187 Giants and turtles
I don't know that since that year, there have been a lot of teahouses in the tea market, and the decoration is atmospheric and high-grade, of course, the charges are not cheap, and a pot of the cheapest tea is not less than 80 yuan. It is said that it was picked from a tea tree on the edge of the cliff, only a few taels a year! The girl who made the tea was very good at chatting, and while slowly performing the tea ceremony, she worked hard to sell the snacks in her shop!
After working in the hospital for a few years, doctors with a little skill have a common problem, that is, they don't like to eat outside, whether it is a snack bar or a big hotel, because they have seen too many diseases caused by eating. Urologists don't eat kidneys, don't drink alcohol outside the liver and gallbladder, and don't smoke in the respiratory department!
After finally making tea, after the little girl who made tea went out, Lao Li took the tea and said: "Twenty years ago, I was the first batch of doctors to go to the island countries in the border to study, and it was also the last batch, at that time, Japan's medical treatment had a huge impact on me, and the medical environment and level of their country, everything was so advanced, everything was so high-end. ”
Zhang Fan drank tea silently, listening to the professor opposite reminiscing about the past, Zhang Fan didn't expect Professor Li to reminisce about the past for him.
"Do you know, when I first entered the Japanese operating room and saw the fully automatic operating bed, I was in that mood at that time, a wave of bitterness and bitterness poured out, and I couldn't say it! As for us, we are learning from the Soviet Union today and the United States tomorrow, and although we are also advancing, we still lose our roots compared to the people of the island countries. Whether it is our doctors or patients, almost all of them are assembly line products, with no characteristics and no pertinence!" After speaking, he stared at Zhang Fan.
"Maybe it's because we have a large population!"
"No! It's a matter of ideas and ideas. I went to the capital last month to study, and I heard that the health care reform is going to change again, and this time it is a big move for hospitals and doctors. Especially a big move for young doctors. ”
"Young doctors are not allowed to go to school. Zhang Fan asked curiously, what island country is not an island country, he doesn't care at all, it's too far~!
"It is estimated that it will take several years of vocational training before it can really enter the clinic. ”
"Twenty-four years after graduating from college, and thirty years old after three or four years of training!
"If you don't change it, you can't do it, after one of my colleagues came back, he was admitted to Japan for a doctorate, and I still have a little contact with him, you know, their general hospitals will carry out some scientific research projects. And what about us, how many projects do we really do in medical research every year?"
"Uh, I don't know. ”
"Take our hospital as an example, the state invests a lot every year, but there has been no one for almost several years, and they are all repeating some mature experiments in foreign countries or developed cities. Why, one is that scientific research is not easy, and the second is our environmental constraints. The disconnect between universities and hospitals, do you say that your hospital has a scientific research project in a year?"
"I don't know, there should be. ”
"Nonsense, absolutely not, even if there is, it is to imitate other people's mature technology, and then you repeat it again and then mix up some funds, even if the municipal party committee of Chasu City goes to build a building, it will definitely not hand over the funds to you to engage in scientific research. And you, now in the prime of life, are energetic and have ideas for everything, go to a large super hospital, internal tilting can make you unable to work with peace of mind, and this kind of county hospital will not support some of your ideas, such as the reconstruction of your hepatic portal vasculature, there is no animal laboratory, it is just an idea, now you still have ideas, have the energy to think, and after a few years, you can only be Zhang Yidao of a small hospital under the influence of the environment! This is not alarmist. After speaking, Lao Li drank the tea slowly, observing Zhang Fan with the corner of his eye.
"Is this kid a mask face, after saying so much, there is no reaction. Lao Li was also very puzzled, Zhang Fan had almost no expression.
"Oh, is it possible that large hospitals are very powerful!" Zhang Fan knows his own affairs, with a system, it must not be wasted, and medicine is originally a unified discipline, God has given the opportunity in this life, and it is really a waste to get a specialist.
