Today is the first time that foreign doctor Barry Marshall has participated in ward rounds.
Ward rounds not only allow doctors to examine patients, but also provide teaching guidance. It is also the best way for young doctors to learn skills.
Because the inpatient department always encounters different patients with different diseases, we can usually understand most of them during one ward round.
As a senior internist, Barry Marshall has extensive theoretical knowledge and clinical experience, and his level is many times higher than those timid Chinese doctors behind him.
Hospitals in developed countries have never been short of money. Not only do they have operating income, but wealthy people also like to donate money to support this project or that research, just so that they can enjoy privileges when they see a doctor in the future.
Therefore, Australia spares no effort in training doctors.
The author is not trying to boost others' morale and destroy his own prestige. Whether it is now in 1983 or in 2020, China is not even worthy of carrying others' shoes when it comes to investment in health care.
As a percentage of GDP, based on 2019 data, the United States', Cuba's, Japan's, and Afghanistan's percentages were 17.1%, 11.8%, 10.7%, and 7.4%.
China, which has the second largest GDP in the world, only spends 4.6% of its GDP on healthcare, ranking 147th in the world. How shameful!
It is this 4.6%. How much money has been used to build various luxury buildings, do luxurious decoration, or go into whose pocket?
How much of it is actually spent on medical expenses or medical education?
So Chinese doctors are actually very amazing.
Our doctors receive minimal pay, yet our outpatient volume far exceeds that of any other country. China's low medical expenditures, coupled with the need to provide care for 1.4 billion people, are based on exploitation of hospitals and medical staff.
Doctors in Australia, for example, may see five patients in one morning. Of course, they have plenty of time and patience to see patients slowly, and their attitude is also very gentle.
But doctors in China might have to wait for more than 50 appointments in the morning. On average, how many minutes does each patient get? How can doctors have the time to patiently see patients?
Sometimes, when encountering patients with complicated conditions, if the doctor wants to be a little slower and examine more carefully, the patients and their families behind him will start to complain, and the medical department may even receive a complaint and have to deduct money.
The hospital doesn't care what time your doctor gets off work. The doctor has to see all the patients as soon as they are registered. He or she has to continue seeing patients even if you skip lunch, no matter if you have a stomachache or your bladder is about to explode.
At the same time, gastroenterologists in Europe and the United States have an average annual income of more than US$200,000 to US$300,000, while the average income in China does not exceed US$30,000.
That's why foreign doctors can elegantly drink coffee and slowly select patients during their workdays, while Chinese doctors' workdays are like going to war, with no time to even take a sip of water.
Although we are both doctors, the difference between us is as great as that between the moon and the earth.
Ahem, I’ve gone off topic again.
When they heard that foreign doctors were going to see the common people in the outpatient clinic, the patients' families started waiting early in the morning. The officials were worshipping foreigners, and the common people followed suit, thinking that the level of foreign doctors must be higher than that of domestic doctors.
Barry Marshall also attached great importance to his debut performance, and brother and sister Chen Xia and Chen Chun personally served as translators.
Originally, Chen Xia had no interest in accompanying this young doctor, but unfortunately the elder sister's spoken English was too poor, so he had to come along. After all, this was also a rare opportunity to improve Chen Chun's medical skills.
Out of respect for our Australian friends, the People's Hospital only arranged 10 beds for ward rounds this morning, to give the foreign doctors some time to get used to it. As for the future, well...
Knowing that the foreign doctor would come to check on the wards today, people crowded into the corridor to watch the excitement. At this time, a commotion came from the back of the crowd:
"Please make way, please make way. This is an urgent and critically ill patient. We can't delay."
When everyone saw a cart carrying a patient and several crying family members nearby, they quickly stepped aside and the cart entered the ward smoothly.
Huang Xiaoping came running in a moment later. "Director Xuan, Mr. Chen, Doctor Barry, there's a patient with acute abdomen who's been admitted from the emergency room."
Because today's ward rounds are mainly focused on Barry Marshall.
Xuan Yongda, as the "teaching instructor and department director," voluntarily stepped down and prepared to let a foreign doctor take over. Was he actually trying to see how good the doctor was? Or perhaps, what exactly was the gap between domestic and foreign doctors?
The young doctors were very interested when they heard that there was a patient with acute abdomen. There are too many organs in the stomach, and it is actually difficult to diagnose which part is wrong in the shortest time. If a patient with atypical symptoms comes, it will be very difficult for the doctors.
Many times, the patient's symptoms are so severe that there is no time for a thorough examination, and the patient is directly sent to the surgical department for laparotomy, which is a great test of the doctor's level.
Barry Marshall was not modest either. In fact, only the Chinese like to refuse and decline. Even though they are sure of themselves, they still say "no, no", "I don't deserve it", "I don't deserve it", "thank you, thank you", etc.
As a result, Chinese people suffer a lot when they first go abroad.
When a mentor or boss asks, "Who can handle this?", even if a Chinese person is confident, they will remain silent and wait for the boss to call on them. Or, after being called on, they will humbly say, "I didn't do well. Please correct me."
Well, when the boss hears you say that you didn’t do it well, he will not let you do it anymore and let someone else do it. Then a good opportunity is missed.
When I walked into the ward, I saw the patient lying on the bed, tossing and turning in pain, sweating profusely, and feeling irritable. When he saw the doctor coming in, he immediately shouted:
"Doctor, I'm in so much pain, please give me some pain relief, pain relief!"
When the family members saw that the person who came in was a tall, blond-haired, blue-eyed foreign doctor, they were so shocked that they even forgot to cry.
Chen Xia was also shocked when he saw the family members.
Because one of the girls in the family was his old classmate and old lover Qiu Yuxing. He hadn't seen her for a long time since the Xu Zixuan incident. It was unfortunate that he met her here. Yuezhou is too small.
"Chen Xia!"
"Qiu...what's Qiu?..."
Qiu Yuxing looked at his former first love with a face full of resentment. When they were in love, he called me Little Star. Now that he has become a doctor, he has turned against me and can't even call me by my name.
Men, haha.
In fact, Chen Xia really forgot. After all, he was a transmigrated soul and did not inherit any memory of that "Chen Xia".
Even though they were very affectionate back then, walked through the woods and kissed each other, it has nothing to do with Chen Xia now.
He didn't even get to enjoy the benefits, so why should he bear the blame? If she had a child, would she still be the father? This is unfair.
However, at this time, curing the disease is more important. Treating the disease is one thing, and human relationships are another.
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