medical simulator
Page 224
However, Cai Dongfan found out that Luo Yun's phone had been in constant communication.
He called several times but couldn't get through, so he gave up.
Sighing helplessly, he stood up, paid the bill, and walked home. He didn't finish a glass of wine...
The two joint replacements were completed before noon.
Luo Yun didn't know why, he had already left, but before leaving, what he told Du Yanjun and Zhang Zhengquan made them a little stupid.
"These two patients, after waking up from the anesthesia, can let them get out of bed with the help of the nurse, holding the pacing device." After finishing speaking, Luo Yun left in a hurry. What call did you get.
Du Yanjun and Zhang Zhengquan were in a daze.
Mr. Luo, for joint replacement, you didn't put a drainage tube. We understand the reason, but what does it mean to go to the ground tonight?
But Luo Yun confessed, they can only follow suit!
Du Yanjun said: "Brother Quan, I'll go and explain to the nurses first. Teacher Luo must have his reasons for saying this. I will check the literature later. I can't encounter any problems. Teacher Luo Yun must personally Confused."
Zhang Zhengquan nodded, just in time to issue a doctor's order to establish a template for the surgical record and the first postoperative course record, and said, "Okay, Brother Yan Jun. Then I'll leave first, and I just finished my shift yesterday."
"En!" Du Yanjun was going to the nurse's station, and he had to communicate patiently with his family members.
Although walking all over the world is a bit unimaginable, but this is Luo Yun's confession after all, and Luo Yun is the main knife.
When Du Yanjun went to the nurse's station, he frightened the people in the nurse's station, but after hearing Luo Yun's confession, they didn't ask any more questions. It's against the rules for nurses to interfere too much with doctors' diagnosis and treatment plans. .
If you have to explain everything clearly when you make an arrangement, then you still have to go to class every day?
……
After Zhang Zhengquan left the department, he did not return to the rented house, but called Zhang Zhengshu.
"Mouse, are you at home now? I'll come to ask you something." Zhang Zhengquan said.
He has been busy with the operation in the morning, so he didn't have time to ask what time Zhou Cheng's operation was completed yesterday.And Zhang Zhengquan didn't want to ask the patient's family members personally, so he might as well ask Zhang Zhengshu.
He needs to know what Zhou Cheng did yesterday.
Zhang Zhengshu frowned and said, "I'm in the company now, with a pile of documents. Do you have anything to do with me? If there is nothing important, let's talk about it later?"
Zhang Zhengshu refused.
"Okay then, you go ahead." Zhang Zhengquan didn't struggle too much.
He felt that the reason why Zhou Cheng went to the operating room yesterday and stayed there for so long was probably not because of Yang Yifeng calling him down to the operating room, but because he had some complaints with Zhou Cheng.
That's why Zhou Cheng stayed up all night, and felt a little guilty.
But looking at the phone, the balance is less than forty after buying water today, and the lunch has not yet been settled because Luo Yun slipped away too early.
Zhang Zhengquan sighed slightly, and sent a message to Zhou Cheng while walking towards home.
"Brother Zhou Cheng, are you awake?"
"When I wake up, I want to treat you to a meal."
Zhang Zhengquan decided to embezzle the interest, and his private property was not enough to invite Zhou Cheng to dinner.
But Zhou Cheng didn't reply to his words, still fell asleep soundly.
It wasn't until Zhang Zhengquan woke up after going home to Bigu Xiuxian that he saw Zhou Cheng's message: "Quanzi, where are you? Are you awake? Let's have dinner together. We agreed to invite you out to eat yesterday, but Teacher Cai called him away temporarily." .”
"Make it up today."
"I've already contacted Yan Jun, and I'll be waiting for you."
The last one is a place, I ate at the hot pot restaurant with good quality mutton that Cai Dongfan had treated before.
Zhang Zhengquan looked at it, and searched the map. Damn it, it looks like it's not far away, and we have to transfer three times!
Directly took a taxi to the past--
5.5 yuan.
There are three bus trips, and the card is also 4.2.