"Is this the point!" Lao Li complained in his heart, but he still said: "Large hospitals, the confrontation of various ideological lines, do you know that the confrontation of ideological lines is very cruel. And you're still so young, there's no need to intervene too early. In fact, this kind of provincial hospital is the most suitable for you, you see me, I am still a medical professor at Di University, if you come, the laboratory, research funds, are really free and abundant. "Lao Li is fooling, it is estimated that there is no big problem with the use of the laboratory, and the research funds are very free and abundant, that is,!
"Oh, Professor Li, I really haven't thought about this for the time being, thank you!" Zhang Fan refused a little embarrassed.
"Hey, I can't figure it out, what's so appealing to you here!" What he didn't know was that Zhang Fan was already able to run at the county-level hospital in this area, and almost all the surgeries were monopolized by him, and such a comprehensive surgery, going to the provincial capital hospital would never have such a comprehensive operation for him to do.
"Hehe!" Zhang Fan couldn't explain for sure.
"Otherwise, about the reconstruction of your hepatic portal vasculature, I will take the lead in establishing a scientific research project, you take the time to do animal experiments at Dida, and when you have data, maybe your idea can enter the clinic, if it is successful, maybe in the future liver tumor textbooks, there will be a procedure named after you!" Lao Li retreated to the second, if he wants to take another step, it is impossible to have a tough scientific research project.
"Is this okay?" Zhang Fan asked after thinking for a while.
"Why not, you wait for my news, I'll get in touch. ”
After the conversation, Lao Li didn't have time to attend the dinner, so he flew away with two students, and the equipment dealer had a young man who followed Lao Li, which was considered to be an errand and errand.
After the operation observation meeting, Zhang Fan was really famous, he was just a little famous in a county-level hospital before, but now the urban hospital has also begun to be famous.
In the past, in the county hospital, it was a petty theft, but now it is equivalent to the official giving Zhang Fan an identity, and the city-level hospital has also begun to prepare to ask Zhang Fan to do surgery, and only the city hospital and the traditional Chinese medicine hospital in the urban area are third-class hospitals, but there are many patients, so many patients choose other medium-sized hospitals for inpatient treatment, and when they encounter a difficult operation, they invite experts from the bird city to do the operation.
Now the general surgery, a little more difficult is estimated to ask Zhang Fan first, Zhang Fan is young, not to mention that he is famous now, and there is no entanglement with the doctors in these hospitals, the cost of surgery will definitely be very cheap, after all, there is still a difference between the fees of experts at the municipal level and experts at the provincial level, and the experts of provincial hospitals will leave with money after the operation, and there is no friendship, and the same city is different, so Zhang Fan's market is getting bigger and bigger.
However, there is another top three in the urban area, the city hospital. Even if they go to invite experts from the bird market, they won't invite Zhang Fan, in the words of the director of their hospital, they don't have to show face. Anyway, the cost of hiring a specialist is shared equally by the patient, and the hospital does not matter.
The medical industry has a very special point, that is, it is particularly fond of averaging, the same level of hospitals, the annual income to the treasury is about the same, if the gap is very large, it will be considered that the president is unqualified, and the annual funds are also about the same, so the grassroots hospitals do not have a particularly big incentive to research or carry out new projects, unless the project consumables are very expensive.
A cardiovascular stent technology has spread to the entire medical community in a few years, and later developed into county-level hospitals, and also began to carry out this kind of surgery, not to mention others, a heart stent department, without a strong cardiac surgery support, do you dare to do it? patients don't understand, don't leaders understand? But because of consumables, some hospitals don't even have cardiac surgery, and the cardiac interventional department was established early.
In fact, Huaguo's medical device manufacturers are still in the embryonic stage, they are all second-class dealers, and their business methods are very rude, which directly opens the way for rights and interests, although the effect is not bad, but it is not long-lasting, and it is also in violation. The medical industry doesn't dare to talk about this topic, it's too heavy.
And foreign super medical companies are doing quite smart. First of all, the products are excellent, such as insulin and anti-cancer drugs, although you can imitate them in other countries, the effectiveness is poor, and some of them cannot even reach 40% of the efficacy of the original products.
