Vol 2 Chapter 1431: I want to call

   Chapter 1431 I want to call
  The prosperous surgery of tea, although there are certain factors of the times. Back then, the frontier security had a good relationship with Lao Maozi, and the digital hospital shrank, and then came into being a tea surgery, but it can also be said that three generations of deans and countless surgical directors and doctors struggled.
  Otherwise, there is no good foundation. Without the vision of Huang and the wealth of Ouyang, Zhang Fan can’t do it anymore. This is a result of accumulation. Therefore, it is no effort to upgrade the surgery.
  At present, the Department of General Surgery, Orthopedics, and Burns of Tea Extract can be said to be the best in the Northwest, and it can have a place in the whole country. If Zhang Fan invites all masters and uncles to Chasu, the general surgeon at the Chasu Hospital can be the best in China.
  Of course, the uncle did not seal the knife. A short invitation is okay. If it is really dug up, it is estimated that Zhang Fan will be troubled by driving a tank.
But the internal medicine is always a little bit interesting. I don’t know if it is because the doctor’s initiative is relatively poor, or what is the reason. Zhang Fan has pointed out the systematic internal medicine, but it still doesn’t work. He always feels that he is pulling the girl into bed. She shyly said that her relatives had come, and then got out of bed and put on her shoes and ran away.
  Is enough money? Zhang Fan was puzzled.
   And this time, Zhang Fan finally understood that this Nima turned out to be not attractive enough to attract the interest of doctors.
  This is also no way. There is a saying in the medical field that I want to make money to go to internal medicine, and I want to learn technology to go to surgery.
  What does it mean? In general hospitals, the difference in the level of internal medicine from inpatient to director is actually not very large. Therefore, higher-level doctors have very little control over lower-level doctors, and the result is that the rebate is evenly divided.
  If the director eats more and takes up more, everyone is willing to report it in private, or evasive. Anyway, you don’t feel comfortable getting the money.
  So, turning my head and looking at it, it also shows that it is not easy for an internist to get ahead, just like the small transparent and infectious disease department in the hospital. If there is not a pandemic, no one will care about the infectious disease department.
  For example, Lao Zhong, before 2003, who knew what this old man did. Except for breathing, let alone outsiders, even doctors in other departments don't know what this old man does.
  Endocrinology These days, the atmosphere has changed. On weekdays, it is not about whether the donkey bag is true or not, but also how many colors of lipstick are available, and whether the stockings are more silky. Now, the old man who is a modest man is working on tea hormone endocrinology.
  In the department, a group of licking dogs, Zhang Fan was angry with Nima. The old man rounded the ward, a group of people in Wuyang Wuyang rushed to answer questions and asked their own questions. When they were rounding the ward with Nima, a group of people rushed to inform that Heibuimaijiang was coming.
  Zhang Fan is not a fool. From this look, he knows that he is not regarded as his own.
  But in this situation, Zhang Fan was so angry, he still liked to hear, and finally knew that he had improved. To be honest, many doctors in tertiary hospitals have difficulty making progress when internists reach a certain level.
  It's not that they don't work hard, but because there is no good leader to show them the way. This is why the richest large rural hospital in China digs out people, and the average doctor gives 300,000, and the reason for the academic leader to give 3 million.
  A good leader can lead a department or even the medical level of a region. This is not an exaggeration at all.
  Of course, this kind of leader is too few Nima.
  In the early morning, Zhang Fan and Ouyang went around the internal medicine department, and there was no dean for a round.
   is simply pretending to be passing by, "European Institute, you said it would be great if these old men work in our hospital for a long time!"
   "Yeah! I regret that I was in politics before!" Ouyang didn't know what he thought of, and sighed melanly.
  But the old lady is not a person who is sad for the spring and autumn when she sees the fallen leaves, she sighed, and her mood has changed. "Did they complete the various system tasks of the boss of the desert country these days?"
"The heart has been completed. According to the current heart treatment plan, the patient's cardiovascular system is not problematic. The digestion is also completed. The plan to prevent stress internal bleeding is very classic. If it weren't for the director of the gastroenterology department to show me personally The plan, I think this is a treatment plan they bought from outside."
  Zhang Fan and Ouyang talked as they walked. The treatment plan of the boss of the desert country is like the infrastructure of the country of China, first large package, then small package, and finally summarized. Each department is responsible for related system problems, and then they are put together for comprehensive treatment.
  This time, Zhang Fan was pleased not only with the changes in internal medicine, but also with the changes in pharmacy. In the early days of Huaguo, hospitals were not divided into hospitals, and they used medicines to support their doctors. There are many benefits, but with the development of the times, this does not fit the current social background.
  Originally, medical clinic and pharmacy cannot be separated, but in the later stage, the prescriptions in major hospitals are reduced to the point where they can only sell drugs, and then the director of the pharmacy department of each hospital has become a high-risk occupation.
  How the hospital’s rebates are distributed, it is estimated that laymen don’t know. This is actually the case. First of all, the pharmaceutical factory will assign many levels of pharmaceutical agents. Then, for example, level 1, level 2, and level 3.
  The ex-factory prices of the medicines obtained by these merchants are also not the same. I won’t elaborate on this because the water is too deep.
