"Dr. Zhou, what do you mean? We should consider it based on the business model, compress costs to a certain extent, and earn the difference between full payment for a single disease?" Lu Bin, as the director, is quite sensitive.
You would not dare to say this kind of thing in front of outsiders, and you need to be extremely cautious even when saying these things to the nursing team.
This is even more true in front of patients.
Lu Bin knew that the most basic purpose of Zhou Cheng and others' arrival was to continuously sink medical resources and gradually adjust the medical technology level of prefecture-level city hospitals and county-level city hospitals.
On the other hand, it helps prefecture-level municipal hospitals to explore the benefits of change to a certain extent.
Zhou Cheng thought for a while, nodded, but then shook his head: "Director Lu, this is the general idea, and it's not wrong. However, the phrase "saving costs and earning the difference" is not appropriate."
"Under the single-disease payment policy, the reason for centralized purchasing is actually to leave a relatively large space to refine the treatment plan, rather than to reserve this space."
After Zhou Cheng said this, he pondered for a while and then slowly said: "As far as fractures are concerned, the peak that can be achieved from a purely technical level is actually limited. Even minimally invasive fixation of fractures can actually only reduce the number of fractures."
Damage caused by small visible wounds.”
"It will not substantially promote the growth of fractures, etc. It can achieve the level of fixation, but if the fractures want to heal, under normal circumstances, the effect can be achieved."
"However, the main purpose of minimally invasive internal fixation devices and ordinary traditional internal fixation devices is only for fixation. From another perspective, it is just a substitute for plaster external fixation."
"It solves a fixed problem."
"Fixation is only one link in the principle of fracture treatment." It is better to teach a man to fish than to teach him to fish. Zhou Cheng clicked here to see how much Lu Bin could figure out.
The reason why Zhou Cheng said this is because his current skill level is very high and his skills are comprehensive. After his skills are comprehensive and the level is high, his understanding of a disease is the key to his improvement.
Fixation, reduction, and rehabilitation are always the three most important aspects of fractures.
Why would he try his best to promote manual reduction of fractures? That’s because most fracture reductions are actually variations of manual reduction——
Whether it is open reduction or closed reduction, manual reduction is the key and is the basic component. Whether the reduction is done well or not will greatly affect the prognosis of fracture treatment.
On the contrary, in this mode, the choice of internal fixation equipment is secondary.
If this relationship can be clarified and this factor can be grasped, it will be one of the key ways for a surgery to move from proficiency to proficiency and to perfection.
Entry, proficiency, proficiency, and perfection are the four realms of skills.
Getting started means being familiar with the entire surgical process and carrying out the operation completely. Proficient means being very familiar with the surgical process and increasing the number of operations. Through familiarity and experience, the progress of the operation can be accelerated and the quality of the operation can be improved.
But if you want to become proficient, the subtleties must be adjusted to a certain extent.
Perfect skill level, in its simplest form, means that you need to consider the principles of treatment, figure out the treatment plan, and make it perfect. Redefining perfection means that you need to explore the overall plan for the surgery, which is higher than the level of perfect skill level.
After Lu Bin heard what he said, he pondered for a while, and his face became uncertain for a while.
After a while, Lu Bin asked tentatively: "Speaking of reset, it is to better fix part of the fixation and to assist fixation."
"Does Dr. Zhou mean that we can put a little more effort into recovery?"
"Is it necessary to think about improving the concept of rehabilitation as a clinical subject? In our prefecture-level municipal hospitals, there are currently not many units that dare to do and can systematically do clinical subjects."
Lu Bin blushed slightly when he said, "The topics are divided into clinical topics and basic topics."
Speaking of which, although the tertiary hospitals in prefecture-level cities claim to be teaching hospitals, in fact, they actually carry out different tasks. The tasks they undertake are a link between provincial and municipal hospitals and county-level town hospitals, and then incidentally undertake the tasks of their own cities.
Within the patient's healthcare mission.
Zhou Cheng sighed. Lu Bin's words seemed that all the things he had said before were in vain.
