Chapter 88 National Competition
Nowadays, with the development of technology, people's lives have become more and more abundant. Makeup has become an indispensable part of daily life for many women and men. Especially in some formal occasions, makeup can make others feel respected and make you feel happy.
However, in hospitals, doctors still don't like patients to wear makeup.
Whether it is Chinese medicine or Western medicine, "observation" is one of the essential items. Doctors not only need to observe the patient's specific complexion, but also need to observe the nails, lip color and other conditions.
For example, yellow skin may indicate jaundice or poor liver function, while purple lips may indicate lack of oxygen, cardiovascular or respiratory problems. Nails can also reveal many problems. For example, if the nails are gray, dull, and become thick and hard, in addition to the most common fungal infection, they may also be caused by congenital ectoderm defects.
Of course, in addition to these symptoms, doctors can often identify dozens or even hundreds of different symptoms by observing the patient's complexion, tongue, etc.
Therefore, in order to accurately diagnose the condition and reduce misdiagnosis, doctors prefer patients to be without makeup when seeing them.
The same was true for Su Tang. The Director Jiang in front of her was dressed neatly like a professional woman and her makeup was also very decent.
But for Su Tang, he couldn't tell the specific color of the other person's red lips, the color of the skin after foundation, or whether there were liver spots, hepatitis, anemia, etc.
Su Tang slowly withdrew her gaze and frowned slightly.
Although the other person was wearing makeup, so she couldn't see Director Jiang's face clearly, the color of her nails was not normal nails with clear, smooth, and light flesh-pink color, but slightly dull nails with several sunken horizontal grooves on the surface.
If the nails are not smooth and have horizontal grooves, this indicates that the person is very likely to suffer from qi stagnation, liver depression, pathogenic heat and lung dryness.
That is to say, in addition to eczema and lack of trace elements on the nails themselves, you may also suffer from acute diseases such as pneumonia, scarlet fever, as well as emotional anxiety, breast hyperplasia, poor digestive system and so on.
Of course, generally speaking, the information revealed by just a few horizontal grooves on the nails is still too little. Su Tang is not yet at the level where he can judge a patient's specific symptoms just by looking at the nails.
But overall, we can tell that Director Jiang still has some health issues...
If this were someone else, Su Tang might have suggested that they go to the hospital for a physical examination.
But the person in front of him was the Director of the Health Bureau, and behind him were the Dean and others.
Su Tang blinked twice, but still followed Ma Jun, Kang Yuhao and others and walked to the side of the road with the crowd.
After all, given his status and position, he should have gone to the hospital to see a doctor for these illnesses a long time ago.
There is no need for her to talk too much.
As people working in the medical industry, almost everyone cares about their own health.
As the deputy director, he must have been dealing with frontline medical personnel and experts from various fields on a regular basis. It would be fine if it was a minor issue, but other experts would have surely spoken up and reminded us early on if there was a major problem.
"Let's go, let's go. I've finished reading the list of dissertations. I just took a few photos with my phone. I'll go back and buy the medical magazines mentioned on the list. After reading the dissertations, I'll discuss it with other big guys..." After thinking about it in her mind, Su Tang smiled and shook her phone. She watched Director Jiang, the dean and others finish talking about the traditional Chinese medicine dissertations, turn around and leave the bulletin board, and prepare to head to the surgical building in her high heels.
Su Tang also patted Ma Jun and Pan Yuhao on the shoulders and prepared to return to the department.
Apart from her, Pan Yuhao, Ma Jun and others did not publish any papers this quarter. They came here this time to see the paper publishing situation in other departments.
Pan Yuhao nodded: "Okay, let's go back after we finish taking the photos... I still have a few Chinese medicine cases to look at."
Ma Jun was shocked and blurted out: "Damn! Doctor Pan is a beast! I haven't even finished reading the Chinese medicine internal medicine book, and you actually read the book on Chinese medicine cases?!"
Pan Yuhao: "Don't be so disrespectful, kid! I was the one who took care of you in the outpatient department before. You have to call me teacher, don't you understand?!"
The crowd watching near the bulletin board had mixed feelings at the moment. They looked at Su Tang and the others, then glanced at the Chinese medicine doctor next to them. In the end, they could only sigh helplessly...
