This doctor has a system

Chapter 161 159. Go and pay, first pay 15

"Penghui, I will give you an additional salary of 500 yuan." Manager Wei tried his best to persuade him to stay, "Don't fool around with Wang Liang, he will lead you astray sooner or later."

"Thank you, Manager Wei. It's my personal idea to resign." Yue Penghui felt relaxed, and staying here always felt depressing.

"Okay then, I'll give you full attendance this month's salary." Manager Wei realized with conscience.

"Old Wei, what about me?" Wang Liang became displeased, "You treat people differently, don't you?"

"go away."

"Let me tell you, if it weren't for the rule of law, I would have designated him just now!" Wang Liang was still angry, and the two found a place to have sex at night.

"Brother Liang, do you have a girlfriend?" Yue Penghui asked looking at the beautiful girls passing by on the street.

"There are two."

"???" Yue Penghui.

"Left hand and right hand." Wang Liang.

"Hands don't count."

"Oh, no." Wang Liang

"Where do you think girls are the softest?" Yue Penghui drank a glass of beer.

"chest?"

"I think it's the hands, didn't they all say soft jade hands, as thin as creamy fat; slender fingers, as plain as orchids."

"Really?" Wang Liang scratched his head, "This touched the blind spot of my knowledge."

"Oh, my mother is urging me to go on a blind date." Yue Penghui had a headache, "Her old man no longer believes that I can find a wife by myself."

"I think our mother's judgment is more reliable." Wang Liang said.

Yue Penghui
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"Wrong amount of reagent added."

"Operation process error."

"The pipette is not used properly."

"The pipette is not used properly."

"Oh, shit!" Gao Feng lay on the bed with blank eyes, and he couldn't take it any longer.

"Drink some water." Li Xinyao thoughtfully brought Gao Feng a glass of water, which contained dozens of bright red goji berries.

"I'm not thirsty, hey, Li Xinyao, what do you mean?" Gao Feng looked at the goji berries in the cup in shock. I'm not at this age yet.

"I see that you lie down on the bed as soon as you get home these few days, looking very tired." Li Xinyao looked at him and said, "Is it a little empty? You were indeed a little too much a while ago."

I was in liver skills!Gao Feng was furious.

Okay, dare to make wolfberry for me, right? Then I don’t have skills tonight, so I’ll order something else!
It has to be said that skills are not good for the liver, but for Gao Feng, the liver is like Zhang Fei eating bean sprouts-a piece of cake, and he will pass the level soon.

Passed through 2 times in a row.

A 53-year-old male patient was admitted to the hospital with the main complaint of fever and cough for 1 week, and chest pain and tightness for 2 days.

He had a chest CT done in the outpatient clinic, and the results showed that the right lower lung was consolidated, which indicated that the infection was still relatively serious.

"How is your body?"

"Very good." The family members on the side replied.

"Do you have high blood pressure?"

"No." The family members answered eloquently.

"Then why is the blood pressure measured at the admission reception so high, 180/96mmHg (normal value is around 120/80)?"

"Oh, maybe it's because he didn't take antihypertensive medicine today." The family member said.

"Then how long has his blood pressure been high?"

"More than ten years."

Gao Feng felt that his blood pressure was a little high right now.

"This is a relatively serious lung infection, and we need to be treated with antibiotics regularly." He probably communicated the condition to the patient's family members, "You take the patient back to the room to inhale oxygen, and I will take a closer look at it later. look."

The nurse took the patient away, and Gao Feng was about to ask about Huang Liya's knowledge about lung infection when the system suddenly issued a task.

"Dangerous: Dong Lianshan's life is under serious threat. Fortunately, he met you. Please save his dying life. You can get 20 skill points for completing the task."

Dong Lianshan was the patient just now. Didn't he just have pneumonia? The most infected area was a bit larger. Gao Feng quickly called out a chest CT to take a look, but found no other problems.

"Tianci, let's go, let's go see the patient." Gao Feng couldn't sit still.

"How long have you had chest tightness and chest pain?"

"Just these two days." Dong Lianshan said.

"Is your chest hurting badly now?"

"It doesn't hurt much today, but it was so bad yesterday that it almost hurt me." Dong Lianshan took out a medicine box, "It's much better after taking this painkiller."

Gao Feng took a look, it was Diclofenac Sodium Sustained Release Tablets, a phenylacetic acid non-steroidal anti-inflammatory drug, its main functions are pain relief and antipyretic.

"Tell me the specific part of the pain." Gao Feng made the patient sit up, "Point with your fingers."

