanghai!"
This statement immediately frightened the first patient. He quickly raised his head and asked, "In my case, can minimally invasive surgery be performed? Is it expensive?"
Lu Bin didn't dare to answer this, so he looked at Zhou Cheng.
Zhou Cheng read the films carefully and nodded: "You can do this. As for the cost of the surgery, you should negotiate with your surgeon. It will be higher than traditional fracture surgery, but it is also limited.
"
Zhou Cheng has been a bedside doctor for three years. Knowing this kind of thing is the best way to train a bedside doctor, and it is also an indispensable kind of experience.
Then, as the attending physician in charge of the bedside doctor, Guo Xiaobing hurriedly said: "Uncle, your surgery is scheduled for tomorrow. I will have a pre-surgery talk with you later. We will discuss this issue then. Let's check first.
house."
"Currently, our hospital is the only one in Hunan Province that can perform this minimally invasive fracture surgery," Guo Xiaobing said with a smile.
"Can't the Shonan University Affiliated Hospital do it?" the patient asked curiously.
"I haven't heard of it yet." Guo Xiaobing said very knowledgeable.
Zhou Cheng frowned slightly.
But I didn’t say much. In Hunan Province, if we take Shonan University Affiliated Hospital as a comparison, if it can show its advantages, this is the best business card. There is nothing we can do about it.
"Thank you, Dr. Guo, thank you, Director Lu, and thank you, Dr. Zhou," the patient said quickly.
But I don't believe it all.
However, after Zhou Cheng and others checked the second bed, the patient checked about minimally invasive surgery using Douyin, and then immediately asked with a smile on his face: "Hey, Dr. Zhou, are you married?"
Zhou Cheng turned around and smiled: "I have a girlfriend."
"You haven't gotten married yet. That's okay. Dr. Zhou, let me tell you that our Chang City is very good and very livable. You can consider the girl from our Chang City." 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 rude, he didn't care.
As a relatively high-quality boy, when you become outstanding, you will naturally get some better resources. This is a matter of course. If you don't encounter them, it only proves that you are not good enough for the time being.
"..."
After the ward rounds, Lu Bin asked Qin Ming to make arrangements for tomorrow's surgery.
Then he personally led Zhou Cheng to the office of the director, where there was a chair for one person, a computer for one person and a desk for one person.
The top is quite empty, with a complete set of tea sets, and the drawer is filled with Japanese tea sets.
"Dr. Xiao Zhou, I didn't know that you don't smoke before, so I prepared some gifts. But don't worry, I will take these things away in a few days and replace them with tea." Lu Bin explained hurriedly, but also
I deliberately showed this thing to Zhou Cheng, not sure if it was to show my sincerity.
Zhou Cheng does not smoke, but he drinks alcohol, but he is not good at drinking.
Drinking tea is the best substitute Lu Bin can think of.
Zhou Chengcheng said: "Director Lu, there is no need to go to such trouble, I will just drink water."
Lu Bin smiled: "Tea is water, and drinking tea is also good for health. You always have to have some hobbies of your own. Dr. Zhou, don't refuse anymore."
"In addition, Dr. Zhou, your current job number is temporarily 5555, and your initial password is 8888."
"Under the job number, the current permissions are matched with the director. You can check all medical records in our department, have consultation permissions in all departments, and have permission to use except a few controlled drugs and antibiotics."
"Then, your work ID will not set up a sub-account to write medical records for the time being, but the daily performance of our hospital corresponds to that of a normal employee..."
When Zhou Cheng heard this, his eyelids twitched and he said, "Director Lu, is this against the rules?"
Lu Bin shook his head: "Dr. Zhou, I have already asked our Chang City Health Committee. This is the health system in our city. In order to bring in experts to guide us, it is a benefit. The performance coefficient is the most
A basic 1.0, not much, but it’s a sincere thought.”
"Doctor Zhou, please don't refuse. Currently, in Chang City First Hospital, an associate professor at the Affiliated Hospital of Xiangnan University has a performance coefficient of 1.8. But he has a deputy senior professional title. Doctor Zhou?"
"So, even if we want to give you more hard work, it would be embarrassing. We also know that it is difficult to get your other money and we will not take it."
What Lu Bin said was very straightforward.
When Zhou Cheng came here, he was not even transferred by the Hunan Provincial Health Commission, nor was he from Shanghai. If he came from the Health Commission of China, 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 files are no longer in the provincial capital.
What this sentence represents is not something Zhou Cheng can refer to, but it sounds really awesome!
Moreover, through the visit to Anruo's father, Annan, the day before yesterday, Zhou Cheng also learned that the reason why Zhou Cheng was arranged to come to a prefecture-level city, not a county-level hospital, nor a provincial capital-level hospital, was after careful consideration and
planned.
