Andong County Hospital, in the backyard patio.
The 208 newly elected barefoot doctors in the county sat together, looking up at the leaders on the steps.
The conference table was made up of several tables put together temporarily. There was no microphone on it. Only Lin Sanqi and a group of county leaders were sitting there.
Behind it, there is a standard portrait of the great man.
The most eye-catching thing is that the table next to it is piled with various medicines, all of which are newly produced Western medicines by Bao'an County Pharmaceutical Factory.
Lin Sanqi cleared his throat and spoke at the top of his voice to the young barefoot doctors below:
"Comrades, hello everyone, I am Lin Sanqi, Vice Minister of the Ministry of Health. First of all, I would like to congratulate you on becoming one of the first barefoot doctors in the country.
There is a second reason for holding this meeting today. I want to tell you that although barefoot doctors are half-doctors and half-farmers, they have not been formally included in the health system.
But no matter whether you are a doctor in a big hospital or a barefoot doctor in the village, once you put on the white coat, you must firmly remember your duty as a doctor, which is to serve the people wholeheartedly.
Today, with the great man's statue here, I hope everyone will pledge to XXX that they will not do anything without conscience, but will do more good deeds and contribute to society. I believe that in the future, you too will be able to leave your names in the history of your village."
There was applause from the audience. The barefoot doctors' eyes were clear yet stupid, and they looked very naive.
Lin Sanqi continued:
“Our job as doctors is actually a matter of conscience. Although there are differences in medical skills, our sense of responsibility cannot be compromised.
Some comrades may say that what I, a high-ranking leader, say is just empty talk and pretense, and that everyone has really misunderstood me.
I am very worried that some comrades will become corrupt and degenerate in the future, and a few will even become pawns, using their medical skills to make money and kill people.
So don’t think that you can sit back and relax just because you chose this barefoot doctor. I tell you, this is just the first step in a long journey.
Next, we'll have comprehensive medical training, and finally an exam. If you fail once, you'll be given a chance to retake. If you fail again the second time, sorry, we'll have to replace you.
In addition, if barefoot doctors lack a sense of responsibility and have a bad attitude when practicing medicine in the village, causing dissatisfaction among the masses, and we receive many letters of complaint of this kind, and they are verified by us, they will also be dismissed.
The last point is, don’t do anything illegal or disorderly. As doctors, we must remain neutral at all times and in all places. We must not participate in village struggles, let alone any movements.
Of course, everyone can rest assured. As long as you pass the exam and the people's assessment and become a formal barefoot doctor, your income will be guaranteed and your material life will exceed that of most villagers.
So come on, comrades."
If you talk about ideological and moral education, everyone will feel sleepy.
But if you talk about money, then no one will be tired anymore.
In fact, the 10 yuan monthly subsidy given by Lin Sanqi is definitely too much, not too little.
His subsidy standard is based on the city, because an apprentice or temporary worker earns about 15 to 18 yuan a month, which is enough to maintain basic living.
But in the countryside, farmers grow their own vegetables and exchange grain for work points. They spend very little money, and 10 yuan is enough to support a family.
What's more, there are registration fees, price differences in medicine, etc. Barefoot doctors with high medical skills and many patients will earn much more than urban doctors in the future.
Don't underestimate farmers. They are very smart and understand the economic calculations better than anyone else. This is why everyone would rather fight in groups than not get a spot.
Lin Sanqi continued:
"We are short on time for this barefoot doctor training, so we will keep it short and proceed immediately.
Let me ask you something first. I have this "Barefoot Doctor's Handbook" in my hand. I distributed it to everyone five days ago, the day after the election. Those who have read it completely, please raise your hands.
Half of the hands were raised.
Everyone looked at each other, then hesitated and raised their hands.
Lin Sanqi smiled secretly. The person who raised his hand at the back must not have finished reading it, but he could understand it.
Reading medical books is as boring as reading math and English books. Without a certain level of perseverance, most people really can't stand it.
But half of the people raised their hands without hesitation, which shows that these barefoot doctors were already studying very seriously. If future college students were to try, they would be lucky if they could just turn the cover.