"From here to here, the back of the waist also hurts."

"Your range is a bit big." Gao Feng was stunned for a moment, and Dong Lianshan pointed from his chest to his abdomen. If the pain caused by pneumonia spread to the pleura, it would not radiate to the abdomen.

Coming out of the ward, Gao Feng was still clueless, so he asked the nurse to draw an [-]-lead ECG for the patient, and the result showed: sinus rhythm, normal ECG.

"Heavenly gift, you can prescribe an urgent blood test for the patient now, and the test will be more comprehensive." Gao Feng confessed.

"Be more comprehensive?" Zhang Tianci quickly clicked on the doctor's order. He clicked a few times with the mouse, and the patient's laboratory fee immediately reached more than 2000 yuan.

"Liya, is it comprehensive enough?" He asked worriedly.

"It's definitely enough, but I don't think the 6 items of sex hormones are necessary."

"Then delete this item. I will ask the nurse to draw blood now." Zhang Tianci is very mobile. He waited for the nurse to draw blood, and took the specimen directly to the laboratory. The service center came to collect it, and it is estimated that the results will not be until the afternoon.

"Is there any problem with this patient?" Dong Qianqian, who came back from the consultation, looked at Gao Feng who had been looking at the patient's chest CT, and asked aloud.

"I can't tell, but I always feel that something is wrong." Gao Feng made room for Dong Qianqian, "Sister Qianqian, can you see if there is any problem?"

"Isn't this just pneumonia?" Dong Qianqian said, "I don't see anything else."

At this moment, the nurse station called, "Doctor Gao, the 32-bed Dong Lianshan reported a critical value, D-2mer 138mg/L, come here and sign."

"What?" Gao Feng stood up abruptly, "such a high level of D-2mer?" The normal range of D-dimer: 0~0.5mg/L.

"It's not a pulmonary embolism, is it?" Dong Qianqian said out loud. Elevated levels of D-2mers indicate frequent fibrin degradation processes in vivo.Therefore, fibrous D-dimer is a key indicator of deep vein thrombosis (DVT), pulmonary embolism (PE), and disseminated intravascular coagulation (DIC).

"It's not like, the oxygen saturation is 99% when the patient is not inhaling oxygen." Gao Feng just finished speaking and suddenly remembered a disease, "I'll go, it can't be a dissection!"

The full name of dissection is aortic dissection aneurysm, which is a serious cardiovascular emergency. There is a breach in the intima of the aortic wall, and blood enters the middle layer of the arterial wall, forming a dissection hematoma, and gradually extending and stripping the intima of the aorta. and caused by the media.

The aortic lumen at the lesion site is divided into true lumen and false lumen by intima. The true lumen and the false lumen may or may not communicate, and blood flow between them may form thrombus.

Many people may not have heard of this disease, how serious is it?
未接受治疗的患者死亡率极高，其中25％患者在起病后24小时内死亡，超过半数患者在发病后一周内死亡，发病1月和1年后的死亡率分别高于75％和90％。

"Godsend, hurry up! Give Dong Lianshan a CT angiography (CTA) of the entire aorta."

Dong Qianqian also quickly contacted the Imaging Department.

"What's going on?" Dong Lianshan's son was at a loss. Seeing the dignified faces of a few people in white coats, his heart began to beat.

Dong Lianshan was also panicked. His blood pressure, which had been lowered after taking the antihypertensive medicine, rose again.

"Don't be afraid, we are just doing an ordinary inspection." Gao Feng tried to smile, "It may not be a big problem."

I believe you ghost yo!Dong Lianshan said in his heart.

"It's really aortic dissection!" The doctor in the imaging department was also shocked.

"His primary rupture was located in the ascending aorta or aortic arch. The dissection involved most or all of the ascending thoracic aorta, aortic arch, descending thoracic aorta, and abdominal aorta. It was DeBakey type I." Gao Feng contacted immediately. Director Zhang from the Department of Cardiothoracic Surgery.

"This needs to be operated on quickly." Director Zhang of the Department of Cardiothoracic Surgery told his family members: "The risk of his death is too high, and he needs to go on stage for surgery now."

"Okay! Hurry up then." Dong Lianshan's son nodded as fast as pounding garlic, "Doctor, please save my dad!"

"We will try our best." Director Zhang comforted him, "You go and pay first, 15 first."

This is not a small amount, but Dong Lianshan's son did not hesitate at all, he hurried to contact other family members.

"Director Zhang, the patient's lung infection is quite serious." Gao Feng showed Director Zhang Dong Lianshan's chest CT.

