Professor Zhou Cheng's demeanor was gentle and calm.

But Fang Yun's slightly solemn face at the moment was as deep as words, and his eyes revealed thoughtfulness.

"Brother Cheng, there is a sentence that I don't know whether to mention or not." Fang Yun hesitated for a moment and chose a relatively easy-going title.

Zhou Cheng was wearing a sweater, and the warm breeze in the car was blowing, just a simple outfit of sweater and jeans, which could not hide Professor Zhou Cheng's elegance, not as dull and rigorous as traditional scholars, nor as 'floating' as Yang Yifeng: "There is something to say, something to say." ”

"You are now a well-known Professor Fang, wearing a formal suit, where do you go to the teaching hospital, and others don't behave towards you?"

"Brother Cheng, today's medical association policies have actually changed in most places."

"The original intention of establishing the Medical Association was to excavate the jade, return to the correct position, and let the capable people rise and fall and have the opportunity to leap into the dragon gate, which was the right choice at that time."

"But such a policy should not be sustained, otherwise, most of the prefecture-level city hospitals and lower-level hospitals are now stepping stones, and the mobility of personnel is very large."

"This is not conducive to the medical development of county-level hospitals."

"Brother Cheng, the more remote the place, the people who are willing to pay for the remote place are locals. Everyone has their own hometown, and if you go out of your hometown, it is impossible for others to come to your hometown and pay for you. ”

"Therefore, I think it is either a fault line, and this system is fixed in a region, for example, in Changshi, the medical association manages the internal medical staff autonomously, and then there are particularly excellent people, and then they are recommended to Shashi......" Fang Yun said his inner thoughts.

Hearing Fang Yun say this, the studious Zhou Xiyin immediately took out his notebook in the passenger seat and began to copy, like a studious baby.

Fang Xian didn't dare to be careless and drove seriously.

Today's Changzhang Expressway, there is a lot of traffic on the return trip, that is, Fang Xian is on the opposite side of the expressway, like ants crawling, but on his side, the road is smooth and the speed is fast.

"In that case, what if the medical association makes a personal recommendation?"

"What about a person like Fang Yun back then?"

"If such a situation arises, then it is another level, and corruption with the medical association as the core will inevitably breed." Zhou Cheng didn't refute, just analyzing the situation.

People go to high places, water flows to low places, such a competitive mechanism, the intention is good, but it will make people panic, this is indeed the more development, the more off track, even if Zhou Cheng is the founder of the medical association system, now is trying to find a way to solve such a problem.

They are even considering whether to abolish the ladder system of medical associations and return medicine to the free market.

Because if you want to develop county-level hospitals and town-level hospitals, someone will inevitably have to pay something.

Fang Yun's brows furrowed, dressed formally, he touched his collar, and his tone was melancholy: "Speaking of which, there is still an imbalance in educational resources, and our country is still not rich enough." ”

"Otherwise, what if you can make free medical care cover? In fact, it can solve a lot of problems. ”

Zhou Cheng shook his head very calmly: "No, free medical care will not solve the problem, but will breed more problems, which will only make more people look down on the doctor, or the medical insurance will collapse directly." ”

"If medical care is free, then all high-end, even cutting-edge treatments, will definitely be in short supply, and it will not be possible for at least a hundred years."

"We should never challenge people's desire to take advantage."

"If medical resources are free of charge, then a cold, the patient will ask you to conduct a full and comprehensive examination of him, and with such a huge population base in our country, medical resources will be absolutely paralyzed!"

Fang Yun thought about it, but felt that such a statement was not unreasonable.

"Lao Fang, you really have to start thinking about these higher-level problems now, otherwise, if it continues to develop, the situation may get worse and worse, and more people must stand up." Zhou Cheng touched his chin.

The voice grew quieter.

When he heard this, Fang Xian, who was driving, casually mentioned: "Professor Zhou, do you think it would be slightly better if the short-term employment system was adopted in the county hospital and the town hospital?" ”

"What is a short-term hire?" Zhou Cheng asked rhetorically.

The concept of short-term employment is not clear enough.

"It is a short-term employment on demand, for example, in a hospital, what kind of vacancy arises, then what kind of doctor is hired, and the short-term employment is one or two years."