This is not to say that such a decision was made casually.
"Director Lu, I come to the department mainly to learn from each other." Zhou Chengcheng replied to Lu Bin.
"Dr. Zhou is too polite. In fact, we are all orthopedic trauma surgeons. Everyone knows that minimally invasive fracture surgery must be the general trend at present. Dr. Zhou's coming to us really pointed out a clear way for us." Lu
Bin said it very sincerely.
Minimally invasive fracture surgery is a new type of surgery. The patient is very large. Once the surgery is performed and the postoperative results are good, a siphon effect will occur. What is the bonus in the department?
Probably much higher than before.
It is precisely because of this that the department readily agreed to provide all the conveniences to Zhou Cheng, and even the entire Department of Orthopedics will benefit. The average salary of the hospital will also increase, and this will have a long-term effect.
Most people are happy to give people jobs.
When Zhou Cheng heard Lu Bin say this, his mind sank slightly and said: "Director Lu, I saw in the department today that there is not a single postoperative patient in our group. Basically all of them are fracture cases. This is different from the cases in our local area."
The structure doesn’t quite fit in, does it?”
This must have been arranged by Lu Bin. Such an arrangement is very bad, untrue, and unrealistic.
Lu Bin's expression flashed slightly and he said: "Dr. Xiao Zhou, indeed, our group has gathered quite a lot of fracture cases, but most of them come 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, so we can't refuse patients. Since requests come from us, there is no reason why we should not respond."
To learn, you must have the resources to learn. Lu Bin then arranged for all the fracture patients to be divided into one group, which was Zhou Cheng's group.
Zhou Cheng feels a little bit pained. Director Lu, what are you thinking about?
Trauma surgery is not just about fractures. If you focus all your energy on this, ten years later, if minimally invasive fracture treatment has been widely promoted, will you die?
Taking advantage of the near-term effect is an extremely short-term goal.
When Zhou Cheng came down, in addition to leading a team to solve the practical problems faced by prefecture-level hospitals, he also wanted to do something of his own. He said: "Director Lu, patients have a love for beauty. This is common sense. However,
, we as doctors should not make decisions for our patients, so as not to cause too many twists and turns."
"In the future, we should try our best to enrich our disease range. Small incision open reduction and internal fixation is difficult or not, and it is not easy either. That's it."
Lu Bin was stunned for a moment, thought for a moment, and then nodded: "I'm following Dr. Zhou's arrangements, so how many operations would it be more appropriate for us to arrange tomorrow?"
"In our past fracture surgeries, we usually arranged up to five surgeries a day!" Lu Bin told Zhou his bottom line.
Zhou Cheng pondered for a moment and said, "Then arrange Wutai, Director Lu."
"In addition, Director Lu, I don't know how our hospital has selected treatment methods for some simple fracture surgeries in the past. However, as far as our current bed patients are concerned, I care about some of them.
Patients with fractures do not need surgery."
"Director Lu, what do you think?" Zhou Cheng was not afraid of offending anyone, so he hit him directly in the head.
Lu Bin, you yourself transferred the patients to the group and attracted the patients. I won’t go into details. However, regarding the issue of whether surgery should be performed on these fractures, should I listen to you or mine?
We need to clarify it 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, and they are not optimistic.
Zhou Cheng agrees with the idea of increasing income by increasing the number of surgeries.
However, Zhou Cheng still had to figure out who should prioritize what Director Lu Bin wanted to distinguish.
It is true that some fractures must be treated surgically by ordinary doctors, but as far as Zhou Cheng is concerned, Zhou Cheng feels that they can be treated through manual reduction.
Simple, convenient and effective.
Only by knowing Lu Bin's bottom line can Zhou Cheng make a plan for the next step. If Lu Bin only wants to make money, then he will find other opportunities and find people to do things.
If Lu Bin has ideas, then he wouldn't mind developing other ideas.
It's not to fight for power, but to lead a team is to look like you are leading a team.
Lu Bin's expression flickered for a while. Zhou Cheng was coming. He knew Zhou Cheng in detail. Then he gritted his teeth and said, "Dr. Zhou, I will let you arrange and plan this. I mentioned it when I handed over the shift."
.”
"Dr. Xiao Zhou, which group are you in? Your decision-making power must take precedence over the current group director. I will not break my promise."
Lu Bin has a thin build and dull skin. He looks a bit like an old rural cadre. It can also be seen that he has read a lot of books.
Hearing this, Zhou Cheng said, "Thank you, Director Lu, for your love and respect."
"The reason why I ask this is actually based on the following considerations."
"I have read in detail some of the current policies. The country strongly advocates reducing the proportion of medicines and consumption, and increasing the proportion of pure operations in medical expenses. So, they must have profound intentions."
