Doctor of Healing

There is nothing wrong with saying this, but Ji Xiang feels that it is wrong.

Mr. Wu curled his lips, "As a doctor, you do a lot of surgeries, and your patients mostly see you as passing grades. You are not qualified to use this as an excuse to discuss bonuses and benefits. Naturally, you are not qualified to make the leaders always think of you."

"Mr. Wu, you mean that the leaders of the hospital like things that can add credit when they report to the provincial and municipal leaders." Ji Xiang pondered and guessed.

Mr. Wu was taken aback, but Jixiang "guessed" the correct answer.

How many years old doctors have complained about unfair leadership, but they have not seen clearly what they need.

The ass determines the head. When I saw this sentence when I was young, I thought it was very nonsensical, but now I see it as the truth.

What is needed is the background, the background, but not quite.

Relying on his own strength to go up...Ji Xiang is right, and maybe one more thing-something that can make the leader brag at the wine table and be better than other hospitals.

"Doctor Xiaoji, tell me what you think."

Ji Xiang scratched his head, "Mr. Wu, I just made a random guess, please tell me."

"Being a doctor doesn't depend on skill?" Lu Kai was a little surprised, and Mr. Wu's words had overturned his three views.

"There are several topics, and several new projects are carried out every year. These are all the leaders of the institute pay attention to." Mr. Wu glanced at Lu Kai, then stared at Ji Xiang, and said seriously.

"If there is, no matter how bad the operation is, you are still a doctor with excellent leadership eyesight. For example, the cardiothoracic department of a certain hospital encountered a case of aortic dissection."

"They don't have a vascular department or an interventional department. The director of the chest department directly submits new project applications, which puts a big airs on the patients."

"Mr. Wu, I heard it's easy to put on airs." Lu Kai said.

"Easy? It's not difficult for those who meet, but not for those who are difficult." Mr. Wu said contemptuously.

He and Lu Kai are more familiar, and they talk like buddies, without putting on airs.

"What happened next?" Lu Kai asked.

"Because I haven't done it before, I was nervous during the operation, and it turned out that the frame was reversed."

"!!!" Ji Xiang was stunned, can he still do this in surgery? !

"That's my life!" Lu Kai was surprised.

"He was lucky, he messed around, and nothing happened. The patient was discharged from the hospital without any surgery to open the aorta, and the big shelf changed its direction."

"Tsk tsk."

"I also listened to people with a heart. This is a new technology." Mr. Wu did not get entangled in a medical accident, but turned the topic back, "A new technology can win the Provincial Science and Technology Progress Award, and then publish a few more articles. This is more recognized by the hospital than medical treatment.”

"That's it?" Lu Kai wondered.

His three views are definitely not like this.

Ji Xiang thought silently.

"Yes, that's it!" Mr. Wu emphasized, "If you don't have scientific research and papers, even if you can carve patterns on rice grains with surgery, it's useless to cure diseases with internal medicine."

"Let's not talk about ordinary doctors, what about those Nobel Prize winners? You still have to write papers. The management doesn't understand what advanced technology you are researching, so you have to produce results regularly and tell them that you are working."

Lu Kai was dumbfounded.

In his opinion, what Mr. Wu described can only be done by the top doctors.

Medicine is useless until the disease is cured, there are such ridiculous things in the world.

"Even if that's the case, you may end up working as an old attending doctor and old resident doctor until you're sixty."

"Mr. Wu, I heard that Zhao Tianjiao has started writing a thesis. Does that mean?" Ji Xiang asked.

"What? Zhao Tianjiao started writing a thesis? Let me ask." Mr. Wu didn't know about it, so he picked up his cell phone, but felt that it was not good to make a call here, so he hurried out.

"Ji Xiang, don't you think that being a doctor is not the most important thing to see a doctor?" Lu Kai asked doubtfully with his brow dripping.

Jixiang has heard similar things from his father and his mother, the rules, it doesn't matter on the surface, what Mr. Wu said is probably the truth from the bottom of his heart.

It was not in vain to send him so many shots and improve the technology of laser lithotripsy.

But Ji Xiang didn't fully believe it, he was going to go to the system space to ask the system NPC later.

Soon, Mr. Wu will be back.

"Mr. Wu, what article did Zhao Tianjiao publish? It's just messing around." Lu Kai said, "We just came to the clinic, so we know how to knit."

"Children who didn't go to school published SCI, haven't you heard of it?" Mr. Wu laughed, "Look at Dean Zhao, who paved the way early in the morning. Well, it also supports what I just said."

"publish an article?"

"Yeah. Zhao Tianjiao is amazing." Mr. Wu said, lowering his voice and looking around, "Professor Deng gave Zhao Tianjiao the first author of one of his own articles, and he is only the corresponding author."

"What level of article?" Lu Kai asked.

He only knows so much.

"Chinese level."

Lu Kai was slightly sad, but he smiled immediately, "I'm going back to the county hospital after the training, so I don't have so much to say."

Mr. Wu looked at Ji Xiang silently.

Ji Xiang nodded seriously, indicating that he understood.

In a flash, he came to the operating room of the system.The system NPC stood in place this time, and when Ji Xiang came in, he beckoned.

Chapter 137 Real Scientific Research

"Teacher, I just heard something." Ji Xiang repeated what Mr. Wu said exactly.

"Teacher, do you think this is true?"

"Yes." The system NPC nodded, approving what Mr. Wu just said.

Ji Xiang pondered, he had a lot of thoughts, whether it was reasonable or not, as long as it existed, it must be reasonable.

