Lin Sanqi is very happy. The interns can actively ask questions, which shows that everyone is listening carefully and thinking hard.
What I fear the most is sleeping in class, yawning during ward rounds, being confused when asked questions, and being an intern who is more enthusiastic about saying which nurse is prettier than anyone else.
The interns trained by Lin Sanqi will be put to great use in the future and will become the leading disciples in the field of tuberculosis in the country.
Fortunately, college students these days are very talented and very conscious in their studies.
"This is a good question, Mr. Zhang. I happen to have an X-ray of a lung tumor here. Let's compare it. Xiao Yezi..."
When Pan Ye was at work, he acted as Lin Sanqi's secretary, so he quickly took out an X-ray of lung cancer:
“We all know that tuberculosis is an infectious disease caused by Mycobacterium tuberculosis infection, while lung cancer is caused by genetic mutations. Although the two diseases are different, they have great similarities in clinical symptoms.
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For example, the early clinical symptoms of lung cancer and tuberculosis include cough, sputum, blood in the sputum, low fever, etc. Therefore, misdiagnosis may occur in the early stage because you cannot distinguish them from the symptoms, which requires further examination.
Of course, if we Chinese medicine practitioners, like my twelve masters, my father, Dr. Lin Kushen, or Director Shen of our Chinese Medicine Hospital, are used to take the pulse, they, these old fairy-like masters of the country, will be able to tell the difference. , It’s a pity that there are fewer and fewer such old gods now.
If we want to promote clinical guidelines, we must have a set of simple, operable, and replicable methods and experience. So this is why I decided to use traditional Chinese and Western medicine to treat tuberculosis, because I want to introduce a national standard for tuberculosis. ”
Okay~~~
Everyone applauded. Whether they are Chinese or Western doctors, after all, it is the highest dream and goal of every doctor to help the world.
Lin Sanqi's generous remarks obviously conquered every medical staff present.
"Okay, then I will briefly explain how to identify whether it is tuberculosis or tumor.
The cavities produced by some tuberculosis are very similar to cancerous cavities, and it is entirely possible for tuberculosis to be misdiagnosed as lung cancer before pathological diagnosis is completed.
The appearance of miliary pulmonary tuberculosis on chest X-ray is also very similar to that of alveolar carcinoma in lung cancer. Both show multiple small nodules, so they are easily misdiagnosed.
Therefore, the diagnosis of pulmonary tuberculosis is the discovery of Mycobacterium tuberculosis in sputum and tissue fluid; the diagnosis of lung cancer is the discovery of cancer cells in pathological tissue. This is what I call the gold standard. ”
Many people are already taking notes with their heads down, including the department heads.
"Today you are here to visit our tuberculosis department. From the perspective of tuberculosis, the lesions of tuberculosis are not limited to this small range. Look at this X-ray. There are small tuberculosis balls formed by tuberculosis infection around the tuberculosis.
A large nodule ball is surrounded by countless small balls. This is called a satellite stove, which is also an important feature of the nodule ball.
In turn, let’s look at this photo of lung cancer. The lesions of lung cancer are irregular in shape. Here’s the key point. The edges of lung cancer have burrs, lobes, etc., while tuberculosis balls are smooth, so everyone remember, this is a very special disease. Important points of identification.
I have summarized it, and everyone should also remember what tests to do when facing tuberculosis in the future:
Auxiliary examination for pulmonary tuberculosis: the first choice is chest X-ray; the diagnosis requires sputum examination, including sputum smear and sputum culture; the gold standard is sputum culture. ”
What Lin Sanqi teaches is all practical content, which is what his previous teacher taught. Now Lin Sanqi teaches the students in 1960. This is called inheritance.
Although this inheritance is a bit funny, it is a reverse inheritance.
Lin Sanqi then took out the third X-ray:
"Look, this is the third X-ray taken by my father-in-law at Union Hospital in early 1960. You can see that except for a small amount of scars, the tuberculosis lesions have completely disappeared in this photo, so I am sure Said my father-in-law was cured”
Dean Tu nodded slightly: "I can testify that these three X-rays were taken by our hospital, and tuberculosis has indeed disappeared."
