Originally, Zhang Fan wanted to briefly explain the radical surgery for huge liver tumors, because this kind of surgery is often a bit highbrow when giving lectures in a university.

For example, in universities in China, except for the Tea Su Medical University, there are many other medical schools. The higher the degree of the students in the auditorium, the harder it is to understand the clinical lectures.

 Many people are strange and think Zhang Fan is talking nonsense.

 In fact, this is the embarrassing status of medical education in China.

Some people scolded me back then, saying that a clinical doctor in medicine could not even recognize all the surgical instruments. It sounds like a joke, but it's the cruel truth.

For example, for a PhD student, is it more important to study cutting-edge things like lipid metabolism, or to learn how to deal with acute myocardial infarction?

　　It must be something like lipid metabolism that is more important, because you can write a thesis on lipid metabolism and you can graduate with this thing.

 As for dealing with acute myocardial infarction, even if you play tricks, it will not be of any help to a doctor at the level.

 Therefore, the country has had to introduce a new term in recent years, regulatory training. Even rotation is no longer enough, there are three more years of regular training.

 Five years for an undergraduate degree, three years for a master's degree, three years for a doctoral degree, and then three years of regular training! In such a long time, all the ancestors of Nima have established the country. Moreover, current medical education is actually confused, and we don’t know where the future direction is.

 Look at the current medical education. There are five years of bachelor's degree, three years of professional master's degree, and three years of professional doctorate. It is possible for such students to enter the ordinary top three schools, but it is not possible to enter the top three top schools, because hospitals are now also pursuing SCI.

There are also those who have a five-year bachelor's degree plus three years of a master's degree and three years of scientific research. Those who come out often have only half-understanding of clinical practice and half-baked scientific research.

There are also eight-year professional doctorate programs, and four-year non-medical undergraduate degrees plus four-year professional doctorate programs. There are even nine-year professional doctorate plus scientific research doctorate (moderate!)

Those people with more than ten years of education must participate in regulated training if they want to become doctors. What does this mean? In fact, it means that these people’s academic qualifications are nothing in clinical terms. If they don’t participate in regular training, they are nothing. This is a disguised form of not recognizing these people’s academic qualifications.

 It means that discipline is more important than anything else! Probably the idea of ​​​​medical education is that if you are awesome, you can become a scientist. If you are not awesome, I will give you the support to become a doctor!

There is actually quite a contradiction here. For example, if you want to do scientific research, why don’t you study biochemistry for your master’s degree? If you look at the current Nobel Prize winners in medicine, almost all of them have backgrounds in basic medicine such as biochemistry, physiology, and immunology.

 The current medical students are in an awkward position. Because education should not only cultivate high-end talents, but also cultivate a group of ordinary people who can find jobs.

If a group of Ph.D. graduates are all living at home, will anyone still apply to this school? This leads to wanting both scientists and clinicians, but in the end, neither one has a good grasp of the situation.

 In terms of scientific research, people with basic medical backgrounds such as biochemistry and physiology can't do it, and in clinical practice, they can't do surgery with master's degrees.

At such an old age, even after three years of training and entering the hospital, you still can't catch up with other doctors. The prime time for hard work has passed. This group of people often become essay writers who are trying to climb up. Because if they don’t, there will be no way out.

 However, after all, scientific research is still a playground for a few people and will definitely not be suitable for the majority of people.

 Hence, some experts have said that students trained by Chinese medical schools may not be the doctors that hospitals want. After all, these people who have been trained for more than ten years can only go up but not down.

 You want people who have been out for more than ten years to go to municipal hospitals? Not to mention county-level hospitals and rural hospitals.

 But what about patients in these small hospitals and remote areas?

Chasu Hospital is different. The focus here is clinical.

For example, Huo Xinwen’s three-year master’s degree is actually mainly a professional master’s degree. She has been in the operating room for three years. With these three years of foundation, she is a postdoctoral student, and her research is more clinical.

This person may not be able to produce top-notch scientific research, but he will definitely be able to stand alone in clinical practice in the future.

Therefore, Zhang Fan rarely gave lectures in the university. He looked at the group of people below with innocent but ignorant eyes and warm applause. In fact, they didn't understand anything.

 Zhang Fan is not a cross talk artist. If he needs so much applause, he needs a hammer.

 However, today Zhang Fan discovered that this group of people could actually understand.

 What a shame!

 Because doctors in Germany and Mauritius have to practice for up to 6 years after graduating from the national examination. At this stage, people are trained to be experts in a certain medical field (German: Facharzt). At the end of this training, only after a specialist medical examination can you obtain the corresponding title, such as a doctorate!

 People's medical doctors are more clinical, and Chunchun's doctors are more clinical.

 In fact, China’s medical education is on the wrong track. It has entered a dry road. In addition to showing off, it cannot have offspring and is prone to E. coli infection!

The doctors we create are either super-large triple-A drills who work hard, or they work hard to get rid of the papers.

