MTL - Doctor Chen, Don’t Be a Coward!-Chapter 278 crisis and opportunity

  Chapter 278 Crisis and Opportunity

  Han Mingliang sat opposite the father-in-law, looking a little ugly.

  In addition to the two people in the room, there were Zhang Junxian, Ye Guangwen, Chen Jingyi and others.

  Han Mingliang is Zhang Junxian's favorite student. After all, he is now the vice president of Yuancheng People's Hospital at the age of 47, and his future is bright.

   "Hehe, Mr. Qiao, you don't have to blame Mingliang!"

   "To be honest, this matter... can't be entirely blamed on Mingliang, after all... To be honest, the Medical Association was a little too harsh when dealing with this matter this time!"

   "Even veteran Chinese medicine practitioners like us may not be aware of the fact that excessive Eucommia can cause uterine relaxation."

   "Let me tell you the truth, this kind of punishment is a bit too unreasonable."

   "When a doctor prescribes medicine, his hands are already tied. Now... if you really continue to study, who can guarantee that your medicine is not harmful?"

  Zhang Junxian tried his best to say good things to Han Mingliang, and then said a little dullly: "This Chen Nan, to be honest, it's too much to be true!"

   "There are so many people paying attention to the matter itself!"

   "It's still going to be reported. Now it's alright... How many people are paying attention to this matter?"

   "Doctor-patient disputes are a sensitive matter. If he makes such a fuss, it will add fuel to the fire!"

  Zhang Junxian didn't have a good impression of Chen Nan.

   Robbed his vice president, turned around and opened fire on his favorite student.

   Isn’t this a declaration of war? !

  Actually, he really overestimated himself, and Chen Nan didn't take him seriously at all.

  Declaration of war?

Ha ha!

  The declaration of war has to be at the same level, but Zhang Junxian thinks that Chen Nan is targeting him.

   Qiao Denghua didn't make a sound.

  He knew that these people were reassuring himself, but...how could he not know the specific information?

  For the sake of his son-in-law's feathers, Qiao Denghua personally dissected all the prescriptions by an outside appraisal agency.

  Han Mingliang's prescription of traditional Chinese medicine did not exceed the standard, but...he prescribed a lot of Chinese patent medicine.

   Here's the problem!

  Actually, as a Chinese medicine practitioner, why do you prescribe Chinese patent medicine?

   Isn’t this ridiculous in itself?

  Are you not afraid that the effect of the medicine will be too much, which will lead to changes in the patient's condition?

  You are a Chinese medicine practitioner. When prescribing, can’t you add or subtract according to the patient’s condition?

   Do you have to prescribe traditional Chinese medicine, and then prescribe a lot of Chinese patent medicine?

  Of course, everything cannot be said absolutely. Some patients have complex conditions. In order to avoid too many drugs, it is okay to prescribe a small amount of Chinese patent medicine.

   Even if it is opened too much, under normal circumstances, it does not matter.

  Because the efficacy of Chinese patent medicines has already weakened.

  However, even so, they can exceed the standard. What does this mean?

   It undoubtedly shows that Han Mingliang is really too competent as a gold medal salesman!

  Qiao Denghua has worked in the medical system for so many years, so he naturally knows that Han Mingliang is nothing more than selling medicines to make money.

  He is very clear that Han Mingliang's life in the past few years has indeed been a bit extravagant. He bought real estate in Beijing, Shanghai and Guangzhou, his daughter is studying in the UK, and directly spent 40 million to buy a villa.

   These things, Qiao Denghua is very clear.

  So, Qiao Denghua is very clear about his son-in-law. On weekdays, he also advises Han Mingliang to keep a low profile, don't be too ostentatious, and don't cause trouble for himself.

  Although the outcome of this incident did not affect Han Mingliang too much, even... Even the official did not punish Han Mingliang, but asked him to do a good job in the aftermath of his family, apologize, and compensate.

  However, Qiao Denghua is very clear that after an egg is cracked, it will break faster and faster!

  Life is often Schrödinger's cat.

  He had to tell Han Mingliang to be careful in the future.

  But... this Chen Nan made Qiao Denghua very unhappy.

  As everyone said, an event that could have been reduced to a small one had to make such a fuss.

   Don't give yourself a little face!

