Chen Qi explained to several bigwigs in the burn surgery field in front of him for a long time.

Several bigwigs have their own ideas, such as Professor Peng, as the creator of the Southwest Formula, is pleased that the Vietnamese Hospital can inherit the Chongqing formula and find its own routine.

The two hospitals can be regarded as having the same teacher, and they are their own people.

But Professor Ni is disdainful in his heart, and Huhai people have their own pride.

Ni Zhihua did not admit that the Chongqing formula was superior to the Shanghai formula from his heart, and now he has jumped out of a "Vietnam-China formula", which makes him even more full of opinions about the hospital in his hometown of Yuezhong.

I didn't know how many times I rolled my eyes.

On the contrary, Professor Zhu Lianggong of Jishuitan Hospital, Professor Wang Qizheng of the Second Hospital of Haihai Medical College, and Professor An Yongchun of Xiangya Hospital looked at the "Vietnam-China formula" from the perspective of neutrals.

But now just listening to Chen Qi's side of the story, it is obviously impossible to say which formula is better.

The reason why the Chongqing formula stood out later and became the mainstream rehydration formula in China is also a big wave and has been tested for decades.

However, there is one biggest difference in the current "Vietnam-China formula", that is, the Vietnamese-Chinese hospital uses all-instrument monitoring, which is the first in China.

Professor Peng put on his eyes and carefully looked at the constantly beating data on the display, looking at it very seriously, and his brain was also thinking quickly.

Professor Wang Qizheng kept urging on the side:

"Comrade Chen Qi, come, tell us in detail about the significance of the data on your two monitors? And what are these wires attached to the patient's body for? I think this should be your best way to treat burns at the Viet Chung Hospital, right? ”

The old man is laughing at this.

Chen Qi smiled and introduced these old men:

"The data on this display is mainly used to monitor vital signs, such as heart rate, blood pressure, pulse oxygen, this breathing curve shows the patient's breathing type, according to the breathing curve and respiratory rate, you can understand the patient's breathing status,

There is also an electrocardiogram band, which can also detect the blood supply to the heart when monitoring the heart rate, mainly to observe the ST segment, so as to diagnose the blood supply of the heart. In this way, the bedside ECG can be canceled, and we can be the first to know any fluctuations in the heart. ”

ECG monitors are not a new thing, but the ECG monitors of Viet Chung Hospital are new products, which are very close to the ECG monitors of later generations and are very advanced.

That's not something these old men can reach.

You must know that the education received by these old professors was from the Republic of China, and later experienced decades of seclusion and seclusion, and these advanced things really don't know too much.

It can be said that throughout the seventies and eighties, there was a whole era of difference between domestic medicine and foreign mainstream medicine, and the gap was very huge.

Chen Qi saw that several old professors were listening carefully, so he continued to explain the second monitor:

"You see, this machine is a hemodynamic monitor, the English name is PICCO, very advanced, in foreign countries are also in a state of promotion, the principle of work is the use of transpulmonary thermal dilution technology and pulse wave profile analysis technology, measurement of hemodynamic monitoring and volume management.

For example, this data is to measure the cardiac output of a single time, and to obtain a continuous cardiac output by analyzing the area under the arterial pressure waveform curve, and to measure the cardiac output CO of a single time by using the thermodilution method.

The continuous cardiac output PCCO was obtained by automatically analyzing the area under the arterial pressure waveform curve by the instrument microcomputer, and the intrathoracic blood volume ITBV and extravascular lung water EVLW could be calculated.

ITBV has been shown to be a reproducible, sensitive, and more accurate indicator of cardiac preload than pulmonary artery occlusion pressure (PAOP), right ventricular end-diastolic pressure (RVEDV), and central static pressure (CVP). ”

Chen Qi is now like a fake foreign devil, and a few English words float out from time to time when he speaks.

Fortunately, these professors are top doctors in the end, and they were taught in English instead of Russian when they were students, otherwise Chen Qi would have to translate for half a day.

"With all the data displayed in front of us on the monitor, through hemodynamic monitoring, our doctors can make a quick and accurate judgment on the patient's condition, efficacy and prognosis, which can be used to guide the treatment process to achieve satisfactory results.

For example, we have a burn surgery rehydration, to say something that several professors don't like to hear, but now the habit of domestic doctors is to completely follow the fluid rehydration formula, and make up as much as they calculate, regardless of whether the patient lives or dies, whether it is more or less.

