This doctor has a system

Chapter 109 Tracheoesophageal Fistula

Chapter 109 108. Tracheoesophageal Fistula

"Could it be an extra zero?" Cheng Song thought a lot in his mind, and he quickly sent a message to Gao Feng.

"That's right." Gao Feng was currently counting money with Li Xinyao on his mobile phone, and when he saw the news, he returned it.

"I've counted it several times, and I can't be wrong." He said helplessly to Li Xinyao, "Look at your current appearance, just like a little money fan."

"It should be like this for anyone who suddenly has so much money." Li Xinyao gave him a blank look.

"Hey, why don't I give you a massage first." Gao Feng leaned closer to her, "You must be tired from pressing your phone all the time."

Li Xinyao's face turned red all of a sudden, this person was obviously disturbed and kind.

afterwards
Lying in his arms, Li Xinyao asked lazily, "What do you plan to do with the money?"

"I don't have any plans. Xinhua Pharmaceutical doesn't pay back the money all at once. It looks like a lot, but in fact it's only a few million a year." Gao Feng said to Li Xinyao.

"And I guess there are still some troubles to deal with later."

"What's the trouble?" Li Xinyao asked quickly.

"Although I synthesized this catalytic substrate by myself, after all, I used hospital equipment." Gao Feng considered it comprehensively, "Once the matter is exposed, it may attract the attention of interested people and even make things difficult."

"Did you sign any agreement with the hospital before entering the laboratory?" Li Xinyao thought for a while and asked, "This is very important."

"No." Gao Feng replied without thinking, "The instruments here are all eliminated by Xinhua Pharmaceutical, and they are donated to the hospital, but in fact, the donation procedures have not yet been completed."

Contrary to what most people imagine, public hospitals cannot accept donations from the society at will, and things with greater value have to go through a lot of procedures.

"Director Zhao's lover, Mr. Qi, told me that I don't have to worry about it at all. If these instruments are authentic, the ownership still belongs to Xinhua Pharmaceutical."

"When I signed the agreement with Xinhua Pharmaceutical, Mr. Qi clearly stated in the contract that the ownership of the catalytic substrate belongs to me, and the other party did not object."

After hearing this, Li Xinyao immediately felt relieved, "Then what are you worried about? It's really exposed, and the hospital has no right to deprive you of your vested interests."

"That's what I said, but many things are not so simple." Gao Feng kissed the beauty's fair face, "If you can't do it, you have to pay a small price. Now, many things have to rely on the hospital to proceed."

"Listen to you." Li Xinyao was too lazy to think so much.

The next morning Gao Feng had the cheek to not go to work again. He went to the bank with Li Youliang, completed the transfer to Li Youliang and Hu Jiaran at the counter, and at the same time withdrew 40 in cash.

Gao Feng was very upset by the attitude of the business manager when withdrawing cash. The counter was already ready to withdraw money.He rushed out suddenly, saying that Gao Feng hadn't made an appointment in advance and insisted on making the appointment to come back tomorrow.

In the end, Gao Feng threatened him that if he refused to withdraw today, he would transfer all the remaining money in the account to other banks in two days.

The business manager immediately relented, and insisted on driving Gao Feng and Li Youliang to work when he went out.

"It's too unsafe for you to take so much money, I have to fulfill this obligation!" The middle-aged man with a beer belly snatched the bag from Li Youliang's hand, and couldn't stop it.

"Youliang, when you go to Director Shen and Director Zhao, mention this." Gao Feng told him his worries, "I think we can pay some benefits in exchange for the hospital's support for us."

"It would be too troublesome to start a new stove. We are all newcomers now, so we can't raise a big banner."

“Still have to suck the hospital”

"Pooh!"

"We still have to grow together with the hospital!"

Li Youliang's work is very reassuring. He first went to Director Zhao, and he had nothing to hide from his teacher.Immediately, he told Director Zhao about Gao Feng's account.

"Don't worry, this is just a reagent used in the experiment, it doesn't mean that it was synthesized after repeated tests using hospital equipment."

"And the project itself didn't mention this."