  After Qiao Denghua heard Zhang Junxian's words, he felt relieved, but he didn't continue talking.

   At this time, a man suddenly said:

   "Such a thing, after all, is just a coincidence. Dean Han was just an accident."

   "However, Chen Nan doesn't know how to advance or retreat at all!"

   "Look, here is the latest news from the Medical Association."

   "It is necessary to carry out irregular inspections of outpatient clinics. For large prescriptions issued by doctors, various Chinese patent medicines, etc., sampling inspections are required."

   "Isn't this intentional!"

   "How can there be such a person?"

   "How can we prescribe medicine in the future?"

   "Mr. Zhang, you have a high moral character. I think you should stand up and talk about this matter!"

   "Otherwise, how will everyone prescribe medicine in the future?"

   "Do you remember what Chen Nan said when he was elected president?"

"He said that he would strengthen the internal team's review, and sure enough, it's only been a few days... Dean Han was directly cancelled, and then he suddenly made such an announcement about irrational drug use and over-treatment! "

"This does not allow the common people to swear... The common people come here to treat diseases. There are 100 patients, and 99 patients are cured. If there is a problem with one of them, it is necessary for everyone to rectify it because of this problem. ?”

   "This is overcorrection!"

  The man slapped the table and said angrily.

   What the man said was immediately nodded in approval by everyone.

  They didn't expect Chen Nan's words at the meeting to be taken seriously.

  Han Mingliang sneered: "This Chen Nan, if you ask me... he thinks too much of himself!"

   "What? We don't prescribe Chinese patent medicine?"

   "He can manage us, why doesn't he manage Western medicine!"

   "Western Hospital also prescribes a lot of Chinese patent medicines, why doesn't he take care of them?"

   "Show off your might!"

  Han Mingliang compensated the patients and their families a total of 300,000 yuan in the mediation of the medical mediation committee this time, which made him very upset!

  At this time, Zhang Junxian looked at everyone's emotions, and suddenly showed joy.

  Wood that is beautiful in the forest will be destroyed by wind!

   There is no precedent for this management system of Chinese patent medicines in the whole country, Chen Nan, how dare you open it!

   Really think you are omnipotent?

  Do everything?

   This used Chinese patent medicine, but how many people's cakes were touched!

   Do you think you, a mere vice president, can bear such anger?

  Are you kidding me?

   "If you want me to say, you have to be the vice president, Mr. Zhang!"

   "Give a young man on stage, and he'll know what a **** nonsense!"

   "That's right, if it doesn't work, we'll report it to the Health Commission!"

   "Yeah, this Chen Nan made it impossible for us to carry out our work..."

  …

  These words in his ears made Zhang Junxian smile in his heart.

  He suppressed his joy, then sighed with a solemn expression: "Hey..."

   "This Chen Nan is really a bit unreasonable."

  "The Physician Association is to safeguard the interests of physicians and protect the legitimate rights and interests of physicians to practice medicine."

   "He's making such a fuss, he's going to make our team a mess."

   "I have to give feedback to the leader later."

   Speaking of this, Zhang Junxian glanced at Qiao Denghua who was opposite him, pointing out something.

   These words were meant for Qiao Denghua.

   You know, Qiao Denghua used to be the leader. Although he has retired, there are still three catties of nails on the broken ship, let alone this one.

  …

  …

  After Huo Qingmei's matter was resolved, the family visited her in person.

  The old lady looked at Chen Nan, so excited that she couldn't speak for a long time.

   "Director Chen, this matter... thank you so much."

   "We really didn't come to make trouble."

   "But everyone treats us like a doctor and deliberately extorts money."

   "Thank you for giving us justice!"

  The man beside him, Wang Leigang, also nodded excitedly: "Thank you, Director Chen."

"thanks!"

  This strong man, at this moment, has red eyes and a sore nose.

  During the time he came to the source city, he felt a sense of helplessness, which was the helplessness that could not be controlled by strength and body!

   This is a society ruled by law!

  However, because it is a society ruled by law, it is a bit dark, but it is controlled by some people.

  They say black is black, and white is white!

   Originally, he just wanted to ask for an explanation, but he was treated as a doctor's trouble. Han Mingliang made this powerful man feel unreasonable.

   Fortunately!

  Chen Nan was wronged by them.

   Let them raise their heads to face the crowd and tell the media that our family is really not a rascal.