 When this generation takes charge of the family, what will the patients do?

 After all, the technical industry is actually about childish skills. It is really difficult to learn skills after you are over thirty-five.

Even Niubi Dun, who is over thirty-five years old, has engaged in alchemy, let alone ordinary people.

 The report was given in the school. The atmosphere was very relaxed and the students were very enthusiastic about asking questions. Unlike a professional annual meeting, those who stood up to ask questions only stood up and spoke after thinking and thinking.

 You feel free to ask any questions here.

After finishing the report, I had a surgical observation at the university-affiliated hospital, which was clearly priced.

For example, how much does it cost to make a report, which must include Siemens content? For example, how much does it cost to observe an operation, but it must use Siemens equipment.

People at Siemens think that Zhang Fan is easy to talk to this time. According to Zhang Fan's previous problems, this kind of thing would almost have to wait for a severe chop.

I don’t know why, but the hospital in Demao is particularly short of staff. In recent years, many nurses have come from other countries, including all kinds of yellow and black people.

But it is not so easy for doctors. I feel that the queues at the hospital here are quite serious.

On the most important Internet, it is always said that Germany and Mao are quite serious and rigid, but after getting deeper, after cooperating with several doctors.

Zhang Fan doesn’t think it’s as exaggerated as it is on the Internet. First of all, the medical efficiency here is average. The average time for diagnosis and treatment of a patient is almost more than an hour. It’s hard to compare whether it’s good or not.

However, Zhang Fan also had an in-depth understanding of the welfare here. Although his squeaky German sounded like a pig's snort, fortunately, he was able to communicate roughly.

 The benefits for doctors and nurses in Demao are pretty good, especially for nurses. It really gives people a sense of peace of mind when working, and I can support you.

 To communicate with each other, they need to see Zhang Fan’s surgery, and Zhang Fan also needs to see the operation of their hospital. Relatively speaking, Demao has done well in the area of ​​medical separation.

 Reports, speeches, and observation of surgeries.

Especially after Zhang Fan finished his first report, knowing that Zhang Fan was coming, the team following him also grew. Bayer’s people came, Merck’s people came, and Boehringer Ingelheim’s people also came.

Even some pharmaceutical companies and device manufacturers that I have never heard of came here.

If it were Zhang Fan a few years ago, he would be in trouble if he encountered this kind of treatment.

“Well, your company is a world-class enterprise. It would be our honor if Chasu Hospital cooperates with you.”

There is no benefit, Zhang Fan will smile and praise others and send them away.

 Zhang Fan smiled more sincerely because he liked other people's things.

 At the weekend, Zhang Fan said he wanted to rest and visit the cities of Germany and Mao. In the early morning, the test tube person arranged three cars and took Zhang Fan to recuperate. Because the people who took over the test tube took over, Siemens was willing to let it go after repeated confirmation.

 Since it is left to your country, it is your own business. And this time, Zhang Fan gave me face and asked him to do whatever he wanted, almost without asking any conditions, and he was also given face by Zhang Fan.

 The traffic started heading towards the snow-capped mountains. Looking at the snow-capped peaks in the distance, Zhang Fan vaguely thought he had returned to Chasu.

The car was going very fast, but it took a long time to walk before entering a hotel near a mountainous area. There are forests all around, primeval forests.

 After getting off the bus, I followed the officer into the hotel. Because we had entered the mountainous area, it was still quite cold. Except for some hotels, there were almost no people in sight.

"Zhang Yuan, let's take a rest today. Do you think we need anything else here?" Zhang Fan has already arrived at the place, and Zhang Fan is not in a hurry.

How can I say the food here? It’s just okay. It feels like all kinds of sausages, all kinds of grilled elbows, and all kinds of bread!

Zhang Fan used to think that bread should be sweet, but after coming here, it seems that there are also breads that are not sweet!

Especially the fried meat cubes, with a little cheese on top and a few vegetable leaves sandwiched between the bread, Zhang Fan really couldn't stop eating it. The most important thing here is either fried pork chops or various sauces, cherry sauce, and curry sauce.

There is also potatoes. Zhang Fan thought that people in Su Province already eat a lot of potatoes.

 After arriving here, I found that Demao is also quite good at eating potatoes. The most important thing is that cheese is paired with potato paste, which is really hard to get used to.

But if something goes wrong this time, I can manage to deal with it. This kind of food, how can I say it, was pretty good when I first came here.

 After a few days in a row, I really don’t get used to it.

 Having soaked in the hot springs all morning, I really came here to recuperate, but seeing the pool full of only Zhang Fan and Lao Chen, I felt a little bored.

They chatted too much and had nothing to say. Looking at Lao Chen racking his brains, Zhang Fan felt helpless.

 In the afternoon, Zhang Fan felt that his hair was about to get wet, so the manager came to see Zhang Fan.

“Zhang Yuan, we’ve made arrangements. We’ll go there in an hour.”

 “Okay!” Zhang Fan nodded and quickly started to pack up. You don’t need to bring any equipment, just say that the other party has prepared everything!

