medical simulator

Zhou Cheng didn't expect that he had grown to such a level so quickly, and that people started to inquire about his affairs.

Indeed, Zhou Cheng is no longer the little guy who was unknown more than a year ago.

The current Zhou Cheng basically has a certain reputation in the domestic circle. Therefore, under such conditions, it is different for someone to notice him.

Zhou Cheng himself is very cautious, basically before doing something, he will do a simulation.

But there is no way to improve your reputation.

However, Zhou Cheng was not as anxious as before.

After all, he now has a certain realistic foundation, and such a foundation is not limited to the economic foundation.

The contacts, the network, and the various levels are never the same as before.

"Professor Qu Hongming, the second ward of the psychiatric department of Ruijin Hospital Affiliated to Shanghai Jiaotong University. Maybe I need to find some time to visit."

"Besides, I have to take advantage of this opportunity to come to Shanghai to see Master properly." Zhou Cheng murmured in such a low voice.

……

In a few days, Zhou Cheng will be just a little guy the whole time, just following Professor Yu Sheng's ass.

Anyway, just do things according to the instructions, and don't care about the rest. After sorting out the corresponding information, I will summarize it at Yu Sheng, and it will be over.

As for the follow-up result, it has nothing to do with Zhou Cheng, Zhou Cheng only does his own duty.

However, during this period of time, many problems have been exposed one after another in the joint surgery department of Shanghai No. [-] Hospital, including Huashan Hospital.

There are mainly the following points.

The first point is pseudo-excessive medical treatment and insufficient grasp of surgical indications. To a certain extent, some professors boldly try new diseases in order to enhance their reputation, do not follow the guidelines, and have the courage to 'innovate'.

This is actually not a bad thing.

But it is not a good thing either. Being brave in innovation does not mean reckless innovation, but a certain theoretical basis.

The second point, the real over-medication, has several different aspects.

Super-indication surgery means that the indications for surgery are not fully grasped, and patients who do not need or do not meet the indications for surgery are undergoing surgery. The postoperative effect can be restored naturally, but after a certain period of time, the number of patients will increase. number of surgeries.

For example, some patients have arthritis in their 30s. Without treatment, they will not be able to work. However, after surgery, they will have another surgery when they are 70 or [-] years old.

If it is delayed for more than ten years, it may only need to undergo one operation in a lifetime.

Some surgical consumables have their inherent lifespan, which will invisibly increase the burden on medical insurance and other aspects.

During inspections, internal reasons are not considered. For example, if the patient cannot work, it cannot reduce the burden on the family and bring income to the family.

This is a one-size-fits-all form of cutting the mess.

On the other hand, it is very hateful.

For example, in the field of cardiovascular medicine, there are some mouse feces, where only one stent needs to be placed, but three are placed.For example, in general surgery, a lot of drugs for hemostasis are used, and as a result, the drugs do not know where to put them, which completely exceeds the demand.

For example, in orthopedics, when applying sutures, cosmetic sutures are used from the innermost layer, or the kind of knot-free sutures.

Another example is surgery. During wound repair, many patients have applied a large number of skin repair factors or dressings for wounds caused by non-traumatic factors.

In fact, these skin repair factors or dressings are applied to more serious skin trauma, rather than surgical trauma.

It belongs to beating mosquitoes with cannons!

Another example is that for some diseases, there is no indication for medication, but the corresponding drug is used, and a particularly satisfactory explanation cannot be given, let alone preventive medication.

Orthopedics is another example. There are some mouse droppings that use Kirschner wires as temporary fixation, and then use seven or eight wires for simple fractures as complex fractures.

Kirschner wires are disposable, temporary items.

Another example is joint surgery. Some patients after infection have a mild infection, but they need to use antibiotic carriers to debride the wound and prevent infection.

These are medical overdoses.

It can cure the disease, but it increases the burden of medical insurance or medical treatment.

Yes, for these people, it is not only the patient’s burden that is increased, but also the burden of medical insurance, because most of them use the kind that can be reimbursed 100%.

Or the one that is [-]% non-reimbursable.

The third point is to reduce drug channels.