  Actually, if Han Mingliang had been more polite and resolved the problem reasonably when receiving them, it would not be where it is today.

  It's a pity that he, who was used to being the emperor in Yuancheng Hospital of Traditional Chinese Medicine, had already gotten used to that way.

  Facing the arrival of patients and family members, directly and brutally deal with them.

  As a result...it continued to deteriorate.

  Eighty percent of clinical problems can be solved through effective communication.

  In fact, this is true whether it is the family members of patients or medical staff.

  …

   Twelfth lunar month twenty-seventh.

  Seeing that the hospitals are already preparing for the New Year holiday.

  Chen Nan, Tao Gongshu and others made an appointment to sit in a mutton restaurant and shabu-shabu.

   A group of people were sweating profusely after eating.

  Following Chen Nan together, everyone seems to have returned to the feeling they had when they were young.

   Moreover, this time we cooperated with the medical investigation committee to solve this matter, which also made everyone somewhat excited.

   "Hehe, it's the first time our Physician Association has received a pennant"

   "This makes me feel that our association is meaningful and has really helped the common people."

   Yuan Chuanxin said happily.

   Li Guangming on the side frowned: "You are happy, but... that plate of mutton just now was eaten by you alone!"

   A group of people couldn't help laughing out loud.

   "Come, come, don't just eat, just have a drink!"

   "In this winter, eating hot mutton hot pot and having a sip of wine, these days are really **** leisurely!"

  However, after drinking and eating.

  Tao Gongshu looked at Chen Nan, but still couldn't help sighing.

  Although the decision made by Chen Nan has been announced, he still hesitates.

  But this is the result of several votes, and it doesn't make sense to deny it.

   "President Chen, you know that if you do this, you won't offend just one or two people!"

  Tao Gongshu sighed helplessly.

  Chen Nan smiled: "I can do things that offend others."

   "Besides...we're just reviewing big prescriptions and prescribing a lot of irrational medication."

   "I think there is no problem."

   "We don't intervene in routine prescriptions."

   "This does not affect healing either."

  Li Guangming sat aside and nodded: "Yes, we don't care about routine prescriptions."

   "It's just to strengthen supervision, and there is nothing wrong with it."

  Sun Zhongshu couldn't help but said at this time: "But, have you thought about it?"

   "This cake can't be moved casually!"

   "This is reasonable or not, how to judge?"

   "It's hard to tell the difference."

   "Chinese patent medicines currently have a domestic market worth nearly one trillion yuan each year. This is every year!"

   "Let's move like this, hey... Maybe there will be some announcement tomorrow."

  Speaking of this, what else does Sun Zhongshu have to say, after all...he is also the first time to be the secretary-general, so he is still a little hesitant.

   And Li Guangming smiled directly and said:

   "Yes, old grandson!"

   "You... I'll just ask you a question, if you feel good or not?"

   "I feel, this is the **** feeling that I do things for the common people in a down-to-earth way."

   "I used to think it was just dawdling!"

   "The association used to have a fart!"

"now what?"

   "Look, the pennant has been delivered, and the reporters praised us. We have made decisions for the common people. Isn't that a good thing?"

   "Looking ahead and looking backward, can't make a climate!"

  Li Guangming drank too much, but he was really happy.

  After Huo Qingmei revealed the truth, he was really happy.

  Sun Zhongshu heard the sound and smiled: "It's really cool!"

  Li Guangming chuckled: "That's it!"

   "If you want me to say, Xiao Chen's proposal is very good, the review sample survey, this is to give the common people a channel to appeal."

   "In the past, there were letters and visits mailboxes, but what? Who paid attention to them?"

   "Let me tell the truth, can you believe it? Last year, Yuancheng Hospital of Traditional Chinese Medicine's sales of Chinese patent medicines exceeded three times that of traditional Chinese medicines!"

   "What is this concept?"

   "This means that every patient prescribed a prescription of traditional Chinese medicine must be matched with about three kinds of Chinese patent medicines!"

   "This is **** in itself!"

   "Damn, old Yuan, you **** steal again!"

  Yuan Chuanxin laughed: "You say it, and I will listen."

   After finishing speaking, he took another bite, and then said: "Actually, this group of people is walking on the rules."

