For such a big topic, it is impossible to allocate all the details in just one morning. In the morning, Yang Yifeng only built the structure and large framework. It is estimated that it will take a week to carefully discuss the details and task division.
There will be a meeting in the afternoon related to preparatory work, but Zhou Cheng does not intend to attend as it was agreed with Yang Yifeng before.
During lunch, Zhou Chengcheng took the initiative to find the table where Professors Chen Jiwu and Liu Zhibin were.
The two of them were old acquaintances. They chose something at random, and their attention was not on what they wanted to eat now. Instead, they were talking about something.
After Zhou Cheng approached, Chen Jiwu took the initiative to give way to Zhou Cheng. Xu Dashan, who was diagonally opposite Chen Jiwu, joked: "Our man behind the scenes, Xiao Zhou, is here."
Liu Zhibin made a pun. As one of the few people who knew what Zhou Cheng was doing, he knew that the reason why the National Health Commission arranged for so many people to come to Changshi was not just Zhou Cheng.
The topic we created is a topic on basic anatomy theory, which has great influence and far-reaching significance.
The reason why the Health Support Committee spent so much effort to send so many people to support Zhou Cheng is not only because he had previous experience in minimally invasive fracture surgery, but also because of some of his impressive achievements that would scare ordinary people.
"Teacher Liu, if you feel you want to vent your anger, just do it directly and don't make fun of me." Zhou Cheng put his plate away a little and replied jokingly.
Whether it is Liu Zhibin or Chen Jiwu, they are actually his nobles.
The reason why he was able to carry out minimally invasive fracture surgery smoothly before was because of the support of these people who dared to sign for him to obtain authorization for the new surgery.
Liu Zhibin immediately said seriously: "I don't dare to hit you, Professor Chen, you have to testify for me. It's not easy to say this nonsense."
A joke is a joke, but it depends on who hears it. If Zhou Cheng says this the next time he makes a joke, he may be beaten as a joke.
Zhou Chengze said: "Teacher Liu, Teacher Chen, last time we were in a hurry in the city, I didn't have time to thank you properly. This time, the two teachers happened to come to Changshi. The students will definitely do their best."
friendship."
Hearing this, Liu Zhibin quickly waved his hands, his eyes showing even more horror: "Xiao Zhou, please don't mention what happened last time. What happened last time almost happened."
Liu Zhibin still remembers that this group of people went to Zhou Cheng's place to stir up Zhou Cheng's issue. Well, after all, someone secretly gave him money, and it was quite a lot.
Chen Jiwu's face was also a little unsightly. He sat up straight at the moment and said, "Xiao Zhou, it's really hard to mention the authorization for the last surgery. Someone has already paid a heavy price for it.
"
"To be honest, it's a big pit. It's also a mirror looking into demons."
"???" Zhou Cheng's face was full of confusion and a bit silly.
Liu Zhibin quickly explained: "What do you mean, Zhou Cheng, when you were working on a project and licensing a new surgical procedure, you were in a very critical period. At that time, some overseas Chinese who were interested in returning to China were negotiating with domestic
Let’s discuss some things.”
"It's almost like testing the domestic scientific research and medical teaching environment. Some people were fooled, some were pulled not to be fooled, and some were forced to be fooled. Anyway, a large number of people were eliminated, including some well-known people from established universities. Experts and professors.”
"That's too cruel. We are lucky enough to have resisted the temptation. Of course, it's thanks to you, Xiao Zhou. What we created is very tempting and has great influence."
"Like other departments, some subjects that are not that important have been rejected. Among them, neurosurgery has the most widespread impact." Liu Zhibin is very taboo about this.
Zhou Cheng was still puzzled, but when Professor Chen Jiwu explained, it turned out that when he authorized the last operation, someone from Qianzhou Company had contacted all of them privately. As long as Zhou Cheng's project was stopped, everyone would be paid Tens of thousands of dollars.
Tens of thousands of dollars, hundreds of thousands.
Later I learned that this was a joint effort by Qianzhou Company and some other overseas people to test whether it was appropriate to return to the country, and a bet was formed between some important personnel in the country.