It seems that if you want to convince the public and increase the horizons of these people, you still have to start from the clinic and let them experience more advanced reduction techniques.
Originally, Zhou Cheng wanted to come here to appreciate and observe the charm of traditional medical restoration techniques, but the current situation still made Zhou Cheng, who was looking forward to it, a little disappointed.
Zhou Cheng continued to discuss with Lu Bin for a while. After discussing the order of the seven patients to be treated tomorrow, Zhou Cheng said: "Director Lu, there are fifteen patients in our team temporarily. Tomorrow
Let’s deal with these patients first.”
"Among them, beds 3, 5 and 7 are more important. Let the doctor in charge of the beds focus on discussing conservative treatment and preparation for surgical treatment with the patients and their families."
The total number of beds in the Trauma Surgery Department of Changshi Traditional Chinese Medicine Hospital is 45, which is roughly divided equally among the three directors, and there are also 15 extra beds.
The difference from the No. 9 Hospital in Modu is that the Changshi Hospital of Traditional Chinese Medicine allows extra beds. Different from the No. 8 Hospital in Shashi, the volume of patients in the Changshi Hospital of Traditional Chinese Medicine is pretty good, so there are quite a lot of sources of disease.
Lu Bin's face flickered for a while, but he probably considered that Zhou Cheng came from the Magic City and was quite famous now. Although the arrangement of the surgery was slightly contrary to his thinking and gesticulating, he tolerated it for the time being.
Come down.
After finalizing the decision, together with Zhou Cheng, they determined that the official start time for tomorrow's surgery would be nine o'clock. Lu Bin took the initiative and said, "Dr. Zhou, you've been working so hard. Let's make the arrangements for tomorrow's surgery as such for the time being."
"Dr. Zhou, you can go and rest for a while. I know that Dr. Zhou, you are a bit tired from traveling from Shanghai to Shashi and then to our Changshi."
Tomorrow is the day of surgery, and Zhou Cheng is the chief surgeon. Lu Bin did not talk about having dinner with Zhou Cheng again, welcoming him, etc.
…
Not long after Zhou Cheng left the department, Qin Ming burst in with a smile and knocked on the door gently.
Then Lu Bin was given a cigarette and a betel nut was offered.
Lu Bin's expression flickered for a while, but he still refused the betel nut: "I really don't want to touch this thing anymore. I went out to eat hot pot with my son the day before yesterday. The spicy pot I ate made my mouth feel terrible. It hurts so much."
Qin Ming put one in his mouth: "Director, what kind of person is this Dr. Zhou who just came here?"
Qin Ming quickly asked the question he was curious about.
Lu Bin shook his head: "It's hard to say, but he must have some strength in his hands, and he is not a person who has gained a reputation in vain."
"Everything else can be faked, but the inner self-confidence and ability to pressure cannot be faked. This is the self-confidence naturally formed by superior professors during the teaching process."
After Lu Bin finished speaking, he lit the cigarette, took a puff, and slowly exhaled: "The attitude is not stiff, the speech is not high-key, and there is no bluffing or painting. I don't talk about my past."
"This seems to be more pragmatic!"
"Based on what we've seen about Zhou Cheng's resume, combined with certain rumors about him in Shashi, he should be a down-to-earth person who will never cause a big mess, but there's no chance of a surprise either."
"When I was in the Eighth Hospital of Shashi, I was able to rely on my own ability to convince Professor Ding of the Shonan University Affiliated Hospital to plan and authorize Class III surgery for him. He should have a good heart. The next thing to look at is his teaching ability.
"
Lu Bin slowly told his first impression of Zhou Cheng.
Qin Ming was immediately shocked. As the director of trauma surgery, Lu Bin had contact with many people and had many connections. His ability to recognize people was extremely accurate. Qin Ming had never expected that he would have such high regard for Zhou Cheng.
It's hard to live up to the reputation. It seems that Zhou Cheng can make a certain reputation in the magic city. Not only his ability, but also his emotional intelligence, he is not rigid, and he goes to all the arrangements in the department.