   "To put it bluntly, I think taking too much Chinese patent medicine is not a big problem."

"why?"

   "It seems that the Chinese patent medicine is marked on it, 2-3 pills each time, and the effect of the medicine is usually good."

   "However, think about this problem in a different way. Chinese patent medicines are processed from traditional Chinese medicines, right? Everything costs money, right?"

"Think about it, how much is a pair of traditional Chinese medicine? To put it mildly, except for those classic prescriptions, it usually costs more than 30 yuan? Well, the cost price, let's say less, has a cost price of 15 yuan. , it’s also cheap for the manufacturer to feed in large quantities, can you have...about ten yuan?”

   "However, how much does it cost to sell a box of Chinese patent medicine for 30 yuan? If it's higher, it's 10 yuan!"

   "What can you do with ten dollars? It's only the amount of a pair of traditional Chinese medicine!"

   "It needs to be divided into five or six days to eat, which means that the daily dosage is only one-fifth or six!"

   "Besides, the current Chinese patent medicines are different from before. The Sanhuang Tablets are only three kinds of Chinese medicines, which are powerful, but now? There are also expensive Chinese medicines written in the instructions, and there are many medicines."

   "To put it bluntly, the content is not high. Under normal circumstances, it is equivalent to eating a pair of traditional Chinese medicine for seven or eight days. If the pharmaceutical factory is unscrupulous, there will be no reaction.

  They just feel that there is no problem with eating, so they use it so recklessly. "

   "However, not every drug will cause problems. I think... a reasonable review is still necessary."

   "Otherwise, this Chinese patent medicine will become a commodity rather than a medicine in a short time."

   "It's not in the control!"

"Hey…"

   "Chinese patent medicines definitely need to be standardized."

  Yuan Chuanxin's analysis made everyone nod their heads.

  Looking at this problem from the perspective of cost, it is true that most Chinese patent medicines do not contain high drug content, so they think the problem is not big.

But!

   After all, it is a medicine, can it be used casually?

   Eating casually, eating cold, hot, sour, sweet, spicy, will feel a little uncomfortable, let alone medicine?

  Chen Nan nodded and said, "President Tao, I know your kindness."

   "I also know that the matter of Chinese patent medicine is not something I can solve."

   "But... there is a saying that goes like this."

   "Those who seek the top will get the middle, those who seek the middle will get the bottom, and those who ask the bottom will get nothing!"

   "That is to say, even though we know we can't get it, we have to ask for it. At least everyone will pay attention to it."

   "But... if we don't even do it, we will end up with absolutely nothing."

  "The medical industry is indeed deeply entrenched. It is even more difficult for ordinary people to control, but... if you do it, you will at least change a little bit, and that's enough!"

   "At the very least, we have done this for real, and it has changed."

   Speaking of this, Chen Nan said with a sigh: "You have been the director and dean for too long, and it has been too long to live a down-to-earth life."

   "Why are ordinary people afraid to go to the hospital now?"

   "Seeing a doctor is expensive!"

   "Go to the hospital, check up and prescribe medicine. A cold costs thousands of dollars. In a small clinic outside, you can buy some medicine for less than a few dozen dollars."

   "Although we have no way to change this situation from the root, but...we have to do this."

   "For example, a cold, for example, a problem that can be solved by ephedra soup, a hundred yuan of traditional Chinese medicine, definitely has the effect."

"However, first you should check your blood routine, look at the white blood cells, and take an X-ray when you cough, and finally...prescribe some cough syrup, some wind-clearing and heat-clearing granules, etc...a lot of mess, then come down, you can do it without talking It's a thousand dollars."

   "I know, I am the vice president, and many people are dissatisfied with me."

   "But, so what?"

   "Since I am sitting in this position, even if it is only for one day, I must do something for the patient in a down-to-earth manner."

   "Physician associations are associations and groups of doctors to protect the interests of doctors!"

   "However, physician associations are essentially directed at the people's health service."

   "If one day, as the president, I provoke too many people, touch some interests that shouldn't be touched, and get dismissed, I won't regret it!"

   "If I do nothing, that's what I'm most afraid of!"

   "Dragon Slayer, you can't end up as a dragon!"

  …

  Chen Nan's words made the already hot room and the scorching hot mutton more bloody.

  Everyone clap the table!

   "What are you afraid of!"