The scene was quiet, and everyone was obviously digesting the knowledge points taught by Lin Sanqi before.
At this time, Director Liu of Digital Hospital suddenly suggested:
"Xiao Lin, you are also my subordinate, so what do you think of my proposal?
Your tuberculosis department has the most advanced equipment and the most effective secret medicines, but you only have two patients now and obviously can't convince more people. There must be more new medical technologies, new drugs, and specimen reference data.
You cured your father-in-law, but it was just a patient; now even if you cured two artists, it was only three specimens; and the eight consumptive colleagues in your hospital cannot be counted because of the need to avoid suspicion due to close relationships.
Since you plan to promote tuberculosis treatment experience and drugs nationwide in the future, these three people are far from enough. Even if you cure 30 people or 300 people, it is not enough. You need more specimens and more patients. ”
Lin Sanqi has also thought about this problem. Isn't everything difficult at the beginning? The traditional Chinese medicine hospital doesn't even have an inpatient department, and there are no skilled residents, nurses, or laboratory staff to cooperate.
Modern medicine requires teamwork, unlike traditional Chinese medicine, where a doctor can travel around the country to treat people with a medicine box on his back.
Therefore, in the tuberculosis inpatient department, Lin Sanqi alone has to work as a doctor to treat diseases, as a teacher to teach, and to copy papers. It is not exhausting.
Lin Sanqi's original plan was not to have too many patients, and to find ways to slowly expand the scale of the "Tuberculosis Department" in the future, but he was afraid that the pace would be too big and cause damage.
"Dean Liu, I also know that the more patient data the better, but look at the current strength of our Traditional Chinese Medicine Hospital. We have arranged 5 wards, which can accommodate up to 15 patients. If there are more, there will be nothing we can do."< br>
Dean Liu rolled his eyes and then revealed his true intention.
"In this way, if you transfer this tuberculosis department to our digital hospital, don't worry, I will set up a separate tuberculosis department for you, or let you be the director of the department. I will upgrade your level and give you a three-star rating. How about it? If you’re not satisfied, I’ll give you two bars and one star.”
Upon hearing this, Director Tu of Union Hospital took the opportunity to yell:
"Go to Xiehe. We have the best team of doctors and nurses in the country. They are all ready. In addition, you are from the same school of Western medicine, so we can perfectly cooperate with your work."
Dean Shen became angry when he heard this: "Liu Shengli, Tu Bin, if you say one more thing, I will use acupuncture to prick you into an old hedgehog, believe it or not?"
Lin Sanqi felt quite tired, thinking, are people poaching people so simple and crude these days?
A traditional Chinese medicine hospital is better than a traditional Chinese medicine hospital. He Lin Sanqi can basically walk sideways and do whatever he wants.
If you go to a digital hospital, this kind of military hospital has cumbersome rules and regulations. Everything must be asked for instructions early and reported late. Instead of being the third grandson, it is better to be the local emperor in a traditional Chinese medicine hospital.
"Dean Liu, Dean Tu, thank you both for your kindness. I will definitely not leave, so don't argue about this."
Liu Shengli was not angry at all, and then he revealed his real purpose:
"Then I have a suggestion, everyone should listen to it. The proportion of tuberculosis in our country is about 5%. This means that there are tens of millions of tuberculosis patients in the country. Let's not talk about the distance, let's just say that in our capital area, there are at least 200,000 tuberculosis patients. patient.
In the internal medicine outpatient clinics of our major hospitals, we encounter a large number of tuberculosis patients every day. Facing these patients, we can only try our best to use drugs to alleviate their pain. Unfortunately, it is not possible to cure them. This has to be said to be a pity.
Now that Comrade Lin Sanqi's slogan is to cure tuberculosis, we have many patients, and you also need a large number of case specimens. Otherwise, let's work together. ”
Dean Shen was very wary when he heard this: "How to cooperate?"
Liu Shengli and Tu Bin looked at each other and smiled:
"In this way, we will provide the patients, and we will also send doctors to join your tuberculosis team. If any medical results come out in the future, just bring them to our two hospitals."
