medical simulator

I see!

Zhou Cheng's eyes lit up immediately, and then he took a pen and began to write notes...

Chapter 311 What's Wrong? !

Zhang Zhengquan quickly called Zhou Cheng and complained: "Brother Zhou Cheng, this Phaeton company is simply too shameless. They can advance or retreat, and let them take all the benefits."

Zhang Zhengquan's tone was somewhat indignant.

Zhou Cheng knew that there must be another deep meaning in it, so he didn't bother to speculate, so he asked directly, "Why do you say that?"

In this matter, in the final analysis, Zhongzheng Company has the upper hand, Phaeton, at least it has caused a lot of trouble.

Zhang Zhengquan said: "How can I say that, Director Wang is too greedy, Phaeton has not published the chat records and conversations between them."

"That's why Phaeton made such a bad move. Anyway, it almost means that they poured all the dirty water on the director."

"That director is indeed a bit irritating. Damn, the forest is really big, and there are everyone. If it weren't for him, this time, no matter how bad the Phaeton Company is, it will be broken in the circle."

Zhou Cheng knew that the circle Zhang Zhengquan mentioned refers to the medical circle. Phaeton can throw Director Wang out to take the blame if something goes wrong, but this will make many people afraid. The so-called Director Wang, If there is the first one, it does not rule out anyone becoming the second Director Wang.

But if Director Wang himself took the initiative to make some excessive demands, then the nature of the matter would have changed!

Suicide and being abandoned are two different concepts. Zhou Cheng has been in contact with a wider range of people now, so he is more or less clear about the doorway inside.

Zhou Chengcheng said: "Quanzi, we are also worth learning about this matter. In the future, your company will also need public relations, so I won't say more. I believe you will be able to find more professional people."

"If a new company wants to develop, it must be thoughtful in all aspects. In addition, your decision to not continue to expand the market in your post today is correct."

"For patients with needs and ability, they naturally have ways to get what they want, but for ordinary patients, what they want is to cure their diseases and spend less money. Stop fussing."

"Blind promotion will break this balance. When there is no choice, it will be another level of monopoly. This is an act of death!"

After calm thinking, Zhou Cheng recalled his own small incision open reduction and internal fixation. It is good, yes, but to a certain extent, it requires a strong technical background.

Moreover, it is not suitable for everyone's needs and desires. Perhaps, for some people, what they see is its minimal invasiveness, but in fact, in the eyes of some patients, they only need their own diseases to be diagnosed and treated, not So-called minimally invasive.

Everyone has a love for beauty, but many people will give up the so-called beauty with the naked eye in order to avoid trouble and consume less energy.

Primary and secondary, but not chaotic.

Until now, Zhou Cheng has truly understood the deeper meaning of the saying that you can't do things indiscriminately when you are doing a project, and that doing research on a project should serve the clinic.

A new thing, a better surgical method, it has its own advantages.But it may not be suitable for everyone. If this good technique is to be popularized, it is not something that can be done in a short time.

Moreover, Zhang Zhengquan's company, as long as it can provide corresponding services for some patients as long as it can, so as to facilitate them to obtain such resources, is justified!

"I know, Brother Zhou Cheng."

"I won't tell you anymore. Now that the promotion and scale of this technique has reached this point, it's time to stop. Someone has already started talking to me."

"The next thing we have to do is to shift the focus again, Brother Zhou Cheng, if you want to think about the next topic, you have to tell me, you are my God of Wealth." Zhang Zhengquan's tone changed Hippie smiled.

"Fuck you, I'm your God of Wealth, and I'm so poor. I won't chat with you anymore, I'm going to write notes." Zhou Cheng sent Zhang Zhengquan away directly.

"Serious people, who keeps the diary? How often?" Zhang Zhengquan asked.

Zhou Cheng hung up the phone directly, completely ignoring Zhang Zhengquan's unfinished phone calls.

Then, when Zhou Cheng reflected on this matter again, he raised his perspective a little higher again.

Zhang Zhengquan just said on the phone that someone has already talked to him, what does this mean?This must be because Zhang Zhengquan's current company has affected the bigger situation, right?

So why?

Zhou Chengcheng tried to look at this problem from a higher perspective.

In fact, good doctors, good medical resources, and good hospitals have good medical skills. This is something that everyone, from top to bottom, knows.

But why are generally good hospitals and doctors concentrated in big cities?

Is it just because the treatment and public facilities in big cities are better?

Remuneration, development potential, and the so-called fame and fortune must be part of the reason, but not all.

How many people are there in Huaguo?

More than one billion, this is the number that has been announced so far.

In such a case, if the hierarchical structure is not done well——

If we say that the top hospitals are not distributed in big cities, but are scattered here and there, one here, one there, located in remote locations, in the corners of the mountains.

Yes, it is beneficial to the people within the local radiation range around, they can rest assured and at ease, the doctor is near, easy to seek medical treatment, even acquaintances, just see it casually.

