A doctor who travels through two eras

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 about saying which nurse is prettier than anyone else.

The interns trained by Lin Sanqi will be of great use in the future and will become the pioneers in the field of tuberculosis in China.

Fortunately, the 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 them. Xiao Yezi..."

Pan Ye was acting as Lin Sanqi's secretary at work, so he 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 traditional Chinese medicine, like my twelve masters, my father Dr. Lin Kushen, or Director Shen of our traditional 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, operational, and replicable methods and experiences, so this is why I decided to use Chinese and Western medicine to treat tuberculosis, because I want to introduce a national standard for tuberculosis. "

good~~~
Everyone applauded, whether they were Chinese or Western medicine doctors. After all, to benefit the world is the highest dream and goal of every doctor.

Lin Sanqi's magnanimous remarks obviously conquered every medical staff present.

"Okay, then how do you differentiate between tuberculosis and a tumor? Let me briefly explain.

The cavities caused 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, so they are easily misdiagnosed.

Therefore, the diagnosis of pulmonary tuberculosis is based on the discovery of Mycobacterium tuberculosis in sputum and tissue fluid; and the diagnosis of lung cancer is based on the discovery of cancer cells in pathological tissues. This is what I call the gold standard. "

Many people were already looking down and taking notes, including the department heads.

"Today, everyone is here to visit our Department of Tuberculosis. From the perspective of pulmonary tuberculosis, the lesions of tuberculosis are not limited to this small range. Look at this X-ray film. 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, if we 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 tuberculosis nodules are smooth. So everyone remember, this is a very important distinguishing point.

I have summarized it, and everyone should also remember what tests to do when facing tuberculosis in the future:
Auxiliary examinations for pulmonary tuberculosis: The first choice is chest X-ray; sputum examination is required for diagnosis, including sputum smear and sputum culture; sputum culture is the gold standard. "

What Lin Sanqi teaches are all practical stuff, which are what his previous teachers taught. Now Lin Sanqi teaches them to the students of 1960. This is called inheritance.

Although this inheritance is a bit funny, it is a reverse inheritance.

Lin Sanqi then took out the third X-ray film:

"Look, this is the third X-ray of my father-in-law taken at Union Hospital in early 1960. You can see that except for a small amount of scars, the tuberculosis lesions have completely disappeared in this photo. That's why I can say with certainty that my father-in-law has recovered."

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 medicines, 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 a patient; now even if you cured two artists, they are just three specimens; and the eight colleagues in your hospital who suffer from tuberculosis do not count because of their close relationship and avoidance of suspicion.

Since you plan to promote the experience and drugs of tuberculosis treatment throughout the country in the future, these three people are far from enough. Even if you cure 30 or 300 people, it is not enough. You need more specimens and more patients. "

Lin Sanqi had also thought about this problem. Isn't it difficult to do things at the beginning? The Chinese medicine hospital doesn't even have an inpatient department, nor does it have 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 to treat patients with just a medicine box on his back.

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 not have too many patients, and then find ways to slowly expand the scale of the "Tuberculosis Department" in the future, but he was afraid of taking too big a step and getting hurt.

"Director Liu, I also know that the more patient data the better, but you see, our current strength at the Chinese Medicine Hospital does not allow it. We have only arranged five wards, which can accommodate a maximum of 5 patients. If there are more, we will be unable to handle them."

Dean Liu's eyes rolled, and then he revealed his true intention.

"Well, you can transfer this tuberculosis department to our digital hospital. Don't worry, I will set up a separate tuberculosis department for you and let you be the director. I will also upgrade your rank and give you one bar and three stars. How about that? If you are 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. They are all ready. Plus, you are from the same school of Western medicine, so they can perfectly cooperate with 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. Do you believe it?"

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 everything late. 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 will definitely not leave, so don't argue about this."

Liu Shengli was not angry when he heard this. He finally revealed his true purpose:
"Then I have a suggestion. Everyone, listen to me. The tuberculosis rate in our country is about 5%. So there are tens of millions of tuberculosis patients in the country. Not to mention far away places, just take our capital area, there are at least 20 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. It is a pity.

