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

The twins were watching cartoons at this time, the two had just passed their 4th birthday, according to the habit of Yuezhong, they were 5 years old, and they had already gone to kindergarten, just next door to Lu Xun Kindergarten.

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

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

The Chen family bought 100 business houses in the Yiwu Small Commodities Market, which belongs to a newly built market, and its popularity is not too strong.

But Chen Qi knew that Yiwu had developed into the world's largest small commodity market in later generations, and it was even more difficult to find shops.

Don't look at the new market that is deserted now, it will also change to the core lively market in the near future, so isn't the rent flowing into Chen Qi's bank account like running water?

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

If he really wants to wrap up, the market builder will definitely be happy, but in 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 object of envy of many people.

Even many ordinary people in Huiji County have a lot of complaints, thinking that how can they give millions of rents a year to individuals?

To put it bluntly, it is red-eyed.

The vast majority of people have forgotten the fact that when the market was opened, no one cared, and it was Chen Qixue who sent carbon to coax the entire Textile City.

People's hearts are terrible, how many good ends are there for those who enter the "pig killing list"?

Is it because of their original sin?

People have no money in the early stage of their business and accept venture capital from foreign capital, this is the original sin?

Then your domestic capital is so discerning, why didn't you invest in him in the first place? Why don't you help them start their business?

Chen Qi put down his backpack and washed his hands, and the cartoon "Smart Rest" was playing on the TV, so Dean Chen also happily followed the twins together.

waited until Lan Lijuan came to set the dishes and chopsticks, and found that the father and son stared at the screen motionless and became angry.

"Chen Lao Er, how many times have I told you, don't let me watch TV wholeheartedly, and my eyes are short-sighted."

Chen Qi stood up and slapped Chen Yixin's buttocks: "Who let you watch cartoons, do you know if your eyes are short-sighted?" It's so unreasonable, apologize to my mother. ”

Chen Yixin was aggrieved to death: "Dad, my sister also saw it, why didn't you let her apologize?" ”

"Trouble, you are a man, a man wants to protect his sister, how can you let your sister come out of the top tank? Is your butt itching again? ”

Lan Lijuan couldn't stand it anymore:

"Chen Lao Er, you don't come much, I watch you watch TV too, look at the people who are still in the hospital during the day, but when you come back, you are like a child, you are really promising, don't hurry up and set the meal, you are really the dean when you go home."

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 pouted: "Dad can take care of your mother at least when he goes to work, but you have to be oppressed 24 hours a day, and you are embarrassed to say me?" Hum! ”

"Humph!"

The boat of friendship between father and daughter capsized.

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

"Hey, after your personnel change today, you kicked Lao Wu away, what are you going to do next? What three fires are the new officials going to burn? ”

Chen Qi took a bite of rice and said vaguely:

"Even if I set fire today, but the People's Hospital is too big, with more than 1,200 employees, if I really want to carry out a comprehensive reform and touch the interests of too many people, do you see if I will have a good life, I'm afraid that the report letters are flying all over the sky."

There are also several clinical department directors, some people are willing to listen to me, some people 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 is not up to date, even the foreign language is Russian, what can I do if I don't know English.

However, when I first arrived, I replaced all the directors with old qualifications and replaced them with a group of young and middle-aged doctors who were willing to learn new knowledge and knew English to become department directors.

So my idea, I will not touch the interests of these old directors, I will pilot a few departments first, for example, your 6 departments of internal medicine is one of the departments I am preparing to pilot, and I am ready to let your Department of Gastroenterology take the lead in carrying out laparoscopic surgery in China.

When the departments I piloted became an instant hit, the patients were full, the business grew, and the doctor's income was several times that of the doctors in other departments, I didn't believe it, watching others take a lot of bonuses, eat and drink spicy, and people in other departments can still sit still?

Either their old director asked to move, or they were forced to move by the little doctors and nurses below, in short, they had to be allowed to move, so as to form a good atmosphere for learning new technologies and creating business growth points in the whole hospital.

At this point, my reform will be successful, the tasks assigned to me by my superiors will be completed, and the people's hospital will be able to stand out among the domestic prefecture-level hospitals, and even surpass the provincial-level hospitals. ”

When Lan Lijuan heard that she was going to build her gastroenterology department into a pilot department, she was interested for a while.

If others don't know, how could she not know the magic of her husband?

"How do you understand the endoscopic and minimally invasive gastroenterology diseases you are talking about?"

In the 80s, endoscopic treatment, or minimally invasive surgery, was not carried out in China, even in the world, this was a new thing, and only a few top hospitals were carrying it out.

Endoscopy, our old adversary said Ben was far ahead of the curve, and they used endoscopic polypectomy in 1974 to treat EGC (early gastric cancer) with pedicle or article

In 1984, he invented an EMR technique called "bulk mucosa", which made a kind of double-orifice endoscopy, which was technically simpler and could ensure the integrity of the resected specimen.

Subsequently, in 1988, another endoscopic excision technique (ERHSE) was invented to inject osmotic epinephrine saline locally with an endoscopic needle for specimens, which can achieve more complete resection of more lesions.