However, compared with its real business volume, the business volume it can undertake actually has an oversupply, so to fill these, there will inevitably be patients in other remote areas who will travel through mountains and rivers and spend more resources. Come and see a doctor.

Therefore, centralized centers, good medical resources, fixed centers, and first concentrated in big cities can solve this imbalance problem to a certain extent, that is, the current distribution of medical resources in Huaguo.

In the 50s, there was a saying, "Northern Hexie, South Shonan, West Huaxi, East Qilu, and Central Tongji."

The current situation is quite different from before, but there are still Beihexie, Nanyueshan, Xihuaxi are still doing their best, Zhongtongji is still thriving, and in the east, Qilu Medical College is no longer the top cow.

Is there a gap between our country's top medical resources and service capabilities and the world's?

It exists, and the gap between the top batch is not small.

However, in the sub-top batch, is there still a gap?there is none left!

It can be said that experts and professors from top hospitals in our country can also go abroad to give lectures, teach abroad, and act as chief surgeons abroad, which is not much worse than many, except for a very small number of experts and professors!

Moreover, our number is relatively large.

With such a distribution, then, what are we going to do?It must be stratified again. Some people continue to chase and climb mountains, develop vertically, and compete with academic staff and medical workers all over the world.

However, there are still some people who must make efforts and struggles that are different from the goals of the above-mentioned people, that is, to continuously expand and sink the sub-top or sub-top talents to prefecture-level city hospitals.

If it is said that the prefecture-level city hospitals can be rebuilt into sub-top hospitals with the same structure as the southeast, northwest, and middle schools, with many experts and professors, then it will be much easier for the common people to see a doctor.

Although you can't go out, you can watch it at your doorstep, at least the distance is shorter, and the service level has also improved.

So is this the ultimate goal now?

Presumably not?

Zhou Cheng continued to figure out, this time, the reason why he was allowed to come to Changshi, and the reason why Yang Yifeng and others came to Changshi...

If we compare the development of medical care with the model of economic development, this idea is definitely correct.

However, the medical system is bound to be different from the economic system. If you really want to make an analogy like this, there will be a big problem, that is, profit-seeking.

The public hospitals in Huaguo are non-profit institutions...

Thinking about it, Zhou Cheng realized that he seemed a little drifting, why did he start to figure it out.However, after reflecting for a while, Zhou Cheng still assessed his current situation.

Why can't I think about these issues myself?

Only by trying to figure it out, only by watching, only by participating, and only by being transparent can you find your most accurate position and maximize your abilities.

This is a very important question.

What is needed, what can I do, and what to do is a big problem.

If you can really break through this, then it will be of great help to your own improvement and your own thoughts. Moreover, if you can really understand it, when you encounter problems and difficulties in the future, It is of great benefit to analyze and solve problems.

Even, Zhou Cheng may not be able to find anyone to ask this question.

Zeng Diwei can't do it, and Gui Yuanping can't do it either. They are in high positions now. What they need to think about is the tasks they should undertake. They must push the medical field of Huaguo to the top of the world to attack the problem. They What you have to carry on your body is the heavy responsibility of accepting the impact of other countries on China's medical care.

It is to build Huaguo's medical system, academic system, and even teaching tasks.

Cai Dongfan can't do it. The task that Cai Dongfan has to undertake is to position himself well first. He will go to the teaching hospital, do a good job in teaching, improve his own level, and teach more students.

Neither can Yang Yifeng, Yang Yifeng, his current position, Zhou Cheng doesn't know how he positions himself, perhaps, Yang Yifeng is also thinking about this issue, but he may not be able to see it clearly.

Even that deputy minister may not be able to give better guidance.

The situation he sees will be very large and has a wide field of vision, but he is not a real professional practitioner, and more detailed problems still need to be discovered by medical workers.

Fang Yun can't, Ding Changle can't, An Ruo can't, Annan can't...

In the end, after Zhou Cheng went through all the people around him one by one, he came to the conclusion that he could not give himself better advice.

Then, at this time, the best teacher may have to be found through the contact and exploration of patients and work.

This is not a directional issue, but a purely narrowing issue.

Even this question does not have a specific goal.

What it is aimed at is not a simple disease. It can be solved and useful if the etiology, pathology, and treatment principles are clarified, and the treatment measures are enriched.

……

In the next few days, Zhou Cheng had an operation for a day, and then he did not lock himself in the room, but chose to become an assistant, went to follow Lu Bin's outpatient clinic, and helped Lu Bin.

It scared Lu Bin, but Zhou Cheng didn't say a word, nor did he say whether Lu Bin's choice of drugs for diagnosis and treatment was right.

Similarly, Zhou Cheng also called Director Zhang Jin and asked for an outpatient consultation with Director Zhang. During the outpatient consultation, Zhou Cheng also acted as a bystander, without saying a word or making a diagnosis.