Dean Shen burst into laughter:
"Old Liu, Old Tu, have you made a mistake? Are our traditional Chinese medicine hospitals short of patients? What can you do with Western medicine about tuberculosis? Our traditional Chinese medicine can also help relieve the pain of patients. There are more of you, okay?”
Dean Tu also deceived him at this time:
"Your Traditional Chinese Medicine Hospital is too stingy. This tuberculosis department has just built a small farmhouse like this. Those who know it is a hospital, but those who don't know it think it is the deserted temple of Lanruo Temple. It has no place in the front and no store in the back.
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In this way, if you agree to us joining the treatment team, we will be responsible for the expansion of your tuberculosis department, and we guarantee to build a complete inpatient unit for you. ”
Dean Liu also clapped his hands and said: "Yes, not only will we build a hospital for you, we can also mobilize some key doctors and nurses to work in your traditional Chinese medicine hospital."
Dean Shen heard this and said with contempt:
"You two have made plans that everyone in Inner Mongolia has heard. Now every unit across the country is reducing staff. You just happened to arrange the redundant doctors and nurses to come to our traditional Chinese medicine hospital? Let us shoulder the burden? Humph."
Lin Sanqi's eyes suddenly lit up when he heard this, and he quickly interjected:
"Dean Tu, Dean Liu, do you also have quotas for layoffs?"
Dean Liu and Dean Tu were a little embarrassed when their little thoughts were exposed: "Of course there are this and this."
Lin Sanqi thought to himself, these are the medical workers of Digital Hospital and Union Hospital. They are the top medical talents in the country in the past, present and future.
This group of people is first-class in terms of medical knowledge, clinical skills, and discipline and obedience.
If such a group of valuable talents are allowed to return to their hometowns and rural areas, it will be a huge waste of medical human resources and a huge loss to our country's health industry.
Others don’t want it, but Lin Sanqi wants it.
If his tuberculosis treatment team were all composed of doctors and nurses from Capital Hospital of Traditional Chinese Medicine, Union Medical College Hospital, and Digital Hospital, think about what kind of "Team of Heavenly Kings" this would be.
The more Lin Sanqi thought about it, the more excited she became, so she agreed without waiting for Dean Shen to object:
"Okay, Director Liu, Director Tu, what you said is that if you can arrange for the business backbones of your two major hospitals to work in the Tuberculosis Department of our Hospital of Traditional Chinese Medicine, I will definitely give priority to your two hospitals if there are any results in the future."
When Liu Shengli and Tu Bin heard this, they stood up:
"Xiao Lin, we are serious. You have to keep your word. If there is a paper published in the future, our two hospitals should be included. If there is any successful treatment promotion, our two hospitals should also be given priority!"
Dean Shen became anxious and slapped Lin Sanqi on the back of the head in front of everyone:
"You're out of your mind. It's too late for us to reduce the number of employees ourselves. Why do you still need a group of outsiders? Besides, what kind of doctors and nurses do you want? I'll transfer the employees in our unit. What are you afraid of?"
Lin Sanqi thought how easy it would be to convert Chinese medicine to Western medicine. They are simply two different sets of theories and operations.
Moreover, when converting Chinese medicine to Western medicine, you need to start from scratch. Without five or six years of clinical experience, how can you get any clinical experience? The key is that Lin Sanqi does not have that much time to be a teacher. He didn’t come to this world to be a teacher or a doctor. He came to this world to monetize his traffic and make money, so he quickly explained in a low voice:
"Uncle Shen, don't worry, are you still worried about what I'm going to do? Of course I have my own plan, and I guarantee it will be the most beneficial to our Traditional Chinese Medicine Hospital."
Dean Shen thought the same thing. Although Lin Sanqi usually had an out-of-touch personality, she did things in a very orderly manner, and it really didn't look like she was messing around.
But if you should threaten, you still have to threaten, otherwise the employees of other traditional Chinese medicine hospitals will have objections.
"Okay, let me see how you plan to cooperate, otherwise I will have to skin you today."
Lin Sanqi chuckled and whispered in Dean Shen's ear:
"Uncle Shen, please watch carefully. What do we mean by using money and people from other hospitals to serve our traditional Chinese medicine hospital? I want them to lose their wives and soldiers."
