Chinese medicine: from rural hospitals to top three hospitals in Kyoto

"Xiao Chen, I won't be attending the outpatient clinic today. You should follow Xiao Yang to familiarize yourself with the department."

Gao Mingxuan looked at the time, said something to Chen Yang, and then said to Yang Xiaohui: "Xiao Yang, you will take Xiao Chen with you today and get to know Xiao Chen a lot."

In the Traditional Chinese Medicine Department of Jialin County Hospital, there are not many doctors and there are only two outpatient clinics. Yang Xiaohui and Zhang Dongyun take turns attending the outpatient clinic every week. Yang Xiaohui is on [-] and Zhang Dongyun is on [-]th. There are no expert numbers on Saturdays and Sundays. .

Today is Tuesday, and Zhang Dongyun is sitting at the outpatient clinic.

"Don't worry, Director Gao."

Yang Xiaohui nodded with a smile on his face.

Gao Mingxuan didn't say much, turned around and walked out the door, and the doctors also began to take over the shift.

"Brother Chen, welcome."

Yang Xiaohui smiled and stretched out his hand to shake Chen Yang's.

Before Chen Yang came, Yang Xiaohui was the only resident doctor in the department. After Chen Yang came, there were only two residents in the Department of Traditional Chinese Medicine.

However, Chen Yang is older than Yang Xiaohui. Yang Xiaohui is 28 years old this year and Chen Yang is 29. It is already the second half of the year and Chen Yang will be 30 years old in a few months.

Wang Ya scolded Chen Yang, "It's not unreasonable for someone who is almost 30 years old, has accomplished nothing in his career, and has a messy life."

"I just came here and don't know anything. Please take care of me, Dr. Yang." Chen Yang was very polite.

Before coming, Lao Liu told Chen Yang some information about the Jialin County Hospital.

Although Jialin County Hospital is not a large hospital, it does not have many doctors. Some departments only have two or three people, and the Traditional Chinese Medicine Department only has four people. But the small number of people does not mean harmony.

Sometimes, the smaller the place, the more intrigues there are. Because it is small, there are fewer benefits. If you have it, there will be no others, and if there is him, there will be no you.

For example, the doctors at Jialin County Hospital are actually not much different from the doctors at Jiping Town Health Center. The room for promotion is very narrow. Basically, most people will work in Jialin County Hospital throughout their lives.

Relatively speaking, doctors in tertiary hospitals have more choices. The larger the hospital, if it really doesn't work, they can still find another job. Even if it's just a little bit close, it's not like they have no place to go. As Zhong Fei said before, if it really doesn't work, then he can Just jump out and go to another hospital.

It's really not possible. Even if you go to a private hospital, you can still get a high salary.

But in county-level second-class hospitals like Jialin County Hospital, doctors have very few options. On the one hand, they have to work hard to climb up, find connections, and see if they can go to better hospitals; Inside the hospital.

The difficulty of climbing up is naturally very high, and the hope is small, so staying inside the hospital is the current situation of most county hospital doctors.

The hospital is small, there are few opportunities, and there are many intrigues.

Moreover, the relationship between doctors in county-level hospitals is also relatively complicated. The smaller the place, the more related households there are. Some may be relatives of a certain director, and some may be juniors of a certain leader.

Therefore, Lao Liu warned Chen Yang to keep a low profile after going there and not to feel dependent just because he was Director Gao's apprentice.

Chen Yang kept everything Old Liu said in mind, but there were some things that Old Liu didn't know clearly.

Chen Yang has his own ideas. He does not plan to stay in Jialin County Hospital for a long time. This is just a springboard for Chen Yang, so Chen Yang does not intend to argue with anyone in the department. All he has to do is Level up as quickly as possible.

Based on the treatments given to the patient these past few times, and using Gao Mingxuan as a reference, Chen Yang probably already had a plan in mind.

According to the classification of the system, level [-] should be regarded as the middle level in traditional Chinese medicine. With more care and caution, most clinical diseases can be dealt with.

But if you want to get ahead, you must upgrade your skills to level [-]. By reaching level [-], you should be able to reach the upper mid-range level. In major hospitals, you will be considered an elite.

Only elites are worth cultivating in big hospitals.

"Brother Chen, let me familiarize you with the department first."

Yang Xiaohui was jealous in his heart, but he was very polite on the face and took Chen Yang to get familiar with the department first.

The department is not big, with only a few people. The entire first floor is a ward except for the duty room, treatment room, and acupuncture and massage room of the traditional Chinese medicine department.

The ward is not full, but there are not too many empty beds.

Combined therapy is available at Jiping Town Health Hospital and Jialin County Hospital. In Fenghai City, the reimbursement ratio for combined therapy is the highest. For non-serious illnesses, Jialin County Hospital is the county’s patient. first choice.

Chen Yang was not interested in anything else but was very interested in the patients in the ward.

Although the patients in the ward have responsible attending doctors, Chen Yang cannot arbitrarily interfere with the treatment of other doctors. However, Chen Yang can understand the situation and practice. It does not violate the regulations if he does not prescribe medicine but makes a diagnosis and dialectics.

Every patient has real experience value.

After walking around the department for a while, Chen Yang stayed in the ward and didn't want to leave.

Yang Xiaohui originally planned to chat more with Chen Yang, and try to get some words from Chen Yang to see how Chen Yang got into Gao Mingxuan's lap. As for the rumors that Chen Yang was pretty good, Yang Xiaohui was Don't believe it.

What level of practice can be achieved in the township health center? Although Yang Xiaohui is only a minor resident in the county hospital, he looks down on the doctors in the township hospital. When he returns to the town, the doctors in their health center are very polite to him. .

However, Chen Yang didn't talk much and was quite tight-lipped, so Yang Xiaohui didn't bother to answer.

"Brother Chen, if you want to understand the situation in the ward, I will go to the duty room first. There are still medical records to sort out."

"Well, you go and do your work. I've just arrived. Let's get familiar with it and learn more." Chen Yang nodded.

For Chen Yang, Yang Xiaohui followed him, which also affected him a bit.

After Yang Xiaohui left, Chen Yang went from bed to bed, asking about the patient's condition and diagnosing the patient's pulse. After diagnosing a patient, a pleasant system prompt sounded in Chen Yang's mind.

The day passed by so quietly, and Chen Yang's experience points in various skills also increased.

The next day Gao Mingxuan went to the clinic, and Chen Yang was taken to the clinic by Gao Mingxuan as expected.

"As expected of Director Gao's apprentice, the treatment is good."

The two interns gathered together and watched Chen Yang being taken away by Gao Mingxuan, their eyes red with envy.

In hospitals, doctors without professional titles cannot sit in outpatient clinics, and can only be left to experienced doctors. For surgeons, the best opportunity is to perform surgery, but for internists and doctors of traditional Chinese medicine, the best chance is to do surgery. The opportunity is to sit in the outpatient clinic with a superior doctor.

Although when I sit in the outpatient clinic, I mainly do odd jobs for superior doctors and serve tea and water, but I can always learn more and gain more experience.

"Humph, Director Gao will retire in more than three months."

Yang Xiaohui, who was passing by, heard it and snorted in his heart.

Before Chen Yang came, Yang Xiaohui was the only inpatient in the department. He had to do ward rounds and write medical records. After Chen Yang came, he could follow Gao Mingxuan to the outpatient department. In the inpatient department, he still led three interns alone. Thinking about it, Yang Xiaohui was so jealous that he wanted to go crazy.