  You don’t even need to bring a stethoscope.

 Suit, tie, leather shoes, Lao Chen and Wang Hong were also prepared in the same way, their faces were slightly nervous.

 After arriving in Demao, Wang Hong and Lao Chen were told what they were going to do.

 The two guys were deeply afraid that they would not be able to complete the task, so they would be lying if they said they were not nervous.

Following the officer, the car slowly entered deeper into the edge of a forest, where there was only a building that looked like a hotel.

It's said to be a hotel, only six or seven floors high. I don't know what the various antennas on the highest floor are for. There is a solitary building in the depths of the forest. Although it has white walls, no matter how you look at it, it's all... There is an eerie smell.

 It’s not a hotel, but it’s not convenient to eat, drink or have **** here. Who would build a villa here?

If Zhang Fan didn't even come to a place like this even if I gave him money, he might as well have a bear, leopard or something like that in the middle of the night.

 After entering the hall, Zhang Fan checked first and then felt comfortable.

 It was resplendent, and it felt like I had returned to the home of a rich man in Mumu County. When I saw that the surroundings were all yellow-skinned, it became even smoother.

In the past few days, I have seen enough buildings with sharp edges and corners. I have been irritated by the foreigners with high nose bridges and blue eyes. I have seen the round decorations and the people with yellow skin whose skin color is similar to Zhang Fan. It is really kind to me. .

First, a man with an unknown title came out to receive him, chatted with the clerk for a few words, and arranged for Zhang Fan and others to wait.

 After a while, another person came to lead the way. They only let Zhang Fan and the officer go in. For some unknown reason, Lao Chen and Wang Hong could only stay where they were.

Entering the room, stepping on the thick carpet, it felt like walking into a pile of cotton, only one word was soft!

Looking at the man wearing weird fitness clothes, Zhang Fan bowed slightly.

The other person smiled and said hello.

  The man is not very talkative, but the woman next to him keeps smiling. I wonder if the orbicularis oculi muscle remains in this state all the time. Isn’t it really tiring?

 After chatting for a while and thanking Zhang Fan for treating the princess, the other party said that we could start.

 Then a group of people followed.

Zhang Fan knew one of them. When the orthopedic annual meeting was held, he also attended it. He was a leader in orthopedics in the Durian Country.

Zhang Fan took the stethoscope provided by the other party and began to examine his body while a group of people watched.

Actually, it’s just plaques on a man’s face. His personal doctor thinks it’s caused by his liver. For some unknown reason, Hua learned about the news and recommended Zhang Fan.

 Then this trip was made possible with the support of the princess.

  Sometimes, at this level, it is really inconvenient.

 He cannot easily go to hospitals in other countries. Even Zhang Fan's hospital is endorsed by China.

 “Granuloma of the liver!”

 After the physical examination and imaging examination, Zhang Fan immediately gave a diagnostic opinion.

 The officer's face clearly showed an expression of anxiety.

When he came, although he didn’t explain it clearly, he told Zhang Fan once from the side, probably that he should be cautious.

But seeing Zhang Fan give a diagnosis right away, he was really sweating.

 It doesn’t matter if the diagnosis is correct, but what if it’s wrong?

After Zhang Fan revealed the diagnosis, the man finally showed an expression.

 Although there will be smiles at the beginning, they are all very official.

How to describe this disease? The symptoms are not obvious, and it cannot be diagnosed with CT or MRI. It can only be suspected, and it is very similar to tuberculosis, blood-sucking worms, and fungal infections.

If you really want to make a definite diagnosis, liver biopsy is generally required.

Diagnostic opinions in the durian country are unclear. I don’t know if they really have an unclear diagnosis or if they have a false diagnosis.

 “Are you sure?”

“You can try the medicine I prescribed. It should be effective within three days!”

The man neither objected nor agreed. After saying a few words with a smile, the clerk took Zhang Fan out of the room.

As soon as he went out, the clerk immediately asked in a low voice: "Zhang Yuan, are you sure?"

“There must be, I understand that the sports meeting is such a big thing! Listen to me, it’s absolutely right!”

 “That’s good, that’s good!”

 “Does he agree to the treatment or not?”

"I can't tell. Since we are not allowed to leave, let's just stay calm."

Sitting in the living room, the clerk asked Zhang Fan not to worry, but instead became restless. Although he sat motionless on the sofa, his crossed hands were a little blue, and Zhang Fan suddenly felt aggrieved in his heart.

 The development of China is really difficult.

Isn’t it just a broken airplane? It would be great to buy one and study it! I don’t know why these goods are not sold to China, not even to Third Brother. I sell all my anti-nausea medicine to you, but if you don’t sell it to us with a broken plane, you are so unethical!

 In the early years, it seems that Mao Zi didn’t give any planes to China, but even if he could give them to his third brother, he didn’t know why!

This person still has to rely on himself. The country is like this, and individuals are still the same!