medical simulator

About 5 minutes later, Fang Linxiang appeared in the living room, his face full of sleepiness, and he hurried over without washing his face: "Uncle, you called me so early, what do you want me to do here?"

Annan sat on the sofa, just snuffed out the cigarette butt, and finally spit out a puff of smoke: "Before, I asked you to count the total number of medicines that have been withdrawn from the medical market in Hunan Province. Have you counted them? "

Fang Linxiang was a little surprised: "There are more than 400 kinds, uncle, didn't the documents be sent to you before?"

If Annan called him because of this incident, it would be really painful. You know, if you didn't call yesterday, you will have to go to work later on Monday. Isn't this deliberately playing tricks? !

But Fang Linxiang also knew that An Nan was not such a Meng Lang person.

"The reduction is a bit drastic. Has your health committee dealt with the search for alternative medicines?" Annan frowned.

He doesn't know what's going on in the city recently. At present, the foreign medical market has been in turmoil, and various things are happening. Either the stock price of this company has collapsed, the debt is heavy, or some relatively strong companies have gone bankrupt and liquidated.

All things considered, there are currently many pharmaceutical companies that are gradually reducing their export markets...

This sudden cut off of supply will not have an impact on the country in a short period of time, but over time, it will cause serious problems. The National Health Commission is trying to find a way to connect and find alternatives. Every region must also do something like this.

Shashi is not a developed city, so it was the first group to face difficulties.

Fang Linxiang nodded when he heard the words: "We are discussing, and we are also collecting data from the medical departments of various hospitals, the drug supervision system, and the medical insurance system. Among them, the biggest gap is the anti-tumor target drugs."

"You also know that the most turbulent foreign market is the anti-tumor drug market. Those who want to reduce the price would rather choose to destroy it! Cut off the supply decisively."

"Yeah." Annan also nodded. He was in charge of a little bit more, but recently the burden of medicine was a bit heavy, so he put more energy on it.

Fang Linxiang went on to say: "Isn't the National Health Commission currently making purely technical adjustments? I really hope that a group of experts and professors can stand up to solve the problem of declining drug quality or even supply cuts, and still ensure even to improve the quality of medical services.”

"At present, according to the data reported by the major health committees and hospitals in the province, the overall mortality rate of critically ill and cancer patients has increased by 3 percentage points in the past six months." Fang Linxiang is quite worried.

Then added: "It was only 13.00% and [-]% in total."

Annan asked: "The condition of critically ill patients is urgent, and it is easier to understand that the improvement has been so much. Is there such a strong deterioration in cancer patients?"

"Patients after surgery, what do you talk about the survival rate in three, five, and ten years?"

"The medicine is too expensive." Fang Linxiang spoke out about the more realistic problem directly, and then said: "According to the data reported by the customs system, the frequency and quantity of smuggled medicines have increased, five times more than before. More than ten percent!"

Annan rubbed his hair hard: "Then what about the so-called alternative medicines of those companies? Can't they be used as substitutes?"

"It hasn't gone through the clinical drug testing process, so it can't be used casually. After all, those companies are only testing it in cell experiments and animals."

"If it is directly promoted on a large scale, if something goes wrong, the consequences will be unimaginable. No one dares to make such a rash move!"

Directly use human body to do experiments, skip animal experiments and clinical trials, history has taught bloody lessons, now, no one dares to take this step, and evidence must be used.

Fang Linxiang said this, and said: "Uncle, didn't you say that Xiao Zhou is currently working with the Health and Health Committee to make plans for purely medical and surgical technical treatment topics? How is the progress now?"

Annan shook his head: "This is not something that can be solved in a short while. Only a few, especially gifted people can quickly master the pure operation improvement. Most people still need time to accumulate slowly. Promote it and it works.”

"Places with relatively abundant medical resources, such as Shanghai, Kyoto, and Rongcheng, have gradually reduced the impact of simple drugs. We in Shashi must also suppress this indicator."

"The National Health Commission has assigned experts from provincial capitals to major prefecture-level cities. The purpose is to prevent the impact of this accident and avoid causing too much panic. It is necessary to sink medical technology and intensify efforts to Funding and training from top provincial hospitals!"

"The medicine in our Hunan Province should have been the top one in the country." Annan station is located in a relatively high position, so it has a more in-depth perspective on problems.

This is one reason for sending the associate professors and attending physicians of heavyweight provincial and municipal hospitals to prefecture-level cities in order to improve their medical technology level, and it is also a reason for making medical resources sink even more.

The more important and deeper reason is to reduce the impact of the turmoil in the international pharmaceutical market on the country!

Of course, it is also to make the medical system more accurate.

"This has been going on. Several key medical colleges and universities in the province have been working on key projects. However, I haven't heard any news about Xiao Zhou's projects so far."

"At present, there is a field of basic anatomy, which is also led by the Affiliated Hospital of Shonan University." Fang Linxiang felt that Annan might not have mentioned any important content to himself.

"What Xiao Zhou did was to deal with the follow-up. In case, if there is another large-scale international blockade of our country's technology and pharmaceutical exports, then we need to deal with it in a completely different way."

