When Chen Qi came back, Lan Lijuan was already busy in the kitchen with Mao Xiaolian.

The twins were watching cartoons at this time. They had just celebrated their 4th birthday. According to Yuezhong custom, they are 5 years old. They have already entered kindergarten, the Lu Xun Kindergarten next door.

In Yuezhong, as long as a school has the word "Lu Xun" on it, it must be a key school, from kindergarten to high school.

Silly Sister and Xiao Hong went to Yiwu on a business trip and were not at home.

The Chen family purchased 100 business rooms in Yiwu Small Commodity Market. It is a newly built market and is not very popular.

But Chen Qi knew that Yiwu would later develop into the largest small commodity market in the world, and shops would be hard to find. Of course he would buy more while he could buy them now.

Regardless of the deserted new market now, it will become a lively market in the core in the near future. Then won’t the rent flow into Chen Qi’s bank account like running water?

If it weren't for the fact that the Chen family was not a local snake in Yiwu, Chen Qi would have taken over the entire market.

If he really wants to make things right, the market builders will definitely be happy, but within a few years, Chen Qi may become Yiwu's biggest public enemy.

Unexpectedly, he purchased 400 shops in the textile market in Keqiao Town, and now he has become the envy of many people.

Even many people in Kuaiji County have complained. They think how can the rent of several million a year be given to individuals?

To put it bluntly, it’s jealousy.

Most people have forgotten the fact that when the market opened, no one showed any interest. It was Chen Qi who provided carbon at the right time to bring the entire textile city to life.

People's hearts are terrible. How many good endings will come to those who are on the "pig-killing list"?

Is it really because of their original sin?

When someone started a business and had no money, he accepted venture capital from foreign capital. Is this the original sin?

So if your domestic capital is so visionary, why didn’t you invest in them in the first place? Why didn’t you help them start a business?

Chen Qi put down his backpack and washed his hands. The cartoon "Smart Ikkyu" was playing on the TV, so Dean Chen also happily followed the twins.

I waited until Lan Lijuan came to place the bowls, and then I found that the father and son were staring at the screen motionless and became angry.

"Chen Laoer, how many times have I told you, don't let me focus on watching TV, your eyes will become myopic."

Chen Qi stood up and slapped Chen Yixin on the butt: "Who asked you to watch cartoons? Do you know that your eyes are short-sighted? This is too shameful. I apologize to my mother."

Chen Yixin felt extremely wronged: "Dad, my sister also read it, why don't you let her apologize?"

"Noisy, you are a man. A man has to protect his sister. How can you let your sister come out and push the cylinder? Is your butt itchy again?"

Lan Lijuan can’t stand it anymore:

"Chen Laoer, please don't come here. I've watched you on TV a lot. Look, you're still doing all the work in the hospital during the day, but when you come back, you're like a child. You're really promising. If you don't hurry up and put the food on the table, you're really a big kid now that you're home." Dean."

Chen Qi and his daughter both shook their heads.

Chen Yiyi said softly: "Dad, you are so useless, you can't even control your wife."

Chen Qi pouted: "At least dad can control your mom when he is at work, but you are oppressed 24 hours a day, so you have the nerve to talk to me? Humph!"

"Humph!"

The boat of the friendship between father and daughter overturned.

During dinner, Lan Lijuan asked about what happened in the hospital during the day.

"Hey, after today's personnel changes, you kicked Old Wu away. What are you going to do next? What three things are you going to do with the new official's promotion?"

Chen Qi took a bite of rice and said with a vague expression:

"Even if I went too far today, the People's Hospital is too big, with more than 1,200 employees. If I really want to carry out comprehensive reforms and touch the interests of too many people, do you think I will still have a good life? I'm afraid Report letters are flying all over the place.

There are also several directors of clinical departments. Some are willing to listen to me, and some are unwilling to listen to me. It is more difficult to ask them to make some changes than to kill them. In fact, their knowledge cannot keep up with the times. Even foreign language students They are all in Russian, what should I do if I don’t understand English?

But when I first came here, I replaced all the senior directors and replaced them with a group of young and middle-aged doctors who were willing to learn new knowledge and understand English. This was too radical, and the superiors would not agree with it. After all, it was stable. Put it first.

So my idea is that I will not touch the interests of these old directors first. I will pilot a few departments first. For example, your Department of Internal Medicine is one of the departments I plan to pilot. I plan to let your Department of Gastroenterology take the lead in carrying out laparoscopic surgery in China. .

When several of the departments I piloted became an instant success, filled with patients, business grew, and the doctors’ income was several times that of doctors in other departments, I didn’t believe it. I watched others get huge bonuses and enjoy the good life. Can people from other departments still sit still?

Either their old director asked for it, or they were forced to do it by the junior doctors and nurses below. In short, they must be allowed to do it, so that a good atmosphere can be formed in the whole hospital for learning new technologies and creating business growth points.

At this point, my reform will be successful, the tasks assigned to me by my superiors will be completed, and the People's Hospital will be able to stand out among domestic municipal hospitals, and even surpass provincial hospitals."

When Lan Lijuan heard that she wanted to build her gastroenterology department into a pilot department, she was immediately interested.

If others don't know, how could she not know the magic of her husband?

"The endoscopic and minimally invasive treatment of gastrointestinal diseases you mentioned, how do you understand this?"