But you have your own bottom line, and you should throw out your bottom line at the right time. If you can’t drink anymore, you just can’t drink. When you can drink, you will not refuse anyone who comes. This is a kind of fire, not the kind of people who have experienced the world for a long time and deliberately
People who hide things and then act like pigs to eat tigers.
"What you said, Director, makes me even more curious about what Dr. Zhou will do in our department." Qin Ming said with a smile, and then took the initiative to refill Lu Bin's cup of tea.
"Qin Ming, there is one thing that I don't quite understand. Tell me, why does Zhou Cheng specifically emphasize that partial fractures need to be treated with manual reduction?"
"You also have a Ph.D., how can you guess Zhou Cheng's psychology based on your own position?" Lu Bin couldn't figure out something.
The manipulation of fracture reduction is very basic, but everyone should know that it is not a mysterious skill, but Zhou Cheng paid special attention to it, instead of choosing to do more minimally invasive fracture internal fixation.
This is something Lu Bin can't understand.
Qin Ming was actually the first graduate student with a doctoral degree introduced in the department. He graduated from Hengnan University and was able to stay in the hospital at first. After a game, the hospital paid a considerable price to buy Qin Ming.
.
His ability, talent, and character are quite good. Currently, he is thirty-five-six and has the status of senior deputy director, and also has a master's degree. Most of the tasks in the department are organized by Qin Ming.
"People who are very capable and have great ideas will think of something out of the ordinary. If it were someone else, I would be able to guess a thing or two."
"But as for Zhou Cheng, I have read his published articles, so I can't make any assumptions based on them."
Qin Ming said honestly: "Director Lu, you should know that I know a little more about basic topics, but as for clinical topics, it is difficult for us at the First Affiliated Hospital of Hengda University, including my tutor, to learn in this field.
March on."
"This is related to the overall environment. Since the 1950s and 1960s, many surgical improvements have appeared in the world, and after relatively major accidents occurred, the scientific research field has become more and more strict in controlling clinical topics."
"Clinical means directly negotiating with patients. If you want to directly carry out clinical topics, whether it is a professional committee or an ethics society, it will be comprehensively considered based on qualifications and topic preparation. If you do not have enough qualifications, you will not give consent."
"So it's hard for me to evaluate anything."
Lu Bin was silent for a while and sighed: "Yes, if you want to directly change the surgical method in clinical practice, you have to go through layers of approvals."
"Zhou Cheng started doing clinical research after he went to Shanghai. The Ninth Hospital of Shanghai was preparing for the entrance examination of Shanghai Jiao Tong University. He was naturally qualified. He was originally in the Eighth Hospital of Shashi. If he wanted to do clinical research, he would have to be careful."
…
After Zhou Cheng left the department, he mainly did two things.
The first thing is to start the simulation of surgical skills in the field of vascular surgery.
It is based on several considerations.
First, this is the Changshi Hospital of Traditional Chinese Medicine. The strength of the vascular surgery department here is not much better than that of the Eighth Hospital. Moreover, this is not Shashi. If an emergency patient is encountered, there will not be as many top vascular surgery doctors as in Shashi for timely consultation.
Perhaps saving the life of a key patient depends on personal strength. At this time, some key factors cannot be completely pinned on consultation.
Second, Changshi Traditional Chinese Medicine Hospital has the priority to transport emergency patients to the 120 Emergency Center. According to Lu Bin, this originally belonged to Changshi No. 1 Hospital.
However, Changshi No. 1 Hospital was quite high-profile at the time. It felt that it had too many sources of disease and voluntarily abandoned it. Therefore, it was taken over by an equally good Chinese medicine hospital.
As a result, the number of emergency patients is actually extremely large. Many diagnoses for emergency patients are unpredictable and unique, so it is necessary to master more skills.
Third, the skills of vascular surgery and orthopedics are more integrated. The shape and length of blood vessels in the field of orthopedics may be longer than those in other places combined.
Simply speaking from a simple scope theory, the problem of blood vessels in the extremities is still a relatively important part of vascular surgery. Moreover, their fatality is not high. At most, they can be dealt with by amputation, leaving a way out for themselves.
