This doctor has a system

Chapter 193 191. It's so good, don't write it in the future!

But the final result disappointed everyone. Zheng Zhirong's MRI and CT showed no obvious abnormalities, and the diagnosis suddenly fell into a stalemate.

Dong Qianqian invited an endocrinologist to come over for a consultation. After a careful look at the patient and the blood test results, she also felt that the diagnosis of Cushing's syndrome was valid.

"His hormone level is too high, which is obviously abnormal. If it doesn't work, let's find out other reasons."

Other reasons?Gao Feng fell into deep thought. There are many factors that can cause Cushing's syndrome, but Zheng Zhirong's condition seems to have nothing to do with most of them.

While he was thinking, he heard Dong Qianqian say that the patient no longer had a fever today, and the frequency of coughing has also decreased, which may be because the infection of the lower right lung has been initially controlled.

"That's pretty good." Just after he finished speaking, he suddenly had a clever idea, "Quickly, open up the patient's chest CT and I'll take another look!" Dong Qianqian was a little confused.

"Qiqian, do you think that Zheng Zhirong's area is really a simple inflammation?" Gao Feng felt something was wrong, "I think it is very necessary to make an enhancement."

"It looks very consistent with inflammation." Dong Qianqian also took a closer look, "Are you suspicious of a tumor?"

"Yes, and I have a bold guess that the patient's Cushing's syndrome may be caused by this." Gao Feng's tone was very confident, "Let's do an enhanced CT to see if it doesn't work, just do a lung puncture Biopsy."

Zheng Zhirong's cooperation is very high. He seems to have grasped the life-saving straw with Gao Feng. As long as there is a chance of survival, he is not willing to give up. He really wants to get rid of this schizophrenia.

The result of enhanced chest CT came out, and it did say that there was a possibility of lung cancer, which made Dong Qianqian admire Gao Feng.

Pulmonary biopsy refers to the acquisition of living lung diseased tissue through biopsy needles (fine needles, tissue needles) under the guidance of imaging equipment (B-ultrasound, X-ray, CT, MRI, PET, etc.) for pathological examination. A method of obtaining tissue biopsy with minimally invasive surgery for diagnostic purposes.

The patient is generally awake and only needs local anesthesia on the puncture site.Gao Feng explained the precautions to Zheng Zhirong, and then started his own operation. Since the image reading skills are advanced, this operation is simply a child's play in Gao Feng's hands.

He simply let the imaging department scan it, and then confidently inserted the trocar.

"Would you like to stop positioning?" The technician from the imaging department ran over and asked.

"No, it's too simple, the needle must be inside." Gao Feng didn't even look up.

Come on, someone is pretending here!The imaging technologist shouted in his heart.

Gao Feng deftly cut out several pieces of tissue with a puncture gun, and the last one was picked out to Dr. Chen outside the door, who was in charge of the rose technique in the bronchoscopy room.

Dr. Chen was supposed to rest today, but he rushed over from home quickly after receiving a call from Gao Feng. The other party was a celebrity in front of Director Shen, and he was still in charge of the bronchoscopy room. Will not refuse the other party's "reasonable" request.

When working in a hospital, it is unreasonable for the leader not to let you work overtime!
"Malignant, consider small cells."

"Really!" Dong Qianqian's eyes widened. Now the patient's diagnosis was finally revealed, he was a small cell lung cancer.Some patients with small cell lung cancer will develop paraneoplastic syndromes, and Cushing's syndrome is one of them.

Lung cancer tissue secretes a large amount of adrenocorticotropic hormone, which continuously stimulates normal adrenal gland tissue to secrete excessive adrenocorticotropic hormone.The latter led to Zheng Zhirong's hallucinations and manic symptoms, which led to his diagnosis of schizophrenia.

When he heard the result, he had mixed feelings, "It means that I did not suffer from schizophrenia, but lung cancer, which is still at an advanced stage." His voice trembled a bit.

"This is indeed the case." Gao Feng's heart is also quite heavy.

"Didn't it mean that when God closes a door, he will inevitably open another window for you?" Zheng Zhirong muttered to himself, "Then what's going on with me?"

"Not only did he close my door, he seemed to close my windows as well."

"God, what does the old man want to do? Is it hot to turn on the air conditioner?"

After chemotherapy, Zheng Zhirong's symptoms of schizophrenia disappeared quickly, but everyone was not very happy. Six months later, he passed away forever.