   "Yes, Xiao Chen, we support you!"

   "That's right, I'm afraid of wool!"

  Chen Nan looked at several people, although his age was quite different from his own, but...he felt a kind of relief and steadfastness.

  This journey of life.

   Less than 30,000 days.

   It is not long to say long, and it is not short to say short.

   In the end, you need to have three or five confidants.

   Singing with all one's heart.

   Do not seek to stir up life for decades, soul-stirring.

   But I want to chat with each other very happily, like-minded.

   Enough!

  At this time, suddenly the owner of the mutton restaurant came out with a smile, holding a large plate of mutton in his hand, and said with a smile:

   "Little doctor, what you said is really good!"

   "Seeing a doctor is really expensive. I touched my leg before, and I didn't want to see it. It cost thousands of dollars to be hospitalized. At that time, there were wives and children, there were old and young, how could I be willing to go to the doctor!"

   "The money has to be put on the cutting edge, and I still think about whether it can be split into two parts."

"Hey!"

   "What you did is a good thing."

   "I'll give you this plate of mutton."

   "Don't laugh at my old Wu shabby, they are people who live a life, small business, forgive me!"

   A few words touched the hearts of several people.

  …

  …

  Zhu Yunsong quickly found Han Mingliang, carrying a bag with 350,000 yuan in it.

   "This, Dean Han!"

   "I also know about you."

   "However, you can't let you pay for it."

   "I, Zhu Yunsong, made my own decisions today, and I paid for it."

   "The extra is considered as mental damage fee."

"Ha ha."

  Han Mingliang has also been aggrieved these days. He never imagined that Chen Nan could mess with himself.

   "Hehe, it's okay, it's okay!"

   "Mr. Zhu is polite."

  Zhu Yunsong said seriously: "Hey... Let's stop talking politely."

   "If you want me to say, Chen Nan did too much this time!"

   "Dean Han, I have contacted some people here, and they are all very dissatisfied with Chen Nan!"

   "Such a person is not worthy of being the vice president at all."

  Zhu Yunsong's intention is already obvious, that is to get Chen Nan down.

  Where are they going to make money if prescribing is restricted?

   This is obviously moving their cake.

   Dong Pei was also very angry, and directly contacted Xinglinyuan.

   There is no doubt that when a few bigwigs take action, the plan launched by Chen Nan will undoubtedly go bankrupt!

  As for Chen Nan himself, it will be hard to protect himself at that time.

   After some hesitation, Han Mingliang quickly agreed.

  …

  …

   But at this time, Chen Nan was not idle. This year's New Year is bound to be rushed.

  Parents and elder brother Chen An, after the return of Annan Pharmaceutical, the first batch of foreign equipment has been delivered to the company, the establishment has been completed, and the first batch of work is about to start.

only…

  Chen Jinhe encountered some small troubles.

  During this period, Chen Jinhe began to contact suppliers, and as a pharmaceutical company, the minimum supply chain of medicinal materials had to be guaranteed.

  However, after Chen Jinhe consulted some companies one after another, they all hit a wall.

  The organization established by Xinke Chinese Herbal Pieces Company makes it difficult for him to bypass the other party to purchase goods.

  Chen Jinhe didn't have a suitable way to obtain traditional Chinese medicinal materials from other places. In addition, there were still many problems such as shipping costs that needed to be resolved.

  So, for a while, Annan Pharmaceutical encountered its first trouble.

  In the room, the atmosphere at home was rather gloomy.

  Chen Jinhe frowned and said, "We have been targeted!"

   "Xinglinyuan's side makes it difficult for us to receive the supply of raw materials, and Zhao's side, as the largest supplier in Jin Province, has stable customers."

   "Although Mr. Zhao promised to give us some share, but... this will undoubtedly restrict our development."

   "The local pharmaceutical market in Jin Province, the Xinke Chamber of Commerce established by Xinke Pharmaceutical Company, also gives us problems everywhere!"

  After the whole family listened, they were all silent.

   After all, this is really not a very easy problem to solve.

   It is easy to form an alliance for the raw material supply of Chinese herbal decoction pieces.

  The former supplier had no way to help Chen Jinhe in order to hug the thigh of Xinke Pharmaceutical Company.

   There is actually another very important issue for the Chinese Herbal Pieces Company, which is that the Xinke Chamber of Commerce has a modern production line for tears.