Of course, the most common skills of neurosurgery and general surgery also need to be simulated. These are two very large specialty lines, so you have to figure them out slowly.
But the better thing about the situation is that based on Zhou Cheng's current improvement in qualifications, he still has a lot of perfect skills in orthopedics, and there is also Yang Yifeng, a top performer in vascular surgery.
Zhou Cheng almost simulated and perfected his skills once, and even the second time, he had a redefined perfection.
Being able to successfully simulate so easily gave Zhou Cheng a deeper understanding of his current qualifications and that of Yang Yifeng.
Well, it seems that Yang Yifeng's accomplishments in vascular surgery need to be polished and his potential fully exploited.
Then, through dialectical thinking and the third simulation process, Zhou Cheng finally got a knowledge package from Yang Yifeng.
The process is like this -
【Simulation begins!】
The goal of the simulation is to conquer Yang Yifeng, so that Yang Yifeng can open his own skill package and give it to himself, similar to Luo Yun before.
In a disguised form, it is to attack Yang Yifeng.
[You already have enough skills, especially in orthopedics. Therefore, you have a lot of free choice, especially some of your special contributions that cannot be expressed in words for the time being. All your possible
The selectivity is beyond your imagination.】
Zhou Cheng solidified two more skills, plus the three skills that were solidified before and carried in the initial simulation, and eight skills, which are enough for Zhou Cheng to live casually without thinking about progress, and he can live a good life.
[So, the day after you made some special requests, one of your friends was summoned to your side. Your friend felt quite depressed, but considering some factors, he still
Together with you, I stayed in your current city.】
【You expressed your strong desire and request to learn to your friends.】
[Three months later, you are obsessed with vascular surgery, giving up all honors and positions in the current field, and then plan to re-apply for the master's degree in vascular surgery and start over.]
[On the fifth day of your application, your two tutors personally visited from a well-known city in your country, called your friend, and entertained him for a while. When you saw him again, he was in high spirits
Depression.]
Assessing the situation, at the beginning, I was a low-key person and needed to learn certain skills from Luo Yun, so I could only rely on the twists and turns of my thinking and take it hard.
But things are different now. I am not alone. I have one of the two highest-ranking and most influential figures in the field of orthopedics.
At this time, he suddenly changed his mind to engage in vascular surgery. Drawing on Ding Changle's pressure on Cai Dongfan and others, Zhou Cheng could naturally imagine what kind of pressure this would put on Yang Yifeng.
[Your friend decided to talk to you sincerely and analyze the situation for you, but you were firm-minded and told him that you just like vascular surgery, and orthopedics is just a step in your life.]
[You are responsible for dealing with your mentor, so speak decisively.]
[So, your tutor found you a master of vascular surgery in your province through his own network. You started studying vascular surgery. 】
[However, after studying for a period of time, your progress was slow due to your own deliberate procrastination, so you asked again to invest your learning goals under your friends!]
[Your friend has been promoted to a master’s degree tutor!]
[A few days later, two of your teachers suddenly visited and found your little friend again. At the same time, your girlfriend's parents couldn't stand it anymore and came to talk to you. 】
[Then, your friend was summoned for a while by your girlfriend’s brothers.]
Ha ha ha ha!
Seeing this, Zhou Cheng couldn't help but laughed.
Well, Zhou Cheng only thought from the beginning that his mentor would put a lot of pressure on Yang Yifeng and An Ruo's brothers. This was something Yang Yifeng did not expect.
[After a period of devilish training, your little friend starts to become serious and autistic. Similarly, he also starts to act crazy and act stupid, planning to fight fire with fire.]
[After your little friend became mentally abnormal, his mentor and his sect began to exert their strength. Someone found you, had a conversation, and asked you about your purpose. 】
[But your purpose is extremely pure, and you dismissed your friend's mentor with the excuse of learning without guilt...]
[Then, your little friend is in dire straits again. 】
[Five years later. The progress of your study is slow. One day later, your friend finally couldn't stand the pressure and became single. After he found out that he was in a prison, he resolutely left the pharmaceutical industry and prepared to leave the building empty.
.]
