1986: Old Stories in Northeast China

"Good fellow, what are you doing? Meeting? Such a big dean, is he so free?"

I came to the county hospital in the car arranged by Gao Xiaoguang, but I didn't expect Ma Guoming to be here.

"Is he free or not? I knew you were coming, so I must meet you." Ma Guoming said with a smile.

"I heard from Comrade Xiao Lu that you have done a lot of big things in the provincial hospital. Can you arrange some surgeries in our county hospital?"

"This is obviously unrealistic." Chen Tiezhu said with a wry smile.

"I will be very busy next. If you don't believe me, just ask Zhenwen. He knows how much I have to do at home. Besides, some patients may not be able to leave us so much time."

"What's the matter? Aren't there some patients who can be electively operated on?" Ma Guoming said indifferently.

"You can easily perform a major operation like spleen removal, so I think you will have no problem with other operations."

"What our county hospital needs to do next is to work hard to improve its business capabilities. We will strengthen construction throughout the perioperative period."

"After the Spring Festival, our first batch of doctors sent to the provincial hospital for study will also leave. In the future, they will be the backbone of our county hospital."

"Aren't you afraid that the county hospital will be emptied all at once?" Chen Tiezhu asked with a smile.

"Don't we still have a bunch of old guys to support it? I hope we can get through this year." Ma Guoming said.

"Director Fang will stay with us temporarily, and we will send him out in the second batch. Director Fang's main focus is general surgery, but it will be a bit tiring."

Chen Tiezhu nodded, "This arrangement is not bad. Old Fang has solid basic skills, and he should be able to hold on whether it is elective surgery or emergency surgery."

"But I think we should not think about getting rich overnight. The improvement of a hospital's strength is definitely not something that can be achieved with one or two doctors or one or two machines."

"This requires a process, and a lot of funds are also needed in this process. According to my understanding, don't expect any effect without three to five years."

Hearing his words, the air in the small office suddenly became quiet. Even Han Zhenwen didn't understand why his brother-in-law had to pour a basin of cold water on the county hospital when there was so much momentum for development.

"Tiezhu, does it really take so long for the county hospital to have some changes?" Ma Guoming asked with a frown.

Chen Tiezhu nodded, "This is only the shortest time, and the actual time may be longer. The development of a hospital is actually restricted by many factors."

"What we can do is to work hard to improve the hardware of the hospital, that is, these medical equipment and testing instruments. The software of the hospital is the level of our doctors."

"But what about outside the hospital? Should pre-hospital treatment also be taken into account? Take the spleen removal operation I performed in the provincial capital for example."

"If he could be transferred to the provincial hospital in time after the accident, he would definitely not have to take that risk. Instead, he could be sent to the operating table and perform a routine operation safely."

"Why is there such a result? It is because of the inconvenience of transportation and communication. Xiao Zhou has been to the south. What are the telephones there like?"

"You can find someone by just dialing the number, instead of having to call first like us. Find the switchboard, and then find someone. How much time did this waste? "

"They also have public telephones, and the current penetration rate is already very high, far beyond what we can compare with here. This can buy a lot of rescue time."

"So the ability of a hospital also needs the development of the entire social environment to be improved. What we can do is to accumulate internal strength first, and wait until the time is right, and then soar into the sky."

"In fact, to put it bluntly, even if our county hospital introduces a CT machine now, what's the use? Tens of millions have been spent, when can the money for this equipment be earned back?"

"Not to mention the cost of this CT machine, I'm afraid it won't even make money from operating it. Because the needs of our county people are not that great, and they can't afford the high cost of testing."

"Master, can't the cost of testing be set lower?" Lu Dan asked unconvinced.

"I can understand this a little bit, of course, from a business perspective." Zhou Fengxia spoke.

"It can indeed be set lower, but I feel that this machine must have an operating cost price, right? Just like we have to burn oil when we drive a car, there is also a starting price for taking a taxi in the provincial capital."

ChenTiezhu smiled and nodded, "That's about it. Because the next medical reform will only provide policies, not funds."

"Take the situation in our county as an example. Even if we want to provide funds, we can't. We still have to rely on our county hospital to be self-reliant. And these medical equipment are external things after all. Our current focus must be on these internal things."

"And the training of an excellent doctor requires endless time. It would be great if we can achieve a small achievement in three to five years."

"After all, we can't expect everyone to be a genius like me. Through some surgical records and operation introductions, we can fully understand and digest the surgical skills."

He said with a smile, and there was a sense of fart. But his words, these people present could not refute.

In this room, except Zhou Fengxia and Qi Cuiwen who didn't know much about medical skills, the rest of the people were real people in the industry.

Is the surgical technique so easy to master?

Even Ma Guoming and Fang Zhiyong didn't dare to say so.

In fact, this is also the purpose of Chen Tiezhu's cold water. Although Ma Guoming is a very down-to-earth person, he also wants to make progress after seeing the opportunity.

However, combined with the current environment, such progress is reckless.

Funds are already in short supply, and all money must be spent on the right things.

As for whether Ma Guoming can understand his good intentions, he can't interfere.

He is just a consultant, and he will only ask when he has time.

"Okay, we should also withdraw. It's so annoying after the snow, and it takes a lot of time on the road." Chen Tiezhu said with a smile.

"I've bought the ribs and left them in the trunk. Let's stew them well in the evening." Zhou Fengxia smiled and said.

I also know that what Chen Tiezhu just said is somewhat unpleasant to listen to, so help change the topic.

They walked out of the building and just walked out of the building. Before they got in the car, a police jeep stopped in front of them with a "click".

"Tiezhu, help."

Jiang Chaoyang shouted in panic after getting off the car.

Looking into the car, a comrade was half lying in the arms of another comrade, with a dagger stuck in his right abdomen.