Chapter 399 Someone has to sacrifice for this (please subscribe)
When Zhou Cheng heard this, he was instantly happy.
Sure enough, Minister Gu and others were capable. Zhou Cheng searched around in the simulator world countless times, but could not find anyone who could improve his teaching theory.
"Teacher Gu, who is this teacher?" Zhou Cheng quickly asked Gu Huo.
Gu Huo said: "This man happens to be in Ruijin Hospital in Shanghai, but he is not an orthopedic surgeon, but a professor of psychiatry. He is still very young. He is only in his forties this year."
"His last name is Qu..."
After hanging up the phone, Zhou Cheng couldn't help but feel excited.
He has been studying this teaching theory for several months, and he has also tried various methods in the simulator world, but he has not been able to get a perfect solution. He has also communicated with others, but there has been no improvement.
.
It would be a very gratifying thing to be able to find someone who can be promoted. I never expected that I would get such an unexpected surprise when I come to the Magic City this time.
However, after being overjoyed, Zhou Cheng calmed down again, with mixed feelings of joy and sorrow.
People are afraid of being famous, pigs are afraid of being strong!
The fourth point is severe pressure on relationships.
No one is perfect, and there will be some rat droppings in every team.
It is naturally impossible for Zhou Cheng to know about such a thing.
It's like using a cannon to kill mosquitoes!
For another example, for some diseases, there are no indications for medication, but corresponding drugs are used, and no particularly satisfactory explanation can be given, let alone preventive medication.
Pricing has nothing to do with the doctor!
At this moment, Zhou Cheng seemed to feel that the leaders in charge of reform also had their own difficulties.
Because, when they needed help the most, it was those professors who overcame all difficulties and even found connections for them privately in order to speed up the progress of the surgery.
Some medical workers, for the sake of convenience or to save trouble, have set up many medical order packages, and some of these packages are actually unnecessary.
When you need to use it, just use this one.
Whether each drug can enter the hospital and be used by the department is a matter coordinated by the pharmacy department and the hospital's purchasing department.
The third point is to reduce drug channels.
Just like the dean of the Ninth Hospital of Shanghai, he was removed from the administrative position of dean, but retained the title of professor and the position of deputy director of the specialty, and could still simply be a doctor.
Zhou Cheng also saw that an old professor, because of his kindness, funded the medical expenses of a little boy. After being exposed, he knelt in front of his house and there were more than a dozen examples of family difficulties.
Its existence can save working time, but it is not precise and individualized enough.
Specialty departments only have the right to make suggestions. For example, I fill in a list for the hospital of what drugs I need to use. Then it is handed over to the hospital's purchasing department to purchase and make orders.
Zhou Cheng also didn't expect that he would grow to such a point so quickly, and that people would actually start to inquire about his affairs.
If it were delayed for another ten years, you might only need one surgery in your lifetime.
On the other hand, it's downright disgusting.
Another example is joint surgery. Some patients with infections, even though they have minor infections, need to use antibiotic carriers for debridement and preventive anti-infection.
Specialist doctors don't know what the hospital's purchase price is, so they can only estimate the approximate medical expenses for patients based on the hospital's price.
Another example is orthopedics. Some surgeons will use Kirschner wires as temporary fixation, and then use seven or eight K-wires for simple fractures as if they were complex fractures.
The use of the package is not to purchase all the items, but to selectively check the required checks to save input time.
After all, he now has a certain realistic foundation, and this foundation is not limited to the economic foundation.
Indeed, Zhou Cheng is no longer the unknown little guy he was more than a year ago.
Businessmen are chasing profits. If they are not discovered in time, thousands of dollars may be stolen away.
If something like this is discovered, some people will definitely take the blame and resign.
The second point is that true over-medication has several different aspects.
The seventh point is that operating room billing is chaotic. Internal staff do not charge. Drug representatives or equipment manufacturers write medical orders and collect fees on their behalf. There are situations where there are too few consumables, too many prices, too many invoices and too many qualification marks...
For example, the consumables available in the first ward of Orthopedics are not available in the second ward of Orthopedics.
