Lin Sanqi was very happy that the interns were actively asking questions, which showed that everyone was listening carefully and thinking hard.
What I fear most is the intern who sleeps in class, yawns during rounds, knows nothing about any questions, and is more excited to say which nurse is prettier than anyone else.
The interns trained by Lin Sanqi will be of great use in the future and will become pioneers in the field of tuberculosis in China.
Fortunately, college students these days are of high quality and are very self-motivated in their studies.
"Student Zhang, that's a good question. I just happen to have an X-ray of a lung tumor here. Let's compare it. Xiao Yezi..."
Pan Ye, who was acting as Lin Sanqi's secretary at work, quickly took out an X-ray of lung cancer:
"We all know that tuberculosis is an infectious disease caused by infection with Mycobacterium tuberculosis, while lung cancer is caused by gene mutation. Although the two diseases are different, they have great similarities in clinical symptoms.
For example, the early clinical symptoms of lung cancer and tuberculosis include coughing, sputum, blood in 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 use our Chinese medicine, like my twelve masters, my father Dr. Lin Kushen, or Director Shen of our Chinese medicine hospital to take the pulse, these old masters who are like immortals can distinguish it. Unfortunately, there are fewer and fewer such old masters now.
If we want to promote clinical guidelines, we must have a set of simple, practical, and replicable methods and experiences. This is why I decided to use both traditional Chinese and Western medicine to treat tuberculosis, because I want to introduce a national standard for tuberculosis."
Good~~~
Everyone applauded, whether they were Chinese medicine doctors or Western medicine doctors. After all, benefiting the world is the highest dream and goal of every doctor.
Lin Sanqi's grand remarks obviously conquered every medical staff present.
"Okay, then how do you differentiate between tuberculosis and a tumor? Let me briefly explain.
The cavities produced by some tuberculosis are very similar to cancerous cavities. Before the pathological diagnosis is completed, tuberculosis may be misdiagnosed as lung cancer.
The chest X-ray manifestations of miliary tuberculosis are very similar to those of alveolar carcinoma in lung cancer. Both present as multiple small nodules, making them easily misdiagnosed.
Therefore, the diagnosis of pulmonary tuberculosis is based on the detection of Mycobacterium tuberculosis in sputum and tissue fluid; while the diagnosis of lung cancer is based on the detection of cancer cells in pathological tissue. This is what I call the gold standard."
Many people were already taking notes, including the department heads.
"Today, everyone is here to visit our Tuberculosis Department. From the perspective of pulmonary tuberculosis, the lesions of tuberculosis are not limited to this small area. Look at this X-ray. There are small tuberculosis nodules formed by tuberculosis infection around the tuberculosis.
A large tuberculosis ball is surrounded by countless small balls, which are called satellite foci and are also an important feature of tuberculosis balls.
On the other hand, let's look at this X-ray of lung cancer. The lesions of lung cancer are irregular in shape. Here comes the key point. The edges of lung cancer have burrs and lobes, while tuberculomas are smooth. So everyone remember, this is a very important distinguishing point.
I have summarized it and everyone should remember what tests to do when facing tuberculosis in the future:
Auxiliary examinations for pulmonary tuberculosis: chest X-ray is the first choice; sputum examination, including sputum smear and sputum culture, is the gold standard for diagnosis.
What Lin Sanqi teaches are all practical stuff, which are all taught by his previous teachers. Now Lin Sanqi teaches it to the students born in 1960. This is called inheritance.
Although this inheritance is a bit funny, it is a reverse inheritance.
Lin Sanqi then took out a third X-ray:
"Look everyone, this is the third X-ray of my father-in-law taken at Union Hospital in early 1960. You can see that in this photo, except for a small amount of scarring, the tuberculosis lesions have completely disappeared. That's why I can say with certainty that my father-in-law is cured."
Dean Tu nodded gently: "I can testify that these three X-rays were taken by our hospital, and the tuberculosis has indeed disappeared."