In this case, it may be relatively better, and this kind of mode first appeared in the game's teams. Of course, I don't know if it's feasible, but I'll just mention it casually. Fang Xian honestly held the steering wheel and said this.

Zhou Cheng seems to have considered this direction: "The idea you put forward by Xiao Fang requires a set of strong human management resources, and it is very difficult to find corresponding talents from the vast sea of people, and talents who are willing to come to work." ”

"I had this idea before, that is, the center and regional high-end talents lead the system."

"For example, if Professor Fang is in Changshi, it may attract a group of directors who want to learn technology with Professor Fang to go to Changshi to develop the medical level of Changshi."

"But you can also see the result, but if you can't see a profitable point, then others will leave immediately after Professor Fang leaves, this is the reality."

"Freedom and contribution, to a certain extent, are very difficult to compatible."

Everyone was silent, obviously Professor Zhou Cheng's previous idea and idea of developing a trauma center coincided with the short-term employment system proposed by Fang Xian, but in fact, it was also difficult to solve the fundamental problem.

Zhou Xiyin suggested asking at this time: "Dad, what if the number of diseases is assessed?" ”

"It's just a doctor, if you want to work anywhere, you need a certain disease reception rate?"

"What you say is not so much the number of diseases as the quantity of money, and the source of the disease can be bought. Can you understand? Zhou Cheng once again rejected Zhou Xiyin's suggestion.

……

Problems like this have been discussed more than once, but it is certainly not possible to get a final solution on a driving trip.

And after Zhou Cheng and Fang Yun followed Fang Xian and Zhou Xiyin to Cixian, they were immediately warmly received by Director Huang Bohang, and wanted to make good arrangements.

However, Zhou Cheng and Fang Yun obviously didn't come for this.

shirked all the human feelings, and the two lived directly in the hotel.

That night, Fang Xian received a lot of phone calls, all of which instructed Fang Xian to ask Professor Zhou Cheng and Professor Fang Yun to come out and have a meal together, press a motorcycle or other entertainment activities.

MMC is easy to say, of course Fang Xian can't accept it.

On the sixth day of the first lunar month, Fang Xian officially 'brought' two more people to appear in the ward, and then carried out manual reduction of some simple fractures and relatively complex fracture patients accumulated in the ward during the Chinese New Year.

And in the process of this reset, Fang Xian operated most of them, and the result was that Professor Zhou Cheng, Professor Fang Yun, and Zhou Xiyin all had itchy hands, and they each operated some.

In just one morning, he took down all the more than 20 fractured patients in the ward.

I put on a plaster cast, and went through more than a dozen discharge procedures in one morning.

And these fracture patients were all reduced by Huang Bohang and others through manual reduction, which could not be treated.

The wards were nearly half emptied.

Such a visual impact made Huang Bohang and others feel for the first time the horror of high-end medical combat effectiveness.

For the patient, it is also a kind of salvation, who was still waiting for the operation, but the result can be discharged directly, and it is the doctor's advice, so everyone is naturally happy.

After the operation, Zhou Cheng and Fang Yun were very arrogance, and they did not participate in any wine and dinner, and came directly to Fang Xian's dormitory.

"Xiyin, you are responsible for recording, and I, Senior Brother Fang, and Uncle Fang Yun will have a relatively small meeting." Zhou Cheng looked at Fang Xian's work preparing tea for the four of them, and said so.

At this moment, Fang Xian brought tea: "Professor Zhou, Uncle Yun, I don't have any good tea here, you will just take it." ”

"Tea is not a problem, you are like this, you can obviously reset, but you can reasonably do the reset unsuccessfully, this is the problem that Professor Zhou and I are concerned about."

"Fang Xian, tell me, how on earth were you able to completely turn yourself into relative ignorance?" Fang Yun also looked solemn at this moment.

What does it mean to be relatively ignorant?

In other words, you are obviously a college student, but you can naturally show that you can't solve equations, which is relative ignorance.

Even if you are acting, this acting skill has reached its peak.

After all, pretending not to be and really not going to behave is completely different.

If the mind can be retracted, then it can be creative, and it will become infinite.

Fang Xian shook his head: "Uncle Yun, Professor Zhou, I can't answer this question, it's just that some time ago, not long after I came to Cixian, during the operation, I suddenly remembered this matter. ”

"It was just a flash of inspiration, and now I can only do it, and I can't explain how to do it."