"He is quite relieved, at least he knows how he died." Zheng Zhirong's wife, Ye Yuexiu, also called Gao Feng specifically, "Dr. Gao, thank you very much for allowing him to be a normal person for another 6 months. "

Gao Feng often wondered, if Zheng Zhirong hadn't been misdiagnosed at that time and had found lung cancer half a year earlier, would the outcome have been better?No one could have predicted this.

Who would check a chest CT on a patient with obvious symptoms of schizophrenia? The reason is that the doctors who received the treatment were so professional that even Zheng Zhirong couldn't complain about it.
-
Hu Jiaran worked hard for 2 days, and finally settled down all his subordinates.Fortunately, they are all men, and the requirements for the living environment are not high.Yes, you heard that right, the new group of people are all big men, there are only 3 girls who submitted their resumes, but none of them came in the end.

This is the nature of the profession itself. There were still some girls when they were in school, but almost none of them worked as front-line experimenters after graduation.

Many companies are not willing to have girls, some girls may be a little dissatisfied, women can also be men!

But men can be beasts!

The key is that they don't have the buff that must bleed every month
Z University has provided great support to Fengxin Technology, and dispatched another laboratory. Pan Xianyi and Fu Jianyuan and his team have long been looking forward to the development of the project.

The initial stage is mainly preparatory work. At present, the instruments that need to be used include: collector type constant temperature stirrer, low temperature cooling liquid reaction bath, ultraviolet analyzer, superconducting nuclear magnetic resonance instrument, X-ray diffractometer, ABSCIEX TOF 4600 system and intelligent Model Fourier infrared spectrometer, the rest are all consumables and reagents.

The above-mentioned equipment cost nearly 4000 million in total, and the superconducting nuclear magnetic resonance machine alone was close to [-] million. Hu Jiaran has never spent so much money when he is so old, and his hands were shaking when he signed.

"If there is no result in the end, wouldn't the money be wasted!" Zhao Xingye beside him felt more distressed than him.

Fu Jianyuan from Z University was very excited when he touched the brand-new instrument. He is considered a small boss under Pan Xianyi, and he must undertake an independent task this time.After lying flat for so many years, when he suddenly stood up, he felt his fighting spirit was high.

Vice President Liu insisted that Gao Feng come over and hold a groundbreaking ceremony under the witness of reporters. This is very popular now. It seems that the project would not be successful without this step.

Gao Feng couldn't refuse, because Vice President Guo insisted on coming.
"We have great confidence in the success of the project. Thanks to the cooperation with a powerful university like Z University, the company agrees that everyone has established it."

Gao Feng was a little impatient behind him, who wrote this manuscript for him, even if it was fake, it is still so long, it is simply too much!

"The manuscript is not bad!" Vice President Liu said to him with a smile, "I worked on it myself and worked on it for a whole afternoon."

That's enough, Gao Feng resisted and showed him a smile, "No wonder, it's so well written!" Don't write in the future.

Vice President Guo also went up and said a few words. The general idea is that the hospital has made great achievements in the past few years, and has cultivated such outstanding talents as Gao Feng. In the future, it will continue to work hard to protect the health of the people.

After returning home, Gao Feng fell asleep. He had been busy all day today, and he was a little tired. After waking up, he had to enter the system space to perform liver experiments.

He has collected enough skill points, and the experimental process of the third-generation EGFR inhibitor has been exchanged. Gao Feng named it X, and the next step is to fully understand it.

The situation was much better than Gao Feng expected. It may be due to the accumulated experience of preventing bevacizumab injection last time. He did not encounter any particularly difficult problems in the first round.

Under nitrogen protection conditions, 4-fluoro-2methoxy-5 nitroaniline was put into a 50ml three-neck flask, magnetically stirred for 30 minutes, then 0.5mmol methanesulfonic acid was added dropwise, and then heated to 80°C.

Gao Feng was heating up when the flask suddenly burst open, and he in the space was smashed by the reagent.

"The temperature rises too fast, the experiment failed!" The system issued a prompt.

Gao Feng was stunned, "Why does it hurt?" He asked in disbelief, "System, what's going on?"

"The pain in the space is the same as the outside world, and it has always been like this." The system answered his question.

"Then why didn't I have any pain when I took bevacizumab last time?"

"Because there was no explosion at that time." The system

"If I was killed in the system space, what would happen in reality?" Gao Feng asked hastily.

"I'll feel severe headaches. If the frequency is too high, it may cause irreversible brain damage and become dementia." The systematic explanation almost scared Gao Feng into the urine.

Thank you System Dad for not killing me.

In the following experimental procedure, he became more cautious.

"The operation method is wrong, the experiment process failed!"

"Wrong amount of reagent added!"