Now that Comrade Lin Sanqi has called for the cure of tuberculosis, we have many patients and you also need a large number of case specimens. How about this, we can cooperate with each other. "

Dean Shen was very alert when he heard this: "How can we cooperate?"

Liu Shengli and Tu Bin looked at each other and smiled:
"Well, we will provide patients and send doctors to join your tuberculosis team. If there are any medical results in the future, you can also bring our two hospitals with you."

Dean Shen burst out laughing:

"Old Liu, Old Tu, are you mistaken? Does our Chinese medicine hospital lack patients? What can you Western doctors do to treat tuberculosis? Only we Chinese medicine doctors have some effect of clearing the lungs and relieving the pain of patients. We have 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 people who don't think it is a deserted temple of Lanruo Temple. It is in the middle of nowhere.

So, if you agree to join our treatment team, we will take care of the expansion of your tuberculosis department, and we 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 Chinese medicine hospital."

Dean Shen looked down upon hearing this and said:
"You two are planning something that has been heard by everyone in Inner Mongolia. Now all units across the country are reducing their staff. You just happen to arrange the extra doctors and nurses to our Chinese medicine hospital? Let 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 thoughts were exposed: "Well, of course there is."

Lin Sanqi thought, these are the medical workers from the 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-rate and top-notch 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 will 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 is 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" this 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 backbones of your two major hospitals to come to work in the Tuberculosis Department of our 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 are serious about this. You have to keep your word. If you publish a paper in the future, you must include our two hospitals in the list. If there is any successful treatment promotion, you must also give priority to our two hospitals!"

Dean Shen was anxious, and in front of everyone, he slapped Lin Sanqi on the back of the head:

"You are crazy, kid. We are already busy reducing the number of employees, why do you want a group of outsiders? Besides, what kind of doctors and nurses do you want? I can let our employees transfer 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, the conversion from traditional Chinese medicine to western medicine requires starting from scratch. Without five or six years of hard work, how can there be any clinical experience? The key is that Lin Sanqi does not have so much time to teach. He did not come to this world to be a teacher or a doctor, but to make money by monetizing traffic, so he quickly explained in a low voice:

"Uncle Shen, don't worry. Are you still worried about what I do? I naturally have my own plans, and I guarantee that it will be the most beneficial to our Chinese medicine hospital."

Dean Shen agreed. Although Lin Sanqi usually has a lively personality, he actually does things in a very methodical manner. It certainly doesn't seem like he's fooling around.

But the threat must be made if necessary, otherwise the employees of other traditional Chinese medicine hospitals will object.

"Okay, let me see how you plan to cooperate, or I will skin you alive today."

Lin Sanqi chuckled and whispered in Dean Shen's ear:

"Uncle Shen, you see, they use other hospitals' money and people to do things for our Chinese medicine hospital. I want them to lose both the wife and the army."

Liu Shengli was annoyed 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 with our President Shen. Your request for cooperation is not impossible, but you must do the following two things as you promised."

"Say it, say it!"

"The first thing is that you promise to build a new hospital for our tuberculosis department. My request is not high. How about configuring it with 200 beds?"

Liu Shengli nodded: "I'll find a way. We can still gather some building materials from our troops. We can ask the engineers to 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 laughed and said, "Is this true? So fast? One month?"

Lin Sanqi firmly believed that it was possible, because it took only 9 days from the start of construction to the completion of the Vulcan Mountain Hospital, and it was built into a hospital with more than 1000 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 welcome them most.

Nurses must have more than 5 years of clinical experience. I don't require bad looks, but they must be careful, serious, and obedient at work. In addition, it is best to have a high school or nursing school degree. If you can also speak English, I will also welcome it. "

Now Liu Shengli and Tu Bin are both thinking about the number of passengers, and they wish Lin Sanqi could add a few more people. They are not at all embarrassed.

Liu Shengli asked, "One hospital needs 25 people. Is that enough? You are asking for more people than for others, but not for our two hospitals. How about a few more people?"

More than 10 years ago, during the Republic of China period, those who received Western medicine education were extraordinary. Most of them had studied abroad and were all top talents in the medical field.

