After talking about some conceptual issues in the field of cancer treatment, Zhang Shi began to talk about his thoughts. Pen "Fun" Pavilion www.biquge.info

"The drawbacks of cancer treatment that we just talked about are absolutely impossible to solve under the current medical system. Each department in the hospital is responsible for its own benefits, even if they know that the treatment method they have mastered is not suitable for that patient, but for the sake of efficiency, who will take the initiative to give up the patient who comes to the door by themselves? Take our cancer hospital as an example, there are many ways to treat tumors, such as linear accelerator, gamma knife, radiofrequency ablation, surgery, chemotherapy, intervention, and various minimally invasive ...... Although the technical strength of various disciplines is not as good as the big experts in Tianjing Shenhai, it is also first-class in the medical world, but because of this, it will cause the status quo that it is impossible to form a joint force. ”

Zhang Shi paused, looking up at the ceiling, as if forcing himself to calm down his excitement.

"I've been thinking all these years that why can't we put all these things together to form a synergy? For example, if a patient comes, we will first organize an MDT to conduct a thorough analysis of the patient's condition, and then formulate a truly reasonable and personalized treatment plan, and then the operating medical team of each treatment method will cooperate with each other to complete the treatment plan. If it can be done well, I believe that the treatment results will be greatly improved in terms of survival. ”

“mdt？” Zhu Xiaojun frowned, he seemed to have seen this English abbreviated noun, but he forgot it for a while: "What the hell is MDT?" ”

"MDT is a multidisciplinary joint diagnosis and treatment model, that is, experts from surgery, chemotherapy, radiotherapy, imaging, endoscopy, pathology and other tumor-related departments are combined to fully discuss a case, and finally formulate the most reasonable treatment plan, and the above disciplines jointly implement the treatment plan. The MDT model was first proposed by colleagues in the United States, and now MDT has become the norm in cancer treatment in Europe, the United States, including Japan. Speaking of the stories of these oncology industries, Zhang Shi's face was full of confidence.

"Then can't our country engage in this model?"

Zhang Shi lit a cigarette and thought thoughtfully: "More than ten years ago, the concept of MDT has been introduced to China, and in the past ten years, countless hospitals have also tried to promote this model, but the final result is a failure. ”

"Why?" Zhu Xiaojun really didn't understand this time, logically speaking, the domestic medical system is more administrative, as long as the dean is willing to do it, a document is sent down, which department dares not to comply?

"It's not a system problem?" Zhang Shi paused, and then explained: "In the United States, the income of doctors is basically fixed, and the few bonuses are also assessed according to the medical quality of the entire medical unit. There is only one criterion for evaluating the department's bonus, that is, how much money your department has earned this month. ”

"What does that have to do with the failure of MTD?"

"Let me give you an example! For example, if I have a patient who needs to do MDT, can the invited experts from the Department of Surgery, Chemotherapy or any other department grab the patient from me? If they dare to say that Gamma Knife is not suitable for this patient, am I going to turn against him? Therefore, our domestic MDT is basically going through the motions. Play once, the big guy will feel fresh, play twice, the big guy will get bored, play three times, everyone will think that this is a waste of money, except for delaying their own time, there is no other point. ”

Zhu Xiaojun sighed: "Yes! If I go to that kind of consultation, I can't say what I really think, and I don't have any personal interests, so I will definitely feel bored and. ”

"So I'm thinking, if we can establish a comprehensive cancer treatment center, which integrates conventional surgery, laparoscopic surgery, minimally invasive surgery, radiotherapy, chemotherapy, interventional therapy, including biological therapy, etc., with MDT as the most basic diagnosis and treatment method, and implements the most reasonable personalized treatment plan for the patients who come to the clinic, you say, what will be the result?"

Zhu Xiaojun replied without hesitation: "I don't dare to say anything else, but the survival rate of the patients we have treated for three or five years will definitely be much higher than the domestic average!" ”

Zhang Shi nodded: "The first few years will be very difficult, but once we produce results, then our reputation will spread all over the place, and when the time comes, the door of our center will probably be crowded!" ”

Speaking of which, Zhu Xiaojun has fully believed in the core competitiveness of this model that Zhang Shi thought. For the field of cancer treatment, what is the world's leading technical equipment, what is the highest academic level, those are all false. The most real thing is how much the average survival rate of the patients you have treated, which is higher than the average, and you can brag everywhere that you are a big-name expert.

