Chu Tianyu has a lot of understanding of the hospital and general surgery from Quan Ruolan, first of all, the situation of Dongyuan County Hospital, as a county-level second-class public hospital, the hardware of the hospital is still quite good, the outpatient hall and inpatient ward were built the year before last, and the hospital purchased a series of advanced medical equipment, I dare not say that it is comparable to the Affiliated Hospital of Jinghai Medical University, but in terms of these medical equipment, the hardware of the county hospital is not lost to Jinghai People's Hospital.

Good equipment is there, but Dongyuan County Hospital has a big problem, that is, a serious lack of doctors, in fact, in the past few years Dongyuan County Hospital is not short of doctors, but in recent years the loss of doctors is quite serious, first of all, although it is a county-level hospital, but there are still a lot of doctors with good experience and technology, the reason why there are these doctors who have good experience and technology is also proud of the hospital's willingness to invest a lot of money for the staff in the hospital to contact the major hospitals in Beijing, so that doctors can go to the big hospitals for further study, learn * The technology and experience of good doctors in the hospital, and then introduce some technologies that can be introduced back to the hospital, reaching a virtuous circle.

However, in the past two years, private hospitals have vigorously entered the northern cities, and the big cities in the north have said that it is good, just say that there are four or five private hospitals in a small Dongyuan County, and even one of them is not lost to the county hospital in terms of scale, these private hospitals are not short of funds, nor lack of equipment, but lack of talents, so they began to dig experienced and skilled doctors in county hospitals with high salaries.

If this is just the case, the shortage of doctors in Dongyuan County Hospital will not be so severe, and it is at this moment that the state begins to strictly investigate the matter of medical rebates, and resolutely puts an end to drug rebates, which leads to the loss of the main income of the doctors in the county hospitals of Dongyuan County, yes, the medical rebates have become the main income of a doctor, which is really ridiculous, but this is the case in Huaxia, the main income of all doctors is medical rebates, and the basic salary of Chinese doctors is frighteningly low.

Take the doctors of Dongyuan County Hospital as an example, the basic salary of young doctors with the title of attending doctor is only 2,34 per month, and after deducting five insurances and one housing fund, there are about 2,000 left. The average monthly salary of an attending doctor in a county hospital is only more than 3,000 points.

What is the housing price in Dongyuan County? The average price has reached more than 7,000, a college student who has been studying for many years and whose parents have invested more than half of their life savings to cultivate will work for four or five years after graduation, and finally earn half of the local housing price. Now the salary of a waiter in Dongyuan County can reach this number, not to belittle the waiter industry, just to engage in the requirements of this industry, very low, as long as you are not a fool, not a disabled person, you can do it, even if you have not been to school, you can do it, but when you are a doctor, the threshold is too high, and the investment in education is scary.

But in the end, a lot of money was invested in education, and the child who was finally raised made about the same amount as a waiter, not to mention the doctor, can his parents be balanced? Obviously not, the effort is not proportional to the investment and the acquisition.

Now that there is no drug rebate, what should these doctors who are old and young? What do you do to support your family, and in addition to the imbalance in your heart, you have paid so much, but the result is that? At this time, the private hospital gave them a very high welfare treatment, and as a result, these experienced and skilled doctors have jumped ship, and eventually led to an extreme shortage of doctors in Dongyuan County Hospital, taking general surgery as an example, there are now nearly 100 patients, but what about doctors? Counting Chu Tianyu's only six people, this is an average of at least sixteen patients for each doctor, which is too much work.

It is not an exaggeration to say that these four people are tired like dogs every day, and it is definitely not possible to rely on the four of them, they are not robots that can not eat, drink or rest without eating, drinking or resting, they are living people, if they go on like this, they can't stand it at all, and the body will collapse, so now the hospital leaders are trying their best to send more people to the emergency department, but the depressed thing is that the whole hospital is now short of people, and the treatment of the hospital can't be compared with private hospitals when they go out to recruit, and the result is that there is almost no recruitment of people, can only hold on.

The policy introduced by the state is good, and it is indeed imperative to ban pharmaceutical rebates, which are like a devil, constantly corroding the conscience and moral bottom line of doctors.

However, to ban medical kickbacks, it is necessary to improve the welfare of doctors, but now it is only banned, not raised, how can doctors live? They can only find their own way out, but those who have a little experience and technology have changed jobs, and some young people are also studying hard to learn technology, and as soon as the experience and technology meet the standards, they will immediately change jobs, and when such a situation occurs, the whole country does not know how many public hospitals will be completely paralyzed, and who will suffer at what point? Or the common people, why do private hospitals dare to give doctors a basic salary of 10,000 or even more welfare benefits? It's not because of their high fees, the money is still out of the people in the end, and now the people just see the government outlaw medical kickbacks and applaud, but they don't know that it won't be long before they will face higher medical costs.

