Seven Hundred and Sixtieth IX I Want to Call

The surgery of tea is prosperous, although there are certain factors of the times. At that time, the relationship between the frontier security and Lao Maozi was good, and the number of hospitals shrank, and then came into being the Chasu Surgery, but it can also be said that it was the struggle of three generations of deans and countless surgical directors and doctors.

Otherwise, without a good foundation, without Lao Huang's vision back then and Ouyang Zhi's family background, Zhang Fan would not be able to do well even if he was good. Therefore, it takes no effort at all to improve surgery.

At present, Tea Su's general surgery, orthopedics, and burns can be said to be the best departments in Northwest China, and they have a place in the whole country. If Zhang Fan invites all masters and uncles to Chasu, the general surgery department of Chasu Hospital can be the leader in China.

Of course, the uncle didn't seal the sword, so a brief invitation is fine. If he really digs him out, the general manager will probably drive a tank to trouble Zhang Fan.

But internal medicine is still a bit lacking. I don’t know if it’s because the doctor’s initiative is relatively poor, or what is the reason. Zhang Fan has pointed out systematic internal medicine, but it still doesn’t work. She shyly said that a relative had come, then got out of bed, put on her shoes and ran away.

Is the money enough? Zhang Fan was puzzled.

But this time, Zhang Fan finally understood that it was because he was not attractive enough to arouse the interest of the doctors.

This is something that can’t be helped. There is a saying in the medical field that if you want to make money, you can go to internal medicine, and if you want to learn technology, you can go to surgery.

What do you mean, the internal medicine department of ordinary hospitals, from inpatients to directors, the level gap is not particularly large, so the superior doctors have little control over the subordinate doctors, and the result is that the kickbacks are divided equally.

If the director eats more and takes more money, everyone will be willing on the surface, and those who report in private, and those who evade the sick, anyway, you can't get the money comfortably.

So, looking back, it also shows that it is not easy for physicians to stand out, just like the little transparent and infectious diseases department in the hospital. Unless there is a major epidemic, the Department of Infectious Diseases will never be cared about.

For example, Lao Zhong, before 2003, who knew what this old man was doing. Except for people who are in the respiratory department, let alone people who are not in the field, even doctors in other departments don't know what this old man does.

In the past few days, the atmosphere of endocrinology has changed. We usually discuss whether the donkey bag is real or not, or how many colors of lipstick there are, and whether silk stockings are silkier. Now, when the middle-of-the-road old man is working on tea hormone endocrine.

In the department, a group of licking dogs, Zhang Fan was so angry that he felt internally injured. During the old man's ward rounds, a motley group of people scrambled to answer questions and ask their own questions. When I was doing my ward rounds, a group of people scrambled to inform that Heimaimaijiang was coming.

Zhang Fan is not a fool,

Just by looking at it, he knew that they didn't treat him as one of their own.

However, in this case, Zhang Fan's anger is still happy, and he finally knows that he has made progress. To be honest, many doctors and physicians in tertiary hospitals will struggle to make progress after they reach a certain level.

It's not that they don't work hard, but because there are no good leaders to guide them. This is the reason why the richest large rural hospital in Huaguo poachs people, the average doctor pays 300,000 yuan, and the academic leader pays 3 million yuan.

It is not an exaggeration that a good leader can lead a department or even a region's medical level.

Of course, there are too few such leaders.

In the early morning, Zhang Fan and Ouyang walked around the internal medicine department, and there was no dean's ward rounds. After all, there are several old men around, so your dean's ward rounds are a bit big.

He simply pretended to be passing by, "Ouyuan, you said it would be great if these old men worked in our hospital for a long time!"

"Yes! I now regret that I used to be in politics!" Ouyang didn't know what he thought of, and sighed melancholy.

But the old lady is not someone who feels sad when she sees fallen leaves, she sighed, and her mood probably turned around. "Have they completed all the system tasks of the boss of the desert country in the past few days?"

"The heart has been completed. According to the current heart treatment plan, the patient's cardiovascular system is not a big problem. The digestion has also been completed. The plan to prevent stress internal bleeding is very classic. If the director of the gastroenterology department showed it to me personally I think this is a treatment plan they bought from outside."

Zhang Fan and Ouyang chatted while walking. The treatment plan of the boss of the desert country is like the infrastructure of the Hua country. First, the large package, then the small package, and finally the summary. Each department is responsible for the problems of the relevant systems, and then they are summarized together for comprehensive treatment.

What pleased Zhang Fan this time was not only the changes in the internal medicine department, but also the changes in the pharmacy department. Hospitals, in the early years of Huaguo, they were hospitals regardless of family, and used medicine to support doctors. There are many benefits, but with the development of the times, this is not in line with the current social background.

Originally, clinical medicine and pharmacy were inseparable, but in the later stages of development, the prescriptions of major hospitals were reduced to the point where they could only sell medicines, and then the director of the pharmacy department of each hospital became a high-risk occupation.

How the hospital's rebates are allocated is probably unknown to laymen. This is actually the case here. First of all, the pharmaceutical factory will have many levels of pharmaceutical agents. Then, for example, level one, level two, level three.

The ex-factory prices of the medicines these merchants get are also different, so I won’t go into details about this, because the water is too deep.