The key is that the premise of a series of endoscopic surgeries invented by me is that they have invented a variety of advanced endoscopic instruments, including gastroscopes and various colonoscopies, including duodenoscopes, enteroscopes, colonoscopes and so on.

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

But even at this time, I didn't think that endoscopic technology would slowly become one of the mainstream medicines.

Minimally invasive surgery is becoming more and more 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 digestive tract diseases, and some diseases that originally required laparotomy have been gradually replaced by endoscopic minimally invasive treatment.

It has become more and more accepted by the majority of patients because of its small trauma, fast recovery, short hospital stay, good patient tolerance, and low cost.

In the face of his wife's questions, Chen Qi only gave a general introduction, and did not dare to say too much.

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

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

So there are some things that can't be said in detail, only a general one.

Before going to bed, Lan Lijuan thought for a moment: "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 going to be implemented, now you don't have enough endoscopic machines in the gastroenterology department, I have to help you find a way to import some, relying on Mayo's second-hand goods is not enough at all, but for now, I'm going to set up an emergency department."

"Emergency department?"

"That's right, you still have to see the emergency department if you get the money quickly, and you can't do it in the short term by relying on your gastroenterology department."

Lan Lijuan was puzzled again in an instant, because the emergency department was a new thing, and she didn't understand it either.

What I didn't understand, there was also Guo Yuanhang and Guo Da Shuji.

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 Viet Chung.

In fact, the first emergency department in China was not opened until 1983, when Union Hospital opened five years ago.

So there was no 120 before, and when people got sick in the middle of the night, they generally carried it if they could carry it, and there were also those who couldn't carry it and sent it to the hospital overnight.

But what if you are sent to the hospital without an emergency department?

It is necessary for the doorman or security guard to notify the doctor on duty in the inpatient department, such as the surgeon on duty to go out to rescue, and the patients in the department will not be able to control it, and it is often easy to have accidents.

When Chen Qi was an intern, he dared to operate on the main surgery, that is, when the emergency doctors went out to rescue, he became a monkey and called the king.

But the disadvantages of such a set of models are great, and the biggest disadvantage is that "the response is not timely." ”

In these years, the doorman of the hospital is also very dick, because the doorman is also a hospital employee, and he may still be an old worker who is taken care of, and it is more likely that he is an old red J who goes south, and it is not uncommon for the salary to be higher than that of the dean.

So the doorman is a standard prime minister, and the shelf is very large.

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

You knocked on the window for a long time before people woke up slowly, scolded and got up angry, and then dragged out of your clothes, and then helped you shake the phone to find a doctor, this delay took a lot of time.

Sometimes the internal phone still doesn't work, because the operator on duty may be off duty or go to the bathroom.

Your doorman walked slowly to the department to find a doctor, this time and again, there was no half an hour to get down at all, then to see a doctor, and then to the operating room, a set of more than half an hour passed.

Half an hour, for emergency patients, it is often fatal,

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

Another example is those patients with massive bleeding, where the arteries are whizzing and bleeding, and the doctors over there can't find anyone and watch them die.

Fortunately, in the 80s, if it is in 2023, the patient dies at the gate of the hospital because the rescue is not timely, the family has to demolish your hospital, and then call the media to your ancestors for the eighteenth generation.

Of course, in these years, hospitals generally did not build "emergency departments", mainly because of the limited conditions.

One is that there are not enough medical personnel.

Hospitals are all self-operated and self-financing, where do they dare to recruit more doctors and nurses? The poor establishment was all taken up by the back door of the administrative department.

The second is that the level is not good.

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

Many emergency patients come in in a coma, and your doctor can't ask if he wants to, so it is all up to the doctor's experience to determine the cause, and 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 really pay a lot.

Emergency Medicine is a specialized discipline, and without a certain amount of training, it was difficult for a doctor in the eighties to be a good emergency doctor.

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

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

Of course, the most important problem is that the leaders do not pay attention to the emergency department, to put it bluntly, they do not pay attention to the life and health of the people.

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

"You old leaders don't pay attention to the emergency department, this is actually a big mistake, first, the emergency department can really serve the people, how many people's lives can be saved? It's impossible for ordinary people to get sick only during the daytime when doctors are on duty, right?

There is also a emergency department not only to rescue critically ill patients, but also to become a night outpatient department, you think, everyone has to go to work and school during the day, and there is no time to come to the hospital to see a doctor. The evening was finally free, and the hospital was closed again.

Now the large hospitals in Central Vietnam are our People's Hospital, the Second Hospital, the Yuedong District Hospital, the Women and Children's Hospital, etc., and none of them have opened emergency departments at night.

And you think about it, the patient comes once in the evening, this is called the first diagnosis, and many diseases are not cured at one time, so they have to be revisited. How much can our business improve? Comprehensively drive the outpatient and inpatient departments. ”

With Chen Qi's explanation, Comrade Guo's eyes became higher and higher, and he nodded again and again.

But he immediately had his own concerns.

"However, what if there are no patients at night? Or just a few patients to be rescued, isn't that just empty joy? How much manpower and material resources do we have to put in for nothing, isn't this business even more loss-making? ”

Chen Qi thought to himself, your old man really hasn't seen the spectacular scene of the emergency department in the future.

I'm sorry for being late today, I forgot, Khan.

(End of chapter)