When did it come to the point where the common people could not be cured at all?

Hearing this, Chu Tianyu was worried, and the medical reform policy he fought for was imperative, but Chu Tianyu did not have this ability now, so he could only watch the current medical environment continue to be bad, but there was no way, and he was also worried about his future work, now the income of his subordinates has been greatly reduced, but the workload has increased exponentially, and the people in general surgery must be panicked, and they are thinking about retreating, if it goes on like this, it won't be long before Chu Tianyu becomes the commander of the light pole, if this situation really occurs, Chu Tianyu's resume can be painted with a black one, which is even more unfavorable to his plan。

To be honest, Chu Tianyu is more anxious than the leaders of the courtyard now, so he really doesn't have the heart to think about the strange food.

Now Chu Tianyu didn't have much heart to eat, so he took a bite and left, Quan Ruolan could see that Chu Tianyu was preoccupied, so she didn't stay, and after sending him out, she went back to talk to the girl.

Chu Tianyu originally wanted to find a house today, but having dinner with Quan Ruolan was delayed, so he could only continue to live in the hotel, and wait tomorrow to see if he had time to go out to find it.

Chu Tianyu couldn't sleep at all while lying on the bed, his mind was full of thinking about what he would do in the future, now the medical environment is like this, it is not a good thing for Chu Tianyu, it has brought him a lot of trouble, but he is thinking, Chu Tianyu has no way to solve these troubles at present, he can only take one step at a time.

In this way, Chu Tianyu didn't fall asleep in a daze until two or three o'clock.

Chu Tianyu got up early the next morning, opened the window and found that the snow had fallen overnight, and the temperature was even lower, but now Dongyuan County has not yet reached the time for heating, the temperature is so cold, there is no heating, and there will be more sick people, especially the elderly and children, which is a very severe test for Dongyuan County Hospital, which is already short of doctors.

Chu Tianyu took a breath and went to the bathroom to wash up, and then found out the winter clothes and put them on, and then went downstairs, at this time, it was just a little past seven o'clock, and it was still early before the time to go to work, so Chu Tianyu thought about finding a place to eat breakfast first.

I am not familiar with Chu Tianyu in Dongyuan County, but now is the era of developed Internet, you can find a very good breakfast stall on the Internet with your mobile phone, Chu Tianyu fiddled with a few mobile phones to find one, and then followed the navigation to drive over, this is a noodle restaurant, selling dumpling noodles and xiaolongbao, although the products sold are these, but there are really a lot of people who come to eat, and even queue up, just this can also prove that the breakfast taste of this breakfast shop is very good.

Chu Tianyu had just arrived in front of the early shop when he heard a surprised voice shouting: "Chu Tianyu, Chu Tianyu!"

Chu Tianyu looked for the sound and found that Quan Ruolan was there, and without waiting for Chu Tianyu to speak, Quan Ruolan said to the boss: "Uncle Zhao is adding a bowl of noodles and a xiaolongbao." At this time, Quan Ruolan was at the forefront.

In this way, Chu Tianyu didn't have to queue up when he arrived, and the two of them sat down after a while, but as soon as Chu Tianyu sat down, he found that Quan Ruolan's face was not very good, and he coughed again and again, Chu Tianyu said: "What's the matter?"

Quan Ruolan nodded and said helplessly: "This weather is too weird, it suddenly cooled down when it was cold, and it made me catch a cold." ”

Chu Tianyu said: "If you can't hold on, I'll help you ask for leave, you can rest at home." ”

Quan Ruolan hurriedly shook her head and said: "No, I'm fine, it's just a common cold, just take some medicine, now there are too many patients in the department, and there are not enough people, if I ask for leave, they won't be busy to death." ”

Chu Tianyu knew this situation when he arrived, seeing that Quan Ruolan insisted, and was not so sick, Chu Tianyu was not persuading her to rest at home, the two of them had dinner Chu Tianyu drove Quan Ruolan to the hospital, Chu Tianyu had just arrived at the office on the front foot, and the phone on the table on the back foot rang, and the hospital office notified Chu Tianyu to go to a meeting, and all the directors of each department had to participate, Chu Tian didn't know what was going on, so he said hello to the people in the department, and then went straight to the conference room.