Liu Shengli became unhappy and cursed: "Why are you two biting your ears?"
Lin Sanqi straightened up and said with a smile:
"Dean Liu, Dean Tu, I just discussed it with our Dean Shen. Your request for cooperation is not impossible, but you must do the following two things as you promised."
"You say, you say!"
"The first thing is that you promise to build a new hospital for our tuberculosis department. My requirements are not high. How about 200 beds?"
Liu Shengli nodded: "I'll figure it out. Our army can still scrape together some building materials. Let the engineers come to do the work. It can be done in a month."
Dean Tu answered: "We, Xiehe, can contribute part of the money." (Money is of no use anyway)
Dean Shen laughed and said: "Really or not? So soon? A month?"
Lin Sanqi firmly believes that it can be done, because it only took 9 days from the beginning to the end of Huoshenshan Hospital to build a hospital with more than 1,000 beds, and all of them are single rooms with air conditioning and breathing. Machine.
Our country is not called an infrastructure madman for nothing.
"The second requirement is that I want 10 doctors and 15 nurses for each of your Union Medical College and Digital Hospitals, so the total is 50 people.
The requirements are that doctors must have more than 10 years of work experience, be able to speak English, and preferably have overseas education. If they are all from respiratory medicine or thoracic surgery, then I would most welcome them.
Nurses must have more than 5 years of clinical experience. I don’t have a requirement for good looks, but they must be careful, conscientious, and obedient in their work. In addition, it is best to have a high school or nursing school degree. If you can understand English, I will also welcome you. ”
Now Liu Shengli and Tu Bin are full of people, and they can't wait for Lin Sanqi to add a few more people. It's not difficult at all.
Liu Shengli asked: "One hospital requires 25 people, is that enough? Your requirements are high for others, but not high for our two hospitals at all. How about a few more?"
The Western medicine education they received more than 10 years ago, during the Republic of China, was an incredible group of people. Basically, they all came back from studying abroad, and they were all top talents in the medical field.
However, this group of people has a serious composition problem. They are either from big landowners or from wealthy families. Coupled with their experience studying abroad, Lin Sanqi believes that this group of people will not have a very easy life now.
Like the 12 old national treasures, either...or...
Anyway, the benefits will never come. No one can escape through layoffs or hats.
Lin Sanqi brought these people to the Traditional Chinese Medicine Hospital and raised them as temporary workers. One was to protect this group of valuable Western medicine talents, and the other was to help standardize his own tuberculosis business.
Professional matters should still be left to professionals. The professions are as different as mountains. After all, Chinese medicine doctors are not in the right profession, and college students lack clinical experience, so they are not easy to use.
Lin Sanqi thought seriously, "It's not bad to have a few more..."
Dean Shen quickly interrupted: "Okay, okay, you are said to be fat and you are really out of breath? Adding 50 more places will cost my life, no more."
Dean Tu was a little worried: "Comrade Xiaolin, how do you manage the establishment of these 50 people?"
Lin Sanqi shook her head and held down Dean Shen who was about to get angry:
"There is no way to solve the problem of establishment. Now the country has a very tight establishment system. If I give you 50 establishments, 50 employees of our Traditional Chinese Medicine Hospital will be dismissed. Then I will really become a sinner of the Traditional Chinese Medicine Hospital and will be cast aside by all people. ”
Dean Shen and the staff of the traditional Chinese medicine hospital who were watching quietly breathed a sigh of relief.
When Liu Shengli and Tu Bin heard this, they frowned: "If there is no establishment, how can we stay in the capital? How can we solve the problem of food?"
Lin Sanqi pointed to the cornfields outside the yard and said with a smile:
"This is the successful experience of our traditional Chinese medicine hospital. We can keep these 50 people in the capital as temporary workers in the traditional Chinese medicine hospital. Their household registrations are temporarily linked to the collective account. I will still pay the salary and food of regular workers every month. , to solve their worries. ”
"So, what about the families of these medical staff?"
"It's easier for family members. They participate in the agricultural production on our farm. We regard all family members who work in the fields as temporary workers. They can also be given food, so they can support themselves."
