"Doctor Fang, I heard that we treated another emergency patient last night?"
When Fang Le and Cheng Yunxing came to the treatment room, Gao Dawei smiled and stepped forward to please them. He had no value at all as an attending physician and looked more like an old licking dog.
Gao Dawei followed Fang Le these two days and really learned a lot.
Gao Dawei is a veteran in emergency department and is a senior attending physician. His suturing skills are not bad, but some of his thinking and techniques are not as high as Fang Le's. Watching Fang Le suture and listening to Fang Le's explanations, it is really rewarding.
For the same thing, the speed of progress depends on the individual. If you are a top student, you are already very strong. If you are not exposed to higher-level things, your progress will be limited. If you are a poor student, his foundation is too poor and he does not understand some things.
, if you don’t make up for the previous ones, your teaching will be useless.
On the contrary, some middle-level students have a good foundation and have not learned well at this stage. If they make up for it and teach them, they will soon catch up.
Even though Gao Dawei is an upper-middle-class student, he has gained a lot from following Fang Le these two days.
With the gains, Dr. Gao becomes even more shameless. What is face?
Can it be eaten?
The older a person gets, the more realistic he becomes. Dr. Gao is already forty years old, and by the time he reaches the middle age, he has already become very realistic.
"yes."
Fang Le nodded: "A two-and-a-half-year-old child swallowed a coin."
"I heard, it was Dr. Fang who gave you the idea."
Gao Dawei smiled and said: "Dr. Fang, I could tell when you came here on the first day that you were made to do emergency medicine. Sure enough, look at it, you have dealt with several difficult cases in just a few days since you came to our department.
A case?"
"Doctor Gao, please stop praising me, I can float."
Fang Le smiled, listening to Doctor Gao's flattery, to be honest, he felt very comfortable.
No one in this world doesn't like to hear good words. Good words sound satisfying, comfortable, and in a good mood. No wonder so many emperors like treacherous ministers and know how to flatter them.
The short resident doctor who had been following Gao Dawei stood aside and learned.
From the initial discomfort, to now, the short resident doctor has admired Dr. Gao. This is also his skill.
"Obviously..."
Xingxing opened his mouth and wanted to explain that he had come up with it, but after thinking about it, he still didn't say it. It seemed that without Fang Le's addition, his plan was not very reliable.
And he came up with it after Fang Le's prompting.
"I heard that Dr. Gao, you have been in the treatment room and didn't want to do surgery?"
After entering the treatment room, Fang Le asked Gao Dawei while washing his hands.
"The treatment room is very good. What kind of surgery is it? It's tiring."
Gao Dawei chuckled and said, "I don't know how much money I can earn."
Only then did Fang Le remember that it was the 1990s. At this time, medicine was still used to support medicine. The price of medicine was quite high. At the same time, the prices of various consumables and equipment were not cheap. On the contrary, the service fee was not high.
Anyone who knows the medical industry knows that the funding sources of medical institutions mainly include three aspects. The first is local financial allocation, the second is medical service income, and the third is drug price difference income.
The medical industry is a very money-burning industry. In the 1990s, the national finances were far less generous than in the following ten years. The country is still vigorously developing the economy and increasing national income and fiscal revenue.
At this time, funds for medical appropriations and Medicaid are quite limited.
Without the support of financial allocations, major hospitals must be self-reliant if they want to develop. Supporting medicine with medicine is to realize the high added value of medicines through the labor of doctors, and to use the high profits of medicines to boost the economic benefits of the hospital and maintain the normal operation of the hospital.
Operation.
To put it bluntly, the actual price of drugs sold by hospitals is much higher than the price of drugs sold on the market, and the same is true for consumables and medical equipment.
So 10 years ago, if the medicine prescribed by the doctor could be purchased at an outside pharmacy, most people would not be willing to take it in the hospital.
Drug prices are high, consumables are expensive, and labor service fees are low. The income of surgeons is greatly restricted. It is far from the golden ophthalmology and silver surgery that many people will talk about in the future.
At this time, whether in outpatient or inpatient departments, doctors can prescribe more medicines to increase their income. The hospital itself also encourages doctors to prescribe more medicines, so during this period, internal medicine is actually relatively comfortable.
Surgeons are only responsible for performing operations and basically do not prescribe medicines. The cost of an operation is not high, and it may take several hours or even ten hours when you are busy. No other internist can earn a lot by prescribing a few boxes of medicines.
In the emergency department, the reason why more people are willing to undergo surgery is that many people want to learn skills and leave the emergency department and transfer to specialized departments.
Gao Dawei has long since given up on this idea. In the treatment room, he can be considered relaxed and his income is not low. In other words, the doctor who has not performed surgery has a high status.
In the late 1980s, the country actually issued the "Opinions on Issues Concerning the Expansion of Medical and Health Services", which required that under the premise of normal medical tasks, special clinics could be established, equipped with high-level medical staff, provide high-quality services, implement high charges, and provide high-quality services to patients.