When they got to the place, they saw that Zhou Cheng and Du Yanjun had already ordered and started eating.And he was talking while eating, and there was a pair of clean bowls and chopsticks beside him, obviously reserved for him.
When Zhang Zhengquan saw this, his heart moved, and he said, "Brother Zhou Cheng, thank you for what happened last night, my brother told me everything."
"Today's meal, he invited. Let's eat freely."
Zhang Zhengquan didn't want to use his own money, so he could only force Zhang Zhengshu to treat him.
But in fact, he hasn't even asked Zhang Zhengshu what happened.
Zhou Cheng and Du Yanjun took a look at Zhang Zhengquan. Zhou Cheng thought about it, but he didn't say no. He was exhausted from the operation yesterday, and Zhang Zhengquan invited him to eat. He absolutely deserved it.
Du Yanjun felt that Zhang Zhengquan's leg hair was enough for him to use for several years, and it really didn't matter if he had a meal.
Du Yanjun continued to talk to Zhou Cheng: "When I came back from the department at noon, I heard people from Director Yan's team discussing the matter of purchasing in quantity. They said that a piece of steel plate will only cost 2000 yuan in the future..."
"The appliance dealer is about to cry..."
……
Chapter 1 Cherishing Life
"Is it the legendary volume purchase? Are you going to start?" Zhang Zhengquan interjected and asked.
This latest medical reform policy caused a lot of uproar before. Although Zhang Zhengquan is not yet a formal doctor, he still knows something about it.
It's just that he is just a small resident trainer, so he doesn't understand it very deeply, and he doesn't usually have access to this thing.
"It's already started. Before I came here, I just heard Director Yan and Dong Qiansheng discussing this matter in the department." Du Yanjun nodded. Considering that Zhang Zhengquan had just arrived, he repeated it again.
"The publicity of mass purchases is naturally to lower the price, and then increase the sales volume, so that the profits of pharmaceutical companies and device manufacturers will not be reduced much, and it can save a lot of costs in running the market. It reduces real costs for many patients.”
"It's just that although the price has come down, the patient's hospitalization expenses have been reduced."
"Now I am repairing the car outside, and I can go to the 4S shop with a piece of paint for about 700 yuan. Then put a metal bracket in the heart and it is [-]+. The steel plate of our orthopedics is between [-] and [-] yuan, which is a car. The price of the wheel."
Zhang Zhengquan nodded.
The price of the original heart metal stent is about [-] yuan, and the price of the steel plate is [-] to [-] yuan.He really doesn't know the details, but Yan Haihan, as the director of the ward, must be clear.
"It was reduced by ten times at once."
"The profit must have been cut a lot. Aren't the comments from netizens all saying that the previous hospital was going to make a lot of money. If it was profitable for both seven hundred and two thousand, then the hospital made a lot of money before, and it must have been lost. Unscrupulous doctors took it away."
"I don't know how much the unscrupulous directors took." Zhang Zhengquan is also a person who often visits Xingyin, so he sighed.
Resident doctors are not exposed to this level.
Du Yanjun said: "I don't know if the directors got paid or not, but according to Director Dong Qiansheng, the equipment dealers are now thinking of changing their careers to other sectors."
"What kind of price, what kind of goods are offered. There is a difference between a few yuan of fried rice and hundreds of meals for a meal."
"The price is here. To ensure profits, the raw materials must be compressed! Things are definitely not the same thing."
"However, it is not a thing, but it must be put into the human body. If something unexpected happens, what should we do?"
"You know, the order with quantity purchase is made by the higher-ups. Then the task is assigned to each hospital, you have to use it if you don't need it!"
"A massage and a spray of paint cost hundreds of dollars, and the steel plate placed in the human body costs more than 2000 yuan. It also needs to be nearly harmless to the human body, and there is also an aseptic process."
"Isn't this holding a price close to that of cabbage, what kind of heart is it?"
"Are the pharmaceutical companies full?"