The second is to carry out signboards under the guise of academics to gather the directors and technical leaders of the department, ordinary doctors, they are just to entertain and have a meal every year, and for these directors and technical leaders, they will organize meetings and further studies all over the country and even the world. For example, in the intervention of cardiology, in order to let the hospital carry out the purchase of their instruments, they train high-level surgical talents for the hospital for free.
In fact, the number of places for one-year further study in Zhongyong Hospital is limited, otherwise doctors from all over the country will pour in and still work normally. This kind of super hospital, a regional hospital to contact, may not be able to contact, what to do, just find this kind of international equipment agency manager, want to enter which hospital and which department is no problem, they have a way.
The third is to open a variety of study conferences, anyway, you don't use my company's drugs, you don't have drugs available, very delicate, through various meetings, invite some experts to do clinical trials, and then let these experts publish some papers, both sides are reciprocal. And this kind of company is strong at both ends, high-precision pharmaceuticals and a large number of basic pharmaceutical raw materials.
The high-precision end is monopolized by patents, and the basic raw materials will be killed by price wars, so that you have no way to live, and then the entire pharmaceutical market will be their final say!
If you get a cancer in 10 years, especially if you have a large organ, you are not a rich family, so you are waiting to die. The most effective target organ drugs, a course of treatment down to more than 100,000, ordinary people can have a few hundred thousand, in front of these giant pharmaceutical companies, they really can't look down on the profits of drug (A) products.
At present, Huaguo can't do high-precision end, research and development can't keep up, machinery and equipment can't keep up, even imitation can't be done, and it can only make some simple basic drugs. Then the pharmaceutical companies around the country are desperately fighting a price war, just like this, how many years have the pharmaceutical factories in Huaguo developed, and the income is not as high as that of a health care product company, which is really funny!
After Zhang Fan and Professor Li separated, before they arrived at Shao Hua's house, they asked the equipment manager who was responsible for arranging the venue to block the entrance of Shao Hua's community. This female manager has been authorized by the boss to let her contact her first, and then she will come to Zhang Fan in person in the near future.
"Oh, Mr. Zhang, you see, you have had a morning operation, please have a meal and you don't go, is there something we have done to make you dissatisfied! You must tell me, I will definitely change it immediately, please give me a chance, let me make amends." "This manager is not ordinary, he is responsible for the sales of the four provinces of Suzhou, Hai, West and Frontier, and her annual income is eight streets, but just like that, her posture is really low. The low ones made Zhang Fan embarrassed to refuse.
There is a saying in the pharmaceutical industry, when a doctor is so tired of you that he is no longer bored, you can talk to this doctor about cooperation! How can you be so tired that you are no longer bored, that is, no matter the wind or rain, you must let this doctor see you every day, and do not talk about anything, just a greeting.
I'm not afraid of this, the doctor will never beat people, and then it's a water grinding kung fu, a month, two months, a year, two years, finally, the doctor can't grind, when I see you, the original disgusted expression becomes like this: "You say, what are you going to do!" It's done, you can be regarded as entering the doctor's circle of friends, and then it depends on the salesman's emotional intelligence, why do you want to do this, you want to go yourself!~
This regional manager is called Yang Lu, a native of Sujiang, who has been in the medical industry for nearly ten years, and Sujiang is also a traditional medical representative of the province, although she is only in her early thirties, but when she entered the medical industry, Zhang Fan was still studying. How to speak, how to deal with this kind of technical professionals, she has mastered it perfectly.
As a woman, she can achieve such a low posture, Zhang Fan really can't speak, "Look, I'm really tired today, I'm really sorry! It's rude, it's rude." "Zhang Fan is still young after all, and he is not an opponent to deal with this kind of old demon.
Hey, Dr. Zhang, I'm really sorry, I don't even have a meal, I'm also a thick-faced woman, I want to ask you to do me a favor, here are a few medical books and a set of Bayer's special surgical instruments, this is our company to give you a high-end surgeon to try, if you have any suggestions, please be sure to tell me, after all, doctors like you, put forward opinions, it is really hard to buy, we are cheeky to dip your cheap. ”
"This really doesn't work. "When Zhang Fan had surgery today, he used this special surgical instrument, which was very handy, Zhang Fan's eyes glanced at it, but he didn't dare to ask for it!