However, Zhang Shi's model is only the operation of a project, or a point of development planning, if it rises to the operation of a company, then what needs to be considered is how high the threshold of this model is, and whether others can easily copy your model.

After thinking about it for a while, Zhu Xiaojun immediately discovered this problem.

To build such a center, all the equipment, all the technology, are open in the industry, once successful, it is easy to be imitated and copied by others, when the time comes, everyone has returned to the starting point, and the comparison between each other is the strength of funds and the relationship between society.

Zhang Shi saw Zhu Xiaojun's contradiction, he smiled faintly, and solved the confusion for Zhu Xiaojun: "Are you worried about the threshold of this model?" Yes, you're right to be worried, this model can be easily replicated, especially in those established public hospitals that have strength. However, let's think about it from another perspective, do you think those powerful old public hospitals will imitate our model? ”

Zhang Shi asked and answered: "If they enjoy the superiority of the system, then they must accept the constraints of the system, let alone build a comprehensive tumor treatment center, they can't even do MDT in the real sense!" Therefore, there is no need to worry about public hospitals, but about those private capital in society. ”

Zhu Xiaojun nodded: "Yes, there is too much private capital that wants to enter the medical industry now, and the amount of hundreds of millions of funds cannot be called a predator, it can only be regarded as a small fight." ”

Zhang Shi said with a smile: "But private capital has a characteristic, that is, if you don't see a rabbit or an eagle, before we see the dawn of success, do they dare to imitate and copy?" When we can come up with awesome data in three years, they can imitate it if they want to, and copy it if they want to, is there any problem? The more we imitate and the more we copy, the more we can show our leadership! ”

"You mean that by that time, their imitations and copies will be like green leaves to bring out the delicate ...... of our flowers."

Zhang Shi laughed and gave Zhu Xiaojun a thumbs up: "There is another key point, that is, in today's medical field, which doctor can be familiar with and even master so many and complete tumor treatment methods at the same time?" If there is no such person to coordinate up and down and communicate left and right, then this model will encounter many difficulties and problems in the process of implementation. ”

"There are specializations in the surgical industry, although they all belong to the category of tumor treatment, but this category is too broad...... I don't think there will be such a doctor in the industry. Zhu Xiaojun shook his head and couldn't help sighing.

"I can only regret to tell you, Jun, your judgment is wrong!" Zhang Shi's face showed a proud expression: "The doctor sitting in front of you, he dares to say such things, of course, those social deceptive treatment methods can't be counted in it." ”

"You?" Although Zhu Xiaojun had already guessed the burden that Zhang Shi was going to throw, and he was convinced of this burden, but because of his character, he still joked with Zhang Shi: "Little brother, I don't read much, don't lie to me!" ”

"When I first graduated, I was also a general surgeon, but I Zhang Shi is not as good as you Zhu Xiaojun, and I completed Guo Lao's two years in two months. The gamma knife industry is very open, and I have come into contact with a lot of doctors, and I am born to be a master who loves to learn, so ah, in the past ten years, I have learned all the treatment methods that can be seen in the industry, what's the matter, do you still need Boss Zhu to assess me Zhang Shi? ”

Zhu Xiaojun hurriedly waved his hand: "Don't dare, don't dare!" Count me as a cheap, I'll take back that sentence just now! ”

Zhang Shi definitely wouldn't take Zhu Xiaojun's joke just now to heart, and the reason why he said to Zhu Xiaojun whether he wanted to take an assessment was just a joke. But Zhu Xiaojun came to say that I was cheap, which made Zhang Shi a little embarrassed.

"Our medical profession is always calling for general practitioners, but are general practitioners so easy to train? Especially in the field of oncology treatment, I have spent more than ten years, but this is not an achievement, if you want to become a general practitioner of oncology treatment according to the training model in the system, I will say: there is no door! (To be continued.) )