The scene was silent, and it was obvious that everyone was digesting the knowledge points that Lin Sanqi had taught them earlier.
At this time, Director Liu of the Digital Hospital suddenly suggested:
"Xiao Lin, you are also my subordinate, so I have a suggestion, what do you think?
Your tuberculosis department has the most advanced equipment and the most effective secret medicine, but you only have two patients now and obviously cannot convince more people. You must have more new medical technologies, new drugs, and specimen reference data.
You cured your father-in-law, but he was just one patient; now even if you cured two artists, they are just three specimens; and the eight tuberculosis colleagues in your hospital do not count because of their close relationship and the need to avoid suspicion.
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 or 300 people, it will not be enough. You need more specimens and more patients."
Lin Sanqi had also thought about this problem. Isn't it difficult at the beginning? The Chinese medicine hospital doesn't even have an inpatient department, nor does it have highly skilled resident doctors, nurses, and laboratory staff to cooperate with.
Modern medicine requires teamwork, unlike traditional Chinese medicine, where a doctor can travel around the country with just a medicine box to treat patients.
So the tuberculosis inpatient department depends on only Lin Sanqi, who has to be a doctor, treat patients, teach, and copy papers. Wouldn't that be exhausting?
Lin Sanqi's original plan was to have a small number of patients and then find ways to slowly expand the scale of the "Tuberculosis Department" in the future, for fear of taking too big a step and causing trouble.
"Director Liu, I know the more patient data the better, but you see, our hospital's current capacity doesn't allow it. We only have five wards, each accommodating a maximum of 15 patients. We can't handle more than that."
Dean Liu's eyes rolled, and then he revealed his true intention.
"How about this? You can transfer this tuberculosis department to our digital hospital. Don't worry, I'll set up a separate tuberculosis department for you and let you be the department director. I'll also give you a promotion and give you a three-star rating with one bar. How about that? If you're not satisfied, I can give you two bars and one star."
Upon hearing this, Dean Tu of Union Hospital took the opportunity to stir up trouble:
"Go to our Union Hospital. We have the best medical and nursing teams in the country, and they are all ready. Plus, you are from the same school of Western medicine, so they can perfectly complement your work."
Dean Shen got angry when he heard this: "Liu Shengli, Tu Bin, if you say one more word, I will use acupuncture to prick you into old hedgehogs, believe it or not?"
Lin Sanqi was also very tired, thinking, are people poaching people so simply and crudely these days?
Traditional Chinese medicine hospitals have their advantages. Lin Sanqi can basically do whatever he wants.
If you go to a digital hospital, you will find that this kind of military hospital has complicated rules and regulations, with a lot of restrictions. You have to ask for instructions early and report late for everything. Instead of being a grandson, you might as well be a local emperor in a traditional Chinese medicine hospital.
"President Liu, President Tu, thank you both for your kindness. I definitely won't leave, so don't argue about this."
Liu Shengli was not angry when he heard this, and only then did he reveal his true purpose:
"Then I have a suggestion. Everyone, listen up. The tuberculosis rate in our country is about 5%. This means there are tens of millions of tuberculosis patients nationwide. Not to mention far away places, just in our capital, there are at least 200,000 tuberculosis patients.
In the internal medicine clinics of our major hospitals, we encounter a large number of tuberculosis patients every day. Faced with these patients, we can only try our best to use drugs to alleviate their pain, but unfortunately we cannot cure it completely, which is a pity.
Now that Comrade Lin Sanqi has declared his goal to cure tuberculosis, and we have many patients, you too need a large number of specimens. How about this, we collaborate?"
Dean Shen was very alert when he heard it: "How to cooperate?"
Liu Shengli and Tu Bin looked at each other and smiled:
"Well, we'll provide the patients, and we'll also send doctors to join your tuberculosis team. If there are any medical results in the future, just bring our two hospitals along."
