I don't know from that year, a lot of teahouses suddenly popped up in Chasu City, the decoration is high-grade, and of course the charges are not cheap, a pot of the cheapest tea is not less than 80 yuan. It is said that it is picked from a tea tree on the edge of a cliff, and only a few taels a year! The girls who make tea are very good at chatting, while performing tea art slowly, they are working hard to sell their snacks!
After working in the hospital for several years, doctors with a little bit of skill have a common problem, that is, they don't like eating outside, no matter whether it is a snack bar or a big hotel, because they have seen too many diseases caused by eating. Doctors in urology do not eat kidneys, doctors in liver and gallbladder do not drink alcohol, and doctors in respiratory department do not smoke!
After finally making the tea, after the little girl who made the tea went out, Lao Li held the tea and said: "Twenty years ago, I was the first batch of doctors who went to the island country in the frontier for further training, and I was also the last batch. Medical care has a huge impact on me, the medical environment and level of their country, everything is so advanced, everything is so high-end."
Zhang Fan drank his tea silently and listened to the professor opposite him reminisce about the past. Zhang Fan did not expect that Professor Li would reminisce about the past to him.
"Do you know, when I first entered the operating room in Japan and saw the fully automatic operating table, my mood at that time was full of ups and downs, and I couldn't express it! Island medical care pays attention to a system The concept of traditional Chinese medicine has really taught them the essence. One of their doctors can manage up to eight patients, and since the patient is admitted to the hospital, all the examinations and treatments are done by the doctor himself. And we! Learn today The Soviet Union will learn from the United States tomorrow. Although it is advancing, compared with the islanders, we have lost our own roots. Our current doctors and patients are almost all assembly-line products, with no special features and no specificity!" After finishing speaking, He stared at Zhang Fan.
"Maybe we have a large population!"
"No! It's a matter of ideas and concepts. I went to the capital to study last month, and I heard that the medical reform is going to change again, and this time it's a big move for hospitals and doctors. Especially for young doctors."
"You won't let the young doctor continue to go to school." Zhang Fan asked curiously, he didn't care at all whether the island country is not an island country, it's too far away~!
"It is estimated that it will take several years of vocational training to really enter the clinic."
"Twenty-four after graduating from college, three or four years of training will turn thirty! It's been a long time!"
"I can't do without changes. After a colleague of mine came back, he went to Japan to get a doctorate. I still have a little contact with him. Do you know that their general hospitals will carry out some scientific research projects. As for us, How many projects are actually doing medical research every year?"
"Ah! I don't know about this."
"Take our hospital as an example. The state invests a lot every year, but almost none of them have achieved results for several years. They are all repeating some mature experiments in foreign countries or developed cities. Why, one is that scientific research is not easy. , The second is our environmental constraints. There is a disconnect between universities and hospitals, do you think your hospital has scientific research projects a year?"
"I don't know, it should be possible."
"Nonsense, absolutely not. Even if there is, it is to imitate other people's mature technology, and then you repeat it again and cheat some funds. Even if the city committee of Chasu City builds a building, it will never give you the funds for scientific research. And As for you, you are in the prime of your life, at an age where you have energy and ideas about everything, and going to a large super hospital, internal strife can make you unable to work with peace of mind, and this kind of prefectural and county hospitals will not Support some of your ideas, such as the reconstruction of your hepatic portal vasculature. Without an animal laboratory, it is just an idea. Now you still have ideas, and you have the energy to think about it. After a few years, you will be affected by the environment You can only be Zhang Yidao in a small hospital! This is not alarmist talk." After speaking, Lao Li drank the tea slowly and observed Zhang Fan from the corner of his eye.
"Is this kid with a mask face? After talking so much, there is no response." Lao Li was also puzzled, and Zhang Fan hardly showed any expression.
"Oh, isn't it true that large hospitals are very competitive?" Zhang Fan knows his own affairs. With a system, he must not waste it, and medicine is a unified discipline. In this life, God gave him the opportunity to set up a specialist. Doctors are really wasted.