When it comes to the hospital, you have to win the bid, and you have to do ideological work with the local leaders in charge of health and the director of the hospital, and there will be part of the cost. Moreover, the cost of this part is often relatively high, accounting for about half of the cost of the drug after it leaves the factory.

Because everyone is using the same drug, how can you win the bid? For example, the simple one, Danshen injection, almost all the pharmaceutical companies in all provinces of the country are making this drug, regardless of whether it is effective or not, anyway, the whole country is doing it.

Into the hospital, or that sentence, are the same drugs, why do you let the doctor use your brand of drugs, at this time, drug dealers have to do the ideological work of the department director and doctors, let them understand their drugs Where is it?

At this time, there will also be some costs, which are about one-tenth of all costs.

After the doctor has used the drug, you still need to count which doctor used the drug. At this time, you have to go through the director of the pharmacy department to make the statistics. This is the so-called unified party. Under normal circumstances, the labor fee is one yuan per prescription.

It doesn't look like much, but if there are thousands of prescriptions a month, the director of the pharmacy department doesn't have to do anything. In fact, the statistics will just take out the prescriptions and let the drug dealers count them. There are thousands of prescriptions for one kind of medicine. Just think about it.

Therefore, in this industry, when an avalanche occurs, many people will definitely be buried to death!

As for scientific research, 80 to 90% of the hospital pharmacies in Huaguo are busy with prescriptions! No time for research. Because of the high salary of Chasu, they are paid according to the annual salary, so Zhang Fan is particularly strict in this regard.

I can't control the drug dealers outside, but I can control the people in the hospital. If you dare to rule, I will smash your job.

Everyone knows that Zhang Fan usually laughs and laughs, unlike Ouyang who scolds people when he disagrees, but the scolders are soft-hearted. Zhang Fan doesn't scold, but has a dark heart.

Really started, so there are some small scientific research in the department of tea pharmacy, but the long-term relationship has caused the department of pharmacy to lose its mainstay.

Not only the Chasu Hospital, but Manhuaguo is also similar. If a pharmacy undergraduate cannot enter the hospital, there are two paths, one is to become a drug dealer, and the other is to change careers.

Because of this line of work, if you want to do scientific research, if you don't get a doctorate, don't even think about it. But when someone gets a Ph.D., he won't go to the hospital to sell medicine. He either goes to a pharmaceutical company or goes to a scientific research institute. Whose head is swollen from being kicked by a donkey, graduated with a doctorate in pharmacy and came to your hospital to sell medicine!

Therefore, this department is often a place where the hospital's related households are concentrated.

"The use of antibiotics in your orthopedic department is too irregular. Look, you can use clindamycin for this, but you use cefixime, and from admission to discharge, your clinical pharmacist's supervision responsibility has not been fulfilled. what!"

In the pharmacy department, the old man looked at the prescriptions from various departments, found problems for everyone bit by bit, and then pointed out the direction of work for everyone.

Zhang Fan invited enough experts this time, which can be regarded as a sublimation for the various departments of Chasu Hospital.

It is very important for many doctors to understand the future or future direction. In many hospitals, the brilliant flowers are like a brocade, but when they lose, it is like the ebb tide of the sea, because there is no strategic plan in the joint nodes.

In a week, the old man who came to Cha Su was really exhausted. From the moment I open my eyes one day, I feel that work is coming.

Moreover, when the treatment plan is determined and applied, the effect is very good.

It is really too difficult to find a corresponding drug for this kind of untargeted disease.

But this time, Cha Su's efforts were not in vain. First of all, the inexplicable fever of the boss of the desert country was brought under control.

After taking the medicine that day, the fever began to subside. In the early morning of the next day, the boss of the Desert Kingdom woke up and immediately felt that life was still interesting, because it was not uncomfortable and the pain all over his body subsided.

During the ward rounds, the first thing Zhang Fan noticed was the face of the boss of Desert Country. The old man was already pale. Although he was also an Asian, he was definitely paler than ordinary Asians, and even more paler than Zhang Fan.

But because of the fever, he was just like Guan Erye, with a flushed face. Those who didn't know thought that the old man had drunk too much, or had been steamed.

Now the old man's face finally recovered.

"Thank you!" The old man was very reserved, not to the point of being grateful. But the attitude is very polite.

"At present, only the body temperature is under control. Other aspects are still uncertain, but because of the side effects of the drug, we have to suspend it for a while. After you go back and rest for a week, continue to use tea for the next stage of treatment."

Zhang Fan explained to the boss with a smile that he was also happy that the boss's fever was gone.

After the old men brought tea and a group of doctors kneaded the boss like white bread for a long time, everyone left the ward and went to the meeting room to summarize the treatment results.

When Zhang Fan was about to go out with a smile, the boss of Desert Country said, "Dean Zhang, please contact your general manager for me. I want to talk to your general manager on the phone!"

"Uh!" Zhang Fan was stunned for a moment, but he didn't refuse. In fact, the first thing that popped into his mind was not how to contact, but a question, does the general manager have a mobile phone?

Don't be afraid if he doesn't have any contact information. Lao Wang, who hasn't seen two barrels of oil, is about to become the deputy director of the hospital office of Cha Su Hospital.

Such as good tea! Rare food, Lao Wang has taken great pains.