It involved a wide range of areas. Zhou Cheng was only a small circle, and there was a larger circle. Under such a demon mirror, many people were injured, but they were not widely publicized, but were dealt with privately.
It is tantamount to tempting someone to break the rules when someone else gets the stolen goods, and it is simply impossible to guard against.
When Zhou Cheng heard this, he felt a little numb and asked: "Then how did those teachers deal with it in the end?"
"After all, it has not affected the relationship between doctors and patients. It is almost an indefinite probation period to see the effects. It is almost impossible to go further."
"The Academy of Sciences and the School of Life Sciences have almost no connection with them." Liu Zhibin just said this in an understatement.
This punishment is actually not too big, but it is not too small either.
For a person who has climbed to the position of professor, their pursuit of ordinary yellow and white things is not that big anymore. Climbing to that place may be their lifelong pursuit.
After all, in academic circles, this is a symbol of strength and honor.
There is no way this kind of punishment wouldn’t be too big!
All of this happened without Zhou Cheng's complete knowledge.
After saying this, Liu Zhibin may have felt that this topic was too sensitive, so he quickly moved the topic elsewhere.
"Professor Chen, what do you think of the current environment?"
"China is following the path of separation of professionalism and research. This is a path that has been implemented abroad forty years ago, and foreign countries have long started to adopt the path of major surgery and emergency care."
"In this current situation, is this a good thing or not?" Liu Zhibin asked Chen Jiwu. This is a question closely related to them.
The level of this issue was a bit high, so Zhou Cheng could only listen carefully, eat seriously, and act as a bystander.
Zhou Cheng actually knew from American TV dramas that foreign hospitals did not have such complicated department divisions as in China. Of course, they had them before.
They have specialist divisions there, but for emergencies, all surgical procedures are performed. The division of routine clinics is more detailed than in China.
For example, some people only need hip replacements in their lifetime, some people only need knee replacements in their lifetime, and some people only need knee arthroscopy in outpatient clinics.
Chen Jiwu narrowed his eyes: "I don't know about this, it's hard to say for the time being."
"If we want to completely align with foreign systems, the national base is different, and there is also a gap in the overall strength between the grassroots and the middle level."
"In addition to the extremely top-level medical level, our country is actually on par with foreign countries in terms of secondary level. But this kind of system abroad has been extremely perfected due to the operation of capital."
"Family doctors, appointment systems, and the classification of public and private hospitals are also very clear. In the domestic environment, the first priority is to get patients diagnosed and treated in a timely manner."
"With a population base that is close to four times, I think it is not easy to do better as to whether we can do better, but we must definitely develop in a better direction."
"What I'm more worried about is that if foreign medical companies start to reduce drug exports to my country, then our medical level may decline." Professor Chen Jiwu said.
For some diseases, domestic drugs are equally effective as imported drugs, so they are both sufficient.
However, in some extremely complex cases, imported drugs are more effective than domestic drugs. This is an objective fact.
In medicine, instruments, drugs, and consumables are the pots and fires used for cooking.
Without the support of these objective conditions, it would be difficult for a skilled woman to make a meal without rice. When performing arthroscopic surgery, the arthroscope is gone. How can you do minimally invasive surgery?
"This problem is not only faced by us, but also faced by other places." When Liu Zhibin spoke, he glanced at Zhou Cheng.
Well, the instigator is here.
Even if it wasn't Zhou Cheng who was the instigator, he was still one of the helpers.
The essence of capital is profit-seeking and oppression. Without profits, others will definitely not lose money and make a profit. At present, not only the companies in the pharmaceutical industry are a bit in disarray, but even some equipment companies, the market is quite chaotic, with good and bad mixed.
"I think we will always be able to find suitable substitutes. We must now face some choices, that is, whether to serve more people or to serve more difficult-to-treat diseases." Liu Zhibin analyzed to the point.
.
How should I put it? This problem is actually very acute.
If we serve more people, the quality will definitely decrease, but the advantage is that it is cheaper. If everyone must receive top-notch services at a low price, this is almost impossible!