Today, it seemed like they had eaten the melon in the melon field, but it also seemed like they hadn't, which made people feel very regretful.
"It seems there's nothing good to learn today. We can't be awarded a key nature reserve for single dogs..." A surgeon looked at Su Tang and the others with a bit of disappointment and murmured.
Even though they were all defending Su Tang just now, this did not hinder their passion for gossip!
Su Tang: “…………”
Get lost!
Don’t think that just because you changed the name of your department’s group to ‘Key Single Dog Nature Reserve’ I don’t know you are a hepatobiliary surgeon!
I've seen you several times in the operating room before!
After reading the bulletin board, we naturally had to go back to the department to work. A group of people were chatting and laughing, and soon forgot about the previous episode.
Su Tang had no intention of becoming the melon in the melon field and leaving with the crowd.
But at the same time...
Director Jiang, who was moving in the opposite direction of Su Tang and the others, suddenly felt a pain in his lower abdomen, and the urge to go to the toilet spread in his abdominal cavity.
The most common physiological impulse is a tingling sensation in the abdomen.
However, Director Jiang was surrounded by the director and many hospital staff, as well as seven or eight health bureau staff members she brought with her.
The woman's eyes swept over the people around her, her brows sank for a moment, and she pursed her lips, silently suppressed the pain in her abdomen, and continued to talk to the people around her as if nothing had happened.
It is normal for people to have three urgent needs, but many times people will try hard to suppress this physiological desire in order to work or go to school.
Director Jiang didn't care at all about the pain in his stomach and his need to go to the toilet.
Instead, he continued to chat with the dean about the future plans of the Sixth Hospital and its planning goals.
"In fact, I came to the Sixth Hospital this time not only to see the construction situation of the Sixth Hospital and the construction standards of various work in the hospital... In fact, the most important thing is that I hope that the Sixth Hospital can strengthen the capacity training of young doctors, nurses and other professional medical personnel in the past three months."
Director Jiang walked in the front and turned to look at the director. He said, "Starting this year, in addition to the general financial investment allocations to public hospitals in various provinces and cities... 30% of the allocations will become a competition model, with nearly 12,000 public hospitals across the country competing against each other."
"What?!"
The dean's eyes widened and he almost cried out in surprise. He stood there in a daze, as if he didn't understand what Director Jiang said.
"Don't be so surprised."
Director Jiang's eyes were dignified and powerful, and his voice was even more unhurried. "Now, with the improvement of the national people's economic level, the medical environment naturally needs to be greatly improved. Since the domestic finances are sufficient this year, and this matter has been proposed for several years, the financial appropriation for this area has been directly increased by 30% this year, which will be used for the basic construction of major public hospitals, large-scale equipment procurement, medical technology project research and development, medical personnel welfare, etc."
Director Jiang's eyes were deep, and he smiled slightly, "But not all hospitals can get this 30% of the financial allocation. Only the top 100 hospitals in the country can get this part of the financial allocation in proportion! The higher the ranking, the more financial allocation you get. The first place can directly take one sixth of this 30%!"
One sixth? Isn’t that 5% of the national total?!
At this moment, not only the dean, but also other leaders and staff of the Sixth Hospital who had overheard a little bit of what was happening held their breath and almost gasped!
You should know that last year the financial allocation for public hospitals nationwide was NT$356 billion!
This year it has increased by 30%. According to this ratio, this year's allocation from higher authorities should be around 508.57 billion!
5% of 508.57 billion.
This means that the hospital that gets the first place will receive about NT$25.42 billion in financial grants in addition to the basic financial grants!!
With so much financial appropriation, let alone upgrading the hospital's capabilities, it would be more than enough to build a new hospital!
However, although the idea was good, the next second, everyone in the Sixth Hospital felt as if a bucket of cold water was poured on their hearts and they felt a little embarrassed.
As one of the top three cities in the country, Shenzhen has many Grade A hospitals, but it cannot compare with the two old super cities of Jinshi and Shangshi. In addition, the Sixth Hospital itself is not the top Grade A hospital in Shenzhen.
