Since 1981 Health School

  Chapter 516 prepares to start an emergency department

  When Chen Qi came back, Lan Lijuan was already busy in the kitchen with Mao Xiaolian.

  The twins were watching cartoons at this time. They had just passed their 4th birthday. According to Yuezhong's habit, they were 5 years old. They had already attended kindergarten, which was next door to Lu Xun Kindergarten.

  In Yuezhong, as long as the school has the word "Lu Xun" on it, it must be a key school, from kindergarten to high school.

  The silly elder sister and Xiaohong went to Yiwu for a business trip and were not at home.

  The Chen family bought 100 business houses in Yiwu Small Commodity Market, which belongs to a newly built market and is not very popular.

   But Chen Qi knows that Yiwu has developed into the world's largest small commodity market in the future, and shops are hard to find. Of course, I have to buy more while I can buy them now.

  Don't look at the deserted new market now, it will also become a lively market at the core in the near future. Doesn't the rent flow into Chen Qi's bank account like water?

  If it weren't for the fact that the Chen family is not a local local snake in Yiwu, Chen Qi would have surrounded the entire market.

  If he really wants to make a round, the market builder must be overjoyed, but within a few years, Chen Qi may become Yiwu's biggest public enemy.

   I didn't see that he bought 400 shops in the textile market in Keqiao Town, and now he has become the envy of many people.

  Even many ordinary people in Kuaiji County complained, thinking how can the rent of several million a year be paid to individuals?

   To put it bluntly, it is jealousy.

  Most people have forgotten the fact that when the market opened, no one cared about it, and it was the fact that Chen Qi sent charcoal in the snow to coax the entire textile city up.

  People's hearts are terrible, how many good ends will be in the "killing pig list"?

  Really because of their original sin?

  People had no money in the early stage of their business and accepted venture capital from foreign capital. Is this the original sin?

  Then your domestic capital is so insightful, why didn’t you invest in him at the beginning? Why don't you help them start a business?

  Chen Qi put down his backpack and washed his hands. The cartoon "Smart Yixiu" was playing on TV, so Dean Chen also happily got up with the twins.

   Waited until Lan Lijuan came to set the tableware, and found that the father and son were staring at the screen without moving and became angry.

   "Second Chen, how many times have I told you to stop watching TV so much that your eyes are nearsighted."

  Chen Qi stood up and patted Chen Yixin's buttocks: "Who told you to watch cartoons, do you know that your eyes are short-sighted? It's too disgraceful. I apologize to my mother."

  Chen Yixin was wronged to death: "Dad, my sister also watched it, why don't you let her apologize?"

   "Nao Nao Nao Nao, you are a man, a man wants to protect his sister, how can you let her come out and top the tank? Is your **** itchy again?"

  Lan Lijuan couldn't stand it anymore:

"Brother Chen, don't come here less often. I've watched your TV a lot. Look at you, you are still in the hospital during the day, but you are as knowledgeable as a child when you come back. You are really promising. Hurry up and prepare meals. You really think you are still big when you go home." Dean."

  Chen Qi and his daughter both shook their heads.

  Chen Yiyi said softly: "Dad, you are so useless, you can't even control your wife."

  Chen Qi curled his lips: "Dad can at least take care of your mother when he is at work, but you are oppressed 24 hours a day. How dare you blame me? Hmph!"

"snort!"

  The boat of friendship between the father and daughter turned over as soon as it capsized.

  During dinner, Lan Lijuan asked about what happened in the hospital during the day.

   "Hey, after today's personnel changes, you directly kicked Lao Wu away. What are you going to do next? Which three fires are you going to burn when the new official is promoted?"

  Chen Qi took a mouthful of rice and said vaguely:

"Even if I let it go too far today, but the People's Hospital is too big, with more than 1,200 employees in the hospital. If I really want to comprehensively reform and touch the interests of too many people, do you think I will have a good life? I'm afraid Report letters are flying all over the sky.

There are also several directors of clinical departments, some are willing to listen to me, and some are not willing to listen to me. It is more difficult to make them make some changes than to kill them. In fact, their knowledge cannot keep up with the times. All are in Russian, so what if you don’t understand English?

But when I first came here, I replaced all the senior directors with a group of young and middle-aged doctors who are willing to learn new knowledge and understand English. This is too radical, and the superiors will not agree. After all, it is stable. To be the first.