Whether it’s a manufacturer of drugs or equipment, they won’t do it.
If it is a difficult disease to be served, then there is definitely no way to meet its requirements by purchasing in bulk.
Birth, old age, illness and death, the slightest clinical difference is related to life and death.
With a huge population base, it is no exaggeration to say that every minute and every second, a huge number of new lives are born, and some people die due to diseases caused by various factors.
If we look at it from a deeper level, should these seriously ill patients die? Isn’t it just the doctors and hospitals who have the final say?
This problem is so acute.
As the saying goes, it’s hard for a clever woman to make a meal without rice!
In the final analysis, we humans are just users of tools, using various foreign objects to allow us to live, and live better and healthier. This is the essence of human life in this lifetime.
Liu Zhibin spoke very cryptically, but Chen Jiwu, who is at the same level, can naturally understand the hidden meaning of Liu Zhibin's words: "That's why stratification is needed. Service objects are constantly stratified, and work directions must also be stratified."
"There must be a group of people to serve the public, and there must be a group of people to focus on difficult-to-treat diseases." Chen Jiwu sighed with emotion as he sniffed.
There is a saying in West China that was spread by outsiders.
Huaxi does not treat diseases, it only saves lives. The treatment of diseases is left to other hospitals. Patients who are dying come into Huaxi, and when they get better, they get out and make way for patients who need it more.
This statement may be an exaggeration, but in fact, this is also emphasized during internal meetings in the hospital.
However, how to make the patients in each hospital more pure is a difficult problem.
The foreign appointment system and the family doctor inquiry system actually play a diversion role to a certain extent. This is their advantage, and you must see this.
Nowadays, most of the emergencies in China, including West China Hospital and all hospitals, are not really emergencies, but the category of emergency that ordinary people understand.
This also includes the understanding of serious illness.
But in fact, it is understandable that patients are not doctors after all. They have encountered fractures or small avulsion injuries in their lives, and they feel that they have encountered something big and they feel that you must worry about it.
But when they are actually in the hospital, patients with amputations can still survive. The most terrifying thing is the kind of patients who can't even get to the hospital, who can't even get to the operating table.
How to achieve a good balance and understanding between the two is the key point at present.
"It is not advisable to treat any problem with a blanket approach or proceed recklessly. In the past half month, we had a patient in our department with delayed splenic rupture."
"The people from the general surgery department were stopped by a family member of an appendicitis patient."
Chen Jiwu did not analyze it in depth, but added: "There are several people in our thoracic surgery department who suffered aortic dissection and died during postoperative anticoagulation. They are still facing lawsuits."
When Chen Jiwu said this, he shook his head: "It is also low molecular weight heparin, but there is a big difference. Alas!~"
"For example, different people undergo the same heart rupture repair surgery, and different people undergo aortic dissection replacement surgery."
"The mortality rate of 50% is an average standard, but in fact, in our hospital before, this probability has dropped to 20%."
Zhou Cheng listened and was moved in his heart.
Chen Jiwu and Liu Zhibin are also very high-level people. They just use ordinary clinical trivialities to discuss some extremely high-end issues, a bit like the saying in a teahouse not to talk about state affairs.
However, Zhou Cheng can still analyze the strangeness in it now.
Then, Chen Jiwu and Liu Zhibin discussed for a long time in a similar way. After about ten minutes, the two stopped similar topics.
Everyone stands in a different position, and their angle of thinking about the problem is definitely different.
Chen Jiwu then asked: "Xiao Zhou, you don't even want to participate in this basic anatomy theory topic this time. What on earth do you think? Is there something better that you are reluctant to bring out?"
This is a question that Chen Jiwu is very confused about. Zhou Cheng is actually willing to let go of such a thing?
Zhou Cheng shook his head: "Teacher Chen, what I have to do now is thankless. Where can I find something better?"
"What is that? You tell me." Chen Jiwu asked curiously.