Therefore, last year, the Sixth Hospital was ranked 87th among the top 100 hospitals.
Well……
It seems like I can get a little bit of the pie, but I can't get much...
It's a little embarrassing to think about it...
As if sensing the embarrassment of the people in the Sixth Hospital, Director Jiang deliberately made a joke and stabbed them twice: "According to the information above, the No. 1 candidate can take 1/6 of the 30% financial allocation. The No. 2 to No. 10 candidates can take 2/6, and the No. 11 to No. 50 candidates can take another 2/6... and the No. 51 to No. 100 candidates can only get the last 1/6 on average..."
Everyone in the Sixth Academy: “…………”
This is even more embarrassing, okay?!
One hospital took away 25.42 billion, but they needed 50 hospitals to take away 25.42 billion...
Although it is better than nothing, and each hospital has an average of nearly 500 million, but... I am still not willing to accept it!
"Director Jiang... We know about this, but even if we start to strengthen the training of young medical personnel now, it is impossible for our Sixth Hospital to suddenly go from 87th to within 50..." An impatient leader next to the director stroked his slightly bald head, feeling that his hair, which was not much to begin with, had fallen out by dozens in an instant.
If their hospital only upgraded from 87th to 86th, or from 87th to 80th...
That doesn't make any sense at all.
Apart from a slightly better points ranking, there will be no increase in actual financial allocations.
Only by rising from 87th place to within the top 50 can 510 million be turned into 1.27 billion.
"Ah... I wonder why you guys are in such a hurry?"
Director Jiang shook his head and chuckled, "This time, the ranking of the top hospitals in the country is not the usual report compiled by unofficial organizations, but the result of unified supervision and assessment by the higher-level health bureau... The total score of this competition is 200 points. In addition to the most basic hospital research and academic papers and specialty reputation, which each account for 50 points, there is another 100 points that will be used for on-site competition."
"Live competition?" People from the Sixth Hospital whispered in surprise.
The dean also looked at Director Jiang in astonishment: "Will the on-site competition test cardiopulmonary resuscitation, imaging diagnosis, physical examination, etc.? Or will it test understanding of human anatomy, disease treatment, and peritoneal puncture?"
"How do you compete with this thing?"
"And why are they young medical personnel? Did the health department only allow young people to participate this time?"
A group of people were talking in low voices, with hope and worry in everyone's eyes.
The worry is that if the top 100 hospitals in the country recognized online do not count, and only young people are allowed to participate in the competition, what should we do if the Sixth Hospital falls out of the top 100 hospitals in the country?
You should know that there are nearly 800 tertiary hospitals in the country, and there are also many public hospitals in small cities among them. Although these hospitals may be far inferior to their large hospitals in terms of academic paper research, and the level of senior directors and deputy chief physicians is not as good as that of the Sixth Hospital.
But it does not mean that the hands-on ability of junior doctors is worse than that of junior doctors in the Sixth Hospital.
In fact, because there are not so many details to pay attention to in small hospitals, the chances of actual operation by the other party may be greater than that in the Sixth Hospital.
If the Sixth Hospital were to capsize and be beaten in practical operation, it would be embarrassing...
But the joy comes precisely from this. Although their hospital's academic papers, research reports, specialty reputation, etc. are certainly not as good as those of the top 50 hospitals, it does not mean that they cannot make a comeback with the last 100 points of the on-site practical assessment. If they have the opportunity to enter the top 50, wouldn't they be able to get a large amount of financial grants? Let the hospital develop better?
Director Jiang obviously noticed the joy and worry on the faces of the people in the Sixth Hospital. She smiled and walked forward along the Sixth Hospital's camphor tree forest road: "Haha, I tell you this is a good opportunity... You must seize it. Even if the Sixth Hospital can't squeeze into the top 50 of the top hospitals in the country, it must at least be guaranteed to be in the top 100... Otherwise, I, the deputy director of the Shenzhen Health Bureau, will not look good when I go out..."
The female secretary following behind Director Jiang received a signal from Director Jiang's beautiful eyes.
The secretary took two steps forward and introduced the competition rules to the people in the Sixth Hospital with a smile: "According to the instructions above, every one of the tens of thousands of public hospitals in the country can sign up to participate in the competition."