Zhang Jin is not afraid, it's just that every patient's diagnosis and treatment will be more thoughtful.

In addition to the clinic with Zhang Jin and Lu Bin, Zhou Cheng also went to the clinic with Associate Professor Qin Tianzhu...

During this period, Zhou Cheng's life was quite fulfilling, because he participated in more outpatient clinics, so when he silently identified the types of diseases of the patients who came to see the doctor, he could refer to more materials.

I didn't go to see the diseases of joint surgery and sports medicine, but only for trauma.

Zhou Cheng found that most of the patients who came to trauma surgery were of two types, one was for internal fixation, and the other was transferred from a lower-level hospital, the operation was not done well, or the sequelae such as pain were left after the operation of.

In addition to the above two categories, the others are some sports injuries, or patients with multiple infections, and the infections are difficult to control.

During the outpatient visits, Lu Bin and others also asked Zhou Cheng what to do about these cases with difficult-to-control infections. Zhou Cheng knew what to do, but he didn't answer, let alone give advice. on the sidelines.

Because only in this case, the outpatient situation is the most real.

After dividing the general structure of the disease, Director Zhang Jin brought Zhou Cheng, Yang Yifeng, and Qin Tianzhu together on the weekend.

Zhang Jin said: "Yifeng, Tianzhu, and Doctor Xiao Zhou. I'm looking for a few of them today. I mainly hope that you can give me a more specific measure. I think, at present, in our prefecture-level city hospitals!"

"There are some patients who are not very willing to undergo surgery, but in fact, the diseases of many patients have reached the level of indication for surgery. In this case, whether it is traditional Chinese medicine or Western medicine, it is basically very good. Difficult to treat."

"Some patients spend a lot of money on various medicines and health care products, but in the end the money is spent, but there is no effect at all, but they are very taboo about surgery."

"Actually, if the money can be used for surgery, it may be possible to return to normal after the operation!"

"For such a situation, I think, can we take some better measures? For example, optimize some surgical plans, and separate some operational steps in the surgical plan through minimally invasive or other methods. To achieve partial treatment or delay the progress of the patient's course of disease."

After hearing Zhang Jin's words, Yang Yifeng didn't speak, but Qin Tianzhu frowned and said, "Director Zhang, I can understand what you mean. You want to combine sports medicine and trauma surgery."

"However, only a small number of traumatic diseases can be applied to sports medicine to delay the disease process."

"Even if it's a simplified operation, it's actually a type of surgery in the strict sense. It's not very likely that the patient can accept this level of operation, right?" Qin Tianzhu asked.

Unscrew part of the operation as a treatment to delay the progress of the disease, but unscrew it, is it still an operation?

You can do the mental preparation of the patient, but you might as well go through the mental preparation of the patient for the operation.

Zhang Jin said: "Tianzhu, you have to take it step by step. Some patients just watch too many short videos on the Internet, and they always feel that you only need to let him have surgery to earn his money."

"I didn't think about it at all, what convenience the surgery can bring to me, and what problems it can solve."

"Then, there are still some people who are superstitious about surgery, thinking that surgery can solve all problems. There are also some people who are more superstitious about tradition, thinking that the culture accumulated over thousands of years is bound to be better than the development of modern medicine over hundreds of years." , the background is deeper."

"Other aspects, I don't care about it for the time being. As far as our outpatient clinic is concerned, the so-called fractures are treated by doctors of traditional traumatic injuries. Everyone knows what kind of fracture healing is, right?"

"I met a patient, an old lady, who spent no less than [-] yuan on traditional medicine every year. He persisted for more than ten years, but he still didn't escape the step of surgery."

Hearing what Zhang Jin said, everyone was silent.

There are some truths that everyone understands, but not necessarily everyone understands it.Traditional medicine, some medical concepts, are very mysterious. Consider the overall situation, combine the timing, combine the four seasons, and take a holistic view.

That's right, it is highly consistent with the holistic concept in modern medicine.

Now, many practitioners of modern medicine have set their sights on the field of traditional medicine to absorb those concepts.

But there is also a saying that is good, it exists objectively and cannot be transferred by willpower.

Fractures and osteoarthritis are objective. The actual joint wear and tear caused by long-term walking, you want to use drugs to reverse it. This is the current medical level and cannot be understood.It is also impossible to achieve.

The so-called various plasters and magic stickers, has the country really not paid attention to them?

It's just useless, it can only be used to relieve symptoms, relieve symptoms, not solve the cause.Sometimes, the patients themselves can't figure out this principle, they just think that the pain will be gone, but in fact, the pain is just a manifestation, and some internal disease processes cannot be reversed.

And when the pain doesn't stop, it's the terminal stage.

Some people also say that pure Chinese medicine has no so-called side effects, but as far as Zhou Cheng is concerned, he has seen many people who insisted on drinking pure Chinese medicine and gastric ulcers, how do you say that?