"Is this the point!" Lao Li complained in his heart, but he still said: "Large hospitals, the confrontation of various ideological lines, do you know that the confrontation of ideological lines is very cruel. And you are still so young, too early to intervene No need. In fact, this kind of provincial hospital is the most suitable for you. You see, I am still a professor of medicine at Di University. If you come, the laboratory and research funds are really free and abundant.” This is what Lao Li is doing. Huyou, it is estimated that using the laboratory is not a big problem, and the research funds are free and abundant, so that is bullshit!
"Oh! Professor Li, I really haven't thought about this at the moment, thank you!" Zhang Fan refused with a little embarrassment.
"Hey! I just can't figure it out, what attracts you here!" What he didn't know was that Zhang Fan was already able to go to the county-level hospitals in this area on a regular basis, and almost all surgical operations were monopolized by him. For a comprehensive surgical operation, going to the provincial capital hospital would never allow him to undergo such a comprehensive operation.
"Hehe!" Zhang Fan couldn't explain clearly.
"Otherwise, regarding the reconstruction of your hepatic portal vessel, I will take the lead to establish a scientific research project. You spare time to come to Dida to do animal experiments. When you have data, maybe your idea can enter the clinic. If it succeeds, maybe the operation named after you will be used in liver tumor textbooks in the future!" Lao Li took the second best option, and if he wanted to take another step forward, he couldn't do without a strong scientific research project.
"Is this okay?" Zhang Fan asked after thinking for a while.
"Why not, you wait for my message, I will contact you."
After the conversation was over, Lao Li didn't have time to go to the dinner party, so he flew away with two students. A young man from the equipment dealer followed Lao Li, who was a running errand.
After the surgery observation meeting, Zhang Fan was really famous. He used to be famous in the county hospitals, but now the urban hospitals are also famous.
In the past, it was a petty theft in the county hospital, but now it is equivalent to the government giving Zhang Fan an identity, and the city-level hospitals are also preparing to invite Zhang Fan for surgery. Only the city hospital and the traditional Chinese medicine hospital in the urban area are the top three hospitals, but there are many patients. , so many patients chose to be hospitalized in other medium-sized hospitals. When encountering more difficult operations, they invited experts from Bird City to perform the operations.
Now general surgery, if it is more difficult, I will ask Zhang Fan first. Zhang Fan is young, not to mention famous, and now he has no entanglements with the doctors in these hospitals. The cost of surgery will definitely be very cheap. There is still a difference in charges between provincial-level experts and provincial-level experts, and experts in provincial-level hospitals leave with money after the operation without any friendship, and the same city is different, so the market for Zhang Fan's acupoints Seeing that it is getting bigger and bigger.
However, there is another top three in the urban area, the Municipal Hospital of Traditional Chinese Medicine. Even if they were to invite experts from Bird City, they would not invite Zhang Fan. In the words of the director of their hospital, they should lose face. Anyway, the cost of hiring an expert is shared equally by the patients, and the hospital doesn't care.
The medical industry has a very special point, that is, it is particularly fond of equalization. Hospitals of the same level have the same annual income turned over to the national treasury. Almost, so grassroots hospitals do not have a particularly strong motivation to research or develop new projects, unless the consumables for this project are very expensive.
A cardiovascular stent technology has spread throughout the medical field for several years, and later developed to county-level hospitals, which also began to carry out this kind of surgery. Let alone other things, a heart stent department does not have a strong cardiac surgery support. How dare you do it ? If the patient doesn't understand, don't the leaders also understand? But because of the consumables, some hospitals have established cardiac interventional departments early on without even a cardiac surgery department.
The medical device manufacturers in Huaguo are actually still in their infancy. They are all second-hand dealers. Their business methods are very rough, directly opening the way for rights and interests. The medical industry is afraid to talk about this topic, it is too heavy.
And foreign super medical companies have done quite cleverly. They generally don’t directly use money to open the way. First of all, the products are excellent, such as insulin and anti-cancer drugs. Although you can imitate them in other countries, their efficacy is poor, and some of them can’t even reach 40% of the efficacy of the original products.