Dean Shen burst out laughing:
"Old Liu, Old Tu, are you mistaken? Are we short of patients in our Chinese medicine hospital? What can you Western doctors do to treat tuberculosis? Only we Chinese medicine practitioners have some lung-clearing and lung-regulating effects, which can alleviate patients' pain. We have far more patients than you do, okay?"
Dean Tu also said at this time:
"Your Chinese medicine hospital is too stingy. The tuberculosis department is set up in a small farmyard. People who know it is a hospital, but those who don't think it is the deserted temple of Lanruo Temple. It is in the middle of nowhere.
So, if you agree to join our treatment team, we will take charge of the expansion of your tuberculosis department and guarantee to build you a complete inpatient department."
Dean Liu also clapped his hands and said, "Yes, not only will we build a hospital for you, we can also transfer some key doctors and nurses to work in your hospital."
Dean Shen said with disdain when he heard it:
"You two are planning something so well that even Inner Mongolia has heard about it. Now that every unit in the country is reducing staff, you're just going to assign the extra doctors and nurses to our Traditional Chinese Medicine Hospital? Are you going to make us shoulder the burden? Humph."
Lin Sanqi's eyes suddenly lit up when he heard this, and he quickly interrupted:
"President Tu, President Liu, do you also have layoff quotas?"
Dean Liu and Dean Tu were a little embarrassed when their secret was revealed: "Well, well, of course there is."
Lin Sanqi thought, these are the medical workers of Digital Hospital and Union Hospital. They are the top medical talents in the country, whether in the past, present or future.
This group of people are first-class and excellent 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 would be a huge waste of medical talent resources and a huge loss to my country's health care industry.
Others don’t want it, but Lin Sanqi wants it.
If his tuberculosis treatment team was composed entirely of doctors and nurses from Capital Hospital of Traditional Chinese Medicine, Union Hospital, and Digital Hospital, just imagine what kind of "king team" that would be.
The more Lin Sanqi thought about it, the more excited he became. So, without waiting for Dean Shen to object, he agreed first:
"Okay, President Liu, President Tu, as you said, if you can arrange for the backbone personnel from your two major hospitals to work in the Tuberculosis Department of our Traditional Chinese Medicine Hospital, then if there are any achievements in the future, I will definitely give priority to your two hospitals."
When Liu Shengli and Tu Bin heard this, they stood up immediately:
"Xiao Lin, we're serious. You have to keep your word. If you publish a paper in the future, you have to include our two hospitals in it. If there's any successful treatment promotion, you have to give priority to our two hospitals!"
Dean Shen was anxious. In front of everyone, he slapped Lin Sanqi on the back of the head:
"You're crazy, kid! We're already busy reducing our staff, and yet you're still bringing in a bunch of outsiders? Besides, whatever kind of doctors and nurses you want, I can just transfer our own staff to other positions. What are you afraid of?"
Lin Sanqi thought that it was not that easy to switch from traditional Chinese medicine to Western medicine, as they were two completely different theories and operations.
Moreover, converting from traditional Chinese medicine to Western medicine requires starting from scratch. Without five or six years of hard work, how can one gain any clinical experience? The key point is that Lin Sanqi does not have that much time to teach.
He didn't come to this world to be a teacher or a doctor, he came to make money by monetizing traffic, so he quickly explained in a low voice:
"Uncle Shen, don't worry. Are you still worried about me doing things? I naturally have my own plans, and I guarantee that it will be the most beneficial to our Chinese medicine hospital."
Dean Shen thought so too. Although Lin Sanqi usually has an eccentric personality, he is very methodical in doing things. It does not seem like he is just fooling around.
But threats must be made if necessary, otherwise other employees of traditional Chinese medicine hospitals will object.
"Alright, let me see how you're going to cooperate, or I'll skin you alive today."
Lin Sanqi chuckled and whispered in Dean Shen's ear:
"Uncle Shen, take a look at what they mean by using other hospitals' money and personnel to run our Chinese Medicine Hospital. I'm going to make them lose both the money and the money."