So my idea, I don’t touch the interests of these old directors, I will try a few departments first, for example, your 6th Department of Internal Medicine is one of the departments I plan to pilot, and I plan to let your Department of Gastroenterology be the first to carry out laparoscopic surgery in China .

When the departments I piloted become a hit, the patients are full, the business grows, and the income of doctors is several times that of doctors in other departments, I don’t believe it. Seeing other people with a lot of bonuses, eating hot and spicy food, Can people from other departments sit still?

  Either the old director asked to move, or was forced to move by the little doctors and nurses below. In short, let them move, so that a good atmosphere for learning new technologies and creating business growth points can be formed in the whole hospital.

  At this point, my reform has been successful, the tasks assigned to me by my superiors can be completed, and the People’s Hospital can stand out among domestic hospitals at the municipal level, and even surpass provincial hospitals. "

  When Lan Lijuan heard that she was going to turn her gastroenterology department into a pilot department, she suddenly became interested.

   Others don't know, how can she not know the magic of her husband?

   "What do you mean by endoscopic and minimally invasive diseases in gastroenterology?"

  In the 1980s, endoscopic treatment, or minimally invasive surgery, had not been carried out in China. Even internationally, this was a new thing, and only a few top hospitals were carrying it out.

   Endoscopy, our old rival Japan was far ahead, they used endoscopic polypectomy in 1974 to treat EGC (early gastric cancer) with peduncle or yati

  By 1984, Japan invented another EMR technique called "bulk mucosa". This method uses a dual-channel endoscope, which is technically simpler and can ensure the integrity of the resected specimen.

   Subsequently, in 1988, another endoscopic resection technique (ERHSE) was invented in which osmotic adrenaline saline was injected locally with the endoscopic injection needle of the specimen, which could achieve more complete resection of more lesions.

  The key point is that the premise of a series of endoscopic operations invented by the Japanese is that they invented various advanced endoscopic instruments, including gastroscopes and various enteroscopes, including duodenoscopes, small enteroscopes, colonoscopes and so on.

  This needs to be built on a series of high-tech and industrial foundations, such as imaging technology, guidance technology, lighting technology, integrated portable design, craft materials, etc.

  But even the Japanese at this time did not expect that endoscopic technology would gradually become one of the mainstream medicines.

  Minimally invasive surgery is increasingly accepted and welcomed by professional doctors.

   Among them, with the rapid development of medical science, digestive endoscopy has been widely used in the treatment of gastrointestinal diseases, and some diseases that originally required laparotomy were gradually replaced by endoscopic minimally invasive treatment.

  Because of its small trauma, quick recovery, short hospital stay, good patient tolerance, and low cost, it has become more and more accepted by patients.

  Faced with his wife's question, Chen Qi only gave a general introduction and didn't dare to say too much.

  Because endoscopic treatment and minimally invasive surgery were just beginning in 1988, most minimally invasive procedures had not been invented, and many minimally invasive instruments had not been manufactured.

  He can talk nonsense and brag in front of others, but he knows how smart the person next to him is. Lan Lijuan's IQ is definitely higher than his.

  So some things cannot be said in detail, but only in general.

  Before going to bed, Lan Lijuan thought for a while: "Husband, are you going to reform our gastroenterology department immediately? How can I cooperate with you?"

  Chen Qi shook his head while wiping his feet:

"It's not right away, but it's ready to implement. Now you don't have enough endoscopy machines in the Department of Gastroenterology. I have to help you find a way to import some. The second-hand goods from Mayo are not enough. But in the immediate future, I plan to set up an emergency department. "

"Emergency Department?"

   "That's right, you still have to go to the emergency department to get the money quickly. You can't make achievements in the gastroenterology department in a short period of time."

   Lan Lijuan was confused again for a moment, because the emergency department is a new thing, and she also didn't fully understand it.

  Those who didn’t understand were Guo Yuanhang and Guo Dashuji.

  The next day, in the office, Comrade Guo was a little strange: "Chen Qi, why did you think of setting up an emergency department?"

  In 1988, there was no emergency department in Etchu City.

  In fact, the first emergency department in Huaguo was not opened until 1983, 5 years ago, in Union Hospital.

  Therefore, there was no 120 in the past. People fell ill in the middle of the night. Generally, they carried it if they could.

   But what if there is no emergency department in the hospital?

   It is necessary for the guard or security to notify the doctor on duty in the inpatient department. For example, when the doctor on duty in surgery goes out for rescue, the patients in the department cannot be controlled, and accidents often occur.