With these advanced instruments, we can adopt a personalized rehydration plan, which varies from person to person, how much fluid, what kind of fluid, depending on these data, what we can supplement what the body lacks, is it more scientific and effective? ”

After Chen Qi finished speaking, the expected applause did not ring.

Several old professors all had serious faces, as if someone owed them dozens of dollars and didn't pay them back.

Chen Qi was a little confused: "A few teachers, you are ......"

Professor Peng came back to his senses and asked stupidly:

"Comrade Chen Qi, is the medical gap at home and abroad really so big? Is our set really outdated? ”

Chen Qi really wants to say yes, whether it is clinical or theoretical, you really can't keep up with the times.

Of course, he didn't dare to say that, if he really wanted to say so, if there were a few old professors with a heart attack, then the Yue Traditional Chinese Medicine Hospital would have a lot of fun.

"Professors, it's not that you are outdated, but that medicine is always improving, we can't just stare at the clinic, the consequence of emphasizing clinical and ignoring scientific research is that there is no way to make progress at all, and we can only look at the backs of foreigners forever."

What Chen Qi didn't say was that this gap was not only not corrected later, but it became bigger and bigger, which has to be said to be a great regret, and it was also what Chen Qi wanted to make up for in this life.

Professor Zhu laughed self-deprecatingly:

"Emphasis on scientific research, but engaging in scientific research requires a lot of funds, and we also need to have a relaxed scientific research environment, but what do we have? As soon as I opened my eyes, I was thinking about how many patients the department would accept today? How much is the business? How much is the profit? How much can I get paid at the end of the month? Can the house sticker be in place? Even basic survival is a problem, where is the funding and support for scientific research? ”

Professor An Yongchun made a joke when he saw the heavy atmosphere:

"There is still money, if the leaders can have less business reception, and save the reception funds for going out to dinner and welcoming leaders at all levels to inspect and visit, it will be enough for us to engage in scientific research."

Professor Wang Qizheng, a local expert in Haidong Province, knows more about the situation of the Vietnamese Central Hospital, so he also quipped:

"You see, the Vietnamese Hospital is still rich, I heard that this year's foreign sponsorship alone has reached more than 20 million US dollars, and now the Vietnamese Hospital is building buildings, introducing advanced equipment, and engaging in research, do you envy it?

And you don't know that Comrade Chen Qi has opened an international endoscopy class with 20 places, each of which charges 300,000 US dollars, so that he can earn another 6 million US dollars in foreign exchange. ”

Ooh~~~~

Once again, these out-of-town professors were stunned.

Vietnam-China Hospital earns almost 30 million US dollars a year just by making extra money, which hospital in China is so arrogant?

Professor Peng smiled bitterly:

"No wonder the number of international papers published, such a local hospital as the Vietnamese Central Hospital has become the first in the country, and it is far ahead, it seems that Comrade Chen Qi is not willing to spend money on scientific research, he is really rich in scientific research."

Wang Qizheng also smiled and said:

"Our Haidong Medical University has also stained a lot of light, there are several projects in cooperation between the university and the hospital, and there are many international papers after doing a good job, how about it, envy, or you old guys will come to work in Vietnam, Comrade Chen Qi will vigorously develop the burn department, and will definitely not be stingy with scientific research funds and your personal treatment."

"I was moved by what you said."

"Haha, you can think about it!"

Several old professors were joking, but Chen Qi knew that this possibility was very small, for example, Professor Peng Yongyan was not only the president of Southwest Hospital, but also the army system, where is it that he can go?

Professor Ni thought about the workers of the Vietnamese steel mill next door, so he asked:

"Comrade Chen Qi, since you have the most advanced equipment, do you have more advanced drugs in your hands for the infections that appear?"

Chen Qi nodded and said, Yes!

"We do have the most advanced antimicrobial drugs in our hands, but what antimicrobial drugs we use are not arbitrary, but based on the patient's antimicrobial susceptibility test and bacterial culture results."

In the 80s, drug susceptibility tests were rarely done in China. Why?

Because the Chinese people of this era have almost no contact with antibiotics, they eat very few "anti-inflammatory drugs", and they have no money to buy them.

As for the chickens, ducks, fish, pigs and other poultry that are bought, first, they don't have the money to buy them often, and secondly, the poultry in this year do not use antibiotics to prevent diseases, and people can't afford to eat them, so they give them back to the animals?