Whether each drug can enter the hospital and be used by the department is a matter of overall planning and arrangement by the pharmacy department and the purchasing department of the hospital.

Specialized departments only have the right to make suggestions. For example, I fill out a list for the hospital, and I need to use some medicines.Then hand it over to the purchasing department of the hospital to purchase and make an order.

However, the specialized departments do not know which manufacturer of the drug that enters the hospital is. In many cases, there is only one, which is an introverted monopoly and has no other choice.

When you want to use it, you can only use this one.

Specialist doctors don't know the purchase price of the hospital, so they can only estimate the approximate medical expenses for the patient according to the hospital's price.

Pricing, not about the doctor!

The use of drugs and consumables can be chosen by doctors and patients.

When there is no choice, some doctors, in order to save time, did not explain the situation to the patients, explaining that there is no alternative cheap drug with serious side effects in the hospital, and they can look for it elsewhere.

Yes, according to particularly strict medical norms.

You may not have good medicines in your hospital, but you have to explain the situation to the patients. If you don’t have more affordable medicines, you also need to explain, and you also have to suggest where to go for further diagnosis and treatment, so that patients and their families can choose. Either tell them directly, or use this, I have no choice!

The fourth point is that the relationship is under severe pressure.

What is tight relationship? That is, some departments have some particularly strange phenomena.

For example, in the Department of Orthopedics, there are some wards where medicines are dispensed in the wards, while in some wards, medicines must be dispensed from static dispensing centers, and in the wards only temporary medicines can be used instead of long-term dispensing.

For example, the consumables available in the first orthopedic ward are not available in the second orthopedic ward.

Materials that can be entered in the third ward of orthopedics, but not in the fourth ward of orthopedics!

For example, there are some deformed small hospitals that will give hospital evaluation standards, such as certain surgeries, certain diseases, and certain medicines. After purchasing with quantity, they must be used up!

Or use 70.00%.

What standard is this?When Zhou Cheng saw it for the first time, he was shocked.

It was later learned that the reason why such things do not happen in large teaching hospitals is because there is a more free professor responsibility system in teaching hospitals.

The professor is responsible, that is, the professor is responsible for the patient and everything.

As long as your technology is good, your theory is strong enough, and your strength is solid, then you can ignore everything else, and it will naturally not exist. Some people's relatives are the drug substitutes of a certain drug, so you must only use this kind of medicine. drug.

The fifth point is package consumption.

Some medical workers have set up a lot of doctor's order packages for convenience or to save trouble, and some of these packages are actually unnecessary.

Its existence can save working time, but it is not precise enough and individualized.

The use of the package is not to buy all the packages, but to selectively check the required checks to save input time.

Sixth, outpatient management is not standardized.

Seventh point, the billing in the operating room is chaotic, the internal staff does not charge, and the drug representative or the device manufacturer prescribes the doctor's order and collects the fee. There are situations of less consumables, more price tags, more invoices and qualified marks...

Businessmen are chasing profits, if they don't find out in time, they may have thousands of dollars, just like that.

……

When Zhou Cheng saw these data for the first time, he really figured out a sentence on the Internet.

Those white coats who were beaten deserved to be beaten!

What kind of medical ethics is there?

However, after calming down, Zhou Cheng still found that such thinking was absolutely wrong.

No one is perfect, and there will be some mouse shit in all the teams.

Some people are forced by life pressure, or other temptations.

But no matter what, there are still a large number of people, even more than 90.00% of them, still upholding their original aspirations and forging ahead.

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.

Because, when they needed help the most, it was those professors who overcame all difficulties and even found a relationship with them in private in order to speed up the progress of the operation.

And do not accept gifts, do not accept red envelopes, attentively check.

There are also some people who reported to the health committee after hearing that some professors did not come to work.

Of course, there are also some people who started to report and wrote report letters after hearing about such rumors.

There are even some people who secretly take photos of the kind of photos that bring cigarettes and alcohol to the office door, but they are not delivered, to slander medical workers who are not used to it, or who have had conflicts with them.

Then the hospital's Disciplinary Committee went over, and the professor didn't smoke or drink at all, and there was no smell of cigarettes or alcohol in his home, trunk, or office...