Speaking of this, Du Yanjun put down his chopsticks and said seriously: "Besides, you have to know that after purchasing in quantity, you have no idea which company's medicines and equipment are from. If something really happened to the patient , such as the trouble of cutting corners."
"Who will the patient turn to?"
Du Yanjun pointed to himself.
The doctor is the easiest and most direct contact for patients. If he doesn’t ask you, who can he turn to?
Money is saved, but whoever is taking care of the trouble doesn't care.
Anyway, patients can't go to the place responsible for the purchase, and they won't go to the device company that makes a small profit.
"The purchasers don't care about these things. Will the equipment company that produces them take the initiative to take responsibility? In the end, we will probably be the ones who suffer in the end."
"If there is no profit and space, everyone will switch to other industries and go to the pharmacy to supply medicine, which is better than the supply from the hospital. I heard that the number of enterprises bidding this year is at least 50.00% less."
"I estimate that in this way, except for the companies and device companies that imitate drugs and equipment companies will become popular and eat this profit, those companies that do research and development will never run into trouble again."
"Even some small equipment companies that originally cooperated with the No. [-] Hospital plan to sell their belongings and go to other businesses. I don't know if there will be any good things to use in the future."
"I don't know what will happen in the end?"
Zhou Cheng frowned and reminded: "Yan Jun, let's not talk about this topic, it's very sensitive, we just do our own thing well."
This kind of matter, how can I and others can discuss it, even Director Yan and the others have not started talking in the department in a hurry!
Besides, I'm still in a hot pot restaurant, and the walls have ears. If someone else records it and posts it online, it will be terrible.
Du Yanjun seemed to feel that he had talked a little too much.
The essence of business is profit-seeking, without profit!
In addition to imitation, what is the use of medical and health-related development?Thankless?
Purely for charity?It is estimated that no company is willing to do such a thing.
Du Yanjun smiled and said, "Brother Zhou Cheng, you're right. I'm just talking casually and gossiping. It's unknown who will be hurt and who will be the beneficiary."
"But there is still one sentence, I think Director Dong Qiansheng's words are very reasonable."
"In the future, hundreds of operations may be performed. If the last patient has any problems due to equipment or medicines, the entire department will be in vain."
"If you do it like this, he also joked that it's okay to change your career to the beauty industry. This industry makes money."
"Eat meat! Don't think so much." Zhou Cheng continued to divert the topic.
This topic is really sensitive!
Because even if something goes wrong with the equipment and medicines, it won't be on the news.
The news terminal will only go to the hospital level at most.
It's just that Du Yanjun's statement may reduce the number of operations in the department in the future.
If the chief surgeons all go to the doctor with the idea of not having surgery, and they dare not be the kind of experimental products that purchase steel plates in bulk!
The cost saved in the end is the money saved by patients from less surgery.
However, whether domestic medicines or equipment are good, the quality of good and bad varies.
The reason why imported equipment and medicines dare to sell at this price is not only part of the tariff, but also the quality of others is really guaranteed.
After all, imitation is just imitation. Without core craftsmanship and technology, it will never reach that level.
This is not xenophobia, just an established fact.
Of course, for patients, there are indeed many inclusive purchases with volume.
There are pros and cons.
Zhou Cheng doesn't need to bother thinking about this matter now, time will always give the answer.
But the speaker has no intention, but the listener does.
Zhang Zhengquan rubbed the tip of his chopsticks, his eyes lit up immediately.
Purchase with volume——
Most of the equipment companies retracted and exited!
Profit margins are declining, and the only way to go is to increase volume, or to reduce costs!
Small businesses are also very likely to sell this sector and directly divert to other directions.
Isn't this your best chance?
Because Zhang Zhengquan is currently enjoying the atmosphere and atmosphere in the department, but he knows that the chance of staying in the hospital is almost zero, although it is not difficult to get a temporary worker status with Lao Zhang's relationship and some money.
But that's not a proper thing to do after all.
Can?
Zhang Zhengquan has heard that large tertiary hospitals like the Affiliated Hospital of Shonan University will have equipment sellers stationed at designated locations——
This does not require any high education, right?
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