When Zhou Cheng saw this, his expression flashed.
Well, we know that Yang Yifeng is not Luo Yun. He has many escape routes and choices. But if Yang Yifeng can run away like this, then Zhou Cheng is not Zhou Cheng.
[So, you also followed the example of your friends and chose to resign, drop out of school, and prepare to follow it to the end. 】
[From this moment on, your little friend began to feel completely in a trance, started smoking, drinking, and living in seclusion all day long...]
[Then, finally one day a few years later, after one of your teachers returned to China, he learned that you were an Internet writer who was about to starve to death. He met your little one again.
Partner. And I also brought some distinguished guests to your friends.】
[Your little friend is completely insane. He killed you, one of your mentors and your mentor's distinguished guests, and then chose to end his own life...]
[And, your little friend cursed you with the most profound curse...]
【Simulation ends.】
[Simulation Evaluation: The End Justifies the Means.]
[You can obtain one of the following skills.]
[My friend’s curse: I’ll give it to you, I’ll give it all to you. Everything you want from me, I’ll give it to you. You learn it, you learn it! You learn them? Hurry up, you idiot. I
Why did it take you ten years to get started with something you learned in a few years?】
[Additional skills: The academic package of your friend, which contains the hard work and skill package summarized in his life, will be given to you unconditionally. 】
[Additional effect: After you receive the skill, you will be entangled in cause and effect, and your friends will naturally feel a certain amount of disgust. Perhaps because of this, you two will take sides. 】
hiss!
After reading this, Zhou Cheng frowned. When he went to get Luo Yun's knowledge package, there was no such additional effect.
However, the conditions given that time were that similar simulations could not be repeated and the same gains could not be obtained by the same means again.
If we break up with Yang Yifeng in reality because of this, the price will be a bit high.
[Prayer from my friend: Your friend is in despair and dire straits. No one knows what kind of pain he is going through. He is willing to pay all costs, hoping that someone can lead you back to the right path. 】
[Additional skills: knowledge package for friends, novel writing skills, flirting skills, traceless killing techniques, research progress on large-scale lethal toxins, and the experience of seeking joy in hardship...]
[Additional effect, you will get blessings and favor from your friends. He blesses everyone who can help his friends escape from suffering. 】
After reading this harvest, Zhou Cheng fell silent.
The knowledge package and novel writing skills are all very easy to understand.
But what are the ghosts behind this?
The skill of flirting with girls is also easy to understand.
Traceless killing techniques?
Progress in research on a wide range of toxins?
The skill of having fun in hardship?
New age torture?
Strategy/What is the correct way to raise a little Lolita?
…
Are Yang Yifeng’s social relationships and composition so complicated?
Of course, this may be the secret of Yang Yifeng's private life, but looking at the context, this is definitely not just a matter of private life, but some retaliatory strategies that Yang Yifeng himself thought about back then.
Flirting?
kill.
New age means of torturing people.
This is definitely not a hobby or something to develop.
hiss?
Yang Yifeng is a bit too much?
Without the third option, Zhou Cheng looked up and down again.
As an additional effect, you will get blessings and favor from your friends. He blesses everyone who can help his friends escape from suffering.
Well, actually, in this simulation, Yang Yifeng regarded him as his most sincere friend. In the simulated world, he went astray and caused so much backlash.
He also hopes that someone can help him escape from the sea of suffering, instead of blaming everyone...
After choosing the second skill, a large number of non-medical related methods suddenly came to mind.
When Zhou Cheng clarified what was contained in it, Zhou Cheng's face turned slightly pale.
If this Yang Yifeng really wants to cause harm, then he is really a dangerous person. Just kidding, how could something like this happen?
Really, if he hadn't seen the skill package inside, Zhou Cheng would have never known that something could be buried in the human body through surgery!
These molecules can remain in the human body and are emitted in the form of molecules. When different people come together, a chemical reaction will occur, and the range of GG Smecta is a non-specific, uncontrollable lethal skill.
Do you want to track? How can you track it?
There were some other cruel methods inside, which were really shocking and inexplicable. Zhou Cheng hurriedly ignored them, and then waited for more than an hour before he adjusted his mentality.