However, this group of people has a serious problem with their background. Some of them are from big landlord families, while others are from wealthy families. In addition, with their experience studying abroad, 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 these people to the Hospital of Traditional Chinese Medicine and employed them as temporary workers. On the one hand, it was to protect these valuable Western medicine talents, and on the other hand, it could also help standardize his own tuberculosis business.

Professional matters should be left to professionals. Different professions have different worlds. After all, Chinese medicine 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 when I tell 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 deal with the staffing of these 50 people?"

Lin Sanqi shook his head and held down Dean Shen who was about to lose his temper:
"There is no way to solve the problem of staffing. The government has set a very strict limit on staffing. If I give you 50 positions, you will have to lay off 50 employees of our hospital. Then I will really become the eternal sinner of the hospital and be despised by all the people."

Director Shen and the onlookers from the Chinese Medicine Hospital breathed a sigh of relief.

When Liu Shengli and Tu Bin heard this, they frowned: "Without a job, how can we stay in the capital? How can we solve the problem of food?"

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 of the hospital. Their household registration will be temporarily registered in the collective account. I will still pay them the salary and food according to the regular workers' standard every month to solve their worries."

"Well, what about the families of these medical staff?"

"It's easier for family members to take part in agricultural production on our farm. We treat all family members who work on the farm as temporary workers and we also provide them with food. They can support themselves without any problems."

Dean Shen was relieved when he heard that Lin Sanqi was going to employ these people as temporary workers. More food rations would be a life-threatening matter for other units, but for the Chinese medicine hospital, it was a piece of cake.

As long as they don’t take up formal staffing quotas, just employ as many people as you want.

Moreover, Dean Shen knew clearly that all the doctors and nurses in Union Hospital and Digital Hospital were treasures. No wonder Lin Sanqi was jealous.

"Old Liu, Old Tu, alright, since Comrade Lin Sanqi has spoken, then I, as the dean, will agree. I will give these 50 temporary workers positions, and their salaries will be the same as those of regular workers. How about that? I am generous, right?"

Deans Liu Shengli and Tu Bin were really convinced at this time and gave a thumbs up:

"Old Shen, I am really impressed by you this time. Your Chinese medicine hospital is really powerful, and life is really good here."

Lin Sanqi then gave the two deans another reassurance:

"In fact, if we stay in the capital, everything will be possible in the future. If the food crisis is resolved and the whole society has enough food, hospitals will have to recruit people again. It is better to do what is familiar than what is new. Major hospitals will definitely give priority to taking care of old employees, right?"

Dean Liu and Dean Tu slapped their thighs and suddenly realized:

"You're right. If the hospital expands its enrollment again one day, we will definitely recruit back the old employees who were laid off!"

"That's right, we can't let our employees suffer!"

Lin Sanqi thought, the leaders of this era are really good, they really care about the employees wholeheartedly, and have a patriarchal mentality. Unlike later generations, employees are exploited and scapegoated, and are the stepping stones for 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 really established and can be the first in the world to conquer tuberculosis, then our tuberculosis department will have a bright future.

By then, we can become a hospital within a hospital, or even an independent hospital. If we have the opportunity to hang a sign of the Capital Tuberculosis Hospital, we will have job quotas, and these 50 doctors and nurses will be able to get their positions again, don’t you think? "

Dean Liu and Dean Tu slapped their thighs and said, "You're right!"

Dean Shen's beard was about to stand up. "Great, you are really ambitious. You want to build an independent hospital?"

Lin Sanqi quickly comforted him:

"President 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 big pie 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, just like Dean Shen did at the beginning:
"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, we should learn Russian."

Lin Sanqi chuckled:
"You didn't have the opportunity before, but you may have many opportunities to go abroad in the future. If you learn English well, you won't be afraid to travel around the world. You should also seize the time to learn, because you will be the wife of the department director by then, and you must take the lead and set an example."

Pan Ye blushed again and nodded gently:

"Okay, the English foundation of the seven of us college students is good, but the soldiers from your hospital of traditional Chinese medicine are not good at English."

During the Republic of China period, English courses were offered in the country. After liberation, they were changed to Russian courses. Later, in 1956, English courses were offered again in domestic universities, which lasted until the s.

Therefore, Pan Ye and his group of college students happened to have studied English and Russian, and they are definitely elite talents. (End of this chapter)