  Back when Chen Qi was an intern, he dared to take the lead in performing surgery, that is, when the emergency doctors were all out to rescue him, he became a monkey and became a king.

  But such a model has a lot of disadvantages, the biggest disadvantage is "untimely response."

  The guards of the hospital are also very bad these days, because the guards are also hospital employees, maybe they are old workers who are taken care of, and they are more likely to be old red jacks who have gone south. It is not uncommon for the salary to be higher than that of the director.

  So the door guard is a standard seventh-rank official in front of the prime minister's gate, with a big air.

  When your emergency patient is sent to the hospital door by his family sweating profusely, the old doorman may still be sleeping.

  You knocked on the window for a long time before they woke up slowly, swearing and swearing to get up, and then procrastinated to get dressed, and then helped you shake the phone to find a doctor. This delay took a lot of time.

  Sometimes the intercom call can't be reached, because the operator on duty may be off duty, or go to the toilet.

  Your doorman walks slowly to the department to find a doctor. This time, there is no half an hour when you can’t get off at all. Then you see a doctor, and then send it to the operating room. It took more than half an hour to get down.

  More than half an hour is often fatal for emergency patients,

  For example, a stroke patient may not be able to drag it on for 5 minutes. When your doctor arrives, everyone will be completely cold.

   Another example is those patients with massive bleeding. The arteries here are whizzing and bleeding, and the doctors on the other side can't find anyone, and they just watch them die.

   Fortunately, it was in the 1980s. If it were in 2023, if the patient died at the entrance of the hospital due to untimely rescue, the family members would have to demolish your hospital, and then call the media to **** your ancestors for eighteen generations.

  Of course, hospitals generally do not build "emergency departments" these days mainly due to limited conditions.

  One is that there are not enough medical staff.

  Hospitals are all self-managed and responsible for their own profits and losses. How can they dare to recruit more doctors and nurses? The poor establishment was all taken up by the back door goods of the administrative department.

  The second is that the level is not good.

  Emergency doctors need to make the most prepared condition judgment and give the most correct treatment measures in the shortest time, which is a test of a doctor's emergency response ability and clinical level.

  Many emergency patients come in comatose, and your doctor can’t ask a doctor if you want to, so you have to rely on the doctor’s experience to determine the cause of the disease. Ordinary doctors can’t do it at all.

  Don't look at the emergency doctors of later generations who are always beaten and scolded, in fact, they have paid a lot.

   "Emergency Medicine" is a specialized discipline, without certain training, it is very difficult for a doctor in the 1980s to be an excellent emergency doctor.

   Finally, there is a third problem that is not enough equipment.

  There are too few auxiliary examination equipment and too few rescue drugs, both of which greatly restrict the establishment of the emergency department.

  Of course, the most important problem is that the leaders don't pay much attention to the emergency department. To put it bluntly, they don't pay attention to the lives and health of ordinary people.

  Chen Qi personally made a cup of tea for Comrade Guo, and explained:

"You old leaders don't pay much attention to the emergency department. This is actually a big mistake. First, the emergency department can truly serve the people, and how many lives can be saved? It is impossible for ordinary people to only choose the doctor's working hours during the day to get sick. Bar?

  There is another one. The emergency department not only rescues critically ill patients, but the emergency department can also be a night clinic. Think about it, everyone has to go to work and school during the day, so there is no time to come to the hospital to see a doctor. The night was finally free, and the hospital was closed again.

  Now the people’s hospital, No. 2 Hospital, Yuedong District Hospital, Women’s and Children’s Hospital, etc., among the large hospitals in Yuezhong City, don’t open emergency departments at night.

  And think about it, Shu Ji, the patient came once in the evening, which is called the first visit, and many illnesses are not healed at one time, so a follow-up visit is required. How much can our business improve this time around? Fully drive the outpatient and inpatient departments. "

   Following Chen Qi's explanation, Comrade Guo's eyes became higher and higher, and he nodded repeatedly.

   But he immediately had his own worries.

"However, you are talking about the premise that the patients are full, what if there are no patients at night? Or just a few patients who need to be rescued, isn't that just a joy? How much manpower and material resources do we have to spend in vain? This business Wouldn't it be worse?"

  Chen Qi thought to himself that you, the old man, have never seen the spectacular scene of the emergency department in later generations.

   Sorry for posting late today, I forgot, Khan.

  (end of this chapter)