"Poor preheating level, insufficient substrate purity, failure!"

".fail!"

"Why do you look so listless?" Li Xinyao came back from get off work and saw his look of lovelessness, "Tired from work?"

"Yeah." Gao Feng replied weakly, "How are you? If you can't do it, don't go to work. It's too hard to have a big belly."

Doctors have to go to work normally after pregnancy. Reasonable departments may be transferred to long-day shifts, but most departments still work on the original shift. Some doctors have to work night shifts until the day of their birth.

Thanks to Gao Feng's status in the hospital, Li Xinyao is now in the Changbai shift, and the department director advised her to resign, "You earn more money than your family's money and put it in the bank for monthly interest. Why bother yourself?"

Li Xinyao is also hesitating, she finally got a doctorate in medicine, does she really want to be a full-time wife at home?She had never dreamed of such a scene before.

"I'll think about it again." She went out to give Gao Feng some water to drink.
-
"Let's divide into groups. The project this time is different from last time. This time, each group is doing a relatively independent experimental process." Hu Jiaran said, "But the final product of each group is the original background of other groups. thing."

Dai Yonghui of Xinhua Pharmaceutical is responsible for the development of the first step of the base material. His team consists of about 20 people. Gao Feng first handed over this part of the experimental process to him.This step seems simple, but it is related to the whole process of the experiment.

"Based on this speed, the base materials we produce should be able to meet their consumption speed in the second stage." Dai Yonghui still has a sense of accomplishment. He is a professional, and one person in the whole laboratory counts as one. , who can have his experience.

However, he admires Hu Jiaran very much. This kid is so talented in doing experiments. No matter what operation, people only need to take a look at it, and it seems to be copied in their brains. After two times, he can even excel.

"No wonder he is just an undergraduate, and the people below are still obedient to him." Dai Yonghui thought to himself.

Soon, Dai Yonghui discovered that something was wrong, and the base material was consumed too quickly.

"Hu Gong, what's the situation?" He asked angrily, "You guys are just messing around, how can you waste raw materials like this!"

"Most of us here are still newcomers, and the level of operation depends on the accumulation of raw materials." Hu Jiaran explained: "I think it's almost done in one month."

a month?Dai Yonghui just wanted to spit at him. According to the current consumption rate of base materials, even if their group was exhausted, they would not be satisfied in the laboratory.

"Teacher Dai, think of a way, you are the one with the most experience here." Hu Jiaran flattered, "Our progress here can't be stopped, as we agreed to provide us with a sufficient amount of substrates. "

Dai Yonghui returned to his one-acre three-point land depressed. He urged the people below to speed up while thinking about countermeasures.After all, he is an expert who has participated in a number of drug preparations. He really came up with an idea. He separated the temperature control step in the substrate preparation and handed it over to a special person. This increased the efficiency by at least 20%. Everyone With the addition of overtime, he finally temporarily satisfied Hu Jiaran's request.

Pan Xianyi and Fu Jianyuan were staring at each other at the moment, "Is this all sent by them?"

"Yes." Fu Jianyuan broke out in a cold sweat, "Too many, we simply don't have enough manpower, everyone is born with hands."

"Then why are you still standing here? Go shake people!" Pan Xianyi was anxious.

To put it lightly, take a light grass!Fu Jianyuan complained in his heart, there is no one to shake now.

"Forget it, I'll find a way." Pan Xianyi also felt the helplessness of the other party, so he turned around and went to Vice Principal Liu.

"How can this transfer all my graduate students?" A professor of the School of Pharmacy was very dissatisfied with the decision of the school, "I also have projects to do here!"

"Old Jia, get over it first!"

"My student is graduating this year, but the graduation essay has not yet arrived." Another professor also ran over, "You transferred him away, who will write his essay?"

"You should think of a way. If it doesn't work, you can do it yourself. Students can write articles for you, but you can't write one for students?" Dang Ruxiu from the School of Pharmacy said with a smile.

"I'm going to write articles for the students?" The visitor looked in disbelief, how the hell did you say such a thing!
I bother!old stuff!
"This is the school's decision. Everyone must take care of the overall situation and leave Xiaojia for everyone!"

The two professors looked at each other, and cursed the head of the party a hundred words in their hearts.

Generally speaking, when the leader says to take into account the overall situation, you are likely to be out of the overall situation.When you want to give up a small family for everyone, you may not be sure that it is the small family.Therefore, you must not blindly shout slogans when you are not sure about the situation, and you will not know if you are sold.

　Begging for a monthly ticket with the cheek

　　
　
(End of this chapter)