The second is to develop a signboard under the guise of academics to attract department directors and top technical experts. Ordinary doctors just treat them to a meal every year. For these directors and technical top experts, they will organize meetings all over the country or even the world. to study. For example, the intervention of the Department of Cardiology, in order for the hospital to develop and purchase their equipment, they train high-level surgical talents for the hospital free of charge.
In fact, the number of places for one-year training in Zhongyong Hospital is limited, otherwise doctors from all over the country will pour in, and they will not be able to work normally. This kind of super hospital, if you contact a regional hospital, you may not be able to get in touch. What should you do? Just find the agent manager of this kind of international equipment. It is no problem to enter any hospital or department. They have a solution.
The third is to set up various learning conferences. Anyway, if you don’t use our company’s medicines, you don’t have any medicines. It’s very cute. Through various meetings, invite some experts to do clinical trials, and then let these experts go Publish some papers, both sides reciprocity. And this kind of company is strong because of its two ends, high-end pharmaceuticals and a large number of basic pharmaceutical raw materials.
High-end products are monopolized by patents, and basic raw materials will kill you with price wars, leaving you dead, and then the entire pharmaceutical market will become what they say!
If you get cancer in 2010, especially the cancer of the large organs, if you are not a wealthy family, just wait to die. The most effective target organ drugs cost more than 100,000 yuan per course of treatment, how many hundreds of thousands of ordinary people can have. In front of these giant pharmaceutical companies, they really look down on the profits of drugs (a).
At present, Huaguo can't do high-end high-end products. Its research and development, machinery and equipment can't keep up, and even imitation can't keep up. It can only make some simple basic medicines. Then the pharmaceutical factories all over the country fought desperately to fight the price war, just like this internal friction, the pharmaceutical factory in Huaguo has developed for many years, and the income is not as high as that of a health care product company, how funny!
After Zhang Fan and Professor Li separated, before they arrived at Shao Hua's house, the equipment manager who was in charge of arranging the venue was blocked at the entrance of Shao Hua's community. This female manager has been authorized by the boss, let her get in touch first, and then she will come to find Zhang Fan in person in the near future.
"Hey! Teacher Zhang, look, you have had surgery all morning, and you don't want to go for a meal. Is there something we did that made you dissatisfied! You must tell me, I will definitely Change it right away, please give me a chance and let me make it up." This manager is unusual, in charge of sales in the four provinces of Su, Hai, Xi, and Frontier, and her annual income is eight blocks lower than that of Zhang Fan, but just like this, her The posture is really low and low. Zhang Fan was too embarrassed to refuse the low ones.
There is a saying in the pharmaceutical industry, when a doctor is bored with you to the point where you are no longer bored, you can discuss cooperation with this doctor! How can I be so bored that I am no longer bored, that is, no matter it is windy or rainy, I have to let this doctor see you every day without talking about anything, just a greeting. If you hate it, you won't even have the time to talk to you.
Don’t be afraid of this, the doctor will never beat someone, and then it’s time to work hard, one month, two months, one year, two years, finally, the doctor can’t do it anymore, when I see you, the disgusted expression becomes It’s like this: "Tell me, what are you going to do!" Well, you have entered the circle of friends of this doctor, and then it depends on the EQ of the salesman. Why do you want to do this? You want to go! ~
The regional manager is Yang Lu, a native of Jiangsu. She has worked in the medical industry for more than ten years, and a native of Jiangsu is also a traditional medical representative province. Although she is only in her early thirties, she has entered the medical industry. When traveling around, Zhang Fan was still studying. How to speak, how to deal with this kind of technical professionals, she has a good grasp of it.
As a woman, she can maintain such a low profile, Zhang Fan really can't speak, "Look, I'm really tired today, I'm really sorry! I'm sorry, I'm sorry." After all, Zhang Fan is still young, It is not an opponent to deal with this kind of old monster.
"It's our lack of consideration, really! Hey, Doctor Zhang, I'm really sorry that you didn't even have a meal. I'm also a thick-faced woman. I would like to ask you to do me a favor. Here are a few Medical information books and a set of Bayer's special surgical instruments, these are our company's trial for high-end surgeons like you, please let me know if you have any suggestions, after all, the opinions put forward by doctors like you are really important. Money is hard to buy, and we have the cheek to take advantage of you."