Liu Shengli was displeased and cursed, "Why are you two biting each other's ears?"
Lin Sanqi stood up and said with a smile:
"President Liu, President Tu, I have just discussed this with our President Shen. Your request for cooperation is not impossible, but you must do the following two things as you promised."
"You say it, you say it!"
"First, you have to promise to build a new hospital for our tuberculosis department. My request isn't high. How about 200 beds?"
Liu Shengli nodded: "I'll find a way. We can still gather some building materials from our troops. We can have the engineers do the work and it will be done in a month."
Dean Tu replied, "We at Union Hospital can contribute part of the money." (The money is useless anyway.)
Dean Shen scoffed, "Really? So soon? One month?"
Lin Sanqi firmly believed that it was possible, because it took only 9 days from the start to the end of the construction of Vulcan Mountain Hospital, and they built a hospital with more than 1,000 beds, and all of them were single rooms with air conditioning and ventilators.
Our country is not called the infrastructure maniac for nothing.
"My second request is that I want 10 doctors and 15 nurses from both Union Hospital and Digital Hospital, which means a total of 50 people.
The requirements are that the doctor must have 10 years of work experience, be able to speak English, and preferably have an overseas degree. If all of them are from respiratory medicine or thoracic surgery, I would be most welcome.
Nurses must have at least 5 years of clinical experience. I don't care about appearance, but they must be attentive, conscientious, and obedient. A high school or nursing school degree is preferred. English proficiency is also highly recommended."
Now Liu Shengli and Tu Bin are both thinking about the crew, and they wish Lin Sanqi could add a few more people, and they don't mind at all.
Liu Shengli asked, "One hospital needs 25 people. Is that enough? You're asking too much of others, but not enough for our two hospitals. How about a few more?"
More than 10 years ago, during the Republic of China period, these people who received Western medicine education were extraordinary. Most of them had studied abroad and were top talents in the medical field.
However, this group of people has a serious class background problem. They are either from large landlord families or from wealthy families. In addition to their overseas study experience, Lin Sanqi believes that their lives are not going to be easy now.
Just like the 12 old national treasures, either... or...
Anyway, the benefits will never come to you, but no one can escape layoffs or being labeled.
Lin Sanqi brought this group of people to the Chinese Medicine Hospital and employed them as temporary workers. One reason was to protect these valuable Western medicine talents, and the other was to help standardize his own tuberculosis work.
Professional matters should be left to professionals. Different professions are like different worlds. After all, Chinese doctors are not professionally qualified, and college students lack clinical experience, so they are not proficient in the use of the technology.
Lin Sanqi thought seriously, "It's not impossible to have more people..."
Dean Shen quickly interrupted: "Alright, alright, you're really out of breath after I told you you're fat? Adding 50 places will kill me, no more."
Dean Tu was a little worried: "Comrade Xiaolin, how are you going to manage the staffing of these 50 people?"
Lin Sanqi shook his head and held down Dean Shen, who was about to lose his temper.
"There's no way to solve the staffing problem. The government is very strict about staffing. If I give you 50 positions, you'll have to lay off 50 employees of our hospital. Then I'll become the eternal sinner of the hospital and be despised by all the people."
Dean Shen and the onlookers from the Chinese Medicine Hospital breathed a sigh of relief.
Liu Shengli and Tu Bin frowned upon hearing this. "Without a job position, how can we stay in the capital? How can we even afford to eat?"
Lin Sanqi pointed to the cornfield outside the yard and said with a smile:
"This is the successful experience of our hospital. We can keep these 50 people in the capital as temporary workers. Their household registration will be temporarily registered in the collective account. I will still provide them with regular wages and food every month, solving their worries."
"Then, what about the families of these medical staff?"
"It's easier for family members to participate in our farm's agricultural production. We treat all family members who work in the fields as temporary workers and provide them with food. They can support themselves without any problems."