"Okay, whether you've finished reading the whole book or not, we won't be testing you today.
Barefoot doctor training is a clinical and operational discipline. We will not teach you those complicated theoretical knowledge, you can learn it on your own.
To put it simply, why do people get sick? What are the causes? What is the pathophysiology? These are not your concerns; your concern is how to treat them.
For example, the simplest one is that a patient has a fever and comes to your clinic for treatment.
A fever alone can be caused by dozens or even hundreds of diseases, but we don’t need to worry about what causes the fever now.
Similarly, formal diagnosis and treatment standards require that the cause of a fever must be investigated, such as blood tests, X-rays, and even bacterial culture, virus testing, etc. in severe cases.
But barefoot doctors don't need to master these things. What you need to master is how to treat the disease, or to put it simply, how to reduce the fever.
After Lin Sanqi finished speaking, he raised the box of medicine in his hand and said:
"This box of medicine is called ibuprofen. Its main function is to reduce fever. You can take one pill for any fever caused by it. It will definitely be effective. It is far more effective than Chaihu Decoction or Mahuang Decoction.
So all you have to remember is that if you have a fever, take ibuprofen and remember the usage and dosage. That’s enough. Think about it, isn’t it simple?
If you switch to Chinese medicine to reduce fever, then it will be troublesome. First, you have to distinguish whether it is a cold caused by wind and cold or a cold caused by wind and heat. Is it caused by summer heat and dampness, or is it internal heat? I believe that at this point, most doctors are stumped.
Secondly, you probably know what causes it, but how to prescribe medicine is a problem, right? Even if a prescription is prescribed, how to choose and identify the herbs is another problem.
I used to be the vice president of the Capital Hospital of Traditional Chinese Medicine. My father and brothers are all TCM doctors. I know that if you want to learn TCM well, you need to start with a nine-year apprenticeship.
My eldest brother is 35 years old this year and just started to practice independently last year. So it is very difficult to become a qualified Chinese medicine doctor, and it requires talent, which is not something everyone can learn.
But becoming a qualified barefoot doctor is so simple, it can be solved with just one pill. Think about it, do you have confidence? "
The young barefoot doctors below all shouted, "Yes!"
Lin Sanqi continued while holding the medicine box:
"And this ibuprofen isn't just for reducing fever. If you have a headache, just give it one pill. It can also be used for toothaches. It can also be used for muscle pain, joint pain, neuralgia, and even menstrual cramps for women.
At this point, some people might underestimate the enemy, thinking that getting ibuprofen can cure all diseases. You are wrong. This is when the value of doctors comes into play.
For example, if you have stomachache, you cannot take ibuprofen. Just remember that ibuprofen is very irritating to the stomach and intestines. Not only can it not cure the disease, but it may also cause gastric perforation, which will cause a medical accident.
In addition, people with unexplained stomach pain should not take ibuprofen, as it can be a strong pain reliever and mask the underlying condition, which can delay treatment and lead to serious consequences.
At this time, a barefoot doctor raised his hand and said:
"Minister Lin, if I have a stomachache, what should we do? How do we know what causes it? How should I treat it?"
Lin Sanqi scratched his head, thinking that this question was very simple to answer, but in this impoverished county in the 1960s, it seemed to be an unsolvable problem.
For example, if the abdominal pain is caused by appendicitis, a B-ultrasound will tell the cause, but the problem is that there is no such thing in Andu County.
Even if your doctor determines based on his experience that you have appendicitis, in Andu County where there are no surgeons or operating rooms, it seems that you can only wait to die.
Instead of dying in pain, it is better for the patient to take some painkillers so that he can pass away with less pain.
Thinking of this, Lin Sanqi said helplessly:
"It seems I was wrong. I am a theoretical person again, but we clearly agreed that we are all clinical practitioners.
So, if you encounter a patient with severe abdominal pain, you can still use painkillers, but you must explain to the family in advance that these medicines can only relieve symptoms, but cannot cure the disease, and that life and death are left to fate."