Five days passed, and Zhou Cheng's work in the inspection team was finally completed.
As long as you have good technology, strong enough theory, and solid strength, then you can ignore everything else, and it will naturally not exist. Some people's relatives are the agents of a certain drug, so you must only use this
drug.
During inspections, internal reasons will not be taken into account. For example, if the patient cannot work, it will not reduce the burden on the family and bring income to the family.
Zhou Cheng himself is very cautious and basically simulates something before doing it.
The first point is pseudo-excessive medical treatment and insufficient understanding of surgical indications. To a certain extent, in order to enhance their reputation, some professors boldly try new diseases, do not follow the guidelines, and have the courage to 'innovate'.
For example, in the Department of Orthopedics, there are some wards where medications are dispensed in the wards, and in some wards, medications must be dispensed from the dispensing center. Medications can only be used temporarily in the ward, not long-term dispensing.
The sixth point is that outpatient management is not standardized.
Personal connections, relationships, and various levels are never the same as before.
What standard is this? Zhou Cheng was shocked when he first saw it.
"Besides, I also need to take advantage of this opportunity to come to the Magic City to have a good meeting with Master." Zhou Cheng murmured in a low voice.
Some surgical consumables have an inherent lifespan, which will inevitably increase the burden on medical insurance and other aspects.
The main points are as follows.
"I'm not sure about this. I think he will. Maybe he won't. He will upgrade to another level."
However, during this period, many problems were exposed one after another in the Joint Surgery Department of the No. 9 Hospital in Shanghai, including Huashan Hospital.
Later I learned that the reason why such things do not happen in large teaching hospitals is because there is a more liberal professor responsibility system in teaching hospitals.
For example, Director Song, who Zhou Cheng thought was extremely kind, was blamed and resigned on the spot. He may not have done anything, but he did not supervise, so he suffered like this.
Another example is surgery. When repairing wounds, there are many patients who have applied a large number of skin repair factors or dressings to wounds caused by non-traumatic factors.
Some rules and some things are not what they want to be like and then set up some weird rules, but there are some rat shit behind them who are causing trouble.
Lin Fusheng is not short of money at all. He has a family business, and his own family has inherited a net worth of more than 50 billion yuan!
Even, to put it very funny, the annual net profit of his companies is equivalent to half a year's turnover of the Magic City Ninth Hospital!
Will he be able to afford that little money?
It can be said that the reason why Lin Fusheng regards doctors as his main job is entirely because he loves this profession, so he has worked hard and generously to climb to this position step by step, and then the chairman is his part-time job!
It is impossible for anyone, including Zeng Diwei, to commit corruption, and it would be impossible for Lin Fusheng to take the unjust money from the hospital.
However, Zhou Cheng no longer had the same anxiety as before.
Or the kind that is 100% non-reimbursable.
Then the hospital's Discipline Inspection Committee came over and found out that this professor didn't smoke or drink at all. There was no smell of cigarette or alcohol in his home, trunk, or office...
But it is not a good thing. To be brave in innovation does not mean to innovate recklessly. It must have a certain theoretical foundation.
There are also some people who reported to the Health Committee after hearing that some professors did not come to work.
This is actually not a bad thing.
But there is no way to improve your reputation.
However, specialized departments have no idea which manufacturer of the drugs entering the hospital is. In many cases, there is only one manufacturer. It is an involution-style monopoly and there is no other choice.
Anyway, just do what you're told and don't care about anything else. After sorting out the corresponding information, you can compile it with Yu Sheng and that's it.
…
The fifth point is package consumption.
For example, there are some abnormal small hospitals that will set hospital evaluation standards. For example, certain surgeries, certain diseases, and certain drugs must be used up after being purchased in bulk!
The use of drugs and consumables is a choice that the doctor can make independently, and it is also a choice that the patient can make.
When he saw this data for the first time, Zhou Cheng really understood a sentence on the Internet.
Then, whether it was the deans who had contact with Zhou Cheng and others, or Director Song, or the director of the Health Committee, or Director Xu, they all looked gloomy and were not in high spirits.
