Chapter 1431

The prosperity of tea surgery, although there are certain factors of the times. In those years, the border security had a good relationship with Lao maozi, and the digital hospital shrank. Then the tea element surgery came into being, but it can also be said that it was the struggle of three generations of presidents and countless surgical directors and doctors.

Otherwise, there is no good foundation, no old Huang's vision and Ouyang's family background. Zhang fan can't even be a cow. This is accumulated. So it doesn't take much effort to improve surgery.

At present, the general surgery, orthopedics and burns of tea have been the best departments in Northwest China, and can have a place in the whole country. If Zhang Fan invited all his teachers and uncles to the tea vegetable hospital, ordinary foreigners in the tea vegetable hospital could hold a bull's ear in China.

Of course, martial uncle didn't seal the knife. A short invitation is OK. If you really dig it, the general logistics officer may have to drive a tank to find Zhang fan trouble.

But internal medicine is always a little different. I don't know whether the doctor's initiative is relatively poor or why. Zhang Fan points out the systematic internal medicine, but he still can't. He always feels that he has pulled his sister to bed. The sister says with a shy face that her relatives are coming, and then gets out of bed, puts on her shoes and runs away.

Enough money? Zhang Fan wondered.

This time, Zhang Fan finally understood that NIMA was not attractive enough to attract the interest of doctors.

This is also a matter of no choice. There is a saying in the medical industry that you want to make money to go to internal medicine and learn technology to go to surgery.

What do you mean? The level gap between inpatients and directors of internal medicine in general hospitals is not very large, so the superior doctors have little control over the subordinate doctors, and the result is that the rebate is divided equally.

If the director eats more and occupies more, everyone is willing to report in private and prevaricate the patient. Anyway, you can't get the money comfortably.

Therefore, turning around, it also shows that it is not easy for physicians to get ahead, just like the small transparent and infection department in the hospital. Without a major epidemic of infectious diseases, the infection department will never be cared for.

For example, Lao Zhong, who knows what the old man did before 2003. Except for those in the breathing, let alone those outside the line, even the doctors in other departments don't know what the old man is doing.

Endocrine these days, the atmosphere is different. On weekdays, we either discuss whether the donkey bag is true or false, or how many kinds of lipstick colors there are, and whether silk stockings are more silky. Now, when the average old man is on duty in tea hormone endocrinology.

In the Department, a group of licking dogs, Zhang Fan saw that NIMA was angry and hurt internally. During the old man's ward round, a group of people scrambled to answer questions and ask their own questions. When NIMA's ward round, a group of people scrambled to inform heimaijiang that he had come.

Zhang Fan is not a fool. You can see that people don't treat him as their own.

However, in this case, Zhang Fan is still fond of returning to Qi, and finally knows that he has made progress. To tell the truth, many doctors and physicians in class III hospitals will be unable to make any progress when they 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 rural hospitals in China give 300000 to ordinary doctors and 3 million to discipline leaders.

It is no exaggeration that a good leader can bring up the medical level of a department or even a region.

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 ward round. After all, several old people were there, and your ward round was a little big.

Simply pretending to pass by, "Ouyuan, you said it would be nice if these old men worked in our hospital for a long time!"

"Yes! I regret my previous politics now!" Ouyang did not know what he thought and sighed sadly.

However, the old lady is not a person who laments the spring and autumn when she sees the fallen leaves. She sighed and estimated that her mood would change again. "Have they finished all the system tasks of the boss of the desert country these days?"

"The intracardiac treatment has been completed. According to the current intracardiac treatment scheme, the patient has no problem with the cardiovascular system. The digestion has also been completed. The scheme to prevent stress internal bleeding is very classic. If the director of the digestive department hadn't personally shown me the scheme, I think it was the treatment scheme they bought from outside."

Zhang Fan and Ouyang talked while walking. The treatment plan of the boss of desert country is like the infrastructure of China, first big package, then small package, and finally summarized. Each department is responsible for the problems of relevant systems, and then summarized together for comprehensive treatment.

This time, Zhang Fan is gratified not only by the changes in internal medicine, but also the changes in pharmacy. Hospitals, in China's early years, were hospitals that used drugs 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, medical clinic and pharmacy cannot be separated, but in the later stage, the prescriptions of major hospitals are reduced to the point of only selling drugs, and then NIMA, the director of Pharmacy Department of each hospital, has become a high-risk occupation.

It is estimated that laymen don't know how to distribute the kickbacks in the hospital. This is actually the case. First of all, pharmaceutical companies will have many levels of pharmaceutical agents. Then, for example, level 1, level 2, level 3.

The ex factory prices of drugs obtained by these businessmen are also different. I won't elaborate on this. The water is too deep.