"This kind of thing is not without precedent. We must pay attention to it. What Xiao Zhou is doing now is related to these. Some top domestic scholars, including some returning scholars, have studied in depth, which is also related to this difficult problem. .”

"You don't have to worry about this matter, and we don't ask about it."

When Annan said this, he might feel that what he told Fang Linxiang was a bit out of line, and some things were not convenient for people of Fang Linxiang's level to know.

"Xiao Fang, what do you think of Zhou Cheng? I've been thinking about him for the past few days." Annan's tone suddenly sank, and he changed the topic to another direction.

As far as Annan knew, Zhou Cheng had moved into An Ruo's room in Shanghai before, but this time, An Ruo did not return to his house when he went to Changshi. An Ruo's room.

Annan wanted to hit someone.

Fang Linxiang asked curiously: "Uncle, didn't you just say that what Xiao Zhou is doing now is particularly important? Isn't it a bit inappropriate for us to plan on him at this time?"

"Besides, grandpa and uncles, haven't you all seen Xiao Zhou? Do you think Xiao Zhou is pretty good?"

"From my personal point of view, Xiao Qi and Xiao Zhou are about the same age. Xiao Zhou's family background is a little bit worse, but Xiao Qi is a bit higher in character, talent, and academic heights that can be achieved in the future."

My sister, so I told the truth, but I still secretly glanced at Annan, for fear that Annan would be displeased.

Annan said, "It's actually like this, third child."

"Xiaoqi is probably in Changshi, living with Xiaozhou." Annan said, rubbing his neck and hair, then shaking his head from side to side, with a complicated tone.

"I am Xiaoqi's father, and your aunt is her mother. It seems that it is not easy to speak. If you want to, find Xiaofen and tell Xiaoqi. Pay attention to safety measures, and it should be a major event in life. , in a hurry and unprepared." Annan spoke very cryptically and controlled his emotions.

Fang Linxiang stood up immediately, and said angrily, "I'll just go over and chop up that brat!"

Fang Linxiang, who has always been relatively calm, immediately possessed An Yi and An Er's temper!

As he said that, he was about to walk out the door.

"Why are you going? Xiaoqi is 26 this year!" Annan raised his head and stopped Fang Linxiang.

Damn it, the cabbage grown by me may have been raped by a pig recently, I'm not as angry as you.

Hearing this, Fang Linxiang stopped, turned around, and struggled for a while.

Then he touched his nose resentfully, and realized, oh, the kid who was following him is now 26. According to ancient times, this is almost an old lady.

She is no longer that simple little princess in the family, nor is she a little girl, she is already a big girl.Talking about marriage is a matter of course.

In the past, there were still many people in the family who made a fuss about the blind date for An Ruo.

"I was just now!" Fang Linxiang wanted to explain to Annan why he was so irritable before.

Annan stretched out his hand and interrupted him: "Don't mention this matter, you remember to ask Xiaofen to say something, you have to pay attention, let's continue to discuss other things."

"I originally wanted you to rush to Changshi temporarily today, but I don't think it's appropriate to see your temper, so let's forget it, lest the old man find out and say that I interfere in Xiao Qi's life."

Fang Linxiang said: "I can go, uncle. I am sure of civilization."

……

Changshi Traditional Chinese Medicine Hospital, the outpatient clinic downstairs, Ziyi walked down from the outpatient building very aggrieved, and seemed extremely aggrieved.

I walked in a hurry and almost fell down.Fortunately, a big sister who was wearing a washcloth in the operating room supported her and said, "Be careful, it will be terrible if you fall."

"Thank you." Zi Yi was in a very complicated mood at the moment, so he didn't have much thought to look at the other party who was not wearing a mask.

"It's okay, don't worry, don't be so anxious if you are late. Which department do you major in?" Green Clothes asked.

"Breast Nail Surgery. Teacher, I, I'm going to the department first." Zi Yi said quickly, without much thought, as if entangled with An Ruo here.

"I see you came from the outpatient clinic, do you know how to get to the 318 outpatient clinic?" Green Clothes asked.

Hearing this, Zi Yi was startled for a moment, turned his head quickly, and looked at the other party carefully. His delicate face was better than his own, his temperament was calm and generous, and his tadpole eyes stared very wide at the moment. He was weird and full of aura. Smiling and looking at himself.

"What do you go to the 318 outpatient clinic of the Orthopedics Department?" Zi Yi asked back, the 318 clinic is the outpatient clinic where Zhou Cheng, who she just came out of, is in.

This teacher, is he deliberately looking at himself as a joke?

"Oh, I went to find my boyfriend, and he said that he is in the 318 consultation room of the outpatient clinic. Do you know?" An Ruo smiled, with a very earnest tone.

Ziyi immediately panicked, and glanced An Ruo up and down, and found that An Ruo's expression was calm and composed, without any panic, and her eyes were calm. This did not seem to be a lie to test her.

Moreover, the other party's appearance and temperament are quite extraordinary, and the other party's self-confidence and generosity are something that Zi Yi thinks it is difficult for him to learn.