"As long as there is no legal problem, the rest is easy to talk about. But if you really want to pay some benefits to get the hospital's future support, it might be a way."

Li Youliang was relieved now, and he stuffed the handbag under the table, "There is 20 in it, and Gao Feng gave it to Director Shen, I don't think it's suitable for me to go, why don't you go tell Director Shen? "

"Three times a year, 3 years." He emphasized.

Director Zhao stood up, "This Gao Feng is really willing to pay for it."

"However, in fact, if you don't give it away, if there is anything, Lao Shen will speak for you. I know her well."

"Then give it away. Director Shen actually played a big role in it. When the project was approved, she signed it without even looking at it." Li Youliang insisted.

"That's fine, I'll leave it to her today." Director Zhao said straightforwardly.

"I put yours in the trunk for you." Li Youliang mentioned when he left.

"Hey, I don't want your things, and I don't lack them!" Director Zhao hurried to chase after his disciple.

Li Youliang ran away in a hurry.

When Gao Feng arrived at the department, Dong Qianqian had already checked the room, and he hurried up to help issue the doctor's order.

"The celebrities around this director are different, they don't come here every now and then, and they will take over early!" Shi Peiyuan, who was at the isolation table, said angrily when he saw him coming.

There are a lot of people in the office, and everyone is excited when they see a good show.

Gao Feng didn't feel angry, on the contrary, he was a little happy. After being honest for so long, Shi Peiyuan is finally going to make some fools!

Before he could speak, Dong Qianqian on the side became displeased, "Doctor Shi, Gao Feng is a doctor in our group. He told me in advance that he would come later. There is nothing wrong with anyone. You used to be much better." Didn't you take part in the shift?"

Shi Peiyuan was furious, this Dong Qianqian is sick, I asked Gao Feng to ask you why you jumped out, it's none of your business.

He was about to refute a few words, and Director Li also said slowly, "Peiyuan, don't keep staring at other doctors, just do your own job well, what does it matter to you if he doesn't hand in shifts or check the wards?" What about the relationship?"

"Look at you, it's almost 11 o'clock when the doctor's order is issued every day, and I've been urged by the nurse all day." Director Li shook his head, "The key is that the doctor's order is always wrong."

"You put snacks on it better than anything else!" he concluded.

Shi Peiyuan was almost pissed off. Director Li was about to retire, and he rarely talked in the department. Today, he actually ransacked him because of Gao Feng.

"Every one of them is as if they have been poured into ecstasy soup!" He felt powerless for a while, and originally wanted to go to Director Zhao to make a small report, but now that he thinks about it, he might as well forget it.

It's a good thing he didn't go, otherwise Director Zhao would probably have scolded him again.

Gao Feng waited for a long time, but the system didn't release the task, so he couldn't help but feel a little disappointed, what ah!That's all right?Shouldn't there be another face-slapping mission?
What a mentally handicapped system, if you do it like this, how can readers enjoy it? ! !Gao Feng complained about the system in his heart.

"What have you been up to lately?" Dong Qianqian was also a little curious, "Is it about getting married? Have you taken any wedding photos?" Her mind was very active.

"No, I have made some small achievements recently, and I was lucky enough to be picked up by a company. I am busy with this matter." Gao Feng said with a smile.

"Hey, it looks like you're making money!" Dong Qianqian coaxed him to invite him to treat her, but Gao Feng quickly agreed, "Just this week! Let's go to Xmi for a barbecue."

Cheng Song and Qi Nannan had been standing aside for a long time. The two of them had been a little out of sorts since the rounds, and they whispered together at every turn, with smirks on their faces.

The teacher Li Huizhen felt a little strange, "These two are not in love, right?" This idea came to her mind, "I didn't expect this Cheng Song to like this kind of chubby girl."

"Mr. Gao, are you sure you are not mistaken?" Qi Nannan stepped forward and asked in a low voice.

Good guy, I used to call Gao Feng directly, but now I have been promoted to Teacher Gao. It seems that 10 yuan is very powerful.

