This doctor has a system

Chapter 184 182.
After self-doing not for others, great doctors dare to be the first in the world

Looking at the few people in front of him, Zhao Xingye was overjoyed. No matter what, the company was sure to make a profit now.

"Our investment in the early stage is relatively large." He said, "As you all know, we are just a small and micro company that has just been established."

"Yes, we know." Jing Baifeng said, "A small and micro company with a net profit of hundreds of millions a year."

"Haha." Zhao Xingye smiled awkwardly, "That's all happened in the past. At present, we are in a state of sitting and eating, and the pressure on me as the general manager is quite high."

It's a good thing you're here, so next, please accept me a "Slaughter Mystery of Gale Wind Flicker Seal"!

"Our company invested about 1500 million in the early stage. If your company is willing to bear this cost, then we can start substantive negotiations."

"In principle, there is no problem." Kang Weidong from Qihui's pharmaceutical business department said, "But we need to look at your specific test progress first."

This request was very reasonable, and without further ado, Zhao Xingye drove them to the Z lab.

Hu Jiaran introduced the current progress to Jing Baifeng in detail, and the latter asked some professional questions in detail, and even personally measured the purity of the antibody in the reactor, and the result was very satisfactory to him.

"Manager Zhao, let's talk." Kang Weidong of Qihui Pharmaceutical said straight to the point.

"Okay." Zhao Xingye was waiting for his words, "You are all experts, and you understand the market value of bevacizumab injection better than I do. This is a drug that can generate billions of benefits. , as far as I know, no domestic company has imitated it.”

"We're the only ones here."

Kang Weidong frowned, hearing what this meant made the lion open his mouth.

"I think the licensing fee of 3 million yuan a year is more reasonable." Zhao Xingye did an in-depth market research in advance, and at this time reported a price that he thought was relatively high.

Sure enough, Kang Weidong's face became ugly, "You are exaggerating too much. We estimate that the annual sales of this drug is about 10 billion. If you directly take away 3 million in pure expenses, then we are not working in vain. ? This is simply outrageous to open the door for outrageous - outrageous home!!"

Generally speaking, at least 70% of the sales of a drug must be cut off to obtain the pure profit of a pharmaceutical company. The labor cost of drug manufacturing, drug publicity, and marketing account for the bulk of it.

"Manager Kang is quite humorous, but your company's grasp of the market is not very accurate, right?" Zhao Xingye said with a smile, "The annual sales of this drug are at least 15 billion, and it will definitely continue to rise in the future."

"Moreover, we simplified the experimental process when developing the drug, which can greatly reduce your labor costs." Zhao Xingye took out a document, "You can take a look at this."

Jing Baifeng flipped it over and looked through it.

"In any case, the price of 3 million yuan is definitely unbearable for us." Kang Weidong pondered, "This far exceeds our psychological expectations."

Today's negotiations did not make substantial progress, but the two sides are quite satisfied with it.

"The probability of reaching a cooperation is very high." Zhao Xingye reported to Gao Fenghui, "I feel that Qihui Pharmaceutical's attitude is very positive. Although I put forward a quotation of 3 million yuan, this manager Kang still negotiated with me very patiently. "

"It shows that the price is not far beyond his psychological expectations, at least it is negotiable."

"It's all up to you, Lao Zhao." Gao Feng was in the middle of a consultation, and hung up the phone after saying a few words, which made Manager Zhao, who was full of desire to confide, slightly dissatisfied.

"I seem to be the only one in the whole company thinking about how to make money." He complained to his wife at home, "The boss doesn't care about the matter at all. If I don't take the initiative to report such a big matter, he won't even make a phone call!"

"That's not very good." His wife brought him a cup of wolfberry and red date tea, "It means that people trust you."

"No, what do you mean?" Zhao Xingye looked at the wolfberries in the teacup, feeling a little panicked, "Daughter-in-law, I'm very tired today, let's go to bed early?"

"Zhao Xingye, you are exhausted today, and you have to pay me the public rations that should be paid." The wife's tone was very firm, "Give me a drink now! After drinking, go take a shower."

"Honey, I'm also doing it for your own good. It's not okay to think about making money all day long. Why not do something else to change your mind."

If I had known that I would not be back today, Manager Zhao wanted to cry but had no tears.

Gao Feng is currently undergoing consultation in the Department of Cardiology. This is a patient with a very complicated condition.

Pay attention, the man lying on the hospital bed is called Dashuai, and the beautiful woman next to him is his wife Damei
When Dong Dashuai was in college, he was the absolute main force of the school basketball team. He was tall and burly, with eight-pack abs.The current wife was the school belle back then, and he easily chased her over.

After graduation, with the help of his family, he started a chain catering company, and the business has been booming over the years.The handsome's pockets are getting bigger and bigger, and his waist is getting thicker and thicker. He has gradually integrated the eight-pack abs into one piece.
Even at the age of 40, he collected the cards of the three supreme gods: high blood pressure, high blood fat, and high blood sugar.

