Medical road

Chapter 191: Giants and Turtles

I don’t know that since that year, a lot of teahouses have suddenly emerged in the tea market, and the decoration is high-end. Of course, the charges are not cheap, and the cheapest tea pot is no less than 80 yuan.It is said that it was picked from a tea tree on the edge of the cliff.The girls who make tea are very good at chatting, while slowly performing tea art, while trying hard to promote their snacks!

After working in the hospital for a few years, doctors with a little bit of skill have a common problem, that is, they don't like to eat outside, no matter whether it is a snack bar or a big hotel, because they have seen too many diseases caused by eating.Doctors in the urology department do not eat kidneys, do not drink alcohol outside the liver and gallbladder, and do not smoke in the respiratory department!

After the tea was finally made, after the little girl who made the tea went out, Lao Li took the tea and said, "Twenty years ago, I was the first batch of doctors in the border island country to study, and the last batch. Medical treatment has had a huge impact on me. The medical environment and level of their country is so advanced, everything is so high-end."

Zhang Fan drank tea silently, listening to the professor opposite to recall the past, Zhang Fan did not expect Professor Li to recall the past to him.

"Did you know that when I first entered the Japanese operating room and saw a fully automatic operating table, my mood at the time was full of ups and downs, and there was no way to tell it! The island country medical care emphasizes a systemic approach. The concept of Chinese medicine really taught them the essence. One doctor can manage up to eight patients, and since the patient was admitted to the hospital, all the examinations and treatments were done by the bedside doctor himself. And we! Learn today The Soviet Union will learn from the United States tomorrow. Although we are also advancing, compared to the islanders, we still lose our roots. Our current doctors and patients are almost all assembly-line products, with no special features and no pertinence!" He stared at Zhang Fan.

"Maybe we have a large population!"

"No! It's a matter of ideas and concepts. I went to the capital to study last month and heard that the medical reform will change again, and this time it is a big move for hospitals and doctors. Especially for young doctors."

"I will never let young doctors go to school." Zhang Fan asked curiously. He doesn't care about island countries or island countries. It's too far!

"It is estimated that it will take several years of vocational training to really enter the clinic."

"Twenty-four college graduates, three or four years of training will be thirty years old! What a long time!"

"It won’t work if you don’t change it. After a colleague of mine came back, he was admitted to Japan for a doctorate. I still have some contact with him now, you know, their general hospitals will carry out some scientific research projects. And we, How many projects do you really do medical research every year?"

"Uh! I don't know this."

"Take our hospital as an example. The state invests a lot every year, but there hasn't been one that has really achieved results for almost a few years. They are repeating some mature experiments in foreign countries or developed cities. Why? One is that scientific research is not easy. , The second is our environmental constraints. Universities and hospitals are out of touch, do you say that your hospital has scientific research projects in one year?"

"I don't know, there should be one."

"Nonsense, absolutely nothing. Even if it does, it will imitate other people's mature technology, and then you will cheat some funds after repeating it again. Even if the city committee of Chasu City goes to build a building, it will never give you the funds for scientific research. As for you, you are in a time of prosperity, and you are energetic and thinking about everything. Going to a large super hospital and internal tumbling can make you unable to work at ease, and this kind of county hospital will not Support some of your ideas, such as the reconstruction of your hepatic portal vasculature. Without an animal laboratory, it is just an idea. Now you still have ideas and have the energy to think. After a few years, you will be affected by the environment. You can only be a Zhang Yidao in a small hospital! This is not alarmist." After speaking, Lao Li slowly drank his tea, watching Zhang Fan from the corner of his eye.

"Is this kid a masked face? After saying so much, there is no reaction." Old Li was also wondering, Zhang Fan had almost no expression.

"Oh, isn't it that large hospitals are very powerful!" Zhang Fan knows his own affairs. With a system, we must not waste it. Moreover, medicine is originally a unified discipline. In this life, God has given the opportunity to get a specialist. The doctor really wasted.