Fortunately, there were no doctors in the 1960s. If the patient was cured, the doctor would be given a banner. If the patient was not cured, the doctor would be taken home and buried. There were no terrible incidents of doctors being forced to pay with their lives.
This is also why Lin Sanqi dared to violate the scale of diagnosis and treatment and directly asked the barefoot doctor to use ibuprofen to treat stomach pain.
Then, Lin Sanqi picked up another box of cephalexin and said:
"This is a box of cephalosporin. I guess most of you haven't heard of it, but if I give you an example, you'll immediately understand its effects. Have you all heard of penicillin, or penicillin?"
More than 200 barefoot doctors nodded repeatedly.
"Know!"
"I've heard it's a life-saving medicine."
If you are an ordinary old farmer in the mountains, you are most likely not aware of penicillin because you will never need it in your lifetime.
But most of these young people have attended middle school, or at least graduated from elementary school, and have left the mountains, so they naturally know the famous penicillin.
"Everyone just needs to know about penicillin. Penicillin is an injection, while the cephalexin I have is a tablet. It is more than 10 times more effective than penicillin and can treat almost all infectious lesions.
If a small case of pneumonia could be fatal in the past, now with the advent of cephalosporin, pneumonia can almost always be cured and is no longer a fatal disease.
In addition, injuries are common among mountain people, and wounds can become inflamed and fester, eventually leading to patients being burned alive or dying in pain. With the availability of cephalosporin, taking one pill twice a day will eliminate the infection problem.
Let me put it this way, with this cephalexin, almost 80% of diseases can be cured. You barefoot doctors can not only become miracle doctors, but also make a lot of money just by relying on this medicine.
For example, we charge 1 yuan for this box of cephalexin, and you can mark it up by 30%, which means you can make 0.3 yuan. If we sell 10 boxes a day, that's 3 yuan. So, how much can we earn per month just from this drug?
Of course, let's make it clear first that a 30% price increase on drugs is the highest percentage allowed by the country. You can only increase the price by 10% or 20%, which is very flexible, but a price increase of 31% or 40% is absolutely not allowed.
We will set up a reporting mailbox. If anyone is selling drugs at high prices, we will not only revoke their barefoot doctor qualifications, but also arrest and sentence them for corruption, so everyone should not make mistakes.
Boom, the scene exploded~~~
Lin Sanqi's words just now contained a huge amount of information.
One is the emergence of a magical antibiotic that is more effective than penicillin, which is unimaginable.
Another thing is that if the country really allows barefoot doctors to make money as promised, then they will have no worries about their livelihood in the future.
At this time, Dean Shan of the County Hospital clapped his hands and said:
"In today's barefoot doctor training, we skipped the theoretical classes and started directly with internships in the afternoon. Medicine is ultimately an empirical discipline; just reading books is useless.
Starting in the afternoon, 208 trainees were divided into 5 classes. A team from Bao'an County Hospital gave everyone a teaching demonstration. During the following internship, everyone can ask questions immediately if they have any questions.
Because our Andu County is a national demonstration site, time is tight and the task is heavy, so the training work will be compressed within one month.
As long as our Andu County barefoot doctor plan is successfully implemented, it will be promoted throughout the province and the country. Comrades, this is an honor for our Andu County, and you must not miss this opportunity.
Did you see that? There’s a camera filming the scene the whole time, and then a film copy will be made and sent all over the country, so everyone can appear in the film and see themselves on the big screen.”
Wow~~~
There was another round of discussion at the scene, and everyone looked over and saw a strange small machine on the tripod.
Huang Xiaoji, who was operating the machine, waved to everyone, revealing his big white teeth.
After the meeting, Lin Sanqi followed Shen Qiushui, the director of Baoan County Hospital and his godsister, and walked towards the guesthouse cafeteria.
Shen Qiushui took his team directly to Hechi Airport on the "Perilla" special plane, and then took a car to Andu County.
In addition to bringing a large number of clinical drugs, it also brought a team of 45 doctors.
There are 35 communes in Andu County. Even if there is only one supervising doctor in each commune, 35 people are needed.