So if I tell you that in the next year, I will give you 3 yuan three times for 10 consecutive years, what should you do?

"Will you just call him Dad?" Gao Feng shuddered violently in his heart.

"How could it be wrong, don't worry, I won't give you a dime more!" Gao Feng drove the two away impatiently.

"Don't worry, I'll feed the mice as soon as I get off work, I have to let them take care of me." Qi Nannan expressed her determination with her fists raised before leaving.
-
In the afternoon, a 75-year-old male patient was admitted to the outpatient clinic. The patient is from Lin County. He had suffered from esophageal cancer more than 30 years ago.

Lin County has now been renamed Linzhou City. In the 60s and [-]s of the [-]th century, Lin County had "three barriers", namely, water barriers, road barriers, and esophagus barriers.The data showed that the prevalence of esophageal cancer in Lin County and surrounding areas was the highest in the world at that time, which attracted the attention of the global medical community.

Investigators discovered a frightening situation: a high concentration phenomenon within the family, and three generations of grandparents and grandchildren have people suffering from esophageal cancer.

Almost every village has cancer patients, and every family has cancer patients. This situation is appalling.

In the end, it was Academician Lu Shixin who found the cause of the disease. He spent a lot of time numbering all the wells in the village one by one, taking water samples, and collecting samples of saliva, gastric juice, urine, various grains, sauerkraut, etc. from hundreds of people for investigation. detection.

In the end, methylbenzylnitrosamine was found in sauerkraut and human gastric juice, which is the main chemical cause of esophageal cancer. It also revealed that the high incidence of esophageal cancer in Lin County is highly correlated with local eating habits: local people like Eat pickles.

Speaking of this patient, he sighed, "My father died of esophageal cancer. I discovered it early at that time, and performed the operation in time, saving my life."

Gao Feng took the patient's chest CT and looked at it for a long time, "Okay, old man, you can go back to the ward with the nurse first, and we will discuss how to treat it."

As soon as the patient left, Gao Feng pulled his face down, "The old man probably has a recurrence of esophageal cancer, and an esophagotracheal fistula has formed in this place." He pointed to the film and said to the patient's son.

"It's this place, so when the old man eats, water can easily enter the trachea through this fistula, causing symptoms such as coughing. It will be better when eating sticky food."

"Yes, that's right." The patient's son nodded repeatedly, "Our hospital over there also said so."

He looked tired, "We came here this time to see if we can solve this problem. I heard people say that we can put a stent in the trachea to block this hole."

"It can be installed." Gao Feng explained to him, "But releasing the trachea support is not a once-and-for-all matter."

"After the stent is released, the airway should be frequently humidified, otherwise the phlegm will easily stick to it, which will cause symptoms such as dyspnea; you should also come back regularly for reexamination."

"Also, this bracket is not cheap. It costs 3 yuan, and it can't be reimbursed. I don't recommend you to do this."

Obviously, no one has discussed these things in detail with the patient's son. He was a little disappointed, "Then what should I do? Is there any other solution?"

"You can get a gastric tube, which is simple and economical." Gao Feng suggested, "This will not affect your next step in the treatment of recurrent esophageal cancer."

"Several doctors said the same thing, but my father is unwilling to wear a gastric tube for a long time." The family members were also very helpless, "If it doesn't work, let's put a stent, let's pay more attention, and come here in time if there is any problem. "

"That's fine."

Now that the patient said so, Gao Feng didn't insist anymore, he asked Zhang Tianci to take his family members to the endoscopy room to make an appointment for tomorrow's bronchoscopy.

"A rigid bronchoscope is required for the tracheal stent, right?" Dong Qianqian leaned forward, "I have to tell Director Pan in advance. Director Ma will not be here tomorrow, and Director Pan will do the best for the rest."

"No, I'll do it." Gao Feng smiled, "I'm not talented, but I know a thing or two about this hard mirror."

"Is it true?" Li Huizhen, who was sitting at the next table, expressed doubts, "Don't say you learned it when you were in graduate school, no one would teach this to a digested master's student, right?"