"Is this the point!" Old Li complained, but he still said, "Did you know that the confrontation between ideological lines in large hospitals is very cruel. Moreover, you are still so young to intervene too early. No need. In fact, this kind of provincial hospital is most suitable for you. Look at me. I am still a professor of medicine at the University of California. If you come, the laboratory and research funds are really free and abundant." Lao Li is here Flicker, the use of the laboratory is not a big problem, and the research funds are very free and abundant, that's a mess!

"Oh! Professor Li, I really haven't thought about this for the time being, thank you!" Zhang Fan refused, embarrassed.

"Hey! I can't figure it out, what is there to attract you here!" What he didn't know was that Zhang Fan could already go to the county-level hospital in this area. He had almost monopolized all surgical operations. For a comprehensive surgical operation, going to the provincial hospital will definitely not have such a comprehensive operation for him to perform.

"Haha!" Zhang Fan couldn't explain.

"Otherwise, regarding the reconstruction of your portal vasculature, I will take the lead to establish a scientific research project. You take the time to conduct animal experiments. When you have the data, maybe your idea can enter the clinic. If it succeeds, maybe in the future liver tumor textbooks, there will be a surgical procedure named after you!" Old Li retreated to the second place. If he wants to go one step further, he won't be able to do without strong scientific research projects.

"Is this all right?" Zhang Fan asked after thinking a little bit.

"Why can't you, wait for my news, I'll get in touch."

After the conversation, Lao Li didn't have time to attend the dinner. He took two students and flew away. There was a young man from the equipment dealer who followed Lao Li, who was a errand.

After the operation observation meeting, Zhang Fan was really famous. He was only a little famous in county-level hospitals before, but now urban hospitals are also beginning to be famous.

It used to be a petty theft in the county hospital, but now it is equivalent to the official giving Zhang Fan an identity. The city-level hospitals are also preparing to invite Zhang Fan for surgery. Only the city hospitals and the TCM hospitals in the urban area are Grade-A hospitals, but there are many patients. Therefore, many patients choose other medium-sized hospitals for hospitalization, and if they encounter a more difficult operation, they ask the bird city experts to perform the operation.

Now that general surgery is more difficult, I guess I’ll ask Zhang Fan first. Zhang Fan’s reputation is still young without saying that he has nothing to do with the doctors in these hospitals. The cost of surgery will definitely be very cheap. There is still a difference between the fees of experts at the provincial level and the experts at the provincial level, and the experts at the provincial level hospitals leave with money after the operation. There is no friendship, but the same city is different. Therefore, Zhang Fan’s market for acupuncture It's getting bigger and bigger.

But there is another top three in the urban area, the City Hospital of Traditional Chinese Medicine.Even experts from the Bird City would not invite Zhang Fan. In the words of the director of their hospital, there is no need to show his face.Anyway, the cost of hiring experts is shared equally by patients, and the hospital does not matter.

The medical industry has a very special point, that is, it is particularly averaging. Hospitals of the same level have similar incomes to the treasury each year. If there is a big gap, they will be regarded as unqualified and the funds issued every year are also It's almost the same, so primary hospitals don't have much motivation to research or develop new projects, unless the consumables for this project are very expensive.

A cardiovascular stent technology has spread throughout the medical industry in a few years, and later developed into county-level hospitals, and began to carry out this kind of surgery. Let alone other, a cardiac stent department without a strong cardiac surgery support, you dare to do ?If the patient doesn’t understand, doesn’t the leader also understand?However, because of the consumables, some hospitals set up the interventional cardiology department early when they did not even have a cardiac surgery department.

The medical device manufacturers in China are actually still in their infancy. They are all second-tier dealers. Their business methods are very rude. They directly open the way for rights and interests. Although the effect is not bad, it is not long-lasting, and it is also illegal.The medical industry in Nong didn't dare to talk about this topic, it was too heavy.

And foreign super medical companies are quite clever.They generally don't use money directly to open the way. First of all, the products are excellent, such as insulin and anti-cancer drugs. Although you can imitate them in other countries, they are not effective, and some do not even achieve 40% of the original product.