So she?

What is said may be true.

"Teacher, it's on the third floor of the outpatient clinic. After getting on the elevator, walk to the right and you'll be there." Zi Yi nodded, and after replying, she walked away quickly, faster than before, her heart beating slightly faster.

This is a guilty conscience.

She was also a little ashamed of herself. She thought that her good looks were pretty good, but after seeing An Ruo, she understood that some good looks do not lie on the surface.

An Ruo looked at the back of Ziyi leaving, then took out the mask that he took off specially from his pocket, and put it on.

She came here specially, with curiosity and other purposes.

But since I met her downstairs, there was no need for me to go up again.

Then she went straight to the operating room. Today is her first day in the department. She asked for leave as soon as she arrived in the operating room, which may delay the start of the first operation. She has to hurry back to the operation room to go.

Fortunately, she thought about the reason for going to the 318 outpatient clinic for a long time, but it turned out to be useless...

"This little girl is indeed pretty." An Ruo lowered her head, talking to herself.

"I'm not selfish, am I? I just want him to work with more peace of mind, not to be disturbed by the people arranged in the hospital. Well, I won't be distracted."

An Ruo was walking towards the operating room, and then saw that her cousin had sent herself a message.

After reading it, An Ruo's face turned red all of a sudden, extremely shy.

Looking around, it feels like someone is staring at you.

After a while, An Ruo dialed his grandfather's phone angrily and complained: "Grandpa, my father, my mother, and my third brother, they are still watching me, you have to make the decision for me."

……

this afternoon.

Fang Linxiang, Annan and his wife were called by the old man, and they were called to the old man's house. In the name of having a dinner together, in front of everyone, they taught the three of them a serious lesson.

Among them, Fang Linxiang also ate a meal of fried meat with bamboo shoots, which was delicious and unusual.

While smoking, the old man scolded: "That's your sister, are you spying on her? Are you a prisoner? Huh?"

"Are you going to make her an old girl and stay at home forever?"

"You don't want to think about it yourself. What have you done at this age? I get angry when I see you."

Fang Linxiang felt extremely wronged, and raised his head: "Grandpa, I didn't start a family until I was thirty, what you said, it should be!"

Fang Linxiang turned his head while speaking, and looked at his little uncle.

Annan blushed when he heard this.

At the same time, An Dong and An Xing began to talk in private: "Lao Liu should have had the most romantic life back then, right?"

"Yeah, the sixth child is doing well. 22..." An Xing nodded in agreement.

Annan's face was ashen for a moment, and he was humiliated by his two brothers, and he didn't finish the calculation.

After returning home, Qin Han's extermination eyes came from his wife Qin Han, and his tone was understated but full of jealousy: "You told me before, how many girlfriends did I have? Why do you have two more girlfriends now?"

Qin Han dragged him a little heavy.

Annan's brows were twitching, and he was very tangled: "Honey, let me tell you, my two unreliable brothers arranged this for me. Believe it or not? They are just jealous of me. I am so clean."

The well-educated Qin Han is rarely jealous: "Then you come and make up two more stories, so I can entertain you?"

Chapter 348 A confrontation between geniuses!

After the third outpatient was sent out by Fang Yun, Zhou Cheng felt that Fang Yun's basic knowledge and basic skills were really good, so he improvised.

"Xiao Fang, explain to the patients outside, and don't call the next patient in for the time being." Zhou Cheng ordered.

Hearing this, Fang Yun immediately nodded and said to the next patient: "Hey, wait a minute, the patient who just went for an examination has some problems on the film, and my teacher said he needs to take another look. Wait for two or three minutes That's fine, sorry."

After explaining and getting consent, Fang Yun opened the door and walked in. He was greeted by Zhou Cheng and came to the computer.

Zhou Cheng looked at it calmly for a while, then tilted his head slightly, saw that Fang Yun was also reading the film seriously, and asked, "Can you understand it?"

Fang Yun nodded: "I can understand a little bit."

"How much do you understand? What is your understanding of fracture diagnosis and surgery?" Zhou Cheng continued to ask. He really wanted to guide this student. This time, the question was from a professional point of view.

This is a patient after fracture surgery. Before the operation, he was also done in a traditional Chinese medicine hospital. This time, he came for a review and consulted about the time to remove the internal fixation device.

Zhou Cheng saw that Fang Yun's foundation was good, so he recalled his previous plain film and examination. This is the plain film of the patient when he was injured and admitted to the hospital a year ago.

Fang Yun's expression immediately became tense. After looking carefully again, he organized his language a little and replied ably: "The diagnosis of a fracture, by definition, is the interruption of the continuity and integrity of the bone."

"Bone discontinuity can be seen in imaging examinations. The existence of fracture lines is the loss of bone continuity, and bone fragments represent the destruction of integrity to a certain extent."

"Physical examination showed swelling at the fracture site and deformity of the limbs. The bone friction at the fracture end was palpated, and occasionally abnormal movements could be seen." Fang Yun replied very decisively, and every word was not nonsense.