In the 1980s, endoscopic treatment, or minimally invasive surgery, had not yet been carried out in China. Even internationally, this was a new thing, and only a few top hospitals were carrying it out.

Endoscopy, our old rival Japan is far ahead. In 1974, they used endoscopic polypectomy to treat pedunculated or sub-pedunculated EGC early gastric cancer

By 1984, Japan invented another ER technology, called "bulk mucosa". This method uses a double-channel endoscope, which is technically simpler and can ensure the integrity of the resection specimen.

Subsequently, another endoscopic resection technique was invented in 1988 that used a needle to locally inject osmotic epinephrine and saline into the specimen, which could be used to treat larger lesions and achieve more complete resection.

The key is that the premise of the series of endoscopic surgeries invented by the Japanese is that they invented various advanced endoscopic instruments, including gastroscopes, various enteroscopes, including duodenoscopes, enteroscopes, colonoscopes, etc.<

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This needs to be built on a series of high-tech and industrial foundations, such as imaging technology, guidance technology, lighting technology, integrated portable design, process materials, etc.

But even at this time, the Japanese did not expect that endoscopic technology would gradually become one of the mainstream medicines.

Minimally invasive surgery is increasingly accepted and welcomed by professional doctors.

Among them, with the rapid development of medical science, digestive endoscopy has been widely used in the treatment of digestive tract diseases, and some diseases that originally required laparotomy have gradually been replaced by endoscopic minimally invasive treatment.

Because of its small trauma, quick recovery, short hospitalization time, good patient tolerance, and low cost, it has become more and more accepted by the majority of patients.

Facing his wife's questions, Chen Qi only gave a general introduction and did not dare to say too much.

Because endoscopic treatment and minimally invasive surgery were just beginning in 1988, most minimally invasive procedures had not been invented, and many minimally invasive instruments had not been manufactured.

He can talk nonsense in front of others, but he knows exactly how smart the person next to him is. Lan Lijuan's IQ definitely exceeds his.

Therefore, some things cannot be explained in detail, but can only be summarized.

Before going to bed, Lan Lijuan thought for a moment: "Husband, are you planning to reform our Department of Gastroenterology immediately? How can I cooperate with you?"

Chen Qi wiped his feet and shook his head:

"Not right away, but ready to be implemented. Now you don't have enough endoscopic machines in the gastroenterology department. I have to help you find a way to import some. The second-hand goods from Mayo are not enough. But for now, I am planning to set up an emergency department.

”

"Emergency Department?"

"That's right, you still have to go to the emergency department to get money quickly. Your gastroenterology department won't be able to achieve results in the short term."

Lan Lijuan was confused again for a moment, because the emergency department was a new thing, and she didn't understand it either.

For those who don’t understand, there’s Guo Yuanhang and Guo Dashuji.

The next day, in the office, Comrade Guo was a little strange: "Chen Qi, why did you think of setting up an emergency department?"

In 1988, there was no emergency department in Yuezhong City.

In fact, the first emergency department in China was not opened until 1983, five years ago at Union Hospital.

So there was no 120 in the past. When people got sick in the middle of the night, they usually carried it if they could. There were also people who couldn't carry it and were sent to the hospital overnight.

But what should I do if there is no emergency department at the hospital?

The doorman or security guard needs to notify the doctor on duty in the inpatient department. For example, when the doctor on duty in the surgery department goes out to rescue, the patients in the department cannot be controlled, and accidents are often easy to happen.

When Chen Qi was an intern, he dared to perform surgeries. When all the emergency doctors went out to rescue him, he became a monkey and became the king.

However, such a model has great disadvantages. The biggest disadvantage is "lack of timely response."

The janitors in hospitals are also very sophisticated these days, because the janitors are also hospital employees. They may be old employees who are being cared for. They are more likely to be old workers from the south. It is not uncommon for their salary to be higher than that of the hospital director.

Therefore, the doorman is a standard seventh-grade official in front of the prime minister's door, and he has a lot of airs.

When your emergency patient is brought to the door of the hospital with his family sweating profusely, the old guard may still be sleeping.

After you knocked on the window for a long time, someone slowly woke up, cursed and got up, then put on your clothes, and then rang the phone for you to find a doctor. This delay took a lot of time.

Sometimes internal calls can't be connected because the operator on duty may be off duty or go to the toilet.

Your doorman walked slowly to the department to find the doctor. He kept going back and forth for less than half an hour. He then saw the doctor and then sent him to the operating room. More than half an hour passed.

Most of half an hour is often fatal for emergency patients.

For example, a stroke patient may not be able to wait for five minutes, and he will be completely cold by the time the doctor comes.

Another example is those patients with massive hemorrhage. The arteries here are whizzing with blood, but the doctors over there can't find anyone, and they just watch them die.

Fortunately, it was the 1980s. If it were 2023 and a patient died at the door of the hospital due to lack of timely rescue, his family would have to tear down your hospital and call the media to vilify the eighteenth generation of your ancestors.

Of course, hospitals generally do not build "emergency departments" these days, mainly due to limited conditions.

One is that there are not enough medical staff.

The hospitals are all self-operated and are responsible for their own profits and losses. How can they dare to recruit more doctors and nurses? The poor staff are all taken up by backdoor goods from the administrative departments.

The second is that the level is not good.
To be continued...