"Let's put it this way, 99.99% of scientific research in the medical circle is meaningless." The system NPC simply gave Ji Xiang a number that made him despair.

"but……"

"Promotion and professional titles all need these things. It's human nature." The system NPC smiled, "From my point of view, there is only one meaningful scientific research in the country."

"!!!" Ji Xiang focused.

This is a treasure.

"Oilfield company, you know." The system NPC asked.

"I know, CNPC." Ji Xiang said.

"Oilfield diabetes research is the only project in China that leads the world in the medical system." (Note)

Ji Xiang originally thought that this project would appear in Xiehe and Huaxi, but he did not expect that it would fall to the Oil Field Hospital.

The local medical level seems to be average, at least not leading.

This kind of place can guarantee the most basic medical treatment is already very good, but also advanced scientific research?Ji Xiang always felt that it was impossible.

"That's it." The NPC of the system explained to Ji Xiang, "In 1985, Director Copan of Endocrinology of the China-Japan Friendship Hospital said something during a meeting and wanted to do scientific research. But there was no money at that time, the country had no money, Hospitals are poorer."

"It was a coincidence that President Hu of the Oilfield General Hospital knew about this and took over."

"Coincidence... is it lucky?" Ji Xiang asked.

"It's not just as simple as lucky value, listen to me." The system NPC said, "After all, it was an oilfield hospital, and it was affiliated to the oilfield company at the time. When a scientific research report was made, the oilfield company allocated 10 yuan."

"Such a small amount of money."

"Money is a trivial matter, and it was not a lot in those days." The system NPC talked about this incident with a bright smile on his face. "At that time, 110660 samples were found among the oilfield workers."

"Teacher, is it a patient?"

"No, it's people. To be precise, they were employees of the oilfield company at that time." The system NPC said, "There are people of all ages. At that time, there were only 577 people with impaired glucose tolerance. An abnormal state of glucose metabolism in which blood sugar is excessive toward diabetes."

"These IGT people were randomly divided into a control group and an intervention group, and in the intervention group, they were further divided into a diet intervention group, an exercise intervention group, and a diet + exercise intervention group."

"In short, the first study was conducted at that time. As for how meaningful it is, we will talk about it in detail when you turn to internal medicine."

Ji Xiang nodded.

"The six-year lifestyle intervention ended in 1992."

“2006年做了20年随访、2009年做了23年随访、2016年做了30年随访。

Follow-up data were collected for further analysis to evaluate the impact of lifestyle interventions on diabetes incidence, cardiovascular disease events, combined microvascular complications, cerebrovascular disease death, all-cause mortality, and life expectancy. "

"Teacher, I have a question." Ji Xiang raised his hand.

"You said."

"There is only a sample of more than 500 people, which does not seem to be world-class."

"Hehe, didn't you say it, it's a sample of 110660 people." The system NPC said with a smile.

"Uh..." Ji Xiang was taken aback.

With a sample of 11 people, after 30 years, how does this sound like a fantasy novel?

This workload is too big.

Ji Xiang has never done scientific research, so he can only guess at some things.

"It's also a coincidence, what a coincidence." The system NPC said with emotion.

He said two coincidences in a row, and his tone became more and more serious.

"I'm going to say something long-winded that you don't want to hear."

"Teacher, I am willing to listen to everything you say." Ji Xiang said with a smile, "How about we go to the locker room and you talk while smoking?"

The system NPC hesitated, "No."

"The first element of success is that the sample group at that time was workers. The working class is very disciplined, and this factor may be overlooked by most people. When I did the research back then, I didn't take this into consideration. Indeed, It's luckier."

"Teacher, why do you say discipline?"

"After 30 years of follow-up, the young and middle-aged people at that time also retired, and the researchers who followed up just wanted to make a phone call to ask who could come back for a review."

"Here, there are two more points. One is that the oilfield workers are all registered. The 80s of the last century is not like it is now. If it were in another place, it is estimated that many people would have lost contact."

Ji Xiang nodded in acknowledgment.

"After calling to inquire, 95% of the people flew back from all over the world for medical examinations. It's impossible to do it in other places."

"!!!"

Ji Xiang was surprised.

Just like the system NPC said, if the time is long enough, no matter how large the original sample size is, it will be difficult to resist the years, and it will be scattered and unable to be collected.

However, after 30 years of follow-up, 95% of the people flew back, which made Jixiang astonished.

"Furthermore, the world's research methods have been denied at the very beginning."

"..."

Are you so sloppy?This is the first time Ji Xiang has heard of such a thing.

"Individual sample studies were popular all over the world in the 70s and 85s, and the oilfield diabetes project in [-] was a group sample study, which was ridiculed for many years at first."

"What happened next?" Ji Xiang asked.

"Later, in the 90s, group sample studies occupied the mainstream academic consensus. The DPS study started in Finland in 1993 and the DPP study started in the United States in 1999 are both research classifications of oilfield diabetes."

"This is a scientific research project. Let me simply say that you don't need to contact it for the time being." The system NPC said, "In short, with regard to research on diabetes, our country leads the world in research on diabetes in oilfields.

In my opinion, this research can produce at least 100 top international papers. "

"Is there anything published?" Ji Xiang asked.

"Of course, the diabetes sub-journal of the Lancet has already been published." The system NPC smiled, "Why, are you interested in academics?"

Ji Xiang nodded.

"You can post the kind of academic articles that fool people at your current level, but if they are really valuable, they need a long period of time, a large number of samples, and hard work." The system NPC said meaningfully.

"Year 30?"

"At least."

Ji Xiang scratched his head.