Lin Sanqi's teaching model is that during the day, barefoot doctors practice in groups at the county hospital because there is no shortage of patients there.
In the evening, evening self-study is conducted in communes. Each commune is assigned a doctor as an instructor to teach these young intellectuals with no basic knowledge.
After returning to their respective communes one month later, the instructors will live and eat in the commune and provide assistance for another month.
It is inevitable that a novice driver will be confused when driving. If a car makes a mistake, it can be corrected, but if a doctor makes a mistake, the patient will die. Having a senior doctor in charge at the critical moment can also reduce the mistakes made by barefoot doctors.
"Sister, are you ready for the training at Bao'an County Hospital?"
Lin Sanqi plans to stay in Andu County for a month to obtain first-hand information, and then start the nationwide training.
Each county will arrange a doctor from the county hospital, and each region will arrange two doctors from the municipal hospital to come to Bao'an County for training on the "Barefoot Doctor Manual".
These doctors are college or technical school students themselves, and the rural doctor textbook "Barefoot Doctor Manual" is child's play for them.
After this group of doctors completes their training, they will go back to train the barefoot doctors in the county.
While looking at the scenery, Shen Qiushui replied confidently:
"Don't worry. We already have experience after the last infectious disease doctor training. We've chosen the new pharmaceutical factory as the training location. The factory buildings can be used as classrooms, and there are also staff dormitories and a cafeteria. It's very convenient."
Lin Sanqi asked again, "Was there any difficulty in spreading the beach all at once?"
Shen Qiushui smiled and said:
"It's not difficult. You have all the documents in the Barefoot Doctor Manual ready. You have the training venue and funds, and the teachers are in place. There is no reason for failure.
I've read this "Barefoot Doctor Manual" several times, and I can only say, "Brother, you're amazing, truly amazing." Even an ordinary person can become a qualified barefoot doctor immediately after reading this manual a few more times.
Lin Sanqi also laughed and said:
"Of course. This 'Barefoot Doctor's Handbook' took the hard work of many people. It's no exaggeration to say that it took the whole country's efforts. It is simply a 'general medical and pharmaceutical' bible.
From common coughs and vomiting to complex cardiovascular and cerebrovascular diseases and cancer; from disease prevention knowledge such as killing mosquitoes and flies to protection against nuclear, biological and chemical weapons; from acupuncture and herbal medicine to commonly used Western medicines, everything is covered.
If every village in the country had a barefoot doctor, coupled with the medicines provided by Bao'an County and major pharmaceutical companies across the country, then basic medical services in China would be fully covered, and that would be my greatest contribution."
Shen Qiushui burst out laughing:
"If you really want to leave your name in history, you should vigorously develop urban hospitals. For example, just look at Union Hospital and Guangci Hospital in Shanghai. Oh, it's now renamed Ruijin Hospital.
You see, in the gardens of these hospitals, there are statues of wealthy people who donated to build these hospitals. This is the way to bring honor to your family. If you build these village clinics, who will remember you in the future?
Lin Sanqi curled his lips and said:
"How many more years do you think those statues will remain standing? Don't worry, they will all eventually disappear into the long river of history. No one will easily mention the history of these city hospitals, because that is the history of capitalists and does not conform to national conditions.
Besides, my work on the barefoot doctor manual is actually a great thing that benefits the present and will benefit future generations. It solves the medical problems of hundreds of millions of people. Do you think I have accumulated a lot of virtue?"
What Lin Sanqi didn't say was that the city hospital might not be able to be preserved in a few years, and all his efforts would be in vain.
The village clinic can definitely be preserved. After all, everyone in the village needs to see a doctor. Anyone who dares to smash it will have his head beaten up by the villagers.
While chatting, the two talked about the follow-up work of barefoot doctor training.
At this time, the director of the guesthouse was shouting from afar:
"Minister Lin, the roasted whole lamb is ready."
Lin Sanqi waved her hand and said, "Come on, sister. This whole lamb is definitely as delicious as the Ningxia beach lamb. It's fat but not greasy. I'll treat you personally today." (End of this chapter)
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