At the age of 41, he was hospitalized for kidney stones, and the doctor dug out the "Golden Dan" of "Xiadantian".

At the age of 43, he was hospitalized due to calculous cholecystitis, and the "Golden Pill" of "Shangdantian" was also given by the doctor.

His cultivation base was abolished, and Dong Dashuai has been in a slump since then. He suffered from explosive myocarditis a month ago. Fortunately, he was sent to the doctor in time and saved his life.I originally thought about retiring early to provide for the elderly, but recently I have experienced uncomfortable symptoms.

"The function of the heart is very poor." The cardiology doctor introduced to Gao Feng: "The color Doppler ultrasound showed that the patient's ejection fraction is very low, and this patient is a big fat man, and the load on the heart is very heavy."

"But the source of the chest tightness this time is not the heart." The cardiologist retrieved Dong Dashuai's chest CT on the computer.

"This is an obvious narrow airway!" Gao Feng was startled, "Is this possible without chest tightness? There is only a gap in his main airway!"

"Did you intubate during the last fulminant myocarditis?"

"Yes, he has a scar constitution." The cardiologist looked serious.

The so-called tracheal intubation refers to the insertion of a tracheal tube into the patient's trachea through the oral or nasal cavity to assist the patient's breathing, relieve airway obstruction, and absorb tracheal secretions.It is often used for general anesthesia, airway obstruction, rescue of critically ill patients, and patients with excessive airway secretions that cannot be cleared by themselves.

Most of the airway stenosis will not occur after tracheal intubation, except for patients with scar constitution.

Keloid constitution is a special clinical constitution. People with this constitution will leave keloid after skin injury, and the formation of keloid has no obvious relationship with the cause and severity of skin injury.Minor traumas such as daily vaccinations and earring piercings, even inconspicuous traumas, will cause keloids to form in people with scar constitution.

You must have seen some people like this in your life. Someone has a small wound on his body, and after heals it is the same as before.But it won't work if you put it on him, and it will definitely leave lumpy scars in the end.

Dashuai Dong is such a person, that's why he had a narrow airway after intubation.

Gao Feng made a difficult mistake here. Patients with scar constitution are the most difficult to deal with. The more you stimulate, the faster the scar tissue will grow. It is very likely that the new granulation will come back soon after you clean up the original granulation.

Moreover, Dong Dashuai has so many underlying diseases and his heart function is so poor, even if he is willing to take over, the anesthesiologist will definitely have trouble.

But if the Respiratory Department does not accept it, then I am afraid that other departments will not accept it either.

"Does he need bronchoscopy?" The cardiologist asked, "Director Shen asked me to contact you, saying that you are in charge of the bronchoscopy."

"It's not just treatment, but also a tracheal stent." Gao Feng hesitated, "But the risk of anesthesia is too high for this patient, I'm afraid."

The doctor in charge called Dong Dashuai's wife, who asked her to transfer to another department for active treatment. When Gao Feng talked to her about the risks of anesthesia, she just remained silent for a while, and soon expressed her willingness to accept the risks of surgery.

"Doctor, look at him like this, his chest tightness is so severe even while breathing oxygen, I feel that even dying on the operating table is better than suffocating alive!"

Dashuai Dong himself also strongly demanded surgery, and now he is gasping for breath, jumping out two words.

"That's fine. Let's transfer it in the morning. Let's evaluate it to see how it works." The patient and family members were willing to accept the risk, and Gao Feng didn't hesitate any longer.

In fact, seeing a doctor is like this, especially for high-risk operations, the patient and his family must first be able to accept the risk, so that the doctor is willing to take the risk.If the family members all retreat or cannot make up their minds, then the doctor will persuade you faster than you.

Not surprisingly, the anesthetist Gu Gongyi, who was assessing the risk of anesthesia, almost jumped up, "My Doctor Gao, you are not joking!"

"The oxygen saturation is only 87% under the oxygen mask, you want me to give him general anesthesia?!"

"You want me to send him away!" Gu Gongli quit, "I can't help it, you can find whomever you like."

Gao Feng had anticipated this situation a long time ago, so he could only ask Director Shen to come out of the mountain.Director Shen directly approached Director Shang Shijia, the director of the anesthesiology department, who came over with a bitter face.

"Let's talk about the ugly thing, it has nothing to do with our anesthesiology department if the patient has an accident." Director Shang put on the flower cap and began to prepare the medicine and adjust the anesthesia machine.

Several directors of the Respiratory Department came to the bronchoscopy room, and everyone disagreed with this operation.

"The patient's basic condition is so poor, why bother to do nothing to please him." Director Pan pulled Gao Feng aside and persuaded: "You are still so young, if something goes wrong, will the family accept it?"