The second is to develop a signboard under the guise of academics to gather the directors and technical leaders of the department. General doctors just entertain a meal every year. For these directors and technical leaders, they will organize meetings across the country and even the world. Go for further education.For example, in the intervention of cardiology, in order to allow the hospital to purchase their equipment, they train high-level surgical personnel for the hospital for free.

In fact, the number of advanced studies in Zhongyong Hospital for one year is actually limited. Otherwise, doctors from all over the country will come in and they will still work normally.This kind of super hospital can be contacted by a regional hospital, but it may not be able to be contacted. What should I do? Just look for this kind of international equipment agent manager. There is no problem with which hospital and department you want to enter. They have a way.

The third is to set up various learning meetings. Anyway, you don’t use our company’s drugs, and you have no medicine available. It’s very delicate. Through various meetings, invite some experts to do clinical trials, and then let these experts go. Publish some papers, and both parties will benefit from each other.And this kind of company is powerful at both ends, high-end pharmaceuticals and a large number of basic pharmaceutical raw materials.

The high-precision end uses patent monopoly, and the basic raw materials will kill you with price wars, leaving you no way to survive, and then the entire pharmaceutical market will be their final say!

In the year ten years, I got cancer, especially cancer of the large organs. It is not a rich family, just wait for death.The most effective target organ drugs can cost hundreds of thousands for a course of treatment, and ordinary people can have a few hundreds of thousands. In the face of these giant pharmaceutical companies, they really look down on the profits of poison (a) products.

At present, Huaguo can't do high-precision, research and development can not keep up, machinery and equipment can not keep up, even imitation can not keep up, and can only make some simple basic drugs.Then the pharmaceutical factories across the country are desperately fighting price wars, and it's just like this. How many years of development of Huaguo's pharmaceutical factories, the income is not as high as that of a health care company. It's so funny!

After Zhang Fan and Professor Li were separated, before they arrived at Shao Hua's house, the equipment manager in charge of arranging the venue was blocked at the gate of Shao Hua's community.This female manager has been authorized by the boss, let her contact her first, and then she will come to find Zhang Fan herself in the near future.

"Oh! Teacher Zhang, you see, you all had surgery for the whole morning, so you don’t want to go there for a meal. Did we do it somewhere that makes you dissatisfied! You must tell me, I absolutely Please give me a chance to make up for it.” This manager is not ordinary. He is responsible for the sales in the four provinces of Su, Hai, Xi, and Frontier. The annual income is just like Zhang Fan’s Eight Streets. The posture is really low and low.The low ones made Zhang Fan embarrassed to refuse.

There is a saying in the pharmaceutical industry that when a doctor is tired of you so much, you can talk to the doctor about cooperation!How can I be so bored that I am not bored anymore? That is to let the doctor see you every day, no matter it is windy or rainy, and do not talk about anything, just a greeting. When the doctor first heard that you were a medical representative, absolutely The disgusting is no good, and you won't even have the time to talk to you.

Don’t be afraid of this, the doctor will never beat people, and then it’s water milling, one month, two months, one year, two years, and finally, the doctor can’t wear it. When I see you, the expression of disgust will become It's like this: "Go ahead, what are you going to do!" Yes, you are considered to have entered the doctor's circle of friends, and then it depends on the salesperson's emotional intelligence. Why do you want to go?~

The manager of this district is named Yang Lu, a native of Sujiang, who has been in the medical industry for more than ten years, and Sujiang is also a traditional medicine representative province. Although she is only in her early thirties, she has entered the medical industry. Zhang Fan was still studying when he was running around.How to speak, how to deal with this kind of technical professionals, she has mastered the skill.

As a woman, Zhang Fan really can't speak with such a low posture. "Look, this is really tired today. I'm really sorry! It's rude and rude." Zhang Fan is still young after all. Dealing with this kind of old monster is not even an opponent.

"It’s because we didn’t think about it well, really! Hey, Dr. Zhang, I’m really sorry that you didn’t even eat your meal. I am also a thick-faced woman. I would like to ask you to help. Here are a few Medical information books and a set of Bayer’s special surgical instruments are tried by our company for such a high-end surgeon. If you have any suggestions, please tell me. After all, the opinions of doctors like you are really It's hard to buy a daughter, and we can be considered cheeky and take advantage of you."