When you get to the hospital, you have to bid successfully, which requires ideological work with the local leaders in charge of health and the president of the hospital, and 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 after the drug leaves the factory.

Because everyone is the same drug, why can you bid successfully? For example, Danshen injection, which is a little simple, almost all pharmaceutical enterprises in all provinces are making this drug. Whether it has effect or not, the whole country is doing it anyway.

After entering the hospital, they are the same drugs. Why should you let the doctor use your brand of drugs? At this time, drug dealers should do the ideological work of department directors and doctors to let them understand where their drugs are good!

There will also be some costs at this time, which is about one tenth of all costs.

After the doctor uses the drug, you have to make statistics on which doctor uses the drug. At this time, you have to make statistics through the director of the pharmacy department. This is the so-called unified prescription. Generally, a prescription costs one yuan.

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 take out the prescriptions and let the drug dealers make their own statistics. There are thousands of a drug. Think about it.

Therefore, in this industry, many people will be buried in the avalanche!

As for scientific research, ninima is busy unifying prescriptions in 80 to 90% of hospital pharmacies in China! There is no time for scientific research. Tea vegetarians are paid according to their annual salary because of their high salary. Therefore, Zhang Fan is particularly strict in this regard.

I can't control the drug dealers outside, but I can manage the people in the hospital. If you dare to unify the prescription, I dare to ruin your job.

As we all know, Zhang Fan usually laughs. It's not like Ouyang swears when he doesn't say a word, but the swearing people are soft. Zhang Fan doesn't swear, but his heart is black.

It's true, so there are some small scientific research in the pharmacy of tea element, but it has a long-term relationship, which leads to the lack of support in the pharmacy.

Not only the tea vegetable hospital, but also Manchuria. If a pharmacy graduate can't get into the hospital, there are two ways, one is to be a drug dealer and the other is to change careers.

Because in this profession, if you want to do scientific research, don't even think about it until you have a doctor. But when people get to the doctor, they won't go to the hospital to sell drugs. They either go to the pharmaceutical enterprise or the scientific research institute. Whose head was kicked and swollen by a donkey. He came to your hospital to sell medicine after graduation!

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

"The antibiotics used in your orthopedics department are too nonstandard. Look, clindamycin can be used for this, but you use cefaclor. Moreover, you use cefaclor from admission to discharge. The supervision responsibility of your clinical pharmacist has not been implemented!"

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 work direction for everyone.

Zhang Fan invited enough experts this time, which can be regarded as a sublimation for all departments of tea vegetable hospital.

It is very important for many doctors to understand the future or future direction. Many hospitals have splendid flowers, but when they fail, they are like the ebb tide of the sea, because they do not have a strategically advantageous position at the joint node.

In a week's time, the old man who came to tea vegetable was really getting tired and lying down. One day, when you open your eyes, you feel that work is coming.

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

It's really difficult to find a corresponding drug for this kind of non targeted disease.

But this time, tea vegetable's efforts were not in vain. First, the inexplicable fever of the boss of the desert country was controlled.

After taking the medicine that day, the fever began to subside. In the early morning of the next day, the boss of the desert country immediately felt that life was still interesting, because he was not uncomfortable, and the pain all over subsided.

During the ward round, Zhang Fan first noticed the face of the boss of the desert country. The old man was white. Although he was also Asian, he was definitely whiter than ordinary Asians, and even whiter than Zhang Fan. I don't know how much.

But because of his fever, he was as red as Guan Erye. He didn't know that the old man drank too much or was steamed.

Now the old man's face finally recovered.

"Thank you!" the old man was very reserved, not to the point of gratitude. But his attitude was very polite.

"At present, it's just that the body temperature is under control. In other aspects, we can't be sure. However, due to the side effects of drugs, we need to suspend it for a period of time. After you go back and rest for a week, you can continue to come to tea for the next stage of treatment."

Zhang Fan explained to the boss with a smile that he was also happy that the boss could reduce his fever.

When the old men took a group of doctors with tea and rubbed the boss like white bread for half a day, they withdrew from the ward and went to the conference room to summarize the treatment results.

When Zhang Fan also smiled and wanted to go out, the boss of desert country said, "president Zhang, please help me contact your general manager. I want to talk to your general manager!"

"Er!" Zhang Fan was stunned, but he didn't refuse. In fact, what popped out of his mind for the first time was not how to contact, but thought of a question. Does the general manager have a mobile phone?

He didn't have contact information. Don't be afraid. Lao Wang, who didn't see two barrels of oil, is about to become the deputy director of the hospital office of the tea vegetable hospital. He doesn't report to the hospital every day. He has to bring something to Zhang Fan every time he comes.

Such as good tea! Strange food, Lao Wang took great pains.