"Oh! My good Doctor Zhang, don't worry, this is not for you, or for you to try, and we will take it back after a while, and this set of surgical instruments has not been mass-produced yet, it is just a sample! There is not even a price!" Yang Lu looked at Zhang Fan's realization, and she knew that Zhang Fan was tempted, and the doctors she contacted were not 10,000 but 5,000!
"Well, that's not good. Zhang Fan was shaken, musicians are good musical instruments, soldiers are good guns, surgeons will definitely love a special set of surgical instruments, if you want to do a good job, you must first sharpen your tools, and the ancestors have summed it up for others!
"It's really a trial, if you don't feel comfortable, you can return it to us at any time, there is also a trial registration form here, and we will have to recycle this set of instruments at that time, and Dr. Zhang must not lose it, otherwise I can only compensate! And the doctors with average skills have not given us the opportunity to give advice, after all, our products are the products of international super companies, like Professor Li likes to use our surgical instruments very much!" Yang Lu pretended to be pitiful and took out a very formal loan registration form.
Zhang Fan seems to be okay when he hears it, anyway, it is just a trial, and the form also uses a large font, which specifically indicates that it is lost or damaged after improper use, and the trialist must compensate according to the price.
This is the little trick of foreign instrument giants, this kind of surgical instruments, they don't want to take it back, and these companies are also responsible for warranty and replacement, as long as the user has maintained the surgical level, and this surgical instrument will not be produced on a large scale on the market, each set has a special number, which is a kind of academic identity in disguise!
It's very low-end but it's impossible to say, and some businessmen in Huaguo, who don't even want to use small tricks, are in their own territory, unscrupulous and rampant, and when they are caught one day, they will check one by one! The things in this are too profound, I haven't even understood it!
After Zhang Fan carefully read the registration form, he found that there was no problem, so he signed it. This set of instruments is really good, and when I operated today, I used a full set of products from their company. Don't look at the equipment in a box as big as three notebooks, but this value is really expensive, if you really want to compensate, according to Zhang Fan's current income, it is estimated that it will take a year to repay it clearly.
After Zhang Fan finished signing, Yang Lu sent the instrument to Zhang Fan's hand with a smile, and Zhang Fan weighed the weight, which was not light. "Dr. Zhang, then I won't disturb your rest, this is a small gift we give to the trialists, this gift is not for nothing, when returning the equipment, you must put forward reliable and effective suggestions!"
As he spoke, he put a small box on top of the instrument box, and walked away without looking back.
Zhang Fan wanted to return the gift to others, but what they said was good, it was an incidental thing, and Zhang Fan shook it gently, it was very light, and it was estimated that it was not worth a few dollars.
Zhang Fan returned to Shao Hua's house, the old couple was stewing chicken soup for Zhang Fan, Zhang Fan was really busy, and the consumption was very huge. The old man and the old lady spend every day to change tricks to make food for Zhang Fan, and Zhang Fan eats a lot, but he is not a little fatter, and some time ago, because he had to gnaw on the periodicals, he actually lost weight, which made the old lady feel guilty!
"Quick! Zhang Fan, look, this is a watermelon sent by the farm secretary, this is a high-tech product of the farm, it is said that it is not like the previous greenhouse watermelon, this is particularly sweet, and it is also a pollution-free farm product, once it is ripe, it will be sold abroad!" Because Zhang Fan helped a little favor, people did not forget, so in the name of visiting the old workers, he sent a lot of watermelons, watermelons in the cold winter, and there is a large basin, which is really rare.
Listening to the voice, Shao Hua came out of the study, took off the glasses he usually didn't bring, Shao Hua was a little slightly short-sighted, and said to Zhang Fan: "Wash your hands quickly, you see that you are tired, your lips are dry, is it another day without drinking water? Pulled Zhang Fan into the bathroom to wash his hands, Zhang Fan especially enjoyed this kind of nagging, this is the feeling of family.