"This really doesn't work." When Zhang Fan performed the operation today, he was using this special surgical instrument. It was so handy. Zhang Fan glanced at it, but didn't dare to ask for it!

"Ouch! My good Doctor Zhang, don’t worry, this is either for you or for you to try. We will take it back after a while, and this set of surgical instruments has not yet been mass-produced. It's just a sample! Not even a price!" When Yang Lu saw Zhang Fan's realization, she knew that Zhang Fan was tempted. The doctors she had contacted were not 10,000 or 5,000!

"This is not so good." Zhang Fan shook. Musicians are good instruments and soldiers are good guns. Surgeons will definitely love a set of special surgical instruments that are easy to handle. The ancestors must first sharpen their tools if they want to do well. Let me summarize it!

"It's really a trial. If you think it's not easy, you can return it to us at any time. There is also a trial registration form here. We will have to take back this set of equipment at that time, and Dr. Zhang must not lose it, or I can only make compensation. And doctors with ordinary skills did not give us the opportunity to comment. After all, our products are products of international super companies. Professor Li likes to use our surgical instruments very much!" Yang Lu pretended to be pitiful. , Took out a very formal registration form for borrowing.

Zhang Fan sounded like it would work, anyway, it's just a trial. The form is also in large fonts, specifically indicating that it is lost or damaged due to improper use. The trial user must compensate at the price.

This is the trick of the foreign equipment giants. They don’t want to take back the surgical instruments after they are released. Moreover, these companies are also responsible for the warranty and replacement, as long as the user maintains the surgical standard and the surgical instruments will not be mass-produced. On the market, each set has a special number, which is an academic identity in disguise!

It’s very low-end, but it’s hard to tell. And some businessmen in China, who are unwilling to use small tricks, are in their own turf, doing all kinds of unscrupulous rampages, and when they are caught one day, they will be checked. !The stuff in this is too deep, I still don't understand it!

After Zhang Fan read the registration form carefully, he found that there was nothing wrong with it, so he signed it.This set of equipment is really good. Today, I used their company's full set of products during the operation.Don't look at the equipment in a box as big as three notebooks, but the value is really high. If you really want to compensate, based on Zhang Fan's current income, it is estimated that it will take a year to repay it.

After Zhang Fan signed, Yang Lu smiled and delivered the equipment to Zhang Fan's hands. Zhang Fan weighed the weight, and it was not light."Doctor Zhang, then I won't bother you to rest. This is a small gift we gave to the trial users. This gift is not for nothing. When returning the equipment, we must make reliable and effective suggestions!"

After speaking, he put a small box on top of the instrument box, and then left without looking back.

Zhang Fan wanted to return the gift to others, but they said it was an incidental thing, and Zhang Fan shook it gently. It was very light and probably not worth a lot of money.

When Zhang Fan returned to Shao Hua's house, the old couple was making chicken soup for Zhang Fan. Zhang Fan was really too busy and consumed a lot of money.Old man and old lady, every day, every day, she changed her mind to make delicious food for Zhang Fan. Zhang Fan also ate a lot, but she didn’t get any fat. And some time ago, she lost weight because she had to gnaw periodicals, making the old lady feel guilty. broken!

"Quick! Zhang Fan, look, this is the watermelon sent by the farm secretary. This is considered a high-tech farm product. It is said that it is not like the previous greenhouse watermelon. This is particularly sweet and pollution-free. It is sold once it is mature. I went abroad!" Because Zhang Fan did a small favor, they didn't forget it, so they called on the old staff and sent many watermelons, cold winter watermelons, and big washbasins, which is really rare.

Listening to the voice, Shao Hua came out of the study. He took off the glasses he didn’t usually wear. Shao Hua was slightly short-sighted and said to Zhang Fan, “Wash your hands. You see you are tired and your lips are dry, right? It's been another day without drinking water! You really can't do that." Pulling Zhang Fan into the bathroom to wash his hands, Zhang Fan especially enjoyed this nagging, just like a family.