Therefore, the food of this year is also absolutely safe, green and pollution-free food, so that there is one less antibiotic exposure.

Such an advantage is that the human body is effective against any kind of antibiotic, which can play a bactericidal role, and the effect is remarkable.

(Recently, "mycoplasma" is very prevalent in the author's area, the infection rate is very high, and there are many mycoplasma pneumonia caused in clinical practice.

Of the 100 mycoplasma specimens obtained, 96 were resistant to macrolides such as azithromycin and erythromycin, with a resistance rate of 96%, which is very exaggerated and very scary.

Because if you have mycoplasma pneumonia and a cough with a high fever, macrolides are almost ineffective, so there is nothing else to do, and then our doctors have to take high doses of hormones...... ）

Professor Ni then asked, "What are the results of your bacterial culture?" What kind of medicine was used? ”

"For the two patients we have alone, because the burns are too long, Pseudomonas aeruginosa is the main bacteria, we use Ceftriaxone from Roche Pharmaceutical in Switzerland, and levoxoxacin needle from Hirst in Germany."

Several professors were shocked when they heard this:

"This is a lot of investment, just this ceftriaxone needle, one will cost 50 US dollars, how much do you have to spend here, can the patient afford so much medical expenses?"

Being a doctor in China is so hard, because you first have to consider whether the patient can bear it, rather than prescribing medicine blindly.

Some people often accuse doctors of prescribing drugs blindly and indiscriminately, resulting in sky-high medical expenses, making patients and their families worse off than dead, and returning to poverty due to illness.

In fact, this is the result of unlikely, bad media hype.

Because after the sky-high medical expenses are generated, for example, 500,000 yuan, the patient can't take it out, or can only bear 50,000 yuan, then the rest of the medical expenses must be borne by the hospital, department and doctor.

For example, 500,000 yuan, minus 50,000 yuan paid by the patient, and 450,000 yuan is a bad debt, so what should I do with this money?

It's useless to fight a lawsuit, the patient's family is so poor that there is only one thatched house, what can your hospital do?

Even if a patient has a house at home, have you ever heard of a hospital that would go to court to auction off their house in order to ask for medical expenses?

Bad debts are generally flat, such as 150,000 yuan for hospitals, 150,000 yuan for departments, and 150,000 yuan for your doctor.

How much does a doctor earn in a year? How many patients can be compensated?

Therefore, no doctor dares to prescribe sky-high drugs, because this is burying a hole for himself.

As for foreign doctors, they are much happier, and the amount of medical expenses is not within the scope of their consideration, either the national medical insurance pays for it, or the insurance company pays for it.

What are the duties of a doctor? The doctor's duty is to take care of the disease, and to use whatever treatment is beneficial, which is the real humanitarianism.

Chen Qidao didn't feel sorry for these medical expenses, because these drugs came from the UCLA Medical Center in the United States that was burned down by him back then, and the medicine warehouse was still in his space.

Of course, Chen Qi also wanted to find an opportunity to hang the bills of Ding Xinjuan's mother and daughter on the head of the Vietnamese Iron and Steel Mill.

Professor Ni continued to ask, "What is the therapeutic effect of these imported drugs?" ”

Chen Qi shrugged: "How is the effect, you can see for yourself, now the vital signs of the two patients are very stable, and I am still waiting for the skin graft operation." ”

Professor Ni gritted his teeth and said with a red face:

"Comrade Chen Qi, this and this, we can't get this kind of imported medicine out of Dongshan Hospital for a while, and now the systemic infection of the two workers and masters next door is very serious, and ordinary antibacterial drugs are ineffective, I don't know if you can provide us with some imported antibacterial drugs......"

Supply the "enemy" with bullets?

Chen Qi's eyes rolled, although the medicine was sold to the workers of the Vietnam Iron and Steel Factory, Chen Qi could take the opportunity to "make a fortune", after all, the medicine was provided by him privately.

But helping Dongshan Hospital, he still felt uncomfortable.

So Chen Qi simply boldly proposed:

"Professor Ni, in fact, it's a joke whether you can fight in the ring or not, so I have a proposal, the two workers in your hands will be handed over to our Yuezhong Hospital for treatment, it just so happens that you can also get out, and it just so happens that we also need more patient specimens to see if the Yuezhong formula is successful."

When Professor Ni heard this, his eyes were like a ......