Dean Shen was relieved when he heard that Lin Sanqi was planning to support these people as temporary workers. More rations would be a vital matter for other units, but for a traditional Chinese medicine hospital, it would be a trivial matter.
As long as it doesn't occupy the official establishment quota, it's okay to support as many people as you want.
Moreover, Dean Shen knew that all the doctors and nurses at Xiehe Digital Hospital were treasures. No wonder Lin Sanqi was greedy.
"Old Liu, Lao Tu, okay. Since Comrade Lin Sanqi has spoken, I, as the dean, have agreed. I have given these 50 temporary workers, and the salary will be the same as that of regular workers. How about it? I have enough." Be cool.”
The two deans, Liu Shengli and Tu Bin, were really convinced at this time and raised their thumbs:
"Old Shen, I am really convinced by you this time. Your Chinese medicine hospital is really powerful and life is really easy."
At this time, Lin Sanqi gave the two deans another reassurance:
"In fact, if you stay in the capital, everything is possible in the future. If the food crisis is resolved and the whole society is not short of food, the hospitals will have to recruit people again. It is better to work hard than to work well. Major hospitals will definitely give priority to caring for the elderly. Employee, right?”
Dean Liu and Dean Tu slapped their thighs and suddenly realized:
"That's right. If the hospital expands its enrollment again one day, we will definitely recruit back the old employees who were laid off!"
"That's right, we can't let our employees suffer!"
Lin Sanqi thought to herself, the leaders in this era are really good, they really think about their employees wholeheartedly, and they have a kind of patriarchal mentality. Unlike later generations, employees were exploited and took the blame, serving as a stepping stone to their own success.
Thinking of this, Lin Sanqi decided to continue drawing a big pie:
"And even if the hospital does not expand its enrollment, you think, as long as the tuberculosis department of our hospital of traditional Chinese medicine is really established and can really take the lead in the world in conquering infectious diseases like tuberculosis, then our tuberculosis department will have a bright future.
By then we will be able to become a hospital within a hospital, and even building an independent hospital will not be a problem. If there is an opportunity to put up a sign for the Capital Tuberculosis Hospital, then there will be job quotas, and then these 50 doctors and nurses will be re-employed, do you think that is right? ”
Dean Liu and Dean Tu slapped their thighs: "That's right!"
Dean Shen's beard was about to stand up, "Okay, you are really ambitious. Do you want to build an independent hospital?"
Lin Sanqi quickly reassured:
"Dean Shen, Uncle Shen, please calm down. If I hadn't said this, how could those high-level and highly-diplomaed doctors and nurses be willing to come to our Traditional Chinese Medicine Hospital? Only by drawing a good pie can we attract the phoenix."
Dean Shen thought the same thing. How can we retain talents without good conditions?
Besides, if Lin Sanqi's tuberculosis department is really successful, it will only be a few years later. By then, it is still unclear whether he will be the dean, whether he will be independent or not.
Dean Liu and Dean Tu sighed deeply, just like Dean Shen before:
"Okay, I'll make arrangements for you when we get back. I hope you can treat our employees well."
Pan Ye was a little strange and asked quietly:
"Sanqi, why do you require doctors and nurses to speak English? We can't even read foreign medical magazines and textbooks, let alone go abroad. Even if we want to learn, we have to learn Russian."
Lin Sanqi chuckled:
"I didn't have the opportunity before, but maybe there will be many opportunities to go abroad in the future. If you learn English well, you won't be afraid of traveling all over the world. You should also seize the time to learn. When the time comes, you will be the wife of the department head, and you will have to take the lead and set an example."
Pan Ye blushed again and nodded slightly:
"Okay, our seven college students have a good command of English, but your junior soldiers from the Traditional Chinese Medicine Hospital don't have good English."
During the Republic of China, English courses were offered in China. Later, after liberation, they were changed to Russian courses. Later, domestic universities started to offer English courses again in 1956, which lasted until Lu Lunian.
Therefore, Pan Ye's group of college students happened to have studied English and Russian, and they were definitely elite talents. (End of chapter)