Being able to do it yourself and being able to fully explain how to do it are two completely different categories.

If you really want to discuss it in detail, it may touch on very advanced philosophical and unknown occult topics, so I don't care.

Zhou Cheng was not entangled, and continued to ask: "Therefore, your current state is that even if it is manual reduction, you can already reach an incredible realm, and you can carry out manual reduction treatment for some diseases that are currently defined by the medical association and contraindicated by manual reduction." ”

"And when the technology is so proficient, you can choose to forget?"

"In the state of oblivion, is it true that you can't, rather than pretending that you won't? Deliberately repeating into the state that someone else is in, but exactly being in that state? ”

Pretending not to be able to repeat the state that others are in, this is a wishful level skill, a state that can be achieved.

In other words, he can simulate and copy other people's actions, and then point out the inaccuracies as he goes.

It's a pretend, it's a simulation.

But Fang Xian chose to forget, and completely controlled his cognition at this level, which was quite terrifying.

It's not terrible for a super scholar to be able to do elementary school topics.

It's not scary to pretend to be an elementary school student who doesn't understand any problems.

But if a person can completely control and lock his cognition at the level of primary school students, and control it to the point of being completely ignorant of other aspects, such a realm is already a bit extraordinary!

Fang Xian thought about it carefully.

He nodded: "It should be, Professor Zhou." ”

Only then did Zhou Cheng turn his head and look at Fang Yun: "Professor Fang, this may be a state that pure scholars are in, Doctor Fang Xian, you can turn into a pure scholar at any time and maintain enough curiosity." ”

"We used to understand that the perfection of a skill is only at the operational and theoretical level, reaching the highest level of reality definition, but in fact, the perfect state of a skill lies in its infinite improvement."

"It's like mathematics, perfect by its absolute definition, just the most simple perfection."

"Fang Xian, if he has been immersed in manual reduction, he can push manual reduction to an unattainable peak, subverting our cognition again and again, and even reaching the point where most of the fractures in the future, at least long bone fractures, do not need surgery to intervene."

"Just like today's urinary stones, the secretion of urinary stones in the past required surgical intervention, but now it has been completely classified into the Department of Nephrology, which can be completely treated and solved by drugs."

"The ultimate goal of surgery is to be transformed into an internal medical disease!"

"What do you think?" Zhou Cheng made an analogy to understand the power and significance of Fang Xian's current state.

The transformation of surgery into internal medicine is very meaningful, firstly, because the disease has been reduced in dimensionality, and secondly, there is no need to operate, there is no technical threshold, as long as there is the corresponding drug, anyone can operate.

Medicine is definitely not a science that constantly raises the threshold, the best thing is to constantly lower the threshold, and it can also improve the efficacy of medicine, so that the diagnosis and treatment of diseases become easier and simpler, which is the meaning of medical development.

Rather than personal pretense, personal heroism.

You're covered in iron, how many nails can you make?

Whenever you can transfer a disease from the surgical system to internal medicine, although the surgery has one less disease, you are definitely a savior for patients with similar diseases! ~

Fang Yun shook his head: "Brother Zhou Cheng, but he is not so optimistic, after all, even if Fang Xian can operate it himself, how to make others operate it will also be a problem." ”

Zhou Cheng asked rhetorically: "Then what if Fang Xian can reproduce this technique of his own into a fracture manual reduction instrument that can be accurately repeated and classified by type?" ”

Fang Yun tilted his head and looked at Zhou Cheng's gaze, which was extremely incredible?

"Excuse me?" Fang Yun asked.

"There are not so many that the rehabilitation equipment in the rehabilitation department is originally created through continuous clinical summary. We orthopedics, too. ”

"This is not a regression of our technology, but the progress of medicine, which allows us to be liberated from repetitive mechanical work and makes us more lazy and leisurely, which is the nature of human development." Zhou Cheng sold it.

didn't continue, but said: "Fang Xian, the better you work hard, the better you do, then our country, and even the whole world, will be able to get relatively completely rid of diseases like fractures in the future." ”

"If there is a systematic and reproducible manual reduction instrument, then the fracture disease may really be internalized."

(End of chapter)