Since 1981 Health School

Chapter 695 Spending money is also a worry

 Li Tongkang asked a little strangely:

“Dean Chen, don’t worry, every inch of a patient’s skin is precious now, but why do you care so much about the two skins on your chest? Is there anything special about this?”

Li Qi said casually while removing the gauze:

"These two pieces of skin on the chest, which are only as big as the palm of a hand, are the key to whether we can cure the patient this time. Now it seems that Ke Rongwei's life is not a big problem under the treatment of the Vietnamese-Chinese formula and various imported drugs. .

 But the family’s request is not only to save their lives, but also not to allow the patient to be disfigured and unable to see anyone in the future. Just like those two workers at the Yue Steel Factory, walking on the road in the middle of the night can scare 99% of lesbians to death, and their quality of life will become extremely poor. "

Ke Rongwei was awake at this time. When he heard Chen Qi's words, even though his heart ached when he moved even a little bit, he gritted his teeth and nodded hard.

Yang Xiuxiu, the little nurse next to her, shouted: "Look, the patient nodded."

"Noisy, you see, the patient himself also has a strong request for plastic surgery. The reason why I must keep the two pieces of skin on my chest and cannot use it for other purposes is because there is a rule for skin grafting on burns. You should also remember it. .

 The thinner the skin, the faster the skin removal area will heal, and the easier it will be for the transplant to survive, but the scar will be relatively heavy after healing;

 The thicker the skin, the slower the healing of the donor site and the lower the success rate of transplantation. However, after successful transplantation, the effect is better and the scar is lighter.

This is the same as planting grass or trees. Planting grass is simple. Just cut the turf, and any piece of soil will come alive immediately. However, in the event of a natural disaster, the turf will be damaged first.

On the contrary, planting trees is more troublesome. You have to bring such a large pile of soil when transplanting, and the transplant survival rate is also low. However, once the transplant is successful, it will be firmly fixed there and will not fall down.

In particular, transplantation of movable parts such as the mandible and neck is more difficult, so we need to perform skin flap transplantation. Ensuring blood supply is a key to the success of the operation. In addition, there are cartilage nose reconstruction, artificial eyes, etc., which These are very troublesome surgeries. "

 Hearing Chen Qi talk about the difficulties of the operation, to be honest, everyone in the burn surgery department lost confidence.

The doctors at the Vietnam Traditional Chinese Medicine Hospital are actually at the level of an ordinary burns doctor at most, but now the patient's request is for a "comprehensive doctor of repair, reconstruction, burns and plastic surgery," which is a bit overwhelming.

 Actually, Chen Qi didn’t say anything because the patient was still conscious and we couldn’t treat him as a fool.

The burns on Ke Rongwei's face were uneven, which may be related to the fact that he covered his face with his hands at the moment of the fire. Although he didn't cover his face tightly, in fact, the skin on his face could only be regarded as a second-degree burn, and only the facial features were the most serious. .

Second-degree burns can recover on their own as long as they are treated promptly and cared for properly, which makes plastic surgery less difficult.

 It looked very serious before. That was because the cleansing of the face was completed last, and the black scabs or dirt on the face were not cleaned much. It looked as if the patient's entire head had been scorched.

But the doctor, ahem, must be more serious when telling the family members, so as to leave a way out for themselves.

 Zhu Huoyan asked at this time: "Chen Qi, what is the safe treatment plan next?"

 Chen Qi thought for a moment and said:

"Well, Teacher Zhu is responsible for skin transplantation on the trunk and limbs, using stinky tofu skin grafting + allogeneic skin covering. I am responsible for the more difficult burn repair and skin grafting on the head and face. This patient is expected to stay in our hospital for at least half a year. Only then can we be discharged completely.”

 “Oh, right,” Chen Qi remembered something:

"That old leftist, you immediately report to the health authorities in the name of the medical department and say that the patient needs at least 12 surgeries and needs at least 30,000 milliliters of blood. Oh no, just say that he needs at least 50,000 milliliters of blood. Let them Find a way to be ready.”

Zhang Xing, who was next to him, exaggeratedly said: "Boss, you are too cruel! We only have 5000CC of blood in the blood bank now."

Chen Qi also replied in a low voice in Yue-Chinese dialect:

"Of course we can't miss such a good opportunity. Now that we have hostages in hand, we can hold the emperor hostage and command the princes. Didn't the leader say that treatment should be done at all costs? Then let them help us get blood, so that we can use blood this year You won’t have to worry anymore.”

 At this time, there was a burst of laughter in the ward.

 Everyone knows that blood is needed to rescue patients with extensive burns. However, even for more serious patients, a blood transfusion of several hundred to thousands milliliters is enough at most.

 Chen Qi opened his mouth and asked for 50,000 ml of blood. An average adult only has 5,000 ml of blood. This shows that Chen Qi is ruthless.

Hearing that the dean was going to kill people again, many doctors started to get ready to take action and couldn't help but ask.

“Dean Chen, I heard that the Hong Kong boss donated 400 million Hong Kong dollars to our hospital. How do you plan to spend this money?”

