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	<title>Orthopedic Foot and Ankle Center &#187; shanghai</title>
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		<title>Shanghai – The many forms of discipline</title>
		<link>http://www.orthofootankle.com/2009/10/shanghai/</link>
		<comments>http://www.orthofootankle.com/2009/10/shanghai/#comments</comments>
		<pubDate>Tue, 13 Oct 2009 12:50:13 +0000</pubDate>
		<dc:creator>Thomas H. Lee, MD</dc:creator>
				<category><![CDATA[humanitarian]]></category>
		<category><![CDATA[Beijing]]></category>
		<category><![CDATA[china]]></category>
		<category><![CDATA[Dr. Lee]]></category>
		<category><![CDATA[OFAC]]></category>
		<category><![CDATA[orthopedic foot & ankle center]]></category>
		<category><![CDATA[shanghai]]></category>
		<category><![CDATA[thomas h. lee]]></category>

		<guid isPermaLink="false">http://www.orthofootankle.com/?p=1787</guid>
		<description><![CDATA[I have never encountered such a stark difference between two cities in any one country as I have seen between Beijing and Shanghai.  Whereas Beijing instills the weight of history with Tiananmen Square, the Forbidden City, and the Great Wall of China, Shanghai is modern, organized, and expansive.  People here will say that if you [...]]]></description>
			<content:encoded><![CDATA[<p>I have never encountered such a stark difference between two cities in any one country as I have seen between Beijing and Shanghai.  Whereas Beijing instills the weight of history with Tiananmen Square, the Forbidden City, and the Great Wall of China, Shanghai is modern, organized, and expansive.  People here will say that if you want to see China the way it was in the past, go to Beijing but if you want to see where China will go in the future, go to Shanghai.</p>
<p>Even the public bathrooms at the hospital demonstrate this difference.</p>
<div id="attachment_1788" class="wp-caption aligncenter" style="width: 310px"><img class="size-medium wp-image-1788" title="Beijing bathroom" src="http://www.orthofootankle.com/wp-content/uploads/2009/10/CIMG0366-300x225.jpg" alt="A typical traditional bathroom in Beijing" width="300" height="225" /><p class="wp-caption-text">A typical traditional bathroom in Beijing</p></div>
<div id="attachment_1789" class="wp-caption aligncenter" style="width: 310px"><img class="size-medium wp-image-1789" title="Shanghai" src="http://www.orthofootankle.com/wp-content/uploads/2009/10/CIMG0498-300x225.jpg" alt="The typical Shanghai hotel bathroom with heated seats and power bidet" width="300" height="225" /><p class="wp-caption-text">The typical Shanghai hotel bathroom with heated seats and power bidet</p></div>
<p>The hospital I visited had 1100 beds with almost 2 million patient visits every year.  They perform 27,000 surgeries a year.  The orthopedic service has formal rounds with a full team of attendings, residents, all nurses, and all therapists twice a day.  Yet, to keep costs controlled, they employ traditional interventions.</p>
<div id="attachment_1790" class="wp-caption aligncenter" style="width: 310px"><img class="size-medium wp-image-1790" title="CIMG0516" src="http://www.orthofootankle.com/wp-content/uploads/2009/10/CIMG0516-300x225.jpg" alt="A bamboo splint for a low cost option" width="300" height="225" /><p class="wp-caption-text">A bamboo splint for a low cost option</p></div>
<p>Their medical experience is different from ours.  Neither is better but without question, China&#8217;s experience is vast.  Both their medical teams and their patients demonstrate stoicism, perseverance, and discipline.</p>
<p>This applied discipline appears to begin early and continues in nearly everyone I have met.</p>
<div id="attachment_1791" class="wp-caption aligncenter" style="width: 310px"><img class="size-medium wp-image-1791" title="Recess" src="http://www.orthofootankle.com/wp-content/uploads/2009/10/CIMG0540-300x225.jpg" alt="2nd grade recess in the school yard" width="300" height="225" /><p class="wp-caption-text">2nd grade recess in the school yard</p></div>
<p>For complicated reasons, I found myself at a street side noodle shop at 2:30 in the morning with an equally hungry 30 year old man.  I am in my business suit and he is in his hip torn jeans with an equally hip polo shirt.  He tells me he makes socks.  I wonder if he works in one of the many narrow alleys I&#8217;ve seen around the city.  Rather, he makes socks for the US.  He makes all the socks for the US, including those for Walmart, JC Penny, Target, and Nike.  He owns a large factory outside of town and employs 300 people to make socks.  Armed with 2 cell phones and a laptop, he constantly monitors the price of cotton in Turkey and Yemen to remain competitive and worries over the timeliness of his container ships crossing the Pacific.</p>
<p>I leave wondering if he is typical of every 30 year old man in Shanghai.</p>
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