"Oh, this is not a good thing." Director Zhang felt that his head was hurting, "I can't control that much, the risk of surgery is greater after the infection is controlled."

Dong Lianshan was directly taken away by Director Zhang.

"I knew it!" He looked helpless, "It's no good to be pushed by a few doctors to go for an examination with a sad face!"

"Son, do I have to tell you the password of my bank card?"

Fortunately, the operation went well, and Gao Feng received a reminder that the task was completed on the third day.

"Precarious: Dong Lianshan is very lucky, your outstanding performance changed his fate of death. You got 20 skill points."

The systematic evaluation made Gao Feng a little ashamed. He could think that aortic dissection was still based on the results of laboratory tests. It seems that these instruments in the hospital are really not decorations.

"Okay, from today onwards, everyone is a member of Fengxin Technology." Zhao Xingye was speaking to the new employees, "Our company still cares about employees, so you don't have to worry about your future life."

"I'll show you the laboratory we're building at the airport."

He had already asked someone to rent a bus, and planned to take these newcomers to the construction site to have a good look, and let everyone know the company's strong strength, which will help strengthen everyone's centripetal force.

"Such a big place is all owned by the company?" Someone exclaimed.

"Yes, a total of 100 acres. The front is the dust-free laboratory, and the back is the office, supporting buildings and staff dormitories." Zhao Xingye took out the drawings for everyone to see, "From now on, this will be our home field. "

"It seems that the company is quite powerful." Wang Liang was a little happy, "I see if it will go bankrupt in a while."

"Don't talk nonsense." Yue Penghui was afraid that others would hear his nonsense.

In the end, everyone was dragged to the factory building in the new area. Everyone looked at the old factory building, and their hearts were still quite different.

"Okay, the laboratory over there won't be put into use for at least three months, and we still have to deal with it here for a while." Hu Jiaran said, "I rented 3 houses for everyone near here, all of which have three bedrooms and one apartment. Hall, there are 5 of you in total, let’s combine freely.”

"Give everyone 2 days to move, and everyone must come here to work on time on the 22nd."

"Mr. Hu, I want to ask, what do we need to do here after work?" Someone asked the question in most people's minds, "There doesn't seem to be anything here."

"Your job for the next month is to follow me to familiarize yourself with the experimental operation procedures related to drug development. The instruments and the like will be delivered tomorrow."

"Don't worry, everyone. You must have learned most of the experimental procedures when you were in school. For some more complicated ones, just follow my instructions." Hu Jiaran roughly explained.

"Everyone should perform well during the half-month trial period, and strive for everyone to stay."

"Those who go to work in a serious manner are called colleagues, and those who take advantage of the company are called associates. We must become colleagues. For employees who work hard, the company will never be stingy with money." Zhao Xingye then said a few words .

"What you get at work is called labor income, and what you get from fishing is called earned money." Wang Liang said in a low voice.

"Shut up." Yue Penghui pinched him.

In fact, it takes less than two days for most employees to move. For example, Yue Penghui only has a trolley case and a backpack, which is basically the case for single dogs.

He went to the factory to look at it one day in advance and found that someone was moving equipment inside.

"Portable pH meter|acidity meter|acidity detector, portable conductivity meter, automatic polarimeter, automatic potentiometric titrator" He stared at it for a long time, "Damn it, the company is serious." All of the above are equipment that pharmaceutical laboratories need Instruments, some of which can cost a fortune.

"Yue Penghui?" Hu Jiaran called out.

"Hello, Mr. Hu."

"Don't call me Mr. Hu." Hu Jiaran was embarrassed by Mr. Hu's title, "Actually, we are about the same age, so you can call me Jiaran."

"Hey." Yue Penghui smiled, he is not a stunned young man who just entered the society, how dare he call him that.

"How about I call you Mr. Hu?"

"This is okay." Hu Jiaran felt much more comfortable than Mr. Hu, "Why did you come here today? Are you done moving?"

"Yes, I don't have anything." Yue Penghui said, "I have nothing to do in the room, so I just wanted to come here to have a look."

"I remember that you graduated from Z University majoring in pharmacology and toxicology. You know how to use these instruments, right?"

"I know them all, but less than 1/3 have actually operated them." Yue Penghui said honestly, "After graduation, I worked in an inspection company and processed specimens all day long. When I was not in college, I was very agile."

"It doesn't matter. What I did at the beginning was the work of scientific research migrant workers." Hu Jiaran smiled, "The company has been very patient with you, and now these things are bought for the purpose of training you."

(End of this chapter)