Dean Shen was relieved when he heard that Lin Sanqi was going to use these people as temporary workers. More rations would be a big deal for other units, but for the Chinese Medicine Hospital, it was a piece of cake.
As long as they don’t take up the official staffing quota, just support as many people as you want.
Moreover, Dean Shen knew in his heart that the doctors and nurses of Union Hospital and Digital Hospital were all treasures. No wonder Lin Sanqi was jealous.
"Old Liu, Old Tu, alright, since Comrade Lin Sanqi has spoken, then as the dean, I'll agree. I'll give these 50 temporary workers positions, and their salaries will be the same as regular employees. How's that? I'm quite generous, right?"
Deans Liu Shengli and Tu Bin were truly convinced at this point and gave a thumbs-up:
"Old Shen, I'm really impressed this time. Your Chinese medicine hospital is really powerful, and life is really easy."
Lin Sanqi then gave the two deans another reassurance:
"Actually, staying in the capital opens up a whole world of possibilities. Once the food crisis is resolved and society is well fed, hospitals will have to recruit again. Since it's better to be familiar with something than to be new, major hospitals will definitely prioritize veteran employees, right?"
Dean Liu and Dean Tu slapped their thighs and suddenly realized:
"You're right. If the hospital ever expands again, we'll definitely bring back the laid-off employees!"
"That's right, we can't let our employees suffer!"
Lin Sanqi thought to himself, the leaders of this era are truly wonderful. They truly care about their employees wholeheartedly, with a patriarchal mindset. Unlike later generations, where employees were exploited and scapegoated, serving as stepping stones to their own success.
Thinking of this, Lin Sanqi decided to continue painting a big picture:
"Even if the hospital doesn't expand its enrollment, think about it, as long as our Chinese medicine hospital's tuberculosis department is truly established and can truly be the first in the world to conquer this infectious disease, then our tuberculosis department will have a bright future.
By then, we could become a hospital within a hospital, or even establish our own hospital. If we ever get the chance to hang a sign as the Capital Tuberculosis Hospital, wouldn't that open up jobs? And those 50 doctors and nurses would be able to get their positions back, wouldn't that be right?"
Dean Liu and Dean Tu slapped their thighs and said, "That's right!"
Dean Shen's beard was about to curl up. "Great, you are really ambitious. You want to establish an independent hospital?"
Lin Sanqi quickly comforted him:
"Dean Shen, Uncle Shen, calm down. If I hadn't said this, how would those highly qualified and educated doctors and nurses be willing to come to our Chinese Medicine Hospital? Only by painting a good pie in the sky can you attract the phoenix."
Dean Shen thought so too. How can we retain talents without good conditions?
Besides, if Lin Sanqi's tuberculosis department is really successful, that will be a few years later. By then, it is still unclear whether he will be the dean, let alone whether he is independent or not.
Dean Liu and Dean Tu sighed deeply, just like Dean Shen did at the time:
"Okay, I'll arrange someone when I get back. I hope you can treat our employees well."
Pan Ye was a little surprised and asked quietly:
"Sanqi, why do you require doctors and nurses to speak English? We can't even read foreign medical journals and textbooks, let alone go abroad. Even if we have to learn, it should be Russian."
Lin Sanqi chuckled:
"You didn't have the opportunity before, but maybe in the future you'll have many opportunities to study abroad. Learn English well and you won't be afraid to travel around the world. You should also seize the time to learn. When the time comes, you'll be the wife of the department director, so you have to set a good example."
Pan Ye blushed again and nodded gently:
"Okay, the seven of us college students have a good foundation in English, but the soldiers from your Chinese medicine hospital are not good at English."
During the Republic of China period, English courses were offered in China. After liberation, they were changed to Russian courses. Later, starting in 1956, English courses were offered again in domestic universities, which lasted until 1960.
So Pan Ye and his group of college students happened to have studied both English and Russian, and were definitely elite talents. (End of this chapter)
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