"This really won't work." Zhang Fan used this special surgical instrument during the operation today, and it was very convenient. Zhang Fan glanced at it, but he didn't dare to ask for it!
"Hey! My good doctor Zhang, don't worry, this is not for you, it is for you to try it out, we will take it back after a while, and this set of surgical instruments has not yet been mass-produced. It's just a sample! There's not even a price!" Yang Lu saw Zhang Fan's realization, and she knew that Zhang Fan was tempted, and the doctors she had contacted had not 10,000 to 5,000!
"This, it's not so good." Zhang Fan was shaken. Musicians are good at musical instruments, soldiers are good at guns, and surgeons will definitely love a set of special and convenient surgical instruments. If a worker wants to do a good job, he must first sharpen his tools. Summed up for others!
"It's really just a trial. If you feel uncomfortable, you can return it to us at any time. There is also a trial registration form. We will take back this set of equipment at that time, and Dr. Zhang must not lose it, otherwise I will have to pay for it." Moreover, doctors with average skills did not give us a chance to give us opinions. After all, our products are all products of international super companies, like Professor Li, who likes to use our surgical instruments very much!" Yang Lu pretended to be pitiful , took out a very formal borrowing registration form.
Zhang Fan seems to be okay, anyway, it's just for trial use, and the form is written in large fonts, and it is specially noted that if it is lost or damaged due to improper use, the trial person must compensate according to the price.
This is the little trick of foreign equipment giants. They don’t want to take back this kind of surgical equipment after they are released, and these companies are also responsible for warranty and replacement, as long as the user maintains the surgical standard, and this surgical equipment will not be mass-produced Listed on the market, each set has a special number, which can be regarded as an academic identity in disguise!
It's very low-end but it's unspeakable, and some businessmen in Huaguo don't even want to use small tricks. They just do all kinds of rampage in their own territory. ! The stuff in this is too profound, I still don't understand it!
After Zhang Fan carefully read the registration form, he found that there was nothing wrong with it, so he signed it. This set of equipment is really easy to use. During the operation today, I used a full set of products from their company. Even though the equipment is packed in a box as big as three notebooks, the value is really high. If compensation is really needed, based on Zhang Fan's current income, it is estimated that it will take a year to pay it back.
After Zhang Fan finished signing, Yang Lu sent the equipment to Zhang Fan with a smile on his face. Zhang Fan weighed the weight, and it was not light. "Doctor Zhang, then I won't disturb your rest. This is a small gift we give to the trial users. This gift is not for nothing. When returning the equipment, you must give reliable and effective suggestions!"
As he spoke, he put a small box on top of the equipment box, and then left without looking back.
Zhang Fan wanted to return the gift to him, but he said it was good, it was an accessory, and Zhang Fan shook it lightly, it was very light, and it was probably not worth a lot of money.
When Zhang Fan returned to Shao Hua's house, the old couple were making chicken soup for Zhang Fan. Zhang Fan was really too busy and consumed a lot. The old man and the old lady spent every day trying to prepare delicious food for Zhang Fan in different ways. Zhang Fan ate a lot, but he didn’t gain any weight. Moreover, he lost weight because he had to eat periodicals some time ago, which made the old lady feel guilty. broken!
"Quick! Zhang Fan, look, this is a watermelon sent by the farm secretary. This is a high-tech product of the farm. It is said that it is not like the greenhouse watermelon of the past. This is very sweet, and it is also a pollution-free farm product. It will be sold as soon as it is ripe." Went abroad!" Because Zhang Fan did a small favor, and he didn't forget about it, so he sent a lot of watermelons in the name of visiting the old workers, watermelons in the cold winter, and they were as big as a washbasin, which is really rare.
Hearing the voice, Shao Hua came out of the study, took off the glasses that he didn't usually wear, Shao Hua was a little short-sighted, and said to Zhang Fan: "Wash your hands quickly, you see that you are tired and your lips are dry, aren't you? It's another day without drinking water! You really can't do it like this." Pulling Zhang Fan into the bathroom to wash his hands, Zhang Fan especially enjoyed this kind of nagging, which was the feeling of family members.