"Registration is open to all hospitals regardless of their grade. All public hospitals are welcome to apply, but the minimum registration requirement is that all medical staff in the hospital must have published at least five papers in domestic core journals between January 1 and December 1 this year..."
"In addition, since the purpose of this allocation is to develop and train talents, and our hospitals are only competing, not to settle grudges..."
The secretary smiled and said, "So this time, the competition will be given to the new forces of hospitals across the country... Competition requirements: medical personnel under 30 years old."
The dean frowned slightly and subconsciously asked, "What are the specific events? How many people are required to participate in the competition? I wonder if the higher-ups have decided yet?"
Director Jiang glanced at the dean, shook his head and smiled, "There will definitely be more than one competition. We won't know what the competition is until we go to the scene... But the number of participants has been determined, and it requires a 16-person team competition. The team needs to be equipped with imaging personnel, testing personnel, anesthesiologists, nurses and clinical doctors. As for the ratio of the number of people in between, it depends on each hospital to allocate it. There are no hard and fast regulations in this regard..."
The dean took a deep breath and quickly went over in his mind what Director Jiang and the secretary had said.
In fact, they had never seen such a large-scale competition among public hospitals across the country before.
In the past, even if there were competitions among sister hospitals, they were just small-scale fights, with at most a dozen hospitals competing.
But this time the amount is as high as 150 billion Chinese Yuan. Even small community hospitals would want to get involved if they have the ability.
It's like a carrot dangling in front of so many donkeys, every donkey wants to take a bite!
"Don't worry, Director Jiang. During this period of time, we will definitely urge everyone to study hard and strive to raise everyone's level to a higher level within three months!" The dean tried hard to suppress his rapidly beating heart and looked at Director Jiang with a firm assurance.
This national public hospital competition is not only an opportunity for other hospitals, but also an opportunity for their Sixth Hospital, and even more so for him!
If under his leadership, the Sixth Hospital can strive to be ranked among the top 50 hospitals in the country, then he would be willing to do so even if it meant he had a stroke and became paralyzed immediately.
"In that case, you must work hard..."
Director Jiang nodded with satisfaction, smiling like a cunning fox: "I will also say this to other tertiary hospitals in Shenzhen. I hope you can all enter the top 100 hospitals in the country, and I will be satisfied..."
If she can manage to get 15 or 20 of the more than 40 public hospitals in Shenzhen into the top 100, it will be considered a major achievement during her tenure in the Shenzhen Stock Exchange.
The dean and Director Jiang looked at each other, each seeing what was in the other's mind, and immediately smiled at each other with tacit understanding.
However--
Right at this moment!
Director Jiang felt a burst of pain in his lower abdomen again, and the pain suddenly intensified. It was as if something was torn apart in his stomach, and the pain suddenly spread to his brain and entire body along with his nerves.
I brushed my forehead and it was covered with cold sweat!
"Gee! —Gee! —"
Director Jiang's heartbeats accelerated, accompanied by a nausea and vomiting feeling, rising from his lower abdomen. He could no longer bear it and grabbed the trunk of the camphor tree next to him. He was nauseated and vomited all over again!
Director Jiang's legs felt weak and shaky, and the pain was so severe that he could hardly stand.
Everyone around was shocked, especially the dean and others, who immediately shouted to the others, "Hurry up, hurry up! Director Jiang is not feeling well, send him to the emergency department! Hurry up! Hurry up!"
"Hurry, hurry, hurry!——"
Several women in the team, including the female secretary, quickly stepped forward to support Director Jiang and carried him towards the emergency room.
…………
Su Tang stood at the window of the outpatient office and looked around the hospital. She was just looking around leisurely at noon, but she didn't expect to see Director Jiang, the dean and others hurriedly walking on the road when she lowered her head.
A group of people were walking in a disorderly and anxious pace. Su Tang looked carefully and found that Director Jiang, who had been so majestic at the front of the crowd, had his arms resting on the shoulders of someone, and several female staff members were half supporting and half carrying him as they walked forward.