  400 million Hong Kong dollars, the People's Hospital has almost 1,800 employees, if divided, each person can get 220,000.

 In 1990, when the per capita annual income was only one to two thousand yuan, 220,000 was enough to make people crazy. Unbeknownst to Chen Qi, the 1,800 employees of Yue Traditional Chinese Medicine Hospital were destined to have no sleep that night.

 “How to spend it?”

Chen Qi raised his head and glanced at the young doctor who was speaking, and chuckled: "No matter how much we spend, it is impossible to distribute the money to every employee."

“Ah~~~” There was a sound of disappointment in the ward. Money is so exciting, but a huge amount of money cannot be distributed. As much as everyone hopes, they will be disappointed.

 Chen Qi expressed his thoughts while lowering his head to do the final debridement work before skin grafting:

“With this money, we will first demolish the entire Yuezhong Hospital and rebuild it. We will first build an emergency center and then build a new intensive care unit (EICU). Only this kind of emergency center will be complete.

Let’s build a new inpatient building and rebuild all the outpatient buildings. My goal is to build the Vietnam-China Hospital into the most advanced, beautiful and modern hospital in the country. "

 There was a young doctor who was worried and said:

“But we are already building twin towers and there is no more open space. If we build a new building for the entire hospital, will the hospital be closed for a few years?”

 Chen Qi said speechlessly:

"Stupid, isn't there a workers' cultural palace next to our hospital? Now that the state-owned factories have closed down, how can there be any workers to have fun? Last time I went there, the dance halls, cinemas, and small theaters inside were all about to close down. Ghost Shadow Not many.

Let's ask the city government to give us this land, demolish the Workers' Cultural Palace, and build a new outpatient building and inpatient building. When the construction is completed, we can move in and build a new experimental scientific research building in the old hospital area. "

After listening to Dean Chen talk about the new plan of the hospital, many doctors are looking forward to working in a modern hospital.

But some doctors grasped the key point: "Dean Chen, what is an experimental research building?"

"Don't you want to get money? We have money, so of course we have to share the money, otherwise I would be scolded by the employees as a tough guy. But the money cannot be given directly to the employees. What is the difference between this and raising lazy people? We are a national medical institution. In market-oriented pilot projects, we cannot eat from the same big pot.

 At that time, we will open applications for scientific research projects. Whoever wants to make money, medical staff must engage in scientific research, apply for their own projects, and have results, that is, what level of journals will your papers be published in, and what kind of rewards will be given.

I have thought about it. If you publish in a top international journal, we will reward you 100,000 yuan per article. If you publish in a general international journal, you will be rewarded 50,000 yuan. If you publish in a domestic medical journal, you will be rewarded 5,000 to 500 yuan. What is the specific reward? Calculate it based on the SCI impact factor. "

 “Wow, why are there so many differences between China and abroad?”

“Yes, yes, it is not easy to publish in domestic medical journals.”

“A project may take one or two years to complete, and the benefits are too low.”

Chen Qi snorted softly:

"If you dislike the lack of rewards for domestic papers, that's right. If you are a mule or a horse, you have to compete internationally. What is the level of domestic journals? Don't you know? It doesn't matter if the level is low. The key is the shady content inside. , you really don’t know?”

As soon as Chen Qi said these words, many people blushed.

To publish a paper in the top domestic journals, you must first have a mountain or a backer. Unless your paper is a particularly major medical breakthrough, it is impossible for ordinary authors to publish it.

Publishing papers in domestic general medical journals is quite simple, but, ahem, I’ll give you the author’s account, you know.

 If you don’t understand, then just wait in line slowly. When will it be your turn? Under research…

 Chen Qi wants to build the Vietnam-China People's Hospital into a teaching hospital. In addition to closely connecting with Haidong Medical University, he also needs to encourage employees to engage in scientific research projects.

 But employees are not encouraged to engage in projects in order to "cheat subsidies".

Scamming subsidies, launching some messy projects, and then spending money to publish them in domestic medical journals. On the surface, it looks pretty good, and the data will look good, and it will look prosperous and full of flowers.

But these are all the emperor's new clothes, a self-deception thing, and are they of little use to improving the strength of the hospital?

 Chen Qi is different from other deans.

Other deans must do these tricks to make their reports look beautiful if they want to create political achievements. Why does our institute rank first in the country in terms of the number of papers published, the number of awards won, how many academician workstations have been established, how many master's and doctoral programs have been established, etc.

Chen Qi doesn't need this, and he doesn't want to get promoted and make a fortune, so it doesn't make sense to him.

 It's hard to say what's going on in foreign countries.

 But at least who has more money in the domestic health system? Most people have so much money, they can almost retire directly and lie down.

Why doesn’t Chen Qi go abroad? Why is he still working hard at home and still living in the old house at 77 Lu Xun Road?

 That’s because he had an idea:

As long as he makes a lot of money himself, he wants to build a world-class hospital and train a group of world-class doctors so that China can have a place in the world's mainstream medical circle.

 Ahem, that’s a little more descriptive of the main theme.

 (End of this chapter)