  When you arrive at the hospital, you have to bid successfully, and you have to do ideological work with the local health leaders and the hospital dean. There will be a part of the cost. And often this part of the cost is relatively high, accounting for about half of the cost of the drug after it leaves the factory.
  Because everyone is the same drug, how can you succeed in bidding, such as the simpler, Danshen injection. Almost all pharmaceutical companies across the country are making this drug. Whether it works or not, the whole country is doing it anyway.
When you enter the hospital, it is still the same medicine. Why do you let the doctor use your brand of medicine? At this time, the drug dealers have to do the ideological work of the director of the department and the doctor to let them understand their medicines. Where is it?
  Some costs will also be incurred at this time, which is about one-tenth of all costs.
  After the doctor has used the drug, you have to count which doctor actually used the drug. At this time, you need to go through the pharmacy department director to do the statistics. This is the so-called unified prescription. Under normal circumstances, a prescription costs one dollar for labor.
  It doesn’t look like many, 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 show the prescriptions and let the drug dealers count them. Think about it.
  So, in this industry, when there is an avalanche, many people will definitely be buried!
  As for scientific research, 80% of all hospital pharmacies in China are busy with prescriptions! How can there be time for scientific research. Because of the high wages of tea, they are paid according to the annual salary. Therefore, Zhang Fan is very 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 order, I dare to smash your job.
  Everyone knows that Zhang Fan usually smiles, unlike Ouyang who swears when he doesn’t agree with him, but the man who swears is soft, Zhang Fan doesn’t swear, but he has a dark heart.
   really started, so the tea pharmacy department also has some small scientific researches, but the long-term relationship with the households has caused the pharmacy department to be overwhelming.
  Not only the tea hospitals, but also the whole country. If an undergraduate graduated in pharmacy cannot enter the hospital, there are two ways, one is to become a drug dealer and the other is to change careers.
  Because of this business, if you want to do scientific research, don’t even think about it if you don’t have a Ph.D. But when people get a Ph.D., they won't go to the hospital to sell medicine. They either go to a pharmaceutical company or a scientific research institute. Whoever got his head swollen by a donkey, a doctor of pharmacy came to your hospital to sell medicine!
   Therefore, this department is often a place where hospital-related households are concentrated.
"The use of antibiotics in your orthopedics department is too irregular. Take a look. Clindamycin is enough for this. But you use cefixime. And from admission to discharge, the supervision responsibility of your clinical pharmacist has not been fulfilled. what!"
  In the pharmacy department, the old man looked at the prescriptions from various departments, and showed everyone the problem little by little, and then pointed out the direction of work for everyone.
  This time Zhang Fan has invited enough experts, which can be regarded as a sublimation for the various departments of the Chasu Hospital.
   Let many doctors understand the future or future direction, which is very important. Many hospitals are full of splendid flowers, but when they fail, it is like low tide in the sea, because there are no tall buildings on the joints.
  In a week, the old man who came to the tea was really tired and got down. One day when I open my eyes, I feel that work is coming.
  Moreover, when the treatment plan is confirmed and applied, the effect is very good.
  This kind of untargeted disease, it is really too difficult to find the corresponding medicine.
  But this time, the efforts of teasu were not in vain. First of all, the inexplicable fever of the boss of the desert country was controlled.
  After taking the medicine that day, the fever began to subside. By the early morning of the next day, after the boss of the desert country got up, he immediately felt that life was still interesting, because it was not uncomfortable, and the whole body pain subsided.
During the rounds, Zhang Fan first noticed the face of the boss of the desert country. This old man was originally white. Although he was also an Asian, he was definitely whiter than the average Asian and even more white than Zhang Fan.
  Because of the fever, he was just like Guan Erye, his face was red, and I didn’t know that he thought the old man was drinking too much, or was steamed.
  Now the old man's face has finally recovered.
   "Thank you!" The old man was very stubborn, not so grateful. But the attitude is very polite.
  
At present, only the body temperature is controlled. Other aspects are still uncertain. However, due to the side effects of the drug, we have to postpone it for a while. After you go back and rest for a week, continue to come to the tea for the next stage of treatment.

  Zhang Fan smiled and explained to the boss that he was happy that the boss was able to reduce his fever.
  After the old men took a group of doctors with tea, and kneaded the boss like white bread for a long time, they left the ward and went to the conference room to summarize the treatment results.
  When Zhang Fan was about to go out with a smile, the boss of the desert country said, "Dean Zhang, please help me contact your general manager. I want to talk to your general manager!"
   "Uh!" Zhang Fan was stunned, but didn't refuse. In fact, the first thing that popped out of his mind was not how to contact, but a question, does the general manager have a mobile phone?
  Don’t be afraid that he has no contact information. The old Wang who has not seen two barrels of oil will soon become the deputy director of the tea hospital. You don’t need to report to the hospital every day. Every time you come, you have to bring something to Zhang Fan.
  For example, good tea! For the strange food, Pharaoh has taken great pains.
  (End of this chapter)