   Compared with the original processing, the cost is greatly reduced.

  Xinke Decoction Pieces Company also took the opportunity to acquire and integrate many scattered suppliers of decoction pieces.

  Chen Nan was originally an outsider and rarely intervened in the company's affairs.

   And at this time!

  He suddenly thought of a question.

  Because he recently checked the literature and found a problem in the research on Eucommia among the standards of traditional Chinese medicine that he had won.

  Currently, there are three main indicators in the standard of Eucommia ulmoides for herbal pieces!

   are the most important extracts of Eucommia ulmoides: geniposide, chlorogenic acid, and geniposide active ingredients.

   These few have obviously become the key to whether the processing of traditional Chinese medicine is qualified.

   Similarly, for overseas exports, the European Union and the United States also focus on these three indicators for Eucommia's Chinese herbal medicine pieces.

But!

  Last time, the matter of Huo Qingmei caused Chen Nan to have some doubts about the study of Eucommia.

   Eucommia, as a tocotropic drug, obviously cannot cause miscarriage?

But…

   What is the reason?

  Is it simply a large dose that caused the uterus to relax?

   Not so!

  Because the ancients also used the habit of Eucommia in the later stage of pregnancy.

   So, Chen Nan started research.

  This research surprised Chen Nan to find out that Eucommia ulmoides has anti-pregnancy.

   belongs to a two-way regulation mechanism.

  In fact, many traditional Chinese medicines have two-way adjustment of immune function.

  Experienced doctors can master this skillfully.

  Most of the two-way drugs are small doses to enhance immunity and large doses to suppress immunity.

   Dandelion, Radix Banlangen, Honeysuckle, Scutellaria, Forsythia, Chuanxinlian, these medicinal prescriptions have a significant effect on upper respiratory tract bacterial infection.

   And Eucommia, in fact, does not simply cause the uterus to relax, but also excites the uterus.

  Eucommia causes the patient's uterus to relax and excite the uterus.

  The index in Eucommia is linked to the hormone level of the human body.

  In the early stage of pregnancy, Eucommia ulmoides inhibits the uterine excitability caused by the posterior pituitary gland according to the level of human hormones, so that the uterus relaxes, and in the late stage, because the uterus needs to be excited, it begins to contract.

   But, what about Huo Qingmei's miscarriage?

   Here comes the problem!

   What causes Eucommia to have this effect is a substance called harpaside propionate.

  Chen Nan has now found the problem.

   It was a problem in the process of concocting.

In the process of processing Eucommia, it is necessary to "fry and break the silk" because 6-10% of the jelly in Eucommia is not an active ingredient, and its existence hinders the dissolution of the active ingredient. The purpose of processing is to reduce the jelly. content.

  However, in the current processing and modernization process, the key process parameter in the processing of Eucommia is temperature control. Controlling temperature can not only ensure the processing quality of Eucommia.

  Chen Nan found Eucommia ulmoides from Xinke Decoction Pieces Company, and conducted research and found that this kind of harpaside propionate was destroyed.

   So much so that the two-way adjustment of Eucommia has a problem.

   That is to say.

  There are two reasons for Huo Qingmei's miscarriage.

  First: a large dose of Eucommia.

  Second: During the processing process, let the harpaside propionate pass away, resulting in the disappearance of the tocolytic effect of Eucommia ulmoides.

  Think here!

   Chen Nan also became excited.

  This means that there are some problems with the "Xinke Naoxintong Capsule" produced by Xinke Pharmaceutical Company.

   First of all, the instructions are not perfect.

  Secondly, there are loopholes in the processing of Xinke Decoction Pieces Company!

  These two things are enough to make Xinke Pharmaceutical Company encounter difficulties.

  Chen Nan took a deep breath.

  He looked at the frowning family members and said with a smile:

   "I think our first step is not to make traditional Chinese medicine."

   "Change to standard!"

  As soon as these words came out, the whole family was stunned, and they all looked up at Chen Nan, full of doubts!

   This is good, why do we need to make standards?

  Can you get traditional Chinese medicine by making standards?

  At this time, Chen An's eyes lit up!

  …

  ps: Thanks for the 3000 reward from the big guy "Don't care about it", thank you!

  (end of this chapter)