There are some people you'd better not mess with.
After causing trouble, you may not even know how you died, and your direct relatives such as your wife, daughter, children, and parents are all in danger...
In Yang Yifeng's memory, the most extreme idea was to deceive the next generation of his enemy, raise them for a period of time, and then give them a 'taste'...
And this is just a rudimentary method.
Moreover, Yang Yifeng's original purpose of writing online novels was not just to make money. Fortunately, he did not go to that step. Otherwise, would it be true?
After the simulation, Zhou Cheng felt a little uneasy, so he called Yang Yifeng.
"Crack!" Yang Yifeng on the other side should be turning on the loudspeaker and coding.
Zhou Chengcheng asked: "Yi Feng, do you think it is feasible for me to write novels and earn some extra money now?"
The crackling sound on the opposite side stopped suddenly.
"Brother Zhou Cheng, what stimulation have you received? It's An Ruo's family asking you for money? You have a lot of income every month now?"
"You want to write a novel, what subject matter do you plan to write about?" Yang Yifeng did not refuse. After all, this is a hobby, and we are all people of the new era. The existence of every profession has its necessity.
"Doctor's article." Zhou Cheng said.
Yang Yifeng frowned again: "At this time, medical literature is no longer very popular. If you are really interested in it, I suggest you write a relatively pure urban one. Of course, I think you should just be a pure
Doctors are better."
"If you're not joking."
"It's not interesting. I'm just kidding. I want to ask you which prefecture-level city you plan to go to next? Or will you just stay in the hospital and work first?" Zhou Cheng asked Yang Yifeng what his next plan was.
For now, Yang Yifeng's condition is pretty good.
"I'll mess with you! Lie down flat, and there's plenty of material for novel writing. I've already submitted the application materials for Changshi No. 1 Hospital, and I'll probably get them in a few days." Yang Yifeng crackled again.
"Send me your novel. I want to read it. I really haven't had much to do recently."
"Watch and learn." Zhou Cheng wanted to verify whether Yang Yifeng had spread anything through novels.
In other words, did he have any tricks that he had forgotten now? Otherwise, Zhou Cheng was afraid that Yang Yifeng would cause some trouble unintentionally.
After all, the Internet has memory.
"I sent you a link. The whole book is less than 100 yuan, and I also gave you a red envelope." Yang Yifeng was very generous. Not only did he share the link, but he also paid for the subscription.
Zhou Cheng naturally did not accept the red envelope, so he started reading it slowly from the beginning. Quan thought it was a cool article. However, when Zhou Cheng read it again and saw a supporting character named Zou Cheng, he was a little confused.
My balls hurt...
MD, Yang Yifeng is so shameless. He has linked his affairs with his own, Ci'ao.
After watching it for a while, without thinking of watching it all, I started a new day of video chatting with An Ruo. In the video, An Ruo was preparing a weight loss meal...
"I bought a lot of corn and some whole-cut steaks to see if I could lose weight."
"While you were here, I gained another two pounds, and now I'm 105." An Ruoxian frowned and pursed her lips. She is the most sensitive about weight.
"I don't think I'm fat. I look pretty good." Zhou Cheng picked up a takeaway, which was a rice bowl, and started eating slowly while chatting.
After a while, Anruo brought the corn and fried steak and had dinner together remotely.
"Here, let's eat together." The portion is very small.
Zhou Chengze said: "Look at my steamed rice dumpling. It has fried pork with chili peppers and added bacon. It goes very well with rice."
Zhou Cheng said deliberately.
An Ruo's hands paused for a moment, and suddenly it seemed that the corn and steak in her hands were no longer fragrant, but considering her weight, she continued to nibble.
"I want to lose weight. No matter what you say, I will lose weight." An Ruo said seriously.
Zhou Chengcheng smiled: "Then let's each eat our own food. I still need to gain some weight so as not to look too thin."
Zhou Cheng didn't have much experience with the daily life in a different place, but the next day, it was just video porridge, and I heard they even video chatted together while sleeping...