Zhou Cheng also saw that an old professor, because of his kindness, subsidized the medical expenses of a little boy and was exposed. There were more than a dozen examples of family difficulties kneeling at the door of his house.

There is even a professor who was scolded by his family members for being unconscionable and a white-clothed butcher because he was unwilling to operate on elective patients who did not pay for the surgery...

At this moment, Zhou Cheng seemed to feel that those leaders in charge of reform seemed to have their own difficulties.

Some rules, some things, it's not that they want to become like this, and then set some weird rules, but there are some rat shit behind it.

Five days later, Zhou Cheng's work in the inspection team was finally finished.

Then, no matter whether it was the deans who had been in contact with Zhou Cheng and others, or Director Song, or the director of the Health and Health Committee, or Director Xu, they all had gloomy complexions and were not in a high mood.

Even these mines haven't been in the news yet, but.

If such a thing is found out, some people must take the blame and resign.

It's like Director Song, who Zhou Cheng thought was extremely kind, was blamed and resigned on the spot. He may have done nothing, but he didn't do supervision, so he suffered like this.

It's like the dean of the No. [-] hospital in Shanghai, who was also removed from the administrative position of the dean, and retained the title of professor and the position of deputy director of the specialty, and can still simply be a doctor.

Then, after Zhou handed over these things and went to visit Zeng Diwei, he found out.

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 500 billion meters!

Even, to put it very funny, the annual net profit of his company is equivalent to half a year's turnover of the Ninth Hospital of Shanghai!

Will he be worthy of that little money?

It can be said that the reason why Lin Fusheng regards being a doctor as his main job is entirely because he loves this profession, so he worked hard and generously, and climbed to this position step by step, and then the chairman is his part-time job!

It is impossible for Lin Fusheng to get the wronged money from the hospital if anyone, including Zeng Diwei, is involved in corruption.

It is naturally impossible for Zhou Cheng to know such a thing.

It was also because of Lin Fusheng that he felt wronged, so he asked: "Master, then Dean Lin, is it possible to return to the position of dean?"

Zhou Cheng intended to inquire about Senior Brother Nanong, but he couldn't explain directly, so he made indirect remarks first.

"I'm not sure about this. I think he will. Maybe he won't. He will be promoted to another level."

"Lin Fusheng is a very good doctor and a good dean. His academic level and professional strength are among the top in the country, but the comprehensive ranking in the department is slightly worse."

"If it's really troublesome, he can retire to take care of his life."

"But it's not a problem if you don't let him down. When something happens, someone has to stand up. Some people can't stand up, so they have to find someone who can stand up, so someone will make sacrifices for it!"

Chapter 398 He Just Made a Little Mistake!

"Come, Xiao Zhou, eat some fruit." The teacher's wife wished the teacher washed a plate of strawberries and came over. The strawberries looked big and bright red.

Zhou Cheng took one unceremoniously, and when he put it in his mouth, the juice exploded, slightly sour, with a stronger sweetness and strawberry aroma.

"Teacher's wife, this strawberry is delicious." Zhou Cheng's eyes lit up and he said the truth.

Teacher Zhu smiled and said, "The child brought it back from abroad, and the taste is not bad."

Then she said to Zeng Diwei: "Professor Zeng, it's still a new year before the first month, and Xiao Zhou didn't come to have a reunion dinner during the New Year, so you should talk less about work and call Xiao Luo and Xiao Liu." , I'll go to Zhang Luo to order."

"The Lantern Festival has to stop."

The fifteenth day of the first lunar month is Lantern Festival, but that happened two days ago, and now it is the seventeenth day of the first lunar month. At that time, Zhou Cheng was still busy being a villain.

Zeng Diwei said: "Mr. Zhu, I haven't seen Xiao Zhou for a long time, and I want to chat with him. I didn't say anything. You have worked hard to cook, and I will help you later."

Zeng Diwei stood up and hugged Teacher Zhu's waist deliberately.

On the contrary, Teacher Zhu was a little embarrassed, and spat: "Your student is still here, don't touch me."

Zhou Cheng looked at it and smiled knowingly.