"Before I came, I conducted an in-depth study of the current performance policy of traditional Chinese medicine hospitals. It can be found that currently, departments can get 65% of the operating performance of surgical fees within the department, and then based on the performance between departments,
Different evaluations may vary by 5 to 10 percent!"
"Isn't this correct?"
Lu Bin nodded and said, "Yeah, it's because of this that we had a lot of fluctuations in the past few months, so the department is now in a period of change."
Income is directly linked to life. The performance he received last month was only 18,000.
The director of the department, 18,000, has the highest performance coefficient. Is this salary high? It’s high enough but not high enough. The main thing is to look at the money you can get during the residency stage. Their performance coefficient is only 1.0. It’s distributed.
, more than six thousand!
They are all at a critical stage of supporting their families.
Zhou Chengdao 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 ways. However, Director Lu, you must pay attention to this point, that is, the single-disease model."
"Single diseases are paid according to the type of disease, and medical insurance covers the entire cost. This is a relatively large welfare policy for us."
"This is the first, second, the proportion of pure operations, not only on the operating table, but also off the operating table, our orthopedics department can do far more operations than other departments."
"Third, the manual reduction of fractures includes 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 department are not within the scope of a single disease, that is, patients with more severe trauma. These cases cannot be lost."
"Debridement and suturing, tendon suturing, etc., may seem like nothing, but in fact, these types of patients account for the most operations, and there are almost no built-ins..."
"And based on my understanding of the current department, the response plan I can think of is this."
"Let's do the reduction of simple fractures first, and then you will find, Director Lu, that when we further refer to the minimally invasive fracture treatment of complex fractures, we will get twice the result with half the effort."
"Also, Director Lu, if there are patients with severed limb replantation or severed finger replantation, how do you think they should be handled?"
It's not that Zhou Cheng doesn't like Lu Bin's thoughts and ideas.
Rather, before this, everyone was accustomed to the same old treatment ideas. They thought that surgery was just surgery, and orthopedics was just placing steel plates, and then using the cost of the steel plates to subsidize the department's input.
But in fact, this is not the case. When it comes to pure technology, no changes can have much impact.
Lu Bin was thoughtful, and then said: "Dr. Zhou, according to your thinking, I probably understand what you mean, but if this is the case, where do we have so many sources of disease?"
"Precise, individualized, refined treatment is the source of our disease. When we don't need to find the source of the disease ourselves, that's the best time for us to develop."
"As far as I know, the orthopedics and traditional Chinese medicine hospitals in Chang City are currently on par with Chang City No. 1 Hospital in terms of strength. Moreover, the director of the Trauma Surgery Department of Chang City No. 1 Hospital is a Ph.D. from the Affiliated Hospital of Shonan University. Therefore, TCM
Hospitals are currently at a disadvantage."
"Moreover, Changshi No. 1 Hospital will soon become a prefecture-level municipal hospital affiliated with Shonan University School of Medicine."
"But, as far as I know, a better point is that at present, Chang City's 120 system still prioritizes sending emergency patients to us. So, these emergency patients are a better source of disease for us."
"We are not worried about the fact that there is no source of the disease."
"..."
Lu Bin listened to Zhou Cheng's analysis and opened his mouth slightly. He really didn't expect that Zhou Cheng had spent so much time analyzing the routines in this in such depth.
What does Zhou Cheng do this week?
Zhou Cheng continued: "The current medical insurance policy is 95% to 100% reimbursement for pure operations, examinations, and popular drugs."
"The patient's cost is reduced. To a certain extent, it may even be less than 2,000 yuan, and more complex fractures can be treated, maybe even less."
"In this way, the willingness for treatment will be stronger. After reducing the consumption of medical expenses, the general public's willingness to see a doctor and the average health level can be improved."
Zhou Cheng had thought about such a thing, so why did Minister Gu ask him to come to the prefecture-level city hospital? Zhou Cheng must have thought.
Teacher Zeng and Teacher Gui Yuanping never trained him as a very pure doctor.
These two teachers are both national scholars.
Academicians have the right to make suggestions on higher-level decisions, and they have a higher vision.
Go to the hospital to heal the country.
Chinese medicine doctor.
Doctors treat diseases.
This sentence, just twelve words, expresses a connotation that cannot be easily carried by twelve words. Even for thousands of years, no one has been able to truly carry it.
Whether it's writing a book, bringing benefit to one area, having a miracle cure to save the world, or anything else.
They are all discussing medicine.
We are not 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 asked them to come down!
When this book was named, the intention was already there.
It's not a doctor simulator, it's not a surgeon, it's not a surgery simulator, it's not a life simulator!
There are still differences between medical knowledge and medical disciplines.