"I really learned it before." Gao Feng explained, "I prefer to do this. Back then I always went to the bronchoscopy room."

Li Huizhen felt a little frustrated. She had been working for so long, and she hadn't touched a hard mirror once. The main reason was that she didn't really want to learn this, and she was bloody and bloody every time.

Li Youliang is now on the phone with his father, who is very happy to tell him that this year's wheat harvest is good. Go to the street and send you 3."

Li Youliang was a little sad. When he remembered, the price of wheat was 9 cents a catty. In the past 20 years, the price of a catty has increased by 3 cents.

"Dad, no need, I made some money recently, and I just remitted 10 to you."

Li Youliang didn't dare to give his father too much money. The old man has been poor all his life, so his mental capacity is probably not very good.

However, he still overestimated his father, "How much?" The old man's voice suddenly rose, "I just heard you say 10? Did I hear correctly?"

"Yes, it's 10. I'll pay the salary."

Li Youliang's father was silent for a long time, and it took a long time before he asked: "Son, did you do something illegal? No one pays 10 yuan as soon as they go to work. I'm just uneducated. Not stupid."

"It's true that the salary is not that much. I helped a teacher do an experiment, and I got a big result. I sold it for a lot of money. They rewarded me." Li Youliang quickly explained.

"Don't dare to do things that violate the law and discipline." My father reminded me again.

"Don't worry." Li Youliang didn't know whether to laugh or cry, "I'll go back in a while and want to renovate our house."

Li Youliang's father responded. He actually wanted to ask his son a lot, but he held back after thinking about it.The son is now the person with the highest education in the family. I don't know when, when he communicated with his son, he didn't dare to be as casual as before.

After hanging up the phone, Li Youliang's father rode a bicycle and rushed to the credit union on the street without stopping. A male salesman with a good attitude came up to him and asked him what business he was doing.

"My son sent me some money, I want to check how much is it?" He was a little nervous.

"Let me take a look for you. Have you brought your passbook and card?" The male salesman is very enthusiastic. Generally, the people who save money with them are elderly people. Let alone mobile banking, just enter a wrong password 2 3 Back to normal.He is used to it, so every time the old man comes, he will guide the whole process, otherwise he would be too busy for half a day alone.

"Bring it." Li Youliang's father handed him the passbook and card.

"Okay, you enter the password." The salesman turned his face away, "Do you remember the six-digit password?"

"Remember, remember." Li Youliang's father entered the password neatly, which relieved the salesman.

"Hey, I got a call of 10, today." The salesman smiled all over his face, "It seems that your son has made a lot of money this year."

Li Youliang's father left the credit union with mixed feelings. He turned around and went to the street to buy a few catties of braised beef and roast chicken, as well as a bottle of wine. He wanted to buy a bottle that was more expensive, but he hesitated and took it. The old village chief.

"Why do you buy so much food?" Li Youliang's mother just came back from the field and complained twice when she saw the things in his hand.

"The ones on the street are so expensive. I'll do it for you next time I buy them," she said.

"Er Wazi got paid today and sent us money." Li Youliang's father said to his wife, "I bought some when I was happy."

"How much did the second son send?" Li Youliang's mother was very happy. This son was her pride, and he was the first graduate student in the village.

"Li Nier next door said that the salary in a big hospital is very high, at least [-], how much did the second child get paid? Is there [-]?"

"It's not yet the end of the month, why are you getting paid?" She kept talking.

"Twenty thousand." Li Youliang's father told her, "I just went to the credit union to check."

"That's great, let me just say, it's still useful to go to school." Li Youliang's mother was so happy, "Twenty thousand a month, isn't it 24 a year? My God, he earns more money than we farm at home." He earned a lot of money in 6 years.”

While she was happy, she had a complicated expression on her face, "Big boy had good grades back then, but it's a pity..."

"Stop talking!" Her husband hastily interrupted her.

 In the future, it will be fixed to be updated every day after 6:9 pm and before [-]:[-] pm.I save some manuscripts and try to update them at the same time every day.Thank you for your support.

  
 
(End of this chapter)

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