Social openness.
However, the degree of implementation of this policy varies from place to place, and the situation in each hospital is also different.
Changes to this status quo had to wait until 2006, when the state issued rectification documents to increase the service fees of medical staff, strictly control drug prices, and crack down on the situation of using drugs to support medical treatment. The status quo gradually changed. After 10 years, most drugs in hospitals
There is almost no big difference between the drug prices and those in retail pharmacies outside.
Xijing Hospital is actually a little better. After all, it is the best hospital in Qinzhou Province. It is backed by the Military Medical University and is strong. The treatment of surgeons is better than that of some other hospitals.
In fact, it was precisely with the increase in service fees that the overall income of surgeons increased, and the field of surgery developed rapidly. Before the 1980s, there was a serious shortage of doctors in our country, especially doctors in some surgical fields.
While Fang Le and Cheng Yunxing were talking, the short resident doctor had already brought the patient in and started debriding and disinfecting.
While Fang Le was handling patients in the treatment room, Han Shengxue, director of the emergency department, received a call from the hospital office and went to the hospital administration building.
"Dean Liu!"
Han Shengxue knocked on the door and entered Liu Changsheng's office.
After entering the door, Han Shengxue noticed that a young man of about thirty-three or four years old was sitting on the sofa in Liu Changsheng's office. The young man was well-dressed and sitting on the sofa with great temperament.
"Director Han is here."
When Liu Changsheng saw Han Shengxue coming in, he stood up with a smile, walked around from behind the desk, and introduced to Han Shengxue: "Director Han, let me introduce you to a talent, Zheng Jinfan, a top student who graduated from the Massachusetts Institute of Technology in the United States and a doctoral candidate.
In the past few years, we have been focusing on the emergency field abroad, but our hospital spent a lot of money to invite Xiao Zheng here this time."
"Xiao Zheng, this is Director Han Shengxue of our Emergency Department of Xijing Hospital. Director Han has been working in the emergency field for more than 20 years. At that time, the emergency department was only an outpatient emergency room. Director Han was a senior in the emergency room.
It’s doctor.”
Just when Liu Changsheng stood up to introduce, Zheng Jinfan had already stood up. When Liu Changsheng introduced, Zheng Jinfan hurriedly stretched out his hand: "Hello, Director Han, I have heard of your name for a long time. You published it in the military medical school newspaper
I have read several papers on emergency medicine, and I also want to see you when I come to Xijing Hospital this time."
"Dr. Zheng..."
"Director Han, you can call me Xiao Zheng, or Dr. Zheng."
Zheng Jinfan said hurriedly.
"Hello, Dr. Zheng."
Han Shengxue also hurriedly stretched out his hand, and Zheng Jinfan shook it enthusiastically: "I am really flattered by the top students from MIT."
Doctors who have returned from overseas, even twenty or thirty years from now, will be a hot commodity, and many hospitals are vying for them. What’s more, it’s only 1995, and doctors who have returned from overseas 2000 years ago are really pretty awesome.
Forced to exist.
Not to mention the turtles, even the doctoral students in China are amazing, but the turtles are even more amazing.
Han Shengxue’s enthusiasm is really not an act.
Since the end of the Qing Dynasty, there have been hundreds of years of wars, and the self-confidence of the Chinese nation has been hit again and again. Even after the founding of the People's Republic of China, the country was in a depression. In the 1980s and 1990s, the idea of worshiping foreign countries was more serious than that of later generations.
There are so many people. When people see crooked nuts on the street, they feel like they are seeing giant pandas. They feel it is very strange. Ordinary crooked nuts can make some officials kneel down and lick them. Dr. Turtle, overseas Chinese
When I return to my country, my treatment is even better.
During this period, the country's overall policy also tended to guide outstanding overseas Chinese to return to the country and welcome the injection of foreign capital. This was the general environment.
Even when some people in the mainland open companies or factories, they have to find overseas Chinese or people from Hong Kong and Taiwan to serve as legal persons, covering them with a layer of foreign skin, so as to enjoy better treatment.
"Does Dr. Zheng want to enter our Xijing Hospital and go to our emergency department?"
After shaking hands with Zheng Jinfan, Han Shengxue couldn't wait to ask Zheng Jinfan.
"When I was at MIT, I always knew about the emergency field. I don't know how much Director Han knows about the situation abroad. The earliest emergency medicine service system in the United States was established at MIT. The United States is currently taking the lead in the emergency field.
It is among the best in the world. After I returned to China, I also learned that the current situation of domestic emergency care is not in good shape. Several papers written by Director Han gave me some ideas."
Zheng Jinfan speaks very politely and is obviously from a good family background.
Of course, during this period, whether they were studying abroad or returning overseas Chinese, their family circumstances were not simple.
"Director Han, Xiao Zheng came here this time just to understand the situation first. As for whether you can retain the person, it depends on your ability, Director Han. Don't let the hospital down."