Even without seeing Director Jiang's expression clearly, one could tell that he must be exhausted, otherwise he wouldn't have needed to be half-supported, half-carried forward by someone. And looking at the direction they were heading, it should be the emergency department in front of the hospital entrance.
Su Tang frowned, and followed the crowd as her eyes looked towards the emergency department in the distance.
"What's wrong? You look so serious..." Pan Yuhao leaned against the wall, reciting knowledge about traditional Chinese medicine while noticing Su Tang's calm expression. Pan Yuhao subconsciously lowered his head and turned to look out the window following Su Tang's line of sight, and also saw Dean Jiang and others.
Pan Yuhao: “……???”
"Fuck!"
Pan Yuhao's eyes widened, and he blurted out subconsciously, "Isn't that the deputy director from before? How come he was fine just now, but suddenly became like this?"
Acute duodenal perforation? Gastric perforation? Purulent cholecystitis? Coronary heart disease attack? Cerebral hemorrhage? …
In an instant, countless acute symptoms popped up in Pan Yuhao's mind.
But the next second, Pan Yuhao touched his chin again, frowned and sighed: "Hmm! Director Jiang is quite lucky."
"This disease just happened to break out in our hospital. If it broke out somewhere else, I guess we would have to suffer more... Now that the disease has broken out, we've sent it to the emergency department. I think it should be treated quickly and there shouldn't be any big problems."
Su Tang: “…………”
Su Tang glanced at Pan Yuhao dimly.
Fortunately, the dean and Director Jiang did not hear this, otherwise she suspected that Dr. Pan would be put in a sack tonight.
Who would boast about their good luck when they have an acute illness?
Isn't this just waiting to be beaten?
Can't we cure the disease before it breaks out?
"I don't know what disease Director Jiang has... why he is so anxious..." Ma Jun also went to the window, stretched his head to look out, a little curious.
However, the other group was very fast. They turned around and disappeared at the corner of the emergency department's side door entrance, without giving Ma Jun a close look.
"I don't know... maybe it's an acute abdominal disease?" Su Tang pondered for a moment, then thought about the look on Director Jiang's face at that time, and spoke carefully.
But no matter what the disease is, I believe that the person can get the best treatment by going to the emergency department.
Su Tang smacked his lips, a hint of regret in his dark deer eyes...
Unfortunately, she probably won't have the chance to show her face in front of Director Jiang.
However, just as Su Tang's face was full of regret and she was about to look away and lie down on the desk to take a rest, a call suddenly came to Su Tang's cell phone.
Su Tang's cell phone vibrated and she saw that the number was from Director Lei.
Su Tang: “……?”
Su Tang answered the phone in confusion. Could it be that there was a patient in the general surgery department who was bleeding heavily and needed acupuncture to stop the bleeding?
But just as Su Tang's phone was connected, Director Lei's stern but somewhat urgent voice came from the other end of the phone: "Doctor Su! Hurry to the emergency department operating room! There is a patient with ectopic pregnancy rupture and heavy bleeding. The patient has Rh-negative type A panda blood. Our hospital does not have panda blood in stock today. You have to give the patient acupuncture to stop the bleeding!"
"Okay! Doctor Lei, I'll be there right away!" Su Tang had a serious expression, but he ran quickly towards the emergency department's operating room.
Patients with ectopic pregnancy rupture and heavy bleeding often experience severe abdominal pain and a sharp drop in blood pressure. If there is even a slight delay, the patient is very likely to go into shock and other conditions.
If it is another blood type, it would be fine if the Sixth Hospital has blood in stock, but if there is no stock, such patients will easily have accidents, and they must seize every minute and every second!
Su Tang ran very fast and rushed out under the scorching sun.
The reason why ectopic pregnancy is called ectopic pregnancy is that the fertilized egg implants in the wrong place and appears outside the uterus, causing the disease.
This abnormal implantation can cause severe pain, intra-abdominal bleeding, etc. to the patient, and after surgical treatment, there is a high probability of infertility. It is a very difficult and painful gynecological disease.
Su Tang frowned, a little suspicious. The patient with ectopic pregnancy could be Director Jiang. Otherwise, why would Director Lei call her, a patient in the obstetrics and gynecology department? And Director Jiang and others just happened to go to the emergency department.