Now Zhou Cheng has basically gained a certain reputation in the domestic circle. Therefore, under such conditions, it is different for someone to notice him.
The materials available to the third ward of Orthopedics are not available in the fourth ward of Orthopedics!
Of course, there are also some people who, after hearing about such rumors, began to report and write reports.
In a few days, Zhou Cheng will be just a little guy throughout the whole process, just hanging around behind Professor Yu Sheng.
It was also because Lin Fusheng felt that he had been wronged, so he asked: "Master, is it possible for Dean Lin to return to the position of dean again?"
"Professor Qu Hongming, Second Ward of the Psychiatric Department of Ruijin Hospital Affiliated to Jiaotong University in Shanghai. I guess I need to find some time to pay him a visit."
Surgical indication surgery means that the indications for surgery are not fully grasped, and patients who do not need or do not meet the surgical indications are operated on. The postoperative effects will naturally be restored, but after a certain period of time, the number of patients will increase.
number of surgeries.
But no matter what, there are still a large number of people, even more than 90% of people, who still adhere to their original aspirations and forge ahead.
The professor is responsible, which means that the professor is responsible for the patient and responsible for everything.
As for the subsequent result, it has nothing to do with Zhou Cheng. Zhou Cheng only did his duty.
This is a one-size-fits-all approach.
For example, in orthopedics, when applying sutures, cosmetic sutures or knot-free sutures are used starting from the innermost layer.
These are all over-medical treatments.
For example, in the field of cardiovascular medicine, there are some mice that only need to place one stent, but three are placed. For example, in general surgery, a lot of hemostatic drugs are used, and as a result, the drugs are not known where they were put.
It just exceeds the demand.
And I don’t accept gifts or red envelopes, I check them diligently.
In fact, these skin repair factors or dressings are used for more serious skin wounds, not surgical wounds.
Even though these thunderstorms have not made the news yet, they are.
Or use 70%.
Kirschner wires are disposable temporary supplies.
Some people are forced by life pressure or other temptations.
There are even people who secretly take photos of people who bring cigarettes and alcohol to the door of the office without sending them to slander medical workers who don't like them or who have had conflicts with them.
Yes, these people increase the burden not only on patients, but also on medical insurance, because most of the products they use are 100% reimbursable.
When there is no choice, some doctors, in order to save time, do not explain the situation to the patient, explaining that there is no alternative cheaper drug with greater side effects in the hospital, and that they can look for it elsewhere.
The disease can be cured, but it increases the burden on medical insurance.
Zhou Cheng originally came to inquire about Senior Brother Nong, but he couldn't explain directly, so he first made some insinuations.
What is relationship pressure? It means that in some departments, some particularly strange phenomena will occur.
There was even a professor who was scolded by his family members as a mother-in-law, heartless, and a butcher in white because he was unwilling to operate on a patient who did not pay for elective surgery.
Then, after Zhou Cheng handed over these matters and went to visit Zeng Diwei, he found out.
Those white coats who were beaten deserved to be beaten!
What kind of medical ethics does this have?
However, after calming down, Zhou Cheng still found that such an idea was absolutely wrong.
…
During the inspection, Zhou Cheng also saw with his own eyes that the patients basically did not believe that the experts and professors who treated them would do such a thing.
For example, some patients have arthritis in their thirties. Without treatment, they will be unable to work. However, after surgical treatment, they will undergo another surgery when they are sixty or seventy years old.
Yes, according to particularly strict medical regulations.
Your hospital may not have good drugs, but you have to explain the situation to patients. If you don’t have more affordable drugs, you have to explain it, and you also have to give recommendations for further diagnosis and treatment, so that patients and their families can choose.
Either tell them directly or use this, I have no choice!
"Lin Fusheng is a very good doctor and a very good dean. His academic level and professional strength are among the best in the country, but his overall ranking within the department is slightly worse."
"If it really bothers him, he can retire and take care of himself."
"But it's not a problem not to be inferior to him. When something happens, someone has to stand up. Some people can't stand up, so you have to find someone who can stand up, so someone will make sacrifices for it!"