"Professor Chen, do you still remember that there was Professor Chen Xueliang in the Department of Orthopedics at Seoul University? After discussing with him before, I felt that his understanding of teaching was quite profound." Zhou Cheng did not explicitly say that he was in the Department of Orthopedics at Seoul University.
what.
Yang Yifeng is a friend and An Ruo is a girlfriend. You can talk about it. They will definitely not sell you out.
But with Chen Jiwu and others, we can't be so straightforward.
Chen Jiwu hissed, while Liu Zhibin frowned.
There are many professors across the country. Even in the field of trauma surgery, it is estimated that there are no less than a thousand professor-level figures in the country. Unless we are very close, it is impossible to be familiar with them all.
"Teaching? Oh, yes, you are expected to be a master's tutor soon, so it's time to think about teaching." Chen Jiwu thought that Zhou Cheng was preparing for his professional title upgrade.
Therefore, this basic anatomical theory was used as a link.
We can also understand that if people don’t do it for themselves, they will be punished by heaven and earth.
Zhou Cheng cannot always be a resident doctor all his life. He has to gradually gain clinical qualifications and evaluate associate professors and professors before he can stand on an equal footing with them.
Just as he was talking, Guo Lindong came over: "Professor Chen, Professor Liu, who are you talking about as the master's tutor?"
The three of them looked up at the same time, and then saw Guo Lindong sitting in another empty seat on the four-person seat, sitting opposite Zhou Cheng.
"Professor Guo!"
"Professor Guo."
"Teacher Guo." Zhou Cheng and the other two shouted each other.
Liu Zhibin and Guo Lindong both lived in Kyoto, so they knew each other very well: "Who else could it be, Xiao Zhou? With his qualifications, it would be unreasonable if he is not directly given to a master's degree supervisor, right?"
"Oh, you are talking about Xiao Zhou, I thought you were talking about Chen Xueliang. I thought Chen Xueliang committed something and was demoted." Guo Lindong's face was full of gossip attributes.
"Professor Guo and Professor Chen Xueliang are familiar with each other?" Liu Zhibin asked.
"It's not that I'm familiar with him, it's another person from our department who is familiar with him. We even had a fight with him back then, so we don't know each other if we didn't fight." Guo Lindong smiled, feeling a little helpless.
Zhou Cheng pricked up his ears, this is gossip.
"Why fight?" Chen Xueliang and Liu Zhibin were really curious. It was strange that there were still people in their position who could fight.
"In order to compete for students, Professor Chen Xueliang had a pretty good student who applied for a master's degree program in our hospital and was admitted. We accepted him."
"As it turned out, the student's family was very poor and he didn't come to study. Before he came to study, he asked the instructor at our hospital to borrow money, but he didn't lend it to him. The student later went to regular training."
"After Professor Chen Xueliang of Seoul University knew what happened, he was so angry that he almost chopped off the associate professor in our hospital without a scalpel..." Guo Lindong scratched his head as he spoke.
When Zhou Cheng heard this, he suddenly realized, wasn't the student Guo Lindong mentioned Fang Yun?
Zhou Cheng asked out of curiosity: "Teacher Guo, who did Professor Chen Xueliang fight with before?"
"Bu Haoran, that's not actually a fight, it's a one-sided beating. Bu Haoran was still in charge at the time, and Professor Chen is already a professor. He can't retaliate when scolded, and he can't retaliate when hit. It's quite pitiful." Guo Lindong smiled.
Bu Haoran?
Zhou Cheng is more familiar with this person.
This was when he was attending the National Orthopedics Annual Conference in Shanghai. It was Bu Haoran who invited him to go to the Third Affiliated Hospital of Kyoto University to gain knowledge. He was a very talented person.
That Fang Yun is Bu Haoran's student?
He had told him earlier. If he had told him earlier, Zhou Cheng would definitely have let him follow him for a while. Zhou Cheng thought about it and called him later to ask.
Zhang Jin's face is average, but Bu Haoran's face is still very important in Zhou Cheng's heart, at least much more than a superficial teacher like Xue Xiude.
The grace of knowledge.
"..."
It’s the end of the month, please give me some monthly tickets.