"Yes." Director Zhao said: "Don't look at the fact that the family members agree to the operation now. When something goes wrong, you may not necessarily say anything."

Everyone spoke out one after another, almost all opposing opinions.

Gao Feng also hesitated, but seeing Dashuai Dong half-dead on the hospital bed, he finally made up his mind.

"Dare not to act for others: After being self-serving and not serving others, a great doctor dares to be the first in the world! A truly excellent doctor dares to act decisively in special circumstances to relieve the pain of the patient. Dong Dashuai's life is under a huge threat. Please use your professional skills to help him relieve the pain. You can get 20 skill points for completing the task, and there is no penalty for failure." The system released the task.

In the system space, Gao Feng's face was very ugly.

This Dashuai Dong's health was simply terrible. Within an hour, the other party's breathing and heartbeat stopped suddenly 1 times. In one sentence, he would die if he touched it.

The best time occurs after the stent is placed, and the rest is when the scar granulation is cleaned up.

How to play this?Gao Feng had never felt such a sense of frustration before.He thought for a long time, and suddenly came up with an idea.

"Directors, how about putting him on ECMO first?"

"Using ECMO to treat the scar in the airway?" Director Shen asked, "Has there been such a situation before?"

"Yes." Gao Feng replied: "There have been such precedents in foreign countries before. Although there are risks, it must be stronger than the current situation."

Director Shen called Director Lu from CCU over, who covered his shiny forehead with a hat.

"Okay." After understanding the situation, Director Lu also felt that it was a solution, "I propose to push the patient to the CCU, and then you push the bronchoscope there, and it will be safer to do it inside."

Director Lu's proposal was unanimously approved by everyone.

"Are you coming or am I?" Director Lu looked at Gao Feng.

"Come on, give me a hand." Gao Feng didn't mean to be modest at this time.

Director Pan's eyes widened. Will this Gao Feng be on ECMO? !
Director Xie Qingyan of the Department of Respiratory Medicine is also an experienced doctor. He doesn't like Gao Feng very much, and he is even less optimistic about this operation.

A young man who has made a small achievement and really wants to perform in front of everyone!This is his impression of the latter.

If Director Shen hadn't called him, he wouldn't have come at all. He stayed here out of a joke mentality, and he really wanted to see this arrogant young man get hit.

When he saw that Gao Feng was going to do ECMO, Xie Qingyan couldn't bear it anymore, "Isn't this just nonsense?" He said to several directors around him, "It's fine if Director Shen is used to him, this old man Lu is usually quite stable, why is he like this?"

"Maybe I don't want to take risks." Someone whispered.

"Just wait and see, this patient will definitely be killed by him." Xie Qingyan had already predicted the result.

Director Shen frowned, no matter what time, there would always be someone making sarcastic remarks from the sidelines.But she is indeed a little worried, ECMO is not a simple operation, I have never heard of Gao Feng.She glanced at Director Zhao, who also had a serious expression on his face.

As the saying goes, laymen watch the fun, and experts watch the doorway. When they heard that Gao Feng was coming to ECMO, Guan Jiangpu from the CCU surrounded him with several doctors. He was deeply impressed by the other party's straightforward operation last time.

"Everyone make a mistake, I will record a teaching video." Guan Jiangpu took out his mobile phone.

The equipment and machine were checked correctly, Gao Feng quickly started the operation, the central venous catheter was inserted very smoothly, and blood was seen as soon as the needle was inserted.

Next, Gaofeng placed a dedicated continuous cardiac output (PiCCO) monitoring catheter in the patient's femoral artery, connected the central venous catheter and temperature sensing connector to the pressure module, and the arterial catheter connected to the pressure measurement line, and the pressure and PiCCO module connected.
Director Lu finished the measurement, "You did it too fast!" He couldn't help saying a word of praise.

Director Shen had a relaxed expression on his face, "I knew Gao Feng wouldn't mess around." She thought to herself.

Xie Qingyan in the back row felt hot on his face at the moment. Although no one cared about what he just said, inexplicably he felt even more dissatisfied with Gao Feng.

Some people are like this, always jealous of those who are more talented than themselves, wishing that everyone is as mediocre as him.

After ECMO was successfully put on the machine, Dong Dashuai's chest tightness improved significantly, at the cost of more than 1 a day's maintenance costs.His wife came in to take a look and was very satisfied with the current state, she didn't care about the cost at all.

"Her bag was almost 40 when I bought it." A nurse with poisoned eyes whispered in the nurse's station, "Now the second-hand ones cost more than 50."

"Sister, isn't that right! Why are second-hand ones still expensive?" A newly recruited cute little nurse was a little puzzled.

"Do you know what a limited edition is?"

"If you buy a bag for 40 yuan, what do rich people think?" Some people can't understand.

　Good weekend my old babies.

　　Forgot to write the title, but no one actually reads this.
　　
　
(End of this chapter)